coveredwith gray-yellow necrotic incrustation. Radiography of alveolarprocess and blood
countreveal no apparent changes. What is the most likely diagnosis?
AAcuteulcerous gingivitis
BGeneralizedperiodontitis
CAcuteleukosis
DAgranulocytosis
ELocalizedperiodontitis
69
A32-year-old patient complains of the long-term dull toothache causedby hot food. The
toothacheappeared a month ago. Objectively: the 26 tooth has changed incolour, on the
masticatorysurface there is a deep carious cavity communicating with the toothcavity.
Superficialprobing of pulp is painless, deep probing is painful.Electro-odontodiagnostics
results:85 µA. What is the most likely diagnosis?
AChronicgangrenous pulpitis
BChronichypertrophic pulpitis
CChronicfibrous pulpitis
DChronicfibrous periodontitis
EChronicconcrementous pulpitis
70
A27-year-old patient complains of the long-term pain in the 22 toothcaused by cold and hot
food,as well as of spontaneous pain lasting for 30 minutes and occurring3-4 times per day,
gettingworse at night. Pain arose 3 days ago after preparation of the toothfor the acrylic crown.
Objectively: the 22 tooth is intact, the thermal test causes acutelong-lasting pain, percussion is
painless. What is the optimal treatment tactics?
AVitalpulp extirpation
BApplicationof fluorine lacquer
CBiologicaltreatment of pulpitis
DDevitalpulp extirpation
EVitalpulp amputation
71
A24-year-old patient complains of aching pain in the 11 tooth that isgetting worse during biting
downon food. Two days ago the tooth was filled for pulpitis. Objectively:the 11 tooth is filled.
Thethermal test causes no pain, vertical percussion is slightly painful.X-ray picture of the 11
toothshows that the endodontic filling is 1 mm above the root apex. Whichof the following
methodswill be most effective for eliminating this complication?
AFluctuorization
BUltrahighfrequency therapy
CRelaxingincision
DSubmucousinjection of 1% solution of hydrocortisone
EAnalgetics
72
A20-year-old patient complains about unaesthetic look of the 24 toothfrom the moment of its
eruption.Objectively: enamel of the 24 tooth is partly absent, the dentine isyellow. The 64 tooth
was treated more than once when she was a child, but because offrequent exacerbations,
edemasand gingival fistula the 64 tooth was extracted when she was 9 yearsold. What is the
mostlikely diagnosis?
ALocalisedhypoplasia
BInitialcaries
CFluorosis
DSystemichypoplasia
EEnamelaplasia
73
A45-year-old patient complains of burning tongue, a metallic taste in mouth. Three months ago
she got a dental bridge made of gold and supported by the 16, 14teeth. Oral cavity
exasminationreveals no objective changes. The 36, 37, 46 teeth are sealed withamalgam
fillings.What is the most likely cause of this condition?
AGalvaniccurrents
BAllergy
CNeurologicdisorder
DChemicalfactors
EMechanictrauma
74
A50-year-old female patient complains about sensation of tightness ofbuccal mucosa and
roughnessof the lateral surface of tongue. The patient undergoes regularcheck-up at a
dispensarydepartment for compensated form of diabetes mellitus. Objectively:there are white
andgrey areas in form of lacy pattern on the buccal mucosa on the rightand on the lateral
surfaceof tongue. The surface of affected region cannot be scraped off. Whatis the most
likelydiagnosis?
ALichenruber planus
BSecondarysyphilis
CLupuserythematosus
DPseudomembranouscandidiasis
ELeukoplakia
75
A55-year-old patient complains of general weakness, spasmodicneuralgic pain in the right
sideof face, rash in the mouth and on the skin. Objectively: lip and chinskin is markedly
hyperemic,there are numerous vesicles with clear exudate on the right. Theright cheek
mucosais hyperemic, there is a string of erosions covered with fibrinouspellicle. What is the
provisionaldiagnosis?
AHerpeszoster
BAcuteherpetic stomatitis
CPemphigusvulgaris
DAllergicstomatitis
EAphthousfever
76
A25-year-old patient complains of gingival haemorrhage andenlargement. Objectively:
hypertrophyof gingival papillae by 1/3 of the crown height in the frontal regionof mandible.
Periodontalpockets are absent. What is the most likely diagnosis?
AHypertrophicgingivitis
BCatarrhalgingivitis
CUlcerousgingivitis
DLocalizedperiodontitis
EEpulis
77
A19-year-old male patient consulted a dentist about gingival pain andbleeding when eating
andbrushing his teeth. Objectively: anterior maxillary and mandibularteeth are overcrowded,
thereis hyperemia, cyanosis and overgrowth of gingival papillae up to 1/3of the crown height.
