2003 2004



Patient B.55 y.o. complains of short-term cramping pain in 23 tooth, that it arises as result abrupt moving of head, changing body position. On the view of patient’s oral cavity are found the erased of occlusion surfaces of the teeth, gums’ paleness, without signs of inflammation. Toothache occurs seldom and disappears spontaneously . ЕОD-35МАМ. Which addition investigation technique is necessary to apply for final diagnosis?

Radiological (spot X-ray of 23 tooth)

Tranceluminescent

Electroneuromyography

CT scan of the posterior cranial fossa

Electrometry of touch and pain sensitivity supraorbital, infraorbital and mental areas.

Patient А. 29 y.o. turned to dental health service with complains of gingival hemorrhage and itching of gums for 6 months. Objective evidence: gingival hyperemia and oedema, hemorrhage under probing, soft dental deposit and subgingival dental calculi are present; Shiller-Pisarev’s probe is possitive, gingival pockets is 2-2,5 мм deep. On X-ray: apexes of the interdental septa is resorbed, osteoporosis is present. What is the most probably diagnosis.

Chronic generalized periodontitis, acute stage, I degree.

Chronic generalized periodontitis, II degree

Chronic generalized periodontitis, I degree

Chronic catarrhal periodontitis I-II degree

Chronic generalized cataral gingivitis I-II degree, acute stage

Patient М. is 50 y.o.; dental implants installing on an upper and lower jaws was prescribed. Which additional technique will be the most effective for planning of implantation treatment?

*Orthopantomography

Electromyomasticatiography

Masticodynamometry

Myotonometry

Myography

Patient F., 57 y.o. turned to dental health service with opened fracture of the lower mandible in a canine tooth’s area. Fracture was 4 day ago. Clinical finding: acute traumatic osteomyelitis. Which complication can develop in the future?

False join

Malunion

Hematosinus

Osteosclerosis

Osteomalacia

Patient F., 57 y.o. turned to dental health service with false join in the canine tooth’s area of the lower jaw . On X-ray: diastasis between bone fragment about 4 мм, the ends of fragment are thick, expressed osteosclerosis takes place of spongy tissues of the lower jaw on a 1 cm deep. What type of false joins does the patient have?

Hypertrophic

Atrophic

Hyperplastic

Hypovascular

Avascular

Patient F., 48 y.o. turned to orthopedic dental health service with complaints of pathologic moving of the lower jaw in the 34 and 35 teeth area. PPH: 2 years before had lower jaw fracture; approximately 15 years he had been ailing thyroid pathology. X-ray: it’s a diastasis; the ends of fragments is erased, rounded, callus is absent. What diagnosis does patient have?

False join

Fracture of alveolar process and corpus of lower jaw

Malunion

Ankylosis of temporomandibular joint

Contracture of lower join

Child 14 y.o. On X-ray of lower jaw are observed multiple small sequesters, multilayer periostitis, osteoporotic bone focuses are alternated with osteosclerotic areas. Bone has a coarse spongy structure. To make a previous diagnosis:

*Chronic osteomyelitis, destructive-productive type

Hyperplastic type of chronic osteomyelitis

Rarefying periostitis

Chronic osteomyelitis, destructive type

Ossification

Child 13 y.o. complains of broken filling in 22 tooth. On survey: carious cavity is in 22 tooth, it fills partially by filling. Tooth color is changed. Probing and termometry is painless. Percussing on a tooth leads to arising light toothache. On X-ray: high-dense shadow is in the tooth canal orifice, rounded (diameter approximately 3 mm) bone destruction with clear outline is defined near root apex. What is previously diagnosis?

*Chronic granulematous periodontitis

Chronic simple pulpitis

Chronic fibrous periodontitis

Chronic granulating periodontitis

Chronic gangrenous pulpitis

Child 10 y.o. is treated in pediatric stomatological center. Diagnosis: acute purulent pulpitis of 44 tooth. On X-ray: root of 44 tooth is showed as two parallel dense line that is narrowed to apex (looks like bell mouth), root canal associates with rounded radiolucent area, which it is limited by linear dense shadow as hemisphere shape. To determine the root’s forming stage.

*Stage of incomplete root elongating

Stage of unformed root apex

Stage of formed root and periodont

Stage of unformed periodont

Stage of unclosed root apex

Child 13 y.o. complains of toothache in 11 tooth. PPH: 11 tooth was injured 6 months ago; was not consulted a doctor. On examination: color of 11 tooth is changed, painful under percussion. On X-ray: expansion of periodontal fissura, unclear bone rarefication is near root apex of 11 tooth. What is previouse diagnosis?

*Acute phase of chronic periodontitis

Chronic granulating periodontitis .

Chronic fibrinous periodontitis

Chronic granulomatous periodontitis

Acute serous periodontitis

Child 8 y.o. On X-ray of 36 tooth: root of 36 tooth is formed on ѕ cm and associated with rounded mass; the surrounded cortical plate has clear interrupted borders. Surrounding bone’s tissues are rareficated by foci. The X-ray features correspond to the:

*Chronic granulating periodontitis .

Chronic fibrinous periodontitis

Chronic granulomatous periodontitis

Local periodontitis

Normal formed root

Child 8 y.o. turned to dental health service with complains of pain under biting on tooth of the lower jaw on the left side. Objective evidence: middle deep carious cavity is in 74 tooth, that is filled with pigment dentin. The probing both bottom and wall of cavity is painless, thermal irritant is painless too, percussion of 74 tooth leads to short-term toothache. On X-ray: the root of 74 tooth is resorbed on Ѕ cm, rarefication of bone tissues in tooth apex area. What is previous diagnosis?

*Acute phase of chronic periodontitis

Acute phase of chronic pulpitis

Chronic caries, II stage

Chronic fibrinous pulpitis

Chronic gangrenous pulpitis

The boy 13 y.o. turned to the stomatological office with complains of changed color of central upper cutting teeth on the left side and its pain as result biting on a 11 tooth. Objectively: color of 11 tooth is changed, the crown is intact, mucous membrane in the apical area is hyperemic and slightly edematous, palpation is painful, the 11 tooth is movable of II degree, percussion is slightly painful. It is known from PPH, that 4 years ago there was a trauma of tooth. On a X-ray: rarefaction of bone tissue is in area of apex 11 tooth, which looks like intensive rounded darkening with unclear outlines, measuring 1x1 cm. Diagnose:

*Acute phase of chronic periodontitis.

Chronic granulating periodontitis.

Chronic granulomatous periodontitis.

Chronic gangrenous pulpitis.

Chronic fibrotic periodontitis.

A boy 4 y.o., his parents turned to the stomatological cabinet complaining of toothache at child during the eating of hot food. Objective evidence: big sillidont filling is on masticatory surface of 64 tooth, tooth is grey, percussion is painful. On X-ray: root apexes of 64 tooth is not resorbed, caries cavity and tooth cavity are not connected, periodontal fissura is enlarged. What is previous diagnosis?

*Chronic fibrinous periodontitis

Deep chronic caries

Chronic fibrinous pulpitis

Chronic granulomatous periodontitis

Acute serous periodontitis

Girl of 10 y.o. turned to orthodontist, because 22 tooth is not teething. Objective evidence: face is symmetric, dentition is narrowed. The free space for 22 tooth is 4 mm. Which additional technique of investigation do you need to apply in this clinical situation?

*Panoramic X-ray

Masticatory probes

Electromyography

Diagnostic model researching

Teleroentgenography

Child 8 y.o. turned to dentist with complains of intermittent spontaneous pain in 6 tooth, which start during eating and released after washing mouth. Objective evidence: approximal carious cavity is filled by food debris and soften dentin. Thermal reaction is present, both probing and percussion are painful. On X-ray: pathological changes of periodont is absence. The most probably diagnosis is:

Chronic simple pulpitis

Acute general serous pulpitis

Chronic gangrenous pulpitis

Acute stage of chronic pulpitis

Chronic proliferative pulpitis

Child 14 y.o. complains of pain in 32 tooth at chewing and rupture of gum. Trauma was 2 hours ago. Objective evidence: toothache is under biting, tooth mobility, mucous hyperemic membrane. On X-ray: periodontal fissura is expanded. What is your previous diagnosis?

