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Step 2 - Stomatology 2014
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2 із 200
A 38-year-old female patient complains of pain in the 16 tooth, which appeared 3 days after placing an artificial crown over the tooth. Objectively: the 16 tooth is crowned with a full metal swaged crown. The gingiva around the tooth is hyperemic, edematous. The crown margin is submerged into gingival pocket by more than 0,5 mm. What is the cause of this complication?
Excessive submergence of the crown margin into the gingival pocket
Excessively tight fit of the crown
Contact of the crown with antagonists
Interdental contacts
Eating solid food
3 із 200
A 34-year-old female patient presented to a dental clinic for the prosthetics of the mandibular teeth. Objectively: the mandibular teeth exhibit the I-II class mobility. Which of the following examination methods should be applied?
Radiography
Rheotachygraphy
Myotonometry
Galvanometry
Face-bow record
4 із 200
A 29-year-old female patient presented to a dental clinic for prosthetics. Objectively: there is a carious cavity on the masticatory and mesial surfaces of the 24 tooth. Interdental contact is inadequate. Classify this cavity according to Black’s classification:
II
V
I
IV
III
5 із 200
A patient complains of spontaneous, paroxysmal, irradiating pain with short pain-free intervals. The pain arose 2 days ago and occurs only at night. Make a provisional diagnosis:
Acute diffuse pulpitis
Acute deep caries
Acute purulent pulpitis
Acute circumscribed pulpitis
Exacerbation of chronic periodontitis
6 із 200
A 40-year-old female patient complains of swelling of the left submandibular region which appeared three days ago; elevation of body temperature up to 37,4oC. Objectively: the left submandibular region exhibits a soft tissue edema, the skin color is not changed. Palpation reveals a roundish dense elastic node with a smooth surface sized 2,0 x1,5 cm. The node is mobile, somewhat tender. Mouth opening is not restricted, oral mucosa exhibits no visible changes, the crown of the 36 tooth is decayed by 2/3, its percussion causes pain response. What is the most likely diagnosis?
Acute odontogenic serous lymphadenitis of the submandibular region
Acute serous sialadenitis of the submandibular salivary gland
Chronic odontogenic lymphadenitis of the submandibular region
Odontogenic abscess of the submandibular region
Odontogenic phlegmon of the submandibular region
7 із 200
A 70-year-old female patient complains of burning sensation under the base of her complete denture; dryness and bitterness in the mouth. The denture was fabricated 3 weeks ago. Objectively: the alveolar bone mucosa is edematous, there is diffuse hyperemia up to the margins of the denture. The tongue is hyperemic, dry and cracked. What additional study would be most appropriate in this case?
Allergotest
Urinalysis
Biochemical blood analysis
Complete blood count
Sialosemiology
8 із 200
A 44-year-old female patient presented to a dental clinic for prosthetics. Objectively: the 17, 16, 15, 14, 12, 25, 26 teeth are missing; the 18, 28 teeth are preserved. Make a diagnosis according to Kennedy classification of partial edentulousness:
Class III, subclass 2
Class II, subclass 4
Class III, subclass 3
Class II, subclass 2
Class III, subclass 1
9 із 200
A 45-year-old female patient presents to a dental clinic for prosthetics. Objectively: the 47, 46, 45, 35, 36, 37 teeth are missing. There is dentoalveolar vertical displacement of the 17, 16, 26, 27 teeth; the alveolar process is hypertrophied, the cervical margins are not exposed. When the teeth are closed, the distance between the occlusal surfaces of teeth and the alveolar process is about 6 mm. Specify the most efficient method of treatment of secondary deformation in this patient:
Pulp removal and teeth grinding
Hardware-associated surgical treatment
Grinding
Disocclusion
Surgical treatment
10 із 200
A 25-year-old female patient consulted a dentist about acute pain in the mandible on the right that occurs during eating. Objectively: the approximate distal surface of the 45 tooth exhibits a carious cavity filled with light softened dentin. Probing causes a minor pain response across the entire floor. Percussion causes no pain. Cold water causes transient pain. What is the most likely diagnosis?
Acute deep caries
Acute median caries
Chronic median caries
Chronic fibrous pulpitis
Chronic deep caries
11 із 200
A 45-year-old male patient has been admitted to the maxillofacial department with complaints of general weakness, pain and swelling in the left submandibular region, elevation of body temperature up to 39oC. He has a history of frequent pain in the 36 mandibular tooth on the left. The face is asymmetric due to the swelling of the left submandibular region, where a dense infiltrate is palpable; the overlying skin is hyperemic, doesn’t make a fold. There is a deep carious cavity in the 36 tooth, its percussion causes pain response; the surrounding mucosa is hyperemic, edematous. What is the most likely diagnosis?
Phlegmon of the left submandibular region
Acute suppurative left-sided submandibular lymphadenitis
Acute left-sided submandibular sialadenitis
Acute suppurative left-sided periostitis of the mandible
Acute left-sided osteomyelitis of the mandible
12 із 200
A month after cementing a porcelain-fused-to-metal crown for the 23 tooth, the patient complained of its decementation. On examination the tooth stump was of sufficient height, the stump walls were convergent to the vertical axis at an angle of about 30 degrees. What is the required angle of wall convergence?
Up to 8 degrees
27-35 degrees
18-20 degrees
25-30 degrees
20-25 degrees
13 із 200
A 5-year-old child has been diagnosed with chronic granulating periodontitis of the 85 tooth. What is the optimal material for the root canal filling?
Zinc-eugenol cement
Glass ionomer cement
Resorcinol-formalin paste
Zinc-phosphate cement
Calcium-containing paste
14 із 200
A 65-year-old male patient undergoes fabrication of a full removable denture for the mandible. The individual tray for taking a functional impression is adjusted with the use of Herbst tests. The tray is thrown off during swallowing. This means that its edge is to be shortened in the following area:
From the space behind the mucous tubercle to the mylohyoid line
Along the mylohyoid line
In the region of the premolars on the lingual side
From canine to canine vestibularly
From canine to canine lingually
15 із 200
A 28-year-old female patient complains of a cosmetic defect in the anterior segment of the maxilla. Objectively: the crown of the 13 tooth is decayed nearly up to the gingival edge, the stump walls are of sufficient thickness. The stump has a slightly changed color, percussion causes no pain response. Radiographical findings: the root canal is straight, wide, and filled along the entire length. What prosthetic construction is most appropriate in this case?
Post and core
Porcelain-fused-to-metal crown
Micro-denture
Inlay
Plastic crown
16 із 200
A 32-year-old patient complains of constant chewing-like movements of the mandible. These movements occur with nervous excitement. The patient’s wife reports him to have gnashing of teeth at night. Objectively: the lateral teeth are worn, have no tubercles. What is the optimal treatment tactics?
Night guard (Michigan-type splint), myogymnastics, self-massage
Referral to a dental surgeon
Alignment of teeth (selective grinding)
Restoration with crowns
Pharmaceutical and non-invasive treatment following the referral to a dental surgeon
17 із 200
A 38-year-old female patient complains of pain in front of the external auditory meatus projection, clicking when opening the mouth, sensation of stuffiness in the ears. Objectively: the face is symmetric, the trajectory of mouth opening is straight. There is a I class Kennedy defect, the 17, 16, 26, 27, 28 teeth are missing. Which anatomical structure takes the greatest load in this situation?
Articular disc (meniscus)
Articular head
Distal surface of the medial articular tubercle
Articular capsule
Bottom of the glenoid fossa of the temporal bone
18 із 200
A 70-year-old male patient with the completely edentulous maxilla and a hard palate defect complains of difficult eating, pouring of liquid food through the nose, frequent chronic diseases of the nasal mucosa. Objectively: the maxillary alveolar bone is atrophied (Schroeder class I), the mucosa pliability complies with Supple class I. The hard palate exhibits a cicatrically changed defect sized 2x3 cm. What denture design would be most effective in this case?
Complete removable denture with an internal and a peripheral valve
Complete removable denture with a thickening in the defect region
Complete removable denture with the teeth placed on the artificial gingiva
Soft-core obturator and complete removable denture
Complete removable denture with a metal base and soft-core obturator
19 із 200
A 7-year-old child complains of fever up to 38,30C, headache, sore throat and general weakness. Objectively: the mucosa of the soft palate, tonsils and palatine arches is edematous and hyperemic, there are numerous small painful erosions with red bottom. The erosions are not covered with any plaque. The submandibular lymph nodes are enlarged, painful on palpation. What is the most likely diagnosis?
Herpetic angina
Diphtheric stomatitis
Acute herpetic stomatitis
Infectious mononucleosis
Scarlet fever stomatitis
20 із 200
A 22-year-old patient complains of a painful swelling in the right parotid gland region. A week before the pati- ent got a cheek abrasion which was healing under the purulent crust. Over the past two days, the patient had had progressing pain and fever up to 38,6oC. Objectively: there is a soft tissue edema in the right parotid region, the skin is slightly tense but has not changed in colour. There is a dense painful infiltration 2,5x3,5 cm large, the overlying skin exhibits limited mobility. The mouth can be fully opened, the mucous membrane around the orifice of the salivary duct is unchanged, the saliva is transparent. What is the most likely diagnosis?
Acute lymphadenitis
Acute non-epidemic parotitis
Exacerbation of chronic parotitis
Abscess of the parotid-masseteric region
Epidemic parotitis
21 із 200
A 42-year-old female patient consulted a dentist about a sudden dramatic enlargement of gingiva, bleeding sores on the mucous membrane, lymph node enlargement. There is body temperature elevation up to 38oC, weakness, pain in the bones. What disease can be suspected in this patient?
Acute leukemia
Chronic leukemia
Eosinophilic granuloma
Hodgkin’s lymphoma
Hypovitaminosis C
22 із 200
A 56-year-old male patient presents to a dental clinic for complex dental treatment prior to prosthetic procedures. Objectively: there is a pathological grayish-white triangular lesion sized 0,5x1,5 cm on the buccal mucosa in the mouth corners. The lesion cannot be removed. There are no signs of inflammation, regional lymph nodes are unchanged. Make a diagnosis:
Planar leukoplakia
Hyperkeratotic lichen planus
Typical lichen planus
Mild leukoplakia
Mycotic stomatitis
23 із 200
A 24-year-old female patient presented to a dental clinic for the extraction of the maxillary wisdom tooth root. Following the posterior superior alveolar nerve block, a post-injection hematoma occurred. What structure was damaged during anesthesia?
Pterygoid venous plexus
Maxillary artery
Palatine artery
Infraorbital artery
Zygomatic artery
24 із 200
What is the most adequate surgical approach for a submandibular phlegmon dissection?
5-6 cm long incision along the skin crease of the upper cervical region
5-6 cm long incision bypassing the angle of the mandible
Intraoral approach along the mucogi-ngival junction at the molar level
5-6 cm long incision 2 cm below the mandible
Linear 2 cm long incision along the lower edge of the mandible
25 із 200
A 12-year-old patient has chronic catarrhal gingivitis. The oral vestibule is 7 mm deep. Fedorov-Volodkina hygiene index is 4. Examination revealed no abnormalities of lip frenulum attachment. What measures should be taken in the first place?
