krok 2 - 2008 question paper (stomatology)

Krok 2 Stomatology 2008 1

1. A 3 year old child has a cavity inthe 84 tooth. Objectively: there is a cari-ous cavity on the masticatory surface ofthe tooth within mantle dentin. Dentin issoftened, probing of cavity walls is painful,percussion is painless. Make a diagnosis:

A. Acute median cariesB. Chronic superficial cariesC. Acute superficial cariesD. Acute deep cariesE. Chronic deep caries

2. A 45 year old patient complainsabout pain induced by thermal stimuli,spontaneous pain in the 26 tooth. A weekago this tooth was treated on accountof pulpitis. Objectively: the 26 tooth isfilled, percussion is painful, thermal sti-muli induce long-lasting, slowly intensifyi-ng pain. X-ray picture shows that palatinecanal is filled by 2/3, no material can beseen in the buccal canals. What is the mostprobable cause of this complication?

A. Incomplete pulp extirpationB. Inadequate canal fillingC. InfectionD. Inflammation in periodontiumE. Injury of periodontium tissue

3. A 49 year old patient complains aboutpain in the oral cavity induced by eating.He suffers from CHD. Objective exami-nation revealed dyspnea, limb edema.Oral cavity isn’t sanitated. On the mucousmembrane, on the right, there is an ulcerwith irregular edges covered with greyish-white necrotic deposit with low-gradeinflammation around it. There is alsohalitosis. What is the most probable di-agnosis?

A. Trophic ulcerB. Traumatic ulcerC. Tuberculous ulcerD. Cancerous ulcerE. Ulcero-necrotic stomatitis

4. A 29 year old patient complains that thecrown of his 26 tooth broke off. Objecti-vely: tooth decay index is 0,9, root ti-ssues are hard, roentgenography revealedthat the canal was filled to the top, nochronic inflammations of periodontiumwere revealed. What construction shouldbe used for prosthetics of the 26 tooth?

A. Pin stump inlay and a crownB. Pin tooth with a ringC. Pin tooth with an inlayD. Pin tooth with protective barE. Simplified pin tooth

5. A 20 year old homeless andunemployed patient complains aboutbody temperature rise up to 39oC, painduring eating and deglutition, nasalhaemorrhages. He has been sufferingfrom this for 10 days. Objectively: herpeticrash on the lips, irregular-shaped erosi-ons covered with fibrinous deposit onthe mucous membrane of oral cavi-ty; filmy deposits on the tonsils. Liveris enlarged and sclerotic. Blood count:erythrocytes - 4, 5 · 1012/l; hemoglobin- 120 g/l; ESR - 25 mm/h; leukocytes -10 · 109/l; eosinophils - 0; rod nuclearcells - 2; segmentonuclear leukocytes - 31,lymphocytes - 41; monocytes - 10; atypicalmononuclears - 14%, plasmatic cells - 2.What is the most probable diagnosis?

A. Infectious mononucleosisB. Acute herpetic stomatitisC. Oropharyngal diphtheriaD. AIDSE. Acute leukosis

6. A 22 year old patient complained aboutcolour change of the 11 tooth crown. Thetooth was treated on account of chronicdeep caries a year ago. Immediately aftertreatment the patient felt slight pain. Shedidn’t consult a dentist. X-ray pictureshows broadening of periodontal fissurein the area of root apex of the 11 tooth.Percussion is painless. What is the mostprobable diagnosis?

A. Chronic fibrous periodontitisB. Chronic deep cariesC. Chronic granulating periodontitisD. Chronic granulematous periodontitisE. Chronic fibrous pulpitis

7. A 43 year old patient applied to a doctorcomplaining about painful deglutition, li-mited mouth opening. 3 days ago he feltpain in the decayed 37 tooth, on the nextday there appeared limitations of mouthopening. Objectively: a slight soft swelli-ng in the left submaxillary area. Palpationrevealed an enlarged lymph node. Mouthcan be opened up to 1,5 cm. There isalso an edema of the left palatine archand lateral pharynx wall. The 37 tooth isdecayed, mucous membrane around thetooth is edematic, percussion is slightlypainful. What is the most probable di-


agnosis?

A. Odontogenous peripharyngealphlegmonB. Odontogenous pterygomaxillaryphlegmonC. Odontogenous submaxillary phlegmonD. Peritonsillar abscessE. Acute submaxillary lymphadenitis

8. A 45 year old patient applied toa dental clinic for oral cavity sanati-on. Anamnesis data: mild case of di-abetes. Objectively: mucous membrane ofcheeks is unchanged, mainly in retromolararea there are symmetrically placedwhitish papulae protruding over themucous membrane and forming a lace-like pattern. On the upper jaw there aretwo soldered bridge dentures, the 47 toothhas an amalgam filling, the 46 tooth has asteel crown. What is the most probable di-agnosis?

A. Lichen ruber planusB. Secondary syphilisC. LeukoplakiaD. Chronic atrophic candidosisE. Lupus erythematosus

9. A 38 year old patient was admittedto the orthopaedic department after atherapeutic treatment on account of peri-odontitis. His anamnesis contains dataabout frequent recurrences of this disease,acute attacks are accompanied by peri-odontal abscesses. Objectively: the 42,41,31, 32 teeth manifest mobility of I-IIdegree, the 43 and 33 are stable, toothcervices are dehisced by 1/4, hyperesthesiaof hard tooth tissues is not observed. Whatrational construction of permanent splintshould be recommended?

A. Fullcast circle removable splintB. Halfcrown splintC. Mamlock’s splintD. Crown-shell splintE. Girder Kurliandky’s splint

10. A 52 year old patient complainsof gum inflammation, tooth mobility.Objectively: dentitions are intact, all teethhave the 1-2 degree of mobility. What typeof teeth stabilization should be applied inthis case?

A. Arch-directed stabilizationB. FrontalC. ParasagittalD. SagittalE. Frontosagittal

11. A 42 year old patient complains ofpain in the submaxillary and sublingualareas that is getting worse during eating,body temperature rise up to 37, 6oC. Hehas been suffering from this for 2 months.Objectively: infiltration along the rightsublingual torus, hyperemia, soft tissueedema, acute pain during palpation. Theduct of the right submandubular salivarygland excretes turbid saliva mixed withpus. What is the most probable diagnosis?

A. Exacerbation of salivolithiasisB. Acute purulent lymphadenitis ofsubmaxillary areaC. Adenophlegmon of submaxillary areaD. Abscess of maxillolingual grooveE. Retention cyst of sublingual salivarygland

12. A 38 year old patient came to a hospi-tal with complaints about a wound in thearea of her left cheek. She was injured16-18 hours ago, didn’t lose consciousness.Objectively: injury of skin, subcutaneousfat and a muscle for about 3 cm long. Thewound is bleeding. What initial surgical d-bridement should be performed?

A. Early initial surgical d-bridementB. Delayed surgical d-bridementC. Secondary surgical d-bridementD. Initial surgical d-bridement togetherwith plastyE. -

13. A 26 year old patient complains abouta sense of tooth heaviness and pain causedby hot food stimuli, halitosis. Objecti-vely: crown of the 46 tooth is grey, thereis a deep carious cavity communicatingwith tooth cavity, superficial probing ispainless, deep one is painful, percussi-on is painful, mucous membrane has nopathological changes. Make a provisionaldiagnosis:

A. Chronic gangrenous pulpitisB. Chronic fibrous pulpitisC. Acute condition of chronic periodontitisD. Chronic concrementous pulpitisE. Chronic granulating periodontitis

14. A 67 year old patient complains aboutfrequently recurring erosion in the areaof vermilion border of his lower lip. Theerosion is oval, 0,8х1,3 cm large, coveredwith thin crusts. After their removal somepetechial haemorrhages on glossy surfacecan be seen. There are also some atrophi-ed areas of the vermilion border. Infiltrati-on is absent. Submandibular lymph nodesare not enlarged. What is your presumpti-


ve diagnosis?

A. Abrasive precancerous Manganotti’scheilitisB. Erosive-ulcerous form of leukoplakiaC. KeratoacanthosisD. Bowen’s diseaseE. Glandular cheilitis

15. A 51 year old woman complainedabout food sticking in a tooth on the ri-ght of her lower jaw. Objectively: thereis a deep carious cavity on the distal-masticatory surface of the 45 tooth consi-sting of compact pigmented dentin andnot communicating with tooth cavity. Thepatient was diagnosed with chronic deepcaries. What diagnostic method allowedto eliminate chronic periodontitis?

A. Electro-odontometryB. ProbingC. Palpation of root apex projectionD. PercussionE. Cold probe

16. A 58 year old patient complains aboutclicking in the mandibulotemporal jointduring eating. Periodically as a result ofwide mouth opening the mandible takesup such a position that makes mouth closi-ng impossible. The mandible can be easilyplaced into its initial position by pressingwith fingers upon its coronoid processes.What is your presumptive diagnosis?

A. Habitual dislocation of mandibleB. Acute dislocation of mandibleC. Subluxation of mandibleD. Anterior dislocationE. Posterior dislocation

17. An 11 year old girl complains about gi-ngival haemorrhage during tooth brushi-ng and eating. She has been sufferi-ng from this for a year. Gum of bothupper and lower jaws is edematic andcongestively hyperemic. Hygienic state oforal cavity is unsatisfactory. Bite is edge-to-edge. Roentgenological examinationof periodontium revealed no pathologi-cal changes. What is the provisional di-agnosis?

A. Chronic catarrhal gingivitisB. Acute catarrhal gingivitisC. Generalized periodontitisD. Localized periodontitisE. Hypertrophic gingivitis

18. A 13 year old child complained aboutpainfulness of his lower lip. He hasbeen suffering for two months. Objecti-

vely: mucous membrane of lower lip ishyperemic, excretory ducts of minor sali-vary glands are dilated, "dew"symptomis present. What is the most probable di-agnosis?

A. Cheilitis glandularisB. Meteorological cheilitisC. Microbal cheilitisD. Cheilitis exfoliativaE. Contact allergic cheilitis

19. A 54 year old woman complains aboutwear of the 35 and 36 teeth and paincaused by thermal and chemical stimuli.Objectively: crowns of the 35 and 36 teethare worn by 1/3 of their height (horizontaltype), the 24, 25 26 teeth have fullcastcrowns. What crowns should be made forthe 35 and 36 teeth?

A. FullcastB. Combined Belkin’sC. Metal stampedD. PlasticE. Metal-ceramic

20. A virtually healthy 9 year old chi-ld complains about crown fracture andpain in the right superior frontal tooth.Objectively: crown part of the 11 tooth isbroken by 1/3, pulp is pointwise dehisced,it is red, acutely painful and bleeds duri-ng probing. Percussion is slightly painful.The child got a trauma several hours ago.Choose an optimal treatment method:

A. Biological methodB. Vital amputationC. Devital amputationD. Vital extirpationE. Devital extirpation

21. Objective examination of a patientrevealed hard tissue defect of the 24 tooth.Tooth decay index is 0,8. The defect ispartly restored by a filling that doesn’tmeet the requirements. The tooth haspink colouring. X-ray picture shows nopathological processes. What constructi-on is indicated in this case?

A. Pin constructionB. Artificial crownC. InlayD. HalfcrownE. Equator crown

22. A 49 year old patient applied toa dentist complaining about a growingmole, its peeling and itching. According tothe patient, the part of skin started changi-ng its colour and size 1 year ago, after an


injury got during shaving. Objectively: inthe infraorbital area on the left there is anintensely pigmented brown spot, up to 2cm large, with small nodules on its surface;it is oval, bulging, with signs of peeling,palpatory painless. Regional lymph nodesare enlarged, adhering to skin, painless.Make a provisional diagnosis:

A. MelanomaB. Pigmented nevusC. Verrucous nevusD. Squamous cell carcinoma of skinE. Papillomatosis

23. A patient applied to a dentist complai-ning about inability to close her mouth,laboured speech. Objectively: oral cavityis half-open with saliva outpouring fromit, central line is deviated to the right.There is a cavity in front of antilobium;below the malar arch there is a protrusionof mandible head into the infratemporalfossa. What is the most probable di-agnosis?

A. Unilateral anterior dislocation ofmandible on the leftB. Unilateral anterior dislocation ofmandible on the rightC. Unilateral posterior dislocation ofmandible on the leftD. Unilateral posterior dislocation ofmandible on the rightE. Bilateral anterior dislocation

24. A 36 year old man complains aboutacute headache, body temperature rise upto 39, 1oC, indisposition. Objectively: a sli-ght face asymmetry because of soft tissueedema of the left infraorbital area. Crownof the 26 tooth is partly decayed. Percussi-on is acutely painful. Mucous membraneon the vestibular side in the area ofthe 25, 26 teeth is edematic, hyperemic.Breathing through the left part of nose islaboured, there are purulent discharges.X-ray picture showed a homogeneousshadow of the left part of maxillary sinus.What is the most probable diagnosis?

