На профільній методичній комісії зі стоматологічних дисциплін „ 29
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- Перелік тестових завдань для підсумкового модульного контролю для студентів ІV курсу англомовного відділення 1.
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на профільній методичній комісії зі стоматологічних дисциплін „_29__” ___квітня___ 2013 р. Протокол № _2_ Голова профільної методичної комісії проф. Смоляр Н.І. ______________________ Перелік тестових завдань для підсумкового модульного контролю для студентів ІV курсу англомовного відділення 1. A patient 50 years old complaints about the increased sensitivity to cold irritants, during cleaning of teeth, itching of gums. Objective examination: wedge-shaped defects within the enamel and dentine, a gingival edge is thinned, gums are pale, palpation is painless, the roots of teeth are denuded to 1/2 of their lengths. On a Rtg is a defect of height of interdental space of 1/2, osteosclerosis. Put the most credible diagnosis.
2. Patient 25y.o. complains of bleeding from the gums and increased size of gums. Objective examination: overgrowth of gums 1/3 of the height of tooth crowns in frontal part of the mandible. Periodontal pockets are absent. What is the most probable diagnosis?
3. A young man 18 years old complained of soreness of the gums while eating. Three days ago patient had caught cold, had fever and pain in the gums. Objective: mouth sanitized, gums on the upper and lower jaws hyperemic, swollen, bleeding on probing is present. the interdental papilla of 21, 22, 23, 24 and 25 are covered with dirty-gray fur. Removing of the plaque is sharply painful. What further studies are necessary?
4. In a man 30 y.o. an acute necrotizing ulcerative gingivitis of moderate degree was diagnosed. Which medication must be used for removal of necrotizing tissue?
5. A patient 17y.o. complains on pain in the oral cavity, intencive bleeding of gums, putrid smell from a mouth, general weakness during 72 hours. Objective examination: the patient is pale, regional lymphatic nodes are enlarged, painful during palpation, the mucous membrane of gums on both jaws is swollen, hyperemic, covered by a grey pseudomembranes, painful and bleeding. What is the most probable diagnosis?
6. A man 20 years old complaints about an acute pain during eating, bad breath, general weakness, increase of body temperature to 37,5°C. Papillae and marginal edge of gums are covered by grey membrane, probing of gums is painful. The mucous membrane of oral cavity is hyperemic, there are many destroyed teeth and extensive dental calculus. Blood analysis: Erythrocytes-4,8 ×1012/ l Нb-150g/l, color index. - 0,9, leukocytes.-10,5×109 (basophils-1,eosynophils-5), lymphocytes-35, thrombocytes - 250, Erythrocytes sedimentation rate 10mm. Symptom of what disease is the ulcerative-necrotizing process on the gums of the patient? E. Vincent’s gingivitis
7. A man 48 years grumbles about feeling of itch in gums. Objectively: gums are pale and thin, brief pain in teeth from cold water. On X-ray - osteosclerosis, horizontal bone loss, compact bone is preserved. Which diagnosis is the most probable?
8. The patient of 40 years old complains about bleeding of gums from mechanical irritants, mobility of teeth. During 12 years the patient suffers from chronic gastroduodenitis. Objective examination: gums of both jaws are bleeding on probing, depth of periodontal pockets - 4-5 mm, 43,42,41, 31,32,33 teeth are mobile( I - II degree). X-ray - resorption of interdental bone up to 1/2 length of the roots. Choose the surgical method of treatment of this patient.
9. The patient L., 46 years old, appealed with complaints about bleeding gums when cleaning teeth during 6 months, unpleasant smell from the mouth. Teeth are not movable, supra- and subgingival calculus is present. Periodontal pockets are absent. What method of research must be conducted for clarification of diagnosis?
10. A woman 27 years old appealed with complaints about pain and bleeding gums, increasing during mastication. During last 5 years the patient complaints on bleeding of gums. Objectively: gums are red, sharply edematous, gingival papillae loose and bleed at slight touching. Moderate amount of hard and soft dental deposits are present. Submandibular lymphatic nodes are enlarged, painful at palpation. X-ray: osteoporosis of interdental alveolar crests. What is the most probable diagnosis?