Professional oral hygiene
Curettage of periodontal pockets
Physiotherapy
Vestibuloplasty
-
26 із 200
On the basis of subjective complaints, anamnesis and objective examination, a 5-year-old child has been diagnosed with impacted dislocation of the 71 tooth. What is the most appropriate treatment tactics?
Extraction of the 71 tooth
Reposition and fixation of the 71 tooth
No intervention is required
Orthodontic treatment of the 71 tooth
Endodontic treatment of the 71 tooth
27 із 200
A 26-year-old male patient presents to a prosthetic dentistry clinic for a swaged metal crown for the 26 tooth. This is his third visit. During examination he has been found to have a hole on the medial buccal tubercle of the crown which appeared as a result of polishing. What tactics should be chosen?
Fabricate a new crown
Mount a fixed denture
Cement the crown with the cement
Cement the crown with acryl oxide
Seal up the hole in the crown
28 із 200
A 28-year-old patient complains that a piece of the 23 tooth crown has broken off. Objectively: the root canal orifices contain the filling material, percussion causes no pain response. What is the tactics of choice?
Radiography of the 23 tooth
Ortho-polymer restoration of the 23 tooth
Restoration with Belkin crown
Fabrication of a metal insert tooth
Extraction of the 23 tooth
29 із 200
A 58-year-old patient complains of stuffiness in the ears, hearing impairment, pain in the parotid region when opening the mouth. Objectively: the 18, 17, 16, 15, 26, 27, 28 teeth are restored with swaged metal crowns. There is a 1,5-2 mm gap between the crown edges and gingiva. The 14 and 25 teeth exhibit carious cavities. Probing, percussion and thermal stimuli cause no pain response. The patient has deep incisor overbite. What is the likely cause of otologic symptoms?
Functional TMJ overload
Missing mandibular teeth
Galvanosis
Complication of tooth decay in the 14, 25 teeth
Cervical margin exposure of the 18, 17, 16, 15, 26, 27, 28 teeth
30 із 200
A 32-year-old patient presented to a prosthetic dentistry clinic with a diagnosis of maxillary fracture.The fracture can be treated by means of standard maxillo-mandibular Zbarzh set. What construction provides the intra-oral fixation?
Standard double arch
Plastic biteplate
Aluminium arch bar
Crown-supported soldered splint
Weber’s splint
31 із 200
A 25-year-old male complains of pain, a sensation of heaviness in the maxilla on the left. He has a history of the 25 tooth extraction followed by health deterioration. There appeared purulent discharge from the left nasal meatus. He was diagnosed with acute odontogenic leftsided sinusitis. Which nasal meatus should the maxillary sinus be punctured through?
Inferior
Superior
Middle and inferior
Middle
Superior and inferior
32 із 200
A 22-year-old male patient presented to a dental clinic with a cavity in the 11 tooth. The patient had no previous history of this tooth treatment. Objective examination revealed a carious cavity filled with light softened dentin on the approximate medial surface. The carious cavity was located within the mantle dentin. The tooth is slightly sensitive to the cold stimuli. What is the most likely diagnosis?
Acute median caries
Chronic median caries
Superficial caries
Acute deep caries
Chronic deep caries
33 із 200
A patient consulted an oral surgeon about maxillary pain on the left, which arose three days ago. After examination, the patient was diagnosed with exacerbation of chronic periodontitis of the 17 tooth. The 17 tooth is indicated for extraction. What nerves should be blocked for a painless extraction of the 17 tooth?
Posterior alveolar nerves and greater palatine nerve
Greater palatine nerve
Nasopalatine nerve
Middle alveolar nerves and greater palatine nerve
Anterior alveolar nerves and incisive nerve
34 із 200
A 35-year-old patient complains about itch, burning and edema of lips. These presentations occured a week ago. Objectively: there is reddening of vermilion border and lip skin, especially in the region of mouth corners, there are also vesicles, crusts, small cracks accompanied by erythematous lesion of vermilion border. What is the most likely diagnosis?
Acute eczematous cheilitis
Exudative form of exfoliative cheilitis
Exudative erythema multiforme
Acute herpetic cheilitis
Allergic contact cheilitis
35 із 200
A 6-year-old child complains of pain in a mandibular tooth on the left during eating. Objectively: masticatory surface of the 36 tooth exhibits a carious cavity within the mantle dentin. The cavity is full of light softened dentin which can be easily removed with an excavator. Probing of the cavity walls causes pain response. The teeth are sensitive to thermal stimuli, the pain is of short-term nature. There is no response to percussion. Select the optimal filling material:
Silver amalgam
Silicophosphate cement
Polycarboxylate cement
Zinc phosphate cement
Silicate cement
36 із 200
A patient undergoes orthopedic treatment for bounded edentulous spaces in the upper jaw with fixed full-cast dentures. At the second appointment it is necessary to check whether the inner surface of the metal frame of the future porcelain-fused-to-metal bridge fits the surface of the prepared teeth. How can this be done?
In the oral cavity by means of silicone materials
In the oral cavity by means of transfer paper
In the oral cavity by means of a wax plate
By means of visual models in the articulator
In the oral cavity by means of stomatoscopy
37 із 200
A 44-year-old male patient needs a cast splint for the mandible. Objectively: there is a bilateral terminal defect of the mandibular dental arch. The tooth crowns are high, the teeth are intact, there is I-II class mobility. What impression material should be used?
Stomalgin
Stens
Gypsum
Repin
Dentafol
38 із 200
A 35-year-old male complains of short-term pain caused by thermal stimuli in the 46 and 47 teeth. Objectively: masticatory surfaces of the 46, 47 teeth are intact, approximate surfaces could not be examined because of a very close arrangement of teeth. What methods of study can be used in this case if you suspect the presence of hidden cavities?
X-ray
Vital staining
Measuring electrical resistance
Fluorescent study
Electro-odontometry
39 із 200
A 13-year-old child complains of having a cavity in the front maxillary teeth. Contact medial surfaces of the 11 and 21 teeth exhibit cavities found within the mantle dentine and filled with dense pigmented dentin. Probing of the cavity floor causes no pain response, neither does dental percussion. Select the best filling material for the permanent seals:
Resin composite
Silicate cement
Glass ionomer cement
Silicophosphate cement
Zinc phosphate cement
40 із 200
Parents of a 3-year-old child report that the child has persistent pain in the front maxillary teeth. Objectively: the coronal part of the 61 tooth is gray and decayed. Probing of the root canal orifice causes pain response and is accompanied by bleeding. The tooth percussion provokes acute pain. Mucosa is hyperemic, edematous and tender. Palpation in the region of the 61, 62 teeth reveals a fistula. What is your provisional diagnosis?
Exacerbation of chronic periodontitis
Acute purulent periodontitis
Acute diffuse pulpitis
Exacerbation of chronic pulpitis
Chronic granulating periodontitis
41 із 200
A 15-year-old teenager consulted an orthodontist about misalignment of teeth. Objectively: the face is unremarkable. The patient has permanent dentition. There are no abnormalities of jaw relationship in three dimensions. The 23 tooth has a vestibular position and is located above the occlusal plane, the space in the dental arch is less than 1/3 of crown. The space for the misaligned 23 tooth can be gained due to:
Extraction of the 24 tooth
Increase of the vertical jaw dimensions
Increase of the sagittal jaw dimensions
Increase of the transverse jaw dimensions
Extraction of the 23 tooth
42 із 200
An 11-year-old boy complains of a carious cavity in a mandibular tooth on the right. Objectively: the 46 tooth exhibits a carious cavity within the mantle dentin. The dentin is dense, pigmented; there is pain response to the cold stimulus, probing and percussion cause no pain response. Make a provisional diagnosis:
Chronic median caries
Acute deep caries
Acute median caries
Chronic superficial caries
Chronic deep caries
43 із 200
A 45-year-old male patient complai- ns of inertness, headache, fever up to 39oC, burning neuralgic pain in the mandible on the right. Objectively: the skin of chin on the right is hyperemic, there is vesicular rash with a vesicle diameter of 1 to 6 mm. Similar vesicles can be found on the hyperemic oral mucosa on the right. They burst easily making erosions which are covered with fibrinous pellicles. Regional lymphadenitis is present. What is the most likely diagnosis?
Shingles
Exudative erythema multiforme
Allergic stomatitis
Acute herpetic stomatitis
Pemphigus
44 із 200
A 50-year-old patient complains of dryness and burning sensation in the mouth, pain during eating, taste perversion. The symptoms occurred a week ago after taking the course of antibiotics for acute bronchitis. Objectively: oral mucosa is covered with patches of white caseous deposit. The deposit can be easily removed when scraped, revealing hyperemic areas of mucous membrane. Which is the most likely diagnosis?
Acute pseudomembranous candidiasis
Leukoplakia
Lichen planus
Chronic recurrent aphthous stomatitis
Chronic hyperplastic candidiasis
45 із 200
A 56-year-old female patient complains of burning neuralgic pain in the left half of the mandible, which appeared two days ago. There is also rash in form of tense vesicles on the reddened skin and mucosa of the lower lip on the left, accompanied by malaise, headache, body temperature elevation up to 38oC, left-sided lymphadenitis. What is the most likely diagnosis?
Herpes zoster
Allergic reaction
Murrain
Acute herpetic stomatitis
Pemphigus
46 із 200
A 21-year-old dental patient has been found to have a circular ulcer on the tongue dorsum. The ulcer is up to 1 cm in diameter, has demarcated raised edges and a deep inflammatory infiltrate at the base. The ulcer floor is flat, clean, of crimson color. The regional lymph nodes are of cartilaginous density, mobile, painless. The ulcer appeared a week ago and doesn’t cause any discomfort. What kind of ulcer should be suspected in the first place?
Syphilitic
Traumatic
Trophic
Cancerous
Tuberculous
47 із 200
An 11-year-old boy complains of a short-term pain from the cold in a left mandibular tooth. Objectively: the medial surface of the 36 tooth exhibits a carious cavity within parapulpar dentin. The cavity is filled with light, softened dentin and does not communicate with the cavity of the tooth. Probing the of the 36 tooth floor causes pain response, the tooth is not sensitive to percussion, the response to the cold stimulus does not stay long after its removal. What is the most likely diagnosis?
Acute deep caries
Acute median caries
Chronic fibrous pulpitis
Acute diffuse pulpitis
Acute focal pulpitis
48 із 200
A 36-year-old patient with the face and neck burns resulting from gasoline ignition has been delivered to the emergency room. Palpebral fissures are closed due to the eyelid edema. The face skin is erythematous, there are large tense blisters on the skin of the chin, cheeks, nose, forehead, superior surface of neck. Specify the degree of burns:
II degree
IV degree
I degree
III degree
-
49 із 200
A 9-year-old child has a symmetrical maxillary diastema with crown divergence. The relationship of the lateral teeth is neutral. In the anterior segment the depth of incisal overbite is 1/3 of the crown height. What appliance can be used for simultaneous treatment of diastema and crown divergence?