A. Acute purulent odontogenous maxillarysinusitisB. Acute condition of chronic periodontitisof the 26 toothC. Acute periostitis of upper jawD. Suppuration of maxillary cystE. Acute odontogenous osteomyelitis

25. A 38 year old patient got a blowthat resulted in upper jaw fracture.Objectively: flattening and impressi-on of face, mobility and dangling of

broken jaw with cartilage of noseand eyeballs, nasal haemorrhage, ti-ssue edema, "glasses"symptom; palpati-on reveals crepitation, subcutaneousemphysema, liquorrhea, loss of sensitivi-ty in the area of half the upper jaw, nosewing and frontal teeth. What is the mostprobable diagnosis?

A. Le Fort’s III fracture of upper jawB. Upper jaw ostemiaC. Upper jaw odontomaD. Le Fort’s I fracture of upper jawE. Upper jaw cancer on the right

26. An 8 year old child has a carious cavi-ty on the masticatory surface of the 16tooth within circumpulpar dentin. Probi-ng of cavity floor is painful, dentin issoftened, slightly pigmented. Cold sti-mulus causes short-term pain. Choose adental treatment paste:

A. Hydroxycalcium-containingB. Resorcin-formalineC. ParaformaldehydeD. ArseniousE. Thymol

27. A 24 year old patient applied to adental clinic for root removal of her upperwisdom tooth. Tuberal anesthesia causeda postinjection haematoma. What wasinjured during anesthetization?

A. Pterygoid venous plexusB. Maxillary arteryC. Infraorbital arteryD. Zygomatic arteryE. Palatine artery

28. A 5 year old child has temperature riseup to 39, 2oC, sore throat, nausea. Objecti-vely: mucous membrane of soft palate andpalatine arches is brightly hyperemic, itcan be distinctly distinguished among thesurrounding tissues. The tongue is dry,edematic, bright-red, its lateral surfaceshave no fur on them, fungiform papi-llae are evidently enlarged. Face skinis hyperemic apart of pale nasolabi-al trigone, is covered with spotty rash.Submaxillary lymph nodes are palpatorypainful. What is the causative agent of thisdisease?

A. Hemolytic streptococcusB. Coxsackie virusC. Herpes virusD. Bordet-Gengou bacillusE. Loeffler’s bacillus

29. A 65 year old patient complains about


pain during eating, reduced tongue mobi-lity, an ulcer in the posterior part of mouthfloor on the left, weight loss. Objecti-vely: the patient uses a partial removabledenture for the lower jaw. In the areaof the left mylohyoid duct there is anulcer in form of a cleft up to 1,6 cmlong with everted edges, covered withgrey-yellowish deposit, closely adheri-ng to an infiltrate that can be detectedduring bimanual palpation. In the leftsubmandibular and superolateral areas ofneck several enlarged nonmobile lymphnodes can be palpated. What is the mostprobable diagnosis?

A. Cancer of mucous membrane of mouthfloorB. Tuberculous ulcer of mouth floorC. Decubital ulcer of mouth floorD. Tertiary syphilis (gummatous ulcer)E. Actinomycosis of mouth floor

30. A 7 month old child was brought toa dentist because of an ulcer in the oralcavity. The child was born prematurely.She has been fed with breast milk substi-tutes by means of a bottle with rubber ni-pple. Objectively: on the border betweenhard and soft palate there is an oval ulcer0,8х1,0 cm large covered with yellowish-grey deposit and surrounded with a roll-like infiltration. Make a provisional di-agnosis:

A. Bednar’s aphthaB. Setton’s aphthaC. Tuberculous ulcerD. Acute herpetic stomatitisE. Acute candidous stomatitis

31. A 16 year old patient complainsof a cosmetic defect in the area of hisupper frontal teeth in form of white spotsthat were revealed long ago and haven’tchanged since that. Objectively: there arewhite spots on the vestibular surfaces ofthe 11, 12, 21, 22 teeth by the cuttingedge and on the vestibular surfaces of the16, 26, 36, 46 teeth close by the masti-catory surface. Probing showed that thespot surface was smooth, painless; reacti-on to the cold stimulus was painless. Thespots couldn’t be stained by 2% soluti-on of methylene blue. What is the mostprobable diagnosis?

A. Systemic enamel hypoplasiaB. Local enamel hypoplasiaC. Acute initial cariesD. Fluorosis, spotty formE. Erosion of hard tooth tissues

32. A 31 year old man complains aboutdryness, burning of tongue dorsum thatappeared for about a week ago and isgetting worse during eating stimulati-ng food. Some time ago the patienthad pneumonia. He spent two weeksat a hospital, was taking antibiotics. Hedoesn’t take any drugs at the moment.Objectively: mucous membrane of oralcavity is hyperemic, dry and glossy. On thetongue dorsum and palate some greyish-white films are present that can be easi-ly removed. Threads of saliva follow thespatula. What is the most probable provi-sional diagnosis?

A. Acute pseudomembranous candidosisB. Chronic hyperplastic candidosisC. Acute atrophic candidosisD. Drug-induced stomatitisE. Chronic atrophic candidosis

33. A 10 year old boy applied to a dentistand complained about pain in his palateduring eating. Objectively: the lower thirdof his face is shortened, mouth opening isnot reduced. During joining of teeth thecutting edge of inferior incisors contactswith mucous membrane of palate. Onthe site of contact mucous membrane ishyperemic and slightly edematic. Lateralteeth have 1 class joining (according toAngle’s classification). Propose a rationalplan of treatment of the patient’s lowerjaw:

A. To "knock in"the frontal partB. To "knock in"the lateral partsC. To broaden lower jawD. To lengthen the frontal partE. To lengthen the lateral parts

34. A 32 year old patient applied to adental surgeon for oral cavity sanitationbefore prosthetics. During examinationof oral cavity the dentist revealed thatcrown of the 35 tooth was decayed. Theroot is stable, its percussion is painless.Mucous membrane of alveolar processwas unchanged. X-ray picture showed aslight broadening of periodontal fissure.What is your presumptive diagnosis?

A. Chronic fibrous periodontitis of the 25toothB. Chronic periodontitis of the 25 toothC. Chronic granulomatous periodontitis ofthe 25 toothD. Chronic granulating periodontitis of the25 toothE. Cystogranuloma


35. A patient has indication for removal ofhis medial incisor of the right upper jawon account of chronic periodontitis. Whattypes of anaesthesia should be applied fortooth removal?

A. Infraborbital and incisiveB. Infraorbital and palatineC. Terminal and incisiveD. Infraorbital, palatine and incisiveE. Plexual and incisive

36. A 45 year old man complains about li-quid outpouring from his nose, inabilityto blow his nose, inflated cheeks. Objecti-vely: there is a perforating defect (1х1,5cm) of alveolar process at a level of theextracted 26th tooth in the lateral partof his upper jaw. Air inhalation throughthe nose with held nostrils is accompani-ed by generation of bubbles in the areaof perforation. What denture constructi-on should be recommended?

A. Lesser saddle denture with clasps’fixationB. Clasp denture with obturating partC. Common partial removable dentureD. Common dental bridgeE. Protective palatal bars

37. Preventive examination of an 8 yearold boy revealed matted chalky spots onthe vestibular surface of the 11 and 21teeth localized in the precervical area. Thechild has no subjective complaints. Whatis the most probable diagnosis?

A. Acute initial cariesB. Spotty fluorosisC. Local enamel hypoplasiaD. Acute superficial cariesE. Chronic initial caries

38. A patient complains about pain inthe 51 tooth that is getting worse duri-ng cutting. Anamnesis data: the patientunderwent treatment on account of pulpi-tis of the 51 tooth, the tooth was treatedwith devitalizing paste, the patient didn’tcome to see a dentist for the second time.Objectively: carious cavity of the 51 toothis closed by dentin layer. Percussion is pai-nful. Mucous membrane in the root apexprojection of the 51 tooth is hyperemic,edematic, palpatory painful. Make a di-agnosis:

A. Acute arsenous periodontitisB. Acute infectious periodontitisC. Pulpitis complicated by focal peri-odontitisD. Acute condition of chronic periodontitisE. Acute purulent pulpitis

39. An 8 year old boy was referred to theoral surgery for extraction of his 64 toothbecause of acute condition of chronic peri-odontitis. Tooth crown is intact. Whatinstrument should be applied?

A. S-shaped forceps without thornsB. Beak-shaped forceps with non-converging beaksC. Straight forcepsD. Broad-beaked forcepsE. S-shaped forceps with thorns

40. A 43 year old man applied to thedental clinic for tooth prosthetics. Objecti-vely: the crown of the 37th tooth isdecayed by 2/3, buccal and lingual wallsare thin. Occlusion picture shows strongcontact with antagonists. How thickshould be the layer of tooth surface thatmust be ground off during preparation formetallic stamped crown?

A. 0,28-0,3 mmB. 0,1-0,2 mmC. 0,5-0,6 mmD. 0,6-0,7 mmE. 0,7-0,8 mm

41. A 56 year old man complains ofpain in the left parotidomasticatory area,progressing face asymmetry that was noti-ced a month ago. Objectively: left-sidedparesis of mimic muscles. To the fore ofearflap there is an ill-defined infiltration,the skin above it is tense and cyanotic;left lymph nodes are enlarged. Opening ofmouth is limited down to 2,5 cm. The leftparotid duct doesn’t excrete saliva. Whatis the most probable diagnosis?

A. AdenocarcinomaB. Mixed tumourC. Cyst of the glandD. Glandular tuberculosisE. Chronic lymphadenitis

42. A 55 year old woman complains ofulcers on the mucous membrane of oralcavity, pain during eating and talking. Shefell abruptly ill over a month ago. Objecti-vely: unchanged mucous membrane ofher gums, soft palate and palatine archeshas big bright-red erosions on it. Intactmucous membrane peels easily off whenslightly rubbed and this results in erosi-


ons and small haemorrhages. What is theleading diagnostic symptom in the di-fferential disease diagnostics?

A. Tzanck cells in the impression smearsB. Positive Nikolsky’s symptomC. Presence of blisters in the oral cavityD. Presence of Wickham’s striaeE. Presence of phagocytes in the impressi-on smears

43. A 47 year old patient complains ofpermanent pain in the 27 tooth that isgetting worse during cutting. Objectively:the patient’s face is symmetric, skin is ofnormal colouring, mouth opening is notlimited, mucous membrane of alveolarprocess is edematic and hyperemic at alevel with the 27 tooth. The 27 tooth hasa deep carious cavity communicating withpulp chamber. Percussion of the 27 toothcauses acute pain. What is presumptivediagnosis?

A. Acute condition of chronic periodonti-tis of the 27 toothB. Chronic periodontitis of the 27 toothC. Acute general purulent pulpitis of the27 toothD. Acute purulent periostitis of the upperjaw beginning from the 27 toothE. Chronic left-sided odontogenous maxi-llary sinusitis

44. A 68 year old patient has a defect inthe lower third of his nose as a result ofmalignant tumour removal. Objectively:dorsum of nose up to the middle thirdand external nostril outlines are intact.Skin at the base of nose is thinned anderosive. The patient strongly objects toany plastic operation. What method of fi-xation of nose ectoprosthesis is the mostacceptable?

A. On the glasses frameB. By means of laceC. Transparent adhesive tapeD. Anatomic retentionE. Head cap

45. A 12 year old girl complained abouta crown defect in the frontal part of herupper jaw. Anamnesis data: the toothwas filled more than once but the filli-ngs fell out. Objectively: the 12 tooth isfilled. There is IV class defect accordi-ng to Black’s classification. Devitalizationhas never been performed, percussion ofthe 12 tooth is painless. What orthopaedicconstruction should be applied in thiscase?

A. Circumpulpar pin inlayB. Metal-ceramic crownC. HalfcrownD. Ceramic crownE. Metal crown

46. A teenager applied to an orthodonti-st complaining about tooth malposition.Objectively: the face is without peculari-ties. Occlusion of permanent teeth ispresent. There are no abnormalities of jawcorrelation in three planes. The 23 tooth isvestibularly over the occlusive plane; thespace in the dental arch is less than 1/3of crown size. How is it possible to makeroom for the malpositioned 23 tooth?

