Sample test questions

Krok 2 Stomatology

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Терапевтична стоматологiя 2

1. Biopsy material was obtained temperature of 38.9oC, general fatigue, from the focus of a lesion in the impaired speech, inability to eat. This retromolar space. Pathohistological findings: condition has been recurring for the last cellular polymorphism in the stratum 4 years in autumn and spring. There are spinosum, increased mitotic number, giant vesicles and erosions covered in grayish multinucleate cells, acanthosis, some cells fibrinous coating on the hyperemic and in the stratum spinosum exhibit signs of swollen labial and buccal mucosa. Nikolsky’s parakeratosis, keratin pearls are detected. sign is negative. What is the most likely These pathohistological findings indicate the diagnosis? following disease: A. Erythema multiforme exudativum A. Bowen disease B. vulgaris B. Lupus erythematosus C. Acute herpetic C. D. Nonacantholytic pemphigus D. Lichen ruber planus, verrucous form E. - E. Keratoacanthoma 6. A 36-year-old woman complains of dryness 2. During preventive examination a 40-year- and peeling of her lower lip vermillion border. old man presents with the following changes: Both dryness and peeling have been observed marginal gingiva is enlarged, torus-shaped, for a month. Application of indifferent cyanotic, slightly bleeding when touched with ointments was ineffective. Objectively the a dental probe; there is no pain. Staining the vermillion border of the lower lip is bright gums with Lugol’s iodine solution results in red, moderately infiltrated, and densely light-brown coloring of mucosa. Make the covered in white-gray scales, that cannot be diagnosis: removed without pain and bleeding. The lesion focus contains concave areas, while A. Chronic catarrhal on the periphery there are patches of dull B. Acute catarrhal gingivitis epithelium that look like irregular white C. Exacerbation of chronic catarrhal gingivitis stripes. What is the most likely diagnosis? D. Chronic hypertrophic gingivitis E. Generalized periodontitis A. Lupus erythematosus B. Candidal 3. A patient complains of carious cavity in C. Lichen ruber planus 11. The filling was lost one week ago. D. Leukoplakia The tooth is dark, there is residual E. Exfoliative cheilitis filling material at the bottom of the carious cavity. Vertical percussion is painless. X-ray 7. A 35-year-old woman has complaints of shows an oval area of bone tissue resorption cosmetic defects of the front upper teeth with clear margins, 0.4х0.3 cm in size. The root crowns. The defects have been aggravating canal is filled by 2/3 of its length. What is the for the last 10 years. The patient suffers most likely diagnosis? from unpleasant sensations when brushing her teeth, and when chemical stimuli are A. Chronic granulomatous periodontitis applied. Objective examination revealed B. Chronic fibrous periodontitis defects localized in the enamel of the front C. Chronic granulating periodontitis upper teeth vestibular surface. The defects are D. Radicular cyst oval, saucer-shaped, and have clear margins. E. Exacerbation of chronic periodontitis Response to probing and cold stimuli was positive. Make the diagnosis: 4. A 30-year-old woman complains of mild burning sensation in her lower lip and its A. Enamel erosion dryness. She peels skin scales off with her B. teeth. She has been presenting with this C. Cuneiform defect condition for 10 years. On examination the D. Chemical necrosis of the tooth skin scales are gray and located on the lip from E. Hyperesthesia of tooth hard tissues the Klein’s line to the center of the vermillion border from angle to angle of the mouth. The 8. A 40-year-old man had his root canal of scales are firmly attached in the center and are the 34 tooth filled due to chronic fibrous loose on the periphery. Their forcible removal periodontitis. Soon the treated place became does not result in erosions. What is the most painful. On X-ray the root canal of the 34 likely diagnosis? tooth is filled to the root apex. What tactics should the dentist choose to manage the pain? A. Exfoliative cheilitis B. Lupus erythematosus A. To prescribe physiotherapeutic procedures C. Meteorological cheilitis B. To rinse with antiseptic mouthwash D. Allergic contact cheilitis C. To make insicion along the mucogingival E. Eczematous cheilitis fold D. To provide conduction anesthesia 5. A 32-year-old patient presents with body E. To p r o v i d e i n filtration anesthesia Терапевтична стоматологiя 3

9. A 20-year-old man complains of the area of the 41, 42, 32, and 31 teeth up to spontaneous pain attacks (5-7 minutes) in the 1/3 of the root length. What is the most likely area of 36 that occur for the last 24 hours. diagnosis? Objectively in 36 there is a deep carious cavity on the masticatory surface. Probing is painful A. Localized periodontitis at one point, response to cold stimulus is B. Generalized periodontitis, initial stage painful, with an aftereffect that lasts for 5 C. Generalized periodontitis, stage I minutes. Percussion is painless. X-ray shows D. Catarrhal gingivitis root canals to be slightly curved, canal lumen E. Parodontosis, stage I is clearly visible. The tooth is planned to be used as an abutment for a dental bridge. What 13. A 45-year-old man complains of persisting is the optimal treatment method in this case? dull pain in 46 that occurs in response to thermal and chemical stimuli. Examination A. Vital extirpation of 46 detected in the precervical area of its B. Biological approach vestibular surace a deep carious cavity filled C. Vital amputation with soft pigmented . Probing is sharply D. Devital amputation painful at one point. Cold water stimulus E. Filling of the carious cavity induces a dull pain that gradually intensifies. Make the diagnosis: 10. A 34-year-old man complains of acute spasmodic pain in the region of his upper A. Chronic fibrous pulpitis on the left that is aggravating when affected B. Acute deep caries by cold stimuli. Toothache irradiates to the C. Chronic deep caries ear and temple. He had acute toothache in D. Chronic gangrenous pulpitis the 27 tooth one year ago, but he did not E. Chronic fibrous periodontitis consult a dentist. Pain recurred three days ago. Objectively: the 27 tooth has a carious cavity 14. A 38-year-old man came to the dentist. communicating with the dental cavity.Probing After history-taking and examination he of the opened carious cavity is extremely was found to have exacerbated generalized painful. X-ray picture shows widening of periodontitis of the II degree with periodontal periodontal fissure at the root apex of the 27 pockets 3-5 mm deep. After the local tooth. What is the most likely diagnosis? factors were removed and anti-inflammatory treatment was provided to the patient, it is A. Exacerbation of chronic fibrous pulpitis necessary to remove the periodontal pockets. B. Exacerbation of chronic granulating What method should be applied in this case? periodontitis Curettage C. Exacerbation of chronic fibrous A. periodontitis B. Gingivectomy D. Acute diffuse pulpitis C. Gingivotomy Flap surgery E. Exacerbation of chronic gangrenous pulpitis D. E. Vestibuloplasty 11. A 38-year-old woman complains of burning pain in her lips and angles of her 15. A 38-year-old man, an arc welder, is a mouth, their dryness. She has an 8-year- chain smoker. He came to the dentist to have long history of diabetes mellitus. Objectively: a denture made for him. Howerver, in the the vermillion border is dry, congestively middle of his lower lip against the background hyperemic, covered in scales of variable of unchanged vermillion border there is a size. In the angles of the mouth there are gray-white polygonal lesion 6x4 mm with clear fissures covered in white coating, the skin margins. The lesion is covered with tightly is macerated. What ointment should be attached small scales and is level with the prescribed for topical treatment in the given vermillion border (neither protruding nor case? retracted). Palpation of the lesion focus is painless, the lesion has no thickened base; A. Clotrimazol lateral palpation detects thickened surface B. Interferon of the lesion. Regional lymph nodes are C. Prednisolone unchanged. Make the provisional diagnosis: D. Lanolin E. Erythromycin A. Localized precancerous hyperkeratosis B. Verrucous precancer 12. A 23-year-old man complains of gum C. Lupus erythematosus bleeding when he brushes his teeth or eats D. Cancer of the lower lip solid food. Objectively: the gums of the E. Lichen ruber planus, hyperkeratotic form front lower jaw are hyperemic, swollen and bleeding when palpated. Oral and gingival 16. A 53-year-old patient complains of an mucosa in other areas are not affected. The ulcer on the lateral surface of the tongue. The occlusion is deep. The teeth are firm, except ulcer appeared 6 months ago in the result for the 41 and 31 (degree 1 mobility). X-ray of a trauma caused by sharp tip of the 37 shows resorption of the alveolar septum in tooth metal crown. A dentist replaced the Терапевтична стоматологiя 4 crown with the one of better quality and 20. A 28-year-old patient complains of pain prescribed keratoplastic drugs. Despite these and bleeding of gums in the frontal part of the measures the ulcer continues to grow. Lately upper jaw on the left. Two years ago, the 22 there has been pain during talking, chewing, tooth was covered with a porcelain-fused-to- swallowing; sometimes the pain irradiates metal crown. Objectively: interdental papilla to the pharynx. Objectively: on the lateral between the 21 and 22 tooth is hypertrophied, surface of the tongue there is a painful ulcer markedly hyperemic, overlaps the crown of with uneven raised dense margins and lumpy the 22 by 1/3 of its height, bleeds when floor covered with grayish necrotic coating. touched. Periodontal pocket between the 21 What diagnosis is most likely? and 22 tooth is 4 mm deep. Artificial crown is placed on the gingival margin. X-ray reveals A. Cancer of the tongue lateral surface resorption of the interalveolar septa between B. Trophic ulcer the 21 and 22 tooth by 1/3 of their height. C. Traumatic ulcer Specify a priority action in the treatment of D. Vincent’s necrotizing ulcerative stomatitis this patient: E. Tuberculous ulcer A. Removal of the artificial crown 17. A 20-year-old young woman complains B. Gingivectomy of pain and marked bleeding in her gums C. Anti-inflammatory therapy when she brushes her teeth and eats even D. Curettage of the periodontal pocket soft food. Objectively her gingival mucosa is E. Sclerotherapy swollen, hyperemic and bleeds even on the slightest touch. The teeth are covered with 21. A 45-year-old patient complains of moderate amount of soft dental plaque. What bleeding gums and bad breath. After toothpaste should be recommended to this examination the patient was provisionally patient as a part of complex treatment of her diagnosed with chronic generalized condition? periodontitis of the II degree. To make the final diagnosis, it is necessary to: A. Herbal toothpaste B. Mineral-rich toothpaste A. Perform an X-ray C. Fluoride toothpaste B. Measure the depth of the periodontal D. Antifungal toothpaste pockets E. Gel toothpaste with microelements C. Determine teeth mobility D. Perform Kulazhenko test (capillary 18. A 50-year-old man complains of gum resistance test) discoloration, pain when eating spicy food, E. Perform Kotzshke test (periodontal pocket weakness, and irritability. He notes that periodically spots and vesicles appear on his suppuration test) skin. For a long time he has been working 22. A 67-year-old woman complains of an in the galvanic workshop of a factory. On ulcer on her and pain when examination the patient is pale, he has a eating. She has a history of decompensated gray-black border on his gums, and on his valvular heart diseases. Examination detected oral mucosa there are single erosions that are in the posterior portion of her left buccal painful on palpation. What is the most likely region an irregularly shaped ulcer with white- provisional diagnosis? gray coating. Surrounding mucosa is not A. Lead salt poisoning inflamed. Make the provisional diagnosis: B. Necrotizing ulcerative stomatitis (Vincent A. Trophic ulcer stomatitis) B. Necrotizing ulcerative stomatitis C. Mercury salt poisoning C. Cancerous ulcer D. Acute leukemia D. Decubitus ulcer E. Erythema multiforme exudativum E. Tuberculous ulcer 19. A 32-year-old man was diagnosed with 23. A 53-year-old man complains of ulcerative gingivitis. After processing the increased teeth sensitivity to chemical stimuli. patient’s oral cavity with an antiseptic, the Objectively: the gums are pale pink, roots are doctor applied anesthesia and removed dental exposed by 1/3 of their length. Small amount plaque and necrotic coating. Final part of the of dental deposit is observed. The 15, 14, and medical appointment is the application of 24 present with cuneiform defects. Probing of gingival dressing. What etiotropic drug should the exposed cervices and defects is painful. this dressing contain? What is the most likely diagnosis? A. Metronidazole A. Periodontosis, I degree B. Contrykal (Aprotinin) B. Catarrhal gingivitis C. Methyluracil C. Periodontitis, II degree D. Pimafucin (Natamycin) D. Periodontitis, I degree E. Terrilytin E. Ulcerative gingivitis Терапевтична стоматологiя 5