Maxillary plate with spring arms
Maxillary plate with vestibular arch
Standard edgewise technique
Bracket system with Andrew’s straight-wire
Maxillary plate with protraction springs
50 із 200
A 52-year-old female patient complains of a persistent burning sensation at the tip and lateral surface of the tongue. The burning occurs in the morning and gets worse in the evening, the sensation disappears when eating. The patient reports having had these symptoms for about a year and associates the disease with wearing removable dentures. The patient has a history of anacid gastritis, a surgery for uterine fibroids, second degree hypertension, poor sleep, anxiety. Objectively: the tongue is slightly swollen, the tongue dorsum is covered with a thin white plaque, filiform papillae are atrophied. The rest of the mucosa exhibits no visible pathological changes. Pharyngeal reflex is suppressed. What is the most likely diagnosis?
Glossalgia
Allergic reaction to plastic
Moeller-Hunter glossitis
Candidal glossitis
Lingual nerve neuritis
51 із 200
A 28-year-old female patient consulted a dentist about pain caused by thermal and chemical stimuli in the mandibular and maxillary teeth. Objectively: in the cervical zone of mandibular and maxillary incisors and canines there are irregularly shaped defects of hard dental tissues within the amelodentinal junction in form of tissue softening. In this clinical case a dentist will find it difficult to differentiate between the following diseases:
Caries and necrosis
Hypoplasia and necrosis
Hypoplasia and wedge-shaped defect
Erosion and wedge-shaped defect
Caries and erosion
52 із 200
A 52-year-old male patient working as a driver consulted a dentist about pain, difficult mouth opening. The patient had been diagnosed with ulcerative leukoplakia. After a 10-day course of therapy sluggish granulation began. On the periphery of the ulcer the keratini-zation processes became more active. Which of the following tests must be conducted in the first place?
Microscopy
Bacteriological stdy
Stomatoscopy
Bacterioscopy
Cytological study
53 із 200
4 hours after application of arsenic paste to the 36 tooth pulp, a 27-year-old patient complained of pain in the treated tooth. Objectively: on the distal surface of the 36 tooth the temporary filling is present. Percussion causes no pain response. Gingival papilla in the region of the 36, 37 teeth is hyperemic and edematous, its apex is necrotized. What is the optimal tactics of this patient management?
Replace the temporary filling, treat the gingiva with 3% iodine solution
Keep the temporary filling, treat the gingiva with 3% iodine solution
Replace the temporary filling, treat the gingiva with 3% hydrogen peroxide solution
Keep the temporary filling, treat the gingiva with 3% hydrogen peroxide solution
Keep the temporary filling, administer soda rinse
54 із 200
A 43-year-old female patient has been diagnosed with generalized periodontitis. What examination is most informative for determining the severity grade of the disease?
Panoramic radiography
Determining the class of tooth mobility
Calculation of the periodontal index
Schiller-Pisarev test
Measuring the depth of periodontal pockets
55 із 200
A 7,5-year-old boy fell down on his face and damaged his front maxillary teeth. Objectively: the crowns of the 11 and 12 teeth are destroyed by 1/4. The tooth cavity is closed. Probing causes pain along the break-off line, percussion of the 11 and 12 teeth causes no pain response. Mucosa around the 11 and 12 teeth is slightly hyperemic. Radiograph of the 11 and 12 teeth shows the intactness of the dental tissues and alveolar process. What tactics of a dentist would be optimal in the first hours after the injury?
Pulp monitoring
Photopolymer filling
Composite filling
Fabrication of an artificial crown
Parapulpar pin reconstruction
56 із 200
A 9-year-old child complains of pain in the left mandibular molar that occurs during eating. The masticatory surface of the 75 tooth exhibits a carious cavitiy filled with softened dentin and localized within parapulpar dentin. The cavity communicates with the tooth cavity. Probing at the site of communication causes acute pain and moderate bleeding. Percussion of the tooth causes no pain response. Radiography revaled no periodontal alterations in the 75 tooth. Select the method of treatment:
Devital amputation
Vital amputation
Vital extirpation
Biological method
Devital extirpation
57 із 200
Preventive examination a 6-year-old child revealed that the child had deciduous dentition, direct incisor contact in the frontal segment, no gaps between teeth; contact of homonymous canines and molars; abrasion of masticatory tubercles of the molars. The child’s condition corresponds with the followi- ng period:
Physiological wear of deciduous dentition
Mixed dentition
Exfoliation
Development of deciduous dentition
Stable deciduous dentition
58 із 200
A 12-year-old girl visited a dentist for a regular check-up. Objectively: the teeth are intact, the bite is open, the mucosa in the papillary and marginal regions is hyperemic and cyanotic, the gingival papillae are roundish, enlarged and cover one third of the crown height of the anterior maxillary teeth. Make a provisional diagnosis:
Hypertrophic gingivitis
Chronic catarrhal gingivitis
Gingival fibromatosis
Acute catarrhal gingivitis
-
59 із 200
A 29-year-old male patient complai- ns of gingival hemorrhages during tooth brushing, and bad breath. Objectively: gingival papillae and marginal gingiva are hyperemic with a cyanotic tint, bleed on probing. Periodontal pockets are 3-3,5 mm deep, with serous exudate expressed from them. The sub- and supragingival calculus is present. Orthopantomograph shows osteoporosis of the alveolar process, resorption of interalveolar septa to 1/3. What is the most likely diagnosis?
Chronic generalized I grade periodontitis
Chronic generalized periodontitis, initial stage
Chronic generalized II grade periodontitis
Exacerbation of chronic generalized I grade periodontitis
Exacerbation of chronic generalized periodontitis, initial stage
60 із 200
A 40-year-old patient complains of fever up to 38oC, and a roundish infiltration on the upper lip. Objectively: the upper lip on the left exhibits a round infiltrate, the overlying skin is deep crimson. The infiltrate adheres to the surrounding tissues and has a necrotic core in the center. The upper lip is hyperemic, edematous. What di- agnosis can be made?
Upper lip furuncle
Upper lip carbuncle
Retention cyst
Acute abscess of the upper lip
Acute lymphadenitis
61 із 200
A 20-year-old female patient consulted a dentist about a short-term pain in the 22 tooth caused by cold stimuli or contact with food. The pain had been observed for several months. After the examination, the patient was diagnosed with acute deep caries of the 22 tooth. What material should be used as a base for the cavity filling?
Calcidont
Paste with trypsin
Phosphate cement
Silver-containing phosphate cement
Silidont
62 із 200
A 48-year-old female patient underwent parotidectomy for a benign tumor of the parotid gland. Postoperatively, the patient was observed to have mouth downturning, midline deviation towards the unaffected side, speech disturbance. Which branch of the facial nerve was damaged during the surgical intervention?
Marginal mandibular branch of facial nerve
Temporal branch
Zygomatic branch
Cervical branch
Buccal branch
63 із 200
On examination a 42-year-old patient was diagnosed with acute suppurative periostitis of the mandible beginning from the 35 tooth. What is the most rational method of anesthesia for the 35 tooth extraction and dissection of the subperiosteal abscess?
Torusal anesthesia
Plexus anesthesia
Berchet anesthesia
General anesthesia
Infiltration anesthesia
64 із 200
Examination of a 31-year-old patient revealed perforation of the pulp chamber floor of the 36 tooth with a minor radiolucency of the interradicular septum. Which of the following methods of surgical treatment should be applied in order to save the 36 tooth and use it as an abutment tooth for a bridge denture?
Coronary radicular separation
Root hemisection
Root amputation
Sealing of perforation
Tooth replantation
65 із 200
A 42-year-old patient complains of pain in the right side of her head, restricted movements of the lower jaw, clicking sound, periodic spasms of chewing muscles. Objectively: the face is symmetric, mouth opening is restricted. On palpation of the right temporo-mandibular joint ( TMJ) there are crepitation and clicking that accompany the mandible movements. Examination of the oral cavity revealed also a Kennedy’s class II defect on the right. What is the most likely diagnosis?
Pain dysfunction of the right TMJ
Contracture of the right TMJ
Sclerosing osteoarthritis of the right TMJ
Acute arthritis of the right TMJ
Myositis ossificans
66 із 200
A 40-year-old patient complains of malaise, weakness, headache, fever up to 38,5oC. Objectively: there is a symmetric red lesion in form of butterfly-wing rash on the face around the nose and cheeks. The lesion is clearly demarcated, tender on palpation, does not disappear when pressed upon. The skin is raised and glossy. Submandibular and parotid superficial lymph nodes are enlarged, tender to palpation. What is the most likely diagnosis?
Facial erysipelas
Furuncle of face
Systemic lupus erythematosus
Microbial eczema
Neurodermatitis
67 із 200
A 43-year-old male patient awaits fabrication of full swaged crowns for the 26 and 27 teeth. What material should be used for the dental dies?
Low-fusible alloy
Solder alloy
Silver-palladium alloy
Cobalt-chromium alloy
Stainless steel
68 із 200
Examination of a 9-year-old child revealed chalky spots in the cervical zone of the 12, 11, 21, 22 teeth. The spots appeared two weeks ago. Lustreless surface of the spots is stainable with methylene blue. The affected teeth are not sensitive to the cold stimulus. Specify the physician’s tactics in respect of the affected teeth:
Remineralizing therapy
-
Case follow-up
Grinding of affected areas
Impregnation therapy
69 із 200
An 18-year-old male has a furuncle in the region of the mandible angle. The surrounding tissues are rigid. Cyanosis and induration in form of a cord extend to the corner of the eye. General condition is deteriorated, body temperature is of 38,5oC. What complication has developed in this case?
Facial vein thrombophlebitis
Phlegmon of cheek
Abscess of cheek
Acute sinusitis
Carbuncle of cheek
70 із 200
Regimental aid station admitted a wounded soldier with a diagnosis of a gunshot fracture of the mandibular body. What kind of immobilization is required at this stage?
Transport immobilization
Osteosynthesis of the mandible
Extraoral appliance for fragment fixation
Smooth brace
Immobilization with splints for both jaws
71 із 200
A 17-year-old male patient complains about having a fistula on the anterior surface of his neck. The fistula has been present since birth. Periodically there appears a small amount of mucoid discharge. The patient has been diagnosed with a middle cervical fistula. What tactics of treatment should be preferred for this patient?
Excision of the fistulous tract with resection of the hyoid bone body
Excision of the fistulous tract without resection of the hyoid bone body
Closure of the fistula with the pursestring suture
Sclerosing of the fistula epithelium
Cryodestruction of the fistula epithelium
72 із 200
A 70-year-old patient complains of inability to take food, a cosmetic and phonetic defect due to the complete loss of mandibular teeth. Objectively: the lateral segment of the alveolar process of the mandible is significantly atrophied, while the frontal segment is relatively preserved. Buccal folds are attached at the crest of the alveolar process. These clinical presentations correspond with the following class of edentulous jaws according to Keller classification:
Class III
Class I
Class V
Class II
Class IV
73 із 200
A 24-year-old male who had been injured in a fight was delivered to the maxillofacial department. The patient was diagnosed with a fracture of the left zygomatic bone with a displacement; a fracture of the anterior wall of the maxillary sinus. What kind of surgery is indicated for this patient?
Radical maxillary sinusotomy and reposition of fragments
Osteosynthesis of the zygomatic bone
Radical maxillary sinusotomy
Reposition of fragments
Osteotomy of the maxilla
74 із 200
A 50-year-old male patient has a gunshot wound to the mandible and a bone defect in the mental area. What method of immobilization is indicated for this patient?