A. To remove the 24 toothB. To enlarge transversal jaw dimensionsC. To enlarge sagittal jaw dimensionsD. To remove the 23 toothE. To enlarge vertical dimensions

47. A patient complains about acuteintense pain and a slight swelling in thearea of a decayed tooth of the lower jawon the right, ill health, body temperaturerise up to 38, 3oC, lack of appetite,insomnia. Objectively: there is collateraledema of soft tissues of submandibulararea and lower part of right cheek. Regi-onal lymph nodes are enlarged on theright, palpatory painful. Crown of the46 tooth is half decayed, the 45, 46, 47teeth are mobile, there is also a cuff infi-ltrate in the area of these teeth. Vincent’ssymptom is positive on the right. Make adiagnosis:

A. Acute odontogenous osteomyelitisB. Acute purulent odontogenuos periosti-tisC. Acute purulent periodontitisD. Acute condition of chronicodontogenous osteomyelitisE. Chronic odontogenous osteomyelitis

48. A 16 year old patient complainedabout discomfort in the area of her upperjaw teeth she has been feeling for 2 weeks.Examination of precervical area of the 11and 12 teeth revealed whitish matt spotswith indistinct outlines that absorb dyesintensively. What treatment of the 11 and12 teeth should be administered?

A. Remineralizing therapyB. Preparation and fillingC. Spot removalD. Antiseptic treatmentE. Silver impregnation

49. A 48 year old patient complained


about having pain in the 45 tooth duri-ng cutting for a year. The 45 was treatedbefore. Objectively: mucous membranein the area of this tooth is hyperemicand slightly cyanotic. The 45 tooth is pi-nk, the filling fell out. What examinati-on method should be applied in order tochoose treatment?

A. RoentgenographyB. ThermometryC. Gum palpationD. ProbingE. Electric odontodiagnostics

50. A 40 year old patient with mandi-ble fracture applied to a doctor 3 weeksafter immobilization of breaks because ofpain and body temperature rise. Objecti-vely: a slight swelling in the chin area,mucous membrane of alveolar process inthe area of the 2 1 | 1 2 teeth is hyperemic,edematic, palpatory painful. Overtoothsplint on 5 4 3 2 1 | 1 2 3 4 5 teeth isin satisfactory condition, no occlusionabnormalities were detected. The patientwas diagnosed with acute purulent peri-ostitis of mandible. What surgical action isindicated?

A. Lancing of abscess to the boneB. Intraoral novocaine blockC. Removal and replacement of theovertooth splint by a new oneD. Trepanation of the 2 1 and 1 2 teethE. Supervision of patient

51. A 43 year old patient complains of aneoplasm in the right submaxillary areathat appeared a month ago after angi-na. Body temperature is 37, 0 − 37, 2oC.The patient underwent anti-inflammatorytherapy but the neoplasm didn’t dimi-nish. Objectively: palpation of the rightsubmaxillary area reveals a slightly pai-nful spherical neoplasm of dense elasticconsistency with regular outlines thatis not adherent to skin. The duct ofsubmandibular salivary gland excretestransparent saliva. Sublingual torus isunchanged. What is the most probable di-agnosis?

A. Chronic lymphadenitisB. Chronic sialoadenitisC. SalivolithiasisD. Salivary adenomaE. Atheroma

52. A 37 year old man complained aboutpain and a slight swelling emerging duri-ng eating in the left submaxillary area.

Objectively: a painful elastic infiltration inthe left submaxillary area. Mouth openi-ng is not limited. Bimanual palpation inthe area of mylohyoid groove revealeda compact movable oblong induration.Mucous membrane is unchanged. Ductof the left submandibular gland doesn’texcrete saliva. What is the most probablediagnosis?

A. SalivolithiasisB. Chronic lymphadenitisC. Pleomorphic adenomaD. Retention cystE. Submaxillary lipoma

53. A 5 year old child was diagnosed wi-th congenital complete nonclosure of softand hard palate. What type of anaesthesiais indicated for uranostaphyloplasty?

A. Nasotracheal narcosisB. Mask narcosisC. Intravenous narcosisD. Orotracheal narcosisE. Endotracheal narcosis throughtracheostome

54. A 23 year old woman came to a dentalclinic for restoration of the 11th tooth’scrown. Objectively: root of the 11th toothis at a level with gingival edge, its wallsare thick enough. A dentist made andadjusted a stump inlay upon which ametal-plastic crown will be fixed. Whatplastic will be used for veneering?

A. Sinma-MB. AcryloxideC. CarbodentD. NoracrylE. Protacryl

55. A 35 year old patient needs a metalinlay for the 37 tooth. Objectively: masti-catory surface of the 37 tooth has a cariouscavity. What is the pecularity of preparati-on?

A. Making a bevelB. Making an auxiliary shelfC. Broadening of cavity floorD. Making a flat floorE. Making an auxiliary cavity

56. It is planned to make a metal-ceramiccrown supported by stump inlay of the23 tooth. Objectively: the crown of the23 tooth is decayed down to the gingivaledge. Root canal is filled to the top. Thedentist made a wax stump model with apin, cast it in metal, fitted it to the tooth,fixed it by means of visphat-cement and


got a working plaster impression. At whatstage did he make an error?

A. Impression takingB. Wax construction makingC. CastingD. Stump fittingE. Stump fixing

57. A 23 year old military servant needsorthopaedic treatment in a specializedhospital. He was diagnosed with false jointof mandible in its frontal part. The teethare intact, stable, in threes on each side.Orthopaedic treatment by means of a bri-dge denture will be possible only if the jawdefect is no more than:

A. 1 cmB. 2 cmC. 3 cmD. 3,5 cmE. 4 cm

58. A 17 year old girl applied to a dentalclinic and complained about hard tissuedefects on her frontal and lateral teeth.Subjectively these defects don’t cause anyinconvenience. Crown defects appearedlong ago. The patient was born and andhas been living in an area where fluori-ne concentration in the drinking watermakes up 1,2 mg/l. Objectively: on thevestibular surfaces of incisors on bothupper and lower jaws in the equator areathere are hard tissue defects within deeplayers of enamel. The defects are parallelto the cutting edge. The same defects wererevealed in the area of tubera of the fi-rst molars, floor and walls of the defectsare smooth. Enamel of the defect floor islight-brown. What is the most probablediagnosis?

A. Systemic hypoplasiaB. Local hypoplasiaC. Focal odontodysplasiaD. Endemic fluorosisE. Erosion of hard tissues of tooth

59. A 19 year old patient came totraumatology centre and complai-ned about face asymmetry, right-sidedparesthesia of his upper lip, nasalhaemorrhage. Objectively: evident faceasymmetry due to an edema andhaematoma of the right inferior eyelidand infraorbital area. Opening of mouthis slightly limited, occlusion is normal.Palpation reveals a symptom of "step"inthe area of the right zygomaticomaxillarysuture, deformity in the area of externaledge of the right orbit and zygomati-

coalveolar crest, gaseous crepitation in theright infraorbital area; percussion revealsa "bursted nut"symptom. What is themost probable diagnosis?

A. Fracture of the right zygomatic boneB. Le Fort’s I fracture of upper jaw (inferi-or)C. Le Fort’s II fracture of upper jawD. Le Fort’s III fracture of upper jaw(superior)E. Fracture of nose bones

60. A patient is 48 year old, accordingto the results of clinicoroentgenologicalexamination it is indicated to removethe 26 tooth because of acute conditionof chronic granulomatous periodontitis.What conduction anesthesia is indicatedfor this operation?

A. Tuberal and palatinalB. TorusC. Infraorbital and incisiveD. PlexusE. Infraorbital and palatinal

61. A girl is 1,2 year old. Vestibular surfaceof her 52, 51, 61, 62 teeth has large cariouscavities within the enamel. Probing is sli-ghtly painful, percussion of the 52, 51, 61,62 teeth is painless. What treatment is tobe administered?

A. Silver impregnationB. Filling with phosphoric acid cementC. Remineralizing therapyD. Coating with fluorine lacquerE. Amalgam filling

62. A 2 year old girl has body temperature38, 5oC, a swelling below her jaw on theright. On the 5th day of illness thereapeared rhinitis, cough, a small movableglobule under her lower jaw on the ri-ght. Objectively: general condition of thechild is moderately severe. The face isasymmetric due to the swelling in the rightsubmaxillary area. The skin is hyperemic,glossy, there is a diffuse infiltrate in theright submaxillary area spreading to theupper neck parts on the right, it is denseand painful; the skin doesn’t make folds.Teeth are healthy. What is the mostprobable diagnosis?


A. Adenophlegmon of the right submaxi-llary areaB. Acute nonodontogenic submandibularlymphadenitis on the rightC. Acute purulent periostitis of mandibleon the rightD. Acute sialoadenitis of the rightsubmandibular salivary glandE. Chronic osteomyelitis of mandible onthe right

63. A 36 year old woman complains of lipdryness and peeling lasting for a month.Application of indifferent ointments wasineffective. Objectively: vermilion borderof her lower lip is bright-red, moderatelyinfiltrated, covered with adherent whitish-grey squamae, their removal causes painand haemorrhage. On the focus peripherythere is epithelium opacity in form of whi-te striae, in the centre of it there is a sinki-ng down area. What is the most probablediagnosis?

A. Lupus erythematosusB. Candidal cheilitisC. Lichen ruber planusD. LeukoplakiaE. Exfoliative cheilitis

64. A patient complained about pai-nful deglutition, difficult mouth openi-ng. Several days ago the 47 tooth wasremoved because of acute condition ofchronic periodontitis. The patient’s condi-tion kept worsening. Body temperature is37, 9oC. Results of external examination:the face is symmetric, face skin is slightlypale. Right submandibular lymph nodesare enlarged, palpatory painful. Exami-nation of oral cavity is impossible becauseof evident contracture of lower jaw (themouth opens up to 0,5 cm between centralincisors). What anesthesia will providemouth opening?

A. Bersche-Dubov’s anesthesiaB. PlexusC. TorusD. Block of upper cervical plexusE. Mandibular anesthesia

65. A 7 year old child complains ofspontaneous pain in the upper right molarteeth. Examination of medial contactand masticatory surfaces of the 55 toothrevealed a carious cavity composed ofsoftened light dentin and localized wi-thin circumpulpar dentin. Floor probingis acutely painful, tooth percussion is sli-ghtly painful. Mucous membrane of thealveolar process in projection of 55 tooth

roots is intact, there are no roentgenologi-cal changes in this area. What is the mostprobable diagnosis?

A. Acute diffuse pulpitisB. Chronic fibrous pulpitisC. Chronic gangrenous pulpitisD. Exacerbation of chronic periodontitisE. Acute deep caries

66. A 12 year old boy complains aboutpain and swelling in the parotidomasti-catory area on the left, body temperaturerise up to 37, 5oC. He has been sufferingfrom this for 5 years. Objectively: palpati-on reveals a dense painful nonmobi-le formation 3,5х5 large in the paroti-domasticatory area on the left. Skincolour is unchanged. Orifice of the leftsalivary gland duct excretes transparentsecretion. What is the most probable di-agnosis?

A. Herzenberg’s pseudoparotitisB. Mixed tumour of parotid glandC. Epidemic parotitisD. Acute condition of chronicparenchymatous parotitisE. Buccal abscess

67. A 55 year old patient has a painless,tuberous, cyanotic pedunculated formati-on 2х1х1,5 cm large that appeared on thespot of the removed 46th tooth. Openingof mouth is not limited. Intra-oral X-raypicture of alveolar process in the area ofthe removed 46th tooth shows a focus ofbone tissue destruction. What is the mostprobable diagnosis?

A. Giant-cell epulisB. Hard odontoma of lower jawC. Hypertrophic gingivitisD. Papilloma of mucous membrane in thearea of the removed 46th toothE. Ameloblastoma of the lower jaw

68. A 40 year old woman complainsabout slight painfulness of gums, hightemperature sensitivity of teeth. Objecti-vely: the gums are pale and compact,in the area of lower frontal teeth thereis retraction with cervix dehiscence. X-ray picture shows steady decrease ofinterdental septa height down to 1/3of root length. What disease are thesesymptoms typical for?


A. ParodontosisB. Generalized periodontitisC. GingivitisD. Localized periodontitisE. Papillitis

69. A soldier injured by a shell splinterwas diagnosed with gunshot fracture ofmandible accompanied by an over 3 cmlong bone defect in the chin area. Whatmethod of fixation of mandible fragmentsis indicated?

A. Machine osteosynthesis (Rudko,Bernadsky)B. Tigerstedt’s splintsC. Direct osteosynthesisD. Gunning-Port’s splintE. Intermandibular Ivy ligature

70. A 43 year old patient complainedabout mobility of his 24, 26, 27 teeth,pus excretion from alveolus of the theextracted 25 tooth. 1,5 month ago di-ssection along the mucogingival foldwas performed and the 25 tooth wasextracted. Objectively: there is a sli-ght swelling of soft tissues in the rightinfraorbital area, lymph nodes of the ri-ght submaxillary area are enlarged, sli-ghtly painful, nasal breathing is normal.Mucous membrane of alveolar process inthe area of the 24, 26, 27 teeth is edematicand cyanotic. There is also a fistula withbulging granulations along the mucogi-ngival fold. Alveolus of the extracted25 tooth excretes purulent granulations.What disease does this clinical presentati-on correspond with?