24. An 18-year-old young man complains of a cavity in 27 and pain when eating solid A. Biological approach food. He has a history of severe pain in 27 B. Vital extirpation one year ago; he requested no medical help C. Devital amputation at the time. Objectively on the masticatory D. Devital extirpation surface of 27 there is a deep carious cavity E. Insulating inlay and permanent filling that communicates with the pulp chamber. The cavity is nearly completely filled with 29. A 30-year-old woman addressed a dental overgrown granulation tissue. Probing of surgeon with complaints of uncomfortable the granulations leads to mild pain and sensation of pressure in her upper right tooth, bleeding. Percussion is painless. EPT is 45 which aggravates due to hot stimulus, and foul microamperes. Make the diagnosis: smell from the mouth. Objectively: there is a deep carious cavity in the 17 tooth, which A. Chronic hypertrophic pulpitis penetrates into the tooth cavity. Deep probing B. Chronic fibrous pulpitis causes severe pain, percussion of the 17 tooth C. Chronic hypertrophic gingivitis is painful. X-ray: there is slight widening of D. Chronic fibrous periodontitis the periodontal fissure near the root apex. E. Chronic granulating periodontitis Electric pulp test - 70 microamperes. What final diagnosis can be made? 25. A 25-year-old man complains of a cavity in his lower left tooth, pain after eating sweet, A. Chronic gangrenous pulpitis sour, or solid food. Objectively in tooth 16 B. Chronic fibrous pulpitis there is a deep carious cavity filled with light- C. Acute purulent pulpitis colored softened dentin. Probing of the cavity D. Chronic fibrous periodontitis floor is painful, pain stimulus is painful, but E. Exacerbation of chronic fibrous cold abates immediately after the stimulus is periodontitis removed. What is the most likely diagnosis? 30. A woman complains of pain response A. Acute deep caries to thermal stimuli in her lower right jaw. B. Chronic deep caries The pain quickly abates after the stimulus is C. Acute focal pulpitis withdrawn. Objectively on the masticatory D. Chronic fibrous pulpitis surface of the 26 there is a carious cavity with E. Acute median caries narrow ”entrance” located within the mantle dentin. The dentin is soft and light-colored. 26. A 50-year-old man complains of painful Percussion of the 26 is painless. Make the defect that manifests as a crack in his lower diagnosis: lip. The defect appeared one month ago. Objectively the lower lip is dry, intactness A. Acute median caries of the vermillion border of the lower lip is B. Chronic superficial caries linearly disturbed by a lesion that is located in C. Acute deep caries the middle of the lip, is covered in dried blood, D. Chronic median caries and extends to the labial mucosa. What is the E. Chronic deep caries most likely diagnosis? 31. A 24-year-old patient came to the dentist A. Chronic lip fissure complaining of chalky lesions on the front B. Atopic cheilitis teeth. Objectively teeth 11, 21, 31, 41 present C. Chronic lymphedema of lips with chalky lesions separated by areas of D. Miescher cheilitis granulomatosa healthy unchanged enamel. Lesion surface is E. Melkersson-Rosenthal syndrome coarse; there is no response to thermal stimuli. Childhood years of the patient were spent 27. A group of experts conducts epidemiologic in the area with fluorine level of 1.8 mg/L in investigation of certain age groups by severity drinking water. Make the diagnosis: of signs of periodontal damage and their need for treatment. What index allows to study A. Endemic fluorosis these criteria? B. Enamel hypoplasia C. Enamel hyperplasia A. CPITN (WHO) D. Acute superficial caries B. PMA (Parma) E. Chronic superficial caries C. PDI (Ramfjord) 32. A 48-year-old patient has come to D. OHI-S (Green-Vermillion) the hospital with complaints of defects in E. PI (Russel) the paragingival area and slight sensitivity 28. During the treatment of acute deep caries to thermal stimuli. Objectively: there are in 16 in an 18-year-old girl, the pulp chamber hard tissue defects that resemble a wedge was accidentally perforated. Perforation is with smooth polished walls on precervical punctate and located in the area of a pulp vestibular surface of the 23 and 24 teeth. horn. What treatment tactics would be Thermal test is slightly positive. What is the advisable in this case? most likely diagnosis? Терапевтична стоматологiя 6

A. 3 A. Cuneiform defect B. 4 B. Enamel necrosis C. 2 C. Acute deep caries D. 1 D. Enamel erosion E. 5 E. Endemic fluorosis 37. A 35-year-old patient undergoes treatment 33. A 34-year-old man presents with persisting of chronic fibrous pulpitis of tooth 25. dull pain in his tooth, which aggravates on The canal is to be filled using the warm biting. One week ago the tooth was treated for gutta-percha vertical condensation technique. deep caries. Objectively on the masticatory What instrument is needed for gutta-percha surface of tooth 36 there is a filling, percussion condensation? is painful, there is a supracontact observed in the area of 36. X-ray shows unchanged A. Plugger periodontium. What mistake was made when B. Spreader tooth 36 was being filled? C. Endodontic probe D. Root needle A. High filling E. K-file B. Filling without insulation layer C. Gingival attachment is disturbed 38. A 27-year-old woman complains of an D. Insulation layer exceeds borders of the aesthetical defect in the area of her upper dentinoenamel junction central incisors. She was diagnosed with E. Filling without medicinal substance sealed chronic deep caries, Black class IV. Aesthetic inside restoration of teeth 11 and 21 is planned. What material has optimal combination of 34. A 35-year-old man complains of persisting strength and aesthetical properties? pain in tooth 24, which intensifies on biting. Objectively on the distal masticatory surface A. Hybrid composites of tooth 24 there is a deep carious cavity B. Macrofilled composites filled with food debris. Percussion of cavity C. Microfilled composites bottom is painless, there is no pain response D. Compomers to thermal stimuli. Percussion of tooth 24 is E. Liquid composites acutely painful. X-ray shows no pathologic changes of periapical tissues in the area of 39. A 30-year-old man complains of lost root apices of 24. What is the most likely dental filling on his upper right jaw. diagnosis? Objectively in tooth 16 there is a deep carious cavity filled with dense pigmented dentin. A. Acute serous periodontitis What dentin layer forms as the result of tooth B. Acute suppurative periodontitis irritation in the course of caries process? C. Acute suppurative pulpitis D. Acute diffuse pulpitis A. Tertiary E. Exacerbation of chronic periodontitis B. Secondary C. Primary 35. A 38-year-old man complains of sensation D. Hybrid of a foreign body on his tongue and E. Predentin development of gag reflex during talking. The signs appeared after the prolonged 40. A 32-year-old man was diagnosed with taking of antibiotics. Objective examination chronic fibrous pulpitis of tooth 27. Vital detected thickened and pigmented filiform extirpation is chosen as the treatment method. papillae enlarged to 2-3 cm in size. Amide anesthetic is to be used for tuberal and Histologically papillar hyperplasia and palatal anesthesia. What anesthetic solution marked keratinization without changes in the needs to be administered in this case? surrounding tissues were detected. What is A. 3% mepivastesin (mepivacaine) the most likely diagnosis? B. 5% anaesthesin (benzocaine) A. C. 10% lidocaine B. Median rhomboid D. 2% novocaine (procaine) C. E. 2% dicain (tetracaine) D. Glossitis areata exfoliativa E. 41. During preventive examination, a 20-year- old man was found to have enamel defects 36. A new dental polyclinic is being opened that look like irregularly shaped coarse white in the city. There are to be 38 doctors spots in the vestibular precervical area of in the department. How teeth 11 and 12. The spots stain with 2% many department heads should supervise methylene blue solution. Make the diagnosis: this number of personnel according to the normatives? Терапевтична стоматологiя 7

A. Acute initial caries of teeth 11 and 12, Black would be optimal in this case? class V B. Acute superficial caries of teeth 11 and 12, A. Professional teeth cleaning and Black class V remineralization therapy C. Acute initial caries of teeth 11 and 12, Black B. Professional teeth cleaning and filling of class III teeth 12, 11, 21, and 22 D. Acute superficial caries of teeth 11 and 12, C. Postpone the treatment until 30 weeks of Black class III gestation E. Focal enamel hypoplasia of teeth 11 and 12 D. Remineralization therapy and filling of teeth 12, 11, 21, and 22 42. An 18-year-old young man complains of E. Professional teeth cleaning, tooth sensitivity in his lower left jaw when remineralization therapy, and filling of teeth eating sweet food. Examination shows enamel 12, 11, 21, and 22 defects in the fissures on the masticatory surface of tooth 37. The enamel there is dull 45. After extraction of tooth 46, a 41-year- white and fragile when (chips off) probed. old man noticed a dark defect on the distal Make the diagnosis: contact surface of tooth 45. The defect is limited to the enamel, has blurred margins A. Acute superficial caries of tooth 37 and dark brown color. The affected tissue B. Chronic superficial caries of tooth 37 crumbles when probed. Make the diagnosis: C. Acute initial caries of tooth 37 D. Chronic initial caries of tooth 37 A. Chronic superficial caries, Black class II E. Chronic median caries of tooth 37 B. Chronic initial caries, Black class IV C. Chronic median caries, Black class IV 43. A 28-year-old woman came to the dentist D. Chronic initial caries, Black class II for oral cavity sanation. She was diagnosed E. Chronic superficial caries, Black class IV with acute deep caries of tooth 24. She has a history of seasonal allergic rhinitis and 46. A 25-year-old man was diagnosed with drug allergy that manifests as a skin rash acute deep caries of tooth 13, Black class V. and Quincke edema. She does not remember Photopolymer composite material is planned whether she has been given local anesthesia to be used for aesthetical restoration of tooth at the dentist’s office previously. What tactics 13. What material should be used as a lining should the dentist choose regarding the for the floor of the carious cavity in this case? anesthesia in this case? A. Calcium-containing paste A. Referral to the allergologist for consultation B. Dentin paste and anesthetic allergy testing C. Devitalizing paste B. Perform a cutaneous anesthetic allergy test D. Resorcin-formalin paste in the dental chair immediately before giving E. Iodoform paste anesthesia C. Perform an anesthetic scratch test in 47. A patient needs endodontic treatment of the dental chair immediately before giving tooth 21. The canal is being processed with anesthesia manually operated endodontic instruments. D. Use amide local anesthetic Name one such instrument made by means E. Use ether anesthetic of conical spiral threading (turning) of a steel wire with round cross-section (milling): 44. A 20-year-old pregnant woman with the term of 22 weeks complains of thermal A. H-file sensitivity of her upper front teeth. The B. K-file sensitivity developed one month ago. She was C. K-reamer diagnosed with acute initial caries of teeth 12, D. Spreader 11, 21, 22, Black class V. Fedorov-Volodkina E. Plugger hygiene index is 1.8. What treatment tactics Хiрургiчна стоматологiя 8