11. A patient, 27 years old, complaints about bleeding, painfulness and slight swelling of gums, teeth mobility, unpleasant smell from the cavity of mouth, general weakness. Objectively: Submandibular lymphatic nodes are enlarged, painful at palpation, periodontal pockets with seropurulent exudate and depth up to 5-8 mm. Intensive dental deposits, recession of gums, changing of the position of teeth are revealed. X-ray: diffuse osteoporosis and uneven, mainly vertical type of resorption of alveolar bone up to 2/3 lengths of teeth roots. Decide the diagnosis:
12. A patient, 25 years old, complains about bleeding of gums during cleaning of teeth. The mucous membrane of gums is swollen with a cyanotic color. Interdental gingiva is enlarged in size and covers the crowns of teeth to 1/3 of their height, easily bleeding on probing. What additional research is needed for determination of final diagnosis?
13. The patient A., 16 years old complains about bleeding and pain in the gums during the year. Objectively: in an area of 31, 32, 33, 41, 42, 43 teeth interdental gingiva is enlarged in size and covers the crowns of teeth to 1/3 of their height. Gums are bright red, painful at palpation. Intensive dental deposits are present. X-ray showed no pathological changes in alveolar bone. What is the most probable diagnosis?
14. A patient, 33 years old, complaints about pain and bleeding of gums, unpleasant smell from a mouth. Objectively: gums are edematous, bleed easily, periodontal pockets 3-4 mm with slight exudation during the palpation. On X-ray – diffuse osteoporosis of alveolar process, resorption of interdental bone up to 1/3 of their normal height. What is the diagnosis?
15. The patient, 58 years old, complained of itching in the gums, teeth are sensitive to thermal and chemical stimuli. Objective examination: gums are pale, dental plaque is present in a small amount. In the region of 33, 34, 44, 45 teeth – wedge shaped defects, teeth are slightly painful to cold irritants. What is the most likely diagnosis?
16. The patient, 50 years old, complained of pain in the teeth from chemical and thermal stimuli. Objective examination: gums are pale, anemic with signs of a slight recession. Teeth crowns have erosions and wedge shaped defects. Shyllyer-Pisarev’s test is negative. On the X-ray: resorption of alveolar processes of horizontal type and up to 1/3 of the length of the teeth roots. What is the diagnosis?
17. Patients 42 years complained of tooth mobility, changing of their position, bad taste in the mouth, pain when chewing food. Objective examination: the teeth of the upper and lower jaws have IInd stage of mobility, spaces between teeth are present .The roots of teeth are exposed to ½ of their length. Serous-purulent secretion was revealed from periodontal pockets. In X-ray - destruction of bone tissue up to 2/3 the length of the roots. What is the most probable diagnosis?
18. The patient, 37 years old, complained of bleeding gums, pain, bad breath, fever to 37.6 C. Objective examination: Gums are swollen, easily bleed, periodontal pockets depth is 3 mm with the presence of serous-purulent exudate. In X-ray – diffuse osteoporosis, resorption of alveolar process to 1 / 3 of its height. What is the diagnosis?
19. The patient 50 years old complaints of difficulties in chewing food, teeth mobility, bad odor from the mouth, bleeding of the gums. Objective examination: Presence of dental deposits. Periodontal pockets within the upper molars – 8mm, in other teeth – 6mm. In X-ray - bone resorption 2/3-1/2 of the length of teeth roots. What is the most likely diagnosis?
20. Patient 18 years old complains about overgrowing, bleeding of the gums and pain during eating. Objective examination: swelling, hyperemia of the gums, their height reaches up to 1/3 of the length of teeth crowns. During palpation increased bleeding and pain are observed. What is the most likely diagnosis?
21. Patient 18 complained of the overgrowth of the gums, pain and bleeding during eating, especially solid food. Objective examination: hyperemia, swelling, hypertrophy of the gums in the region of 12,13,14 teeth to 1/2 of the height of teeth crowns. Formalin test is painless. What is the diagnosis?
22. During the examination the patient A., 36 years old, was diagnosed chronic generalized periodontitis of II degree of gravity. It was decided to connect front lower teeth using Ribbond system. What material is preferable to fix polymer tape of this system?