A. Chronic localized osteomyelitisB. Acute osteomyelitisC. Acute condition of localized periodonti-tisD. Acute condition of chronic maxillarysinusitisE. Chronic alveolitis

71. A 57 year old patient came to anorthopaedic stomatology center withcomplaints about dull pain in the area ofhis right temporomandibular joint thatis getting worse during eating. The di-sease developed gradually, it began wi-th constrained mandibular motion inthe morning that sometimes grew moreintensive, sometimes less. Objectively:the face is symmetric, the mouth can beopened up to 3 cm. Opening of mouth isaccompanied by articular noise and cli-cking (step-like dislocation of mandible).Skin above the joint is intact. Muscle tone

is palpatory unchanged. What is the mostprobable diagnosis?

A. Arthrosis of the right temporomandi-bular jointB. Acute arthritis of the righttemporomandibular jointC. Neuromuscular syndromeD. Occlusive articulation syndromeE. Subluxation of mandible

72. During opening a phlegmon of mouthfloor a doctor revealed greyish necroticmasses in purulent foci, gas vesicles andfat droplets, sharp unpleasant smell ofexudate. The tissues are of dark-browncolour, muscles resemble of boiled meat.What medications should be administeredin order to prevent further spreading ofthis process?

A. Polyvalent antigangrenous serumB. Challenging dose of broad spectrumantibioticsC. Glucocorticoid medicationsD. Hyposensitizing medicationsE. Immunomodulators

73. A 43 year old patient complai-ned about mobility of lower jaw teeth.Objectively: the dentition is intact. Toothmobility is of I-II degree. It is planned toimmobilize teeth by means of a removablesplint common for the whole dentition.What stabilization will be provided bymeans of this splint?

A. CircleB. FrontalC. Frontal-lateralD. SagittalE. Transversal

74. A patient complains about long-lastingpain attacks in the lower jaw teeth, on theleft. The pain irradiates to the ear, occiputand is getting worse during eating coldand hot food. Objectively: there is a deepcarious cavity on the approximal-medialsurface of the 36 tooth. Floor probing isoverall painful and induces a pain attack.What is the most probable diagnosis?

A. Acute diffuse pulpitisB. Acute local pulpitisC. Acute purulent pulpitisD. Chronic concrementous pulpitisE. Acute deep caries

75. A 35 year old woman complains aboutperiodical appearance of small ulcers inthe oral cavity. She has been sufferingfrom this for 5 years, recurrences happen


4-5 times a year. The ulcer healing lastsfor 10 days. Objectively: on a mucousmembrane of lower lip there is a roundi-sh lesion element 0,5 cm large coveredwith white deposit and surrounded byhyperemia border, very painful whentouched. What is the most probable di-agnosis?

A. Chronic recurrent aphthous stomatitisB. Traumatic erosionC. Secondary syphilisD. Chronic recurrent herpesE. Duhring’s herpetiform dermatitis

76. A 38 year old driver complainsof acute pain in his mouth and sorethroat, difficult ingestion, indisposition,temperature rise up to 38, 6oC. Thesesymptoms appeared after exposure tocold. He has been ill for a day, in theevening he has to go to work. Objectively:gums in the area of inferior frontal teethas well as pharynx mucous membraneare hyperemic, edematic; gingival edgeis necrotic, tonsills are enlarged. Resultsof bacterioscopy: fusospirochetal symbi-osis. In blood: erythrocytes - 4, 5 · 1012/l;leukocytes - 7, 2 · 109/l; ESR - 18 mm/h.What actions should a stomatologist take?

A. To prescribe a medication and give asick-listB. To prescribe a medication and allow togo to workC. To give him an order for hospitalizationin oral departmentD. To refer him to an infectious diseasespecialistE. To refer him to an otolaryngologist

77. A 25 year old man complains aboutitching and reddening of his skin in thebuccal area, general weakness, flaccidi-ty. He associates the begin of diseasewith a skin injury he had got duringshaving. Objectively: body temperature is39, 0oC. In the buccal area a part of skin ishyperemic, slightly bulging, well-defined.Hyperemic surface has some vesicles wi-th serous fluid. What is the most probablediagnosis?

A. Erysipelatous inflammation of faceB. Buccal phlegmonC. FuruncleD. AnthraxE. Streptococcal impetigo

78. A 13 year old child has been sufferi-ng from pain in the left inferior molarinduced by cold stimuli for several

months. Objectively: on the masticatorysurface of the 37 tooth there is a cariouscavity with overhanging enamel edges fi-lled with circumpulpar dentin. The cavityis filled with light softened dentin. Probi-ng of the cavity floor is somewhat painful.Cold stimuli cause short-term pain. Makea provisional diagnosis:

A. Acute deep cariesB. Chronic fibrous pulpitisC. Acute median cariesD. Chronic median cariesE. Chronic deep caries

79. A 65 year old patient complains ofpain in the area of mucous membrane ofhard palate on the left that is getting worseduring eating with use of a completeremovable denture. He has been sufferingfrom this for 1,5 month. Objectively: left-sided hyperemia and edema of mucousmembrane of hard palate; at the borderof distal denture edge there is an ulcerwith dense walls and fundus, surroundi-ng tissues are infiltrated. The ulcer floor istuberous, covered with fibrinous deposit;ulcer palpation is painful. What exami-nation method is to be applied in the firstplace?

A. BiopsyB. BacterioscopyC. CytologyD. Allergic contact plastic testE. Serological reactions

80. A 46 year old patient complains aboutpain and bleeding from the carious cavi-ty of her 27 tooth during eating. Previ-ously she had spontaneous pain. Exami-nation of the 27 tooth revealed a deepcarious cavity on the masticatory surfaceconsisting of red tissue, probing inducedpain and haemorrhage. What treatmentmethod should be chosen?

A. Vital extirpationB. Devital extirpationC. Devital amputationD. Vital amputationE. Biological method

81. A 40 year old patient complains abouta carious cavity in the 22 tooth. Objecti-vely: a deep carious cavity on the medialsurface of the 22 tooth, probing inducesmild pain. What is the optimal materialfor filling of the 22 tooth?


A. Composite light-setting materialB. Silica-alumina cementC. Glass-ionomer light-setting cementD. Glass-ionomer chemical-setting cementE. Silicophosphate cement

82. A 28 year old man applied to a dentalsurgeon for removal of the 38 tooth. Whatforceps should be chosen for this tooth?

A. Beak-shaped curved forcepsB. Broad-beaked forceps (with non-converging beaks)C. Beak-shaped forceps with convergingbeaksD. Beak-shaped forceps with thornsE. Root bayonets

83. A 35 year old patient applied to adental clinic for removal of the 14 toothbecause of acute condition of chronicperiodontitis after therapeutic treatmentproved to be inefficient. What instrumentwill you choose for removal?

A. S-shaped forcepsB. Bayonet-shaped crown forcepsC. S-shaped right forcepsD. Straight forcepsE. Bayonet-shaped root forceps

84. A patient came to a dental clinic forthe purpose of prosthetics. Objectively:the lower third of her face is diminished,nasolabial folds are deepened, frontalgroup of teeth on both upper and lowerjaws is missing, crowns of the 17, 15, 26, 27,36, 37, 45, 47 teeth are worn by 2/3 of theirheight, masticatory surfaces of these teethare smooth, pigmented, alveolar process isnot hypertrophied, interalveolar height isreduced. What form of pathological toothwear is it?

A. Horizontal, noncompensated, IIIdegree of severityB. Horizontal, compensated, II degree ofseverityC. Vertical, noncompensated, III degree ofseverityD. Vertical, compensated, III degree ofseverityE. Mixed, noncompensated, III degree ofseverity

85. An 11 year old patient complai-ns about tooth mobility and gingivalhaemorrhage. He has been suffering si-nce he was 3 years old. Objectively:gums around all the teeth are hyperemic,edematic, bleed during instrumentlexamination. Tooth roots are dehisced by1/3 and covered with white deposit. There

is 2 degree tooth mobility. Dentogingivalpockets are 4-5 mm deep. External exami-nation revealed dryness and thickeningof palms, anterior third of forearms, solesurfaces; there are scratches. What is themost probable provisional diagnosis?

A. Papillon-Lefevre syndromeB. Gaucher’s diseaseC. Letterer-Siewe diseaseD. Hand-Schueller-Christian diseaseE. Niemann-Pick disease

86. Examination of a patient revealeda roundish neoplasm in the submentalarea. The skin above it is unchanged,forms a fold. Puncture sample contai-ns some straw-yellow liquid mixed withcholesterol. What is the most probable di-agnosis?

A. Congenital median cystB. LipomaC. LymphadenitisD. Retention cyst of sublingual salivaryglandE. Dermoid cyst

87. An 8 year old child complains aboutpermanent dull pain in the 46 tooth thatis getting stronger during cutting. Thepain appeared 1 day ago. Previously therehas been pain induced by cold stimuli.Objectively: there is a deep carious cavi-ty on the masticatory surface of the 46tooth, tooth cavity is closed, probing andtemperature stimuli cause no pain reacti-on. Percussion is painful, a slight mobilityis present. Gum around the 46 tooth ishyperemic, edematic, palpatory painful.X-ray picture shows no changes near theapex of undeveloped roots. What is yourprovisional diagnosis?

A. Acute serous periodontitisB. Acute purulent pulpitisC. Acute general serous pulpitisD. Acute purulent periodontitisE. Acute condition of chronic periodontitis

88. A 20 year old patient complains ofa tumour-like formation on the lateralsurface of his neck on the right. Herevealed this tumour a year ago. Objecti-vely: there is a semi-oval well-definedtumour 3х2 cm large on the lateral necksurface. The tumour doesn’t hold togetherwith skin, it is painless, dense and elastic,upwardly and sidewardly movable. Regi-onal lymph nodes are not enlarged. Afterthe tumour puncture some light yellowliquid was obtained that consisted ofcast-off epithelium, cholesterol crystals,


lymphocytes, erythrocytes. What is themost probable diagnosis?

A. Lateral neck cystB. Median neck cystC. Dermoid neck cystD. Neck chemodectomaE. Chronic neck lymphadenitis

89. A 28 year old woman complains aboutacute pain on the left of her upper jawduring eating. 6 days ago the 28 toothwas extracted, after that the pain came.The patient considers that extraction ofthe 28 tooth caused "damaging"of thenext tooth. Objectively: alveolus of the28 tooth is at a stage of healing. On thedistal surface of the 27 tooth there is acarious cavity in the precervical area thatdoesn’t communicate with the tooth cavi-ty. Cold stimulus causes short attack ofpain. Dentin of walls and floor is light andsoftened. Probing of the floor is painful.What is the most probable diagnosis?

A. Acute deep cariesB. Acute local pulpitisC. Acute diffuse pulpitisD. Chronic deep cariesE. Chronic fibrous pulpitis

90. A 68 year old patient underwent fulljaw removal. Before the operation animpression of the patient’s upper andlower jaws was taken and a substitutivedenture was made. What are the means ofthe denture fixation in the oral cavity?

A. Spiral Fosher springsB. AnchorsC. ClaspsD. MagnetsE. Attachments

91. A patient complained about pain in his45 tooth induced by cold, sour and sweetfood stimuli. The pain abates when thestimulus action is stopped. Objectively:there is a carious cavity on the masticatorysurface within mantle dentin consisting offood rests and softened dentin, overhangi-ng enamel edeges are chalky. What is thediagnosis?

A. Acute median cariesB. Chronic median cariesC. Acute superficial cariesD. Acute deep cariesE. Chronic deep caries

92. A 48 year old teacher complainedabout considerable mobility of the 42,41, 31, 32 teeth. Objectively: cervices of

the 42, 41, 31, 32 teeth are dehisced by2/3, there is pathological mobility of theIII degree. The patient has indication forremoval of the 42, 41, 31, 32 teeth. Whattype of denture should be applied forimmediate-insertion prosthetics?

A. Partial removable lamellarB. ClaspC. AdhesiveD. Ceramic-metal bridgeE. Stamped-soldered bridge

93. A 13,5 year old girl complains of gingi-val painfullness and haemorrhage duri-ng tooth brushing and eating, halitosis.She has been ill with angina for a week.Objectively: mucous membrane of gumsin the area of frontal teeth of her upperand lower jaws is edematic, hyperemic.Apices of gingival papillae are necrotic,they also bleed when touched. There is athick layer of soft tooth plaque. What isthe causative agent of this disease?

A. Anaerobic microfloraB. Herpes virusC. StreptococciD. StaphylococciE. Yeast fungi

94. A month after cementation of a metal-ceramic crown on the 23 tooth a pati-ent applied to the dentist with complai-nts about its decementation. Examinationrevealed that tooth stump was of sufficientheight, its walls converged to the verticaltooth axis at an angle of approximately 30degrees. At what angle was it necessary toestablish convergention of stump walls tothe tooth axis?