1. A 66-year-old woman complains of dull 21; periodontal fissure is visible. Make the pain in her left parotid-masseteric region provisional diagnosis: and increasing facial assymetry that she first noticed 2-3 months ago. Objectively the A. Nasopalatine duct cyst patient is undernourished, pale, and suffers B. Follicular cyst of the from the left-sided paresis of the mimic C. Radicular cyst of the maxilla muscles. In front of her earlobe, there is D. Maxillary ameloblastoma a lumpy infiltration without clear margins. E. Giant-cell tumor of the maxilla The infiltration is 4x5 cm in size. It is fused to the surrounding tissues and moderately 5. A 28-year-old man complains of pain in the painful. No saliva could be produced from the infraorbital and parotid region on the left. On duct of the left parotid gland. Submandibular examination: hemorrhage occurs in the lower and cervical lymph nodes on the left are eyelid and conjunctiva of the left eye, there enlarged. Survey X-ray of the shows are signs of crepitation and step deformity of no changes in the structure of the bone tissue. the eyesocket lower edge. The mouth opens What is the most likely diagnosis? by 1 cm. Make the diagnosis: A. Adenocarcinoma A. Zygomatic bone fracture B. Actinomycosis of the left parotid-masseteric B. Malar arch fracture region C. Left articular process fracture C. Herzenberg pseudoparotitis D. Traumatic arthritis of the D. Mixed tumor of the left parotid gland temporomandibular joint E. Exacerbated chronic E. Hematoma of the infraorbital region 2. After extraction of tooth 27 the dental 6. A patient received a chemical burn to the surgeon suspected that the maxillary face. The burn was caused by sulfuric acid. sinus was perforated. To clarify this What substance should be used in the wound provisional diagnosis the doctor desided to processing to neutralize this acid? conduct an oronasal communication test A. Alkali (Valsalva maneuver). What manipulations are B. Flowing water necessary for this test? C. Antiseptic A. Pinch the nostrils together to occlude the D. Acid patient’s nose and ask the patient to blow E. Alcohol through the nose, while observing the socket 7. A 50-year-old man was diagnosed with of 27 recurrent with the sialolith B. Pinch the nostrils together to occlude the located deep within the submandibular patient’s nose and ask the patient to blow salivary gland. Choose the optimal treatment through the mouth, while observing the socket tactics: of 27 C. Ask the patient to blow through the nose, A. Submandibular gland excision while observing the socket of 27 B. Radiation therapy D. Ask the patient to inhale through the nose, C. Sclerotherapy pinch the nostrils together, and exhale through D. Removal of the sialolith while retaining the the mouth gland E. Ask the patient to blow through the mouth, E. Conservative pharmacotherapy while observing the socket of 27 8. An 18-year-old girl needs consultation 3. The 15 tooth must be extracted. The tooth of the dentist regarding a neoplasm that crown is retained. What instrument should be appeared in the frontal area of her face. used in this case? On the frontal area there is a pink-red semicircular spot on her skin 3-4 cm in size, A. Forceps with S-shaped handles with clear margins. When pressed, the skin in B. Straight forceps the affected area discolors and becomes pale. C. Bayonet forceps As soon as the pressing stops, the skin again D. Left-sided forceps with S-shaped handles assumes its pink-red color. When the patient E. Right-sided forceps with S-shaped handles bows her head, the spot darkens and enlarges 4. A 48-year-old man complains of a in volume; when the patient lifts her head, the tumor-like formation on the hard palate. spot gradually returns to its initial pink-red Examination detected a semi-spherical color. Make the diagnosis: protrusion with clear margins in the anterior A. Capillary hemangioma portion of the palate. Teeth 11 and 21 are B. Cavernous hemangioma intact. X-ray shows a homogeneous focus of bone tissue rarefaction. The focus is C. Birthmark (nevus) 3.5x2.5 cm and has clear margins. Against D. Lymphangioma Neurofibromatosis the background of rarefied bone tissue E. there are projections of intact teeth 11 and 9. A 30-year-old patient is diagnosed with Хiрургiчна стоматологiя 9 acute suppurative odontogenic periostitis of A. Chronic osteomyelitis the upper left jaw originating from tooth 23. B. Acute osteomyelitis The crown of 23 on the left is destroyed with C. Exacerbation of chronic osteomyelitis caries by 1/3. Teeth 22 and 24 are intact. Spot- D. Chronic periostitis film X-ray shows widening of the periodontal E. Actinomycosis fissure of 23. What treatment would be the most advisable in this case? 13. A 29-year-old man came to the surgery department of a dental hospital. He A. Periosteotomy and pharmacotherapy complains of painful facial swelling on the followed by treatment of the causative tooth right that appeared 1.5-2 months ago and B. Extraction of the causative tooth, has been gradually increasing since then. periosteotomy Objectively mouth opening is unrestricted, C. Extraction of the causative tooth, the face is asymmetrical due to a swelling in physiotherapy the right parotid-masseteric region. The skin D. Extraction of the causative tooth, over the edema is hyperemic and swollen; pharmacotherapy palpation detects a painful infiltration 3 cm E. - in size. Massage in this region results in discharge of clear saliva from the excretory 10. A 45-year-old man presents with facial duct of the right parotid salivary gland. What asymmetry due to a dense isolated infiltration disease can be suspected in this case? in his right buccal area; the skin over the infiltration is cyanotic, thinned out; in the A. Chronic suppurative lymphadenitis of the center of the infiltration there is a fistula. In right parotid-masseteric region the oral cavity the crown of 46 is destroyed B. Acute suppurative parotitis on the right by 2/3, along the mucogingival fold the band C. Furuncle of the right parotid-masseteric connecting the tooth with the fistula can be region palpated. Make the diagnosis: D. Chronic interstitial parotitis on the right E. Submasseteric abscess on the right A. Migrating facial granuloma B. Chronic mandibular osteomyelitis 14. A 25-year-old woman made an C. Cheek furuncle appointment with the dental surgeon for D. Odontogenic lymphadenitis oral cavity sanation. Objectively the crown E. Actinomycosis of tooth 37 is destroyed by 2/3. Gingival mucosa around tooth 37 is without changes. 11. A 28-year-old man has received a hit What anesthesia should the dental surgeon to the chin. He complains of pain in the give to the patient for the procedure of tooth right side of his face. Examination shows extraction? asymmetrical face due to tissue swelling in the upper right parotid area, mouth opening A. Mandibular and buccal anesthesia is painful, limited, the jaw is displaced to the B. Intraoral infraorbital nerve block right, right-sided is observed. Make C. Tuberal anesthesia the provisional diagnosis: D. Mandibular anesthesia E. Mental nerve block A. Displaced traumatic fracture of the cervix of the mandibular articular process 15. A 28-year-old man came to the B. Displaced traumatic unilateral fracture of maxillofacial surgery department. He the body of the mandible complains of a cutaneous neoplasm in his C. Displaced traumatic double fracture of the right submandibular region. The neoplasm body of the mandible appeared approximately 2 years ago. In D. Displaced traumatic mental fracture of the the process of shaving, the neoplasm mandible was frequently injured. He was diagnosed E. Displaced traumatic central fracture of the with papilloma. In the neoplastic area, mandible examination shows an ulcer against the background of hyperemic skin. What tactics 12. A 35-year-old man has been hospitalized should the dental surgeon choose? into a maxillofacial unit with complaints of mobility of the 38, 37, and 36 teeth and a A. Prevention of malignant transformation of fistulous tract in the socket of the extracted 35 the papilloma. Removal of the papilloma tooth. The condition has been persisting for B. Antibacterial and anti-inflammatory over 3 months. Insertion of a grooved probe therapy, observation into the fistulous tract palpated exposed C. Removal of the papilloma and postoperative coarse bone fragment that easily moved under radiation therapy pressure. X-ray of the lower jaw demonstrates D. Anti-inflammatory therapy followed by a focus of bone tissue destruction, with a spot removal of the papilloma of dense bone tissue 0.5х0.3 cm in size. Make E. Anti-inflammatory therapy followed by the diagnosis: observation 16. The dental surgery department received a Хiрургiчна стоматологiя 10 women with complaints of swollen right side 20. A man complains of destroyed crown of of the fase and indisposition. According to the 16 tooth. Objectively the crown portion her medical history, one week ago she sensed of the 16 tooth is completely destroyed. The itching in the right side of her face and noticed patient is diagnosed with chronic granulating there a small dense nodule. She started periodontitis of the 16 tooth and this tooth to apply various ointments. Swelling was needs to be extracted. What type of anesthesia gradually increasing, the woman developed should be used for this procedure? pain and fever. Objectively her condition is of moderate severity, body temperature A. Tuberal and palatal anesthesia is 39oC. Her right buccal region is swollen, B. Infraorbital anesthesia with hyperemic skin; in the center there is an C. Tuberal anesthesia oval edema elevated above the surrounding D. Infraorbital and tuberal anesthesia tissues with a black scab visible on its apex. E. Tuberal and incisor anesthesia Palpation detects a painful infiltration, 3.5 cm in diameter, and enlarged and painful 21. During application of tuberal anaesthesia submandibular lymph nodes. Mouth opening the patient developed rapidly increasing is slightly impaired, oral cavity is clean. Make tissue edema and reduced mouth opening. the diagnosis: What resulted in such a condition? A. Furuncle A. Vascular trauma B. Carbuncle B. Muscle trauma during anaesthesia C. Phlebitis of the facial vein application D. Acute lymphadenitis C. Nerve trunk trauma E. Acute lymphangitis D. Intolerance to the anaesthetic E. Anaphylactic shock 17. A 38-year-old man after a domestic accident complains of pain and mobility 22. A 38-year-old man needs to have his of his upper teeth, problems with eating. 12 tooth extracted. What type of anesthesia Objectively: soft tissues edema. The 11 and 21 should be used in this case? teeth are displaced towards the palate, mobile A. Infraorbital and incisor (II degree), painful on percussion. Mucosa B. Infraorbital and palatal surrounding the affected teeth is hyperemic C. Incisor and swollen. X-ray demonstrates widened D. Infraorbital, palatal and incisor periodontal fissure of the 11 and 21. Choose E. Infraorbital the treatment method: 23. A woman came to the dental surgeon A. Setting of the teeth and their fixation with a with complaints of teeth mobility. After flat occlusal splint objective examination and X-ray analysis she B. Extraction of the 11 and 21 teeth was diagnosed with generalized periodontitis C. Removal of tooth pulp in the 11 and 21 of the 1-2 degrees of severity. Which teeth teeth of those affected by periodontitis should be D. Immobilization with mouthguard extracted? E. - A. With degrees 2-3 of tooth mobility 18. A patient was diagnosed with cancer of the B. Intact teeth right parotid gland, T2N2M0. What treatment C. Teeth with painful percussion method should be chosen in this case? D. With degree 1 of tooth mobility Carious teeth A. Combined therapy E. B. Radiation therapy 24. After the inflammatory process in the C. Chemotherapy parotid area a woman developed frequent D. Surgical removal of the neoplasm pain attacks resembling electric current in her E. Surgical removal of the lymph node face on the right. The attacks last for 15-20 minutes. The most likely diagnosis is: 19. A 27-year-old woman complains of general weakness and pain in her lower jaw during A. Trigeminal neuralgia swallowing. Two days ago she developed pain B. Tympanic plexus neuralgia in tooth 38. Mouth opening is impossible. C. Trigeminal neuritis What anesthesia should be given to the D. Exacerbation of chronic maxillary sinusitis patient before examination of the oral cavity E. Exacerbation of chronic osteomyelitis and extraction of 38? 25. A woman complains of a neoplasm in her A. Berchet-Dubov sublingual area. The neoplasm makes eating B. Mental and speaking difficult. In the sublingual area C. Verlotsky examination detects a soft-elastic neoplasm D. Tuberal 1cm in diameter with smooth surface and E. Infiltration clear margins. The sign of fluctuation is noticeable on palpation. Oral mucosa is Хiрургiчна стоматологiя 11 stretched tightly over the neoplasm and is 29. A 2-year-old child received a dental blue-tinged and semi-transparent. What is the trauma. Objectively the crowns of 51 and most likely diagnosis? 61 are shorter than the crowns of adjacent teeth by 1/3. Mucosa in the area of 51 and A. of the sublingual gland 61 is hyperemic and swollen. X-ray shows no B. Adenolymphoma periodontal fissure in the apical area of the C. Mixed tumor of the submandibular gland roots of 51 and 61. What treatment tactics D. Hemangioma of the submandibular region would be optimal in this case? E. Calculous sialoadenitis A. Dispensary observation 26. An 18-year-old girl in her childhood B. Extraction of teeth 51, 61 underwent a surgery for complete bilateral C. Reposition of teeth 51, 61 cleft upper lip. Examination detects multiple D. Ligature splinting scars on the markedly flat upper lip. There E. Reimplantation is no visible asymmetry, but the upper lip is slightly deformed. Wide bases of the wings 30. A 48-year-old woman complains of of her nose are symmetrically displaced low-grade fever and a gradually enlarging laterally and posteriorly. Her nasal septum ulcer on her gingival mucosa near the is shortened. The tip of the nose is bifurcated molars; the teeth in the affected area are and drawn to the upper lip. Her nasal dorsum mobile. Objectively on the gingival mucosa is arcuate. What changes occurred in the between the lower left molars there are patient’s ? two superficial sharply painful ulcers with undermining margins. Floor of the ulcers A. The upper jaw is underdeveloped, the is granulated and covered in yellow-gray intermaxilla is frontally displaced due to coating. Small tubercles surround the ulcers. interrupted labial muscle layer Tooth cervices are exposed, pathologic tooth B. The lower jaw is underdeveloped due to mobility is observed. Regional lymph nodes reduced masticatory load, the upper jaw is are enlarged, painful, and matted together flattened into dense clusters. Make the provisional C. The upper jaw is underdeveloped in its diagnosis: frontal area, while its lateral areas remain without pathologic changes A. Tuberculosis D. Both upper and lower jaws are B. Syphilis underdeveloped due to reduced masticatory C. Acute load and flattened in their frontal areas D. Cancerous ulcer E. Both upper and lower jaws are flattened E. Trophic ulcer in their lateral areas due to disturbed nasal breathig 31. A 36-year-old man complains of an ulcer on his lower left lip. Three weeks ago a smal 27. A man complains of pain in his lower right round red spot appeared on his lip. Eventually jaw and impaired mouth opening. Objectively it became more dense and noticeable and 2- on visual examination his face is symmetrical, 3 days ago developed an ulcer in its center, mouth opening is slightly impaired, while under the lower jaw appeared multiple of the 1 degree is observed. Mucosa behind painless nodules. Objectively on the mucosa tooth 47 is swollen, hyperemic, and painful on of the lower left lip there is an oval ulcer, palpation. Medial cusps of tooth 48 are visible, 1.2 cm in diameter, with smooth clear margins while the tooth itself has not fully erupted. and bright-red glossy floor. Ulcer edges form a What provisional diagnosis can be made? cushion that smoothly descends to the bottom of the ulcer. In the base of the ulcer there is A. a dense painless infiltration. Submandibular B. Exacerbation of chronic granulating lymph nodes are enlarged and painless, the periodontitis skin over them remains unchanged. This C. Acute odontogenic osteomyelitis clinical presentation corresponds with the D. Acute odontogenic periostitis following disease: E. Abscess of the pterygomandibular space A. Syphilis (initial period) 28. A 37-year-old woman came to the dentist B. Ulcerative cheilitis to have her 25 tooth extracted. What type of C. Lip cancer anesthesia should be used in this case? D. Trophic ulcer E. Lupus erythematosus A. Unilateral tuberal, infraorbital, and palatal anesthesia 32. The maxillofacial surgery unit received a B. Unilateral infraorbital and palatal patient with complaints of inability to close anesthesia his mouth. This condition occurred when C. Unilateral tuberal and palatal anesthesia the patient was biting an apple. Objectively D. Unilateral infraorbital and incisor there is a frightened expression on the anesthesia patient’s face, the mouth is open wide, the E. Unilateral central anesthesia chin is displaced to the left, salivation is Хiрургiчна стоматологiя 12 observed. Palpation through the external wound was initially bleeding, but by the acoustic meatus detected no movements of time of examination the bleeding has already the right articular head. What is the most stopped. Objectively in the area of the right likely diagnosis? cheek there was a wound 4x1 cm with even margins that does not penetrate into the oral A. Right temporomandibular joint dislocation cavity and is filled with clotted blood. What B. Fracture of the mandibular process sutures should be applied to the wound in this C. Acute temporomandibular arthritis case? D. Temporomandibular joint pain dysfunction syndrome A. Primary blind suture E. Bilateral temporomandibular joint B. Primary apposition suture dislocation C. Primary approximation suture D. Early secondary suture 33. A 37-year-old patient has symmetrical E. Late secondary suture face; the mucosa in the area of the 12 tooth root apex projection is pale pink; palpation is 38. A 22-year-old patient has suffered painless; the tooth crown is destroyed by 1/3; unilateral linear fracture in the area of the percussion is painless. X-ray: the root canal of gonial angle. Immobilization was provided the 12 tooth is filled to the apex; granuloma with full dental brace with loops and 4 mm in diameter surrounds the root apex. intermaxillary elastic expansion. Recovery Choose the method of surgical treatment: was uncomplicated. The brace should be removed after: A. Granuloma removal with root apex resection A. 3 weeks B. Root hemisection B. 2 weeks C. Coronary radicular tooth separation C. 1 week D. Root amputation D. 10 days E. Tooth extraction E. - 34. A patient is diagnosed with mandibular 39. A 25-year-old man was brought to the ameloblastoma. What type of surgery is hospital for specialized medical care 48 hours recommended for this patient? after he received a shrapnel wound of the maxillofacial area. Examination shows a A. Mandibular resection at the distance of 1.5 large gaping wound of irregular shape in the cm from the lesion focus soft facial tissues. Wound edges are infected B. Tumor curettage within healthy tissue and swollen. What type of surgical wound C. Tumor cryodestruction treatment should be conducted at this stage? D. Cystectomy E. Only conservative treatment A. Late primary B. Early primary 35. A 48-year-old man presents with C. Secondary verruciform, dense, gray-white growths on the D. Delayed primary buccal mucosa. The growths protrude above E. - the neighbouring tissues and are surrounded by keratinized gray-white spots that cannot be 40. An 18-year-old girl complains of pain in scraped off. Make the provisional diagnosis: her parotid regions and general indisposition. Examination shows bilateral swelling of the A. Verrucous leukoplakia parotid regions, painful mouth opening. In B. Erosive leukoplakia the oral cavity, mucosa near the openings C. Bowen’s disease of parotid salivary glands is hyperemic D. Erythroplasia of Queyrat and swollen. There are signs of general E. Papillomatosis intoxication: body temperature of 38oC and myalgia. Make the provisional diagnosis: 36. During preventive examination a patient was diagnosed with precancerous A. Acute epidemic parotitis hyperkeratosis of the lower lip vermillion B. Acute non-epidemic parotitis border. What treatment should be prescribed? C. Phlegmon of the parotid-masseteric region D. Acute suppurative lymphadenitis A. Surgical removal of the focus within healthy E. Herzenberg pseudoparotitis tissues B. Surgical removal of the focus within healthy 41. A 29-year-old man is diagnosed with tissues + close-focus roentgenotherapy medial maxillary fracture. The line of the C. No treatment is required fracture is symmetrical on both sides. In this D. Surgical removal of the focus within healthy case sensory perception in the teeth and tissues + chemotherapy mucosa is likely to be disturbed within the E. Palliative treatment following interval: 37. A 21-year-old man 3 hours ago received a knife wound to the right cheek; the Хiрургiчна стоматологiя 13