Thesoft plaque is present. The gums bleed when touched with a tool. Whatis the most likely
diagnosis?
AChronichypertrophic gingivitis
BChroniccatarrhal gingivitis
CGeneralizedperiodontitis
DLocalizedperiodontitis
EUlcerativegingivitis
78
A23-year-old female patient complains of short-term pain caused bythermal stimuli in a lower
jawtooth on the right. Objectively: on the occlusal surface of the 46tooth there is a deep cavity
withsoftened light dentin on the floor and walls. Probing causes a slightpain across the cavity
floor.Pulp electroexcitability is 10 mA. During the cavity preparation adrop of blood showed
upon its floor. What paste should be applied to the cavity floor?
ACalcidont
BCorticosteroid
CArsenous
DParaformaldehyde
EResorcinol-formalin
79
A17 year old girl applied to a dental clinic and complained about hardtissue defects on her
frontaland lateral teeth. Subjectively these defects don't cause anyinconvenience. Crown
defectsappeared long ago. The patient was born and and has been living in anarea where
fluorineconcentration in the drinking water makes up 1,2 mg/l. Objectively:on the vestibular
surfacesof incisors on both upper and lower jaws in the equator area thereare hard tissue
defectswithin deep layers of enamel. The defects are parallel to the cuttingedge. The same
defectswere revealed in the area of tubera of the first molars, floor andwalls of the defects are
smooth. Enamel of the defect floor is light-brown. What is the mostprobable diagnosis?
ASystemichypoplasia
BLocalhypoplasia
CFocalodontodysplasia
DEndemicfluorosis
EErosionof hard tissues of tooth
80
Apatient working as a bricklayer complains of itching, burning,soreness of lips that show up
onlyin the summer period. He has a 3-year history of this disease.Objectively: vermilion border
of the lower lip is hyperemic, edematic, covered with blisters andpainful erosions 2 mm in
diameter,crusts, cracks. What is the most likely diagnosis?
AActiniccheilitis, exudative form
BContactallergic cheilitis
CMeteorologicalcheilitis
DEczematouscheilitis, exudative form
EExfoliativecheilitis, exudative form
81
An18-year-old student complains of roughness and dryness of mucousmembrane of the oral
cavity.He always bites uncontrolledly off mucous membrane along the line ofteeth joining. The
patientsuffers from chronic cholecystitis, he is smoker. Hygiene index is2,3. Objectively:
mucousmembrane along the line of teeth joining is quaggy, edematic,whitish. What is the
leadingfactor of this disease development?
AHabitualbiting of mucous membrane of the oral cavity
BUnsatisfactorylevel of oral cavity hygiene
CSomaticpathology
DXerostomia
ESmoking
82
Achemical plant worker consulted a dentist about an oral mucosa burncaused by caustic soda.
Which of the following medications should be chosen for emergencycare?
A0,5%acetic acid solution
B50%ethyl alcohol
C0,1%liquid ammonia
D3%sodium chloride solution
E2%citric acid solution
83
A28-year-old patient suffers from a disease without prodromalmanifestations that declares
itselfthrough oral mucosa lesion consisting of 1-2 roundish elements 5-8 mmlarge which are
circumscribedby a hyperemic rim and covered with yellow-grey coating. The disaese
recurrenceis observed quite regularly 3-4 times a year. These presentations aretypical for the
followingdisease:
AChronicrecurrent aphthous stomatitis
BLichenruber planus
CChronicherpes recidivicus
DErythemamultiforme
EPapularsyphilis
84
Apatient consulted a dentist about a cosmetic defect in the cervicalregion of the upper and
lowercanines. Various stimuli cause no pain. Objectively: there areV-shaped defects on the
vestibularsurface in the cervical area of the upper and lower canines. Theirsurface is smooth,
shiny,hard. The reaction to probing and cold stimuli is absent. Whattreatment should be
administered?
AFillingof the defects
BMetalcrowns
CApplicationswith 10\% solution of calcium gluconate
DApplicationof fluorine lacquer
EMedicalintervention is not necessary
85
A57-year-old patient complains about dryness and burning of thelateral surface of her tongue.
Thesesensations disappear during eating. She noted such sensations threemonths ago. She
hasa history of gastritis with reduced secretory function. Objectively:mucous membrane of
tongueand oral cavity has no peculiarities. The back of tongue has thinwhite coating. Regional
lymphnodes are unpalpable. Oral cavity is sanitized. What is the mostlikely diagnosis?