Extraoral Rudko apparatus
Bone suture
Two-jaw splint with wire loops and intermaxillary elastics
Immobilization by means of wires and rods
One-jaw brace
75 із 200
3 days ago a 35-year-old patient underwent the extraction of the 47 tooth, which was followed by health deterioration. Objectively: the patient is pale, body temperature is of 38,1oC, the mandible on the left is thickened, the surrounding soft tissues are swollen, mouth opening is difficult. Mucogingival junction at the 48, 47, 46 teeth is edematous, mucous membrane is hyperemic. There are purulent discharges from the 47 tooth socket, the 48, 46, 45 teeth are sensitive to percussion. There is also paresthesia in the lower lip region. What is the most likely diagnosis?
Acute mandibular osteomyelitis
Acute periodontitis of the 47 tooth
Submandibular phlegmon
Acute mandibular periostitis
Abscess of mandibular radicular cyst
76 із 200
A female patient presented to a clinic for prosthetics. Objectively: the lower third of the face is shortened; nasolabial folds are deepened; the front teeth of both jaws are missing; the crowns of the 17, 15, 26, 27, 36, 37, 45, 47 teeth are worn by 2/3 of their height; the chewing surfaces of these teeth are smooth and pigmented; alveolar bone is not hypertrophied, interalveolar height is decreased. Specify the form of pathological dental abrasion in this patient:
Horizontal, uncompensated, III grade of severity
Vertical, uncompensated, III grade of severity
Horizontal, compensated, III grade of severity
Combined, uncompensated, III grade of severity
Vertical, compensated, III grade of severity
77 із 200
Following the extraction of the 12, 11, 21, 22, 23 teeth, a 50-year-old pati- ent will receive an immediate-insertion denture. What denture should be used in this situation?
Laminar denture
Clasp denture
Fixed bridge denture
Adhesive denture
Removable bridge denture
78 із 200
A 10-year-old child was undergoing complex dental care. During the procedures, a deep carious cavity communicating with the tooth cavity was revealed in the 36 tooth. The tooth was not sensitive either to probing, percussion, or temperature stimuli. The patient was diagnosed with chronic periodontitis. During the treatment, the accidental perforation of the tooth cavity floor occurred. What measures should be taken in this case?
Sealing the perforation with glass ionomer
Tooth extraction
Application of zinc-eugenol paste
Sealing the perforation with calcium hydroxide
Potassium iodide electrophoresis
79 із 200
Dental examination of a 19-year-old girl revealed white spots in the cervical zone of the 11, 21 teeth. According to the patient, the spots appeared about two months ago and had slowly enlarged since that time. Which of the following diseases is characterized by such history?
Caries
Enamel hypoplasia
Necrosis
Erosion of hard tissues
Fluorosis
80 із 200
A 52-year-old patient complains of pain and a swelling in the right parotid region. These manifestations have been present for about 2 years. Over the last month the swelling has grown bigger, pain has intensified. Objectively: the face is asymmetric due to a dense infiltrate in the right parotid region. The poorly circumscribed, tender to palpation lump infiltrates the surrounding tissues. On the right side of neck in front and behind the sternocleidomastoid muscle there are enlarged, dense, mobile lymph nodes. The right naso-buccal groove is flattened, the corner of mouth is downturned. The mouth opens freely. The are pronounced symptoms of the right facial nerve paresis. What disease can be suspected?
Adenocarcinoma of the parotid salivary gland
Chronic parotitis
Pleomorphic adenoma of the parotid gland
Actinomycosis of the parotid-masseteric region
Chronic lymphadenitis
81 із 200
A 24-year-old patient was undergoing the extraction of the 25 tooth roots for the exacerbation of chronic periodontitis. During the operation the roots were dislocated into the maxillary sinus. What would be the surgeon’s optimal tactics?
To perform maxillary sinusotomy and remove the roots in hospital environment
To pack the extraction socket
Not to remove the roots, suture the extraction socket
To perform maxillary sinusotomy and remove the roots in the outpatient department
To remove the roots through the extraction socket
82 із 200
A 55-year-old male patient presents to a dental clinic complaining of inability to use complete removable dentures fabricated a week ago. The patient also presents with muscle pain in the region of the temporomandibular joint, tooth chatter during a conversation, and difficult biting on food. Objectively: the face is elongated, nasolabial and labiomental folds are flattened, the chin is retruded, the lips do not close. What is the cause of these disorders?
Increased occlusal vertical dimension
Left displacement of the mandible
Inadequate fixation of dentures
Descending occlusion
Right displacement of the mandible
83 із 200
Parents of a 10-year-old boy consulted an orthodontist about misali- gnment of the 21 tooth. Objectively: the 21 tooth is in a vestibular position, there is enough space for it in the dental arch. What additional methods of examination should be applied to specify the treatment plan?
X-ray
Pont’s index measuring
Korkhaus’ index measuring
Paralleling
Masticaciography
84 із 200
A 38-year-old chemical plant worker, a smoker, with a history of chronic enterocolitis, was undergoing preventive medical examination. In the posterior third, along the midline of the tongue dorsum there is an area with no papillae. The area is 2x1cm large, slightly dense on palpation. What is the most likely diagnosis?
Rhomboid glossitis
Chronic atrophic candidiasis
Desquamative glossitis
Secondary syphilis
Moeller-Hunter glossitis
85 із 200
A female patient presented to a dental prosthetics clinic complaining of acute pain in the 26 tooth. The pain gets worse in the evening and at night. Objectively: the patient has a cantilever porcelain-fused-to-metal dental bridge supported by the 26 tooth and the 25 tooth cantilever. The tooth is live, the preparation was performed under conduction anesthesia. The prosthesis is fabricated in compliance with all requirements. What medical error might have caused this complication?
Continuous tooth preparation without cooling, no provisional crowns
Preparation of the radial shoulder in the cervical zone
Lack of medial support for the bridge
Shaping the tooth as a truncated cone
Cementing the bridge on the phosphate cement
86 із 200
A 64-year-old patient had a myocardial infarction a month ago. He presents to a dental office for the treatment of pulpitis of the 12 tooth. Select the optimal method of anesthesia:
Premedication + anesthetic without a vasoconstrictor
An anesthetic with a vasoconstrictor
Premedication + an anesthetic without a vasoconstrictor
Premedication + an anesthetic with a vasoconstrictor
Premedication + anesthetic with a vasoconstrictor
87 із 200
A 45-year-old female patient complains of fever, appearance of rash in the mouth cavity and on the lips. She has a 4-year history of this disease which occurs mainly in autumn and spring. Objectively: oral mucosa is hyperemic, there are painful erosions covered with gray plaque. There are also hemorrhagic crusts on the lips. The skin of the forearm flexor surfaces exhibits maculo-papular rash. What is the most likely diagnosis?
Erythema multiforme
Bullous pemphigoid
Chronic recurrent herpes
Pemphigus vulgaris
Dermatitis herpetiformis
88 із 200
A 27-year-old female patient consulted a dentist about pain in the 35 tooth. The pain is caused by cold stimuli and quickly abates after the stimulus is removed. Objectively: in the cervical region of the 35 tooth there is a dental tissue defect within the enamel. The defect has white crumbling edges. Electroexcitability of the pulp was 5 mkA. What is the most likely diagnosis?
Acute superficial caries
Enamel necrosis
Local enamel hypoplasia
Enamel erosion
Acute initial caries
89 із 200
A patient has an indication for the 12 tooth extraction for the exacerbation of chronic periodontitis. It was decided to apply infraorbital and incisive anesthesia in this patient. What nerve structures are blocked by this anesthesia?
Anterior superior alveolar branches, n. Incisivus
Nasopalatine nerve, anterior superior alveolar branches
Middle superior alveolar branches, n. Nasopalatinus
Greater palatine nerve, middle superior alveolar branches
Posterior superior alveolar branches, n. Incisivus
90 із 200
A 52-year-old patient consulted a dentist about a tumor-like neoplasm in the region of the lower lip vermilion border. Examination of the vermilion border on the left revealed a roundish tumor about 0,5 cm in diameter on a thin pedicle. The tumor had a smooth surface, was mobile, soft, and painless. What is the most likely diagnosis?
Papilloma of the lower lip
Verrucous precancerous lesion of the vermilion border
Cutaneous horn
Leukoplakia
Abrasive Manganotti precancerous cheilitis
91 із 200
A 21-year-old male patient undergoes treatment for chronic catarrhal gingivitis. There is a significant amount of soft dental plaque, high speed of its production. The patient knows how to practice good oral hygiene. Recommend a mouthrinse for this patient:
Chlorhexidine
Dimethyl sulfoxide
Mefenaminum natrium
Hydrogen peroxide
Furacilin
92 із 200
A male patient should have the root of the 17 tooth removed prior to prosthetic procedures. The crown of the tooth is decayed beneath the gum line. What tool should be used?
Bayonet forceps
S-shaped forceps
Straight forceps with non-converging beaks
Straight forceps with converging beaks
S-shaped right forceps
93 із 200
A patient consulted a dentist about pain in the 47 tooth. X-ray examination revealed fragments of endodontic instruments in the canals of the medial and distal root. In the periapical zone there are well-defined areas of bone destruction. Select the most appropriate method of treatment:
Tooth extraction
Tooth replantation
Conservative treatment
Tooth hemisection
Radectomy
94 із 200
A 50-year-old male patient with a defect of the hard palate needs a palatal plate. Objectively: the maxillary teeth are intact. What method of fixation should be used?
Mesio-distal clasps
Telescopic system
Supporting clasps
Bar fixation
Attachment
95 із 200
A 40-year-old male patient presents with vicious union after a fracture of the maxilla. Objectively: the remaining 13 and 14 teeth are displaced in a distal direction. What method of orthopedic treatment would be most adequate in this case?
Removable double-arch denture
Removable denture with metal base
Removable laminar denture
Cast clasp denture
Removable denture with bilayer base
96 із 200
Following the unilateral resection of the maxilla a 52-year-old patient received the immediateinsertion denture. What is the term of its use?
1-3 months
1-2 months
7-12 months
2-3 years
4-5 years
97 із 200
A 28-year-old patient complains of pain in the 37 tooth when eating hot food. Objectively: the 37 tooth has changed in color, there is a carious cavity filled with softened dentin, the tooth cavity is open, probing of the root pulp causes pain response, percussion causes no pain. What is the most likely di- agnosis?
Chronic gangrenous pulpitis
Exacerbation of chronic pulpitis
Chronic fibrous periodontitis
Exacerbation of chronic periodontitis
Chronic fibrous pulpitis
98 із 200
A 16-year-old female patient complains of gingival pain and hemorrhage, a gingival deformity. Over the last 2 years the gums periodically bleed during tooth brushing. Objectively: in the region of the front mandibular teeth the gingival papillae are enlarged and reach 1/2 of the tooth crown height. The gums are swollen and tender, bleed when touched. Radiographic alterations were not revealed. What is the most likely diagnosis?
Hypertrophic gingivitis
Catarrhal gingivitis
Epulis
Generalized periodontitis
Ulcerative gingivitis
99 із 200
A patient presented to a dental clinic for complex dental care. Objectively: the 37 tooth exhibits a deep carious cavity communicating with the tooth cavity. There is no response to stimuli. Radiography reveals widening and deformation of the periodontal ligament space in the apical region. What is the most likely diagnosis?