A. From tooth 15 to tooth 25 A. Diseases of periodontal tissues B. From tooth 11 to tooth 21 B. Delayed growth of the jaw C. From tooth 13 to tooth 23 C. Overcrowding of the front teeth D. From tooth 18 to tooth 28 D. Parafunction of mimic muscles E. Sensitivity of the teeth and mucosa will E. Deep occlusion remain undisturbed 44. To extract tooth 27, the patient was given 42. A 28-year-old woman complains of tuberal and palatal anesthesia. When the dull pain when biting on tooth 16. Upon needle was being pulled out from the soft examination she was diagnosed with tissues after the palatal anesthesia, the patient exacerbation of chronic periodontitis. She is developed bleeding. What should be done to prescribed extaction of tooth 16. What forceps stop the bleeding in this case? should be used for tooth extraction in this case? A. Press the place of injection with a tampon B. Place sutures A. S-shaped right forceps C. Intravenous administration of 10% calcium B. S-shaped left forceps chloride solution C. Straight forceps D. Intramuscular administration of vicasol D. Beak-shaped non-crushing forceps (menadione) E. Beak-shaped curved forceps E. Ligate the external carotid artery 43. A patient is prescribed mandibular 45. How often should a dentist’s office be vestibuloplasty. What pathology is likely to thoroughly cleaned? occur if the vestibule of the mouth is too shallow? A. No less than once a week B. No less than once a month C. No less than once a year D. No less than once every 2 weeks E. No less than twice a week Ортопедична стоматологiя 14