Complete dislocation

Incomplete dislocation

Fracture of alveolar process

Impacted fracture

Dental fracture

Mother together with 14 y.o. son turned to surgical pediatric dental health service with complains of intense pain in teeth on the lower jaw and significant deformation of lower jaw. The face is asymmetric due to enlarging of lower jaw on the left; 34, 35, 36 teeth are movable; palpation of alveolar crest is painful. On X-ray: irregular unclear destructive area of bone tissue near 34, 35, 36 teeth is present. Which is the most probable diagnosis?

Ewing’s sarcoma

Cancer of lower jaw

Ameloblastoma of lower jaw

Chronic odontogenic osteomyelitis

Giant cell tumor of bone

Parents together with 14 y.o. son turned to pediatric dental health service with complains of 11 tooth absence. Objective evidence: insignificant oedema of mucosal membrane. On X-ray: multiple different form and size shadows which look like tooth-form mass. Which is the most probable diagnosis?

Odontoma

Follicular cyst

Radicular cyst

Adamantinoma

Odontogenic fibroma

Child 15 y.o. complains of cosmetic defect in tooth of upper jaw. Trauma of 11 tooth occurred 2 years ago. Objective evidence: the 11 tooth is intact, color of tooth is changed, percussion is painlessly. The bulging of mucosal membrane and bone wall near the 11 tooth area is present. Which additional technique of examination is necessary for correct diagnosis?

*X-ray

EDI

Reography

Capillaroscopy

Thermometry

Child 10 y.o. turned to dentist with complaints of filling defect in 26 tooth. PPH: tooth was treated about pulpitis. Objective evidence: filling defect in 26 tooth is present, both percussion and thermal test are negative, mucous membrane is not changed. On X-ray: it is deformation of periodontal fissure that is look like irregular expansion, filled root canal. What pathology is the most probably?

*Chronic fibrotic periodontitis

Chronic granulating periodontitis

Chronic fibrotic pulpitis .

Root in a stage of unclosed apical orifices and unformed periodont

Chronic granulomatous periodontitis

Child 3,5 y.o. turned to dentist for oral cavity sanation. Objective evidence: unconnected with dental cavity, big carious cavity in 85 tooth is present; both percussion and thermal test response are negative. Scar is a projection of distal root on a mucous membrane. What pathology is the most probably?

*Stage of unformed root apex

Rarefication of bone tissues with unclear uotline

Expansion of periodontal fissura, formed root

Norm

Stage of resorption of tooth root.

Girl 11 y.o. complains of insignificant gingival hemorrhage, itch, oedema, painfulness, offensive breath. Objective evidence: congestion of teeth in frontal area, soft dental deposit and subgingival dental calculi are present, hyperemia of interdental gums’ surface, gingival pockets is 3,5 мм deep. On X-ray: contact dental apexes is initially resorbed, expansion of periodontal fissure. The most probably diagnosis is:

*Local periodontitis.

Generalized periodontitis

V–like gingival atrophy

Catarrhal gingivitis

Hypertrophic gingivitis

Patient А., 12 y.o. turned to dental health service with complains of darkening of 11 tooth. PPH: trauma of 11 tooth was 4 years ago. The tooth was not treated early. Previous diagnosis: periodontitis 11 tooth. Which examination is the most effective for correct diagnosis?

*Spot X-ray of 11 tooth

Percussion of 11 tooth

ЕDI of 11 tooth

Response of 11 tooth on a thermal irritants

Orthopantomography

Child 15 y.o. complains of destruction molar on the upper jaw. Objective evidence: carious cavity on a both medial-contact and masticatory surface of 26 tooth is present. Its cavity is connected with dental cavity. Both probing and percussion are painless. On X-ray: rarefication of bone tissue as focus with a clear outline are defined near the root apex. Which is the most probable diagnosis?

*Chronic granulomatous periodontitis.

Chronic gangrenous pulpitis.

Chronic fibrotic periodontitis.

Chronic granulating periodontitis

Chronic fibrotic pulpitis

Child 15 y.o. complains of destroyed molar on upper jaw. Objective evidence: carious cavity filled with soft dentin on a masticatory surface of 16 tooth is present. Connection is between carious cavity and dental cavity in the area of medio-cheek horn of pulp. Probing is painless . On X-ray: irregular expansion of periodontal fissura is present in a area of root apex 16 tooth. Cortical plate of tooth pocket is intact. What is the most probable diagnosis?

*Chronic fibrotic periodontitis

Chronic granulomatous periodontitis.

Chronic gangrenous pulpitis.

Chronic granulating periodontitis

Chronic fibrotic pulpitis

Patient А., 14 y.o. turned to dental health service with complains of gingival hemorrhage as result of teeth brushing for several years. Objective evidence: gingival hyperemia and oedema is closely frontal teeth on a upper and lower jaw, mucous membrane has cyanotic discoloration. Gingival border is roll-like thicken. On X-ray: both destruction of cortical plate of alveoli and apical osteoporosis of interdental septa. What is the most probable diagnosis?

Chronic generalized periodontitis

Local periodontitis

Chronic catarrhal periodontitis

Chronic hypertrophic gingivitis

Chronic atrophic gingivitis

Girl 15 y.o. was treated owing to catarrhal gingivitis 1,5 ago. At present she complains of gingival hemorrhage, itching of gums, offensive breath. Stagnant hyperemia of gums is on frontal area of upper and lower jaw, supragingival dental calculi are in a cutting tooth areas, gingival pockets is 2,5 mm deep. ГИ = 1,1. On X-ray: expansion of periodontal fissura, destruction and insignificant apical resorption of interdental septa in a frontal area are present. What is previouse diagnosis?

Local periodontitis

Acute phase of chronic catarrhal gingivitis

Parodontosis

Chronic generalized periodontitis

V-like gingival atrophy

Child 11 y.o. complains of carious cavity in 26 tooth. Objective evidence: deep carious cavity is in 22 tooth, it fills with pigment dentin. Carious cavity is connected with pulp cavity. Probing and percussion are painless. On X-ray: expansion of periodontal fissura is present. What is previous diagnosis?

Chronic fibrous periodontitis

Chronic granulating periodontitis

Chronic gangrenous pulpitis

Acute phase of chronic catarrhal gingivitis

Chronic simple pulpitis

Patient А., 13 y.o. turned to dental health service with complains of darkening of 11 tooth. PPH: trauma of 11 tooth had happened 4 years before. Objective evidence: the 11tooth is intact, percussion is painless. On X-ray: rarefication of bone tissue as focus (0,7 mm) with a clear outline are defined near the root apex. Which is the most probable diagnosis?

Odontogenous cyst

Chronic fibrous periodontitis

Chronic granulating periodontitis

Acute phase of chronic catarrhal gingivitis

Chronic simple pulpitis

Child 8 y.o. turned to dentist with complaints of carious cavity in 64 tooth, sometime low-intensive toothache. Objective evidence: deep carious cavity in 64 tooth is filled with pigment dentin. Probing is painless, percussion cause low-intensive toothache. Which additional technique of examination is necessary for correct diagnosis?

*X-ray

EDI

Urine analysis,

Blood analysis

Thermometry

Girl 12 y.o. turned to dentist with complaints of pain in 22 tooth at biting, swelling of lip. Objective evidence: color of 22 tooth is changed, deep carious cavity on a distal surface filled with pigment dentin. Probing is painless, percussion cause toothache. On X-ray: rarefication of bone tissue as focus (d=0,3 mm) with a clear outline are defined near the root apex. What pathology is the most probably?

