Oral Diagnosis Test

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Oral Diagnosis Test

1 / 60

All of the following are keratinised EXCEPT of

a. Buccal mucosa

b. Alveolar mucosa

c. Attached gingiva

d. Palatal epithelium

2 / 60

A patient with bruxism is likely to demonstrate ?

a. premature wear of occlusal surfaces.

b. TMJ discomfort

c. increased mobility of teeth.

d. radiographic evidence of the widening of the periodontal ligament.

e. All of the above.

3 / 60

Which of the following is LEAST likely to cause pain?

a. Carious pulp exposure.

b. Acute pulpitis.

c. Apical periodontitis.

d. Chronic hyperplastic pulpitis (pulp polyp).

4 / 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

a. A cracked tooth.

b. Reversible pulpitis.

c. Chronic apical abscess.

d. Acute pulpitis with periradicular periodontitis

e. A vertical root fracture.

5 / 60

Regarding to occlusal trauma, the earliest radiographic sign is

a. ankylosis.

b. root resorption.

c. hypercementosis

d. widening of the periodontal ligament space.

e. alteration of the lamina dura.

6 / 60

Which of the following are characteristic symptoms of acute suppurative pulpitis?

a. Spontaneous throbbing pain, Prolonged pain initiated by heat and Increased pain while lying down

b. Increased pain by cold.

c. Spontaneous throbbing pain and Increased pain while lying down.

d. Prolonged pain initiated by heat and Increased pain by cold.

e. All of the above.

7 / 60

A full thickness loss of surface epithelium with exposure of underlying connective tissue is call

a. Erosion

b. Ulcer

c. Bulla

d. Plaque

e. Pustule

8 / 60

Which of the following is/ are ducts of sublingual gland?

1/ Wharton’s duct

2/Bartholin’s duct

3/ Rivinus’s duct

4/ Minor salivary glands duct

5/ Stenson’s duct

a. 3,4,5

b. 2,3,4

c. 1,2.3

d. 2, 3

e. All of the above

9 / 60

The following are abnormal functions EXCEPT for :

a. Dysphonia ( difficulty speaking )

b. A swelling

c. Dysphagia ( difficulty swallowing )

d. Inability to open mouth

e. Difficulty walkin

10 / 60

Which of the following is not true regarding thyroid gland ?

a. It is endocrine gland

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

c. It makes saliva

d. It is one of the larger endocrine glands

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

11 / 60

Regarding to congenital heart disease ,which one of the following is NOT its ?

a.  Telangiectasia.

b.  Cyanosis

c.  Right ventricular hypertrophy

d.  Heart murmur

e.  Clubbing of the fingers and toes

12 / 60

Which of the following in not abnormality of function

a.  Difficulty of swallowing

b.  Difficulty of opening the mouth

c.  Difficulty of mastication

d.  Difficulty of speaking

e.  Tongue tie

13 / 60

Which of the following is the most powerful jaw-closing muscle?

a. Platysma

b. Medial pterygoid.

c. Lateral pterygoid.

d. Temporalis..

e. Masseter.

14 / 60

Lateral mandibular motion ranges from:

a.  6-8mm

b.  5-7mm

c.  8-10mm

d.  10-12mm

15 / 60

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

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

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

c. All of the above.

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

e. The pulp is vital or non-vital

16 / 60

Which of the following is not useful for apical infection

a. H2O2

b. Chlorhexidine

c. Eugenol

d. EDTA ( Ethylenediaminetetraacetic acid )

e. Ethyl alcohol

17 / 60

Name of patient is used :

a.  to establish a rapport with the patient

b.  record maintenance

c.  All of the above

d.  for psychological benefits

e.  to communicate with the patient

18 / 60

Among the salivary glands , which of the following had multiple ducts?

a.  Submandibular

b.  Parotid

c.  Sublingual

d.  Minor salivary glands

19 / 60

Which one of the following is keratinised ? 1. Buccal mucosa 2. Palatal epithelium 3. Alveolar mucosa 4. Attached gingiva

a.  2,3,4

b.  Only 4

c.  All of the above

d.  2 and 3

e.  1,2,3

20 / 60

The following nodes drain the scalp EXCEPT for:

a.  Pre auricular nodes (Parotid)

b.  Occipital nodes

c.  Post auricular nodes (mastoid)

d.  Sub mental nodes

21 / 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. 2,3

c. only 4

d. 1,2,3

e. only 3

22 / 60

What would cause an airway obstruction

a. Extension of the neck

b. The tongue muscles relax and full back into the pharynx

c. Head gently tilted towards one side.

