Professional Documents
Culture Documents
1. A 3 year old child has a cavity in A. Pin stump inlay and a crown
the 84 tooth. Objectively: there is a cari- B. Pin tooth with a ring
ous cavity on the masticatory surface of C. Pin tooth with an inlay
the tooth within mantle dentin. Dentin is D. Pin tooth with protective bar
softened, probing of cavity walls is painful, E. Simplified pin tooth
percussion is painless. Make a diagnosis:
5. A 20 year old homeless and
A. Acute median caries unemployed patient complains about
B. Chronic superficial caries body temperature rise up to 39oC, pain
C. Acute superficial caries during eating and deglutition, nasal
D. Acute deep caries haemorrhages. He has been suffering
E. Chronic deep caries from this for 10 days. Objectively: herpetic
rash on the lips, irregular-shaped erosi-
2. A 45 year old patient complains ons covered with fibrinous deposit on
about pain induced by thermal stimuli, the mucous membrane of oral cavi-
spontaneous pain in the 26 tooth. A week ty; filmy deposits on the tonsils. Liver
ago this tooth was treated on account is enlarged and sclerotic. Blood count:
of pulpitis. Objectively: the 26 tooth is erythrocytes - 4, 5 · 1012 /l; hemoglobin
filled, percussion is painful, thermal sti- - 120 g/l; ESR - 25 mm/h; leukocytes -
muli induce long-lasting, slowly intensifyi- 10 · 109 /l; eosinophils - 0; rod nuclear
ng pain. X-ray picture shows that palatine cells - 2; segmentonuclear leukocytes - 31,
canal is filled by 2/3, no material can be lymphocytes - 41; monocytes - 10; atypical
seen in the buccal canals. What is the most mononuclears - 14%, plasmatic cells - 2.
probable cause of this complication? What is the most probable diagnosis?
A. Incomplete pulp extirpation A. Infectious mononucleosis
B. Inadequate canal filling B. Acute herpetic stomatitis
C. Infection C. Oropharyngal diphtheria
D. Inflammation in periodontium D. AIDS
E. Injury of periodontium tissue E. Acute leukosis
3. A 49 year old patient complains about 6. A 22 year old patient complained about
pain in the oral cavity induced by eating. colour change of the 11 tooth crown. The
He suffers from CHD. Objective exami- tooth was treated on account of chronic
nation revealed dyspnea, limb edema. deep caries a year ago. Immediately after
Oral cavity isn’t sanitated. On the mucous treatment the patient felt slight pain. She
membrane, on the right, there is an ulcer didn’t consult a dentist. X-ray picture
with irregular edges covered with greyish- shows broadening of periodontal fissure
white necrotic deposit with low-grade in the area of root apex of the 11 tooth.
inflammation around it. There is also Percussion is painless. What is the most
halitosis. What is the most probable di- probable diagnosis?
agnosis?
A. Chronic fibrous periodontitis
A. Trophic ulcer B. Chronic deep caries
B. Traumatic ulcer C. Chronic granulating periodontitis
C. Tuberculous ulcer D. Chronic granulematous periodontitis
D. Cancerous ulcer E. Chronic fibrous pulpitis
E. Ulcero-necrotic stomatitis
7. A 43 year old patient applied to a doctor
4. A 29 year old patient complains that the complaining about painful deglutition, li-
crown of his 26 tooth broke off. Objecti- mited mouth opening. 3 days ago he felt
vely: tooth decay index is 0,9, root ti- pain in the decayed 37 tooth, on the next
ssues are hard, roentgenography revealed day there appeared limitations of mouth
that the canal was filled to the top, no opening. Objectively: a slight soft swelli-
chronic inflammations of periodontium ng in the left submaxillary area. Palpation
were revealed. What construction should revealed an enlarged lymph node. Mouth
be used for prosthetics of the 26 tooth? can be opened up to 1,5 cm. There is
also an edema of the left palatine arch
and lateral pharynx wall. The 37 tooth is
decayed, mucous membrane around the
tooth is edematic, percussion is slightly
painful. What is the most probable di-
Krok 2 Stomatology 2008 2
injury got during shaving. Objectively: in broken jaw with cartilage of nose
the infraorbital area on the left there is an and eyeballs, nasal haemorrhage, ti-
intensely pigmented brown spot, up to 2 ssue edema, "glasses"symptom; palpati-
cm large, with small nodules on its surface; on reveals crepitation, subcutaneous
it is oval, bulging, with signs of peeling, emphysema, liquorrhea, loss of sensitivi-
palpatory painless. Regional lymph nodes ty in the area of half the upper jaw, nose
are enlarged, adhering to skin, painless. wing and frontal teeth. What is the most
Make a provisional diagnosis: probable diagnosis?
