Oral Diagnosis Test

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Oral Diagnosis Test

1 / 60

A patient has an asymptomatic, white patch on the oral mucosa. Which of the following methods of examination is most likely to lead to a diagnosis?

a. Exfoliative cytology

b. Biopsy

c. Application of methylene blue

d. Culture

2 / 60

The earliest clinical sign of gingivitis is :

a. Pocket formation

b. Increase tooth mobility

c. Change in color of the attached gingiva/

d. Change in consistency of the attached gingiva

e. Bleeding on probing

3 / 60

All of the following are the locations of minor salivary glands EXCEPT

1’/Labial and buccal mucosa

2/ Tongue and floor of the mouth

3/Soff palate and 2/3 posterior of hard palate

4/Gingiva and 1/3 anterior of hard palate

a. 1,3,4

b. only 3

c. 2,3

d. only 4

e. 1,2,3

4 / 60

The BEST treatment for alveolar abscess

a. Extraction

b. Endontic treatment or extraction

c. Incision and drainage alone

d. Endodontic

5 / 60

The effects of tooth removal in healthy individuals can show as

a. TMJ problem

b. Loss of contacts

c. Pocket formation

d. All of the above

e. Slight tilting

6 / 60

Denture stomatitis can be associated with

a. All of the above.

b. ill-fitting dentures.

c. inadequate denture hygiene.

d. xerostomia.

e. candida albicans infection.

7 / 60

All of the following are the locations of minor salivary glands EXCEPT?

a. Labial and buccal mucosa, Soft palate and 2/3 posterior of hard palate

b. Tongue and floor of the mouth and Soft palate and 2/3 posterior of hard palate

c. Gingiva and 1/3 anterior of hard palate

d. And Gingiva and 1/3 anterior of hard palate

e. Labial and buccal mucosa, Tongue and floor of the mouth and Soff palate and 2/3 posterior of hard palate

f. Soft palate and 2/3 posterior of hard palate

8 / 60

Which of the following is/are symptoms : 1. Pain 2. Burning sensation 3. Numbness 4 Dry mouth

a.  1,2,3

b.  All of the above

c.  2,3

d.  1 and 4

e.  3,4

9 / 60

The following are the component of the external auditory meatus EXCEPT of:

a. Ear lobe

b. Anthelix

c. Meatus

d. Tragus

e. Antitragus

10 / 60

Swelling after RCT is mainly caused by

a. All of the above

b. Entrapped Bacteria, or the presence of bacteria in the periapical region.

c. Over filled root canal

d. Under filling the root canal system

11 / 60

Which of the following statements is correct? All of the above.

a. The basal lamina is divided into lamina lucida and lamina densa

b. The basal lamina is a product of epithelial cells.

c. All of the above

d. Epithelial cells are united to the basal lamina by hemidesmosomes.

12 / 60

Which one of the following the radiography is not used to detect ?

a.  Impacted teeth

b.  Retained root tips

c.  Cysts/radiolucent/radiopaque lesions

d.  Rarefying osteitis

e.  Benign migratory glossitis

13 / 60

Which of the following is/are mandibular nerve ? 1/ Frontal nerve 2/ lingual nerve 3/ lachrymal nerve 4/ Inferior alveolar nerve

a.  1,2 and 3

b.  3 and 4

c.  2 and 4

d.  All of the above

e.  1 and 3

14 / 60

The following diseases are presented in adult and older patientsEXCEPT;

a.  Cleft lip and cleft palate

b.  Gingival recession

c.  Lichen planus

d.  Erosion

e.  Periodontitis

15 / 60

A patient presents with a 3 week history of prolonged tooth pain to hot and cold. Three days ago the symptoms changed to moderate pain on biting combined with a dull, spontaneous ache relieved by cold. The most likely diagnosis is Chronic apical abscess. ?

a. Acute pulpitis with periradicular periodontitis .

b. Reversible pulpitis.

c. A cracked tooth.

d. A vertical root fracture.

16 / 60

Which of the following are possible causes of Bell’s Palsy?

a. All of the above.

b. Surgical trauma.

c. Incorrect injection technique, Viral infection and Inflammation of the facial nerve.

d. Incorrect injection technique and Inflammation of the facial nerve.

e. Viral infection and Surgical trauma.

17 / 60

Tooth mobility may be due to

excessive occlusal force.
decreased osseous support.
periodontal abscess.
gingival inflammation.

a. (4) only

b. (1) and (3)

c. All of the above.

d. (1) (2) (3)

e. (2) and (4)

18 / 60

Which of the following statements is correct?.

a.  Epithelial cells are united to the basal lamina by hemidesmosomes.

b.  The basal lamina is a product of epithelial cells.

c.  The basal lamina is divided into lamina lucida and lamina densa

d.  All of the above.