1. A removable full denture for the lower jaw teeth misalignment as a part of complex treatment is being made for a 75-year-old man. Objectively of : the alveolar process is slightly atrophied. Herbst tests are performed during fitting of an impression A. Palatal plate with vestibular arch tray. When lips are stretched forwards the tray B. Bynin appliance slips off. Where should the tray edge be shortened C. Schwartz appliance in this case? D. Katz crown E. Palatal plate with inclined plane A. From canine to canine on the vestibular side B. From canine to canine on the lingual side 7. A 39-year-old woman complains of teeth C. From behind the mandibular tuberosity to the mobility in her lower jaw. Objectively her dental mylohyoid line formulaisasfollows:17161514131211/21 D. Along the mylohyoid line 22 23 24 25 26 27, 47 46 45 44 43 42 41/31 32 E. In the premolar area on the lingual side 33 34 35 36 37. The teeth are intact, crowns are tall. Gingival pockets and mobility of the I and 2. A 40-year-old man presents with a medial II degrees are observed in teeth 42 41/31 32. To defect of the hard palate 2x3 cm in size. Dentition immobilize the mobile teeth, a cap splint with is intact. What type of obturator would be optimal fixed crowns was made for 43/33. What type of in this case? stabilization provides this splint? A. Palatal plate A. Frontal B. Plate prosthesis with obturator B. Parasagittal C. Pomerantseva-Urbanska obturator C. Frontal-sagittal D. Floating obturator D. Sagittal E. Ilina-Markosian obturator E. Circumferential 3. After a clasp-retained (bugel) maxillary 8. A 35-year-old man suffers from localized denture is made, it is necessary to assess the periodontitis of the front teeth on his lower quality of the newly-made construction. Width jaw. Objectively on the upper jaw his dentition of the denture arch should be: is uninterrupted, while on the lower jaw teeth 48, 47, 46, 45, 35, 36, 37, 38 are missing, other A. 5-8 mm teeth present with mobility of the II degree, B. 1.5-2 mm tremata, and diastema. What tactics should a C. 3-5 mm prosthodontist choose in this case? D. 10-12 mm E. 12-15 mm A. Orthodontic treatment followed by splinting and prosthesis-making 4. A 32-year-old woman needs a denture. After B. Restore the height of the occlusion with a objective examination the decision was made in partial removable laminar denture favor of porcelain-fused-to-metal crown. What C. Restore the height of the occlusion with a material should be used in this case to obtain the clasp-retained (bugel) denture impression? D. Splinting of the mobile teeth followed by prosthesis-making A. Stomaflex E. Temporary splinting of the teeth on the lower B. Repin jaw C. Stomalgin D. Stens 9. What medical establishment provides dental E. Orthocor and prosthodontic (making of splints, appliances, 5. A 60-year-old patient came to the maxillofacial and dentures) treatment for those who received inpatient department. He complains of pain, maxillofacial injuries on the battlefield? bleeding, and chewing problems. He has a history A. Specialized surgical field hospital of mandibular trauma at the level of the central B. Separate medical battalion incisors. Objectively the traumatized place is C. Separate medical platoon swollen, mouth opening is unrestricted. He was D. Evacuation hospital diagnosed with medial mandibular fracture. E. Civilian medical establishment Both jaws are edentulous. What splint would be optimal in this case? 10. One of the stages of making a removable full denture includes fitting of an impression tray A. Port gingival splint and obtaining the functional impression. What B. Limberg gingival splint material is applied to the edges of the impression C. Rudko appliance tray? D. Gunning gingival splint E. Vankevych dentogingival splint A. Orthocor B. Plaster 6. A 43-year-old woman complains of C. Kromopan mobility and displacement of her upper D. Thiodent front teeth. Objectively: dental formula is E. Stomalgin 17 16 15 14 13 12 11 21 22 23 24 25 26 27 . 47 46 45 44 43 42 41 31 32 33 34 35 36 37 11. The 40-year-old woman complains of inability Teeth 12 11 21 22 are slanted towards to properly masticate due to the loss of the the vestibular side, diastema and tremata are following lateral teeth: 18, 16, 15, 25, 26, 28, observed, I-II degree teeth mobility is detected. 38, 35, 36, 44-46, and 48. The rest of her Select the orthodontic appliance for correction of teeth present with the I-II degree of mobility. Ортопедична стоматологiя 15

Generalized periodontitis is observed. What What type of denture would be optimal for this denture construction would be optimal in this patient? case? A. Clasp-retained (bugel) dentures with splinting A. Removable dental splint elements B. Metal-based denture B. Metal-based dentures C. Removable laminar denture C. Non-removable full cast dental bridges D. Fixed dental bridge D. Removable partial laminar denture E. - E. - 12. A 55-year-old patient requires a denture. 17. An 18-year-old patient with complaint of Objectively: Kennedy’s I class dentition defect; large diastem has made an appointment with the 16, 17, 18, 26, 27, and 28 teeth are missing. prosthodontics specialist. Objectively: there is The patient presents with fixed occlusion. The full lateral displacement of central incisors due 15 and 25 teeth have low crowns with poor to absence of the 12th and 22nd teeth. What anatomic contours, intact. Clasp-retained (bugel) instrument is the most advisable for moving the removable partial denture is being made for the central incisors closer together? patient. What fixation system would be optimal in this case? A. Korkhaus appliance B. Vasylenko appliance A. Telescopic fixation C. Simple cotton ligature B. Attachments D. Kalvelis appliance C. Roach clasp (clammer) E. Begg appliance D. Aker-Roach combined clasp (clammer) E. Continuous clasp (clammer) 18. A 25-year-old man complains of incorrectly positioned maxillary left central incisor due to 13. A 54-year-old patient is prescribed full cast trauma sustained 2 months ago. Objectively tooth porcelain-fused-to-metal dental bridges for the 21 is rotated around its axis into palatal position. upper and lower jaws. What type of impression What would be the most advisable treatment material should be chosen in this case? method for correction of this defect? A. Silicone A. Orthodontic treatment B. Plaster B. Surgical treatment C. Thermoplastic C. Instrumental surgical treatment D. Zinc oxide eugenol D. Splinting followed by prosthetic treatment E. Alginate E. - 14. A 28-year-old patient complains of aesthetical 19. A 46-year-old man needs a classic 2-stage defect. Objectively the crowns of 12, 11, 21, 22, surgical installation of implants into the upper and 23 are destroyed by caries by over 2/3 of their jaw. How long should be the interval between heights. The patient has orthognathic occlusion. stages 1 and 2? X-ray shows the root canals of these teeth to be completely filled; no pathologic changes detected A. 3-6 months in the periapical tissues. What approach to teeth B. 1 month restoration would be optimal in this case? C. 1.5 months D. 2 months A. Stump inlays and porcelain-fused-to-metal E. 0.5 months crowns B. Plastic-faced stump inlays 20. A 47-year-old man has lost his lower left C. Crown restoration with photopolymer fillings premolars. After that the teeth at the edges of D. Combined swaged crowns, made in Borodiuk the defect have been gradually sliding inside technique the defect. At the same time the antagonist E. Immediate denture with posts teeth started to protrude toward the edentulous segment of the alveolar bone. In the medical 15. On objective examination a 59-year-old man literature, such clinical presentation is called: with the edentulous mandible presents with bone protrusions and mobile areas of the alveolar crest. A. Popov-Godon phenomenon To ensure proper fixation of the denture and B. Castaigne syndrome even load distribution the following functional C. Papillon-Lefevre syndrome impression should be made: D. Kourliandski phenomenon E. Phenomenon of relative tooth-alveolar A. Differentiated lengthening B. Complete anatomical C. Compression 21. A 57-year-old man presents with habitual D. Decompression mandibular dislocation. To reduce mouth E. Combined opening, Yadrova apparatus was made. How long should the treatment last in this case? 16. A 42-year-old man came to the prosthodontic clinic. He complains of inability to chew his food A. 3 months due to partial loss of teeth. Objectively in the B. 6 months lateral regions teeth 18, 16, 15, 25, 26, 28, 38, 35, C. 9 months 36, 44, 46, 48 are missing. Other teeth present with D. 12 months I-II degrees of mobility. The patient is diagnosed E. 18 months with generalized periodontitis of the II degree. 22. A 27-year-old woman complains of recurrent Ортопедична стоматологiя 16 loss of a tooth filling in the lower right jaw. patient is conscious. What first aid should be Objectively: in the 46 tooth on the masticatory provided for this man? approximal surface there is a defect of hard tooth tissues affecting 1/3 of the tooth crown, no tooth A. Stop the external bleeding, pack the discoloration; positive, quickly abating reaction wound, apply sterile bandage, provide transport to cold stimulus is observed. What denture immobilization construction would be optimal in this case? B. Use a syrette from the personal medical kit to provide anesthesia with 2% promedol A. Dental inlay (trimeperidine) solution B. Combined crown C. Provide primary surgical processing of the C. Porcelain-fused-to-metal crown wound, place the sutures D. Plastic crown D. Position the flaps correctly and place the U- E. Partial crown shaped mattress sutures E. Thoroughly ligate the vessel in the wound, 23. To make the external prosthesis for a 62-year- position the flaps correctly, place the U-shaped old man it is necessary to obtain a Hippocrates mattress sutures, apply sterile bandage facial moulage of this patient. What impression material should be used? 28. The medical station of a regiment received a patient with signs of bilateral mandibular fracture. A. Plaster What is the main task of first aid in this case? B. Dentafol C. Stens A. To control shock, bleeding, and asphyxia and to D. Stomaflex provide transport immobilization E. Repin B. To check and correct previously applied bandages 24. A patient needs a removable full laminar C. To administer analgesics and cardiac denture for the upper jaw. Objectively on the medications mucosa of the denture bed there are numerous D. To clean the oral cavity from blood clots, tooth dense papillomas of varying size. What tactics shards, and bone fragments should the dentist choose? E. To provide symptomatic therapy and care A. Remove papillomas and make a denture with a 29. A removable partial laminar denture for the double layered base lined with elastic material upper jaw is being made for the patient. The B. Reduce the area of the denture base central occlusion is determined and fixed. What C. Make a 3D-model of the denture base stage is next? D. Removable dentures are contraindicated in this case A. Fitting the wax model of the denture in the oral E. Make a denture base from metal cavity B. Arrangement of artificial teeth 25. One week ago a patient received removable C. Replacing wax with plastic dentures for the upper and lower jaws. During a D. Determining the edges of the base follow-up visit to the dentist the patient complains E. Measuring the interalveolar height of accidental cheek-biting and pain. Objectively he presents with hyperemia, edema, ulceration of 30. A porcelain-fused-to-metal crown for tooth 11 the buccal mucosa along the line of teeth closure is being made for the patient. The tooth will be in the area of the artificial molars. What is the left vital. What measures should be taken during likely cause of this condition? treatment to prevent pulpitis in this tooth? A. Cusps of the molars on the upper and lower jaw A. Pharmaceutical crown are closing in one vertical plane B. Fluorine preparations B. Due to diabetes mellitus, mucosa is more C. Calcium preparations susceptible to trauma D. Anti-inflammatory preparations C. Toxic-allergic reaction to the plastic components E. Physical therapy of denture base D. Fixed anterior occlusion 31. A 55-year-old man came to the prosthodontic E. Incorrectly measured height of the occlusion clinic to have a denture made for him. Tooth 11 is missing in the patient. Two days ago he was 26. A 70-year-old man has edentulous maxilla. released from the inpatient unit after a case of Objectively maxillary tuberosity and alveolar myocardial infarction. What tactics should the processes are completely atrophied; palatine vault dentist choose? is flat, its mucosal layer is moderately pliant. In this case the patient’s atrophic edentulous maxilla A. Make a temporary removable denture can be classified as: B. Make a clasp-retained (bugel) removable partial denture A. Schroeder class III C. Makeadentalbridgewith12and21as B. Keller class III abutment teeth C. Schroeder class II D. Temporarily refrain from making a denture D. Keller class II E. Perform implantation E. - 32. During his shift a dentist of the prosthodontics 27. In the epicenter of a natural disaster, a man unit has consulted and examined the patient, with a lacerated wound of soft facial tissues was checked the crowns, installed dental bridges, found. The wound cuts open the patient’s lower measured centric jaw relation, and made lip and chin; external bleeding is observed. The necessary corrections to the removable dentures. Ортопедична стоматологiя 17