Chronic granulomatous periodontitis

Chronic fibrotic periodontitis

Chronic granulating periodontitis

Chronic fibrotic pulpitis

Chronic purulent periodontitis

Child M. of 10 y.o. turned to orthodontist, because 45 tooth is not teething. Objective evidence: vestibular surface of lower jaw in a 45 tooth area is expanded, pathologic mass surface is smooth, painful under palpation. On a X-ray: high-intensive shadow with clear outline is present, on its background visible multiply tooth-like mass. What pathology is the most probably?

*Odontoma

Follicular cyst

Odontogenic fibroma

Radicular cyst

Adamantinoma

Parents of child А. 10 y.o. turned to dentist with complaints of left side child face deforming. On X-ray: rounded rarefaction of bone tissue with clear outline is in area between 22 and 23 teeth. Roots of 22 and 23 teeth are the diverging. Periodontal fissura is in norm. Transparent fluid with cholesterol crystal is received at the puncture. The most probable diagnosis is.

*Globulomaxilar cyst of left upper jaw

Radicular cyst of left upper jaw

Follicular cyst of left upper jaw

Nasoalveolar cyst of left upper jaw

Cyst of incisive canal

Patient 15 y.o. turned to dental clinic for following treatment. PPH: radical operation by reason of malignant tumor of alveolar process on the left side was done. Which additional technique will be the most effective?

*Lower jaw X-ray

Abdominal ultrasound

Chest X-ray

Thermovisiography

Aspiration needle biopsy of lower jaw

Patient 35 y.o. complains of permanent nagging pain in 25 tooth. The pain is intensified as result of biting. Objective evidence: carious cavity on a masticatory surface of 25 tooth is present which is connected with dental cavity. Mucogingival fold in area of 25 tooth is edematous, hyperemic, painful under palpation, painful percussion of 25 tooth. After probing pus is appeared from canal. Which additional technique will be the most effective for correct diagnosis?

*X-ray

Electroodontodiagnostic

Thermal test

Bacterial test

Luminescent test

Patient F., 54 y.o. turned to orthopedic dental health service with complaints of pathologic moving of teeth, toothache, hemorrhage of gums, offensive breathing. Objective evidence: mucosal membrane of gums is hyperemic, oedematous, friable; periodontal pocket is 6-8 mm deep with pus. Subgingival and supragingival calculi is present, pathological moving of teeth is II-Ш degree. On X-ray: horizontal and vertical resorption of interalveolar septa on 1/2-2/3 root length.

The most probably diagnosis is.

Chronic generalized periodontitis, acute stage, III degree.

Chronic generalized periodontitis, II degree

Chronic generalized periodontitis, I degree

Chronic catarrhal periodontitis I-II degree

Chronic generalized cataral gingivitis I-II degree, acute stage

Papillon-Lefèvre syndrome

Patient 23 y.o. complains of hemorrhage as result of brushing teeth. Objective evidence: gums on frontal part of lower jaw is hyperemic, edematic; palpation arise hemorrhage. Mucous membrane of oral cavity and gums in other areas are without changed. Overbite is deep. The 41 and 31 teeth are I degree mobility. On X-ray: resorption of interalveolar septa in area of 42, 41, 32, 31 till 1/3 root length. What pathology is the most probably?

*Local periodontitis

Generalized periodontitis, I stage

Generalized periodontitis, II stage

Catarrhal gingivitis

Parodontosis II degree

The men of 28 y.o. complains of gingival paintful and hemorrhage that have appeared 4 days before as result of cold. The gums have periodically been bleeding in brushing teeth last 2 years. Objective evidence: the gums is edematous, bright-red color, it is bleeding lightly, it is painful under palpation. Dental calculi are insignificant. Periodontal pockets are not defined. On X-ray: is detected the expanding of periodontal fissure in the marginal part, osteoporosis of apical parts of interdental septa take place, compact plate of their apex is absent. What is the most probably diagnosis?

*Acute generalized periodontitis, I stage.

Chronic generalized periodontitis, I stage

Acute stage catarrhal gingivitis.

Chronic catarrhal gingivitis.

Acute catarrhal gingivitis.

Patient С of 56 y.o., complains of night tooth-grinding. Patient has cardiovascular faulure. On the view: mucosal membrane of gingival border is pale-pink color and adjanced to teeth, dental root is exposed on 5 mm. On X-ray: horizontal type of bone resorption tо 1/2 of root length takes place. The most probable diagnosis is.

*Parodontosis, II stage

Periodontitis, II stage

Periodontitis, III stage

Parodontosis, I stage

Atrophic gingivitis

Patient 20 y.o. complains of hemorrhage as result of the brushing teeth and the eating of the solid food. On the view: the marginal part of gums from vestibular side on the upper and lower jaw is edematous, hyperemic with tint of cyanotic. The supragingival dental calculi take place, Fedorov-Volodkin’s hygiene index is 3,0. The patient is on the regular medical check-up by gastroenterologist. Which technique of investigation will be the most effective for differential diagnostic?

*X-ray

Schiller-Pisarev test

Capillary resistance test

Careful PPH

Migration of leukocytes

Patient 27 y.o. complains of hemorrhage as result of the brushing teeth. Objective evidence: gingival border is hyperemic, edematic, painful under the palpating; periodontal pockets is absent. On X-ray: resorption of cortical plate and osteoprosis of interdental septa are present. What is the diagnosis?

*Initial degree generalized periodontitis

Acute stage chronic catarrhal gingivitis

Generalized periodontitis I degree

Chronic catarrhal gingivitis

Generalized parodontosis

Patient 35 y.o. complains of discomfort of the 11 tooth and changing tooth’s color. Objective evidence: deep carious cavity is on medio-aproximal surface of the 11 tooth. Pulp cavity is opened. Probing is painless, thermal test is negative. On X-ray: root’s canal cannot be filling. The focal rounded (the diameter 0,5х0,5 cm) destruction of bone with the clear border is located beside the 11 tooth apex. What is the diagnosis?

Chronic granulomatous periodontitis

Chronic fibrotic periodontitis

Chronic granulating periodontitis

Chronic gangrenous pulpitis

Chronic fibrotic pulpitis

Patient turned to dentist for dental sanation. Objective evidence: deep carious cavity is in 37 tooth, which is connected with pulp cavity. The tooth doesn’t react on irritants. On X-ray: periodontal fissura is widened and deformed closely apex. The most probably diagnosis is.

Chronic fibrotic periodontitis

Chronic granulating periodontitis

Chronic granulomatous periodontitis

Chronic fibrotic periodontitis

Acute serous periodontitis

Patient, 40 y.o., complains of discomfort for eating. Objective evidence: defect of tooth-filling on the masticatory surface of 36 tooth is present. The thermal test and probing of enamel-dentinal border are painless. The dullness of percussion sound is as result percussion. What therapeutic management would you propose in this case?

*To administer the X-ray

Extraction of tooth filling rests and filling

To define EDI

Preperation of defect and filling

To palpate in root apex area

Patient 38 y.o. was referral to periodontist by orthodontist. Objective evidence: on the teeth of upper jaw breaker-system. The gums in a area of frontal teeth are edematous and hyperemic, the dental deposit is present, periodontal pockets have 3-4 mm deep, Shiller-Pissarev’s test is positive. On X-ray: osteoporosis and resorbing of the interdental septa take place on 1/3 root’s height. What is the diagnosis?

Local periodontitis I degree

Hypertrophic gingivitis

Acute stage chronic generalized periodontitis

Catarrhal gingivitis

Local periodontitis ІІ degree

Patient, 35 y.o., complains of gingival hemorrhage, toothache as result of thermal stimuli, slight mobility of frontal teeth, offensive breathing. Objective evidence: the patient have the gingival edema, the cyanosis, the hemorrhage under touching; the gingival pockets have 4 mm deep with catarrhal-purulent exudate. On X-ray: osteoporosis, resorption of interalveolar septa up to 1/3 height of root. What is the diagnosis?