A. Melanoma A. Le Fort’s III fracture of upper jaw
B. Pigmented nevus B. Upper jaw ostemia
C. Verrucous nevus C. Upper jaw odontoma
D. Squamous cell carcinoma of skin D. Le Fort’s I fracture of upper jaw
E. Papillomatosis E. Upper jaw cancer on the right
23. A patient applied to a dentist complai- 26. An 8 year old child has a carious cavi-
ning about inability to close her mouth, ty on the masticatory surface of the 16
laboured speech. Objectively: oral cavity tooth within circumpulpar dentin. Probi-
is half-open with saliva outpouring from ng of cavity floor is painful, dentin is
it, central line is deviated to the right. softened, slightly pigmented. Cold sti-
There is a cavity in front of antilobium; mulus causes short-term pain. Choose a
below the malar arch there is a protrusion dental treatment paste:
of mandible head into the infratemporal
fossa. What is the most probable di- A. Hydroxycalcium-containing
agnosis? B. Resorcin-formaline
C. Paraformaldehyde
A. Unilateral anterior dislocation of D. Arsenious
mandible on the left E. Thymol
B. Unilateral anterior dislocation of
mandible on the right 27. A 24 year old patient applied to a
C. Unilateral posterior dislocation of dental clinic for root removal of her upper
mandible on the left wisdom tooth. Tuberal anesthesia caused
D. Unilateral posterior dislocation of a postinjection haematoma. What was
mandible on the right injured during anesthetization?
E. Bilateral anterior dislocation
A. Pterygoid venous plexus
24. A 36 year old man complains about B. Maxillary artery
acute headache, body temperature rise up C. Infraorbital artery
to 39, 1o C, indisposition. Objectively: a sli- D. Zygomatic artery
ght face asymmetry because of soft tissue E. Palatine artery
edema of the left infraorbital area. Crown
of the 26 tooth is partly decayed. Percussi- 28. A 5 year old child has temperature rise
on is acutely painful. Mucous membrane up to 39, 2oC, sore throat, nausea. Objecti-
on the vestibular side in the area of vely: mucous membrane of soft palate and
the 25, 26 teeth is edematic, hyperemic. palatine arches is brightly hyperemic, it
Breathing through the left part of nose is can be distinctly distinguished among the
laboured, there are purulent discharges. surrounding tissues. The tongue is dry,
X-ray picture showed a homogeneous edematic, bright-red, its lateral surfaces
shadow of the left part of maxillary sinus. have no fur on them, fungiform papi-
What is the most probable diagnosis? llae are evidently enlarged. Face skin
is hyperemic apart of pale nasolabi-
A. Acute purulent odontogenous maxillary al trigone, is covered with spotty rash.
sinusitis Submaxillary lymph nodes are palpatory
B. Acute condition of chronic periodontitis painful. What is the causative agent of this
of the 26 tooth disease?
C. Acute periostitis of upper jaw
D. Suppuration of maxillary cyst A. Hemolytic streptococcus
E. Acute odontogenous osteomyelitis B. Coxsackie virus
C. Herpes virus
25. A 38 year old patient got a blow D. Bordet-Gengou bacillus
that resulted in upper jaw fracture. E. Loeffler’s bacillus
Objectively: flattening and impressi-
on of face, mobility and dangling of 29. A 65 year old patient complains about
Krok 2 Stomatology 2008 5
pain during eating, reduced tongue mobi- 32. A 31 year old man complains about
lity, an ulcer in the posterior part of mouth dryness, burning of tongue dorsum that
floor on the left, weight loss. Objecti- appeared for about a week ago and is
vely: the patient uses a partial removable getting worse during eating stimulati-
denture for the lower jaw. In the area ng food. Some time ago the patient
of the left mylohyoid duct there is an had pneumonia. He spent two weeks
ulcer in form of a cleft up to 1,6 cm at a hospital, was taking antibiotics. He
long with everted edges, covered with doesn’t take any drugs at the moment.
grey-yellowish deposit, closely adheri- Objectively: mucous membrane of oral
ng to an infiltrate that can be detected cavity is hyperemic, dry and glossy. On the
during bimanual palpation. In the left tongue dorsum and palate some greyish-
submandibular and superolateral areas of white films are present that can be easi-
neck several enlarged nonmobile lymph ly removed. Threads of saliva follow the
nodes can be palpated. What is the most spatula. What is the most probable provi-
probable diagnosis? sional diagnosis?