What is the normal workload of a dentist per shift and per month measured in arbitrary units A. Gold or platinum foil of labor intensity (AU) in a five-day work week B. Silicone materials and according to the normatives for provision of C. Thermoplastic materials healthcare to the adults? D. Wax E. Solid crystal materials A. 6 AU - 126 AU B. 5 AU - 105 AU 38. A 35-year-old man needs an adhesive dental C. 7AU-147AU bridge. Objectively tooth 15 is missing. Abutment D. 8AU-168AU teeth 14 and 16 are firm. Teeth crowns are of E. 9AU-189AU medium height. Dental equator is markedly visible. The patient has orthognathic occlusion. 33. A non-removable porcelain-fused-to-metal What will most likely be an abutment part of this dental bridge is being made for a 35-year-old adhesive denture? woman. Two-layer impressions were obtained using ”Silafex” silicone material. The impression A. Whole or perforated cast overlays were sent for disinfection. What antiseptic should B. Full cast crowns be used to process the impressions? C. Combined crowns D. Stump inlays A. 0.5% hypochlorite sodium solution E. Equator crowns B. 3% chloramine solution C. 70% alcohol solution 39. A 45-year-old man complains of pain D. 1.5% sodium bicarbonate solution and crepitation in the temporomandibular E. 0.5% hydrogen peroxide solution joint during the movements of the lower jaw. Objectively: the face is symmetrical, the mouth 34. A 29-year-old man needs to replace a number opens with slight displacement to the left. of dentition defects on his upper jaw. The Dentition is intact. On occlusiography there were defects can be replaced with dental bridges with detected centric and eccentric supracontacts. aesthetical coating. ”Sinma-M” plastic coating is What treatment methods should be applied in securely attached to the frame of the full cast the first place? metal-plastic dental bridges with: A. Selective teeth shaving A. Retention spheres B. Mouthguard for muscle relaxation B. ”Conalor” dental resin C. Appliances that limit mouth opening C. EDA varnish D. Mouthguards that increase the height of central D. Sandblasting occlusion E. Thorough polishing of the frame E. Lower jaw immobilization 35. A 60-year-old man needs a removable partial 40. A 42-year-old woman after examination denture for the upper jaw. Arrangement of the was diagnosed with closed medial mandibular artificial teeth on the wax base was checked in the fracture in the area of 31, 41, non-displaced. oral cavity of the patient. What is the next stage Crown portions of her other teeth are intact. in the making of a removable partial denture? Additionally she was diagnosed with chronic generalized parodontitis of moderate severity. A. Fitting and fixation of the removable partial What type of splint would be the most advisable dentures in the oral cavity for fracture treatment in this patient? B. Measurement and fixation of the centric jaw relation A. Weber dentogingival splint C. Placing the plaster casts in an articulator B. Tigerstedt splint D. Final modelling of the denture base C. Tigerstedt splint with anchor hooks E. Final polishing of the denture D. Vankevych dentogingival splint E. Port gingival splint 36. A 64-year-old man undergoes fixation of a removable partial denture for the lower jaw. The 41. A 37-year-old patient complains of an dentist examined the denture base and noticed aesthetic defect. Objectively: the 13 tooth is there a clearly visible ”marble pattern”.Thisnet destroyed by 2/3. The tooth is pulpless, the root of white lines runs through the whole plastic base. canal is filled. How deep should the root canal be What is the most likely cause of this defect? opened for pivot crown in this patient? A. Disturbed process of acrylic resin A. 2/3 of the root canal polymerization B. 1/3 of the root canal B. Uneven moistening of acrylic resin with a C. 3/4 of the root canal monomer D. 1/2 of the root canal C. Disturbed process of denture base polishing E. Full length of the root canal D. Foreign admixtures in the denture base E. Fractures in the denture base caused by 42. A 46-year-old man, a teacher, complains of mechanical damage lower teeth mobility that impedes the process of biting. Objectively the dentition is uninterrupted, 37. A 26-year-old woman needs dental prosthetics. front teeth demonstrate the II degree of mobility. Objectively the crown of 16 is destroyed by 1/3. Its X-ray shows straight and filled root canals of 32, anatomical shape will be restored with a porcelain 31, 41, and 42. What appliance will stabilize front inlay. Direct method is chosen for inlay-making. teeth while retaining their aesthetic appearance? What should be used to obtain the impression of the formed inlay cavity? Ортопедична стоматологiя 18

A. Mamlok’s dental splint aesthetical defects. Objectively teeth 14, 15, and B. Removable segmented splint for the front teeth 22 are missing. According to Agapov, the loss of C. Cap splint masticatory efficiency in this case is: D. Splint with embrasure clasps E. Semicrown splint A. 18% B. 16% 43. A 40-year-old patient complains of pain in C. 9% the tragus area, clicking during mouth opening, D. 20% stuffed ears. Objectively: the face is symmetrical, E. 12% mouth opening path is straight. Dentition defect can be estimated as the I class by Kennedy; the 46. A 21-year-old man complains of difficult 18, 17, 16, 26, 27, 28 teeth are absent. In this case mouth opening and visible facial deformation the load would be the most traumatizing for the throughout the last 2 years. He has a history following anatomical structure: of facial trauma several years ago. Examination shows the right side of the face to be flattened, A. Interarticular disk the chin is displaced to the right. Palpation detects B. Articular capsule diminished excursion of the articular head in the C. Articular head left lower jaw. Mouth opening is reduced to 1 cm. D. Distal slope of the articular tubercle Make the preliminary diagnosis: E. Socket floor of the temporal bone A. Ankylosis of the left temporomandibular joint 44. A 57-year-old man complains of pain and B. Exacerbated chronic arthritis of the left creaking in his right temporomandibular joint temporomandibular joint when eating. In the evening the signs diminish. C. Acute arthritis of the left temporomandibular The pain is observed for the last 2-3 years. joint Objectively the face is symmetrical, mouth D. Anterior dislocation of the lower jaw opening is reduced to 2.5 cm. Molars are missing E. Arthrosis of the left temporomandibular joint on both jaws. X-ray shows deformed articular surfaces of the right temporomandibular joint. 47. A 50-year-old woman complains of pain What is the most likely diagnosis? and creaking in her temporomandibular joint. Objectively there are multiple premature occlusal A. Arthrosis of the right temporomandibular joint contacts and localized pathologic . B. Ankylosis of the right temporomandibular joint The teeth are stable, with exposed cervices; the C. Acute arthritis of the right temporomandibular gingival margin is hyperemic. Selective teeth joint shaving is planned. How many visits to the dentist D. Pain dysfunction syndrome of the right are necessary for the full procedure? temporomandibular joint E. Contracture of the right temporomandibular A. 3-4 visits at one-week intervals joint B. 2-3 visits at one-month intervals C. 1-2 visits within a year 45. A 44-year-old man came to the dental D. A single visit polyclinic to have a denture made for him. E. 2-3 visits at one-day intervals He complains of problematic chewing and Дитяча терапевтична стоматологiя 19

1. A 18-year-old young man complains surfaces of 52, 51, 61, and 62. The cavities of bleeding and pain in his gums. The are filled with softened pigmented dentin that disease onset was 4 days ago. Objectively can be easily removed with dental excavator. the skin is pale, body temperature is 38.5oC. Make the provisional diagnosis: Submandibular lymph nodes on the left are enlarged, painful, non-fused with the A. Acute median caries surrounding tissues. The gingival papillae and B. Chronic deep caries gingival margin in the area of 33, 34, 35, 36, C. Acute deep caries and 37 are hyperemic, ulcerated, and covered D. Chronic median caries in necrotic deposit. Teeth are covered with E. Chronic superficial caries soft dental plaque. Make the diagnosis: 6. A 6-month-old child was diagnosed with A. Necrotizing ulcerative gingivitis bilateral bronchopneumonia and prescribed B. Acute catarrhal gingivitis broad-spectrum antibiotics. The child is C. Chronic hypertrophic gingivitis formula-fed and presents with maldigestion D. Chronic catarrhal gingivitis (dyspepsia). What pathologic changes can E. - occur in the hard dental tissues in this case? 2. A 13.5-year-old girl complains of swollen A. Systemic enamel hypoplasia gums that bleed when she brushes her teeth. B. Hutchinson teeth This condition has been observed for the C. Local hypoplasia last half a year. Objectively gingival mucosa D. Stainton-Capdepont syndrome surrounding the front teeth of the upper jaw E. Fournier teeth is swollen and cyanotic. Interdental papillae are round, dense, and enlarged, they cover 7. A 6-year-old girl took paracetamol to treat the crowns by 1/3 of their height. Teeth 13 a case of URTI two days ago, which resulted and 23 are positioned vestibularly. Make the in the development of her present condition. provisional diagnosis: The disease onset was acute with temperature increase up to 39.8oC. Objectively there A. Chronic hypertrophic gingivitis are cockade-shaped maculopapular rashes B. Chronic catarrhal gingivitis on her face. The vermillion border is C. Acute catarrhal gingivitis swollen, hyperemic, covered in massive D. Generalized periodontitis, degree I brown crusts, and presents with bleeding E. Localized periodontitis, degree I cracks. Conjunctivitis is detected. Swollen and hyperemic oral mucosa presents with 3. Parents of a 5-year-old girl brought her to numerous erosions covered with fibrinous the pediatric dentist for oral cavity sanation. incrustations; the erosions are sharply painful After clinical examination she was diagnosed on palpation. What is the most likely with chronic deep caries in 54. What filling diagnosis? material would be optimal for the treatment of tooth 54 in this case? A. Stevens-Johnson syndrome B. Erythema multiforme exudativum A. Glass ionomer cement C. Acute herpetic stomatitis B. Zinc phosphate cement D. Chronic recurrent aphthous stomatitis C. Silicate cement E. Pemphigus D. Composite E. Silicophosphate cement 8. Decay-missing-filled index of a 6.5-year- old child is DMF+df=7. Fedorov-Volodkina 4. A 7.5-year-old practically healthy child hygiene index is 1.5. Fissures in the permanent complains of crown fracture and pain in molars are intact, deep, and open. What the upper right incisor. Objectively 2/3 of method of caries prevention would be crown of 11 is absent, the pulp is exposed advisable in this case? and red; on probing it is acutely painful and bleeding; tooth percussion is painful. The A. Noninvasive fissure sealing trauma occurred 2 hours ago. What would B. Invasive fissure sealing be the optimal treatment method in this case? C. Application of remineralization solution D. Application of fluoride varnish A. Vital amputation E. Electrophoresis-aided application of B. Devital amputation remineralization solution C. Vital extirpation D. Devital extirpation 9. A 7-year-old boy was brought to the E. Biological approach dentist. Objectively his gums are hyperemic and bleeding, the teeth are mobile and 5. Parents of a 2.5-year-old child complain of covered in plaque, their roots are exposed, gradual destruction of the upper front teeth periodontal pockets are pathologic and filled of their child for the last several months. with granulations. The child is registered Objectively there are carious cavities within for regular check-ups with the pediatrician. mantle dentin on the contact and vestibular According to the mother, lately the child’s Дитяча терапевтична стоматологiя 20 condition has been deteriorating. The A. Amine fluoride boy presents with diabetes insipidus and B. Enzyme exophthalmos. What provisional diagnosis C. Antiseptic can be made? D. Salt supplement E. Herbal extract A. Hand-Schuller-Christian disease 14. A 6-year-old child for a 3rd day presents B. Taratinov disease (eosinophilic granuloma o of bone) with body temperature up to 38-39 C and C. Letterer-Siwe disease painful swallowing. Objectively on the D. Gaucher disease mucosa of the palatine arches, tonsils and E. Papillon-Lefevre syndrome a part of the soft palate there are several erosions up to 2 mm in diameter. The erosions 10. Parents of a 5-year-old child came to the are situated on the hyperemic mucosa and dentist for sanation of the child’s oral cavity. covered in whitish plaque. Submandibular Objectively on the masticatory surfaces of lymph nodes are enlarged and painless on teeth 54, 64, 74, 75, and 85 there are carious palpation. What is the most likely diagnosis? cavities within the softened mantle dentin. The child is anxious and misbehaves. What A. Herpetic angina treatment tactics would be optimal in this B. Diphtheria case? C. Acute herpetic stomatitis D. Infectious mononucleosis A. ART technique E. Erythema multiforme exudativum B. Impregnation treatment C. Deep fluoridation 15. An 8-year-old boy complains of a dull pain D. Preventive filling in his lower right tooth. The pain appears in E. Invasive sealing response to thermal stimuli and slowly abates after the stimuli are removed. Objectively on 11. A 10-year-old child complains of pain, the approximal surface of tooth 46 there is a dryness, enlargement, and peeling of the deep carious cavity. During necrectomy with lips. Exaination detected hyperemic labial a dental excavator, communication between mucosa and enlarged lips; when the lips are the carious and dental cavities is detected. pulled taut, secretion resembling ”dewdrops” Probing of the communication area results is being produced from minor salivary glands. in sharp pain and bleeding. What method What is the most likely provisional diagnosis? of pulpitis treatment is recommended in this case? A. Cheilitis glandularis B. Meteorological cheilitis A. Vital amputation C. B. Vital extirpation D. Exfoliative cheilitis C. Devital amputation E. Allergic contact cheilitis D. Devital extirpation E. Biological approach 12. An 8-year-old girl complains of bleeding gums. The child has diabetes mellitus. 16. A 12-year-old boy is in the dental Objectively the interdental papillae between office to complete the treatment of chronic the teeth of the upper and lower jaw are periodontitis exacerbation in the 36 tooth. hyperemic, swollen, and cover the crowns by There are no complaints. Objectively: 1/3 of their height. The teeth exhibit mobility occlusive dressing of the 36 tooth is intact; of the I degree. What investigation technique tooth percussion is painless; there are no is necessary for diagnosis-making in this case? pathologies of the mucosa surrounding the 36; palpation is painless. What material is the A. X-ray most advisable for root canal filling in this B. Rheoparodontography case? C. Vacuum test D. PMA index A. Sealer with gutta-percha post E. Stomatoscopy B. Zinc oxide eugenol paste C. Resorcinol-formalin paste 13. A 12.5-year-old child came to the dentist D. Calcium-containing paste for oral cavity sanitation. Objectively caries E. Phosphate cement progression in this child is severe: decay- missing-filled index is DMF=2+0+4=6. Green- 17. During planned sanation of a 3-year-old Vermillion index is 1.7.Gingival mucosa is pale child, a deep carious cavity filled with food pink. What toothpastes should be prescribed debris and softened dentin is detected in in this case for oral hygiene? tooth 54. After tooth preparation the pulp of 54 is bleeding, probing is sharply painful. To treat pulpitis by means of devital amputation, during the first visit it is necessary to use: Дитяча терапевтична стоматологiя 21