Acute stage generalized periodontitis ІІ degree

Chronic catarrhal gingivitis III degree

Papillon-Lefèvre syndrome

Acute stage catarrhal gingivitis

Acute stage generalized начального periodontitis

Patient, 45 y.o. turned to dentist with complaints of cavity of 25 tooth. As result of careful inspection was diagnosed the mucosal membrane of alveolar process closely 25 tooth is hyperemic slightly. Deep carious cavity of 25 tooth connected with pulp cavity is present. The probing is painless, percussion is painful slightly. On X-ray is present the focal bone rarefication with clear outline closely root apex (diameter = 4 мм). What pathology is the most probably?

Chronic granulomatous periodontitis

Chronic granulating periodontitis

Chronic fibrotic periodontitis

Chronic fibrotic pulpitis

Cystgranuloma

Patient, 40 y.o., have been complainting of hemorrhage as result of the brushing teeth and the eating of the solid food for year. Objective evidence: gums on the upper and lower jaws is edematous, hyperemic with tint of cyanotic; hemorrhage erases under the touching. On X-ray: osteoporosis of interalveolar septa and abnormality of compact plate take place. What is the most probably diagnosis?

*Acute stage generalized initial periodontitis

Generalized periodontitis

Acute stage chronic catarrhal gingivitis

Local periodontitis

Chronic catarrhal gingivitis

Patient, 27 y.o., complains of pulsing pain in 15 tooth and pain under the biting. Objective evidence: deep carious cavity in 15 tooth is filled by food debris and soften dentin; probing is painless, percussion erase the acute pain, tooth is mobile. Regional lymphadenitis is present. On X-ray is without changed. What is the most probably diagnosis?

Acute purulent periodontitis

Acute stage chronic periodontitis

Acute stage chronic pulpitis

Chronic purulent periostitis

Acute serous periodontitis

Patient, 37 y.o. turned to orthodontist with cavity into the 34 tooth. The cavity is present during 1 year. Objective evidence: deep carious cavity of 25 tooth connected with pulp cavity is present. The The probing and the percussion are painless. On X-ray: deformation and expansion of periodontal fissura are present. What is the most probably diagnosis?

Chronic fibrotic periodontitis

Chronic granulating periodontitis

Chronic granulomatous periodontitis

Chronic fibrotic pulpitis

Chronic gangrenous pulpitis

The patient complains of gingival hemorrhage during last 2 years. Objective evidence: diffuse chronic catarrhal gingivitis. Formalin test is painful, teeth has the mobility of I degree, the gingival pockets are 2-3 mm deep, traumatic occlusion is present. On X-ray: compact plate is interrupted, periodontal fissura closely apex of interalveolar septa are widened, weakly expressed osteoporosis and resorption of interalveolar septa on a ¼ of their height are present. What is the most probably diagnosis?

*Generalized periodontitis, I degree, chronic

Generalized periodontitis, initial degree, chronic

Generalized periodontitis, I degree, acute stage

Chronic catarrhal gingivitis

Parodontosis, I degree

On X-ray is detected the diffuse evident damage of compact plate, initial resorption and weakly expresed apical osteoporosis of interalveolar septa, the widening of the periodontal fissura around of teeth neck. What is the most probably diagnosis?

*Chronic generalized periodontitis, initial degree,

Chronic generalized periodontitis, II degree

Chronic catarrhal or hypertrophic gingivitis

Parodontosis, I degree

Parodontosis, initial degree

Patient С. plied turned to dentist with complaint of painful swelling of check and gingival painful closely of 24 tooth. On orthopantomogram they are detected the diffuse irregular resorption and osteoporosis of interalveolar septa (mainly on 1/2 their height), bone recess closely 24 tooth, the widening of periodontal fissura on 2/3 height of teeth lenghth. What pathology is the most probably?

*Generalized periodontitis, ІІ degree, acute stage

Chronic generalized periodontitis , ІІ degree

Histiocytosis-Х

Parodontal abscess in 24 tooth area

Parodontosis, I degree

As result of clinical examination the patient with complaints of gingival hemorrhage they was diagnosed: marginal catarrhal gingivitis with moderate hemorrhage, mechanical test and formalin test are painful, tooth mobility is absent, WBC outwandering – 240. On X-ray: compact plate integrity is broken on the apex of alveolar septa, insignificant osteoporosis; the upper part of periodontal fissura is slightly widened. What is the most probably diagnosis?

*Periodontitis generalized, I degree, chronic

Periodontitis generalized, I degree, acute stage

Periodontitis generalized, II degree, chronic

Chronic catarrhal gingivitis, I degree

Eosinophilic granuloma

Patient 20 y.o. complains of prolonged pulsating pain of 35 tooth spreading to the ipsilateral eye and cheek. Patient has weakness, headache and sleep disturbance. The toothache is during 3 days, it never aches before. She had a cold on a last week. Objective evidence: the mouth is half-opened, mobility of 35 tooth takes place, deep carious cavity of masticatory surfaces is not connected with pulp cavity, percussion is painful. On X-ray: periapical bone tissues are not changed. What is the most probably diagnosis?

*Acute purulent periodontitis

Acute catarrhal periodontitis

Acute stage chronic periodontitis

Acute purulent pulpitis

Pulpitis with periodontitis

Patient L.,46 y.o., complains of offensive breathing and gingival hemorrhage for 6 months as result teeth brushing. On the view: gingival papillae of upper and lower jaws are congestive hyperemic, edematous, hemorrhage under a probing. The teeth are immobile; supragingival calculi take place. Periodontal pockets are absent. What investigation technique is necessary to apply for final diagnosis?

*Panoramic radiography

Reoparodontography

Blood test

Testing blood sugar

Hygiene index

Patient Е., 42 y.o. complains of gingival hemorrage, offensive breathing. Previous diagnosis is chronic generalized periodontitis, ІІ degree. What investigation technique is the most effective for final diagnosis?

*X-ray

Gingival pocket deep

Tooth mobility

Kulazhenko test

Ketchke test

Which benign tumor is not odontogenic?

Giant cell tumor

Adamantinoma

Odontoma soft

Odontoma solid

Odontogenous fibroma

Patient complains on the thickening of the lower jaw in molars’ area. PPH: the thickening was arisen approximately 1 years ago and enlarged gradually. On X-ray: focal bone destruction of lower jaw body (size 3 х 5 cm) is looked as multiple soup-like bulbs with different shape and size. As result of needle biopsy of the tumor place was received the brown fluid. What is the most probably diagnosis?

Giant cell tumor

Odontoma soft

Odontoma solid

Cancer of lower jaw

Radicular cyst lower jaw

The patient 20 y.o. is the left side swelling of wing of the nose. The swelling was happened to detect 3 months ago; it is not disturbed. Objective evidence: rounded (diameter 0,7 cm) tumor-like infixed elastic with clear outline mass has on the front wall of maxilla and into vestibule of mouth on the level of 22 and 23 teeth root. As result of needle biopsy of the tumor was received the yellowish fluid. On X-ray: the 22 and 23 teeth is normal. What is the most probably diagnosis?

Nasoalveolar cyst of upper jaw on the left side

Radicular cyst of upper jaw on the left side

Follicular cyst upper jaw on the left side

Cyst incisive canal

Globulomaxillary cyst upper jaw on the left side

Patient was admitted to oncological dispensary with previously diagnosis - upper jaw tumor. Which addition investigation technique are necessary to apply for final diagnosis?

X-ray , cytologic and hystologic test

Sonography

Biochemical blood test

EDI

Rhinoscopy, sinusography

Patient was admitted to oncological dispensary with previously diagnosis - upper jaw malignant tumor (IV-th clinical category). Which therapy is necessary for the patient?

Palliative.

Combine.

Chemotherapy.

Radiotherapy.