A. Cancer of mucous membrane of mouth A. Acute pseudomembranous candidosis
floor B. Chronic hyperplastic candidosis
B. Tuberculous ulcer of mouth floor C. Acute atrophic candidosis
C. Decubital ulcer of mouth floor D. Drug-induced stomatitis
D. Tertiary syphilis (gummatous ulcer) E. Chronic atrophic candidosis
E. Actinomycosis of mouth floor
33. A 10 year old boy applied to a dentist
30. A 7 month old child was brought to and complained about pain in his palate
a dentist because of an ulcer in the oral during eating. Objectively: the lower third
cavity. The child was born prematurely. of his face is shortened, mouth opening is
She has been fed with breast milk substi- not reduced. During joining of teeth the
tutes by means of a bottle with rubber ni- cutting edge of inferior incisors contacts
pple. Objectively: on the border between with mucous membrane of palate. On
hard and soft palate there is an oval ulcer the site of contact mucous membrane is
0,8х1,0 cm large covered with yellowish- hyperemic and slightly edematic. Lateral
grey deposit and surrounded with a roll- teeth have 1 class joining (according to
like infiltration. Make a provisional di- Angle’s classification). Propose a rational
agnosis: plan of treatment of the patient’s lower
jaw:
A. Bednar’s aphtha
B. Setton’s aphtha A. To "knock in"the frontal part
C. Tuberculous ulcer B. To "knock in"the lateral parts
D. Acute herpetic stomatitis C. To broaden lower jaw
E. Acute candidous stomatitis D. To lengthen the frontal part
E. To lengthen the lateral parts
31. A 16 year old patient complains
of a cosmetic defect in the area of his 34. A 32 year old patient applied to a
upper frontal teeth in form of white spots dental surgeon for oral cavity sanitation
that were revealed long ago and haven’t before prosthetics. During examination
changed since that. Objectively: there are of oral cavity the dentist revealed that
white spots on the vestibular surfaces of crown of the 35 tooth was decayed. The
the 11, 12, 21, 22 teeth by the cutting root is stable, its percussion is painless.
edge and on the vestibular surfaces of the Mucous membrane of alveolar process
16, 26, 36, 46 teeth close by the masti- was unchanged. X-ray picture showed a
catory surface. Probing showed that the slight broadening of periodontal fissure.
spot surface was smooth, painless; reacti- What is your presumptive diagnosis?
on to the cold stimulus was painless. The
spots couldn’t be stained by 2% soluti- A. Chronic fibrous periodontitis of the 25
on of methylene blue. What is the most tooth
probable diagnosis? B. Chronic periodontitis of the 25 tooth
C. Chronic granulomatous periodontitis of
A. Systemic enamel hypoplasia the 25 tooth
B. Local enamel hypoplasia D. Chronic granulating periodontitis of the
C. Acute initial caries 25 tooth
D. Fluorosis, spotty form E. Cystogranuloma
E. Erosion of hard tooth tissues
Krok 2 Stomatology 2008 6
about having pain in the 45 tooth duri- Objectively: a painful elastic infiltration in
ng cutting for a year. The 45 was treated the left submaxillary area. Mouth openi-
before. Objectively: mucous membrane ng is not limited. Bimanual palpation in
in the area of this tooth is hyperemic the area of mylohyoid groove revealed
and slightly cyanotic. The 45 tooth is pi- a compact movable oblong induration.
nk, the filling fell out. What examinati- Mucous membrane is unchanged. Duct
on method should be applied in order to of the left submandibular gland doesn’t
choose treatment? excrete saliva. What is the most probable
diagnosis?