A. Paraformaldehyde paste the skin of the perioral area is covered in B. Zinc-eugenol paste scarce vesicles with clear content. Within the C. Dentin paste oral cavity on the buccal and lingual mucosa D. Calcium-containing paste there are sharply painful erosions, 2-3 mm E. Iodoform paste in size, with white coating and hyperemic crown. The gums are swollen, hyperemic. The 18. A 12-year-old girl complains of submandibular lymph nodes are enlarged, spontaneous pain in tooth 16 with short painful on palpation. Make the diagnosis: periods of remission (10-20 minutes) that developed 4 days ago. The pain increases A. Acute herpetic stomatitis at night and irradiates to the upper right B. Stevens-Johnson syndrome jaw. Examination revealed a deep carious C. Erythema multiforme exudativum cavity in 16, the dentin is soft, the probing D. Stomatitis with the background of infectious is painful at all points of the cavity floor, mononucleosis vertical percussion is slightly tender, the pain E. Stomatitis with the background of increases in response to thermal stimuli. EPT chickenpox is 25 microamperes. Make the diagnosis: 23. A 10-year-old boy complains of acute pain A. Acute diffuse pulpitis attacks in the area of his upper left teeth. B. Chronic concrementous pulpitis The toothache persisted for a night. Objective C. Acute apical periodontitis examination revealed a carious cavity on the D. Acute local pulpitis masticatory surface of the 26 tooth within E. Chronic fibrous pulpitis parapulpar dentin. Probing is sharply painful at all points of the cavity floor. Markedly 19. During preventive examination a 10-year- positive reaction to cold water stimulus is old child was found to have matt white spots observed. Select the most likely diagnosis: on the vestibular surface of the 11 and 21 teeth. The spots are located in the area of A. Acute diffuse pulpitis tooth cervix. Enamel surface in the affected B. Acute serous periodontitis area is undamaged and can be stained with C. Acute suppurative pulpitis methylene blue. Subjectively the child has D. Acute suppurative periodontitis no complaints. What is the optimal treatment E. - method in this case? 24. A 15-year-old girl complains of brief pain A. Remineralization therapy attacks in her teeth due to chemical stimuli. B. Preparation and filling Objectively: on the contact surfaces of the C. Impregnation method 11, 21, 22 teeth there are enamel areas matt D. ART technique white in color, with lost shine, covered in large E. Teeth sealing amount of dental deposit. Enamel is softened and can be easily chipped off with excavator. 20. A 14-year-old boy complains of rapid Probing of lesions is painless. Percussion is wearing-off of tooth crowns. Objectively: painless. No reaction to cold stimuli. Make tooth crowns are worn-off by 1/3. Enamel the diagnosis: easily chips off and is pale gray in color. Make the diagnosis: A. Acute superficial caries B. Acute median caries A. Stainton-Capdepont syndrome C. Acute initial caries B. Dentinogenesis imperfecta D. Chronic initial caries C. Fluorosis E. Chronic superficial caries D. Systemic hypoplasia E. Focal hypoplasia 25. A 12-year-old boy complains of constant pain in the upper tooth. The pain aggravates 21. Objective examination of a 10-year-old on biting. Objectively in 26 there is a deep child revealed slight hyperemia, infiltration, carious cavity non-communicating with the and dryness of the whole surface of the dental cavity. Thermal stimuli and probing vermillion border. Architectonics of the lips is of the cavity floor are painless. Percussion is disturbed. Dryness and contracted sensation sharply painful. Mucosa in the area of tooth are observed in the lips, especially during cold 26 exhibits mild signs of inflammation. X- seasons. Make the provisional diagnosis: ray of tooth 26 shows no changes. Make the diagnosis: A. Meteorological cheilitis B. Atopic cheilitis A. Acute serous periodontitis C. Allergic contact cheilitis B. Acute suppurative periodontitis D. Exfoliative cheilitis C. Exacerbation of chronic periodontitis E. Cheilitis of microbial origin D. Acute odontogenic periostitis E. Acute suppurative pulpitis 22. A 2.5-year-old child has fever up to o 38.5 C, low appetite, rashes in the oral cavity. 26. A 16-year-old girl complains of constant The disease onset was 3 days ago. Objectively: Дитяча терапевтична стоматологiя 22 dull pain in her lower tooth. The pain aggravates on biting. Objectively in 46 there A. Exacerbation of chronic granulating is a deep carious cavity communicating with periodontitis the dental cavity. Comparative percussion is B. Acute serous periodontitis sharply painful. Thermal stimuli and probing C. Acute suppurative periodontitis are painless. Mucosa in the area of tooth 46 D. Exacerbation of chronic granulomatous is markedly hyperemic, swollen, painful on periodontitis palpation. X-ray shows an irregularly shaped E. Exacerbation of chronic fibrous focus of bone tissue destruction with blurred periodontitis margins. Make the diagnosis: Дитяча хiрургiчна стоматологiя 23

1. A 10-year-old child is referred by tissue swelling in the left submandibular the orthodontist for extraction of tooth 53. region. Palpation reveals a round formation Objectively the crown of 53 is retained, the 2x2 cm in size. The formation is mobile, tooth is immobile. X-ray of tooth 53 shows painful, unattached to the skin. The 74 tooth is root resorption by less than 1/3. Choose the discolored, percussion is painful. What is the best instrument for extraction of tooth 53: provisional diagnosis? A. Straight crown forceps A. Acute serous odontogenic lymphadenitis of B. Straight elevator the left submandibular region C. Root bayonet forceps B. Acute serous nonodontogenic D. Crown forceps with S-shaped handles lymphadenitis of the left submandibular E. Beak-shaped root forceps region C. Acute suppurative odontogenic 2. An adolescent complains of reduced and lymphadenitis of the left submandibular painful mouth opening, difficulties when region eating, and swelling in the left mandibular D. Phlegmonous adenitis of the right angle that developed after tooth 37 was submandibular region extracted 3 days ago. Objectively the face E. Lateral cervical cyst is asymmetric due to soft tissue swelling in the area of the left mandibular angle. Mouth 6. A hit to the face has forced the upper opening is painful and reduced to 2.0 cm. central incisors of a 15-year-old boy to sink Disturbed occlusion is observed. Palpation of into the jaw to the half of their crown height. the left mandibular angle is painful, the tissues What treatment tactics should the dentist are soft, bone crepitus is detected. ”Indirect choose? load to the chin” symptom is positive in the area of the left mandibular angle. The socket A. Surgical repositioning of 11 and 21, teeth of the extracted tooth is packed with iodoform immobilization, endodontic treatment if gauze. What is the most likely diagnosis? necessary B. Extraction of 11 and 21, their replacement A. Left mandibular angle fracture with dentures B. Mandibular alveolar fracture C. Dynamic observation, endodontic treatment C. Anterior mandibular fracture of 11 and 21 if necessary D. Mandibular periostitis on the left D. Transplantation of 11 and 21 into the E. Odontogenic mandibular osteomyelitis dentition, endodontic treatment E. Replantation of 11 and 21 into the dentition, 3. A 6-year-old child was referred for ligation extraction of the temporary lower central incisors due to changes in the occlusion. The 7. A 7-year-old girl complains of a neoplasm teeth exhibit the III degree of mobility. What on her lower lip. The neoplasm appeared type of anesthesia would be optimal in this 3 months ago and has been slowly growing case? since then. Objectively on the mucosa of the lower right lip there is a round neoplasm A. Application anesthesia 0.5-1 cm in diameter. It protrudes from the B. Conduction anesthesia mucosa, has smooth surface, and its clear C. Inhalation narcosis bluish content is visible through its walls. On D. Infiltration anesthesia palpation it is painless and elastic. Make the E. Intraosseous anesthesia clinical diagnosis: 4. An 8-year-old child was diagnosed with A. Retention cyst of the lower lip acute odontogenic mandibular periostitis on B. Lymphangioma of the lower lip the right originating from tooth 74. What C. Fibroma of the lower lip treatment method would be optimal in this D. Hemangioma of the lower lip case? E. Papilloma of the lower lip A. Extraction of 74, periosteotomy, 8. An 11-year-old girl was diagnosed with pharmacotherapy chronic parenchymatous parotitis. What X- B. Endodontic treatment of 74, ray sign indicates this disease? pharmacotherapy C. Endodontic treatment of 74, periosteotomy A. ”Bunch of grapes” sign D. Periosteotomy, pharmacotherapy B. ”Leafless tree” sign E. - C. ”String of pearls” sign D. Fluctuation sign 5. A 7-year-old child complains of pain and E. Filling defect swelling in the left submandibular region. The swelling in this region developed 2 days 9. A 12-year-old boy, due to trauma of the ago. Objectively: the child is in a satisfactory 44th and 45th teeth area, suffers from the condition, body temperature is of 37.3oC. following: pathologic displacement of the The face is asymmetrical due to the soft mandibular alveolar process; rupture of the Дитяча хiрургiчна стоматологiя 24 alveolar process mucosa. What additional 12. A 6-year-old child complains of pain examination is necessary to specify the and edema in the upper right jaw, body diagnosis? temperature up to 37.9oC, and deterioration of general well-being. Symptom onset was 3 A. X-ray of mandibula in frontal days ago. Objectively the face is asymmetric and lateral projections due to soft tissue edema of buccal and B. X-ray radiography of cranium in axillary infraorbital regions on the right. The crown of projection 54 is destroyed by 1/2, percussion is painful; C. X-ray radiography of mandibula in frontal the tooth previously had been treated for and Parma projection complicated caries. On the palatine side of D. Tomography of mandibula the affected tooth area there is a painful E. - infiltration with fluctuationinitscenter;the tissues over the infiltration are hyperemic. 10. During examination the child presents Make the provisional diagnosis: with micrognathia and open bite. X-ray shows no joint space, the right branch of the lower A. Acute suppurative periostitis of the maxilla jaw immediately continues as the temporal originating from tooth 54 bone. Make the diagnosis: B. Acute serous periostitis of the maxilla originating from tooth 54 A. Right-sided bony ankylosis of the C. Acute odontogenic osteomyelitis of the temporomandibular joint maxilla B. First and second branchial arch syndrome D. Exacerbation of chronic periodontitis of 54 C. Right-sided sclerosing arthrosis of the E. Chronic odontogenic osteomyelitis of the temporomandibular joint maxilla D. Right-sided fibrous ankylosis of the temporomandibular joint 13. A 21-year-old man with facial furuncle E. Chronic right-sided arthritis of the was brought to the maxillofacial department. temporomandibular joint What facial localization of furuncles and carbuncles is often complicated by 11. During examination the child presents trombophlebitis of the angular vein? with retracted mucosa on the soft palate and uvula. The child was diagnosed with A. Upper lip and infraorbital area congenital submucous cleft soft palate. What B. Lower lip and jaw angle surgical operation is necessary in this case? C. Lower lip and chin D. Cheek and parotid-masseteric region A. Veloplasty E. Nose and external canthus of the eye B. Uranoplasty C. Cheiloplasty D. Uranostaphyloplasty E. Rhinocheiloplasty Ортодонтiя 25