Surgical

Patient G., 52 y.o.was admitted to the department of head and neck tumor with diagnosis: epidermoid lower lip cancer, I stage. Which therapy is necessary for the patient?

*Radiotherapy

Cryotherapy.

Chemotherapy.

Lasercoagulation

Surgical

The patient with diagnosis: right side parotic gland cancer, T2 N2. Which therapy is necessary for the patient?

Combine method.

Lymphadenoectomy.

Radiotherapy.

Chemotherapy.

Surgical.

Radiological feature of radicular cyst is the bone destruction as

A rounded focus destruction

A melt sugar

A destruction with unclear outline

A “flame of a candle” in root apex

A sclerotic rim

The patient with diagnosis: tongue, T2N1M0. Which therapy is necessary for the patient?

*Combine method

Radiotherapy.

Surgica.

Chemotherapy.

Lymphadenoectomy.

The patient turned to dentist for extracting of 17 tooth. As result of the operation one of tooth root was fallen into a maxillary sinus. What does the dentist have to do in this situation?

*X-ray and refer the patient to a hospital

Don’t do anything

To extract dental root through perforating orifice

Maxillary sinusotomy

Radiotherapy

The patient 40 y.o. complains of pain in 16 tooth, difficult nasal breathing. PPH: 16 tooth have repeatedly been treated for 2 years. During the extracting of 16 tooth the pus, blood and gas are being exuded from the alveolar socket. What dentist tactic must be in this case?

*X-ray and refer the patient to a hospital

To administer the patient irrigation of oral cavity with antiseptic solution

To wash extracted tooth hole with nitrofural, to administer the antibacterial therapy

To wash extracted tooth hole with nitrofural and suture its

Do nothing

Patient 35 y.o. has diagnosis: upper jaw radicular cyst. Which addition investigation technique is necessary to apply for final diagnosis?

X-ray

Blood test and urine test

Dental electroexcitation measuring

Puncture

Contrast X-ray

The patient 24 y.o. On X-ray: homogenous dense rounded shadow with clear outline and thin (about 1 mm) radiolucent area around is present. What is the most probable diagnosis?

Odontoma

Cementoma

Osteoma

Radicular cyst

Mucous tumor

Patient С. 42 y.o., complains of face swelling. On examination: the smooth dense painless outgrowth of lower jaw body, it is fixed under palpation. The color of overlying mucous membrane isn’t changed and fixed. On X-ray: homogenous rounded dense shadow with clear outline takes place that is not related to teeth. What is the most probable diagnosis?

Osteoma

Odontoma

Chondroma

Calculous submaxillitis

Giant cell tumor

Patient П. 45 y.o., complains of face swelling. On examination: the smooth dense painless fixed mass of lower jaw body. The color of overlying mucous membrane isn’t changed. On X-ray: focal bone destruction is with the unclear outlines. Molars closely pathology are resorbed; ossification and calcification take place. What is the most probable diagnosis?

Chondroma

Odontoma

Papular submaxillitis

Giant cell tumor

Osteoma

Patient B. 34 y.o. complains of acute pain in 24 tooth, which increasing as result of biting; a shivering, fever till 40 0С, weakness, sweating are present. The tooth was filling 3 days ago. The face is deformed by left side swelling. Objective evidence: the 24 tooth is movable, hyperemia and edema of mucosal membrane in 23, 24, 25 teeth area. Percussion is sharply painful. On X-ray: unclear irregular bone rarefication (size about 0,3х0,4 cm) closely 24 tooth takes place. What is the most probable diagnosis?

*Acute odontogenic osteomyelitis upper jaw on the left side

Acute purulent periostitis upper jaw on the left side 24

Acute stage chronic granulating periodontitis 24

Acute purulent odontogenic maxillary sinusitis on the left side

Acute purulent periodontitis 24

The patient 65 y.o. complains of parotid area swelling. On the sialogram: the normal duct branching is interrupted by pathological mass. What is the most probable diagnosis?

*Malignant tumor.

Chronic interstitial parotitis.

Chronic parenchymatous parotitis.

Mixed tumor

Sjogren's Illness

The patient 65 y.o. complains of parotid area swelling. On the sialogram: the filling defect of acini and ducts with clear outlines takes place, the duct branching is not interrupted by pathological mass. What is the most probable diagnosis?

*Mixed tumor

Malignant tumor

Sjogren's Illness

Chronic parenchymatous parotitis.

Chronic interstitial parotitis.

Patient 5 y.o. PPH: birth trauma. Complaints: face deformation, disfunction of tongue and mastication. Objective evidence: lower third of face is a shortening, chin and lower lip are fallen back. Opening of the mouth limited up to the 0,5 cm. The movements of TMJ are absent. On TMJ X-ray: joint space is not defined. What is the most probable diagnosis?

*Ankylosis of temporomandibular joint

Arthritis of temporomandibular joint

Arthrosis of temporomandibular joint

Arthrito-arthrosis of temporomandibular joint

Contracture lower jaw.

Patient, 30 y.o., complaints of limited mouth opening, TMJ pain. PPH: trauma in set his jaws. The mouth opening is limited up to 1,5 cm, normal bite; the lower jaw is displacement to the left as result of opening mouth. On X-ray: bone is intact. What is the most probable diagnosis?

Acute traumatic arthritis of left temporomandibular joint

Тtraumatic fracture of articular process of lower jaw on the left side

Acute single-side dislocation of temporomandibular joint

Contusion of the left temporomandibular joint

The 8 y/old complained of the permanent pain in the 36th tooth. On examination: there is carious cavity in the 36 teeth; the cavity is covered and painful during the examination with the probe or temperature irritation; the percussion is painful. The attached soft tissues have hyperemia, swelling and painful on palpation. On x-ray: there is not any pathological changing on the apex of the undeveloped root. What is the primary diagnoses :

*Acute Gangrenous periodontitis.

Acute Suppurative pulpitis .

Acute General pulpitis .

Acute Suppurative periodontitis.

Acute Chronical periodontitis.

The 13 y. old child complained of the right mandibles pain during eating. On examination: the 46th tooth has changing of the color; there is carious cavity on the shooing surface; probe test and percussion are painful; the attached gum is swollen and red; there is sinus with the pus discharging. On x-ray: there is destruction of bone adjacent to the apical root without the clear margin. What is the primary diagnoses :

* Chronical periodontitis.

Chronic Gangrenose pulpitis.

Chronic Fibrosal pulpitis.

Chronic Granulomatosal periodontitis.

Chronic Fibrosal periodontitis.

The 6 y old boy complained of the permanent pain in the maxillary teeth. On examination: there is carious cavity on the 54th tooth, limited in the pulpal dentine; the dental cavity is opened; the probe’s investigation and percussion are painful. Noted the hyperemia of the mucosa. What is the additional investigation is indicated:

* X-Ray.

Electroodontometry.

Sign of the Enamel Resistance.

Coloring by methylene blue.

Luminescence.

The 46 y old patient complained of the mandibles teeth movement. On examination: the 31, 32, 41, 4have II degree of the mobility. What is the additional investigation has to be provided:

*Odontoparodontogram by Kurlandsky.

Gelman’s chewing sign.

Agapov’s chewing test/

Mastickosciography.

Miotonometry.

The 27 y. old patient. The x-ray detected lost the sharpness of the contour of the cortical end-plate in the some part of the left head of mandible. The notching of the head was detected. The suddenly onset of the movement problem was mentioned in the past medical history.

*Arthritis.

Arthrosis

Bone ankylosis.

Fibrous ankylosis.

Deformated ankylosis.

*

The flattening and sharpening the head of mandiblel with the exophytes formation in the neck of incisure of the mandibular rami. Past medical history: gradual impairment of the temporomandibular joint movement. What is the joint disease has the patient.

* Deformated arthrosis.

Acute arthrosis.

Chronic arthrosis.

Bony ankylosis.

Fibrous ankylosis.