A. Roentgenography
B. Thermometry A. Salivolithiasis
C. Gum palpation B. Chronic lymphadenitis
D. Probing C. Pleomorphic adenoma
E. Electric odontodiagnostics D. Retention cyst
E. Submaxillary lipoma
50. A 40 year old patient with mandi-
ble fracture applied to a doctor 3 weeks 53. A 5 year old child was diagnosed wi-
after immobilization of breaks because of th congenital complete nonclosure of soft
pain and body temperature rise. Objecti- and hard palate. What type of anaesthesia
vely: a slight swelling in the chin area, is indicated for uranostaphyloplasty?
mucous membrane of alveolar process in
the area of the 2 1 | 1 2 teeth is hyperemic, A. Nasotracheal narcosis
edematic, palpatory painful. Overtooth B. Mask narcosis
splint on 5 4 3 2 1 | 1 2 3 4 5 teeth is C. Intravenous narcosis
in satisfactory condition, no occlusion D. Orotracheal narcosis
abnormalities were detected. The patient E. Endotracheal narcosis through
was diagnosed with acute purulent peri- tracheostome
ostitis of mandible. What surgical action is 54. A 23 year old woman came to a dental
indicated? clinic for restoration of the 11th tooth’s
A. Lancing of abscess to the bone crown. Objectively: root of the 11th tooth
B. Intraoral novocaine block is at a level with gingival edge, its walls
C. Removal and replacement of the are thick enough. A dentist made and
overtooth splint by a new one adjusted a stump inlay upon which a
D. Trepanation of the 2 1 and 1 2 teeth metal-plastic crown will be fixed. What
E. Supervision of patient plastic will be used for veneering?
got a working plaster impression. At what coalveolar crest, gaseous crepitation in the
stage did he make an error? right infraorbital area; percussion reveals
a "bursted nut"symptom. What is the
A. Impression taking most probable diagnosis?
B. Wax construction making
C. Casting A. Fracture of the right zygomatic bone
D. Stump fitting B. Le Fort’s I fracture of upper jaw (inferi-
E. Stump fixing or)
C. Le Fort’s II fracture of upper jaw
57. A 23 year old military servant needs D. Le Fort’s III fracture of upper jaw
orthopaedic treatment in a specialized (superior)
hospital. He was diagnosed with false joint E. Fracture of nose bones
of mandible in its frontal part. The teeth
are intact, stable, in threes on each side. 60. A patient is 48 year old, according
Orthopaedic treatment by means of a bri- to the results of clinicoroentgenological
dge denture will be possible only if the jaw examination it is indicated to remove
defect is no more than: the 26 tooth because of acute condition
of chronic granulomatous periodontitis.
A. 1 cm What conduction anesthesia is indicated
B. 2 cm for this operation?
C. 3 cm
D. 3,5 cm A. Tuberal and palatinal
E. 4 cm B. Torus
C. Infraorbital and incisive
58. A 17 year old girl applied to a dental D. Plexus
clinic and complained about hard tissue E. Infraorbital and palatinal
defects on her frontal and lateral teeth.
Subjectively these defects don’t cause any 61. A girl is 1,2 year old. Vestibular surface
inconvenience. Crown defects appeared of her 52, 51, 61, 62 teeth has large carious
long ago. The patient was born and and cavities within the enamel. Probing is sli-
has been living in an area where fluori- ghtly painful, percussion of the 52, 51, 61,
ne concentration in the drinking water 62 teeth is painless. What treatment is to
makes up 1,2 mg/l. Objectively: on the be administered?
vestibular surfaces of incisors on both
upper and lower jaws in the equator area A. Silver impregnation
there are hard tissue defects within deep B. Filling with phosphoric acid cement
layers of enamel. The defects are parallel C. Remineralizing therapy
to the cutting edge. The same defects were D. Coating with fluorine lacquer
revealed in the area of tubera of the fi- E. Amalgam filling
rst molars, floor and walls of the defects
are smooth. Enamel of the defect floor is 62. A 2 year old girl has body temperature
light-brown. What is the most probable 38, 5oC, a swelling below her jaw on the
diagnosis? right. On the 5th day of illness there
apeared rhinitis, cough, a small movable
A. Systemic hypoplasia globule under her lower jaw on the ri-
B. Local hypoplasia ght. Objectively: general condition of the
C. Focal odontodysplasia child is moderately severe. The face is
D. Endemic fluorosis asymmetric due to the swelling in the right
E. Erosion of hard tissues of tooth submaxillary area. The skin is hyperemic,
glossy, there is a diffuse infiltrate in the
59. A 19 year old patient came to right submaxillary area spreading to the
traumatology centre and complai- upper neck parts on the right, it is dense
ned about face asymmetry, right-sided and painful; the skin doesn’t make folds.
paresthesia of his upper lip, nasal Teeth are healthy. What is the most
haemorrhage. Objectively: evident face probable diagnosis?
asymmetry due to an edema and
haematoma of the right inferior eyelid
and infraorbital area. Opening of mouth
is slightly limited, occlusion is normal.