1. A 10-year-old girl complains of an A. Hotz to reduce the dental aesthetic flaw. The anamnesis states, that she arch had been sucking her right thumb up to the B. Jaw expansion to provide the space for the age of 7. Objectively: the face lower third 12 and 21 teeth is somewhat reduced. The sagittal fissure C. Massage of the 12 and 21 teeth area to between the upper and lower incisors, is 9 stimulate their eruption mm wide, class 2 according to the Angle D. Extraction of the 12 and 21 teeth to reduce classification. Eshler-Bittner test leads to the dental arch initial temporary improvement of the girl’s E. Filing down of the 11 and 21 approximal face, followed by renewed deterioration. surfaces to provide the space for the 12 and 22 What clinical is the most likely teeth in this case? 5. What shape does the upper dental arch A. Maxillary macrognathia and mandibular have in the permanent dentition? micrognathia B. Maxillary macrognathia A. Semi-ellipse C. Mandibular micrognathia B. Semicircle D. Maxillary with lateral C. Parabola compression D. Saddle-shaped E. Mandibular retrognathia E. Trapezoid 2. During examination of schoolchildren, 6. What prosthodontic appliance has the orthodontist noticed that some of them mechanical type of action? present with strained orbicularis oris muscle. A. Expansion plate with Coffinspring What dental appliance can be used for B. Schonherr vestibular plate exercising of the orbicularis oris muscle? C. Case obturator A. Dass activator appliance D. Frankel functional regulator B. Frankel functional regulator III E. Bynin appliance C. Andresen-Haupl activator appliance 7. What period of bite formation in a child can D. Angle appliance be normally characterized by physiological E. Bruckl appliance tremata and diastemata? 3. After adenotonsillectomia it is necessary A. Preparation for the change of dentition to break the habit in a 4- (4.5-6 years) year-old child. The orthodontist recommends application of an oral vestibular shield B. Formation of milk occlusion (6 months - 3 (Kerbitz’ vestibular plate). Vestibular shield years) facilitates training of the following muscle: C. Changing occlusion D. Permanent occlusion A. Orbicular muscle E. It is always a sign of pathology B. Temporal muscle C. Masseter muscle 8. During preventive examination a 5-year- D. Lateral pterygoid muscle old child was found to have insufficient E. Medial pterygoid muscle physiological of cusps of the deciduous canines. What treatment tactics 4. A child is 8 years old. There are complaints should a doctor choose? of overcrowded upper incisors. Objectively: the first molars closure is of Angle’s I class, A. To file down the retained canine cusps frontal is orthognathic. The 12 and 22 B. Medical examination once a month until teeth erupt palatinally with space deficiency the incisors are replaced of 2/3 of the tooth crown. The 11 and 21 C. Medical examination every 6 months until teeth are 10 mm each in cross-section. The the incisors are replaced child has inherited father’s facial type with D. Medical examination every 6 months until prognathism and macrodontia of the central the canines are replaced incisors. Choose the preventive treatment, E. No medical intervention is necessary considering this hereditary pathology: 9. The parents of a 3-year-old child came to the orthodontist. They complain of an aesthetical defect in the teeth of their child. The child has a history of tongue sucking habit. In the front region there is a vertical fissure 5 mm. What orthodontic appliance is indicated for the treatment of this pathology? Ортодонтiя 26

A. Kraus plate 11. To clarify the diagnosis, the orthodontist B. Friel plate performed Eschler-Bittner clinical diagnostic C. Schonherr plate test. As the result the facial signs became D. Kerbitz plate more marked. What jaw abnormality is the E. Dass activator appliance most likely in this case? 10. A 7-year-old boy during primary A. Maxillary macrognathia examination was found to have a habit of B. Mandibular micrognathia sleeping with his fist under the cheek. What C. Mandibular macrognathia bite anomaly can develop due to this habit? D. Maxillary micrognathia E. Combined pathology of both jaws A. Crossbite B. Deep bite C. Mesial bite D. Prognathism E. Open bite Ортодонтiя 27

1. A 56-year-old patient suffering from gag reflex in this patient? exacerbation of schizophrenia has been hospitalised in an oral in-patient department A. 10% lidocaine solution with a diagnosis of the lower jaw displaced B. 10% glucose solution fracture in the area of the 34-35 teeth. What C. 0.1% atropin solution method of treatment should be prescribed? D. 1% dimedrol (diphenhydramine) solution E. 0.2% noradrenaline solution A. Osteosynthesis B. One arch flat occlusal splint 6. During administration of ultracain solution C. Dual splint for infiltration anesthesia the condition of D. Weber’s dental splint a 22-year-old patient sharply deteriorated. E. Vankevych dental splint The patient became inert, silent, developed cough attacks, expiratory dyspnea, wheezing. 2. A 43-year-old man came to the admission Viscous slimy sputum is being expectorated. room. He complains of facial edema and What urgent condition did the patient enlarged upper lip and tongue. This condition develop? developed approximately 40 minutes ago, when he took aspirin. Objectively the patient A. Bronchial asthma attack is anxious, his skin is of normal color, B. Anaphylactic shock respiration is partially disturbed. The upper C. Hypertensic crisis lip, eyelids, cheeks, tongue, and soft palate D. Asphyxia are swollen. What is the most likely diagnosis? E. Collapse A. Quincke edema 7. A 45-year-old patient after administration B. Melkersson-Rosenthal syndrome of local anaesthesia in preparation for oral C. Lymphedema of the lips surgery has suddenly felt unwell, developed D. Allergic contact cheilitis increasing edema of laryngeal mucosa and E. Cheilitis glandularis respiration disorder. The dentist stopped the manipulations in the oral cavity. What type of 3. A 45-year-old man came to the asphyxia developed in the patient? prosthodontic department to have a denture made for him. Before the preparation of the A. Stenotic hard tissues of the intact teeth, the patient B. Dislocational was given an infiltration anesthesia with 0.5% C. Va lv u la r lidocaine solution. Several minutes later he D. Obturative developed depressed level of consciousness, E. Aspiration his blood pressure dropped, convulsions started, and involuntary urination occurred. 8. A victim of a traffic accident was delivered What emergency condition did the patient into the admission room. The patient is develop? supine and unconscious. His skin is cyanotic, respiration is extremely labored, mucosa is A. Anaphylactic shock pale, blood clots are accumulated in the oral B. Syncope cavity.The patient is diagnosed with displaced C. Pain shock bilateral mandibular fracture. What measures D. Heart failure should be taken to prevent complications in E. Collapse this case? 4. During intraoral examination the dentist A. Fixation of the lower jaw and tongue with suspected that the patient has syphilis. What standard Entin’s head-chin strap should the dentist do in this case? B. Fixation of the tongue to the patient’s collar C. Tracheostomy and artificial pulmonary A. Complete the examination and refer the ventilation patient for necessary tests D. Removal of foreign bodies from the oral B. Continue the examination and start the cavity teeth preparation E. Excision of injured mucosal flaps C. Inform the patient of the suspected diagnosis and end the visit 9. In the maxillofacial department a 6- D. Decline to provide dental services for this month-old boy was hospitalized due to patient bleeding from a wound in the frenulum of E. Obtain the impressions to study the his tongue. He has a medical history of diagnostic models frenulotomy the day before. The bleeding started 6 hours after the surgery. Suturing the 5. A 65-year-old man with fully edentulous wound was ineffective against the bleeding. upper jaw needs removable full laminar The child was brought to the hematology denture. To make the denture, anatomical department, where the bleeding was stopped impressions of the upper and lower jaws are by intravenous administration of coagulation necessary.The patient exhibits heightened gag factor IX concentrate. Make the diagnosis: reflex. What drug can be used to suppress the Ортодонтiя 28

A. Hemophilia B 11. A 22-year-old man is referred for B. Suppurated tongue wound extraction of tooth 36. In the office of the C. Willebrand disease dental surgeon before the anestehesia was D. Iron-deficiency anemia given to him he felt weakness and developed E. Idiopathic thrombocytopenic purpura tinnitus and visual blackout. Objectively the face is pale and covered in cold sweat, 10. After a tooth extraction, the patient blood pressure is 110/70 mm Hg. For several developed a hemorrhage from the socket of seconds the patient was unconscious. What the extracted tooth. What tactics should the complication occurred during the visit to the dentist choose in this case? dentist? A. Tightly pack the tooth socket with a strip of A. Fainting (Syncope) iodoform gauze B. Epileptic seizure B. Place sutures into the soft tissues C. Anaphylactic shock C. Insert a gauze pack soaked in 3% hydrogen D. Angina pectoris peroxide solution E. Collapse D. Administer vicasol (menadione) solution intramuscularly E. Administer 5-10 mL of 10% calcium chloride solution intravenously