During the x-ray examination the patient was not moved but x-ray tube and cassette (with the film) was moved in the opposite directions. The imaging of the determined depth was obtained. What is the x-ray investigation was done:

*Tomography.

Extra oral roentgenography.

Tele-roentgenography.

Elektro-roentgenography .

Zono – roentgenography.

The 39 y. old patient underwent the CT scan investigation for deformational arthrosis of the temporomandibular joint. What is the depth of the investigation should be advised:

* 2-2,5 cm

3-3,5 cm

4- 4,5

5- 5,5cm

1- 1,5cm

The 40 y. old patient complained of the progressive movement of the teeth, the bleeding from the gums. On examination: the marked tooth’s movement on the frontal mandibles part , the roots were exposure , edema of the gums; there are several succules5-6 mm.; the contact points was absent. On the x-ray: the high of the interalveolar septs’ are diminished up to ½ lengths of teeth; osteoporosis. The blood glucose level is 3,55 mmol/l/ . What is the diagnosis?

* Generalized periodontitis mild degree.

Generalized periodontitis o first degree.

Generalized periodontitis third degree.

Generalized osteomyelitis mild degree.

Generalized periodontitis third degree.

The dentist examined the 15 y. old boy and requested x-ray of the right hand. What is the information is expected to be obtained:

* Bony age.

Degree of the functional disorders.

Degree of the morphological changing.

Prediction of the ortho-dental treatment.

Dental age.

The 9 y. old boy complained of the 21st tooth pain during pressure on it, swelling of the jaws. History of the trauma (fell down). On examination: the crown of the 21st tooth was not damaged; mild hyperemia and swelling of the attached mucosal tissues. The percussion of the tooth was painful. The mobility is I degree. What is the investigation should be provided.

A.* Intraoral X-Ray

B. Orthopantography.

C. Electro-odonto-diagnosis.

D. Light transduction.

E. Densitometry.

What are the X-Ray signs of the mandibular angle ameloblastoma for child 9 y. old?

A.* Multilocular cystic “soap-bubble” or”honeycomb” in appearance.

B. Single “soap-bubble” focuses of destruction.

C. Apex of the root is inside of the destruction; the focus without clear margin.

D. Osteonecrosis, osteoporosis.

E. Mandibular deformation with the osteoporosis.

The 12 y. old child complained of the fiver 38 C, headache and pain in the lover part of the mandible. On examination: the face is asymmetrical by the swelling of the neck soft tissue: the crown of the 26th tooth was damaged; hyperemia and swelling of the attached soft tissues. The primary diagnosis was the odontogenic sinusitis. What were the main criteria to establish this diagnosis?

* X-ray dates, presence of the tooth pathology.

Lesions of the both maxillary sinuses with the headache.

Nasal hyperemia.

Headache with dental pathology presentation.

Local edema of the gingiva surrounds the causative tooth.

The 14 y old boy complained of the pain in the right tenporomandibular joint during the opening mouth. The pain appeared after common cold 1 week ago .On examination: soft tissue hyperemia, edema in the area of the right temporo-mandibular joint; enlargement of the regional lymph nodes. T – 37,5 C. On the

X-Ray examination –widening of the right temporomandibular intra joint space. What is the diagnose?

* Acute Arthritis of the right temporomandibular joint.

Anterior dislocation of the mandible.

Acute Chronic Arthritis of the right temporomandibular joint.

Osteoarthritis of the right temporomandibular joint.

Acute Chronic Right otitis.

The 9 y. old boy had asymmetry of the face. Marked swelling, severe pain and changing of the skin sensation on the right mandibles area red margin of the lips and oral vestible. The crown of the 46 tooth was destroyed. X-ray investigation was normal .What is the diagnosis.

* Acute odontogenic osteomyelitis .

Acute hematogenous osteomyelitis .

Chronic odontogenic osteomyelitis .

Acute suppurative periostitis.

Gangrene of the right cheek.

The 16 y / Old patient complained of the hypertrophy, gum’s oozing during the last year. On examination: the gingival papilles (surround the 31st, 32nd, 33rd, 41st, 42nd, 43rd tooth) is increased and covered the ½ high crowns of tooth. The gums look like brightly red granulation and painful during the palpation. On X-Ray the alveolar bone was normal. What is the diagnosis?

* Hypertrophic gingivitis.

Local periodontitis .

Ulcerative gingivitis .

Generelized gingivitis .

Cataral gingivitis .

The 33 y. old patient complained of the pain and gingival oozing, bad smell from the mouth, T 38 C. On examination: gums’ swelling, hyperemia, fragile with the simple bleeding, periodontal pouches -3-4 mm with the pus. Oropanthogram : diffuse osteoporosis of alveolar bone , resorbtion of the inter dental septum up to the 1/3 of high. What is the diagnosis?

*Acute Chronic Generalized parodontitis .

Acute Chronic Cataral gingivitis .

Chronic Generalized periodontitis II degree.

Chronic Generalized periodontitis I degree.

Chronic Glossitis.

The 30y/ Old patient complained of the cold related tooth pain. On examination: there is deep carious cavity on the 37th tooth with the soft dentine inside. The probe and temperature test are positive. On the X-Ray: there is no changing in the periapical soft tissues. What is the diagnosis?

* Acute deep caries.

Chronic Fibrosal pulpitis.

Chronic Hyperemia of the pulpa.

Ascaries.

Acute Demarcated pulpitis.

The 46 y. old patient complained of the 24th tooth dislocation and hard mass in the dental root area. There is no complaining of the pain on irritation. Past medical history: chr. Generalized periodontitis II degree. The 24th tooth percussion is painful, ; the hard mass was palpated in the area of the middle part of the root the 24th tooth.; on X-Ray there is well differentiated area of the bone’s destruction , round shaped 1,5 sm. in diameter , surrounded the medial surface of the root 24th tooth. What is the diagnosis?

*Paradental cyst.

Para dental abscess.

Fibroma.

Osteoid osteoma.

Osteoblastoclastoma.

The 37 y . old patient complained of the pain an gingival oozing , bad smell from the mouth , T 37,6 C. On examination: gums’ swelling, hyperemia, fragile with the simple bleeding, periodontal pouches -3-4 mm with the pus. Oropanthogram : diffuse osteoporosis of alveolar bone , resorbtion of the inter dental septas up to the 1/3 of high. What is the diagnosis?

*Acute Chronic Generalized periodontitis .

Acute Chronic Cataral gingivitis .

Chronic Generalized periodontitis II degree.

Chronoc Generalized periodontitis I degree.

Chronic tonsillitis.

The 54 y. old patient complained of the gums’ pain from the chemical and temperature irritation.

On examination the mucosa of the gums’ is pail,: small amount of the dental stone , the retraction of the gums, There are wedge-like defects . What is the additional investigation should be provided:

*X-Ray

Electro-dento-diagnostic.

Gingival index.

Periodontal index (S.P. Ramfjord).

Reoperiodontography .

The 45 y. old patient complained of the gums’ bleeding, bad smell from the mouth, food impaction in the inter tooth’s space. On the examination : there is hyperemia of the gums; there are Para dental pouches ( 5 mm) on the area of the frontal maxillary and mandibulary teeth ; the movement of the teeth were noted. On X-Ray: there is zone of sclerosis surround osteoporosis. The morphological reported: the reticular cells were detected with the marked amount of the eosinophills , lymphositic infiltration . What is the correct diagnosis?

* Eosiniphilic granuloma.

Letter-Sive disease.

Generalized periodontitis.

Local periodontitis.

Syndrome of the Papiyon-Lefler.

The 50 y. old patient complained of the difficulty of the chewing foot, teeth’s mobility, the bad smell from the mouth, gums’ bleeding. The gums are hyperemic with the cyanosis. There are the dental stone.Paradental pouches – 6 – 8 mm. On the X- Ray: there is bone resorbtion of the 2/3 – 1/3 of the roots’ length. What is the diagnosis?

*Chronic Generalized periodontitis , III degree.