Palpation reveals a symptom of "step"in
the area of the right zygomaticomaxillary
suture, deformity in the area of external
edge of the right orbit and zygomati-
Krok 2 Stomatology 2008 10
4-5 times a year. The ulcer healing lasts months. Objectively: on the masticatory
for 10 days. Objectively: on a mucous surface of the 37 tooth there is a carious
membrane of lower lip there is a roundi- cavity with overhanging enamel edges fi-
sh lesion element 0,5 cm large covered lled with circumpulpar dentin. The cavity
with white deposit and surrounded by is filled with light softened dentin. Probi-
hyperemia border, very painful when ng of the cavity floor is somewhat painful.
touched. What is the most probable di- Cold stimuli cause short-term pain. Make
agnosis? a provisional diagnosis:
A. Chronic recurrent aphthous stomatitis A. Acute deep caries
B. Traumatic erosion B. Chronic fibrous pulpitis
C. Secondary syphilis C. Acute median caries
D. Chronic recurrent herpes D. Chronic median caries
E. Duhring’s herpetiform dermatitis E. Chronic deep caries
76. A 38 year old driver complains 79. A 65 year old patient complains of
of acute pain in his mouth and sore pain in the area of mucous membrane of
throat, difficult ingestion, indisposition, hard palate on the left that is getting worse
temperature rise up to 38, 6o C. These during eating with use of a complete
symptoms appeared after exposure to removable denture. He has been suffering
cold. He has been ill for a day, in the from this for 1,5 month. Objectively: left-
evening he has to go to work. Objectively: sided hyperemia and edema of mucous
gums in the area of inferior frontal teeth membrane of hard palate; at the border
as well as pharynx mucous membrane of distal denture edge there is an ulcer
are hyperemic, edematic; gingival edge with dense walls and fundus, surroundi-
is necrotic, tonsills are enlarged. Results ng tissues are infiltrated. The ulcer floor is
of bacterioscopy: fusospirochetal symbi- tuberous, covered with fibrinous deposit;
osis. In blood: erythrocytes - 4, 5 · 1012 /l; ulcer palpation is painful. What exami-
leukocytes - 7, 2 · 109 /l; ESR - 18 mm/h. nation method is to be applied in the first
What actions should a stomatologist take? place?
lymphocytes, erythrocytes. What is the the 42, 41, 31, 32 teeth are dehisced by
most probable diagnosis? 2/3, there is pathological mobility of the
III degree. The patient has indication for
A. Lateral neck cyst removal of the 42, 41, 31, 32 teeth. What
B. Median neck cyst type of denture should be applied for
C. Dermoid neck cyst immediate-insertion prosthetics?
D. Neck chemodectoma
E. Chronic neck lymphadenitis A. Partial removable lamellar
B. Clasp
89. A 28 year old woman complains about C. Adhesive
acute pain on the left of her upper jaw D. Ceramic-metal bridge
during eating. 6 days ago the 28 tooth E. Stamped-soldered bridge
was extracted, after that the pain came.
The patient considers that extraction of 93. A 13,5 year old girl complains of gingi-
the 28 tooth caused "damaging"of the val painfullness and haemorrhage duri-
next tooth. Objectively: alveolus of the ng tooth brushing and eating, halitosis.
28 tooth is at a stage of healing. On the She has been ill with angina for a week.
distal surface of the 27 tooth there is a Objectively: mucous membrane of gums
carious cavity in the precervical area that in the area of frontal teeth of her upper
doesn’t communicate with the tooth cavi- and lower jaws is edematic, hyperemic.
ty. Cold stimulus causes short attack of Apices of gingival papillae are necrotic,
pain. Dentin of walls and floor is light and they also bleed when touched. There is a
softened. Probing of the floor is painful. thick layer of soft tooth plaque. What is
What is the most probable diagnosis? the causative agent of this disease?
