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Important notes ✍️🙋‍♂️


Revision 1
• This is revision 1 of May-2023. You can make sure if revision 1 is the last
revision by clicking here.
• Color indication:
- Red color: the answer is confirmed by the official site or repeated before
- Green color: the answer is not confirmed but that’s the likely answer.
- Purple color: only 7 questions still can’t find a valid explanation for it. If
you have a clear source for the answer, please let me know to correct them.
• You can practice this year on exam and study mode on Krokology along with
all bases and booklets for free.
• Thanks to Dr. Elias and Rabee for doing the first revision.

1. A 53-year-old patient has been B. Fragility


diagnosed with a non-displaced C. Chemical adhesion to dental hard
mandibular fracture in the frontal tissues
region. Objectively, there are fixed D. Polymerization shrinkage
orthopedic appliances on the upper E. Release of fluorine ions
jaw, the lateral group of teeth is
missing on the both sides of the lower 3. A 2-year-old girl developed a
jaw, the teeth located from canine to fever of 38°C that lasts for three days
canine ate intact. What splint should already. She is fussy and refuses to
be chosen for the treatment in this eat. Examination detects numerous
clinical case? small crosions covered in a fibrinous
A. Ivy ligature binding plaque on the brightly. hyperemic
B. Port splint mucosa of the lips, checks and soft
C. Limberg splint palate. Submandibular lymph nodes
D. Vankevich splint are painful and slightly enlarged. The
E. Vasilyev splint child has been diagnosed with acute
catarrhal gingivitis. What medicine
2. A 28-year-old woman came to should be prescribed for etiotropic
a dentist with complaints of a carious treatment in this case?
cavity in her lower right tooth and A. Metrogyl (Metronidazole)
food getting stuck in the affected B. Clotrimazole
area. The following diagnosis was C. Solcoseryl
made: chronic median caries of tooth D. Acyclovir
47 Black's class II. What properties E. Hydrocortisone
of glass ionomer cements makes
them an unsuitable material for 4. A 12-year-old girl complains
filling in this case? of periodic bleeding in the area of her
A. Insufficient aesthetic lower right tooth. Objectively, the
characteristics masticatory surface. of tooth 46 has a

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carious cavity filled with a soft red 6. A 45-year-old man came to an


tissue. Superficial probing is mildly orthopedic dentist to have a denture
painful, while deeper probing causes made for him. Before the preparation
pain and bleeding. The tooth is of the hard tissues of the intact teeth,
almost unresponsive to thermal the patient was given an infiltration
stimuli, Percussion. of tooth 46 is anesthesia with 0.5 % lidocaine
painless. X-ray detects no solution. Several minutes later, he
pathological changes in the developed depressed level of
periodontal region of the tooth. What consciousness, his blood pressure
diagnosis can be made in this case? dropped, convulsions started, and
A. Chronic hypertrophic pulpitis involuntary urination occurred. What
B. Chronic localized hypertrophic emergency condition did the patient
gingivitis develop?
C. Chronic granulating periodontitis A. Unconsciousness
D. Chronic librous pulpitis B. Pain shock
E. Chronic gangrenous pulpitis C. Heart failure
D. Anaphylactic shock
5. A patient complains of burning E. Collapse
in the area of the hard palate mucosa
when using a partial removable 7. A bugel (clasp) denture is to be
laminar denture made. one week ago. made for the upper jaw of a 54-year-
The following diagnosis has been old man. The working impression has
made allergic contact stomatitis been obtained with. a silicone
Determine the treatment tactics, if it impression material, while the
is t known that there are no auxiliary impression has been made
conditions for making an arch with an alginate material. How many
denture and the patient is using a casts are necessary to make one bugel
removable denture for the first time. denture?
A. Make a new removable denture A. Two working casts and two
with a metal base. auxiliary casts
B. Apply the previously made B. One working cast and one
denture again with frequent auxiliary cast
rinsing with water and taking C. One working cast
hyposensitizing agents D. Two working casts and one
C. Boil the previously made denture auxiliary cast
in distilled water for 10 minutes E. One working cast and two
D. Make a new denture, adding a auxiliary casts
smaller amount of polymer to the
plastic dough 8. A dental orthodontist has
E. Make a new denture, adding a diagnosed an 11-year-old child with
smaller amount of monomer to the microdontia of the upper incisors.
plastic dough What diagnostic method was used in
this case?

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A. Gerlach 11. An orthopedic dentist fixes an


B. Korkhauz artificial porcelain-fused-to-metal
C. Howes crown to vital tooth 47 What material
D. Tonn would be optimal for fixing an
E. Pont artificial crown in this case?
A. Latelux
B. Filtek Supreme
9. A 6-year-old child is being C. Unifas
treated for acute diffuse pulpitis of D. Evicrol
tooth 85 using the technique of pulp E. Fuji I
extirpation. What type of material
would be optimal in this case for 12. A 73-year-old woman came to
permanent obturation of root canals? a dentist with complaints of angular
A. Calcium hydroxide-based pastes cheilitis. She has been using
B. Epoxy resin-based pastes with complete removable laminar
gutta percha pins dentures for the upper and lower jaw
C. Zinc phosphate cements for 5 years. Objectively, the lower
D. Zinc eugenol pastes third of her face is shortened, the
E. Glass ionomer cements mouth angles are downturned and the
skin there is macerated. What is the
10. A 45-year-old woman most likely cause of this
complains of bleeding gums. The complication?
bleeding occurs when she brushes her A. Age of the patient.
teeth or eats hard food. Objectively, B. Reduction of the interalveolar
in the frontal area of her lower jaw height
the gums are hyperemic, edematous, C. Deformation of the denture bases
and bleed when palpated. In the other D. Poor oral hygiene
areas, her oral mucosa is normal. The E. Permanent usage of the dentures
woman has a deep bite. Her teeth are
stable, except for teeth 41 and 31 that 13. During examination by a
have the I degree of mobility X-ray dental orthodontist, a 10-year-old
shows resorption of the interalveolar child presents with a chin that
septa in the area of teeth 42, 41, 32, protrudes forwards, a sunken upper
and 31 to 1/3 of the root length. What lip, and a concave facial profile.
diagnosis can be made in this case? Intraoral examination detects a
A. Generalized periodontitis, initial mesial shift of the crowns of teeth 36
stage and 46, the upper front teeth are
B. Generalized periodontitis, I overlapped by the lower front teeth,
degree the upper front teeth I have an oral
C. Localized periodontitis inclination. What appliance should
D. Catarrhal gingivitis be used to treat this pathology?
E. Periodontosis, I degree A. Frankel functional regulator, type
1

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B. Khurgina appliance ringing in her ears. Objectively, her


C. Oral vestibular plate skin is pale and covered in cold
D. Klammt activator sweat, her respiration is rapid, the
E. Bruckl appliance pulse is of poor volume, the blood
pressure is 90/60 mm Hg. What is the
14. The parents of an 8-year-old most likely diagnosis in this case?
boy came to a dentist complaining of A. Epilepsy attack
a broken. off crown of a child's front B. Unconsciousness
tooth. The coronal tooth fracture C. Hyperglycemic coma
occurred 2 hours ago as a result of an D. Anaphylactic shock
injury sustained during a sports E. Collapse
competition. Objectively, one third
of the crown of tooth 11 is missing, 17. A 42-year-old man complains
the pulp is exposed at one point. of periodic pain in the area of his
bright red, and sharply painful to tooth 48. Objectively, tooth 48 has
probing Tooth percussion is tender. partially erupted with its mesial
What treatment method would be cusps, mucosa is pale pink and
optimal for tooth 11 in this case? painless to palpation, the mouth
A. Devital extirpation opening is unrestricted. X-ray shows
B. Conservative treatment tooth 48 to be located medially to
C. Tooth extraction tooth 47 Select the surgical treatment
D. Vital amputation method that would be optimal in this
E. Vital extirpation case.
A. Typical extraction of tooth 48
15. Removable complete dentures B. Operculum remova.
are being made for a 70-year-old man C. Bicuspidization
with completely edentulous jaws and D. Operculum dissection.
marked progenia. What artificial E. Atypical extraction of tooth 48
teeth are not placed in such dentures?
A. Second molars on the lower jaw 18. Removable dentures were
B. Second premolars on the lower made for a 5-year-old child due to the
jaw early loss of deciduous second
C. Second molars on the upper jaw molars. When will the dentures need
D. Second premolars on the upper replacing in this case?
jaw A. In 1.5 years.
E. First premolars on the lower jaw B. In 2.5 years
C. In 2 years
16. During the frenuloplasty of the D. In 0.5 years
superior labial frenulum, a 9-year-old E. In 1 year
girl, who received infiltration
anesthesia with 1.0 mL of Sol. 19. A patient complains of a
Ultracain DS, complained of neoplasm in the left half of the frontal
dizziness, nausea, weakness, and region. The neoplasm appeared 2

