Try it
Dentistry · Endodontics
Sample itemWhich symptom most strongly suggests symptomatic irreversible pulpitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Lingering spontaneous pain provoked by hot or cold stimuli
Irreversible pulpitis often produces spontaneous or lingering thermal pain due to inflamed pulp tissue unable to recover after stimulation.
Option by option
A. Painless generalized gingival bleeding
Gingival bleeding is a periodontal finding.
B. Stable tooth discoloration without symptoms
Discoloration may indicate old trauma but is not this symptom pattern.
C. Brief pain only when biting on a high filling
Biting pain alone can reflect occlusal trauma or crack.
D. Lingering spontaneous pain provoked by hot or cold stimuli (correct)
Correct: prolonged thermal pain is typical of irreversible pulp 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.