OMF part II

1.

1 point

Scondary syphilis in the OMF region manifests as:

Syphilom;

Goma;

Dissimination in the oral cavity;

None of the above;

Syphilitic tuberclues;

2.

1 point

The trismus in suppurative pericoronaritis is explained by:

Reflexive contraction of the masteric muscles

Forced position caused by pain

Suppuration diffusion to the maseteric region

Tetanigen infection

Intermaxillar commeasure edema which limits the mandible movements

3.

1 point

Maxillary sinus communicates with:

Oral cavity;

Sub temporal fossa;

Orbit;

Throat;

Nazal cavity;

4.

1 point

In the case of the suppuration of the submandibular space incision in the form of “recessus” is made in the following case:

Suppurations of the anterior part of the space;

When patient don not have trismus;

Suppurations of the posterior part of the space;

In both of these cases;

When it is localized on the medial line;

5.

1 point

Confirmation of etiology of the septicemia is made through:

Precise clinical local and regional examination;

X-ray examination;

Examination of immunity of the body;

Volume of the pathogen agent in blood;

All of the above;

6.

1 point

To stimulate secretion in salivary glands sialogogue is recommended for 10 days:

3-4 times a day, 20-30 drops of pilocarpine 1% solution;

8-10 times a day 10-15 drops of pilocarpine 1% solution;

Before meal 0.5 ml of pilocarpine 1% solution;

2-3 times a day with 6-8 drops of pilocarpine 1% solution;

5-6 drops of pilocarpine 1% solution;

7.

1 point

Main thing in the treatment of acute sialoadenitis is:

Extirpation of the affected gland;

Antibiotics, desensibilisation, detox therapy, sialogoge;

Gland massage and physiotherapy;

Surgical opening(incision) in any of the cases;

Spa treatment;

8.

1 point

Maxillary sinus volume (in cm3) is:

18-50 cm³;

35-40 cm³;

5-6 cm³;

8-10 cm³;

14-25 cm³;

9.

1 point

In the case of an acute infiltrative phase of adenitis it is preferable to:

Physiotherapy;

Antibiotics, vitamin therapy;

Incision and drainage;

Extirpation of the node;

Punction of the node;

10.

1 point

In chronic sinusitis treatment begins with:

Radical sinusotomy;

Physical therapy;

The causative tooth extraction;

Any can be used;

Antisectic cleaning through oro-sinusal communication;

11.

1 point

Benign lyimphoreticulosis evolves under the form of:

Superficial cervical adenopathy;

Deep cervical adenopathy;

Adenopathy of the spinal ganglion;

Submandibular adenopathy;

Chronic regional polyadenopathy with nonsuppurativeperiadenitis;

12.

1 point

Salivary colic manifests itself through two characteristic clinical signs:

Pain and salivary abscess;

Pain and appearance of pus from Wharton channel;

Phantom pain and salivary tumor;

Salivarytumor and septic invasion of the gland;

Salivaryabscess and salivary tumor;

13.

1 point

When antibiotics can be administered intraossueus?

Chronic osteomyelitis;

Complications of eruption of the lower wisdom tooth;

Periostitis;

Acute purulent osteomyelitis;

Acute congestive osteomyelitis;

14.

1 point

For chronic inflammation is more common:

Inflammation with the fibrin character

Inflammation with serous character

Inflammation with the catarrhal character

Inflammation with proliferation

15.

1 point

Treatment of perimaxillary fistulas consists of:

We should wait until the fistula closes by itself;

The removal of the causative factor;

Antibiotic therapy;

The removal of the causative factor, removal of the fistula with its duct;

All of the above;

16.

1 point

Most often inflammation appears in the following group of lymphonodes:

Submandibular;

Parotid;

Submental;

Cervical;

Menton;

17.