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months ago and is slowly increasing D. After fitting the frame


in size. It is dense, elastic, round, E. After the crown fixation
mobile, and painless. The skin color
over the neoplasm is unchanged. It 22. A 62-year-old woman
has a punctate indentation on its complains of intense pain attacks in
surface, from which whitish foul- the area of her left. lower jaw that last
smelling masses are discharged. 1-3 minutes. The pain occurs during
Make the provisional diagnosis. talking washing her face, and
A. Atheroma touching the skin. Mandibular X-ray
B. Keratoacanthoma detects no pathological changes in
C. Exophytic form of skin cancer tissue. Make the provisional
D. Lipoma diagnosis.
E. Fibroma A. Pterygopalatine ganglionitis
B. Neuralgia of the second branch of
20. A 47-year-old man complains the trigeminal nerve
of an ulcer on the back of his tongue. C. Neuritis of the third branch of the
Hist history states that before the trigeminal nerve
ulcer, there. was a tuberculous D. Neuralgia of the third branch of
infiltrate for a long time. The the trigeminal nerve
infiltrate was gradually enlarging and E. Facial nerve neuritis
then an ulcer formed. Objectively.
there is a shallow elongated ulcer on 23. A 48-year-old man complains
the dorsum of the patient's tongue. of a burning sensation in his mouth
The ulcer is painful, has overhanging that occurs. when he wears a
edges and is surrounded with removable partial laminar denture for
tubercles. Make the provisional the lower jaw that was made for him
diagnosis. 2 weeks ago Objectively, he has
A. Actinomycosis of the tongue hypersalivation, his oral mucosa is
B. Tuberculous ulcer hyperemic and edematous.
C. Tongue abscess Previously, the patient had been
D. Primary syphilis using a removable partial laminar
E. Decubitus ulcer denture, made for him 4 years ago,
and he had no such complaints. What
21. A dentist made a porcelain- is the most likely cause of the
fused-to metal crown for tooth 11 of complication in this case?
a 34-year-old patient. The tooth was A. Incorrect usage of the denture
prepared in compliance with all the B. Poor quality of the denture base
requirements. At what stage of plastic
crown-making was gum retraction C. Allergy to the components of the
performed? denture. base plastic
A. After obtaining the impression D. Poor oral hygiene
B. Before fitting the frame E. Residual monomer remaining in
C. Before obtaining the impression the denture base

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D. 3 years
24. During examination, an 8- E. 10 days
year-old child was diagnosed with
torsiversion of the lateral maxillary 27. A 56-year-old woman
incisors and an arch length deficiency undergoes a preventive examination
caused by macrodontia. To prevent by a dentist. She has an oval erosion
the vestibular position of the canines, on the vermilion border of her lower
a Hotz serial extraction lip. The erosion is deep red, its
was performed. What is the correct surface is smooth. Bloody scabs that
order of teeth extraction in this case? are difficult to remove are observed
A. Deciduous canines, first on the erosion surface. Removal of
deciduous molars, first premolars the scabs causes mild bleeding. Slight
B. Second incisors, deciduous injury of the erosion in the places
canines and first deciduous where there are no scabs causes no
molars bleeding. What type of lower lip
C. First deciduous canines, second precancer is it?
premolars molars, deciduous A. Limited precancerous
D. First deciduous molars, deciduous hyperkeratosis of the vermilion
canines, first premolars border of the lip
E. First deciduous molars, first B. Bowen's disease
premolars, deciduous canines C. Lupus erythematosus
D. Verrucous precancer of the
25. What is used to transfer to the vermilion border of the lip
articulator the data about the position E. Manganotti's abrasive
of the upper jaw in relation to the precancerous cheilitis
hinge axis of the temporomandibular
joint? 28. In a 3-year-old child, a dentist
A. Facebow has detected a carious cavity on the
B. Bite blocks masticatory surface of tooth 74
C. Occluder within the mantle dentin. The
D. Parallelometer overhanging edges of the enamel are
E. Auxiliary impressions matte white. The dentin of the carious
cavity is light-colored, soft, and can
26. A newborn child has been be removed in layers. Probing of the
diagnosed with congenital unilateral dentinocnamel junction is tender.
complete non -union of the upper lip Cold stimulus provokes pain that
with deformation of the cutaneo- quickly stops after the stimulus is
cartilaginous portion of the nose. At removed. What material should be
what age should the surgical used for the filling of the carious
treatment be performed in this case? cavity in this case?
A. 6 months A. Composite filling material
B. 1.5 years B. Amalgam
C. 12 months C. ICON

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D. Zinc phosphate cement made for a patient. The central


E. Glass ionomer cement occlusion was determined and fixed.
What clinical stage is next?
29. An 8-year-old child was A. Replacing wax with plastic
hospitalized into the maxillofacial B. Fixation of the finished denture in
department. Objectively, the child the oral cavity
has fever of 39 ° C and facial C. Arrangement of artificial teeth
asymmetry on the left due to a painful D. Wax try-in of the denture in the
swelling in the submandibular oral cavity
region. The skin in this region is E. Determining the edges of the
hyperemic, tense, and cannot be denture base
pinched. The sign of fluctuation is
positive. The mucogingival junction 32. A 32-year-old person was
in the area of teeth 74, 75, and 36 is hospitalized to the emergency
smoothed-out and hyperemic. Tooth hospital from the site of a car
75 is destroyed by 2/3. Make the accident. X-ray allowed diagnosing
provisional diagnosis. the patient with a displaced unilateral
A. Migratory granuloma open mandibular fracture on the left
B. Odontogenic submandibular at the level of the mental foramen.
phlegmon on the left The patient has all teeth. The fracture
C. Odontogenic osteomyelitis on the line passes between teeth 34 and 35.
left What splint should be used in this
D. Odontogenic submandibular clinical case?
lymphadenitis on the left A. Double-jaw splint with loops
E. Non-odontogenic B. Vankevich splint
adenophlegmon of the C. Port splint
submandibular space on the left D. Double-jaw splint with a spreader
bar
30. A 67-year-old man came to the E. Smooth splint-bracket
orthopedic dentistry clinic to have
dentures made for him. Examination 33. During a regular check-up of a
detects a marked atrophy of his 7-year -old girl, a dentist detected
maxillary alveolar process. What chalk-like spots on the vestibular
type of atrophic edentulous. maxilla surface of her teeth 11 and 21 in their
is observed in this patient? paracervical region. The spots have a
A. Schroeder type 2 matt surface, they are smooth when
B. Schroeder type 1 probed and can be stained with
C. Schroeder type 3 methylene blue. Choose the
D. Oxman type 1 treatment method that would be
E. Oxman type 2 optimal in this case.
A. Regular check-ups
31. A removable partial laminar B. Filling the defects
denture for the upper jaw is being C. Impregnation therapy

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D. Deep fluoridation 36. A clasp (bugel) denture with


E. Filing down the defects clammer fixation is being made for a
partially edentulous patient
34. Three days ago a complete (Kennedy class 1). Impressions were
removable laminar denture was fixed obtained, casts were made, and the
to the upper jaw of a 57-year-old centric relation of the jaws was
patient. The patient. complains of a determined and fixed. What
sharp pain in the mucogingival laboratory stage of the denture-
junction on the left. The pain making is the next one?
intensifies during masticatory A. Studying the working cast in a
movements. Objectively, in the area parallelometer
of missing teeth 25, 26, and 27 the B. Obtaining a refractory cast
mucosa of the mucogingival junction C. Duplication of the cast
is hyperemic and painful when D. Installation of the gating system
touched. What will be the doctor's E. Marking the denture frame
tactics in this case?
A. Articulation correction of the 37. A 67-year-old patient
masticatory. surface of artificial complains of being unable to use
teeth complete removable laminar
B. Make a new partial removable dentures for the upper and lower jaw.
laminar denture The dentures were made 2 months
C. Rebasing of the removable ago. Objectively, the patient presents
denture using an indirect method with smoothed-out nasolabial folds
D. Correction of the denture base and mental crease, teeth chattering
edge in the hyperemic area can be heard during a conversation
E. Rebasing of the removable test, there is no gap between the teeth
denture using a direct method in the state of physiological rest. At
what stage of denture-making did a
35. A 32-year-old woman mistake occur?
complains of periodic dislocations of A. Obtaining functional impressions
her lower jaw. Objectively, she has a B. Determining the central occlusion
direct occlusion, the continuity of her C. Wax try-in of the dentures
dentition is intact. When she opens D. Installing artificial teeth into the
her mouth, a clicking can be felt in dentures
the temporomandibular joint. What E. Installing the dentures
appliance should be used in this case
to prevent a habitual dislocation? 38. A 57-year-old man came to a
A. Katz appliance dentist with complaints of a dull
B. Oxman appliance aching pain in the area of his right
C. Darcissac appliance temporomandibular joint and
D. Limberg appliance morning stiffness of the lower jaw.
E. Petrosov appliance His condition has a wave-like course.
throughout the last 3 years.