d. Flexion of the neck

23 / 60

Transillumination is used to**

a. Calculus

b. To detect tooth cracks

c. Pulp-stones

d. To find intrinsic tooth coloration

e. Hemorrhagic pulp

24 / 60

Which of the following is not true regarding excisional biopsy ?

a.  Local anesthetic should be injected in the lesion

b.  Place the specimen in a bottle containing 10% formalin

c.  Apply traction to the lesion via the suture

d.  Care the specimen

e.  Stabilize the lesion with transfixing suture

25 / 60

Which of the following is the hardest?

a. Ename

b. Silicate cement

c. Composite resin

d. Amalgam

e. Gold

26 / 60

Percussion of a tooth is used to evaluate

1.ankylosis.

2.pain.

3.mobility.

4. vitality.

a. All of the above.

b. (1) and (3)

c. (1) (2) (3)

d. (4) only

e. 2) and (4)

27 / 60

The following are the nature of pain EXCEPT:

a. Squeezing

b. Severe pain

c. Gnawing

d. Dull

e. Throbbing

28 / 60

Which of the following is not diagnosis aids:

a. Biopsy

b. Thermal test

c. Measurement blood pressure

d. Electricity pulp testing

e. Radiography

29 / 60

A small circumscribed non elevated area of discoloration is call

a. macule

b. papule

c. pustule

d. plaque

e. Bulla

30 / 60

Denture stomatitis can be associated with

a. All of the above.

b. xerostomia.

c. ill-fitting dentures.

d. inadequate denture hygiene.

e. candida albicans infection.

31 / 60

The following diseases are presented in adult and older patientsEXCEPT;

a.  Periodontitis

b.  Gingival recession

c.  Lichen planus

d.  Erosion

e.  Cleft lip and cleft palate

32 / 60

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

a. Chronic hyperplastic pulpitis

b. Reversible pulpitis

c. Internal resorption

d. Diffuse calcification of the pulp

e. Acute suppurative pulpitis

33 / 60

The normal pulse rate for an adult is around

a. 80-90 beats/minute

b. 50-60 beats / minute

c. 120-130beats/minute

d. 68-72 beats/minute.

e. 100-120 beats /minute

34 / 60

Which of the following muscles passes obliquely across the side of the neck.?

a.  Lateral pterygoid

b.  Temporalis

c.  Masseter

d.  Sternocleidomastoid

e.  Medial pterygoid

35 / 60

A cold stimulus applied to a tooth will produce a hypersensitive response if the tooth

a.  has chronic pulpitis E/ has a necrosis pulp

b.  has a periodontal pocket

c.  is non vital

d.  has a hyperemic pulp

36 / 60

Which of the following oral epithelium is/are non keratinized? 1.Buccal mucosa 2. Soft palatal epithelium 3. Floor of the mouth 4. Alveolar mucosa

a.  All of the above :

b.  2 and 3

c.  1,2,3

d.  2,3,4

e.  Only 4

37 / 60

A cusp fracture can be detected by

a. Radiograph

b. Visually

c. Touching the tip of the cusp / Pressure on the cusp by using tooth sloth

d. Percussion

e. History

38 / 60

To view the pillars of the fauces, tonsils, uvula and oropharynx by:

a. Depressing the tongue and asking to say ( AH )

b. Asking the patient to open the mouth

c. Asking the patient to close the mouth

d. Asking the patient to clench the teeth

e. Retracting the tongue

39 / 60

The microscopic study of cells scraped from the surface of a lesion is called:

a.  Incisional biopsy

b.  Excisional biopsy

c.  Brush biopsy

d.  Punched biopsy

e.  Exfoliative cytology

40 / 60

Which of the following are the functions of Eustachian tube EXCEPT for:

a.  Mucus drainage

b.  Protection the middle ear

c.  Fighting against infection

d.  Pressure equalization

41 / 60

Exophthalmia may be a sign of

a. hypoparathoidism

b. hyperadrenalism

c. hypoadrenalism

d. hypothyroidism

e. hyperthyroidism

42 / 60

Which of the following radiographic findings are attributable to trauma from occlusion?

a. Narrowing in width of the periodontal ligament space.

b. Widening of the periodontal ligament space, Vertical destruction of the interdental septum and Widening of the lamina dura.

c. All of the above.

d. Vertical destruction of the interdental septum and Narrowing in width of the periodontal ligament space.

e. Widening of the periodontal ligament space and Widening of the lamina dura.