19 / 60

Which of the following is/are abnormal structure ?

a.  Ankyloglossia ( tongue tie)

b.  Edema

c.  Swelling

d.  All of the above

e.  Tori

20 / 60

Exophthalmia may be a sign of

a. hypoparathoidism

b. hyperthyroidism

c. hyperadrenalism

d. hypoadrenalism

e. hypothyroidism

21 / 60

which one of the largest sinuses ?

a.  Frontal sinuses

b.  sphenoidal sinuses

c.  Ethmoidal sinuses

d.  Maxillary sinuses

22 / 60

Which of the following is duct of parotid gland?

a. Wharton duct

b. Minor salivary glands duct

c. Rivinus duct

d. Stenson’s duct

e. Batholin duct

23 / 60

Which of the following are vital signs?

Blood pressure.
Body temperature
Pulse rate and respiration.
Pupil size.

a. (1) (2) (3)

b. (4) only

c. All of the above.

d. (1) and (3)

e. (2) and (4)

24 / 60

The following are features of acute apical periodontitis EXCEPT for:

a.  Painless on percussion

b.  Extra oral swelling

c.  Mastication without any pain

d.  Intermittent pain

e.  Tenderness of tooth to pressure

25 / 60

Which of the following is not true regarding thyroid gland ?

a. It is located in the front part of the neck in the midline

b. It is made up of two lobes connected by an isthmus.

c. It is endocrine gland

d. It is one of the larger endocrine glands

e. It makes saliva

26 / 60

Which of the following is not true regarding to medical history

a. May indicate a patient serious problem

b. May modify any treatment plan

c. Is mandatory for medicolegal reasons

d. Maybe not interest for dentist

e. Provide important clues to the diagnosis

27 / 60

Areas of isolated gingival recession are most frequently seen on teeth that are:

a.  moderately mobile

b.  non vital.

c.  labially prominent in the arch.

d.  ankylosed

28 / 60

When lateral deviation on opening the mouth ( e.g right side) causes pain; the pain is toward :

a. Bilaterally

b. None of the above

c. The left side

d. The right side

e. The left temporalis

29 / 60

The area of the tooth that is most sensitive during cavity preparation is

a. dentinoenamel junction

b. dentin

c. cementoenamel junction

d. enamel

e.  cementum  cementum  cementum  cementum cementum

30 / 60

Which one of the following is not sign and symptom of Ehlers-Danlos syndrome

a.  Hyperelasticity of the skin,

b.  Xerostomia

c.  Fragility of the skin and blood vessels,

d.  Hyperlaxity of the joints,

e.  Delay wound healing

31 / 60

The electric pulp tester might be of some value in determining whether the pulp is

a. All of the above.

b. There is a partial necrosis of the pulp and The pulp is vital or non-vital.

c. Hyperemic or hyperplastic and There is a partial or total pulpitis.

d. Hyperemic or hyperplastic, There is a partial necrosis of the pulp and There is a partial or total pulpitis.

e. The pulp is vital or non-vital

32 / 60

Electrical pulp testing is least useful in :

a. Necrotic pulp

b. Just erupted teeth

c. Capped teeth

d. Traumatised teeth

e. Multi-rooted teeth

33 / 60

Which one of the following, is asymptomatic?

a.  Perapical periodontitis

b.  Perapical abscess

c.  Chronic hyperplastic pulpitis(pulp polyp)

d.  Irreversible pulpitis

e.  Acute suppurative pulpitis

34 / 60

The electric pulp tester has not value in determining whether 1. the pulp is hyperemic or hyperplastic. 2. there is a partial necrosis of the pulp. 3. there is a partial or total pulpitis. 4. the pulp is vital or nonvital.

a. (2) and (4)

b. (4) only

c.  All of the above.

d. (1) (2) (3)

e. (1) and (3)

35 / 60

All of the following are abnormal structure EXCEPT for :

a. Swelling

b. Edema

c. Difficulty swallowing

d. Tori

e. Ankyloglossia ( tongue tie)

36 / 60

The muscle that extends longitudinally from the occipital bone to the lower thoracic vertebraeand laterally to the spine of the scapula (shoulder blade) is called:

a.  Sternocleidomastoid

b.  Masseter

c.  Trapezius

d.  Lateral pterygoid

e.  Temporalis

37 / 60

Which of the following is immediately distal to the intermaxillary suture?

a. D. Maxillary canine.

b. Maxillary central incisor.

c. Mandibular canine.

d. Mandibular central incisor.