23. Patient 20 years old complained of pain and bleeding gums during one week. Pain increases when eating, there is bleeding from mechanical stimuli. Objective examination: The gums in the region of lower front teeth show pronounced hyperemia and swelling. Palpation is painful, bleeding on probing is present. Radiological changes of alveolar bone were not detected. What is the most likely diagnosis?
24. Patient 42 years old, complained of pain and bleeding of the gums, increased mobility of teeth, bad breath. Clinical examination revealed swollen gums. The roots of teeth are exposed, periodontal pockets depth is 4-6mm with presence of a purulent exudate, and presence of supra- and subgingival calculus. Teeth mobility is of II-III degree. In X-ray; resorption of interdental alveolar bone to1/2 of teeth roots height. What is the diagnosis?
25. A 42 years old patient, complains about spontaneous pain of gums and mobility of teeth for three years. He didn’t apply for medical help. Objective examination: regional lymphatic nodes are painless and not enlarged, gums on both jaws are edematous, cyanotic. Periodontal pockets with serous exudate and depth of 5-6mm are present. Teeth mobility is of ІІ-ІІІ degree. X-Ray revealed resorption of interdental alveolar bone to 1/2 of teeth roots height. Define the diagnosis.
26. The woman 32 years old, complains about periodic idiopathic pain in the gums during 3 years. In anamnesis the patient mentioned often infection diseases, 2 years ago had an operation for mastopathia. Gums are slightly edematous, hyperemic in a frontal area, bleeding on probing is present. No teeth mobility was revealed. X-ray: destruction of compact bone on the alveolar crests of upper and lower jaws. Specify contra-indications for immunostimulative therapy in this patient.
27. A 45 years old woman, complains about gradually increasing spontaneous bleeding of gums during a year. She also gets weak easily, has some indisposition, headaches in the evening. Objectively: gingival margin slightly edematous, bleeds on probing. In the areas of molars and canines there are periodontal pockets 3-3,5mm depth with serous exudate. Some amount of dental calculus is present. What research is the most informative in determination of the degree of periodontal pathology in this case?
28. Woman 37 years old, complains about pain, bleeding of gums, bad breath, fever 37,2 С. Objectively: gums are hyperemic, edematous, bleed easily, periodontal pockets are 3-4 mm depth with purulent exudate. On orthopantomogram: diffuse osteoporosis of alveolar processes, resorption of interdental membranes to 1/3 of their height. What is the most correct diagnosis?
29. A young man 23 years old complains of bleeding gums when brushing teeth, presence of dental plaque, despite careful hygienic care of the mouth. Objective examination: papilla slightly swollen, hyperemic, bleed on probing. Hygiene index Fedorova-Volodkina - 3,5. What kind of toothpaste you recommend to the patient?
30. A young man of 19 years old complained of bleeding and painful gums. Objective examination: in frontal area of the upper and lower jaws overcrowding of teeth. Gums are cyanosis and cover tooth crowns to 1/3 of their length, abundant deposition of soft dental plaque. Which of the following procedures is recommended in the treatment?
31. Male 54 years old complained of pain in the left upper jaw, which appeared three days ago. Body temperature is 37.2C. Objective examination: oral mucosa is hyperemic and swollen, gums are bleeding easily. Periodontal pockets of 6-7mm with a scanty purulent discharge were revealed. In the region of 26 tooth painful infiltration is palpated. 26 tooth has third degree, other teeth –I-II degree of mobility. Radiograph: in the regions of 26 tooth – resorption of interdental alveolar bone more than 2/3 of the length of the roots. What treatment is recommended?
32. You are in a group of experts conducting epidemiological examination of certain age groups to study prevalence of symptoms of periodontal lesions and indications for treatment. Which one among the below mentioned indeces you will use?
33. The patient 23 years old complains of a slight exposure of the roots of teeth and bleeding gums when brushing teeth, itching of the gums. Objective examination: There are deposits of supra -and subgingival plaque. Gums are hyperemic, edematous, pockets with a depth of 3.5mm were revealed. On X-ray: resorption of alveolar processes up to 1/3 of roots length. What is the diagnosis?
34. A 24 years old man complains of pain and bleeding gums, which appeared four days ago after suffering a cold. For the last two years the patient periodically had gums bleeding when brushing teeth. Objective examination: swollen gums of bright red color, which are easily bleeding on probing, palpation of the gums is painful. Peaks of gingival papillae are dome-shaped. Abundant deposition of dental plaque is present. What is the most probable diagnosis?