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Objectively, the face is symmetrical, 40. A woman came to a dentist


the mouth opening reduced to 3 cm. with complaints of periodic pain in
During the movements of the lower the area of her tooth 48. Extraction of
jaw, an articular noise and clicking tooth 48 is indicated. What forceps
(step-like displacement of the lower must be used for the tooth extraction
jaw) occur in the area of the right in this case?
TMJ. The skin over the joint is A. Bayonet-like forceps
unchanged. Palpation detects no B. Beak-shaped forceps, bent along
changes in the muscle tone. What is the plane
the most likely diagnosis in this case? C. Beak-shaped forceps, bent along
A. Acute arthritis of the right. the rib
temporomandibular joint D. S-shaped right-sided forceps
B. Neuromuscular syndrome E. Beak-shaped forceps with
C. Fibrous ankylosis of the right converging beaks
temporomandibular joint
D. Subluxation of the lower jaw 41. A dentist performs endodontic
E. Arthrosis of the right treatment of tooth 46 for chronic
temporomandibular joint fibrous pulpitis. The dentist chose the
step-back technique to scout and
39. A 55-year-old woman came to widen the root canals. At the first
a dentist with complaints of burning stage, the root canal was scouted and
in her oral cavity when eating irritant its working length was determined.
foods, a sensation of roughness, and What is the next step according to
an unusual appearance of the buccal this technique?
mucosa. The patient has a history of A. Exposing the apical opening
chronic cholecystitis. Objectively, B. Formation of the apical stop
she has artificial crowns made of C. Smoothing the walls of the root
various metals in her oral cavity canal
Against the background of D. Formation of the middle third of
unchanged buccal mucosa, she has the root canal
patches of small whitish papules in E. Formation of the upper third of the
the retromolar space. They are root canal
keratinized, slightly raised, form a
ring-shaped pattern, and cannot be 42. After receiving tuberal
removed by scraping. Make the anesthesia, a 45-year-old patient
provisional diagnosis. suddenly developed face and neck
A. Lupus erythematosus edema with unclear borders,
B. Secondary syphilis significant edema of the lips, skin
C. Lichen ruber planus pallor, difficulty breathing, and
D. Acute pseudomembranous hoarseness of the voice. What
candidiasis. emergency condition has developed
E. Verrucous leukoplakia in this case?
A. Obstructive asphyxia

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B. Bronchial asthma attack temple. One year ago, the patient had
C. Epilepsy attack an intense pain in this tooth, but did
D. Angioedema not consult a dentist. The pain
E. Pulmonary edema recurred three days ago. Objectively,
tooth 27 has a deep carious cavity
43. A 32-year-old man came to a that communicates with the pulp
dentist with complaints of pain in the chamber. Probing of the exposed spot
lower jaw on the right and problems is extremely painful. X-ray of tooth
with mouth opening. Objectively, the 27 shows widening of the periodontal
face is symmetrical, mouth opening fissure in the area of its root apices.
is somewhat difficult (first degree), What is the most likely diagnosis in
the mucosa behind tooth 47 is this case?
swollen, hyperemic, and painful to A. Acute diffuse pulpitis
palpation. The mesial cusps of tooth B. Exacerbation of chronic fibrous
48 that has not fully erupted are pulpitis
visible. What diagnosis can be made C. Exacerbation of chronic
in this case? gangrenous pulpitis
A. Acute odontogenic periostitis D. Exacerbation of chronic fibrous
B. Acute odontogenic osteomyelitis periodontitis
C. Exacerbation of chronic E. Exacerbation of chronic
granulating periodontitis granulomatous periodontitis
D. Pericoronitis
E. Abscess of the pterygomandibular 46. A 42-year-old man came to a
space. dentist with complaints of bleeding
gums and bad breath. After
44. When receiving tuberal examination the following
anesthesia intraorally, a patient provisional diagnosis was made:
developed a rapidly progressing chronic generalized parodontitis, II
edema of the left check that soon degree. examination technique would
spread to the temporal region. What be most informative for establishing
complication has likely occurred in the final diagnosis in this case?
this clinical case? A. Kotzshke test
A. Ischemia B. X-ray
B. Quincke's edema. C. Depth of periodontal pockets
C. Hematoma D. Teeth mobility
D. Emphysema E. Kulazhenko test
E. Abscess
47. A 39-year-old woman
45. A 34-year-old man came to a complains of general malaise,
dentist with complaints of a constant headache, fever of 38° C, and pain in
dull pain in his upper left tooth. The the oral cavity. Similar condition
pain intensifies when cold stimuli are occurs periodically, more often in
applied and radiates to the ear and autumn and spring. Objectively, her

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sharply hyperemic and swollen mucosa of the posterior pharyngeal


mucosa of the cheeks, lips, and soft wall with a cyanotic tint. The tonsils
palate has erythematous spots, burst are enlarged and partially covered in
blisters, and erosions covered with islets of white gray dense filmy
fibrinous plaque. Nikolsky's sign is deposits. The deposits are difficult to
negative. Hypersalivation is remove and expose a bleeding
observed. Submandibular lymph surface when removed. Palpation
nodes are enlarged, mobile, and detects moderately painful regional
somewhat painful to palpation. What lymph nodes 15 cm in size. Make the
is the most likely diagnosis in this provisional diagnosis.
case? A. Measles
A. Chronic recurrent herpes B. Diphtheria
B. Chronic recurrent aphthous C. Infectious mononucleosis
stomatitis D. Herpetic tonsillitis
C. Pemphigus vulgaris E. Scarlet fever
D. Lichen ruber planus, erosive-
ulcerative form 50. An 18-year-old young man
E. Erythema multiforme exudativum came to a dentist with complaints of
teeth sensitivity on his lower left jaw,
48. A 30-year-old woman came to provoked by cold stimuli.
a dentist with complaints of Examination detects a hard tissue.
discoloration of her t upper front defect within the enamel on the
tooth and food getting stuck between vestibular surface of tooth 37 in its
the teeth. Objectively, a carious paracervical region. The enamel
cavity is observed on the mesial there is matte white, not glossy, and
contact surface of tooth 12 within the fragile when probed. What diagnosis
mantle dentin. The walls and floor of can be made in this case?
the carious cavity are dense and A. Local enamel hypoplasia
pigmented. The dentinoenamel B. Acute median caries
border is tender to probing. Thermal C. Cuneiform defect
stimulus provokes no response. D. Acute superficial caries
Percussion results are negative. Make E. Acute initial caries
the diagnosis.
A. Chronic deep caries 51. A 43-year-old man developed
B. Chronic fibrous pulpitis a sharp headache, dizziness, nausea,
C. Chronic superficial caries and visual snow during tooth
D. Chronic median caries extraction. The patient is excited,
E. Chronic fibrous periodontitis feels heat and trembling in the whole
body. Red spots appeared on the skin
49. An 18-year-old girl complains of his neck and face. He presents with
of general weakness, a fever of tachycardia and blood pressure of
38.2°C, and moderately sore throat. 190/110 mm Hg. What emergency
Examination shows hyperemic

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condition has developed in the periodontal fissure in the apical part


patient? of the roots of teeth 51 and 61. What
A. Myocardial infarction treatment tactics would be optimal in
B. Anaphylactic shock this clinical case?
C. Stroke A. Reposition of teeth 51 and 61
D. Angina pectoris attack B. Ligature splinting
E. Hypertensive crisis C. Heplantation of teeth 51 and 61
D. Regular check-ups
52. A 5-year-old child has all the E. Removal of teeth 51 and 61
temporary teeth in the oral cavity
with tremata between them. The 55. A 28-year-old woman came to
incisors are in direct contact and their a dentist with complaints of acute
cutting edges are worn off the distal paroxysmal spontaneous pain in her
surfaces of two temporary molars upper left tooth. The pain attacks last
form a mesiosagittal step-the 5-10 minutes. Objective examination
Tsilinsky sign. What period of bite detects a carious cavity in tooth 26.
formation is it? The carious cavity has a narrow
A. Formation of the temporary bite entrance, is located within the
B. Stabilization of the temporary bite softened non-pigmented peripulpal
C. Aging of the temporary bite dentin, and does not communicate
D. Early transitional dentition with the pulp. chamber. Probing of
E. Late transitional dentition the cavity floor is painful in the
projection of the mesiobuccal pulp
53. The vestibular surfaces of the horn. The response to cold is painful
upper incisors of a 25-year-old man and prolonged. Percussion is
are affected by fluorosis that painless. Electric pulp testing i-15
manifests as spots with marble-like microamperes. What diagnosis can
appearance. What aesthetic design be made in this case?
should be proposed for this patient? A. Acute median caries
A. Dental vencers. B. Acute diffuse pulpitis
B. Porcelain crowns C. Exacerbation of chronic fibrous
C. Porcelain crowns attached to pulpitis
implants D. Acute limited pulpitis
D. Porcelain-fused-to-metal crowns E. Acute deep caries
E. Plastic crowns
56. A 34-year-old woman came to
54. A 2-year-old child has suffered a dentist with complaints of short-
a dental trauma. Objectively, the term pain caused by thermal stimuli
crowns of teeth 51 and 61 are shorter in her teeth 34 and 35. Objectively,
than the crowns of the adjacent teeth the visible surfaces of teeth 34 and 35
by 1/3. The mucosa in the area of are intact, the contact surfaces cannot
teeth 51 and 61 is hyperemic and be examined due to the dense
edematous X-ray shows no arrangement of the teeth. What