1 point

Fistulaof Stenon duct is located:

Along the edge of the mandible;

Along the canal, on the line joining the earlobe with the wing of the nose (Poirier line);

In submandibular region;

In the mastoid area;

In the cheek region;

18.

1 point

The discordance between tachycardia and low fever is observed in one of the following conditions:

Jaw osteomyelitis of the general etiology;

Post anesthetic abscess of the retro tuberous region;

Abscess of the orbit;

Penetration of the abscess form the cheek area into masseterian space;

Diffuse phlegmon of the floor of the mouth;

19.

1 point

From the anatomy-pathologic point of view, the chronic cellulite is characterized by:

Severe vasodilatation, serum exudates, diapedesis and the cellular infiltrate.

All are true

The capillary congestion and defuse hemorrhages

The pyogen membrane which is containing in the interior vessels of neo formation, the partial or total destroying of the cells, along with histiocites, plasmocytes, lymphocytes

The vascular septic thrombosis, followed by necrosis, with gaze bubbles.

20.

1 point

Perforation of the maxillary sinus during dental extraction can happen when:

Extraction of all teeth on the upper dental arch;

Localization of the tooth is not important;

Extraction of the wisdom teeth;

Extraction of premolars and molars;

Extraction of incisives and canines;

21.

1 point

Lymph from the teeth of the upper dental arch is collected in the following lymphnodes:

Parotid;

Menton;

Occipital;

Submandibular;

submental;

22.

1 point

The methods of choice for the treatment of Whartons duct lithiasis:

Submaxilectomy;

Intens massaging of submandibular region until the abolition of the salivary stone;

Surgical ablation of the stone;

As a rule, surgical treatment is not applied;

Surgery should be pstponed until the spontaneous abolition of the stone;

23.

1 point

The phlegmon is:

A diffuse inflammatory process

A process with a fibrin infiltration

A pseudemembranous process

A localized puss collection

A process with a serous infiltration

24.

1 point

The abscess is:

Skin inflammation

A defuse inflammatory process in the soft subcutaneous, intramuscular tissues, in the parenchymatous organs

Localized, limited puss collection

A defuse inflammatory process in the bone tissue

None one is correct

25.

1 point

During the masseter abscess which symptom dominates?

Hyper salivation;

Tachycardia;

Trismus;

Dysphagia;

Dyspnea;

26.

1 point

After removing of fistula and its cause, the wound is:

Sutured;

Left open;

Drainage for 7-8 days;

All of the above;

A bandage is applied;

27.

1 point

Usually, the masseter abscess has a following starting point:

Masseterhematoma after trauma;

Fractures of the angle of the mandible;

Lower wisdom teeth;

Suppuration from the vicinity spaces;

After the injection of an anesthetic;

28.

1 point

The abscess, from the anatomy-pathologic point of view, is characterized by:

The capillary congestion and defuse hemorrhage

Necrosis with gaze bubbles

Severe vasodilatation serous exudates, the leukocyte diapedesis and the cellular infiltrate.

The vascular septic thrombosis

The pyogen membrane which is containing neo formation vessels, histiocytes, plasmocytes, lymphocytes and polymorphonucleares

29.

1 point

Hodgkin's disease often begins with:

Para adenitis without the submental-submandibular suppurations;

Hypertrophy and adenopathy;

Changes in the leukocyte formula;

Superficial cervical adenopathy;

Submandibular poliadenopathy;

30.

1 point

Bacteriostatic action of some antiseptics is:

Consists in destroying germs when they are in the inactive phase;

Chromosomal mutations;

It consists in inhibiting the multiplication of germs;

It consists of lethal irreversible intoxication of microbial germs;

None of the above;

31.

1 point

An important sign during mediastenitis is enlargement in volume of mediastinum itself, how can this be determined?

Visually;

By palpation;

By spirometry.

Radiological;

Audial;

32.

1 point

In the case of infection the human body forms antibodies. Who is producing them?