35. A man 37 years old turned to the doctor and was diagnosed periodontal abscess in 45, 46. Which of the following antibiotics, the most rational treatment of this patient?
36. Patient 19 years old complains of bleeding and itching of the gums. Objective examination: gums in all teeth are hyperemic, swollen, bleed on probing. Periodontal pockets - to 4 mm, pathological mobility of 42, 11 is present. Hygiene Index by Fedorov − 3,0, PI by Russel − 2,5. What type of research is recommended?
37. A young man 19 years old turned to the dentist complaining of bleeding, sore gums while eating and brushing teeth. An objective study in the anterior maxilla and mandible determined over crowded teeth, cyanosis and growth of papilla to 1/3 of the length of crowns. Deposits of soft plaque are presents. Gums easily bleed on probing. What is the most likely diagnosis?
38. Patient S., 27 years old, 4 hours after the placement of arsenic paste in the 36 tooth complained of pain in this tooth. Objective: distal surface of the 36 tooth has temporary feeling. Percussion is painless. Gingival papilla between 36, 37 teeth is hyperemic, swollen, with necrotizing plaque. What is the treatment?
39. Patient 17 years old complains of gingival overgrowing, periodical bleeding during eating and teeth brushing. It starts 3 years ago. Objective examination: submandibular lymphatic nodes are normal size. Gingiva in frontal part of lower jaw is hyperemic, cyanotic, edematous, covering 1/3 of teeth crowns. On X-ray in the area of 42, 41, 31, 32 teeth no changes were distinguished. Which method of treatment should be choosen?
40. The patient complaining about pain of 26 tooth, swollen gums. Objective changes: gingival papillae in the region of 26, 27 teeth hyperemic, swollen, with cyanosis, bleeding on probing. teeth are covered with metallic crowns. in the region of 26, 27 teeth periodontal pockets 6-7 mm in depth with a slight purulent exudation were distinguished. Horizontal percussion of 26, 27 teeth is painful. On radiograph − resorption of interdental membranes is 1/2 length of tooth root. Bone tissue in other parts of the alveolar process is unchanged. What is the diagnosis?
41. The sick 35 years old patient complains about bleeding of gums during eating and cleaning of teeth. He is ill for 2 years. Has pathology of the stomach. Objective examination: Submandibular lymphatic nodes are not increased. Gums are cyanotic and bleed easily on probing. On the X-ray changes are not discovered. Give the diagnose.
42. Man E., 17 years, complains on of gums, bad smell from the mouth, general weakness during 3 days. He did not visit the doctor. Objective: the patient is pale, regional lymphatic nodes enlarged, and painful. Gums on both jaws are swollen, hyperemic, covered by gray fur. What is the diagnosis?
43. A girl, 16 years, complains about bleeding of gums and pain during eating during a year. Objective: on the lower jaw gums are hypertrophic, bright red, cover the crowns of teeth on 1/2 and bleed during probing. On the Rtg - changes are absent. What is the diagnosis?
44. A woman 23 years complaints about bleeding of gums during teeth brushing and eating. Objective: gums from vestibulular surfaces on both jaws are swollen and hyperemic. Dental deposit are present, index of hygiene for Fedorov-Volodkina – 2,0. Periodontal pockets are absent. What additional methods of investigation are recommended?
45. A 24years old man complains of pain and bleeding gums, which appeared four days ago after suffering a cold. The last two years had bleeding gums during brushing teeth. Objective: swollen gums, bright red, easily bleeding, painful during palpation. Tops of gingival papillae dome-shaped. Abundant deposition of dental plaque. What is the diagnosis?
46. The patient in 23 years old complaints of a slight exposure of the roots of teeth and bleeding gums when brushing teeth, itching of the gums. OBJECTIVE: There are deposits of supra-and subgingival plaque. Gums are hyperemic, edematous, pocket depth 3.5 mm. On radiograph – resorption of interalveolar membranes by 1/3. What is a correct diagnosis.