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examination technique would be the corners of the mouth. What is the


most informative in this case, if a most likely diagnosis in this case?
carious cavity is suspected on the A. Exfoliative cheilitis.
contact surfaces of the teeth? B. Actinic cheilitis
A. X-ray C. Eczematous cheilitis
B. Percussion D. Meteorological cheilitis
C. Vital staining E. Atopic cheilitis
D. Electric pulp testing
E. Probing 59. A patient is to undergo
endodontic treatment of tooth 21 due
57. A 56-year-old man complains to exacerbation of chronic pulpitis.
of pain and swelling in the left buccal The dentist chooses tools for the
region and progressive facial treatment. What is the function of a
asymmetry. He noticed these spreader?
symptoms two months ago. A. Pulp removal from root canals
Objectively, he has paresis of mimic B. Widening of root canals.
muscles on the left and a lumpy C. Root canal length measuring
infiltrate without clear boundaries in D. Filling of root canals
the left parotid-masticatory region. E. Assessment root canal patency
The skin over the infiltrate is thinned-
out and bluish. Enlarged lymph nodes 60. A 16-year-old girl complains
can be palpated on the left. The of burning. painful, and bleeding
mouth opening is reduced to 2.5 cm. gums. Objectively, the gums of her
No saliva is secreted from the duct of upper and lower jaw are edematous,
the left parotid gland. Make the brightly hyperemic, and bleed when
provisional diagnosis. probed. Periodontal pockets are up to
A. Chronic sialadenitis 4 mm deep and contain seropurulent
B. Adenocarcinoma exudate. The teeth have pathological
C. Chronic lymphadenitis. mobility of the first degree. X-ray
D. Acute non-epidemic parotitis shows uneven resorption of the
E. Cyst of the parotid gland interalveolar septa up to 1/2 of their
height with diffuser osteoporosis of
58. A 9-year-old child complains the spongy (cancellous) bone tissue.
of painful rashes that appeared on the Make the diagnosis.
lips. Objectively, the vermilion A. Generalized parodontitis, I
border of the lips is edematous, degree, chronic course
hyperemic, and covered in cracks and B. Generalized parodontitis, III
numerous bloody scabs. On the skin degree. chronic course
around the lips, there are small C. C Generalized parodontitis, II-
blisters with a serous content. In degree, chronic course
some areas, the blisters merge D. Generalized parodontitis, I
together. Maceration and weeping of degree. exacerbated course
the skin are observed, especially in

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E. Generalized parodontitis, II D. Behind the patient


degree, exacerbated course E. Behind the patient and to the right

61. A person has been hospitalized 64. A 44-year-old man has been
into the department of maxillofacial diagnosed with generalized
surgery with the following diagnosis: parodontitis, II-degree, chronic
a displaced traumatic open right- progression. What must be done first
sided mental fracture of the during the management of this
mandible. What is the typical patient?
direction of displacement of the A. Extraction of mobile teeth.
larger fragment? B. Professional oral hygiene
A. Only towards the fracture C. Elimination of traumatic
B. Upwards and outwards occlusion
C. Downwards and inwards D. Adhesive splinting of mobile
D. Upwards and inwards teeth
E. Downwards and outwards E. Curettage of periodontal pockets

62. A 58-year-old woman 65. A 33-year-old woman came to


complains of a red spot on her lower a dentist complaining of an aesthetic
lip that first appeared 4 years ago. defect in her teeth 11 and 21 and a
Objectively, on the vermilion border short-term pain that occurs when she
of the lower lip there is a red spot eats sour or sweet foods. Objectively,
with velvety surface. The mucosal the vestibular surface of teeth 11 and
lesion is slightly concave, when 21 have defects of hard tissues within
compared to the surrounding tissues. the dentinoenamel junction. The
It does not change its color when defects have gently sloping walls and
pressed. Make the provisional a dense floor and are painful to
diagnosis. probing. The skin of the face, the
A. Verrucous precancer vermilion border of the lips, and oral
B. Exfoliative cheilitis mucosa have no visible pathological
C. Bowen's disease changes. The woman additionally
D. Simple leukoplakia complains of sweating. tachycardia,
E. Hemangioma and increased appetite. She is thin
and has exophthalmos. What has
63. Extraction of tooth 46 under caused the development of this
local anesthesia is indicated for a 42- pathology?
year-old patient. Where should the A. Cariogenic microflora
dentist be in relation to the patient B. Gastrointestinal tract disease
during the extraction of this tooth? C. Endocrine system disease
A. In front of the patient and to the D. Hereditary disease
left E. Cardiovascular system disease
B. Behind the patient and to the left
C. In front of the patient

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66. A 23-year-old young man E. Acute purulent pulpitis


complains of acute bleeding from the
guys and bad breath that appeared 5 68. When does the upper lip
days ago. Objectively, the interdental become fully formed during the
papillae and the gingival margin are gestation of a human fetus?
bright red, edematous painful, and A. Third month
bleed intensely when palpated. B. Second month
Gingival pockets are 2-3 mm deep. X C. First month
ray shows marked osteoporosis of the D. Fifth month
interalveolar septa and widening of E. Fourth month
the periodontal fissure around the
apices of the interalveolar septa. The 69. During the treatment of
lamina dura is intact. What is the ulcerative gingivitis, a 38-year-old
most likely diagnosis in this case? man was locally prescribed a drug
A. Acute leukemia that belongs to the hydrolase
B. Acute necrotizing ulcerative enzymes and is a thermostable
gingivitis protein contained in tears, saliva, and
C. Chronic hypertrophic gingivitis breast milk as an innate resistance
D. Generalized parodontitis, II factor of human body Name this
degree, exacerbated course drug.
E. Acute catarrhal gingivitis A. Interleukin
B. Lysozyme
67. A 35-year-old man complains C. Penicillin
of constant pain in the area of his D. Interferon
upper left lateral tooth. The pain is E. E Imaninum
observed throughout the last 24 hours
and intensifies during biting on the 70. At the clinical stage of trying-
affected tooth. Objectively, a carious in the frame of the bugel (clasp)
cavity is observed on the mesial denture in the oral cavity, an uneven
surface of tooth 25. The carious gap that reaches 0.8cm was detected
cavity does not communicate with between its arch and the mucosa of
the pulp chamber. Thermal stimulus the hard palate and alveolar process.
provokes no response. Percussion of What method can be used to correct
tooth 25 is sharply painful. X-ray this defect?
detects no pathological changes in A. This defect does not require
the bone tissue of the periapical correction
region. What diagnosis can be made B. Shape the frame with a hammer
in this case? and anvil
A. Acute serous periodontitis C. Shape the frame with crampon
B. Acute diffuse pulpitis forceps
C. Exacerbation of chronic D. Heat the metal again and shape it
periodontitis by pressing it to the model
D. Acute purulent periodontitis

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E. Make a new frame for the bugel cm 1 with even margins not penetrate
(clasp) denture into the oral cavity and is filled with
a blood clot. What suture should be
71. During a visit to the dentist, a applied to the wound in this case?
patient complained of feeling unwell. A. Early secondary suture
Objectively. the patient presents with B. Late secondary suture
sharp pallor of the skin, cold sweat, C. C Delayed primary suture
sunken peripheral veins, mental D. -
confusion. The pulse is 130 / min. E. Primary blind suture.
thready, arrhythmic, of poor volume.
The blood pressure is 80/40 mm Hg. 74. A 28-year-old man came to the
The respiration is rapid and shallow. maxillofacial surgery department He
Make the diagnosis. complains of a cutaneous neoplasm
A. Myocardial infarction in his right submandibular region.
B. Hypertensive crisis The neoplasm appeared 2 years ago.
C. Collapse In the process of shaving, the
D. Anaphylactic shock neoplasm is frequenily injured. The
E. Unconsciousness following provisional diagnosis has
been made: papilloma. In the
72. During preparation of the teeth neoplastic area, examination shows
for installment of an orthopedic an ulcer against the background of
appliance, a 65-year-old woman hyperemic skin. What tactics should
complained of a sharp headache, a the dental surgeon choose?
sensation of heat, nausea, numbness A. Removal of the papilloma
of the limbs, and impaired vision. B. Anti-inflammatory therapy
Objectively, asymmetric due to the followed by removal of the
smoothed-out nasolabial fold on one papilloma and
side, she has difficulty speaking. Her C. Removal of the papilloma
blood pressure is 150/90 mm Hg. postoperative radiation therapy
Make the provisional diagnosis. D. Prevention of malignant
A. Angina pectoris transformation. of the papilloma
B. Acute cerebrovascular accident followed by removal of the
C. Unconsciousness papilloma.
D. Myocardial infarction E. Anti-inflammatory therapy
E. Hypertensive crisis followed by observation
73. A 21-year-old man 3 hours ago 75. A 45-year-old man has been
received a knife wound to the right diagnosed with a non-displaced
check. The wound was initially median mandibular fracture. For the
bleeding, but by the time of the treatment of the fracture, a smooth
examination the bleeding has already splint-bracket is indicated. To what
stopped. Objectively, in the area of group of maxillofacial appliances
the right check there is a wound 4x1 does it belong?