Macrophages

Lymphatic ganglions

Sanguine elements (erythrocytes, monocytes)

Lymphocytes B

Tissues structures (mucosa, sub mucosa)

33.

1 point

X-Ray treatment of actinomycosis is indicated in the following situation:

Forms with the granulous tissue;

Erupted skin fistula;

Obligatory after surgical excision;

Suppurative forms;

Forms resistant to local therapy;

34.

1 point

Irrigation with antiseptics after opening of the phlegmon is made:

The more often, the better;

10-15 times per day;

There is no irrigation;

3-4 time per day;

Once a day;

35.

1 point

Which of the following exams is useless in the diagnosis of sialolitiasis?

Sialography;

Cytodiagnosis;

Wharton duct catheterization;

The clinical examination;

Simple radiography;

36.

1 point

What are the two compartments that form the lateropharyngean space?

External pterygoidian muscle;

Sternocleidomastoid muscle;

Internal pterigoidian muscle;

All of these muscles;

Fascicle of “Riolan”;

37.

1 point

The transosal diffusion in perimaxillar infection starts in:

Pharynx and amygdales infection

Marginal paradontities

Tooth eruption pathology

The presents of foreign bodies

Apical parodontities

38.

1 point

Acute intraparotid adenitis is likely to be confused with:

Acute parotiditis;

Adenoma;

Chronic parotiditis;

Cystic parotid tumors;

Mixt parotid tumor;

39.

1 point

Epidemic parotitis (mumps) may be treated:

In the internal disease departament;

In the OMF surgery departament;

By all medics in clinics or hospitals;

In the infectious disease departament;

In the oral surgery clinic;

40.

1 point

Sialografia in chronic nonspecific parotitis show:

Reduced injection of glandular parenchyma, looking like “dead tree”;

Sialografia is not practised, ther is a risk of dissemination of infection;

Channels with irregular contour;

The typical image of the “ball held in the hand”;

Obstructed salivary channels with large empy space;

41.

1 point

Most commonly, skin perimaxillary fistulas are localized in the:

Angle of the mandible;

Body of the mandible between the two premolars;

Menton;

The mandibular condyle;

The basilar edge;

42.

1 point

The most important sign of one abscess can be:

Induration

Soft edema

Fluctuation

Pulsatory pain

43.

1 point

Sinus communicates with the nasal cavity through an elongated hole which openes in:

Through ethmoid cells;

None of the above;

Meatulnazal inferior;

Meatulnazalmediu;

Meatulnazal superior;

44.

1 point

Draining of the pus in the temporal space after incision is made with:

Rubber tape

Perforated rubber tubes;

Sterile strips;

Bandage with iodoform;

Acrylic tubes;

45.

1 point

Infiltration anesthesia is used during one of the following:

Phlegmon;

Cellulitis;

Osteomyelitis;

Abscess;

All of the above.

46.

1 point

Salivary stones are:

Ovoid;

Irregular, spherical;

Elongated;

Ellipsoid;

Oblong;

47.

1 point

From all of the physical therapy methods the best and useful is:

Laser rays;

Ultraviolet waves;

Ultrasound;

Electrophoresis;

Ultrashort waves;

48.

1 point

Thickness of alveolo-sinusal septum varies between:

0,5-10 mm;

0,5-4,5 mm;

0,1-0,8 mm;

2-7 mm;

0,2-0,3 mm;

49.

1 point

Suppuration of the infratemporal fossa is a complication of the supurative maxillary sinusitis, treatment in this case is:

The abscess is opened through the maxillary sinus;

Any of the answers is correct.

The abscess is opened through the submandibular path;

The abscess is opened endobucally through the retromolar region;

The abscess is opened endobucally through the pterygomandibular path;

50.

1 point

For chronic inflammation is more common:

Inflammation with the catarrhal character

Inflammation with serous character

Inflammation with the fibrin character

Inflammation with proliferation

Inflammation with the pseudo membranous character