A. Acute deep caries A. Anaerobic microflora
B. Acute local pulpitis B. Herpes virus
C. Acute diffuse pulpitis C. Streptococci
D. Chronic deep caries D. Staphylococci
E. Chronic fibrous pulpitis E. Yeast fungi
90. A 68 year old patient underwent full 94. A month after cementation of a metal-
jaw removal. Before the operation an ceramic crown on the 23 tooth a pati-
impression of the patient’s upper and ent applied to the dentist with complai-
lower jaws was taken and a substitutive nts about its decementation. Examination
denture was made. What are the means of revealed that tooth stump was of sufficient
the denture fixation in the oral cavity? height, its walls converged to the vertical
tooth axis at an angle of approximately 30
A. Spiral Fosher springs degrees. At what angle was it necessary to
B. Anchors establish convergention of stump walls to
C. Clasps the tooth axis?
D. Magnets
E. Attachments A. Up to 8 degrees
B. 12-15 degrees
91. A patient complained about pain in his C. 15-18 degrees
45 tooth induced by cold, sour and sweet D. 22-25 degrees
food stimuli. The pain abates when the E. 10-12 degrees
stimulus action is stopped. Objectively:
there is a carious cavity on the masticatory 95. A 57 year old patient complains about
surface within mantle dentin consisting of mobility of his metal-ceramic dental bri-
food rests and softened dentin, overhangi- dge supported by the 33, 37 teeth. The bri-
ng enamel edeges are chalky. What is the dge has been in use for 9 months. Objecti-
diagnosis? vely: X-ray picture shows alveolar process
atrophy by 2/3 in the area of the 33, and
A. Acute median caries by 1/2 of root length in the area of the 37;
B. Chronic median caries there are pathological pockets, gingivitis.
C. Acute superficial caries What is the cause of pathological mobility
D. Acute deep caries of supporting teeth?
E. Chronic deep caries
92. A 48 year old teacher complained
about considerable mobility of the 42,
41, 31, 32 teeth. Objectively: cervices of
Krok 2 Stomatology 2008 15
What denture element keeps the remai- Tooth crowns are intact but have oral posi-
ning mandible fragment from deviation tion. Complete joining of teeth is impossi-
towards the defect? ble because the teeth are situated beyond
the dental arch. X-ray picture shows a sli-
A. Removable or non-removable inclined ght broadening of periodontal fissure of
plane the 11 tooth up to 0,5-2 mm. The roots are
B. The whole fixing part intact. Make a correct diagnosis:
C. Multiclasp system
D. Resection part A. Traumatic subluxation of the 11, 21
E. Artificial teeth teeth
B. Traumatic periodontitis of the 11, 21
104. Examination of a 9 year old patient teeth
revealed a milky spot on the vestibular C. Traumatic complete dislocation of the
surface of the 11 tooth close to the cutti- 11, 21 teeth
ng edge. Probing and tempearture stimuli D. Fracture of alveolar process in the area
cause no pain reaction. The child was di- of the 11, 21 teeth
agnosed with local enamel hypoplasia of E. Traumatic extraction of the 11, 21 teeth
the 11 tooth. What treatment should be
administered? 108. A 50 year old patient has a defect of
his lower dentition. It is planned to make
A. A course of remineralizing therapy a bridge denture supported by implants.
B. Prophylactic hygiene of oral cavity X-ray picture showed that the height of
C. Spot removal osseous tissue mass from projection of
D. Hermetization of the affected part mandibular canal to the top of alveolar
E. Cosmetic filling crest was 2 cm. What implant wil be
recommended?
105. A 70 year old patient is awaiting
complete removable dentures for both A. Screw
upper and lower jaws. Teeth placement B. Endodonto-endoossal
will be made by Vasilyev’s method. What C. Leaflike
teeth in the upper denture must not touch D. Subperiosteal
glass? E. Conical
A. Lateral incisors and second molars 109. External examination of a 7 year old
B. Central incisors and first molars child revealed: thickening of nose bridge,
C. First and second premolars semi-open mouth, dry lips. Mouth corners
D. Canines and first molars are peeling. Anamnesis data: the child
E. Second premolars and first molars sleeps with open mouth. Examination of
oral cavity revealed no changes. What di-
106. Examination of a 6 year old child spensary group will this child fall into?
revealed a deep carious cavity in the 85
tooth. Percussion and probing are pai- A. The second
nless. Removal of softened dentin resulted B. The first
in intercommunication with tooth cavi- C. The third
ty. Deep probing is painful. X-ray picture D. The fourth
of the 85 tooth shows a focus of bony ti- E. -
ssue destruction in the area of bifurcati-
on, cortical plate of the 35 tooth has no 110. A 14 year old patient applied to
pathological changes. What paste should an orthodontist. Objective examination
be applied for the root filling in this case? revealed that on the site of the second
incisor a canine tooth had cut out, and on
A. Zink-eugenol paste the site of the canine - the second incisor.
B. Resorcin-formaline paste The same pathology has also the patient’s
C. Glass-ionomer cement father. Make a diagnosis:
D. Phosphate cement
E. Calcium-containing paste A. Transposition of lateral incisor and
canine
107. A 20 year old patient got a trauma in B. Distal position of lateral incisor
the area of his upper jaw. He applied to a C. Palatine position of lateral incisor
dentist and complained about mobility of D. Mesial position
his frontal upper teeth, pain during cutti- E. Superocclusion of incisor and
ng and joining of teeth. Objectively: the 11 infraocclusion of canine
and 21 teeth have II-III degree mobility.
