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Key Facts: PMC Dentistry Licensure Exam

100

Exam questions

PMC dentistry exam page

50%

Pass mark (cumulative)

PMC dentistry exam page

100 JOD

Exam fee per sitting

PMC September 2026 announcement

25 + 20

Oral surgery and prosthodontics questions

PMC dentistry exam page

8

Law, ethics and public health questions

PMC dentistry exam page

2/year

Sittings (22 Apr and 22 Sep 2026)

PMC 2026 exam schedule

The Palestinian Medical Council (PMC) Comprehensive Dentistry Examination (الامتحان الإجمالي لطب الأسنان), announced as the Imtiyaz (practice) exam for dentists, has 100 questions: Oral Surgery 25, Prosthodontics 20, Conservative Dentistry 13, Endodontics 10, Orthodontics 8, Pediatric Dentistry 8, Periodontics 8, plus 8 on syndicate law, ethics, and public health. The pass mark is 50% of the total and the fee is 100 JOD; the 2026 sittings were 22 April and 22 September. OpenExamPrep offers independent English-language MCQs on these subjects as a study aid; they are not official PMC questions or a simulation of the exam format.

Sample PMC Dentistry Licensure Practice Questions

Try these sample questions to review concepts for the PMC Dentistry Licensure exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1What is the maximum recommended dose of lidocaine with 1:100,000 epinephrine for a healthy 70 kg adult undergoing dental extractions?
A.200 mg (approximately 2.0 mg/kg)
B.300 mg (approximately 4.4 mg/kg)
C.500 mg (approximately 7.0 mg/kg)
D.1000 mg (approximately 14.0 mg/kg)
Explanation: For a healthy adult patient, the maximum recommended dose (MRD) of lidocaine with epinephrine (1:100,000) is 7.0 mg/kg, up to an absolute maximum ceiling of 500 mg (equivalent to approximately 13.8 standard 1.8 mL cartridges of 2% lidocaine). Without a vasoconstrictor, the maximum dose is lower (4.4 mg/kg up to 300 mg).
2During an inferior alveolar nerve block, the needle tip contacts bone prematurely at approximately 8 mm of penetration depth. What is the correct corrective action?
A.Withdraw slightly, swing the syringe barrel anteriorly toward the canine/lateral incisor area, and re-advance
B.Advance the needle firmly against the bony resistance until the planned 20–25 mm depth is reached
C.Withdraw completely and re-insert about 10 mm higher on the anterior border of the ramus
D.Deposit the full cartridge at the point of bony contact and wait 5 minutes
Explanation: Bony contact at well under half the usual penetration depth means the needle tip is too far anterior (lateral) on the ramus, against the internal oblique ridge rather than in the mandibular sulcus. The standard correction is to withdraw slightly without leaving the tissue, bring the syringe barrel toward the front of the mouth (over the canine or lateral incisor region), and re-advance to the proper depth, which moves the tip posteriorly toward the mandibular foramen.
3Which local anesthetic formulation is contraindicated in patients with congenital or idiopathic methemoglobinemia?
A.Lidocaine
B.Mepivacaine
C.Bupivacaine
D.Prilocaine
Explanation: Prilocaine is metabolized in the liver and lungs into o-toluidine, a metabolite that oxidizes ferrous iron (Fe2+) in hemoglobin to ferric iron (Fe3+), forming methemoglobin. This can precipitate clinical methemoglobinemia characterized by cyanosis, dyspnea, and chocolate-brown blood. Articaine in high doses can also produce methemoglobinemia, but prilocaine is classic. The treatment for acute toxic methemoglobinemia is intravenous methylene blue (1-2 mg/kg).
4A patient experiences sudden transient unilateral facial nerve paralysis immediately following an inferior alveolar nerve block. What anatomical error occurred?
A.Direct mechanical laceration of the facial nerve at the styloid process
B.Deposition into the buccal fat pad causing reflex muscle inhibition
C.Deposition of anesthetic solution too deeply into the parotid gland capsule
D.Intra-arterial injection into the inferior alveolar artery
Explanation: If the needle is inserted without making contact with the posterior bony wall of the mandibular sulcus, or if it is directed too far posteriorly and deeply, the needle tip passes through the posterior border of the ramus into the capsule of the parotid gland. The branches of the facial nerve (cranial nerve VII) course through the parotid gland, and soaking them in local anesthetic causes temporary unilateral motor paralysis (inability to close the eyelid, drooping of the corner of the mouth), which resolves as the anesthetic wears off.
5Which forceps is anatomically designed with two sharp pointed beaks specifically meant to engage the bifurcation of mandibular first and second molars?
A.No. 151 forceps
B.No. 53R forceps
C.No. 88L forceps
D.No. 23 forceps
Explanation: The No. 23 forceps (the 'cowhorn') has two sharp, pointed beaks designed to seat into the buccal and lingual furcations of mandibular molars. As the handles are squeezed, the wedge-shaped beaks generate coronal forces that elevate the tooth out of the socket.