A. Up to 8 degreesB. 12-15 degreesC. 15-18 degreesD. 22-25 degreesE. 10-12 degrees

95. A 57 year old patient complains aboutmobility of his metal-ceramic dental bri-dge supported by the 33, 37 teeth. The bri-dge has been in use for 9 months. Objecti-vely: X-ray picture shows alveolar processatrophy by 2/3 in the area of the 33, andby 1/2 of root length in the area of the 37;there are pathological pockets, gingivitis.What is the cause of pathological mobilityof supporting teeth?


A. Functional shifting of supporting teethunder stressB. Injuring of circle ligament by crownedgesC. Devitalization of supporting teethD. Massive grinding off of hard tissuesE. Garland modelling in the precervicalarea

96. During lateral motions of a mandi-ble frontal teeth are deviated. Sidewardrelocation of incisive point from thecentral position has an angle of 100−110o.What is characterized by such value ofincisive point deviation?

A. Lateral incisive tractB. Lateral articulate tractC. Sagittal incisive tractD. Sagittal articulate tractE. Bennett’s angle

97. A child was brought to thetraumatology centre of oral surgerydepartment with complaints aboutchanged position of the 21 tooth that wasinclined towards palate. The day beforethe child was hit in the face. Make a di-agnosis:

A. Subluxation of the 21 toothB. Complete dislocation of the 21 toothC. Fracture of crown part of the 21 toothD. Contusion of the 21 toothE. Break-off of the crown part of the 21tooth

98. Parents of a 1,5 year old child complai-ned about tongue enlargement, disturbedfood intake. The child has ben sufferi-ng from this since birth. Objectively:general condition has no pecularities.Tongue is enlarged (macroglossia). Itsmucous membrane has granular vesicle-like outgrowths. Tongue is compact,palpatory painless. What is the mostprobable diagnosis?

A. Lymphangioma of tongueB. Tongue hemangiomaC. Tongue fibromaD. Tongue cystE. Tongue cancer

99. A visiting nurse examined a newbornchild. Examination revealed that lowerface part is shorter than median one, chinis retrodeviated, teeth are missing, lowerjaw is retrodisplaced. What is the name ofsuch mandible position of a newborn?

A. Physiological infantile retrogeniaB. Mesial occlusionC. Physiological occlusionD. Distal occlusionE. Edge-to-edge occlusion

100. A 52 year old patient complainsof significant tooth wear on both jaws.Objectively: tooth wear in the lateralparts of the lower jaw at a level of gumsand wear by 1/3 in the frontal parts. Thetreatment had two stages. What dentureconstruction for occlusion disconnectionand reconstruction of myostatic reflexesshould be applied in this case?

A. Dentogingival splint in the lateral partsB. Plastic cap for the whole dentitionC. Plastic cap in the frontal partD. Crown splint in the lateral partsE. Elastic plastic cap

101. A 1,8 year old boy was undertreatment in the infectious diseasedepartment. He was given ampicillin. Onthe 6th day of treatment there appearedwhite deposits in form of caseous filmsthat were revealed on the hyperemicmucous membrane in the area of gingi-val torus, cheeks and on the tongue. Thefilms can be removed leaving hyperemicsurface underneath them. General condi-tion is satisfactory. Body temperature is36, 7oC. What is the provisional diagnosis?

A. Acute candidous stomatitisB. Drug-induced stomatitisC. Chronic candidous stomatitisD. Acute herpetic stomatitisE. Mild case of leukoplakia

102. A 47 year old patient came toan orthopaedic stomatology center wi-th complaints about missing tooth in thefrontal part of his upper jaw, cosmeticdefect. Objectively: the occlusion isorthogenic, the 11th tooth is missi-ng. Anamnesis data: the patient hadmyocardial infarction 3 months ago. Whatdenture should be applied for the timebeing?

A. Partial removable lamellar dentureB. Bridge denture suported by the 21 and12 teethC. Bridge denture suported by the 21 toothD. Clasp dentureE. Implant

103. A 53 year old patient has to undergoresection of the left half of mandibletogether with its ramus. It is indicatedto make an immediate Oxman’s denture.


What denture element keeps the remai-ning mandible fragment from deviationtowards the defect?

A. Removable or non-removable inclinedplaneB. The whole fixing partC. Multiclasp systemD. Resection partE. Artificial teeth

104. Examination of a 9 year old patientrevealed a milky spot on the vestibularsurface of the 11 tooth close to the cutti-ng edge. Probing and tempearture stimulicause no pain reaction. The child was di-agnosed with local enamel hypoplasia ofthe 11 tooth. What treatment should beadministered?

A. A course of remineralizing therapyB. Prophylactic hygiene of oral cavityC. Spot removalD. Hermetization of the affected partE. Cosmetic filling

105. A 70 year old patient is awaitingcomplete removable dentures for bothupper and lower jaws. Teeth placementwill be made by Vasilyev’s method. Whatteeth in the upper denture must not touchglass?

A. Lateral incisors and second molarsB. Central incisors and first molarsC. First and second premolarsD. Canines and first molarsE. Second premolars and first molars

106. Examination of a 6 year old childrevealed a deep carious cavity in the 85tooth. Percussion and probing are pai-nless. Removal of softened dentin resultedin intercommunication with tooth cavi-ty. Deep probing is painful. X-ray pictureof the 85 tooth shows a focus of bony ti-ssue destruction in the area of bifurcati-on, cortical plate of the 35 tooth has nopathological changes. What paste shouldbe applied for the root filling in this case?

A. Zink-eugenol pasteB. Resorcin-formaline pasteC. Glass-ionomer cementD. Phosphate cementE. Calcium-containing paste

107. A 20 year old patient got a trauma inthe area of his upper jaw. He applied to adentist and complained about mobility ofhis frontal upper teeth, pain during cutti-ng and joining of teeth. Objectively: the 11and 21 teeth have II-III degree mobility.

Tooth crowns are intact but have oral posi-tion. Complete joining of teeth is impossi-ble because the teeth are situated beyondthe dental arch. X-ray picture shows a sli-ght broadening of periodontal fissure ofthe 11 tooth up to 0,5-2 mm. The roots areintact. Make a correct diagnosis:

A. Traumatic subluxation of the 11, 21teethB. Traumatic periodontitis of the 11, 21teethC. Traumatic complete dislocation of the11, 21 teethD. Fracture of alveolar process in the areaof the 11, 21 teethE. Traumatic extraction of the 11, 21 teeth

108. A 50 year old patient has a defect ofhis lower dentition. It is planned to makea bridge denture supported by implants.X-ray picture showed that the height ofosseous tissue mass from projection ofmandibular canal to the top of alveolarcrest was 2 cm. What implant wil berecommended?

A. ScrewB. Endodonto-endoossalC. LeaflikeD. SubperiostealE. Conical

109. External examination of a 7 year oldchild revealed: thickening of nose bridge,semi-open mouth, dry lips. Mouth cornersare peeling. Anamnesis data: the childsleeps with open mouth. Examination oforal cavity revealed no changes. What di-spensary group will this child fall into?

A. The secondB. The firstC. The thirdD. The fourthE. -

110. A 14 year old patient applied toan orthodontist. Objective examinationrevealed that on the site of the secondincisor a canine tooth had cut out, and onthe site of the canine - the second incisor.The same pathology has also the patient’sfather. Make a diagnosis:

A. Transposition of lateral incisor andcanineB. Distal position of lateral incisorC. Palatine position of lateral incisorD. Mesial positionE. Superocclusion of incisor andinfraocclusion of canine


111. Parents of an 8 year old boy complainabout a cosmetic defect, inability to bi-te off food. The child often suffers fromacute viral respiratory infections. Objecti-vely: chin skewness, mental fold is mostevident. The lower lip is everted, superiorcentral incisor lies on it, nasolabial foldis flattened. In the oral cavity: occlusionperiod is early exfoliation period. Theupper jaw is narrowed, there is gothicpalate. Frontal teeth have fan-shapedposition. Sagittal fissure is 6 mm. In thelateral parts contact of homonymous teethis present. What is the most probablecause of dentoalveolar deformity?

A. Pathology of upper airwaysB. Missing of Caelinski ledgeC. Endocrinal diseasesD. Untimely sanitation of oral cavityE. Gestational toxicosis

112. A 20 year old patient complainsabout gum itching, gingival haemorrageduring tooth brushing and eating, unusuallook of gums. He has been observing thesepresentations for the last 1,5 year. It isknown from the patient’s anamnesis thathe has been taking diphenylamine anti-convulsants for 2 years. Objective exami-nation revealed gingival hyperemia andedema. In the frontal part the gums covervestibular surface of teeth by 1/2 of theirheight. Along the loose gingival edgegrowth of granulation tissue is present,probing causes gingival haemorrage. Noroentgenological changes were revealed.Make a diagnosis:

A. Chronic hypertrophic gingivitisB. Chronic ulcerative gingivitisC. Chronic catarrhal gingivitisD. Localized periodontitisE. Generalized periodontitis

113. A patient has got a traumatic fractureof mandible in the area of the missing 34,35 teeth with a slight displacement and adefect of alveolar part in the area of the34, 35 teeth. Other teeth on both lowerand upper jaws are intact. What splintwould be optimal in this case?

A. Tigerstedt’s splint with a spreadingcurveB. Plain splint crampC. Port’s splintD. Vasilyev’s splintE. Vankevich splint

114. A 36 year old patient applied toa dentist 1,5 month after a mandi-bular trauma with complaints about di-

fficult food mastication, esthetic facedefect. Objectively: the face is proporti-onal, asymmetric as a result of oraldisplacement of a lateral fragment ofthe left lower jaw. When the jaws areclosed the 34, 35, 36, 37 teeth are not incontact with their antagonists. The pati-ent strongly objects to surgical operati-on. What orthopaedic treatment shouldbe administered?

A. A denture with double dentitionB. MechanotherapyC. Interjaw tractionD. Crowns with occlusal applicationsE. Levelling of occlusal surface

115. A patient complains aboutspontaneous pain in the area of his 15tooth he has been feeling for 2 days.Thermal stimuli make the pain worse, itsattacks last up to 30 minutes. Objecti-vely: there is a deep carious cavity inthe 15 tooth consisting of light softeneddentin, floor probing is painful in onepoint, reaction to the thermal stimuli ispositive, percussion is painless. Make a di-agnosis:

A. Acute local pulpitisB. Acute diffuse pulpitisC. Pulp hyperemiaD. Acute deep cariesE. Acute condition of chronic pulpitis

116. A 50 year old woman complainsabout a neoplasm on her lower lip onthe side of oral cavity that appeared amonth ago and has been slowly growingsince that. Objectively: there is a roundish,elastic, painless neoplasm inside the lowerlip. Mucous membrane hasn’t changed itscolour. Make a diagnosis:

A. Retention cyst of lower lipB. Lip abscessC. Lip papillomaD. Lip fibromaE. Lip lipoma

117. A 5 year old girl with crossbite wasreferred to an orthodontist. Objectively:between frontal teeth there are diaeresesand diastems, canine tubera have no si-gns of physiological wear out. Central linebetween incisors doesn’t match. What isthe doctor’s tactics?


A. To remove unworn tubera of caninesB. To administer jaw massageC. To make a screw plate for the upper jawD. To wait for autoregulationE. To disconnect occlusion

118. Prophylactic examination of a 6 yearold child revealed: occlusion of temporaryteeth. Both superior and inferior dentalarches are trapeziform. Superior incisorsoverlap the inferior ones by more than2/3. Correlation of canines and secondmolars is homonymous. There are nospaces between frontal teeth. Superiordental arch is larger than inferior one bythe size of buccal cusp. In what planes canthe occlusion deformity be defined?

A. Sagittal and verticalB. Sagittal and transversalC. Sagittal and occlusalD. Sagittal and nasalE. Sagittal and Frankfort’s

119. A 43 year old patient complains oftooth mobility and considerable dehi-scence of dental cervices of the lower jawin its frontal part. Objectively: gums inthe area of the 44, 43, 42, 41, 31, 32, 33, 34teeth are pale, slightly cyanotic, withouthaemorrhage. The 42, 41, 31, 32 teeth havemobility of the I-II degree. There is alsoovercrowding of the 42, 41, 31, 32 teeth.Cervices of the 42, 41, 31, 32 teeth aredehisced by 1/2 of root length, of the 43,33 - by 1/4. What orthopaedic constructi-on should be applied in this case?

A. Fullcast removable kappaB. Kurlandsky’s girder splintC. Cap splintD. Halfcrown splintE. Semicircle splint

120. An 18 year old patient complainsof gingival painfulness and haemorrhage,halitosis, temperature rise up to 38, 6oC,general weakness, appetite loss. Objecti-vely: mucous membrane of oral cavity ishyperemic and dry; tongue is covered withwhite fur, gingival papillae are edematic,their apices have areas of necrotic depositthat can be easily removed leaving bleedi-ng surface beneath. Submaxillary lymphnodes are enlarged, palpatory painful.What is the causative agent of this di-sease?