Chronic fibrous periodontitis
Chronic gangrenous pulpitis
Chronic granulomatous periodontitis
Chronic fibrous pulpitis
Chronic granulating periodontitis
100 із 200
A 49-year-old patient consulted a dental surgeon about complex dental care. He has an indication for the extraction of the 16 tooth. History: the tooth hasn’t been treated before, it has decayed within the last 4 years. Objectively: the 16 tooth crown is decayed by over 2/3, the mucosa exhibits no pathological changes. What tool is required for the tooth extraction?
Bayonet root forceps
S-shaped closed-beak forceps
Straight elevator
S-shaped forceps (right)
Crown bayonet forceps
101 із 200
A 16-year-old female patient complains of a deformation and restricted mouth opening since birth. Objectively: the face is symmetrical, disproportionate, there is a bird-like face symptom. The mouth opens up to 1 cm. The patient has an occlusal abnormality, namely deep incisal overbite. What pathology is found in this patient?
Micrognathia with congenital ankylosis
Mandibular protraction
Maxillary protraction
Prognathism
Micrognathia with acquired ankylosis
102 із 200
A 13-year-old boy complains of pain in the region of the extracted 46 tooth, irradiating to the ear and temple; halitosis. The tooth was extracted 3 days ago. Objectively: submandibular lymph nodes are enlarged, tender on palpation. Mucosa around the extracted tooth is hyperemic, edematous. The socket of the 46 tooth is filled with a gray clot. What is the most likely diagnosis?
Alveolitis of the extracted 46 tooth
Acute odontogenous lymphadenitis of the right submandibular region starting from the 46 tooth
Acute odontogenous mandibular periostitis starting from the 46 tooth
Acute odontogenous mandibular osteomyelitis starting from the 46 tooth
Neuralgia of the III branch of the trigeminal nerve
103 із 200
A 47-year-old male patient consulted a dental surgeon about a slowly growing tumor on his lower lip which appeared six months ago. Objectively: on the lower lip there is a single horny conical projection above the surface of the skin up to 1,5 cm wide. The neoplasm adheres to the skin. Palpation reveals dense keratinous masses. What is the provisional diagnosis?
Cutaneous horn
Verrucous precancerous lesion of lip
Circumscribed hyperkeratosis
Abrasive precancerous Manganotti cheilitis
Papilloma of lip
104 із 200
A 45-year-old patient has a dense semicircle neoplasm 1 cm in diameter on his lower lip. The tumor projects above the vermilion border by 0,5 cm. The surface is grayish- pink with a small number of closely arranged whitish scales. The tumor is not tender on palpation. What is the most likely diagnosis?
Verrucous precancerous lesion of the vermilion border
Pyogenic granuloma
Verucca vulgaris
Manganotti cheilitis
Papilloma
105 із 200
Parents of an 8-year-old child complain about the presence of chalky spots on the child’s front maxillary teeth which have recenly erupted. Objectively: the vestibular surfaces of the 11 and 12 teeth exhibit white spots in the cervical zone. Enamel at these sites is not transparent. What additional test can be used?
Staining with methylene blue
Electric pulp test
Radiovisiography
Radiography
Staining with iodine-containing solutions
106 із 200
An 11-year-old boy complains of having a painful lesion in the mouth cavity, which makes it difficult to eat. Such symptoms were first noticed two years ago. Examination of the mouth floor reveals a tender oval erosion sized up to 0,8 cm, and covered with grayish-white plaque. The erosion has a hyperemic rim. Make a provisional diagnosis:
Chronic recurrent aphthous stomatitis
Behcet’s syndrome
Stevens-Johnson syndrome
Traumatic erosion
Erythema multiforme
107 із 200
A 3-year-old girl has been diagnosed with acute odontogenic mandibular periostitis beginning from the 74 tooth. It is required to perform periostomy and extract the 74 tooth. The child is excited. Select the optimal type of anesthesia for the surgery:
Phlebonarcosis
Intubation anesthesia
Inferior alveolar nerve block
Mask anesthesia
Central anesthesia
108 із 200
A 7-year-old child has been diagnosed with chronic periodontitis of the 64 and 65 teeth. The child has a history of hemophilia A. What is the medical tactics of choice?
Extraction of the affected teeth in the hematology department after taking the appropriate preparatory measures
Extraction of the affected teeth is possible both on an in-patient and out-patient basis
Extraction of the affected teeth on an out-patient basis with further packing of alveolar sockets with a hemostatic sponge
Extraction of the affected teeth in the maxillofacial department
Extraction of teeth is contraindicated because of the high probability of bleeding
109 із 200
A 3-year-old child has a hard and soft palate defect. It is planned to fabricate a 'floating'Cese obturator (Chasovskaya modification). What impression material should be used?
Thermoplastic or silicone
Eugenol-zinc
Hydrocolloid
Gypsum
Stomalgin
110 із 200
Examination of a child hospitalized for scarlet fever revealed alterations of the tongue mucosa which turned bright red, glossy, and dry. At the same time the fungiform papillae were enlarged. The described appearance of tongue is referred to as:
Strawberry
Black
Plicated
Geographic
Rhomboid
111 із 200
A 64-year-old patient with edentulous jaws has a mild uniform atrophy of the maxilla and a pronounced atrophy of lateral segments of the mandible. The mucosa in these regions makes longitudinal folds, the alveolar crest is mobile in the anterior part. The condition of mandible should be taken into consideration at the following stage of fabrication of a complete removable denture:
Taking a differentiated functional impression
Taking a compression functional impression
Taking a decompression functional impression
Determining the centric jaw relation
Taking an anatomical impression
112 із 200
A 30-year-old female patient complains of limited mouth opening. She has a history of an injury received at the time when her jaws were closed. Objectively: mouth opening is limited to 1,5 cm, the bite is normal, mouth opening causes the displacement of mandible to the left. Palpation reveals pain in the left temporomandibular joint (TMJ). X-ray picture confirms bone intactness. What is the most likely diagnosis?
Acute traumatic arthritis of the left TMJ
Fracture of the left articular process of the mandible
Fracture of the left zygomatic bone with a displacement of bone fragments
Contusion of the left TMJ
Acute unilateral dislocation of the TMJ
113 із 200
A 41-year-old patient has been diagnosed with a fracture of the mandibular alveolar process. Objectively: the teeth are intact. When the jaws are closed, the multipoint occlusal contact is observed. The patient is to be transported to a specialized hospital. What kind of first aid is indicated in this case?
Stiff head-chin strap by D.O. Entin
Ivy ligature
Standard Vasilyev splint
Smooth brace
Tigerstedt’s splint with wire loops
114 із 200
In a 7-year-old child the right mandibular molars overlap the maxillary molars, there are no other occlusion abnormalities. Size and shape of the lower dental arch are normal. Specify the appliance for the treatment of this abnormality:
Upper-jaw appliance with a sector expansion screw
Upper-jaw appliance with a right guide plane
Angle’s coil spring
Upper-jaw appliance with a left guide plane
Upper-jaw appliance with a middle expansion screw
115 із 200
Parents of a 5-year-old child consulted an orthodontist about mispronunciation of sounds by the child. Objectively: the child’s face is unremarkable. The patient has deciduous dentition. There are 1-1,5 mm gaps in the frontal segment from 53 to 63. Occlusion in the sagittal and transversal planes is normal. What type of Frankel’s functional regulator is used to treat the above-described malocclusion?
Type IV
Type III
-
Type I
Type II
116 із 200
A 35-year-old female patient seeks prosthetic dentistry. Objectively: the 18,14,13,12,11, 21, 22, 23, 24, 28 teeth need restoration. The crowns confining the defect are high and stable. To restore the integrity of the dental arch, it is planned to fabricate a cast clasp denture. What kind of mechanical fixator should be used?
Bar fixation
Telescopic fixation
Retaining clasps
Dentoalveolar clasps
Supporting-retaining clasps
117 із 200
A 48-year-old patient has undergone unilateral resection of the maxilla. He needs a resection prosthesis. Objectively: the 21, 22, 23, 24, 25, 26 teeth are stable, hard palate is broad, flat. What kind of attachment of clasps to the base will reduce the instability of the resection prosthesis?
Articular
Stable
Elastic
Fixed
Does not matter
118 із 200
Residents of a remote settlement need prosthetic care. What health care facility should provide it?
Regional dental clinic
Rural outpatient clinic
Occupational health facility
Rural district hospital
City dental clinic
119 із 200
A 24-year-old hemophiliac has been diagnosed with exacerbation of chronic pulpitis of the 11 tooth. Select the best method of tooth treatment in this case:
Devital extirpation
Vital amputation
Vital extirpation
Devital amputation
Biological treatment
120 із 200
A 25-year-old female patient consulted a dentist about acute pain in the maxilla on the left. The pain occurs while eating. Objectively: on the distal approximate surface of the 26 tooth there is a cavity filled with light softened dentin. Probing causes a slight pain along the dentin-enamel junction, percussion causes no pain response. Cold water causes quickly abating pain. What is the most likely diagnosis?
Acute median caries
Acute deep caries
Chronic median caries
Chronic fibrous pulpitis
Chronic deep caries
121 із 200
A 45-year-old male patient complains of bleeding gums, tooth mobility, hypersensitivity in the cervical zone. Objective examination revealed presence of all teeth, 1-2 class mobility, pathological gingival pockets with serous exudate. Radiograph shows widening of the periodontal ligament space, alveolar bone resorption by 1/3 - 1/2 of the root length. What kind of tooth stabilization is indicated?
Stabilization of entire dental arch
Front
Parasagittal
Sagittal
Front and sagittal
122 із 200
During mandibular anesthetization with 4% solution of Ultracain-forte, a 13-year-old girl complained of sudden weakness, laboured respiration, nausea, fear. Objectively: the patient has pale skin covered with cold sweat, hyperemic spots on the face and neck. Respiration is frequent, the pulse is weak, blood pressure is 60/40 mm Hg, hands are cold. What is the most likely diagnosis?
Anaphylactic shock
Collapse
Toxic shock
Syncope
Traumatic shock
123 із 200
A 65-year-old female patient complains of complete edentulousness. Examination of the oral cavity revealed that alveolar process of the edentulous mandible was markedly atrophied in the frontal region, while it was expressed in the distal region. Specify the class of atrophy according to Keller classification:
Class IV
Class I
Class III
Class II
Class I and III
124 із 200
A 28-year-old patient complains of tender gums, gingival hemorrhages and pain, especially while eating, for a week. Objectively: the gums are swollen and markedly hyperemic, especially in the region of the 43,42,41, 31, 32, 33 teeth, soft plaque and tartar are present, gingival sulci are up to 2 mm deep. What is the most likely diagnosis?
Acute deep gingivitis
Chronic catarrhal gingivitis
Hypertrophic gingivitis
Exacerbation of initial generalized periodontitis
Initial stage of chronic generalized periodontitis
125 із 200
A 24-year-old male patient complains of acute gingival pain, the inability to eat, bad breath, fever up to 38oC, general weakness. Objectively: the patient is pale, lymph nodes are enlarged. Gingival papillae are swollen and hyperemic, there are individual ulcers covered by necrotic coating. What additional study is required in the first place in order to clarify the diagnosis?