6According to the Pell and Gregory classification, an impacted mandibular third molar whose highest portion lies below the occlusal plane but above the cervical line of the second molar is classified as:
A.Class I
B.Class II
C.Position A
D.Position B
Explanation: The Pell and Gregory classification uses letter designations (Positions A, B, and C) to indicate the vertical depth of the impacted third molar relative to the adjacent second molar. In Position A, the highest portion of the tooth is on a level with or above the occlusal plane of the second molar. In Position B, the highest portion is below the occlusal plane but above the cervical line. In Position C, the highest portion is below the cervical line of the second molar.
7During surgical removal of an impacted mandibular third molar, which anatomical structure is at greatest risk of injury if an incision is placed incorrectly on the lingual aspect of the retromolar pad?
A.Lingual nerve
B.Facial artery
C.Mental nerve
D.Buccal nerve
Explanation: The lingual nerve travels submucosally in the lingual soft tissue adjacent to the medial surface of the mandible in the third molar region. In up to 15-20% of patients, it lies at or above the crest of the lingual alveolar plate. Therefore, releasing incisions or reflection on the lingual aspect of the retromolar pad carries a high risk of permanent lingual nerve neuropraxia or neurotmesis, resulting in loss of taste and sensation to the anterior two-thirds of the tongue.
8What is the primary etiology and pathophysiology of alveolar osteitis (dry socket)?
A.Bacterial colonization causing acute osteomyelitis of the cortical plate
B.Vasoconstrictor-induced ischemia from the local anesthetic causing avascular necrosis of the socket wall
C.Premature disintegration or loss of the primary blood clot due to high fibrinolytic activity
D.Fracture of the interradicular septum leaving a sharp bony spicule that irritates the socket
Explanation: Alveolar osteitis (dry socket) is characterized by premature lysis or detachment of the post-extraction intra-alveolar blood clot, exposing the underlying bone socket. This is driven by high tissue fibrinolytic activity (tissue kinase and bacterial plasminogen activators, notably from Treponema denticola), leading to severe throbbing pain typically starting 2 to 4 days postoperatively, foul odor, and an empty socket devoid of granulation tissue.
9A patient presents with rapid, bilateral, firm induration of the sublingual, submandibular, and submental spaces, with elevation of the tongue and airway compromise. What is the diagnosis?
A.Canine space abscess
B.Buccal space infection
C.Pterygomandibular space infection
D.Ludwig's angina
Explanation: Ludwig's angina is a rapidly progressive, bilateral gangrenous cellulitis involving the submandibular, sublingual, and submental fascial spaces simultaneously. It typically originates from infected mandibular second or third molars whose root apices lie below the mylohyoid muscle insertion. The swelling elevates and displaces the tongue superiorly and posteriorly, leading to acute life-threatening airway obstruction.
10During extraction of a maxillary first molar, a small (about 2 mm), non-infected palatal root tip is displaced into the maxillary sinus through a small oroantral opening. A radiograph confirms its position, and one gentle attempt at irrigation and suction through the socket has failed. What is the most appropriate management?
A.Enlarge the socket with a bur and keep searching blindly with a fine suction tip until it is found
B.Leave the root tip, inform the patient, close the opening, and give sinus precautions with follow-up
C.Proceed immediately to a Caldwell-Luc antrostomy to retrieve the fragment at the same visit
D.Pack the socket open with iodoform gauze so the root can drain out over the next week
Explanation: When a small (2–3 mm), non-infected root tip enters the sinus and a single gentle irrigation and suction attempt fails, the fragment may be left in place. The patient is informed, the oroantral opening is closed or a stable clot is secured, and sinus precautions (no nose blowing, sneezing with the mouth open) are prescribed, with antibiotics or decongestants as indicated and radiographic follow-up. Larger or infected fragments are retrieved electively, for example by a Caldwell-Luc approach or endoscopically, usually by a specialist.

About the PMC Dentistry Licensure Exam

The Palestinian Medical Council's comprehensive (Imtiyaz) dentistry examination, a 100-question practice-licensing exam with a 50% pass mark, held twice a year for dental graduates who have completed their internship.

Exam sponsor: Palestinian Medical Council (PMC / المجلس الطبي الفلسطيني). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

PMC's Higher Scientific Committee (session 14, 31 December 2009) set the comprehensive dentistry exam at 100 questions: Oral Surgery 25, Prosthodontics 20, Conservative Dentistry 13, Endodontics 10, Orthodontics 8, Pediatric Dentistry 8, and Periodontics 8, with 8 questions on syndicate law, professional ethics, and public health. The pass mark is 50% of the cumulative total. PMC does not publish the duration, delivery mode, or question language on its exam page.