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A. Combined appliances 25. The pain radiates along the


B. Fixation appliances branches of the trigeminal nerve and
C. Formation appliances alternates with brief painless
D. Substitution appliances intervals. Objectively, the mesial
E. Reponation appliances surface of tooth 25 has a deep carious
cavity within the parapulpar dentin.
76. A 21-year-old woman Probing of the cavity floor and
complains of short-term pain attacks percussion are painful. Thermal
in her lower left provoked by thermal stimulation of tooth 25 provokes a
stimuli and quickly stop after the pain attack. What diagnosis can be
stimulus removed. On the made in this case?
masticatory surface of tooth 47 A. Acute purulent periodontitis
examination reveals a carious-cavity B. Acute diffuse pulpitis
with a narrow entrance that is filled C. Trigeminal neuralgia
with light softened dentin. Probing of D. B. Acute deep caries
the cavity floor and percussion of E. Acute purulent pulpitis
tooth 47 are painless. Probing of the
cavity walls is painful. What 79. A 28-year-old man has
diagnosis can be made in this case? received a hit to the chin. He
A. Acute median caries complains of pain in the right lateral
B. Acute deep caries part of his face. Examination shows
C. Chronic superficial caries facial asymmetry due to tissue
D. Chronic median caries swelling in the upper right parotid
E. Chronic deep caries area, mouth opening is painful and
restricted, the jaw is displaced to the
77. A porcelain-fused-to-metal right, right-sided crossbite is
dental bridge is being made for a 51- observed. Make the provisional
year-old woman. Vital teeth 33, 36, diagnosis.
and 37 will function as the abutment A. Displaced traumatic fracture of
teeth. The teeth preparation is the neck of the mandibular
planned to be done under anesthesia. articular process
What type of anesthesia would be B. Displaced traumatic unilateral
most effective in this case? fracture of the body of the
A. Conduction anesthesia (tuberal mandible
and palatal) C. Displaced traumatic double
B. Infiltration anesthesia fracture of the body of the
C. Intraligamentary anesthesia mandible.
D. Conduction anesthesia (torusal) D. Displaced traumatic mental
E. Topical anesthesia fracture of the mandible
E. Displaced traumatic central
78. For 2 days a man has been fracture of the mandible
suffering from spontaneous nocturnal
pain attacks in the area of his tooth

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80. A 27-year-old woman needs a B. Erythema multiforme exudativum


denture. Objectively, her tooth 15 is C. Chronic recurrent aphthous
missing, while teeth 14 and 16 are stomatitis
intact. What denture would be D. Primary syphilis
optimal in this case? E. Trophic ulcer
A. Partial removable laminar denture
B. Adhesive dental bridge 83. A 50-year-old man came to a
C. Porcelain-fused-to-metal dental dentist to have dentures made for
bridge. him. During preparation of teeth, the
D. Clasp (bugel) denture patient complained of a headache and
E. Swaged dental bridge dizziness, he became irritable and
anxious and suddenly fainted.
81. A 13-year-old girl complains Objectively, the pupils were dilated
of swollen gums that bleed when she and unresponsive to light, tonic
brushes her teeth. This condition has convulsions appeared and became
been observed for the last half a year. clonic, salivation increased. In a few
Objectively, her gingival mucosa in minutes, the convulsions stopped.
the area of the upper front teeth is The patient experiences mental
edematous and cyanotic Interdental confusion. What emergency
papillae are round, doughy, enlarged, condition most likely occurred in this
and cover the crowns by 1/3 of their case?
height. Teeth 13 and 23 are A. Hyperglycemic coma
positioned vestibularly Make the B. Unconsciousness
provisional diagnosis. C. Hypoglycemic coma
A. Localized parodontitis, I degree D. Epilepsy attack
B. Acute catarrhal gingivitis E. Anaphylactic shock
C. Generalized parodontitis, I degree
D. Chronic catarrhal gingivitis 84. When pressing plastic dough,
E. Chronic hypertrophic gingivitis the dental technician opened and
closed the cuvette several times to
82. A 48-year-old woman came to control the amount of the added
a dentist with complaints of a painful mass. What can develop as a result of
ulcer on her tongue. She had a similar such actions?
ulcer one year ago Objectively, on A. Porosity caused by compression
the lateral surface of the tongue there B. Cracks in plastic
is an oval erosion up to 5 mm in size, C. Residual stresses within the
covered with a fibrinous plaque, denture
surrounded by a hyperemic margin, D. Granular porosity
soft and sharply painful to palpation. E. Gas porosity
Oral mucosa in other areas is pale and
edematous. What diagnosis can be 85. A 14-year-old boy complains
made in this case? of a fever of 38-39 C that has been
A. Chronic recurrent herpes observed for the last 5 days, runny

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nose, and sore throat. Examination diagnosed with chronic generalized


detects signs of catarrhal stomatitis, parodontitis, II degree. As a part of
tonsillitis, and pharyngitis and the treatment, the doctor splinted the
enlarged lymph nodes along the front group of the patient's teeth with
sternocleidomastoid muscle that a removable splint. In this case, the
resemble a chain and are mobile and splint should reach the following
mildly painful. The palatine tonsils teeth:
are sharply hyperemic and covered in A. Second molars
a plaque that can be easily removed. B. Canines
Make the provisional diagnosis. C. Premolars
A. Diphtheria D. First molars
B. Herpetic tonsillitis E. Lateral incisors
C. Infectious mononucleosis
D. Scarlet fever 88. What concentration of
E. Acute candidal stomatitis articaine solution is used for
infraorbital anesthesia?
86. A 48-year-old man complains A. 5 %
of a tumor-like formation on his hard B. 10 %
palate. Examination detects a semi- C. 4 %
spherical protrusion with clear D. 1 %
margins in the anterior part of the E. 2 %
palate. X-ray shows. a homogeneous
focus of bone tissue. rarefaction. The 89. A 13-year-old boy undergoes
focus is 1.5x2 cm in size and has the treatment of acute deep caries of
clear margins. Against the tooth 25. At the preparation stage, the
background of bone tissue dentist accidentally perforated the
rarefaction, the roots intact teeth 11 pulp chamber in the projection of the
and 21 are projected; their pulp horn. What will be the dentist's
periodontal fissure can be traced tactics in this case?
along its whole length. What A. Apply a devitalizing paste
diagnosis can be made in this case? B. Perform vital extirpation of the
A. Giant-cell tumor of the maxilla pulp
B. Follicular cyst of the maxilla C. Apply an MTA group material
C. Radicular cyst of the maxilla D. Perform diathermocoagulation of
D. Nasopalatine duct cyst the pulp
E. Maxillary ameloblastoma E. Fill the carious cavity using a
glass ionomer cement

87. A 45-year-old man came to a 90. A 15-year-old girl complains


dentist with complaints of teeth of throbbing pain and a swelling
mobility. Objectively, all his teeth are above her upper lip, fever of 38.0°C,
intact, the front lower teeth have the I and deterioration of her general
degree of mobility. The man was condition. Two days ago, she tried to

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pop a pimple in this area on her own. 26. What treatment method would be
Objectively, she has a dense painful optimal in this case?
infiltration on the skin of her upper A. Devital amputation
lip. The infiltration is rounded, cone- B. Vital amputation
shaped. up to 2.5 cm in diameter. The C. Vital extirpation
skin over the infiltration is sharply D. Biological method
hyperemic, with a necrotic rod in the E. Devital extirpation.
center. Make the diagnosis.
A. Carbuncle on the upper lip 93. A 35-year-old man complains
B. Hematoma of the upper lip at the of missing teeth on his lower jaw.
stage of suppuration Objectively, teeth 36, 37 and 38 are
C. Atheroma of the upper lip at the missing. Other teeth on the lower jaw
stage of suppuration are intact. What type of dentition
D. Furuncle with abscess on the restoration would be optimal in this
upper lip case?
E. Odontogenic abscess of the upper A. Porcelain-fused-to-metal
lip cantilever denture with abutment
crowns on teeth 34 and 35
91. A 52-year-old man complains B. Removable partial laminar
of unpleasant sensations during denture for the lower jaw
swallowing and erosions appearing C. Clasp (bugel) denture with a
on his oral mucosa. The disease onset continuous clasp (clammer) for
was over a month ago. Objectively, the lower jaw
on the normal mucosa of the soft D. Adhesive dental bridge
palate, checks, and gums there are E. Porcelain-fused-to-metal crowns
bright red erosions with the remains with abutment implants in place
of erupted vesicles. The mucosa of teeth 36 and 37
easily sloughs off. The Nikolsky's
sign is positive. What medicines must 94. Dentures are being made for a
be prescribed for the treatment first? 50-year-old woman with
A. Proteolytic enzymes compensated insulin dependent
B. Antifungal agents diabetes mellitus. She has been in a
C. Non-steroidal anti-inflammatory clinic for several hours already,
drugs during which she was nervous and
D. Antibiotics. skipped her meals. In the process of
E. Corticosteroids obtaining her dental impressions, she
suddenly became aggressive, paled,
92. A 14-year-old girl came to a broke out in cold sweat, and fell
dentist with complaints of a severe unconscious. What should be used
long-term pain in the area of her for emergency aid in this clinical
upper left tooth. She was diagnosed case?
with acute diffuse pulpitis of tooth A. Valocordin
B. Nitroglycerine

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C. Insulin fused-to-metal crown for her tooth


D. Ammonia solution 24. To what thickness should its
E. Glucose solution occlusal surface be filed down?
A. 0.25-0.3 mm
95. A 49-year-old patient B. 1.5-2 mm
complains of teeth mobility on the C. 1-14 mm
right lower jaw and purulent D. 0.5-0.9 mm
discharge from the socket of tooth 46 E. 2.1-2.5 mm
that was removed 1.5 months ago
Objectively, there is slight swelling 98. The parents of an 8-year-old
of soft tissues in the submandibular girl have brought their child to a
area on the right, right submandibular dentist for a preventive examination.
lymph nodes are enlarged and mildly After the examination, the dentist
painful to palpation. The alveolar determined that the decay-missing-
process of the lower jaw is thickened filled index in this child is df + DFM
on the right. Teeth 45 and 47 have the = 12. What concentration of fluoride
first-degree mobility. A fistula with ions in toothpaste should be
protruding granulations was detected recommended for personal hygiene
on the mucogingival junction in this of the children with high levels of
area. Granulations fill the socket of caries intensity?
the extracted tooth 46. What A. 1000 ppm
diagnosis can be made in this case? B. 900 ppm
A. Acute alveolitis C. 500 ppm
B. Chronic osteomyelitis D. 1100 ppm
C. Malignant tumor E. 1500 ppm
D. Acute osteomyelitis
E. Eosinophilic granuloma 99. A 14-year-old patient was
referred. to a dental orthodontist for
96. A 45-year-old man came to a consultation. Objectively, the upper
dentist for tooth extraction. The canines have erupted on the
dentist chose S shaped left-sided vestibular side, the upper and lower
forceps for this purpose. What teeth dentition is narrowed. What auxiliary
are most often extracted with this method will allow diagnosing the
type of forceps ? narrowing of the upper dentition?
A. 24, 25 A. Gerlach
B. 14, 15 B. Nance
C. 36, 37 C. Tonn
D. 26, 27 D. Pont
E. 16, 17 E. X-ray

97. A 38-year-old woman came to 100. A 40-year-old woman


a dentist to have a denture made for complains of pain in her right
her. It is planned to make a porcelain- temporomandibular joint.