Krok 2 Stomatology 2008 17
111. Parents of an 8 year old boy complain fficult food mastication, esthetic face
about a cosmetic defect, inability to bi- defect. Objectively: the face is proporti-
te off food. The child often suffers from onal, asymmetric as a result of oral
acute viral respiratory infections. Objecti- displacement of a lateral fragment of
vely: chin skewness, mental fold is most the left lower jaw. When the jaws are
evident. The lower lip is everted, superior closed the 34, 35, 36, 37 teeth are not in
central incisor lies on it, nasolabial fold contact with their antagonists. The pati-
is flattened. In the oral cavity: occlusion ent strongly objects to surgical operati-
period is early exfoliation period. The on. What orthopaedic treatment should
upper jaw is narrowed, there is gothic be administered?
palate. Frontal teeth have fan-shaped
position. Sagittal fissure is 6 mm. In the A. A denture with double dentition
lateral parts contact of homonymous teeth B. Mechanotherapy
is present. What is the most probable C. Interjaw traction
cause of dentoalveolar deformity? D. Crowns with occlusal applications
E. Levelling of occlusal surface
A. Pathology of upper airways
B. Missing of Caelinski ledge 115. A patient complains about
C. Endocrinal diseases spontaneous pain in the area of his 15
D. Untimely sanitation of oral cavity tooth he has been feeling for 2 days.
E. Gestational toxicosis Thermal stimuli make the pain worse, its
attacks last up to 30 minutes. Objecti-
112. A 20 year old patient complains vely: there is a deep carious cavity in
about gum itching, gingival haemorrage the 15 tooth consisting of light softened
during tooth brushing and eating, unusual dentin, floor probing is painful in one
look of gums. He has been observing these point, reaction to the thermal stimuli is
presentations for the last 1,5 year. It is positive, percussion is painless. Make a di-
known from the patient’s anamnesis that agnosis:
he has been taking diphenylamine anti-
convulsants for 2 years. Objective exami- A. Acute local pulpitis
nation revealed gingival hyperemia and B. Acute diffuse pulpitis
edema. In the frontal part the gums cover C. Pulp hyperemia
vestibular surface of teeth by 1/2 of their D. Acute deep caries
height. Along the loose gingival edge E. Acute condition of chronic pulpitis
growth of granulation tissue is present,
probing causes gingival haemorrage. No 116. A 50 year old woman complains
roentgenological changes were revealed. about a neoplasm on her lower lip on
Make a diagnosis: the side of oral cavity that appeared a
month ago and has been slowly growing
A. Chronic hypertrophic gingivitis since that. Objectively: there is a roundish,
B. Chronic ulcerative gingivitis elastic, painless neoplasm inside the lower
C. Chronic catarrhal gingivitis lip. Mucous membrane hasn’t changed its
D. Localized periodontitis colour. Make a diagnosis:
E. Generalized periodontitis
A. Retention cyst of lower lip
113. A patient has got a traumatic fracture B. Lip abscess
of mandible in the area of the missing 34, C. Lip papilloma
35 teeth with a slight displacement and a D. Lip fibroma
defect of alveolar part in the area of the E. Lip lipoma
34, 35 teeth. Other teeth on both lower
and upper jaws are intact. What splint 117. A 5 year old girl with crossbite was
would be optimal in this case? referred to an orthodontist. Objectively:
between frontal teeth there are diaereses
A. Tigerstedt’s splint with a spreading and diastems, canine tubera have no si-
curve gns of physiological wear out. Central line
B. Plain splint cramp between incisors doesn’t match. What is
C. Port’s splint the doctor’s tactics?
D. Vasilyev’s splint
E. Vankevich splint
114. A 36 year old patient applied to
a dentist 1,5 month after a mandi-
bular trauma with complaints about di-
Krok 2 Stomatology 2008 18
125. A child is 2,5 year old. The parents 129. An 8 year old child complains about
complain about thumb sucking during pain in the 21 tooth that is getting worse
sleep. What tactics should the doctor during cutting. A month ago a part of
choose? tooth crown broke off as a result of a fall.