Complete blood count
Urinalysis
Allergologic tests
Panoramic radiography
Kavetsky test with trypan blue
126 із 200
A 35-year-old patient complains of gingival hemorrhage during tooth brushing. Objectively: gums of both jaws are hyperemic and cyanotic, supragingival and subgingival tartar is present. The periodontal pockets are 4-6 mm deep. What is the most likely provisional diagnosis?
II grade generalized periodontitis, chronic course
Exacerbation of I grade generalized periodontitis
Catarrhal gingivitis
Hypertrophic gingivitis
II grade parodontosis
127 із 200
A 27-year-old male patient complains of aching long-lasting pain in the 15 tooth during having meals, especially cold food. Sometimes the pain occurs when the temperature changes. Objectively: on the distal surface of the 15 tooth there is a cavity filled with softened dentin. Probing causes pain reaction. Electroexcitability of the pulp is 35 iA. What is the most likely diagnosis?
Chronic fibrous pulpitis
Acute deep caries
Chronic deep caries
Hyperemia of the pulp
Exacerbation of chronic pulpitis
128 із 200
A 25-year-old patient undergoes treatment at the clinic of maxillofacial surgery for the mandibular ameloblastoma localized in the angle. The patient has been scheduled for a partial resection of the mandible with a single-stage bone autoplasty. It is most expedient to take a bone graft from:
Iliac bone ridge
Collarbone
Femur
Foot bones
VI rib
129 із 200
A 36-year-old female patient complains of headache, inability to close the jaws. She has a history of an injury followed by loss of consciousness, nausea. Objectively: the midface tissues are edematous, there is bilateral eyelid hemorrage, open bite. Palpation of the midface bones causes acute pain. In the back of nose there is marked symptom of step deformity, nasal hemorrhage is present. Palpation of the oral cavity reveals mobility of the maxilla. Make a diagnosis:
Le Fort II maxillary fracture (middle), concussion
Le Fort III maxillary fracture (top)
Le Fort II maxillary fracture (middle)
Le Fort I maxillary fracture (bottom )
Maxillary Guerin fracture
130 із 200
Objective examination of a 65-year-old patient with the completely edentulous mandible revealed a marked uniform atrophy of the alveolar bone; bony prominences on the lingual surface in the region where premolars had previously been. Mucosa was unevenly pliable; alveolar crest was mobile in the frontal region. The clinical condition of the mandible should be taken into consideration at the following stage of denture fabrication:
Taking a differentiated impression
Taking an anatomical impression
Measuring the centric relation of jaws
Taking a decompression impression
Taking a positive pressure impression
131 із 200
Objective examination of a 67-year-old patient with the edentulous maxilla revealed minor uniform atrophy of the alveolar processes. Maxillary prominences were well preserved, the frenulum and bucco-alveolar folds were attached at the base of the alveolar process, the palate was deep, the torus palatinus was expressed insignificantly. These clinical presentations correspond with the following class of atrophy according to Schroeder classification:
1
3
2
4
5
132 із 200
A 2-year-old boy has a brown spot with a rough surface covered with coarse hair on his left cheek. According to parents, the neoplasm has been present since birth and exhibits a slight enlargement as the child grows. What is the most likely diagnosis?
Pigmented nevus
Kaposi’s sarcoma
Vascular nevus
Facial neurofibromatosis
Melanoma of cheek
133 із 200
A 53-year-old male patient has a history of generalized periodontitis. It is planned to fabricate fixed splints for both jaws intended to stabilize the teeth along the entire dental arch. Which of the maxillary pillars will have the functional significance for the distribution of masticating pressure?
Frontonasal, zygomatic, pterygopalatine, palatine
Frontonasal, pterygoid, palatine
Zygomatic, pterygoid, palatine
Frontonasal, zygomatic, palatine
Frontonasal, zygomatic, pterygopalatine
134 із 200
A 12-year-old girl complains of white spots on the vestibular surfaces of teeth and mouth soreness that occurs during eating sour foods. It is known from the history that the spots appeared about 3 months ago. Objectively: the vestibular surfaces of the front maxillary teeth exhibit chalky spots that are stainable with 2% methylene blue. What is the most likely diagnosis?
Acute initial caries
Chronic median caries
Acute superficial caries
Chronic superficial caries
Acute median caries
135 із 200
A 25-year-old male patient has been diagnosed with a linear nondi-splaced fracture of the mandible between the 32 and 33 tooth. What splint should be used for the fixation of bone fragments?
Smooth brace
Splint with spacer bar
Vasilyev splint
Brace with an oblique plane
Wire anchor splint
136 із 200
A 46-year-old patient complains of a periodic swelling in the right submandibular region when eating, dry mouth. Bimanual palpation of the middle portion of the hyoid region on the right revealed a moderately painful dense lump. From the excretory duct of the submandibular gland some muco-purulent exudate is expressed. The patient should be referred to the following roentgenologic examination:
Radiography of the mouth floor
Radiography of the mandible in the lateral projection
Spot-film radiography of the alveolar process
Survey radiography of the facial bones
Panoramic radiography of the jaws
137 із 200
An 8-year-old boy complains of a defect in the 11 tooth crown. Objectively: 1/3 of the 11 tooth crown is broken off, the pulp chamber is closed. Radiograph shows incomplete root formation. Select the optimal way of prosthetics for the 11 tooth:
Thin-walled metal crown
Post and core
Combined crown
Plastic crown
Metal-ceramic crown
138 із 200
A 9-year-old boy requires complex dental care. Objective examination revealed chalky spots with lustrous surface on the vestibular surfaces of the 22, 21, 11, 12 teeth, as well as on the tubercles of the 26, 26, 46 teeth. The affected teeth are not sensitive to thermal and chemical stimuli. The child has a previous history of rickets. He lives in a locality where the fluoride concentration in drinking water is 0,5 mg/l. What is the most likely diagnosis?
System enamel hypoplasia
Stainton-Capdepont syndrome
Amelogenesis imperfecta
Local enamel hypoplasia
Fluorosis
139 із 200
A 6-year-old child with contused forehead laceration had been taken to the emergency room at a children’s hospital. The child was examined by the maxillofacial surgeon who performed primary surgical debridement and closed the wound with immediate primary sutures. The child was recommended to undergo further treatment on an outpatient basis at a district polyclinic. Specify the first-priority measure in this case:
Consultation by a neurosurgeon
Antimicrobial therapy
Bed rest
Complex dental care
Surgeon follow-up
140 із 200
An 8-year-old child has been clinically diagnosed with exacerbation of chronic periodontitis of the 84 tooth. The crown is decayed by half. What is the dentist’s optimal tactics?
Extraction
Drug therapy
Endodontic treatment
Endodontic treatment and drug therapy
Dissection along the mucogingival junction, drug thrapy
141 із 200
6 months ago a 65-year-old patient received a permanent intracoronal splint for the front maxillary teeth. The splint was fabricated with the use of fiberglass tape. Radiograph shows that the root of the 12 tooth is localized only in the soft tissues. The splint is in a good condition. What is the optimal tactics of this patient management?
Amputate and extract the root of the 12 tooth
Extract the 12 tooth and fabricate a bridge
Replace the 12 tooth in the splint by an artificial plastic tooth
Start conservative treatment
Extract the 12 tooth and restore the defect with a porcelain-fused-to-metal crown
142 із 200
A 55-year-old male patient diagnosed with chronic median caries of the 33 tooth presented to a dental clinic. It is known from the history that the patient has a cardiac pacemaker What would be the optimal material for a permanent filling?
Chemical-cure composite
Compomer
Silicophosphate cement
Silicate cement
Light-curing composite
143 із 200
A 14-year-old patient complains of moderate non-irradiating pain in the region of the 37 tooth. Objectively: the 37 tooth exhibits a deep carious cavity communicating with the pulp chamber. Probing and thermal stimulation cause no pain response, vertical percussion is positive. Radiograph shows no pathological alterations. What is the most likely diagnosis?
Acute serous periodontitis
Exacerbation of chronic periodontitis
Acute serous periostitis
Acute suppurative periodontitis
Acute suppurative pulpitis
144 із 200
A 32-year-old patient lost the 41 and 31 teeth as a result of a sports injury. Reimplantation is impossible because the crown and root surfaces of these teeth are cracked and chipped. Clinical and radiological examination proved the possibility of immediate implantation. What material should be preferred for the implants?
Titanium
Porcelain
Sapphire
Carbon
Platinum
145 із 200
Radiography of the 46 tooth in a 7-year-old child revealed parallel root walls with a gradual decrease of their thickness resulting in pointed ends. There is a root canal narrowing in the region that is adjacent to the tooth cavity, and a widening at the nascent apical aperture. Periodontal ligament space has a uniform width over the entire root length. In the periapical region it merges with the growth zone. Specify the stage of the root development:
Open apex
Complete root and periodont development
-
Incomplete periodont development
Incomplete root growth
146 із 200
A 5-year-old child complains of spontaneous pain in a maxillary tooth on the right. The pain gets worse at night and during eating cold food. Objectively: the 65 tooth has a deep carious cavity communicating with the tooth cavity. Probing causes pain response, the tooth is not sensitive to percussion. Cold water causes long-lasting pain. Make a provisional diagnosis:
Exacerbation of chronic pulpitis
Acute serous pulpitis
Acute periodontitis
Acute purulent pulpitis
Exacerbation of chronic periodontitis
147 із 200
A 4-year-old child complains of acute spontaneous pain in a mandibular tooth on the right. The pain is aggravated by cold stimuli. Objectively: the 84 tooth exhibits a deep carious cavity that does not communicate with the tooth cavity. Probing causes pain response all over the cavity floor, percussion causes pain. The mucosa in the region of the 84 tooth is hyperemic, edematous. Regional lymph nodes are enlarged. What is the most likely diagnosis?
Acute pulpitis complicated by periodontitis
Acute serous periodontitis
Exacerbation of chronic periodontitis
Acute suppurative pulpitis
Acute serous pulpitis
148 із 200
A patient presented to a dental clinic for the purpose of prosthetics. Objectively: completely edentulous mandible. There is marked and uniform atrophy of the alveolar portion. Frenula and folds are characterized by high attachment. Specify the type of mandibular atrophy according to Keller classification:
Class II
Class V
Class III
Class I
Class IV
149 із 200
A 43-year-old patient consulted a dentist about numbness of the left half of his tongue, which developed 10 days ago after the atypical extraction of the 38 tooth. What nerve was damaged during the surgery?
Lingual
Facial
Inferior alveolar
Glossopharyngeal
Sublingual
150 із 200
Soon after anesthetization a 55-year-old patient reported severe weakness, retrosternal pain that irradiated to his left arm and scapular region, palpitations. Objectively: the patient is conscious, adynamic, pale, the forehead is covered with cold sweat. AP- 90/60 mm Hg, cardiac sounds are muffled, the pulse is thready and arrhythmic. What condition developed in the patient?
