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Dentistry · Endodontics
Sample itemWhich pain pattern is most suggestive of irreversible pulpitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Spontaneous lingering pain after thermal stimulus
Irreversible pulpitis often causes spontaneous or prolonged lingering pain after hot or cold stimuli because inflamed pulp is confined within rigid dentin; treatment commonly requires endodontic therapy or extraction.
Option by option
A. Spontaneous lingering pain after thermal stimulus (correct)
Correct: lingering spontaneous thermal pain suggests irreversible pulpal inflammation.
B. No response to any stimulus in every case
No response may occur with necrosis but is not the typical irreversible-pulpitis pattern.
C. Brief pain only on biting a hard seed
Brief bite pain may reflect crack, restoration, or periodontal causes.
D. Painless gum bleeding during brushing
Bleeding gums point more toward gingival inflammation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.