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Comprehensive examination detects enlarged, painless, mobile. Make the


premature contacts between her provisional diagnosis.
teeth. Selective filing down of her A. Pemphigus vulgaris
teeth is planned. What method must B. Sutton's stomatitis
be used to control this procedure? C. Erythema multiforme exudativum
A. Electric pulp testing. D. Lichen ruber planus
B. Parallelometry E. Secondary syphilis
C. Computed tomography
D. Orthopantomography 103. The parents of an 11-year-old
E. Occlusiography boy came to a dentist with complaints
that their child's gums are painful and
101. A 13-year-old girl complains bleeding during eating, the child has
of a sharp pain when biting on her bad breath and a fever of 37.4°C. The
tooth 21. The pain. developed after an boy has a recent history of an acute
injury. Objectively, the crown of respiratory viral infection.
tooth 21 has two fracture lines, the Objectively, the gingival mucosa is
fragments are slightly displaced, brightly hyperemic and bleeds easily
blood is oozing from the pulp when touched. The apices of the
chamber, percussion is painful. X-ray interdental papillae are covered with
shows a diagonal fracture of the a grayish necrotic plaque. The
crown and root of tooth 21. The depth removal of the plaque exposes an
of the subgingival edge of the ulcerated. surface. There is a large
fracture line is over 4 mm. What amount of dental plaque. What is the
should be the dentist's tactics causative agent of this disease?
regarding tooth 21? A. Staphylococci
A. Extraction B. Streptococci
B. Splinting C. Anaerobic microfloral
C. Filling D. Herpes virus
D. Replantation E. Yeast-like fungi
E. Monitoring for the next month
104. A 32-year-old man came to a
102. During preventive dentist with complaints of skin
examination by a dentist, a 27-year- redness and a swelling in the area of
old woman presents. with a painless his left check. Two months ago, he
rash on the mucosa of her checks, noticed a dense spot on his left cheek
hard palate, and lower lip. The rash that increased in size over time. The
manifests as isolated round copper- skin over the spot has become bluish
red papules 1-1.5 cm in diameter, red and a softening has formed in its
with a narrow border of hyperemia. center. Objectively, a pathological
Erosions or whitish coating can be focus 2.3x1.4 cm in size with clear
observed on the surface: of individual borders is observed on the skin of the
papules. Submandibular and cervical left cheek. The skin there is sharply
lymph nodes are moderately thinned-out, bluish, shiny, and forms

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folds and irregularities. Intraorally a C. Endodontic treatment with


palpable cord is detected that leads application of temporary
from tooth 46 to the lesion on the therapeutic dressing
check. Tooth 46 is filled. Make the D. Application of a devitalizing paste
provisional diagnosis. E. Endodontic treatment with
A. Furuncle permanent obturation of root
B. Carbuncle canals
C. Chronic lymphadenitis
D. Phlegmon of the buccal region 107. A 44-year-old man came to a
E. Migratory subcutaneous dental surgeon for installation of
granuloma dental implants. It is planned to carry
out a two-stage implantation in the
105. An 8-year-old child has a area of missing teeth 15. 16, and 17
neutral ratio of first permanent What is the minimum period for
molars, a vertical gap 4 mm wide complete osseointegration of the
between the front teeth, and a bad implants into the upper jaw?
habit of sucking the tongue. What A. 12 months
orthodontic appliance should be used B. 6 months
for correction of this condition? C. 9 months
A. Removable orthodontic appliance D. 3 months
for the upper jaw with an inclined E. 1 month
plane and a vestibular arch
B. Frankel functional regulator, type 108. Examination of a 12-year-old
2 girl bu a dentist revealed a carious
C. Bruckl appliance cavity on the mesial contact surface
D. Frankel functional regulator, type of tooth 46. The cavity is located
3 within the mantle dentin, its walls
E. Removable orthodontic appliance and floor are pigmented and dense.
for the upper jaw with occlusal Thermal stimuli provoke no
overlays and Rudolph loops response. Preparation of tooth 46 is
painful in the area of the
106. A 9-year-old girl complains of dentinoenamel junction. The decay-
a sharp throbbing pain in her lower missing-filled index is DFM + df = 2.
tooth. The pain intensifies during What filling material would be
biting on this tooth. She was optimal in this case?
diagnosed with acute purulent. A. Silicophosphate cement
periodontitis of tooth 75. What B. Zinc phosphate cement
treatment tactics would be optimal in C. Amalgam
this case? D. Glass-ionomer cement
A. Tooth opening with prescription E. Photopolymer composite
of lavages
B. Tooth extraction 109. A 75-year-old man complains
of poor fixation of his full removable

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denture for the lower jaw and food asymmetry that developed because of
particles accumulating under the a painful swelling in the left parotid
denture base. The lower third of his area that appeared 3 days ago. His
face is shortened. The alveolar body temperature is 37.2°C. Two
processes are markedly atrophied. weeks ago he had a case of acute
What anatomical structure of the respiratory disease. Objectively, in
lower jaw can be used for the left parotid area there is a dense
improvement of full removable round infiltration up to 2 cm in size
denture fixation? that is slightly mobile and moderately
A. Internal oblique line painful. The excretory duct of the
B. Mylohyoid ridge parotid gland produces clear saliva.
C. Retroalveolar space Make the provisional diagnosis.
D. Vestibule of the oral cavity A. Herzenberg pseudoparotitis
E. Mucogingival fold B. Acute purulent parotitis
C. Pleomorphic adenoma of the
110. Tooth 46 is being parotid gland
endodontically treated for chronic D. Mikulicz disease
fibrous periodontitis. Its root canals E. Exacerbation of chronic parotitis
are narrow and sclerosed. What tool
should be used to widen the root 113. A 14-year-old girl came to a
canals in this case? dentist. complaining of a growth on
A. Chlorhexidine bigluconate her tongue. It appeared
B. Sodium hypochlorite approximately 1.5 years ago and has
C. Orthophosphoric acid been slowly growing since then.
D. Ethylenediaminetetraacetic acid Objectively, on the left lateral surface
E. Aminocaproic acid of her tongue there is a pink
formation. This formation is mobile,
111. A 25-year-old woman came to painless, dense, and spherical. It has
a dental surgeon for a planned tooth a clear margin, wide base, and
extraction. Objectively, the crown of smooth surface. Make the provisional
her tooth 37 is destroyed by 2/3. The diagnosis.
gingival mucosa in the area of tooth A. Papilloma
37 is without changes. What type of B. Atheroma
anesthesia should the doctor use to C. Hemangioma
remove tooth 37? D. Fibroma
A. Mental E. Lymphangioma
B. Tuberal and palatal
C. Intraoral infraorbital 114. A 51-year-old man complains
D. Infiltration of mobility of his porcelain-fused-to-
E. Mandibular and buccal metal dental bridge with 43 and 47 as
abutment teeth. He has been using
112. A 26-year-old man came to a this denture for 9 months. X-ray
dentist complaining of facial shows atrophy of the alveolar process