A. Fusospirochetal symbiosisB. StreptostaphylococciC. Pale treponemaD. Virus of herpes simplexE. Candida fungi

121. A 48 year old patient complainedabout posttraumatic pain in the area ofhis chin. Examination revealed medianfracture of lower jaw with I class dentitiondefect (according to Kennedy classificati-on). It is indicated to make a Vankevichsplint in Stepanov’s modification. Whatwill determine the height of directingplanes of this splint?

A. Extent of mouth openingB. It will be determined arbitraryC. Height of central jaw correlationD. Form of edentulous alveolar crests ofthe lower jawE. Height of molar teeth of the upper jaw

122. A 24 year old soldier injured by ashell splinter was diagnosed with fractureof mandible accompanied by an over 2 cmlong bone defect in the chin area. Whatmethod of fixation of mandible fragmentsis indicated?

A. Break fixation by means of Rudko’sapparatusB. Tigerstedt’s splintsC. Intermandibular Ivy ligatureD. Gunning-Port’s splintE. Direct osteosynthesis

123. A 35 year old patient consulted adentist about a painless, slowly growi-ng neoplasm in the area of the 11 and12 teeth. Examination revealed thatthe neoplasm had flattened form, wasadjacent to the teeth, had a pedicle, wasof light-pink colour, up to 1,5 cm large, wi-th smooth surface and dense consistensy.Diagnosis: epulis in the area of the 11, 12teeth. What form of epulis are these clini-cal presentations typical for?

A. FibrousB. AngiomatousC. Giant-cellD. Epulis of pregnancyE. -

124. As a result of a road accident a 45year old patient got an injury of his upperjaw. Examination revealed elongated andflattened face, profuse nasal haemorrhage,liquorrhea from the nose and ears. Theseclinical presentations are typical for thefollowing fracture of upper jaw:


A. Subbasal (Le Fort III)B. Subnasal (Le Fort I)C. Suborbital (Le Fort II)D. Bilateral fracture of zygomatic bonesE. -

125. A child is 2,5 year old. The parentscomplain about thumb sucking duringsleep. What tactics should the doctorchoose?

A. To recommend an ulnar fixatorB. To talk with a child about harm fromthumb suctionC. Medical intervention is unnecessaryD. Non-removable device for suppressionof bad habitE. Removable device for suppression ofbad habit

126. A patient is waiting for a partialremovable laminar denture. Anatomicmodels of both jaws were made by meansof elastic alginate material "Ipin"andreferred for disinfection. What disinfecti-on method should be applied?

A. Glutaraldehyde 2,5% рH 7,0-8,7B. Sodium hypochloride 0,5%C. Desoxone 0,1%D. Hydrogen peroxide solution 6%E. Alcohol solution 70%

127. A 13 year old boy complains aboutpain in the 46 tooth induced by cold sti-muli. Objectively: there is a deep cariouscavity on the masticatory surface of the 46tooth within light softened circumpulpardentin. Probing of carious cavity floor isoverall painful, cold stimulus causes acutepain that is quickly relieved after the sti-mulus’ elimination. Choose an optimaldental treatment paste:

A. Hydroxycalcium-containingB. ThymolC. IodoformD. Resorcin-formalineE. Zink-eugenol

128. An 8 year old child has a deep cari-ous cavity communicating with tooth cavi-ty on the distaloapproximal surface of the75 tooth. Probing is painful, percussion ispainless, cold water causes slowly abatingpain. The tooth decayed a few months ago,wasn’t treated. What treatment method isto be applied in this case?

A. Devital amputationB. Biological methodC. Vital extirpationD. Vital amputationE. Devital extirpation

129. An 8 year old child complains aboutpain in the 21 tooth that is getting worseduring cutting. A month ago a part oftooth crown broke off as a result of a fall.The child didn’t consult a dentist. Objecti-vely: in the area of medial angle of the 21tooth there is a crown defect that makesup 1/3 of the crown’s height. Tooth cavi-ty is open, probing and thermal stimuluscause no pain. Percussion is acutely pai-nful. Gum around the 21 tooth is edematicand hyperemic. What is the provisional di-agnosis?

A. Acute condition of chronic periodonti-tisB. Acute condition of chronic pulpitisC. Acute serous periodontitisD. Acute purulent periodontitisE. Pulpitis complicated by periodontitis

130. An orthodontist was treating a pati-ent infected with AIDS virus. Acci-dentally he injured skin of one of hisfingers with a dental disk during toothpreparation. What actions should theorthodontist take in this case?

A. To press blood out and treat the skinwith 70% alcohol solutionB. To apply a tourniquet on the shoulderC. To perform diathermo-coagulationD. To treat the skin with 5% iodine soluti-onE. To press blood out and treat the skinwith strong solution of KMnO4

131. A 36 year old patient complainsabout acute pain, "clicking"in the rightmandibulotemporal joint, burning in thearea of her right external acoustic meatus.Movements of her lower jaw are step-like, along with brief blocking momentsin the joint and acute pain. Objecti-vely: the face is symmetric. Occlusion isorthognathic, intraoral palpation of lateralpterygoid muscle causes pain on the right.Tomograms show that contours of bonestructures of articular surfaces are regularand smooth. What is the most probablediagnosis?


A. Mandibulotemporal joint disfunctionB. Rheumatic arthritis of mandi-bulotemporal jointC. Acute posttraumatic artritis of mandi-bulotemporal jointD. Deforming arthrosis of mandi-bulotemporal jointE. Anchylosis of mandibulotemporal joint

132. A 40 year old patient complainsabout difficult mastication as a result oflower jaw deviation. Anamnesis data:mental fracture 2 months ago. Objecti-vely: the 35; 36; 38 ... 45; 46 teeth aremissing. Remaining teeth are intact. The43; 44; 47; 48 teeth have no contact withantagonists and their oral deviation makesup 1 cm. What is the optimal constructionof lower jaw denture?

A. A denture with double dentitionB. Metal-ceramic dental bridgeC. Soldered splint on ringsD. Removable lamellar dentureE. Adhesive denture

133. A patient is 24 years old. Artificialcrown of his 22 tooth broke off. The toothwas devitalized 8 years ago and its crownis totally decayed. What microprosthesisshould be made for restoration of toothcrown?

A. Stump-root inlayB. FillingC. InlayD. ApplicationE. Stamped crown

134. One of the methods to define centralocclusion is to construct a flat that willgo through cutting edges of central inci-sors and distalobuccal tubercles of lastmolar teeth providing that there is suffi-cient quantity of teeth. What flat shouldbe constructed?

A. Occlusal flatB. SagittalC. VerticalD. TransversalE. Frankfort

135. During restoration of a II class(according to Black’s classification) cari-ous cavity of the 25 tooth a doctor appliedmethods of total mordanting and dryingof hard tissues. After that he noticed thatenamel surface became chalky and dentinbecame completely dry. How should hetreat enamel and dentin surfaces for thefurther restoration by method of ”wet −Bonding”?

A. With dentin wetting agentB. Enamel and dentin should be treatedwith mordanting gel once againC. Enamel and dentin should be treatedwith adhesive systemD. Enamel and dentin should be treatedwith hydrogen peroxideE. Enamel and dentin should be treatedwith alcohol

136. A 42 year old patient complainsabout tooth mobility, change of toothposition, foul taste, pain during foodmastication. Objectively: teeth of bothupper and lower jaws are mobile (2-3degree), there are also diastems and di-aereses. Tooth roots are dehisced by 1/2.There are serous purulent discharges fromperiodontal pockets. Orthopantomogramshows bony tissue destruction down to 2/3of root length. There are bone pockets.What is the most probable diagnosis?

A. Chronic generalized periodontitis (IIIdegree)B. Papillon-Lefevre syndromeC. Chronic catarrhal gingivitisD. Atrophic gingivitisE. Chronic generalized periodontitis (IIdegree)

137. A 60 year old man has got a pustuleon his chin skin that quickly developedinto a hard, strongly painful infiltrate 3х3cm large. In the epicentre three necrosiszones around hair follicles are present.Lymph nodes of chin are enlarged, pai-nful. Body temperature is 38, 5oC. What isthe most probable diagnosis?

A. Chin carbuncleB. Erysipelatous inflammation of chinC. Suppurated atheromaD. Chin furuncleE. Allergic chin dermatitis

138. A 50 year old patient comlains ofdifficult mastication, tooth mobility, hali-tosis, gingival haemorrhage. Objectively:gums are hyperemic, cyanotic, there is alsodental scale. Parodontal pockets of uppermolar teeth were 8 mm, of the rest teeth -6 mm. X-ray picture showed resorption ofbone tissue by 2/3-1/2 of root length. Whatis the most probable diagnosis?


A. Generalized III degree periodontitis,chronicB. Generalized II degree periodontitis,chronicC. Generalized I degree periodontitis,chronicD. Generalized III degree periodontitis,acute conditionE. Generalized II degree periodontitis,acute condition

139. An 18 year old patient complainsabout gingival enlargement, haemorrhageand pain during eating. Objectively: gi-ngival edema, hyperemia, enlargement isup to 1/3 of tooth crown length. Palpati-on causes intense haemorhage and pain.What is the most probable diagnosis?

A. Hypertrophic gingivitis, edematousformB. Hypertrophic gingivitis, fibrous formC. Acute catarrhal gingivitisD. Chronic catarrhal gingivitisE. Acute condition of initial generalizedperiodontitis

140. A boy is 1 month old. He has awound with purulent discharge near themedial edge of inferior eyelid, on theright. The illness began abruptly, bodytemperature is up to 40oC. General condi-tion is grave. On the second day of illnessthere appeared an infiltration near theinternal edge of orbit and cheek on theright. Skin above it is hyperemic, fluctuati-on cannot be detected. Palpebral fissure isnarrowed. Right nasal meatus dischargespus. There is an infiltration on the vesti-bular surface of alveolar process andpalate on the right. Mucous membraneabove it along the mucogingival fold ishyperemic, there is fluctuation. What isthe most probable diagnosis?

A. Acute hematogenous osteomyelitisB. Acute dacryocystitisC. Right-side orbital phlegmonD. Acute right-side maxillary sinusitisE. Acute serous periostitis

141. A 25 year old patient complains ofa light brown spot on the frontal toothof her upper jaw. Oblectively: a singlelight brown spot in the precervical areaof the 23 tooth, probing revealed that itssurface was smooth. Reaction to the coldstimulus and probing was painless. Whatis the most probable diagnosis?

A. Chronic initial cariesB. FluorosisC. Local enamel hypoplasiaD. Acute initial cariesE. Chronic superficial caries

142. A 35 year old man complains aboutpain in the area of the 38 tooth, painfuldeglutition, difficult mouth opening. Whatanesthesia method will be optimal duringoperation on account of pericoronaritis?

A. Conduction Bersche-Dubov’sanesthesiaB. Infiltration anesthesiaC. General anesthesiaD. Stem anesthesiaE. Application anesthesia

143. A young woman complained abouthaving vesicles in oral cavity, painfululcers, especially during talking andeating; muscle and joint pain, bodytemperature rise, indisposition, weakness.She fell suddenly ill 2 days ago. Objecti-vely: to- 38, 4oC. Vermilion border iscovered with bloody crusts that sticktogether and impede mouth opening.Mucous membrane of lips, cheeks, mouthfloor, tongue, soft palate is hyperemicand edematic; there are single vesiclesand large painful erosions covered withfibrinous deposit on it. Regional lymphnodes are enlarged and painful. There ishypersalivation. Nikolsky’s symptom isnegative. What is the most probable di-agnosis?

A. Multiform exudative erythemaB. Acantholytic pemphigusC. Secondary syphilisD. Acute herpetic stomatitisE. Non-acantholytic pemphigus

144. A 20 year old patient complainsabout gingival pain and haemorrhageshe has been suffering from for a week.The pain is getting worse during eati-ng, haemorrhage is usually induced bymechanical stimuli. Objectively: there areevident hyperemia and edema of gumsin the area of inferior frontal teeth. Api-ces of gingival papillae are dome-shaped,enlarged. Gum palpation causes pain, sli-ght haemorrhage. No roentgenologicalchanges were revealed. What is the mostprobable diagnosis?


A. Catarrhal gingivitisB. Hypertrophic gingivitisC. Localized periodontitisD. Ulcerative gingivitisE. Atrophic gingivitis

145. A 42 year old patient applied toa dentist and complained about whi-te caseous deposit on the dorsum ofhis tongue and burning sensation. It isknown from the patient’s anamnesis thathe underwent treatment in an in-patienthospital on account of pneumonia. Whatis the most probable diagnosis?