AGlossodynia
BLingualnerve neuritis
CCandidiasis
DDesquamativeglossitis
EHunter-Moellerglossitis
86
An18-year-old man complains of the 14, 13, 12, 23, 24 teeth beingsensitive to sweet and sour
food. Examination revealed some isolated ill-defined chalky spots inthe precervical region.
Whatis the most informative method of study that allows to confirm thediagnosis?
AVitalstaining
BX-ray
CProbing
DElectro-odontometry
EThermometry
87
A23-year-old patient complains about a carious cavity in the 15 tooththat he noted a year ago.
Examinationrevealed that approximal surface had a deep carious cavity notcommunicating with
the tooth cavity and filled with dense pigmented dentine. Probing,cold test, percussion cause
nopain. Electroodontodiagnosis is 10 microampere. What is the mostlikely diagnosis?
AChronicdeep caries
BChronicfibrous periodontitis
CChronicfibrous pulpitis
DChronicmedian caries
EChronicgranulomatous periodontitis
88
A36-year-old woman complains about experiencing lip dryness anddesquamation for a month.
Application of indifferent ointments is ineffective. Objectively: redborder of lower lip is of rich
redcolor, it is moderately infiltrated, covered with closely adheringgreyish scales, it bleeds and
hurts in the attempt to remove them. Opacification of epithelium inform of white stripes is
presentin the nidus periphery, there is also an area of depression in thecentre. What is the
mostlikely diagnosis?
ALupuserythematosus
BCommissuralcheilitis
CLichenruber planus
DLeukoplakia
ECheilitisexfoliativa
89
A30-year-old patient complains about pain in the upper jaw toothcaused by sweet and cold
food,that was first registered one month ago. Objectively: the 26 toothhas a carious cavity
withinmantle dentine. Dentine of its walls is softened. Probing along theenamel-dentine
junctionis painful. Percussion is painless. Thermodiagnosis causes pain, thatquickly abtes
afterelimination of stimulus. What is the most likely diagnosis?
AAcutemedian caries
BAcuteinitial caries
CPulphyperaemia
DAcutedeep caries
EChronicfibrous pulpitis
90
A47-year-old patient complains about a sensation of foreign body onhis tongue, discomfort
duringtalking, oral cavity dryness. Objectively: there are dark filiformpapillae up to 5 mm long
onthe back of tongue. What is the most likely diagnosis?
AGlossophytia
BMedianrhomboid glossitis
CBenignmigratory glossitis
DFissuredtongue
EAcuteglossitis
91
A33-year-old patient complains about pain, gingival haemorrhage,halitosis, body temperature
riseup to 37,8oC.Objectively: gums are apparently hyperaemic, edematic, bleed easily,
parodontalpouches are 3-4 mm deep, and contain purulent exudate.Orthopantomogram
showsdiffuse osteoporosis of alveolar process, resorption of interdentalsepta down to 1/3 of
theirheight. What is the most likely diagnosis?
AExacerbationof chronic generalized I degree periodontitis
BChronicgeneralized I degree periodontitis
CExacerbationof chronic generalized II degree periodontitis
DChronicgeneralized II degree periodontitis
EExacerbationof chronic catarrhal gingivitis
92
A40 year old woman complains about slight painfulness of gums, hightemperature sensitivity
ofteeth. Objectively: the gums are pale and compact, in the area oflower frontal teeth there is
retractionwith cervix dehiscence. X-ray picture shows steady decrease ofinterdental septa
heightdown to 1/3 of root length. What disease are these symptoms typicalfor?
AParodontosis
BGeneralizedperiodontitis
CGingivitis
DLocalizedperiodontitis
EPapillitis
93
A21-year-old patient complains of a constant progressing throbbingpain in the 27 tooth.
Objectively:a large carious cavity is filled with softened dentin, the toothcavity is closed.
Probingof the cavity floor is painless, percussion causes acute pain, thereis grade II tooth
mobility.Palpation of the mucous membrane in the projection of the root apexof the 27 tooth
causespain. Radiological changes are absent. What is the most likelydiagnosis?
AAcutepurulent periodontitis
BExacerbationof chronic periodontitis
CAcutediffuse pulpitis
DAcuteserous periodontitis
EAcutepurulent pulpitis
94
Afemale patient complains about pain in the 11 tooth caused by sourand sweet food.
Objectively:enamel changes in form of chalky appearance, a defect with lightbottom within
dentinoenameljunction on the vestibular surface in the precervical area of the 11tooth. Probing
was painless, percussion and cold stimulus caused no pain. What isthe most likely diagnosis?