43 / 60

153. Which of the following radiographic findings are attributable to trauma from occlusion? 1. Widening of the periodontal ligament space. 2. Vertical destruction of the interdental septum. 3. Widening of the lamina dura. 4. Narrowing in width of the periodontal ligament space.

a. (4) only

b.  All of the above.

c. (2) and (4)

d. (1) and (3)

e. (1) (2) (3

44 / 60

Which of the following tests is useful in the diagnosis of anemia?

a.  Differential white cell count and hematocrit determination

b.  Hematocrit determination, hemoglobin content and red cell count.

c.  A complete blood count

d.  Hemoglobin determination

45 / 60

On inspection of lateral border of the tongue at the base, which structure would you expect to find?

a. Filiform papillae

b. Foliate papillae

c. Circumvallate papillae

d. Fungiform papillae

e. Lymph nodes

46 / 60

The physiologic wear of hard dental tissue resulting from mastication is known as

a. decalcification.

b. erosion.

c. abrasion.

d. attrition.

47 / 60

The physiologic wear of hard dental tissue resulting from tooth brushing is known as

a. E/ abfraction

b. abrasion.

c. decalcification.

d. attrition.

e. erosion.

48 / 60

Radiographically, the lamina dura is a

a. thin radiolucent line around the roots of the teeth.

b. thin radiopaque line around the roots of the teeth.

c. thick layer of cortical bone

d. thick layer of bone forming the inner surface of the alveolus

49 / 60

Which muscle originated from temporal lines on the parietal bone of the skull ?

a. Medial pterygoid

b. Masseter.

c. Trapezius .

d. Lateral (external) pterygoid.

e. Temporalis.

50 / 60

Which of the following are symptoms of secondary Sjogren’s syndrome?

1/ Dry eyes (Xerophthalmia)

2/ Dry mouth (Xerostomia)

3/ Hyper elasticity of the skin

4/ Rheumatoid arthritis

a. 1,2,4

b. 1,2,3

c. only 4

d. 2,3

e. 1,3,4

51 / 60

“spoon-shaped” nails (koilonychia) may be seen in

a. infective endocarditis

b. congenital heart conditions.

c. hypertension

d. hypochromic anaemias.

e. diabete

52 / 60

Which of the following is not characteristic of periodontitis?

a. Destruction of periodontal ligament

b. Pocket formation without exudation

c. Hypertrophy

d. Tooth mobility

e. Alveolar bone resorption

53 / 60

Whith of the following nodes drain the scalp ?

a. Sub mental nodes

b. Pre auricular nodes (Parotid), Post auricular nodes (mastoid) and Occipital nodes.

c. Post auricular nodes (mastoid) and Occipital nodes

d. All of the above

e. Post auricular nodes (mastoid), Occipital nodes and Sub mental nodes

54 / 60

Swelling related to increased tissue fluid is called

a. surgical emphysema

b. thrombosis

c. edema

d. hematoma

e. embolism

55 / 60

The normal range of mouth opening for a male patient is :

a. 20-30mm

b. 55- 65mm

c. 10-20mm

d. 40-50 mm

e. 30-40mm

56 / 60

An acute periapical abscess must be associated with:

1/ pain

2/ sensitivity to percussion

3/ non-vital tooth

4/periapicalradiolucency

a. 1 and 3

b. all of the above

c. 4 only

d. 2 and 4

e. 1,2,3

57 / 60

The apical region of a non-vital tooth with a deep carious lesion may radiographically show

Widening of the periodontal space.
Loss of lamina dura.
A circumscribed radiolucency.
Calcification of the periodontal membrane.

a. (2) and (4)

b. (1) (2) (3)

c. All of the above.

d. (1) and (3)

e. (4) only

58 / 60

The success of indirect pulp capping is dependent upon

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

b. All of the above.

c. a well sealed restoration.

d. use of calcium hydroxide.

59 / 60

All of the following are symptoms EXCEPT:

a.  swelling

b.  Pain

c.  Dry mouth

d.  Numbness

e.  Burning sensation

60 / 60

The following are the indications for biopsy EXCEPT for :

a. Any inflammatory lesion that does not respond to local treatment after 10-14 days

b. Any lesion that persists for more than 2 weeks with no apparent etiology

c. Any lesion that regress after removal its cause

d. Lesions that interfere with local function (e.g.fibroma)

e. Persistent hyperkeratotic changes in surface tissues

Your score is

The average score is 88%

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