A. Acute pseudomembranous candidosisB. Typical form of leukoplakiaC. Lichen ruber planusD. Scarlet feverE. Lupus erythematosus

146. A patient complained aboutfrequent haemorrhages from the mucousmembrane of oral and nasal cavities, hementioned also that his father had thesame problems. Objectively: there aremultiple telangiectasias and angimatousformations on face skin as well as onmucous membrane of nose, cheeks andlips. Blood count is normal. What is themost probable diagnosis?

A. Rendu-Osler-Weber diseaseB. Werlhof’s diseaseC. Vaquez diseaseD. Cushing’s basophilismE. Addison-Biermer disease

147. Unused stomatological instrumentswere left on a sterile table in the dentalroom after the end of working day. Whatactions should be taken in order toprovide sterility of these stomatologicalinstruments?

A. Sterilization without pretreatmentB. Disinfection, sterilizationC. Disinfection, presterilizing cleansing,sterilizationD. Presterilizing cleansing, sterilizationE. Disinfection only

148. A 23 year old patient underwenttreatment of pulpitis of her 16 tooth. Duri-ng endodontic procedure an obstructeddistal buccal canal was found. What medi-cations can be applied for chemical di-latation of root canal?

A. 10-20% solutions of EDTA sodiumsaltsB. Resorcin-formaline liquidC. 30% solution of silver nitrateD. Essential oilsE. Medications with antibacterial andanti-inflammatory effect

149. A patient applied to a dentist andcomplained about periodical pain in hisupper jaw. Anamnesis data: the 12 toothhas been previously treated on accountof pulpitis. Objectively: crown of the 12tooth was restored by permanent fillingmaterial. X-ray picture of the upper jawshows a focus of bony tissue destructionnear the root apex of the 12 tooth up to15 mm in diameter. Root canal is filledup to the top. What is the most optimaltreatment method?

A. Root apex resection of the 12 toothB. Conservative treatmentC. Removal of the 12 toothD. Replantation of the 12 toothE. Dissection along the mucogingival fold

150. A 46 year old patient complai-ns about difficult mouth opening,body temperature rise, edematic tissuesaround both mandibulotemporal joints.Anamnesis data: 2-3 months ago the pati-ent had undurable mild bilateral painattacks in the parotidomasticatory areasthat lasted for a few days, limited mouthopening, sense of tension and discomfortin some areas of left and right mandi-bulotemporal joint. What is the mostprobable provisional diagnosis?

A. Rheumatic arthritisB. Infectious arthritisC. ArthrosisD. Fibrous anchylosisE. Deforming arthrosis

151. An 11 year old girl has adentia,the 35 tooth is missing, it was provedroentgenologically. Between the 34 and33 teeth as well as between the 34 and 36teeth there are diaereses, the 34 tooth isturned by 30o relative to its glossobuccaldirection. What abnormal position doesthe 34 tooth have?

A. Tortoocclusion (rotation of teeth) anddistalB. DistalC. MesialD. VestibularE. Oral

152. A 64 year old patient applied to a


dental clinic for tooth prosthetics. Objecti-vely: there is a sharp bony prominencein the area of the missing 15 tooth. Itis planned to make a partial removabledenture with two-layer base. What plasticshould be used for elastic backing?

A. Plastic PM-01B. FtoraxC. AcrylD. ProtacrylE. Bacryl

153. A dentist was called to a patient bei-ng treated in the cardiological departmentafter myocardium infarction. The pati-ent was diagnosed with acute conditi-on of chronic fibrous pulpitis of the 36tooth. What method of pulpitis treatmentshould be chosen taking into accountgrave condition of the patient?

A. Devital amputationB. Vital extirpationC. Vital amputationD. Devital extirpationE. Conservative method

154. Walls and floor of a dental room werepainted with recommended light colours.What is the required coefficient of reflecti-on from the walls, ceiling and floor?

A. 60B. 35C. 30D. 25E. 20

155. A 7 year old girl was brought to ahospital for the purpose of oral cavitysanitation. She was born and has been livi-ng in an area where fluorine concentrationin water makes up 2,5 mg/l. Examinationrevealed symmetrically placed dark spotson the vestibular surfaces of the 11, 21,31, 41 teeth as well as on the tubera of the16, 26, 36, 46 teeth. It is known from theanamnesis that the teeth cut out alreadywith affection. What is the most probablediagnosis?

A. Tooth fluorosisB. Odontogenesis imperfectaC. Amelogenesis imperfectaD. Systemic enamel hypoplasiaE. Local enamel hypoplasia

156. A dentist applied to a regionalsanitary-and-epidemiologic institution foran authorization to open a private dentalsurgery with 2 universal dental devices.The area of room where he is planning to

have surgery hours makes up 26 m2. Whatarea must this room with two universaldental devices have according to the exi-sting regulations?

A. 14 m2 for each dental device and 10 m2

additionallyB. 10 m2 for each dental device and 10 m2

additionallyC. 10 m2 for each dental device and 7 m2

additionallyD. 7 m2 for each dental device and 7 m2

additionallyE. 20 m2 for each dental device and 12 m2

additionally

157. Examination of a 23 year oldpatient revealed chronic candidosis oforal mucous membrane, generalizedlymphadenopathy. Anamnesis data: thepatient has been suffering from herpes fora year. Body temperature persistently ri-ses up to 37, 4 − 37, 5oC, body weight hasreduced by 8 kg over the last month. Whatdisease can be indicated by this symptomgroup?

A. AIDSB. Infectious mononucleosisC. Acute leukosisD. Chronic leukosisE. Candidosis

158. A 51 year old lecturer came to theorthopaedic department and complainedabout painfullness and mobility of hisfrontal teeth of the lower jaw. Cervicesof the 42, 41, 31, 32 teeth are dehisced,III degree mobility with deep pathologi-cal pockets is present. When would it bereasonable to fix dentures after dentalextraction?

A. On the day of dental extractionB. In 16-30 daysC. In 2-3 monthsD. In 4-6 monthsE. In 5-6 days

159. A 32 year old patient lost his 41and 31 teeth as a result of a sporti-ng accident. Replantation is impossiblebecause these teeth have cracks and splitsboth on crown and root surfaces. Clinicaland roentgenological examination provedthe possibility of immediate implantati-on. What implant materials should bepreferred?


A. TitaniumB. CarbonC. CeramicD. PlatinumE. Sapphire

160. A 9 year old child complains aboutpain and swelling of soft tissues beneathhis mandible on the right. Objectively:general condition is satisfactory; there isface asymmetry due to the inflammatoryinfiltration and collateral tissue edemain the right submandibular area. Crownof the 85 tooth is decayed, mucousmembrane of gums in the area of the84, 85, 46 teeth is hyperemic, edematic;mucogingival fold is flattened. Whattreatment should be administered?

A. Extraction of the 85 toothB. Endodontic treatment of the 85 toothC. Extraction of the 85 tooth and incisionalong the mucogingival foldD. PeriosteotomyE. Endodontic treatment of the 85 toothand periosteotomy

161. Mother of a 3 year old child broughtthe child to an orthodontist and complai-ned about total lack of crown part of the51 and 61 teeth. What tactics should thedoctor choose?

A. Thin-walled capB. Metal-ceramic crownC. Stump toothD. InlayE. Tooth extraction

162. A 12 year old girl complains aboutburning and painfulness of her tongue,especially during eating spicy food.Objectively: there are oval red spots onthe tip and dorsum of tongue. Filiformpapillae are not present in the affectedarea. The girl mentions that the spotsbecome periodically larger and have mi-gratory nature. What is the most probablediagnosis?

A. Glossitis areata exfoliativaB. Median rhomboid glossitisC. Lingua plicataD. GlossotrichiaE. Raspberry tongue

163. A 2 year old child was broughtto a dentist to consult about rash andpainfulness during eating that appearedyesterday. Objectively: body temperatureis 37, 5oC, skin is clean, submaxillarylymph nodes are painful. Examinationof oral cavity revealed on the mucous

membrane of lips and tongue roundi-sh painful erosions 1-3 mm in diametercovered with whitish deposit. The gum onboth upper and lower jaws is hyperemic,edematic, bleed when touched. What isthe most probable diagnosis?

A. Acute herpetic stomatitisB. Stevens-Johnson syndromeC. Recurrent aphthous stomatitisD. Multiform exudative erythemaE. Recurrent herpetic stomatitis

164. An 11 year old girl complains aboutbleeding of a tooth on her lower jawduring eating and tooth brushing. Thistooth hurt her before but she didn’tconsult a dentist. Examination of the 46tooth revealed a deep cavity communi-cating with tooth cavity and filled withred growth tissue. Probing causes a slighthaemorrhage and pain, percussion is pai-nless, cold stimulus cause mild pain. Whatis the most probable diagnosis?

A. Chronic hypertrophic pulpitisB. Chronic granulating periodontitisC. Chronic papillitisD. Gingival polypE. Chronic simple pulpitis

165. A patient came to a dental clinicfor dental prosthetics. Objectively: totallack of teeth on the mandible. Sharp andregular atrophy of alveolar part. Frenulaattachment and fold position is high.Name the type of atrophy of edentulousmandible using Keller’s classification:

A. II typeB. I typeC. III typeD. IV typeE. V type

166. A 35 year old patient complainedabout toothache on the left of his upperjaw that appears during eating, can becaused by thermal stimuli (especially bycold water) as well as by mechanical andchemical stimuli. The pain abates whenthe stimuli are eliminated. Objectively:there is a deep carious cavity with anarrow inlet within circumpulpar dentin.Probing of carious cavity floor is painful.Thermodiagnosis causes acute pain thatabates immediately after stimulus elimi-nation. Electric odontodiagnostics results- 15 microampere. Make a diagnosis:


A. Acute deep cariesB. Pulp hyperemiaC. Acute partial pulpitisD. Acute median cariesE. Chronic simple pulpitis

167. After anesthetization a 55 year oldpatient felt sudden attack of weakness,pain behind his breastbone irradiating tohis left arm and scapular area, palpitati-on. Objectively: the patient is conscious,inert, his forehead is covered with coldsweat, the skin is pale, AP is 90/60 mmHg, heart tones are dull, pulse is threadyand arrhythmic. What state is developing?

A. Myocardium infarctionB. Cardiogenic form of anaphylactic shockC. Stenocardia attackD. CollapseE. -

168. During tooth extraction a 55 yearold patient felt dull pain behind herbreastbone, got a sense of compressi-on. A dental surgeon diagnosed her wi-th a stenocardia attack. What medicationshould be given this patient in order toarrest this state?

A. Nitroglycerine, validolB. AnalginC. BaralginD. DimedrolE. Ketanov

169. A 58 year old patient applied to anoral surgeon and complained about pai-nful ulcer on the lateral surface of histongue. Objectively: left lateral surface oftongue has a roundish ulcer with undermi-ned soft overhanging edges, palpatory pai-nful, ulcer floor is slightly bleeding andcovered with yellowish nodules. What isthe most probable diagnosis?

A. TuberculosisB. SyphilisC. Traumatic ulcerD. ActinomycosisE. Trophic ulcer

170. An oral surgeon attended a 3day old child staying in the newbornpathology department. Objectively: bi-lateral hypogenesis of zygomatic bonesand orbits, antimongoloid slant ofpalpebral fissures, nonclosure of inferi-or eyelids, hypogenesis of mandible (birdface), deformity of auricles with a preauri-cular fistula on the right. What congenitaldisease does the child have?

A. Mandibulofacial dysostosisB. Oculocerebrorenal syndromeC. Oculoauriculovertebral dysplasiaD. Oculomandibulofacial syndromeE. Oculodentodigital syndrome

171. A 23 year old man complai-ns about gingival haemorrhage duri-ng tooth brushing, massive formationof dental deposit in spite of thoroughoral hygiene. Objectively: gingival papi-llae are somewhat edematic, congesti-vely hyperemic, bleed when touched.Fyodorov-Volodkina hygienic index is 3,5.What toothpaste would you recommendthis patient as a part of complex therapyof this disease?

A. Toothpaste with saltsB. Toothpaste with mineralizingcomponentsC. Fluorine-containing toothpasteD. Gel toothpaste with microelementsE. Toothpaste with antifungal agents

172. A dentist is filling a II class cariouscavity (Black’s classification) in the 36tooth of a 35 year old patient by sandwi-ch method. What glass-ionomer cementshould be chosen as a basic liner in thiscase?

A. HybridB. Water-settingC. ClassicD. CondensableE. Hardened

173. A 19 year old man complained aboutgingival haemorrhage and painfulness.Objectively: in the frontal part of hisupper and lower jaws overcrowding ofteeth is present; there are hyperemia,cyanosis and enlargement of gingivalpapillae up to 1/3 of crown height; massi-ve formation of soft tooth deposit. Whatprocedure should be included into thetreatment program?