The child didn’t consult a dentist. Objecti-
A. To recommend an ulnar fixator vely: in the area of medial angle of the 21
B. To talk with a child about harm from tooth there is a crown defect that makes
thumb suction up 1/3 of the crown’s height. Tooth cavi-
C. Medical intervention is unnecessary ty is open, probing and thermal stimulus
D. Non-removable device for suppression cause no pain. Percussion is acutely pai-
of bad habit nful. Gum around the 21 tooth is edematic
E. Removable device for suppression of and hyperemic. What is the provisional di-
bad habit agnosis?
126. A patient is waiting for a partial A. Acute condition of chronic periodonti-
removable laminar denture. Anatomic tis
models of both jaws were made by means B. Acute condition of chronic pulpitis
of elastic alginate material "Ipin"and C. Acute serous periodontitis
referred for disinfection. What disinfecti- D. Acute purulent periodontitis
on method should be applied? E. Pulpitis complicated by periodontitis
A. Glutaraldehyde 2,5% рH 7,0-8,7 130. An orthodontist was treating a pati-
B. Sodium hypochloride 0,5% ent infected with AIDS virus. Acci-
C. Desoxone 0,1% dentally he injured skin of one of his
D. Hydrogen peroxide solution 6% fingers with a dental disk during tooth
E. Alcohol solution 70% preparation. What actions should the
orthodontist take in this case?
127. A 13 year old boy complains about
pain in the 46 tooth induced by cold sti- A. To press blood out and treat the skin
muli. Objectively: there is a deep carious with 70% alcohol solution
cavity on the masticatory surface of the 46 B. To apply a tourniquet on the shoulder
tooth within light softened circumpulpar C. To perform diathermo-coagulation
dentin. Probing of carious cavity floor is D. To treat the skin with 5% iodine soluti-
overall painful, cold stimulus causes acute on
pain that is quickly relieved after the sti- E. To press blood out and treat the skin
mulus’ elimination. Choose an optimal with strong solution of KMnO4
dental treatment paste:
131. A 36 year old patient complains
A. Hydroxycalcium-containing about acute pain, "clicking"in the right
B. Thymol mandibulotemporal joint, burning in the
C. Iodoform area of her right external acoustic meatus.
D. Resorcin-formaline Movements of her lower jaw are step-
E. Zink-eugenol like, along with brief blocking moments
in the joint and acute pain. Objecti-
128. An 8 year old child has a deep cari- vely: the face is symmetric. Occlusion is
ous cavity communicating with tooth cavi- orthognathic, intraoral palpation of lateral
ty on the distaloapproximal surface of the pterygoid muscle causes pain on the right.
75 tooth. Probing is painful, percussion is Tomograms show that contours of bone
painless, cold water causes slowly abating structures of articular surfaces are regular
pain. The tooth decayed a few months ago, and smooth. What is the most probable
wasn’t treated. What treatment method is diagnosis?
to be applied in this case?
Krok 2 Stomatology 2008 20
dental clinic for tooth prosthetics. Objecti- have surgery hours makes up 26 m2 . What
vely: there is a sharp bony prominence area must this room with two universal
in the area of the missing 15 tooth. It dental devices have according to the exi-
is planned to make a partial removable sting regulations?
denture with two-layer base. What plastic
should be used for elastic backing? A. 14 m2 for each dental device and 10 m2
additionally
A. Plastic PM-01 B. 10 m2 for each dental device and 10 m2
B. Ftorax additionally
C. Acryl C. 10 m2 for each dental device and 7 m2
D. Protacryl additionally
E. Bacryl D. 7 m2 for each dental device and 7 m2
153. A dentist was called to a patient bei- additionally
ng treated in the cardiological department E. 20 m2 for each dental device and 12 m2
after myocardium infarction. The pati- additionally
ent was diagnosed with acute conditi-
on of chronic fibrous pulpitis of the 36 157. Examination of a 23 year old
tooth. What method of pulpitis treatment patient revealed chronic candidosis of
should be chosen taking into account oral mucous membrane, generalized
grave condition of the patient? lymphadenopathy. Anamnesis data: the
patient has been suffering from herpes for
A. Devital amputation a year. Body temperature persistently ri-
B. Vital extirpation ses up to 37, 4 − 37, 5oC, body weight has
C. Vital amputation reduced by 8 kg over the last month. What
D. Devital extirpation disease can be indicated by this symptom
E. Conservative method group?