Chronic Generalized periodontitis , II degree.

Chonic Generalized periodontitis , I degree.

Acute Generalized periodontitis, II degree.

Acute Generalized periodontitis, III degree.

The53 y old patient had gums ‘edema, mobility of the 11 – 14, 21 – 24th teeth I-II degree. Abnormal periodontal pouches 4-5 mm in the depth. The diagnosis of the Chr. generalized periodontitis II stage was done. What are the roentgenological signs of the periodontitis II degree?

* Bone resorption of the inter teeth septum in the ½ of the root’s length.

Bone resorbtion of the inter teeth septum the 2/3 of the root’s length.

Dilatation of the periodontal space.

Osteoporosis of the apex’s of the inter teeth’s septum.

Bone resorption of the inter teeth septum the 1/3 of the root’s length.

The 27 y old man complained of the gums pain and bleeding, mobility of the some teeth, bad smell from the mouth during the last 2 days. On the examination: there is edema of the gums, hyperemia with the bleeding on palpation. The teeth’s neck are exposed, periodontal pouches has 3-4 mm in the depth with the serosal and puss containing ; noted the mobility I degree of the 16th, 26th, 27th, 36th teeth. The orthopantogram demonstrated: diffuse osteoporosis with the resorbtion of the 1/3 of the high of the inter teeth septum. What is the diagnosis?

*Acute chronic generalized periodontitis , I degree.

Acute chronic generalized periodontitis , II degree.

Acute Chronic Generalized periodontitis III degree.

Chronic Generalized periodontitis ,I degree.

Chronic Generalized periodontitis II degree.

The 42 y old patient complained of the gums’ pain and bleeding during the taking of food and brushing of the teeth, the bad smell from the mouth, teeth movement. He considered his sickness during the 15th years. On the examination: there is the edema of the gums, hyperemia with the bleeding on palpation. The molars’ neck are exposed, periodontal pouches has 4-6 mm in the depth with the puss inside. The teeth mobility was II-III degree. There is restoration of the 2/3 of the high of the inter teeth septum what is the diagnosis:

* Ac . chr. generalized periodontitis , II degree.

Ac . chr. generalized periodontitis , Idegree.

Ac . chr. generalized periodontitis , III degree.

Chr. Generalized periodontitis ,II degree.

Chr. Generalized periodontitis III degree.

The trooper was admitted after nuclear weapons explosion with the diagnosis: the common dose of radiation 480 R., open mandibles fracture , contusion of the chin. What is the first aid in the hospital?

* Dozimenric examination, limited toileting and washing dress and body, stomach washing without tube using, temporally hemostasis, transportation immobilization.

Further evacuation to the specialized hospital without giving any medical help.

Permanent hemostasis, primary wound care, osteosyntesis.

Provide the pain killer and cardio stimulation.

Radio metrical check-up, mandible– maxillary fixation.

The trooper was admitted after nuclear weapons explosion with the diagnosis: the common dose of radiation 480 R , open mandible fracture , contusion of the chin.What is the stage of the radiational disese the most suitable for the final treatment of the mandible fracture.

* First (presymptomatical ) stage.

The stage of the primary reactions.

Stage of the clinical manifestations.

Stage of the primary recovery.

Stage of the complete recovery.

The 55 y. old patient complained of the swelling in the sub auricular area. The sialography noted sign of the “cut” salivary ducts on the level of pathological changing. What is the disease has such sialographyc presentation:

* Malignant tumor.

Chr. Interstitial parotitis.

Shegren’s disease.

Chr. Tonsillitis.

Mixed tumor.

The patient hit chin in the road traffic accident. He complained of pain in the chin area and in time of the opening mouth. On examination : abrasions on the chin, semi closed mouth, movement of the mandible is painful , the pain is worth on the mandibular compression , temporomandibular swelling; there is no dislocation on the temporomandibular joints ( TMJ) ; X- Ray investigation of the temporomandibular joints was normal . What is the diagnosis?

* Ac. Traumatic arthritis of the TMJ.

Mandibular fracture.

Complete dislocation.

Ac. Parotitis.

Contusion of mandibula.

The patient complained of the permanent mandibular pain and it is worth during the moving. Noted: the dislocation of mandibula and “crack” sound in the right temporomandibular joint during the opening mouth; there is adentya of the chewing right teeth . On the X-Ray investigation: there is condilar deformation with sclerosis of the cortical plate; destruction of the bone of the mandible fosse. What is the primary diagnosis?

* Deformated arthrosis of the right temporo-mandibular joint.

Arthritis of the right temporomandibular joint.

Spesific arthritis of the right temporomandibular joint.

Rheumatic arthritis of the right temporomandibular joint.

The fracture of the right temporomandibular joint.

The patient complained of the painful and limited opening of mouth with the pain in the temporomandibular joints 3 weeks after the tonsillitis. The 5 months later the pain in the left wrist and hand with the stiffness in the temporo-mandibular joints. On examination: patient was pail; increased sweating ; T 37,5C; swelling of the temporomandibular joints with mild hyperemia of the skin. The palpation of the joint was painful. External auricular meatus were narrowed. The left wrist and hand were swollen. On X-Ray: TMJ space were dilated, the condillars’ pattern are unclear. What is the diagnosis?

* Rheumatoid arthritis.

Traumatic arthritis.

Otitis.

Arthrosis.

Ac. Nonspecific arthritis.

The patient complained of the pain worsening during opening mouth after trauma ( 2 months ago). On examination: mild retro-mandible swelling, painful on palpation. Opening of the mouth limited up to the 2 sm. Crunching on the palpation in the external auricular meatus . On the X-Ray: there is narrowing of the joint space. What is the primary diagnosis?

*Chr. Post traumatic arthritis.

Ac. chronical arthritis.

Spesific arthritis of the right temporomandibular joint.

Chr. Osteoarthritis.

Ac. Post traumatic arthritis.

The 29 y. old patient was investigated. His X-Ray of the temporomandibular joints revealed: unclear pattern of the joint surface’s, irregularity and notches, condillar deformation with the marginal osteophitoses . What is the diagnosis?

*Arthrosis.

Ac. Arthritis.

Painful dysfunctional syndrome.

Ankylosis.

Chr. Arthritis.

The progressive face deformation was in the 9 y. old child. Noted retention of the mandibular growing, limited movement in the temporomandibular joints; the soft tissues hypertrophy and edema of the cheek on the affected side; the cheek of the healthy side was normal. The angle of mouth was shifted down. On X-Ray: the condillar deformation was reported. What is the diagnosis?

* Deformated arthrosis TMJ.

Paralysis of the facial nerve.

Myofacial painful syndrome.

Progressive facial hemi atrophy.

Mandible diastases.

The 12 y. old child complained of the progressive limitation of the mouth opening , mandible deformation , difficulty during pronunciation and taking food after fracture of the left mandible condyl. On examination: movement in the right TMJ was absent, the joint space was absent on the X-Ray. What is the diagnosis?

* Bone ankylosis.

Post traumatic arthritis.

Fibrous ankylosis.

Costner’s syndrome.

Scar’s contracture.

The 231 y old patient complained of the permanent pain in the right TMJ which is worsening on movement after the recent mandibular trauma. On examination: face asymmetry due to the soft tissues swelling in the right TMJ; the local hyperemia of the skin; T 37,6; the skin is able to be took in to the fold; opening the mouth is limited up to the 1,5 sm. if more it became painful ; the test of the indirect tension is positive with the pain in the right TMJ. FBC: WB- 9,919/9/l; ESR 28 mm/h. On the x-ray by Shuller : dilatation of the right TMJ space .What is the diagnosis:

* Ac arthritis of the right TMJ.

Right mandible fracture.

Painful dysfunctional syndrome.

Intra temporomandibular joint’s Ankylosis.

Chr. Arthritis of the right TMJ.