A. D’arsonval currentsB. DiathermyC. Microwave therapyD. Ultra-high frequency therapyE. Fluctuating currents

174. During local anesthetization (with2 ml of 10% solution of lidocaine) a 9year old girl cried out, lost consciousness,there appeared generalized convulsions.Objectively: the child’s skin is pale andcyanotic. It is impossible to feel the pulsebecause of convulsions. What is yourprovisional diagnosis?


A. Lidocaine intoxicationB. Quincke’s edemaC. Anaphylactic shockD. Bronchial obstructionE. Febrile convulsions

175. A 60 year old patient has profusealveolus haemorrhage after a simpleoperation of the 37 tooth extraction. It isknown from the patient’s anamnesis thathe had been suffering from hypertensionfor the latest 6 years. Arterial pressureis 180/110 mm Hg. What emergency aidshould the doctor render?

A. To introduce hypotensive medicationsand perform tight alveolar packingB. To perform alveolar packing with ahemostatic spongeC. To perform tight alveolar packing bymeans of iodoform tamponD. To make suture ligation of the alveolusE. To introduce hemostatics

176. A patient with a missile wound ofhis face was delivered to the station ofdental aid group that was organized byorder of medical corps commander. Whatkind of aid can be rendered by the dentalaid group?

A. Secondary careB. Professional careC. ConsultancyD. Dental health serviceE. Dental orthopaedic service

177. A 13 year old child complains aboutacute spontaneous short-term attack-likepain in the area of the 36 tooth that isgetting worse during eating. The painappeared yesterday. Objectively: there isa deep carious cavity on the masticatorysurface of the 36 tooth. Tooth cavity isclosed, floor probing is painful in one poi-nt. Cold stimulus causes short-term pain.Make a diagnosis:

A. Acute localized pulpitisB. Acute deep cariesC. Accute diffuse pulpitisD. Chronic fibrous pulpitisE. Acute condition of chronic pulpitis

178. Mother of a 2 month old childhad acute purulent mastitis. After thatthe child got edema of left infraorbitaland zygomatic areas, skin hyperemia ofleft face part, body temperature up to39 − 40oC, purulent discharges from thenose. What is presumptive diagnosis?

A. Acute hematogenous osteomyelitisB. Phlegmon of infraorbital areaC. Acute maxillary sinusitisD. Acute odontogenous osteomyelitisE. Acute purulent periostitis

179. A 62 year old man complains abouta painless formation on his tongue thatappeared several months ago. Objecti-vely: there is a big number of cariousand completely decayed teeth, a painlesswhitish formation 10х5 mm large withirregular surface in form of verrucas onthe lateral surface of tongue. Histologi-cal examination revealed thickening ofcorneous layer of epithelium with intermi-ttent cornification. What is the mostprobable diagnosis?

A. Verrucous form of leukoplakiaB. Verrucous precancerC. Hyperplastic form of candidosisD. Hyperkeratous form of lichen ruberplanusE. Keratoacanthoma

180. A patient had an epileptic attackduring tooth preparation. What actionsshould the doctor take?

A. To lay the patient down with lateradposition of his head, to fix his tongueB. No actions should be takenC. To seat the patient on an armchair inupright positionD. To seat the patient with forward positi-on of his head, to fix his hindheadE. To lay the patient in prone, head-downposition, to fix his arms

181. A 62 year patient was at a denti-st’s and suddenly there appeared dyspneaand hacking cough, sense of progressi-ng asphyxia. The patient’s condition isgetting progressively worse; number ofrespiratory movements reached 30/min,acrocyanosis became more evident, thereappeared gargling breathing, oral cavi-ty excretes a lot of albuminoid sputum.Psychomotor agitation and arterialhypertension are present. What pathologi-cal state is it?

A. Pulmonary edemaB. An attack of bronchial asthmaC. Epileptic attackD. Anaphylactic shockE. Spontaneous pneumothorax

182. A patient was delivered to an admi-ssion room after a road accident. Exami-nation of the patient revealed in the areaof oral floor a large haematoma spreading


to the neck area as well as a significantedema of soft tissues of oral floor andneck. There are signs of asphyxia. Whattype of emergency care is indicated?

A. Tracheotomy performingB. Lobeline introductionC. Tongue fixationD. Opening and draining of haematomaE. Symptomatic medicamental treatment

183. A 42 year old patient applied toan oral surgeon for the purpose of oralcavity sanitation. After anesthetizationthe patient felt sudden attack of nausea,weakness, he got the sense of compressi-on behind his breastbone, heart pain; hebegan vomiting. The patient lost consci-ousness, there appeared convulsions.Objectively: the patient’s skin is pale,covered with cold clammy sweat, pupi-ls don’t react to the light. The pulseis thready, arterial pressure cannot bedetected. What is the most probable di-agnosis?

A. Anaphylactic shockB. CollapseC. SyncopeD. Traumatic shockE. Epileptic attack

184. A 42 year old patient complainsabout a neoplasm in the anterior palatalpart that has been forming for 10 years.The 13, 12, 11, 21, 22, 23 teeth are intact.Intraoral X-ray picture of the upperjaw shows a single focus of bony tissuedestruction, well-defined, 2,5 by 1,5 cmlarge. Periodontal fissure in the area of the13, 12, 11, 21, 22, 23 teeth can be well seen.What is the most probable diagnosis?

A. Nasopalatine canal cystB. Radicular cystC. Globulomaxillary cystD. Residual cystE. Follicular cyst

185. At the stage of adjustment of anindividual tray the Herbst test should bedone. What muscles cause the shift of theindividual tray during functional testing -alternate touching right or left cheek withthe tip of tongue?

A. MylohyoidB. Digastric, geniohyoidC. Mentalis and orbicular muscle of mouthD. Mimic musclesE. Mastication muscles

186. A 37 year old patient was diagnosed

with arthrosis of mandibulotemporal joi-nt. During auscultation the doctor heardpathological rustle in the area of the joi-nt, namely "clicking"that was caused bya load. What is the mechanism of thispathological rustle?

A. Asynchronous movement of disc andarticulation headB. Friction of bone surfaces in the jointC. Loosening of mandibulotemporal jointligamentsD. Calcification of mandibulotemporaljoint discE. Inflammation of cartilaginous tissue ofthe disc

187. A 23 year old patient complainedabout unpleasant sensations in the area ofthe 12 tooth, X-ray picture shows a well-defined low-density area up to 8-10 mm indiameter around the root apex of the 12tooth. What method of surgery will be themost reasonable?

A. Root apex resectionB. Root amputationC. HemisectionD. Tooth removalE. Cystotomy

188. A 20 year old man got a blow to thechin. He remained conscious. Objectively:his general condition is satisfactory. Hehas an edema and haematoma in the areaof his lower jaw on both sides. Jaw palpati-on causes acute pain. Mouth opening islimited. There is also a rupture of mucousmembrane of oral cavity in the area ofthe 44, 43 and 34, 35 teeth. Occlusionis deviated. What asphyxia type can bedeveloped?

A. DislocationB. ObturationC. StenoticD. ValveE. Aspiration

189. A 3 year old child was burnt withboiling water. Face skin is hyperemic andedematic, there are blisters of different si-zes filled with transparent liquid. Define adegree of face skin burn:

A. II degreeB. I degreeC. III degree - AD. III degree - BE. IV degree

190. Examination of an 11 year oldgirl revealed: caries intensity (sum of


carious, filled and extracted teeth) =3, Green-Vermillion’s hygienic index -1,6, papillary-marginally-alveolar index =20%. The girl catches a cold once or twi-ce a year. Average caries intensity indexfor this age group in this region is 4. Howmany times a year should the girl see adentist?

A. 1B. 1-2C. 2D. 2-3E. 3-4

191. A patient was admitted to the oralsurgery department with a diagnosis"odontogenous phlegmon of mouthfloor". Objectively: general condition ofthe patient is grave, abed position isforced, the patient is sitting with loweredhead. He complains about pain behind hisbreastbone that is getting worse duringbackward flexion of head; cough, dyspnea.What complication has developed?

A. MediastinitisB. Phlegmon of retropharyngeal spaceC. Cervical phlegmonD. Phlegmon of tongue rootE. Phlegmon of peripharyngeal space

192. The 47, 46, 45, 35, 36, 37, 38 teethof a 57 year old patient are missing. Itis planned to make a clasp denture. The48 tooth inclines to the lingual side andforwards. On the lingual side of the 48tooth the border line is diagonal, on thebuccal side it runs on a level with gingivaledge. What type of Neja clasp should beapplied?

A. V type claspB. I type claspC. IV type clasp (reverse back-action)D. I-II type claspE. II type clasp

193. A patient is waiting for metal-ceramiccrowns for the 11, 12 teeth. Beforepreparation conduction anesthesia wasperformed. A few minutes later the pati-ent felt anxiety, ear noise, abdominal pain,dizziness. Tachypnoea and rapid pulse arepresent. Arterial pressure is 60/40 mm Hg.What kind of first aid should be rendered?

A. Intravenous introduction of 0,5 ml of0,1% adrenalin solution, prednisoloneB. Promedol, suprastineC. A cotton-wool wad soaked in liquidammonia brought to the patient’s noseD. Lying the patient in horizontal positionE. Aminophylline introduction

194. A 43 year old patient applied toa prosthetic dentistry for the purposeof prosthetics. In anamnesis: has beensuffering from diabetes mellitus for 15years. The patient has been very anxi-ous before the appointment with a doctor.Suddenly the patient’s condition grewworse, he felt limb weakness. The patientbecame covered with cold clammy sweatand lost consciousness. What critical stateis it?

A. Hypoglycemic comaB. SyncopeC. Hyperglycemic comaD. Anaphylactic shockE. Myocardium infarction

195. A patient complains about worsenedfixation and frequent breakages of parti-al removable lamellar denture for thelower jaw that has been in use for5 years. Objectively: alveolar part inedentulous areas is significantly atrophi-ed, the denture balances. What is the mostprobable cause of worsened fixation andfrequent breakages of the denture?

A. Alveolar process atrophyB. Improper care of dentureC. Denture using during sleepD. Consumption of solid foodE. Wear of artificial teeth

196. A 13 year old patient got a traumain the area of median face zone. Shecomplains about pain, swelling of softtissues in the area of her upper jaw,pain during mouth closing. Examinationrevealed mobility of nose bones, signi-ficant swelling of soft tissues in the leftzygomatic area, haemorrage in the eyesclera, "step"sign along the inferior edgeof both orbits and zygomaticomaxillarysutures, nasal haemorrhage, open bite,lengthening of median face part. Makea clinical diagnosis:

A. Le Fort’s III fracture of upper jawB. Le Fort’s II fracture of upper jawC. Le Fort’s I fracture of upper jawD. Fracture of nose bonesE. Fracture of skull base

197. A patient with unilateral dislocation


of mandibulotemporal joint was deliveredto the maxillofacial department. Whattype of local anesthesia is indicated forrelaxation of masticatory muscles duringdiaplasis?

A. Subzygomatic Bersche-Dubov-Uvarov’s anesthesiaB. Intraoral mandibular anesthesiaC. Extraoral mandibular anesthesia,submandibular wayD. Extraoral mandibular anesthesia,retromandibular wayE. Torus anesthesia

198. A patient got an injury and complai-ns about limited mouth opening, nasalhaemorrhage, skin numbness in theinfraorbital and inferior eyelid area.Objectively: there is face deformity due toretraction of soft tissues in the zygomaticarea on the left, a "step"symptom inthe median part of the left inferior edgeof eyesocket as well as in the area ofzygomaticoalveolar crest. What exami-nation method should be applied for di-agnostics of this disease?

A. Roentgenography of facial cranium inthe axial projectionB. Roentgenography of facial cranium inthe frontal projectionC. Roentgenography of facial cranium inthe lateral projectionD. Roentgenography of facial cranium andparanasal sinusesE. Orthopantomogram

199. A 25 year old patient applied to aclinic for the purpose of oral cavity sani-tation. During preparation of the 45 toothon account of chronic median caries thepatient turned pale, there appeared coldclammy sweat on her forehead, nausea,ear noise. The patient lost consciousness.Objectively: pulse - 50 bpm, AP - 80/60mm Hg, shallow breath, miotic pupils.Make a diagnosis of this state:

A. SyncopeB. Anaphylactic shockC. StenocardiaD. CollapseE. Quincke’s edema

200. A 64 year old patient was wai-ting to see an oral surgeon. Suddenlyshe fell, there appeared coarse breathi-ng, spasmatic twitching of upper andlower extremities. Face and neck becamecyanotic, pupils became mydriatic, reacti-on to the light was absent, arteri-al pressure and pulse could not bedetected, heart tones could not be heard,involuntary urination was observed. Whatstate are these symptoms typical for?

A. Clinical deathB. Loss of consciousnessC. StrokeD. Myocardium infarctionE. Collapse

krok 2 - 2008 question paper (stomatology)

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