47. A 33-year-old patient complains about pain, gingival haemorrhage, halitosis, body temperature rise up to 37,8oC. Objectively: gums are apparently hyperaemic, edematic, bleed easily, parodontal pockets are 3-4 mm deep, and contain purulent exudate. Orthopantomogram shows diffuse osteoporosis of alveolar process, resorption of interdental septa down to 1/3 of their height. What is the most likely diagnosis?
48. A 37-year-old female patient complains about pain, gingival haemorrhage, halitosis, body temperature rise up to 37,2oC. Objectively: gums are apparently hyperaemic, edematic, bleed easily, parodontal pockets are 3-4 mm deep and contain purulent exudate. Orthopantomogram shows diffuse osteoporosis of alveolar process, resorption of interdental septa down to 1/3 of their height. What is the most likely diagnosis?
49. A 42-year-old patient was diagnosed with exacerbation of generalized periodontitis II stage accompanied by abscess formation. What method of general treatment should be administered in the first place?
50. A 23-year-old patient complains about gingival haemorrhage during tooth brushing and eating solid food. Objectively: gingiva of the frontal part of mandible is hyperaemic, edematic, it bleeds on palpation. Mucous membrane of the oral cavity as well as gingiva in other regions present no changes. The patient has deep overbite. Teeth are stable except for the 41 and 31 (І degree of mobility). X-ray picture shows resorption of interalveolar septa by 1/3 of root length in the region of the 42, 41, 32, 31 teeth. What is the most likely diagnosis?
51. A 27-year-old patient complains about gingival haemorrhage during teeth brushing. Objectively: gingival edge is hyperaemic, edematic, painful on touch. Periodontal pockets are absent. X-ray picture shows resorption of cortical plate, osteoporosis of interdental septa. What is the most likely diagnosis?
52. A 37-year-old patient complains of gingival haemorrhage, offensive breath, tooth mobility, difficult mastication. Objectively: the gums are of cyanotic-red colour, periodontal pockets are 6 mm deep and contain serous exudate, there is II class tooth mobility, moderate amount of subgingival and supragingival tartar; hygiene index is 3 points, there is traumatic occlusion along the entire length of the dental arches. What is your provisional diagnosis?
53. X-ray examination of the oral cavity revealed a pronounced damage of the compact bone, mild osteoporosis of apices of interalveolar septa and widened periodontal ligament space around the dental necks. What is the most likely diagnosis?
54. A 27-year-old patient complains of bleeding, pain and swelling of gums, tooth mobility, halitosis, general weakness. Objectively: submandibular lymph nodes are enlarged and painful, gums are hyperemic and cyanotic, they are also swollen and bleed at probing, periodontal pockets are 5-8 mm deep and contain sero-purulent exudate. There is massive dental deposit, gingival recession and tooth migration. X-ray picture shows diffuse osteoporosis and irregular, predominantly vertical, resorption of alveolar septa down to 2/3 of root length. What is the most likely diagnosis?
55. A 42 year old patient complains about teeth mobility, change of teeth position, foul taste, pain during mastication. Objectively: teeth of both upper and lower jaws are mobile (2-3 degree), there are also diastems. Tooth roots are denuded by 1/2. There is serous purulent discharge from periodontal pockets. Orthopantomogram shows bony tissue destruction down to 2/3 of root length. There are bone pockets. What is the most probable diagnosis?
56. A 37-year-old patient complains of gingival haemorrhage, pain, halitosis, body temperature rise up to 37,6oC. Objectively: the gums are markedly hyperemic, swollen, bleed on touch, periodontal pockets are 3 mm deep, contain sero-purulent exudate. Orthopantomogram shows diffuse osteoporosis of alveolar processes, resorption of the interdental septa to 1/3 of their height. What is the most likely diagnosis?
57. A 50-year-old patient complains about difficult mastication, teeth mobility, offensive breath, gingival hemorrhage. Objectively: the gums are hyperemic and cyanotic, dental calculus is present. Periodontal pockets are 8 mm deep within upper jaw molars. The pockets of other teeth are 6 mm deep. X-ray shows resorption of bone tissue 2/3-1/2 of tooth roots. What is the most likely diagnosis?