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in the area of tooth 43 to 1/2 of its the following diagnosis: acute


root length and in the area of tooth 47 median caries of tooth 25, Black's
to 2/3 of its root length. Examination. class 1. What dental should be used
of the oral cavity detects mobility of in this case to open the carious cavity
the abutment teeth and periodontal during the treatment?
pockets in this area, as well as A. Spherical, hard-alloy
symptomatic gingivitis. What is the B. Spherical, diamond
cause of the pathological mobility of C. Cylindrical, hard-alloy
the abutment teeth? D. Wheel-shaped, diamond
A. Functional overload of the E. Inverted cone, diamond.
abutment teeth
B. Injury of the circular tooth 117. A 52-year-old man came to a
ligament by the edges of the dentist with complaints of mobility of
crowns his lower front teeth. Objectively, his
C. Modeling of a lingual bar in the lower incisors are intact and have the
paracervical area first-degree mobility, the canines and
D. Depulpation of the abutment teeth lateral teeth are stable.
E. Massive filing down of hard Orthopantomography shows
tissues of the abutment teeth resorption of the interalveolar septa
in the area of the incisors to 1/4 of
115. A 28-year-old woman came to their height. Between the front teeth,
a dentist with complaints of a the patient has a diastema and tremata
periodically appearing fistula on her up to 1 mm in width. Temporary
gums in the area of tooth 111 splinting is planned. What splint is
projection and unpleasant sensations indicated in this case?
in this tooth. Previously, this tooth A. Splint made of semi-crowns.
was treated for chronic periodontitis. B. Fiberglass splint
The root canal of this tooth was C. Intradental splint
treated twice, with no positive result. D. Splint made of plastic crowns
Target X-ray of tooth 11 shows the E. Cap splint
root canal that is scaled along its
entire length and a focus of X-ray 118. A patient with a gunshot
lucency up to 0.8 cm in size in the wound to the face and laceration of
area of its apex. Determine the the palatal and pharyngeal tissues
treatment method in this case. develops increasing respiratory
A. Repeated endodontic treatment failure. The flap that hangs from the
B. Replantation wound sometimes partially and
C. Monitoring throughout a year sometimes completely closes the
D. Resection of the root apex entrance. to the larynx during
E. Extraction breathing. What type of asphyxia can
be expected to develop in this case?
116. After a clinical examination of A. Stenotic asphyxia
a 28-year-old patient, a dentist made B. Dislocation asphyxia

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C. Obstructive asphyxia Objectively, the patient cannot


D. Aspiration asphyxia wrinkle her forehead on the right or
E. Valve asphyxia close her right eye, supraorbital
reflex on the right is absent, the right
119. A porcelain-fused-to-metal nasolabial fold is smoothed-out.
crown for tooth 11 is being made for What pathology is it?
the patient. The tooth will be left A. Neuritis of the facial nerve
vital. What measures. should be B. Trigeminal neuralgia
taken during the treatment to prevent C. Progressive facial hemiatrophy
development of pulpitis in this tooth? D. -
A. Prescribe calcium-containing E. Hemifacial spasm
preparations
B. Make a temporary crown 122. During the fitting of the frame
C. Physical therapy of a porcelain-fused-to-metal dental
D. Prescribe anti-inflammatory bridge, the frame is in contact with
preparations the antagonist teeth in the central
E. Prescribe fluorine-containing occlusion, reaches the ledges on the
preparations abutment teeth, and is 0.3 mm thick.
What would be the dentist's tactics in
120. A 52-year-old man complains this case?
of pain and clicking in the area of his A. Obtain an impression with the
left temporomandibular joint. frame installed
Objectively, the face is symmetrical, B. Finish preparation of the
palpation of the medial and lateral abutment teeth, obtain the
pterygoid muscles is painful on the working impression
left. The mouth opening is limited to C. Pass on the frame to the next
1.5 cm between the cutting edges of laboratory stage
the central incisors. X-ray shows D. File down the metal frame in the
smooth contours of the articular areas of contact with antagonist
surfaces, the joint space is normal. teeth
What is the most likely diagnosis in E. Identify the areas that cause
this case? problems during the installation
A. Fibrous ankylosis of the joint of the dental bridge
B. Acute post-traumatic arthritis
C. Deforming arthrosis 123. The parents of a 6-year-old girl
D. Rheumatoid arthritis complain of a sharp increase in the
E. Neuromuscular joint syndrome child's body temperature,
deterioration of her general
121. A 30-year-old woman condition, disturbed sleep, pain and
complains of problems with mimics edema in the right parotid region.
on the right side of her face and a Objectively, mucosa around the
fever of 37.9°C. The signs developed opening of the excretory duct of the
after an overexposure to cold. right parotid salivary gland is

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hyperemic, the girl feels pain during extraction is indicated. What


palpation on the right side in front of anesthetic is the drug of choice for
the tragus and in the area of the gonial pregnant patients?
angle. Massage of the salivary gland A. Bupivacaine
produces a very small amount of B. Mepivacaine
viscous transparent saliva from the C. Novocaine (Procaine)
duct. Make the provisional diagnosis. D. Lidocaine
A. Acute bacterial parotitis E. Articaine.
B. Epidemic parotitis
C. Herzenberg's pseudoparotitis 126. A 28-year-old man came to a
D. Calculous sialadenitis dentist with complaints of pain in his
E. Chronic parenchymal sialadenitis lower left tooth. The pain is provoked
by sweet foods and stops
124. A 45-year-old woman needs immediately after the stimulus is
dentures. for her missing teeth 24 and removed. Objectively, the distal
25. X-ray shows a small patch of surface of tooth 34 has a deep carious
bone tissue destruction, with clear cavity filled with soft pigmented
contours in the apical area of the root dentin. Probing the of the cavity floor
of tooth 23. The root canal of tooth 23 is painful. No communication can be
is sealed with a non-homogeneous detected between the cavity and the
filling material to the 2/3 of its length. pulp chamber. Thermal stimulation
There is a permanent composite results are positive, short-term. What
filling without defects. Percussion of diagnosis can be made in this case?
the tooth is painless, the alveolar A. Chronic deep caries
mucosa in this area is of normal B. Acute deep caries
color. What would be the dentist's C. Chronic gangrenous pulpitis
tactics regarding tooth 23? D. Acute limited pulpitis
A. Conduct a course of E. Chronic fibrous periodontitis
physiotherapeutic treatment
B. Perform a resection of the root 127. A 50-year-old man complains
apex of a formation 4 cm in size in the
C. Repeat endodontic treatment submental. region. On palpation, the
D. Extract the tooth neoplasm is homogeneous, soft,
E. Repeat X-ray in 6 months elastic, and doughy. It is not fused
with the skin or surrounding tissues.
125. A 24-year-old pregnant Its slow growth has been observed for
woman came to a dentist with 3 years already What disease can be
complaints of acute pain in the area characterized by such clinical signs?
of her tooth 38. Her term of A. Migrating granuloma
pregnancy is 22 weeks. She has no B. Fibroma
history. of allergies. Objectively, the C. Median cyst
crown of tooth 38 is destroyed by 2/3, D. Fibromyoma
percussion is sharply painful. Tooth E. Lipoma

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micrometer to determine the


128. A 50-year-old woman thickness of the metal cap made of
suddenly complained of shortness of cobalt-chromium alloy What should
breath and a feeling of stiffness in her be the minimum thickness of the
chest during installation of dentures. cobalt-chromium metal cap to make
The patient has cough and wheezing an abutment porcelain fused-to-metal
respiration with a long exhale. It is crown?
known from her history that such A. A.0.4
symptoms occur after a contact with B. 0,5
allergens or airborne irritants. What C. 0,3
emergency condition did the patient D. 0,6
develop? E. 0,1
A. Bronchial asthma attack
B. Acute respiratory failure. 131. A dentist prepares to receive a
C. Exacerbation of chronic patient. The dental unit has no
obstructive pulmonary disease modern equipment for handpiece
D. Acute heart failure disinfection. The design of the
E. Allergic rhinitis handpiece does not allow for its
autoclaving. Specify the algorithm
129. A man with hemophilia came for the handpiece disinfection in this
to a dentist with complaints of pain in case.
his lower left tooth. A root fracture A. One treatment with 70 % alcohol
was diagnosed in tooth 36. Tooth or Bacillol AF
extraction is planned. What will be B. Two treatments with 70 % alcohol
the dentist's tactics in this case? or Bacillol AF with an interval of
A. Perform the tooth extraction in the 15 minutes between them
maxillofacial surgery department C. Two treatments with 6 %
B. Refer to the hematology hydrogen peroxide and 70 %
department for the tooth alcohol with an interval of 15
extraction minutes between them
C. Perform the tooth extraction in the D. Two treatments with 70 % alcohol
vascular surgery department or Bacillol AF with an interval of
D. Perform the tooth extraction in a 5 minutes between them
dental polyclinic with pre- and E. Two treatments with 6 %
post-operative care hydrogen peroxide with an
E. Perform the tooth extraction in a interval of 15 minutes between
dental polyclinic with pre- them
operative care
132. A 50-year-old man came to a
130. At a clinic of orthopedic dentist with complaints of the
dentistry, at the stage of try-in of the mobility of his lower teeth.
metal frame of a porcelain-fused-to- Objectively, the dentition is intact.
metal dental bridge. a dentist uses a the necks of the teeth are exposed, the