Myocardial infarction
Angina attack
Collapse
Cardiogenic form of anaphylactic shock
-
151 із 200
During tooth extraction a 55-year-old female patient reported dull retrosternal pain, feeling of chest compression. The dental surgeon who was performing the tooth extraction made a diagnosis of angina. What drugs should be given the patient for the relief of this condition?
Nitroglycerin, validol
Diphenhydramine
Ketanov
Baralgin
Analgin
152 із 200
A 1-month-old child has been brought to a maxillofacial surgeon for examination. Objectively: there is a fissure running transversely from the right corner of mouth through the full thickness of cheek up to the anterior edge of the masseter muscle. What is the patient’s diagnosis?
Right transverse facial cleft
Cleft nasal deformity
Right oblique facial cleft
Right upper lip cleft
Mandibular cleft
153 із 200
A 38-year-old female complains of experiencing pain in her lower lip for half a year, difficult eating and talking. The patient sought medical help at place of residence, but the administered treatment was ineffective. Examination of the lower lip revealed a deep fissure in the centre which affected the vermilion border and partly the mucous membrane of lips. The fissure was covered with a brown crust, after its removal the fissure started bleeding. The fissure edges are hyperkeratinized, infiltrated. Select the optimal treatment tactics:
Fissure excision
Application of keratoplastic agents
Application of antibiotic ointment
Irradiation with helium-neon laser
Application of corticosteroid ointment
154 із 200
A 48-year-old female patient complains of hard tissue defects found on the maxillary incisors. The defects appeared about a year ago and have been enlarging since that time. Objectively: on the convex portion of the vestibular surface of the maxillary incisors there are oval varisized enamel defects. The defect surface is smooth, lustrous, solid. In order to prevent progression of this process, the patient should be advised to limit consumption of:
Sour food
Sweet food
Tea
Marine products
Meat products
155 із 200
During local anesthetization with 2 ml of 10% lidocaine a 9-year-old girl suddenly screamed, lost consciousness and developed generalized convulsions. The skin is pale and cyanotic. The pulse is not palpable because of convulsions. What is the provisional diagnosis?
Lidocaine intoxication
Bronchial obstruction
Febrile seizures
Angioedema
Anaphylactic shock
156 із 200
A 56-year-old patient was undergoing treatment for pulpitis of the 47 tooth. For the purpose of the pulp devitalization arsenic paste was used. The patient failed to keep an appointment with the dentist for further treatment. As a result, toxic arsenic periodontitis developed. Which of the physiotherapy methods should be applied to address the complication?
Potassium iodide electrophoresis
D‘arsonvalisation
Galvanization
Fluctuorization
UHF
157 із 200
Following an uncomplicated extraction of the 37 tooth, a 60-year-old patient has profuse phatnorrhagia. The patient has a 6-year history of essential hypertension. AP- 180/110 mm Hg. What kind of emergency care should be rendered?
Give an injection of antihypertensive drugs and pack the tooth socket tightly
Suture the tooth socket
Pack the tooth socket tightly with an iodoform turunda
Give an injection of hemostatic drugs
Pack the tooth socket with a hemostatic sponge
158 із 200
A child is 11 years old. Examination of the oral cavity revealed that the front maxillary teeth completely overlap the mandibular ones. Lateral teeth in the sagittal and transversal planes have a normal contact. The child has been diagnosed with a deep overbite. This abnormality is typically accompanied by the dysfunction of:
Chewing, biting off
Speech, chewing
Swallowing, biting off
Breathing, swallowing
Biting off, breathing
159 із 200
A 25-year-old male patient presented to the department of maxillofacial surgery with complaints of pain during eating, which arose three days ago after an injury. Objectively: the face is asymmetric due to the swelling of the buccal and infraorbital regions on the left. Mouth opening is slightly restricted because of pain. Maxillary alveolar process and left maxillary teeth are mobile. There is a hemorrhage along the left mucogingi-val junction in the region of the said teeth; the site is tender to palpation. What diagnosis can be assumed?
Fracture of the maxillary alveolar process
Le Fort III fracture of the maxilla
Fracture of the zygomatic arch
Fracture of the zygomatic bone
Le Fort II fracture of the maxilla
160 із 200
A 34-year-old patient complains of intense, tearing, throbbing pain in the 17 tooth, which appeared for the first time and persists for 4 days. Percussion causes acute pain in any direction, the tooth is mobile, the mucosa around the 17 tooth is hyperemic and edematous; palpation of the mucogingival junction causes acute pain. What is the most likely diagnosis?
Acute suppurative periodontitis
Acute suppurative pulpitis
Acute serous periodontitis
Localized periodontitis
Exacerbation of chronic periodontitis
161 із 200
A 45-year-old patient complains of acute, spontaneous, nocturnal pain in a maxillary tooth on the right. The pain arose three days ago, has a pulsating nature, irradiates to the zygomatic region and virtually doesn’t cease. Objectively: there is a deep carious cavity in the 15 tooth. Dentin is of dirty-gray color, softened. Probing causes pain response across the entire floor, the tooth is sensitive to percussion. Cold stimulus reduces the pain intensity. Electroexcitability of the pulp is 55 iA. What is the most likely diagnosis?
Acute suppurative pulpitis
Acute serous periodontitis
Acute diffuse pulpitis
Acute suppurative periodontitis
Acute pulpitis limited
162 із 200
A 13-year-old girl complains of experiencing pain, gum bleeding and bad breath for about six months. Objectively: in the region of the front mandibular teeth the gingival papillae and gingival margin are hypertrophied, edematous, cyanotic. There is a soft plaque in the cervical region. Hygiene index -3. The doctor administered a local anti-inflammatory therapy. Specify the further tactics of local treatment:
Sclerotherapy
Gingival curettage
Vestibuloplasty
Physiotherapy
Gingivotomy
163 із 200
A 6-year-old child complains of pain in the right submandibular region. A day before he complained of a sore throat. Objectively: the child is in moderately severe condition, body it is 37,9oC. The face is asymmetric due to a dense tender infiltrate in the right submandibular region. The infiltrate is slightly mobile, the overlying skin is hyperemic. There is fluctuation in the center. The teeth are intact. What is the most likely diagnosis?
Acute suppurative non-odontogenic submandibular lymphadenitis
Phlegmonous adenitis
Sialadenitis
Acute serous non-odontogenic submandibular lymphadenitis
Acute suppurative odontogenic submandibular lymphadenitis
164 із 200
A 45-year-old male patient working as an actor consulted a dentist about mobility of his front mandibular teeth, gingival hemorrhages during tooth brushing. Objectively: gingival hyperemia and hemorrhage, periodontal pockets in the front portion of the mandible are up to 5 mm deep, tooth mobility of the I-II class is present. What kind of splinting the mandibular front teeth will be optimal for this patient?
Fiber-reinforced adhesive splint
Cap splint
Ligature wire
Full crown splint
Cast pin splint
165 із 200
A 44-year-old female patient with generalized I grade periodontitis is scheduled for the selective grinding of teeth. What examination is required prior to this procedure?
Occlusiography
Electroodontometry
Rheoparodontography
Radiography
Gnathodynamometry
166 із 200
A 60-year-old patient undergoes treatment of the 11 and 21 tooth for chronic deep caries ( Black’s class III). He has a history of cataract surgery. What is the optimal material for cavity filling in this case?
Chemical cure composite
Compomer
Silicate cement
Light cure composite
Hybrid glass ionomer
167 із 200
Clinical examination of a 10-year-old girl’s oral cavity revealed an 11 mm gap in a sagittal plane, the contact of the lateral maxillary teeth with the front mandibular teeth, mesiobuccal cusps of the 16 and 26 tooth located on the cusps of the 35 and 45 tooth. What additional examination method will allow to make a definitive diagnosis and specify clinical form of malocclusion?
Profile teleroentgenography
Orthopantomography
Determining morphological facial index
Clinical functional tests
Anthropometric measuring of jaw models
168 із 200
A 70-year-old completely edentulous patient undergoes treatment with complete removable dentures. Artificial teeth are placed upon a spherical surface. Specify the average radius of the spherical surface that would ensure close teeth contact during the mandible motions:
9 cm
18 cm
7 cm
12 cm
5 cm
169 із 200
A 47-year-old male patient was undergoing complex dental treatment. After anesthetization the patient reported dizziness, ringing in the ears, blackout, general weakness. Ps- 96 bpm, AP- 90/60 mm Hg. The patient lost consciousness for 30 seconds. What condition developed in the patient?
Syncope
Collapse
Epileptic seizure
Anaphylactic shock
Traumatic shock
170 із 200
A patient consulted a dentist about fabrication of a restorative crown for the 36 tooth. During examination the dentist revealed a roundish, hard, painless, lustrous ulcer on the left lateral surface of tongue. What is the most likely diagnosis?
Syphilitic ulcer
Lichen planus
Tuberculous ulcer
Decubital ulcer
Vincent’s necrotizing ulcerative stomatitis
171 із 200
A 65-year-old male patient complains of a long-lasting pain in a mandibular tooth on the right. The pain increases on biting. The patient has a history of this tooth treatment for caries. Objectively: the cavity on the masticatory surface of the 36 tooth is filled, percussion causes pain responce. Along the mucogingival junction in the projection of the 36 tooth roots there is a fistula with purulent discharge. What is the most likely diagnosis?
Chronic granulating periodontitis
Chronic fibrous periodontitis
Radicular cyst of the mandible
Chronic granulomatous periodontitis
Exacerbation of chronic periodontitis
172 із 200
Prior to installation of complete removable dentures, it is necessary to verify the occlusal relation with different movements of the mandible. What muscle is responsible for transversal movements of the mandible?
Outer (lateral) pterygopalatine
Masticatory
Inner (medial) pterygopalatine
Digastric
Temporal
173 із 200
A 65-year-old male patient complains of crepitation and clicking in both temporomandibular joints; pain when moving his mandible to the right; ear noise; dry mouth; glossalgia. He has been using a complete removable denture for the mandible for 6 months. The patient has no history of rheumatosis. Objectively: the lower third of the face is shortened, mental fold is strongly pronounced, mouth corners are downturned, there are angular fissures and cracks. Palpation reveals crepitation during TMJ moving. What is the most likely diagnosis?
Costen’s syndrome
Temporomandibular arthrosis
Temporomandibular dislocation
Temporomandibular osteoarthritis
Temporomandibular arthritis
174 із 200
A 76-year-old patient has a roundish ulcer on the skin in the region of the right nasolabial sulcus. The ulcer floor is dense, rough, covered with yellowish-gray crusts, looks like a funnel. The ulcer edges are dense, crater-like. The ulcer grows in size and depth. What is the provisional diagnosis?
Basalioma
Tuberculous ulcer
Syphilitic ulcer
Squamous cell skin cancer
Actinomycotic abscess
175 із 200
A 59-year-old male patient presented to a prosthetic dentistry clinic for the purpose of prosthetics. Immediately during the manipulations the patient developed the following symptoms: weakness, prostration, skin pallor and cyanosis, clammy sweat, a decrease in systolic blood pressure down to 80 mm Hg. What is the most likely diagnosis?