The 42 y/old patient complained of the on – and off pain in the 36th tooth. The percussion of it was painful . X-ray reported the chr. Granulomatosal apical periodontitis of the 36th tooth. Describe the x-ray signs:

* The circular focus of the bone destruction surrounded the apex of the root.

Narrowing of the joint space.

Widening of the joint space.

Specifically signs are absent.

Multiple differently shaped focuses of the osteosclerosis.

The 28y/old patient had caries cavity communicated with the pulp chamber of the 46th tooth. X-ray reported of the chr. Apical periodontitis 44th . What are the X-Ray signs?

*Alternative unequal parts of the narrowing and widening of the periodontal space.

Apical round-shaped focus of the destruction with the clear margin.

Apical round-shaped focus of the destruction with the unclear margin.

Equal narrowing of the periodontal space.

There are no specific signs.

The 61st tooth became moveable after trauma. The surrounded soft tissues are not damaged. On the X-Ray: the Alveolar bone of the periodontal space is dilated .The root is not damaged.What is the diagnosis?

* Incompleted dislocation of the tooth.

Complete dislocation of the tooth.

Contusion of the tooth and attached soft tissues.

Fracture of the alveolar bone

Hematoma of the periodontal space.

For the diagnosis the fracture of the maxillo-orbital area the following x-ray investigation is in use. :

*Axial X-ray of the facial bones.

Anterior-posterior X-Ray of the facial bones.

X-ray of the facial bones in the lateral view.

Trance angular roentgenography.

Sinuses’ x-ray.

The 43 y/old patient has ac. odontogenic sinusitis. What is the x-ray investigation should be done:

* X-ray of the sinuses in the erect position.

Plain scull X-Ray, axial view.

Plain scull X-Ray, nasal- frontal view.

X-ray of the sinuses in the prone position.

Lateral skull X -Ray.

The 57 y. old patient has malignant tumor of the parotid gland. What is the best from not invasive investigations to prove that the tumor is originated prom the gland is indicated in this case?

* Sialography.

X-Ray.

Thermography.

Scintigraphy.

The sarcoma of the mandible was diagnosed in the patient 35 y. old What is the x-ray sign is most suitable to conform the diagnosis :

Codman ‘s triangle.

*Spiculated periostitis.

Linear periostitis.

Net-like periostitis.

The periostal sarcoma of the mandible was diagnosed in the patient 35 y. old What is the x-ray sign is most suitable to conform the diagnosis :

* Spiculated periostitis.

Codman‘s triangle.

Linear periostitis.

Regional soft tissue edema.

The 24 y. old patient complained of the right mandibular pain , numbness, general fatigue during 2 months. On examination : asymmetry of the face due to the right side swelling, skin is normal , teeth were not involved., 45,46,47 tooth was movable, there was bulging of the mandibular area. Vensan’s sign was positive. On the X-Ray: there are bone destruction in the area of the right 45,46,47 with unclear margin .What is the diagnosis:

* Alveolar cancer ob the mandibula.

Ac. Osteomyelitis of the mandibula.

Chr. Osteomyelitis of the mandibula.

Dental cyst of the mandibula.

Fracture of the mandibula.

The patient complained of the movement of the 35th, 36 teeth, on- off pain in this area , oozing from the right nostril, losing of weight during 4 months. On x-ray; opassification of the right maxilaary sinus with the destruction of the lower wall and mandible alveolar bone in the area of the uninvolved 35, 36th teeth. What is the primary diagnosis?

*Maxillary adamantinoma .

Maxillary cancer.

Chr. Maxillary sinusitis.

Chr. Osteomyelitis.

The 52 y old patient complained of the painless swelling of the right mandibula are after the tooth extraction with the massive bleeding . The bulging of the bone was detected in the area of pathology. On the lateral mandibular x-ray: enlargement f the bone trabecules with the radial deviation; there are oval small bone defects surrounded by thin bone walls in between trabecules. What is the correct diagnosis?

* Hemangioma.

Osteoblastoclastoma.

Adamantinoma.

Chondroma.

Osteoma.

The 23 y. old patient complained of the pain in the 11th tooth, bulging of the alveolar bone after trauma 4 years ago. The crown of the 11 tooth is dark discolored and painful on percussion. X-ray demonstrated round shaped translucent lesion (2 sm. in diameter) with the clear margins closed to the foot of the 11 tooth. Aspiration of the pathology focus: yellow fluids with the crystals of the cholesterol.

* Radicular cyst of the maxilla.

Chr. Osteomyelitis of the maxilla.

Ameloblastoma of the maxilla.

Soft odontoma of the maxilla.

Osteoblastoclastoma of the maxilla.

The 39 y. old patient complained of mobility 14th, 16th, 17th teeth, pus discharge from the place of the tooth extracted 1 month ago. On examination swelling of the right supraorbital area; enlargement of the right submundibular lymph nodes , mildly painful ; cyanosis of the mucosa attached to the 14 – 17th teeth ; in this area there is sinus with the pus and granulations.Massive granulation is in the area of 15th tooth ( was removed before); nasal breathing is free.. On x-ray: osteonecrosis with the central focus of the osteosclerosis with the unclear bounder. What is the diagnosis?

* Chr. Localized osteomyelitis of the alveolar bone.

Chr. Osteomyelitis of the 15th.

Chr. Difusal osteomyelitis of the alveolar bone.

Ac. Chr. Periodontitis.

The 35 y. old patient complained of the limitation in the mouth opening up to 1,5 sm after the trauma. The mandible is shifted to the left during the mouth opening. There is the pain in the right condyle of mandible during palpation and pressure . X-ray reported trabecular and periosteal disruption.

What is the diagnosis?

*Fracture of the mandible condyl.

Ac. Traumatic arthritis of the left TMJ.

Ac. Dislocation of the left TMJ.

Fracture of the left zigomatic bone.

The 32 y. old patient complained of the limited mouth opening up to 1,5 sm. , face asymmetry after the chin trauma . On examination: the palpation of the let angle of mandibula was painful, the signs of “pressure” were positive. What is the additional investigation is indicated in this case:

* X-Ray of the TMJ.

X-ray of mandible in 2 views.

Electromyography, US.

General clinical investigations.

Morphological investigation of the aspirated fluid from the place of the pathology.

*

The 35y/ old patient complained of the limited mouth opening up to 1,5 sm. After trauma. On examination: minimal edema of the right temporal area; palpation of the left condyle of mandible is painful; on the pressure on the chin there is pain in the left ear. There is not completed attachment in between the upper and lower teeth during the mouth closure. What is the additional investigation is indicated to make final diagnosis:

*Plain x-ray of the facial bones, roentgenography TMJ by Shuler.

Sialography.

Electrimyography, US, thermography.

General clinical investigations.

Morphologycal investication of the aspirated fluid from the place of the patology.

The 46 y. old patient complained of the limited mouth opening , face deformation, filling of the “ big tongue”. On examination her face is the “Bird’s looks like” .On the x-ray : there is no joint space . What is the most correct diagnosis?

* Ankilosis of the TMJ.

Ac. arthritis of the right TMJ.

Myogenical osteo-arthritis.

Mandibular subluxation.

Ac. Suppurative parotitis.

The 28 y. old patient complained of the severe pain in the right TMJ, radiated to the ear. The pain appeared after trauma and worsened during the mandible movement. Noted the local hyperemia. On X-Ray: there is dilatation of the joint space. What is the diagnosis?

*Ac arthritis of the right TMJ.

Chr. Arthrosis.

Deformating arthrosis.

Chr. Arthritis.

Mandibular subluxation.

The 32 y / old patient complained of the filling of “crack”, “crunching”, toughness in the right TMJ. The pain is during the morning time and subsided up to the evening. On X-Ray: the deformation of the condyle due to the marginal multiple bone overgrowing. What is the diagnosis?

*Deformated arthrosis.

Ac . arthrosis.

Mandibular dislocation.

Ac. Arthritis.

Chr. Arthrosis.

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