58. A 42-year-old patient complains about gingival pain, progressing gingival haemorrhage, increasing tooth mobility, halitosis. Objectively: gums are evidently hyperaemic, extremely edematic, they bleed easily on palpation. Tooth roots are exposed, periodontal pockets are 4-6 mm deep, and contain purulent exudate, there is also supragingival and subgingival dental calculus. II-III degree tooth mobility is present. Orthopantomogram shows resorption of interdental septa down to 1/2 of their height. What is the most likely diagnosis?
59. A group of specialists conducts an epidemiological survey of certain age groups of population aimed at evaluation of periodontal disease prevalence and treatment needs. These rates are studied by means of the following index:
60. A 23-year-old patient complains of minor root exposure, gingival haemorrhage during tooth brushing, gum itch. Objectively: there is supragingival and subgingival dental calculus. Gums are hyperaemic, edematic, pockets are 3,5 mm deep. X-ray picture shows resorption of interalveolar septa by 1/3. What is the most likely diagnosis?
61. To reduce the sensitivity to thermal changes after removal of a periodontal dressing, it is the best to:
62. Patient A. arrived in dental office for hygiene procedures. He complained on gums bleeding. In objective examination periodontal pockets measuring 4-5mm deep were diagnosed. The type of cleaning the patient received was root planning in two visits. What is root planning?
63. In patient B., 30 years old, during periodontal examination Community Periodontal Index of Tratment Needs has been evaluated. What is true about this index?
64. Greater occlusal pressure on the periodontium produces:
65. Patient A. was diagnosed chronic generalized periodontitis. 32 and 42 teeth showed third degree of mobility. The mobility of the teeth is graded 3 if:
66. Patient B. is diagnozed the exacerbation of generalized periodontitis. He complains of throbbing radiating pain, exqeusite tenderness of the gingiva to palpation in the region of 11th tooth, sensitivity of this tooth to percussion, tooth mobility. Objective examination: gingiva along the lateral aspect of the 11th tooth’s root shows ovoid elevation, it is oedematous and red with a smooth shiny surface. What treatment is needed?
67. Patient B., 42 years old complains about foul taste,bleeding of the gums. According to objective examination he was diagnosed chronic generalized periodontitis of IInd degree (moderate). Periodontal destruction is considered moderate when:
68. A 17-year-old girl complains about painfulness and gingival hemorrhage during tooth brushing and food intake. She has been suffering from it for 1,5 year. She consulted a dentist. There was no considerable effect from treatment. Objectively: gingival papillae are flabby and cyanotic in the region of frontal teeth on both jaws, they overlay teeth crowns by 1/3-1/2 of their height, they bleed on touch. Therapeutic effect can be achieved by means of electrophoresis with:
69. The most frequent methods of treatment of gingival enlargement associated with phenytoin hyperplasia is:
70. Periodontal dressing may contain which of the following?
71. Healing following a gongivectomy occurs by:
72. In both, gingivitis and periodontitis which of the following changes is always sure:
73. A disquamative gingivitis is frequently diagnosed:
74. In the case of initial periodontal lesion with pockets depth up to 5 mm, the treatment of choice is:
75. The gingiva of the pregnant woman have the tendency to::
76. The width of keratinised gingiva is: A. The distance between the crest of free gingiva and mucogingival junction B. The distance between the free gingival groove and mucogingival junction C. The distance from the base of gingival sulcus or periodontal pocket, along the epithelial surface over the crest of free gingiva to the mucogingival junction D. The distance between the mucogingival junction and the projection on the external surface of the bottom of the sulcus or the periodontal pocket
A. Consists of a polysaccharide-protein complex B. Is attached to the underlying connective tissue with the help of hemidesmosomes C. Is synthesised by the connective tissue cells lying just beneath epithelium D. Is 50-100 A wide
A. Has a higher turnover of epithelial cells than oral epithelium B. Undergoes decrease in number of layers as age progresses C. Is attached to a fibrillar cementum by means of zonulae occludens D. Is attached to the enamel by means of a basal lamina with lamina lucida adjacent to tooth surface
A. All of the above B. Degree of keratinisation of epithelium C. Vascular supply D. The presence of melanophores
A. Present on two or more tooth surfaces B. Spiral type of pocket C. Infrabony in nature D. All of the above Yüklə 127,73 Kb. Dostları ilə paylaş:
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