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crowns are tall, the teeth have D. Sclerosing submaxillitis


mobility of the first degree. What E. Parenchymatous parotitis
splint would be optimal in this
clinical case? 135. A 7-year-old child is sick for 3
A. Mamlok splint days. already. The child has fever of
B. Splint made of equator crowns 38°C. weakness, and facial
C. Elbrecht splint asymmetry due to edema of the upper
D. Splint made of full crowns lip and left infraorbital area. The skin
E. Cap splint color is unchanged. The
mucogingival junction in the
133. A 15-year-old girl has been projection of the roots of teeth 63 and
provisionally diagnosed with chronic 64 is smoothed-out and hyperemic.
parenchymal parotitis of the right Palpation detects a positive sign of
parotid salivary gland. What changes fluctuation. Tooth 63 is partially
will be observed in the sialogram in destroyed, mobile, its percussion is
this case? slightly painful. Make the provisional
A. Widening of the excretory duct diagnosis.
B. Duct interruption followed by its A. Acute purulent odontogenic
widening periostitis of the upper jaw on the
C. Filling defect left
D. Uniform narrowing of excretory B. Phlegmon of the infraorbital
ducts of the gland space on the left
E. Round cavities in place of ducts of C. Acute purulent odontogenic
the third and fourth order lymphadenitis
D. Acute serous periodontitis of
134. A 12-year-old girl complains tooth 63
of a painful neoplasm under her E. Acute odontogenic osteomyelitis
tongue on the left. It appears during of the upper jaw on the left
eating (especially salty or sour foods)
and then slowly diminishes. Mouth 136. A 40-year-old man came to a
opening is unrestricted. The duct dentist with complaints of a
orifice of the left sublingual salivary neoplasm on the mucosa of the lower
gland is dilated and hyperemic Saliva lip. The neoplasm appeared
is clear and contains pus admixtures. approximately one month ago and is
Bimanual palpation detects an slowly increasing in size.
induration of a part of the duct. Objectively, under the lower lip
Ultrasound reveals a hyperechogenic mucosa there is a formation 0.7 cm in
zone with an " absorption path " What size. The formation is circumscribed,
disease can be characterized by such elastic, painless, round, and
clinical presentation? translucent. The mucosa over the
A. Interstitial parotitis formation is thinned-out, while
B. Sialodochitis surrounding mucosal remains
C. Calculous submaxillitis

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unchanged. What diagnosis can be E. ply a splint with loops for the
made in this case? lower jaw
A. Abscess of a minor salivary gland
B. Papilloma of the lower lip 139. A dentist performs a
C. Cyst of a minor salivary gland preventive examination of a 12-year-
D. Fibroma of the lower lip old girl. Objectively, her face is pale,
E. Lipoma of the lower lip the vermilion border of her lips is dry
and covered in small scales, she has
137. A porcelain-fused-to-metal cracks in the corners of her mouth.
crown is being made for tooth 24 of a Her oral mucosa is pale and
32-year-old patient. At the stage of edematous, while the tongue is bright
fitting the crown, its placement on the red and smooth, with atrophied
tooth stump turned out to be difficult filiform papillae. What general
due to an excess of porcelain and somatic disorder is typically
metal mass on the surfaces that are in accompanied by such signs?
contact with the adjacent teeth. What A. Acute leukemia
can be used to detect the areas with B. Werlhof disease
an excess of the porcelain mass? C. Hemophilia
A. A - D. Von Willebrand disease
B. Chemical pencil E. Iron deficiency anemia
C. Basic wax
D. Corrective impression material 140. A 16-year-old girl came to a
E. Copy paper into the dentist complaining of darkened
crowns of her teeth 11 and 12.
138. A 32-year-old man has been According to the girl, approximately
hospitalized maxillofacial one year ago she had a sports trauma.
department of a clinic. The following Objectively, the crowns of teeth 11
diagnosis has been made: an open and 12 are dark gray, intact. painless
displaced bilateral fracture of the to percussion. The mucosa of the
lower jaw in the area of the gonial alveolar process is unchanged. X-ray
angle. X-ray shows a large diastasis shows round areas of bone tissue
between the fragments and muscle destruction in the region of the root
interposition. What main treatment apices of teeth 11 and 12. These bone
technique should be chosen for this lesions are 0.3-0.4 cm in diameter
patient? and have clear margins. What tactics
A. Perform bilateral osteosynthesis should the doctor choose in this case?
of the lower jaw A. Extraction of teeth 11 and 12
B. Apply a smooth splint-bracket B. Conservative and surgical
C. Make a Port splint for the fixation treatment of teeth 11 and 12
of the lower jaw C. Aesthetic restoration of teeth 11
D. Make a Vankevich splint for the and 21
fixation of the lower jaw D. Conservative treatment of teeth
11 and 12

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E. Monitoring the condition of teeth has lost its natural luster in the
11 and 12 for six months paracervical regions of her teeth 11
and 21. The enamel surface is smooth
141. A 44-year-old man complains and dense to probing. Thermal
of indisposition, fever of 38°C, and a stimulation results are negative. The
swelling under the lower jaw on the lesions can be stained with a 2 %.
left. The patient's history states that aqueous solution of methylene blue.
throughout the last week he felt pain In this case, the infiltration technique
in the area of his tooth 36. was chosen for the treatment of initial
Objectively, in the left caries. What material is used in this
submandibular area there is an technique?
enlarged painful nodule. The skin A. ICON
above the nodule is hyperemic, B. Calcium hydroxide-containing
strained, and cannot be pinched. paste
Tooth 36 is partially destroyed in the C. Glass ionomer cement
oral cavity. What diagnosis can be D. Silver nitrate solution
made in this case? E. Dental compomer
A. Abscess of the submandibular
region 144. A 30-year-old woman came to
B. Acute purulent lymphadenitis a dentist with complaints of an
C. Acute scrous lymphadenitis unpleasant bursting sensation in her
D. Chronic lymphadenitis upper right tooth. Heat makes this
E. Furuncle sensation worse. Objectively, the
masticatory surface of tooth 17 has a
142. A 37-year-old patient has been deep carious cavity that
diagnosed with acute osteomyelitis communicates with the pulp
of the mandible on the right in the chamber. Docp probing is painful.
area of teeth 45, 46, and 47 Percussion of tooth 17 is mildly
Examination detects Vincent's sign. painful. X ray shows slight widening
Name the characteristics of this sign. of the periodontal fissure at the root
A. Intense pain in the area of the apices Electric pulp testing-70
causative tooth microamperes. What diagnosis can
B. Numbness of the soft tissues the be made in this case?
lower lip and chin A. Chronic gangrenoux pulpitis
C. Mobility of the causative tooth B. Acute purulent pulpitis
and its adjacent teeth C. Chronic fibrous pulpitis
D. Presence of an infiltrate on the D. Chronic fibrous periodontitis
both sides of the alveolar process E. Exacerbation of chronic
E. Painful percussion of the granulating periodontitis
causative and its adjacent teeth
145. A 54-year-old woman
143. In a 16-year-old girl, a dentist complains of a neoplasm on her
detected patches of white enamel that lower lip that appeared 6 months ago.

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During the last 20 days, it started the gingival mucosa in the area of
sharply increasing in size. tooth 16, closer to the gingival
Objectively, on the vermilion border margin. The tooth is intact, with the
of the lower lip there is a round gray- II-degree mobility Its horizontal and
red node that protrudes by 0.5 cm vertical percussion is painful. The
above the underlying tissues, is periodontal pocket is 4-5 mm deep.
demarcated, and has a funnel-shaped What diagnosis can be made in this
indent in its center, filled with case?
keratinized masses. The node is A. Periodontal abscess
dense, mobile, and painless to B. Acute serous periodontitis
palpation. What is the most likely C. Exacerbation of chronic
diagnosis in this case? periodontitis
A. Keratoacanthoma D. Maxillary periostitis
B. Verrucous leukoplakia E. Acute suppurative periodontitis
C. Manganotti's chcilitis
D. Verrucous precancer 148. A 38-year-old man has been
E. Papilloma diagnosed with chronic generalized
parodontitis, initial stage.
146. The parents of an 8-year-old Professional oral hygiene was
girl came. to a dental orthodontist performed. What oral care product
complaining of an aesthetic defect in should be recommended to this
their child. Objectively, the lower patient for removal of food debris and
part of the face is shortened, the chin massage of the gums?
is pushed forward, the upper lip A. Toothpicks
sinks. When teeth are closed, reverse B. Irrigator
deep incisal overlap is revealed. C. Hygienic toothbrush
Mesioocclusion is observed laterally. D. Interdental stimulator.
Select the appliance for the treatment. E. Dental floss
A. Frankel functional regulator, type
2 149. A 30-year-old woman
B. Andresen-Haupl activator complains of a painless swelling in
C. Frankel functional regulator, type the area of her right lower jaw. The
1 swelling appeared 6 months ago and
D. Osadchy appliance is slowly increasing in size.
E. Frankel functional regulator, type Objectively, on the body of the lower
3 jaw on the right in the area of teeth 45
and 46. there is a dense neoplasm
147. A 43-year-old man complains 2.5x1.5 cm in size, painless to
of a sharp pulsing pain in the area of palpation. The skin and mucosa over
his right upper jaw. The pain the neoplasm are mobile and without
appeared three days ago. Objectively, discoloration. The oral cavity is
an inflamed round infiltration can be sanated. The teeth on the lower jaw
palpated on the vestibular surface of are intact. The sensitivity of the lower

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lip is unchanged. Regional lymph


nodes are not palpable. X ray detects
a polycystic formation with clear
boundaries in the area of the body of
the mandible on the right. Make the
provisional diagnosis.
A. Ameloblastoma
B. Odontoma
C. Odontogenic fibroma
D. Follicular cyst
E. Osteosarcoma

150. A 52-year-old woman


complains of cosmetic defects in her
teeth that she noticed several years
ago. Objectively, on the vestibular
surfaces in the paracervical areas of
her premolars and incisors, there are
fissure-like defects within the mantle
dentine, formed by smooth glossy
surfaces. The necks of the teeth are
exposed. The gums are firm and pale
pink. The defects are painless when
probed. Make the diagnosis.
A. Cuneiform defect
B. Chronic median caries
C. Pathological wear of teeth
D. Necrosis of dental hard tissues
E. Erosion of dental hard tissues

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