Collapse
Shock
Myocardial infarction
Syncope
Kussmaul’s coma
176 із 200
A 40-year-old male patient complains of a long-existing fissure in the central portion of the vermilion border of his lower lip. The patient has been a smoker since the age of 16. Along the midline of the vermilion border of the lower lip there is a deep fissure up to 1,0 cm long with the rolled edges. The fissure heals spontaneously, but recurs soon after epithelialization. The patient was diagnosed with chronic lower lip fissure. Conservative treatment proved to be ineffective. Select the most efficient method of treatment:
Excision within apparently healthy tissues
Diathermocoagulation
Cryolysis
Short-distance irradiation
Excision within 0,5 cm area around the formation
177 із 200
A patient is scheduled for the dissection of an abscessed upper lip furuncle. What kind of anesthesia is indicated for this intervention?
Bilateral infraorbital
Bilateral infraorbital and incisive
Bilateral tuberal and palatine nerve block
Bilateral infraorbital and palatine nerve block
Bilateral palatine nerve block
178 із 200
An accident victim with an injury of face and the temporal region was diagnosed with a fracture of the zygomatic arch. Which processes of the skull bones are damaged?
Temporal process of the zygomatic bone and the zygomatic process of the temporal bone
Zygomatic process of the frontal bone and the zygomatic process of the temporal bone
Zygomatic process of the maxilla and the zygomatic process of the frontal bone
Temporal process of the zygomatic bone and the zygomatic process of the frontal bone
Zygomatic process of the maxilla and the zygomatic process of the temporal bone
179 із 200
With the purpose of the 46 tooth extraction, a 28-year-old male patient was given Weisbrem’s anesthesia. Specify the site of anesthetic injection with this anesthesia:
Mandibular torus
Retromolar fossa
Maxillary tuber
Retromandibular fossa
Mandibular temporal crest
180 із 200
A 7-year-old child with a marked bilateral swelling of the parotid regions, tenderness on palpation of the tragus, condylar and mastoid process, dryness of the oral mucosa was diagnosed with mumps of a mild severity grade. Select a medical tactic with respect to this severity grade:
Outpatient treatment with isolation of the child
Outpatient treatment without isolation of the child
The child is allowed to attend children’s institutions
Hospitalization in the infectious diseases hospital
Hospitalization in children’s department of oral and maxillofacial Surgery
181 із 200
Examination of a 12-year-old child revealed a significant increase in the size of the jaws, presence of gaps between the teeth, tongue enlargement, disproportionate skeletal growth. This pathology has been caused by the dysfunction of the following gland:
Pituitary
Sex
Pancreas
Parathyroid
Thyroid
182 із 200
An 11-year-old boy had been diagnosed with a 6 mm wide diastema of type 2 (by Khoroshilkina FI. classification). To normalize the incisor position, the Korkhaus appliance was used. What kind of movement is facilitated by this appliance?
Bodily movement
Extrusion
Rotation
Intrusion
Torque
183 із 200
A 24-year-old male patient complains of spontaneous pain in the 24 tooth, which arose suddenly and persists for about 15 minutes. Objectively: the distal surface of the 24 tooth exhibits a deep carious cavity with overhanging walls. The cavity is filled with light softened dentin and communicates with the tooth cavity. The cold stimulus causes acute, slowly abating pain. Percussion causes no pain response. Select the best method of treatment:
Vital extirpation
Devital extirpation
Devital amputation
Biological method
Vital amputation
184 із 200
A 9-year-old girl has had gingival hemorrhages, cracks in the mouth corners for a month. She has a history of frequent nosebleeds, rapid fatigability. Objectively: the facial skin and oral mucosa are pale. In the mouth corners there are cracks reaching the vermilion border. Gingiva in the region of the 11 and 12 teeth is hyperemic and edematous, bleeds when touched. DMF/dmf = 10. Back of the tongue is bright red, smooth, glossy. Submandibular lymph nodes are slightly enlarged, mobile, painless. What specialist is it necessary to consult with in the first place?
Hematologist
Neuropathist
Gastroenterologist
Endocrinologist
Infectious disease specialist
185 із 200
A 25-year-old patient complains of pain when biting on the 15 tooth. The pain arose two days ago, has a constant aching nature and increased significantly over the last day. Objectively: the crown of the 15 tooth is gray, the medial contact surface exhibits a deep carious cavity communicating with the tooth cavity. Percussion causes acute pain, the gingival mucosa in the projection of the 25 tooth root apex is hyperemic. The regional lymph node is tender. Radiograph shows an ill-defined zone of periapical bone destruction. What is the most likely diagnosis?
Exacerbation of chronic periodontitis
Acute serous periodontitis, intoxication stage
Chronic granulating periodontitis
Acute suppurative periodontitis
Acute serous periodontitis
186 із 200
A 5-month-old infant has acute hematogenous osteomyelitis of the maxilla, there are fistulae with purulent exudate at the medial angle of the right eye. Specify the probable long-term effects of the disease:
Bony ankylosis of the right TMJ
Chronic sinusitis
Chronic rhinitis
Macrognathia
Macrogenia
187 із 200
A 16-year-old boy has been diagnosed with a fracture of the left zygomatic bone with a fragment displacement. Select the most efficient method of treatment:
Open reposition and osteosynthesis with metal plates
Any of these methods is applied in children and adolescents
Closed reposition
Bone suture
Osteosynthesis with metal wires
188 із 200
A 5-year-old girl complains of pain in the mouth corners occurring when opening the mouth. She has a history of acute bronchitis and prolonged antibiotic therapy. Objectively: the vermilion border of lips is dry, the mouth corners are downturned. In the mouth corners there are cracks covered with a white plaque and surrounded by a slightly hyperemic elevation, tender on palpation and mouth opening. Oral mucosa exhibits no pathological alterations, dmf - 2, hygiene index - 2,0. What is the most likely diagnosis?
Mycotic cheilitis
Streptococcal cheilitis
Exfoliative cheilitis
Glandular cheilitis
Meteorological cheilitis
189 із 200
A female patient complains of a moderate gum pain, tooth sensitivity to the thermal stimuli. Objectively: the gingiva is pale, dense, there is gingival retraction in the region of the front mandibular teeth. Radiograph shows the resorption of the interalveolar septa to 1/3 of the root length. What is the most likely diagnosis?
Periodontosis grade I
Localized periodontitis
Periodontosis initial stage
Catarrhal gingivitis
Periodontosis grade II
190 із 200
A 60-year-old patient needs a partial removable denture for the maxilla. The centric jaw relation has been determined. What is the next stage of prosthetics?
Checking the wax denture construction
Taking impressions
Try-in of the denture
Fabrication of plaster models
Relining the denture
191 із 200
A 40-year-old patient complains of clicking in the region of his right TMJ projection which occurs in the final phase of mouth opening. The sounds in the joints arose after prosthetic procedures. Mouth opening is not restricted, the opening trajectory is straight, the opening amplitude is 5 cm. What is the most likely diagnosis?
Subluxation of mandible
Perforation of the meniscus
Luxation of mandible
Anterior dislocation of the articular disc
Posterior dislocation of the articular disc
192 із 200
A mother consulted a dentist about the lip lesions in her child. Throughout the 1-2 year of life, the child had diathesis of moderate severity with affection of the face skin. Objectively: the lips are somewhat edematous, there are dry crusts on the vermilion border and the lip skin, in the mouth corners there are cracks and radial scars. The eyelids are edematous with hyperemic edges. What is the most likely diagnosis?
Eczematous cheilitis
Exfoliative cheilitis
Chronic fissure of lips
Glandular cheilitis
Meteorological cheilitis
193 із 200
Examination of a 7-year-old child revealed that all temporary maxillary molars were extracted. Mandibular incisors were in contact with the palatal mucosa. What is the optimal doctor’s tactics?
Fabrication of a removable laminar claspless denture for the maxillary teeth restoration
Fabrication of a removable denture with clasp fixation for the maxillary teeth restoration
Fabrication of an orthodontic device for the treatment of deep overbite
Check-ups every six months until the eruption of permanent teeth
Check-ups once a year until the eruption of permanent teeth
194 із 200
A 34-year-old dental patient has an indication for the extraction of the 38 tooth for chronic fibrous periodontitis. The dental surgeon used torusal (Weisbrem’s) anesthesia. What nerves are blocked by this anesthesia?
Superior alveolar, lingual, buccal
Superior alveolar, lingual
Superior alveolar, buccal
Lingual, buccal, mental
Lingual, buccal
195 із 200
A 40-year-old patient has an indication for the extraction of central maxillary incisors. What nerve structures are blocked by the incisor anesthesia?
Nasopalatine nerve
Posterior superior alveolar branch of the infraorbital nerve
Dental nerve plexus
Middle superior alveolar branch of the infraorbital nerve
Anterior superior alveolar branch of the infraorbital nerve
196 із 200
A 40-year-old male patient complains of having experienced seasonal pain (in spring and summer), and a burning sensation in the lips for 3 years. Examination reveals edema and hyperemia of the vermilion border of the lower lip, numerous erosions sized 2-3 mm, crusts and cracks in the mouth corners. Palpation causes moderate pain, regional lymph nodes are not enlarged, the perioral skin is not changed. What is most likely provisional diagnosis?
Actinic cheilitis
Lichen planus, erosive form
Exfoliative cheilitis, edematous form
Eczematous cheilitis
Mycotic angular cheilitis
197 із 200
A 25-year-old male patient lives in a locality where fluoride concentration in drinking water is 5,5 mg/l. Tooth crowns are deformed due to destruction and wear of hard tissues. In the 22, 23, 32 teeth the enamel is chipped. What form of fluorosis is observed in this patient?
Destructive
Chalky and speckled
Erosive
Streaked
Spotty
198 із 200
Prior to the preparation of a tooth for a porcelain-fused-to-metal crown, a dentist anaesthetized a patient with a history of bronchial asthma with 2% solution of novocaine. A few minutes later, the patient complained of shortness of breath (more difficult expiration), there appeared acrocyanosis, swollen neck veins, Ps-100 bpm, rhythmic, AP- 180/110 mm Hg. Percussion revealed box sound over lungs. What is the most likely diagnosis?
Attack of bronchial asthma
Collapse
Bronchiectasis
Coronary artery disease
Pulmonary artery thrombosis
199 із 200
A 12-year-old girl complains of acute pain in the left mandibular region, general weakness, fever up to 39oC, difficult swallowing. Objectively: the face is asymmetric, the tongue is plaqued, halitosis is present. Percussion reveals signs of acute periodontitis of the 34, 36 teeth, as well as mobility of these teeth. Gums are hyperemic, edematous, there is infiltration on both sides of the alveolar process. Regional lymph nodes are enlarged, tender on palpation. Vincent’s symptom is present. Blood test results: leukocytosis with a left shift; urine contains traces of protein. What is the most likely diagnosis?
Acute odontogenic osteomyelitis of the mandible
Acute odontogenic purulent lymphadenitis
Exacerbation of chronic periodontitis
Odontogenic submandibular abscess
Acute odontogenic purulent abscess
200 із 200
Parents of a 3-year-old child took the child to a pedodontist for complex dental care. The child has cerebral palsy. Objectively: there is multiple dental caries, gingival mucosa is hyperemic, oral hygiene is inadequate. What method of dental care may be appropriate in this case?
Under general anesthesia
Under local injection anesthesia
Without anesthesia
Treatment after administration of sedatives
Under local application anesthesia