Time Limit

Not published by PMC

Passing Score

50% of the cumulative total

Exam / Certification Fees

100 JOD per sitting

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

25 of 100 questions

Oral Surgery (الجراحة)

Local anesthesia and its complications, exodontia, impacted teeth, odontogenic infections, maxillofacial trauma, cysts and tumors, MRONJ, and medical emergencies in the dental clinic.

20 of 100 questions

Prosthodontics (التركيبات السنية)

Fixed prosthodontics (preparations, margins, biologic width), removable partial dentures (classification, clasps, connectors), complete dentures, occlusion, implants, and impression and gypsum materials.

13 of 100 questions

Conservative / Operative Dentistry (المعالجة التحفظية)

Caries and cavity classification, adhesion and etching, composite placement and shrinkage, amalgam, glass ionomer and RMGI, pulp capping, matrices, tooth wear, and bleaching.

10 of 100 questions

Endodontics (عصب أسنان)

Pulpal and periapical diagnosis, access cavities, irrigants and their interactions, obturation, endodontic microsurgery, and irrigation accidents.

8 of 100 questions

Orthodontics (تقويم الأسنان)

Angle classification, cephalometric analysis, leeway space, tooth-movement biology, interceptive treatment, expansion, the ugly duckling stage, and retention.

8 of 100 questions

Pediatric Dentistry (طب أسنان الأطفال)

Primary tooth anatomy, pulpotomy indications, stainless steel crowns, space maintainers, dental trauma (IADT guidance), fluoride supplementation, and behavior guidance.

8 of 100 questions

Periodontics (جراحة اللثة)

2017 classification of health and disease, periodontal pathogens, pockets and furcations, instrumentation, drug-induced overgrowth, flap surgery, and the diabetes link.

8 of 100 questions

Syndicate Law, Professional Ethics & Public Health

PMC exam regulations, autonomy and consent, confidentiality, sterilization monitoring and instrument processing, sharps injuries, fluoridation, and caries indices.

Preparing for the PMC Dentistry Licensure Exam

What You Need to Know

  • Passing score: 50% of the cumulative total
  • Assessment: PMC's Higher Scientific Committee (session 14, 31 December 2009) set the comprehensive dentistry exam at 100 questions: Oral Surgery 25, Prosthodontics 20, Conservative Dentistry 13, Endodontics 10, Orthodontics 8, Pediatric Dentistry 8, and Periodontics 8, with 8 questions on syndicate law, professional ethics, and public health. The pass mark is 50% of the cumulative total. PMC does not publish the duration, delivery mode, or question language on its exam page.
  • Time limit: Not published by PMC
  • Exam / certification fees: 100 JOD per sitting Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

PMC Dentistry Licensure: Suggested Study Strategy

1Weight your study by PMC's breakdown: Oral Surgery (25) and Prosthodontics (20) make up 45 of the 100 questions.
2Know dental emergencies and medically complex patients: anaphylaxis, chest pain, anticoagulants, endocarditis prophylaxis, and MRONJ risk.
3Review classification systems that are easy to confuse: Kennedy, Pell and Gregory, Glickman, Angle, and the 2017 periodontal classification.
4Practice pediatric and trauma decisions, including pulpotomy indications and IADT avulsion guidance for primary and permanent teeth.
5Do not skip the 8 law, ethics, and public health questions: consent, confidentiality, infection control, and community fluoride.

Frequently Asked Questions

What is the PMC Comprehensive Dentistry Examination?

It is the Palestinian Medical Council's comprehensive examination for dentistry (الامتحان الإجمالي لطب الأسنان), announced by PMC as the Imtiyaz practice exam for dentists. It has 100 questions across seven clinical subjects plus syndicate law, ethics, and public health.

Who can sit the exam?

Article 20 of PMC Executive Regulation No. 14 of 2012 (as amended in 2023) requires a degree from a recognized school that has been certified or equated by the Ministry of Education and Higher Education, completion of the internship year (or at least 11 months of it), and temporary syndicate registration. PMC's exam page lists the documents to submit.

How is the exam structured and when is it held?

PMC lists 100 questions: Oral Surgery 25, Prosthodontics 20, Conservative Dentistry 13, Endodontics 10, Orthodontics 8, Pediatric Dentistry 8, Periodontics 8, and 8 on syndicate law, ethics, and public health. It is held twice a year; the 2026 sittings were 22 April and 22 September. PMC does not publish the duration on its exam page.

What is the pass mark and fee?

The pass mark is 50% of the cumulative total. The fee is 100 Jordanian dinars per sitting, paid to the PMC account at Arab Bank. Candidates who do not withdraw at least two working days before the exam lose the attempt and the fee.

In what language is the exam, and are these official questions?

PMC does not state the question language or item format on its exam page. The questions here are independent English-language multiple-choice questions written by OpenExamPrep for studying the published subject areas. They are not official PMC items, translations, or a simulation of the exam.