38 / 60

Application of cold to tooth will provide temporarily relieve pain in

a.  acute apical abscess

b.  pulpal necrosis

c.  Acute suppurative pulpitis

d.  chronic pulpitis

e.  hyperemic pulp

39 / 60

What clinical evidence would support a diagnosis of acute dento-alveolar abscess?

a. A negative reaction to the electric vitality tester and Presence of a draining fistula.

b. All of the above.

c. A negative reaction to the electric vitality tester, A positive reaction of short duration to cold and A positive reaction to percussion.

d. Presence of a draining fistula.

e. A negative reaction to the electric vitality tester, A positive reaction to percussion

40 / 60

which statement is false regarding to thyroid glands:

a.  H in shape

b.  Secrete T3 and T4 hormone

c.  Secrete saliva

d.  It is one of the larger endocrine glands,

e.  Present 2 lobes that separated by isthmus

41 / 60

which one of masticatory muscles is broad, fan-shaped, and situated along the side of the head,

a.  Temporalis

b.  Medial pterygoid

c.  Lateral pterygoid

d.  Masseter

42 / 60

A child has sustained a traumatic exposure of primary central incisor, he presents to you for treatment two days after the injury. Which of the following should be considered

a. Direct pulp capping

b. Pulpotomy and formocresol

c. None of the above

d. Pulpotomy and Ca(OH)2

e. Pulpectomy (RCT)

43 / 60

Which of the following is/are mandibular nerve?

a. Frontal nerve, lingual nerve and lachrymal nerve

b. lachrymal nerve and Inferior alveolar nerve

c. lingual nerve and Inferior alveolar nerve

d. All of the above

e. Frontal nerve and lachrymal nerve

44 / 60

The redness of inflamed gingiva is due to

a.  All of the above

b.  increase vasodilatation

c.  subgingival deposit

d.  increase collagen fiber density

e.  the degree of keratinization

45 / 60

Date of examination is useful for:

a.  Record maintenance

b.  All of the above

c.  Reference during up visits

d.  Time of admission

46 / 60

Gingival hyperplasia may be

a. familial

b. All of the above.

c. None of the above.

d. drug induced.

e. idiopathic.

47 / 60

The following are vital sign EXCEPT.

a.  Blood pressure.

b.  Body temperature.

c.  Pupil size.

d.  Pulse rate and respiration

48 / 60

Which one of the following teeth is most frequently impacted?

a.  Mandibular second molar.

b.  Maxillary first premolar.

c.  Mandibular cuspid.

d.  Mandibular first molar

e.  Maxillary cuspid.

49 / 60

Which of the following is/are the nature of pain : 1. Throbbing 2. Squeezing 3. Dull 4.Severe pain

a.  2 and 3

b.  3 and,4

c.  All of the above

d.  1,2and,3

e.  Only 4

50 / 60

Which of the following, if left untreated, is most likely to result in a periapical lesion?

a. Internal resorption

b. Chronic hyperplastic pulpitis

c. Reversible pulpitis

d. Acute suppurative pulpitis

e. Diffuse calcification of the pulp

51 / 60

Which of the following is not true regarding necrotic pulp :

a.  Results from continued degeneration of an acutely inflamed pulp.

b.  Involves a progressed breakdown of cellular organization and no reparative potential

c.  With multi-rooted teeth, one root may contain partially vital pulp

d.  Responds to thermal test.

e.  Commonly have apical radiolucent lesion

52 / 60

Which of the following is /are the indications for biopsy ? 1/ Any lesion that persists for more than 2 weeks with no apparent etiology 2/Any inflammatory lesion that does not respond to local treatment after 10-14 days 3/ Persistent hyperkeratotic changes in surface tissues 4/ Any lesion that regress after removal its cause

a.  Only 4

b.  All of the above

c.  1,2,3

d.  2 and 3

e.  2,3,4

53 / 60

Which drug is specific for Trigeminal Neuralgia

a. Diazepam

b. Ergotamine

c. Phenytoin

d. Carbamazepine (Tegretol)

54 / 60

The muscles responsible for protrusion of the mandible are the

a.  Temporalis

b.  Internal pterygoids

c.  Masseters

d.  Buccinators

e.  lateral pterygoids

55 / 60

In health, attached gingiva

a. Is attached by collagen fibres to the cementum.

b. Is bound firmly by the periosteum to the alveolar bone.

c. All of the above.

d. Displays varying degrees of stippling.

e. Has a keratinized surface.

56 / 60

A patient presents with apparent paralysis of one side of the face which appeared the day before. What is the most likely diagnosis?

a. Myasthenia gravis.

b. Bell's palsy.

c. Glossodynia

d. Trigeminal neuralgia

57 / 60

The success of indirect pulp capping is dependent upon

a. All of the above.

b. removal of all caries at the enamel-dentin junction.

c. use of calcium hydroxide.

d. a well sealed restoration.

58 / 60

The earliest radiographic sign of occlusal trauma is

a. hypercementosis

b. root resorption.

c. widening of the periodontal ligament space

d. alteration of the lamina dura.

e. ankylosis.

59 / 60

The following are the characteristic signs and symptoms of Bell’sPalsy EXCEPT for:

a.  Commisure of the mouth drops.

b.  Loss of the naso-labial fold

c.  Difficulty in speeking.

d.  Increase lacrimation

e.  Food collects in the vestibule

60 / 60

A larger circumscribed elevated area is call

a. vesicle

b. Macule

c. Papule

d. Pustule

e. Plaque

Your score is

The average score is 0%

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