AAcutesuperficial caries
BAcuteinitial caries
CAcutemedian caries
DEnamelhypoplasia
EFluorosis
95
A27-year-old woman has been treated for pulpitis by method of devitalextirpation. Arsenic
pastewas left in the 15 tooth. The patient came to see a dentist for thesecond time only on the
fourth day after her previous visit. She was diagnosed with toxicperiodontitis. What is the most
optimalagent for treatment of root canal in this case?
AUnithiol
BCresophene
CTripsin
DEugenol
EHydrocortisoneemulsion
96
A37-year-old female patient complains about pain, gingivalhaemorrhage, halitosis, body
temperaturerise up to 37,2oC.Objectively: gums are apparently hyperaemic, edematic,
bleedeasily, parodontal pouches are 3-4 mm deep and contain purulentexudate.
Orthopantomogramshows diffuse osteoporosis of alveolar process, resorption ofinterdental
septadown to 1/3 of their height. What is the most likely diagnosis?
AExacerbationof generalized I degree periodontitis
BExerbationof chronic catarrhal gingivitis
CChronicgeneralized I degree periodontitis
DChronicgeneralized II degree periodontitis
EExacerbationof generalized II degree periodontitis
97
A24-year-old woman complains about severe pain in the mouth, bodytemperature up to
38oC,indisposition. The same condition occurs periodically for severalyears after catching
acold. Objectively: the lips are covered with bloody crusts, there areopened bladders and
erosions,covered with fibrinogenous deposit on mucous membrane of lips andcheeks that is
apparentlyhyperemic and edematic. Hypersalivation is present. What is the mostlikely
diagnosis?
AErythemamultiforme
BPemphigusvulgaris
CDermatititsmultiformis, Duhring's disease
DNonacantholyticpemphigus
EChronicherpes recidivicus
98
Apatient complains about long-lasting pain attacks in the lower jawteeth, on the left. The pain
irradiatesto the ear, occiput and is getting worse during eating cold and hotfood. Objectively:
thereis a deep carious cavity on the approximal-medial surface of the 36tooth. Floor probing is
overall painful and induces a pain attack. What is the most probablediagnosis?
AAcutediffuse pulpitis
BAcutelocal pulpitis
CAcutepurulent pulpitis
DChronicconcrementous pulpitis
EAcutedeep caries
99
A30-year-old patient complains about a carious cavity. Objectively:the 16 tooth is discoloured
andhas a deep carious cavity communicating with the dental cavity.Probing, percussion cause
nopain. Electroodontodiagnosis is 100 microampere. X-ray picture showswidening of
periodontalfissure. What is the most likely diagnosis?
AChronicfibrous periodontitis
BChronicgranulating periodontitis
CChronicgranulomatous periodontitis
DChronicgangrenous pulpitis
EChronicdeep caries
100
A35 year old woman complains about periodical appearance of smallulcers in the oral cavity.
Shehas been suffering from this for 5 years, recurrences happen 4-5times a year. The ulcer
healinglasts for 10 days. Objectively: on a mucous membrane of lower lipthere is a roundish
lesionelement 0,5 cm large covered with white deposit and surrounded byhyperemia border,
verypainful when touched. What is the most probable diagnosis?
AChronicrecurrent aphthous stomatitis
BTraumaticerosion
CSecondarysyphilis
DChronicrecurrent herpes
EDuhring'sherpetiform dermatitis
101
A38 year old driver complains of acute pain in his mouth and sorethroat, difficult ingestion,
indisposition,temperature rise up to 38,6oC.These symptoms appeared after exposure to
cold.He has been ill for a day, in the evening he has to go to work.Objectively: gums in the
areaof inferior frontal teeth as well as pharynx mucous membrane arehyperemic, edematic;
gingivaledge is necrotic, tonsills are enlarged. Results of bacterioscopy:fusospirochetal
symbiosis.In blood: erythrocytes - 4,5x1012/l;leukocytes - 7,2x109/l;ESR - 18 mm/h. What actions should a stomatologist take?
AToprescribe a medication and give a sick-list
BToprescribe a medication and allow to go to work
CTogive him an order for hospitalization in oral department
DTorefer him to an infectious disease specialist
ETorefer him to an otolaryngologist
102
A17-year-old man complains of a cosmetic defect in form of light spotson the teeth. In the
areaof his residence the fluoride concentration in drinking water is atthe rate of 1 mg/l.
Objectively:vestibular surface of the 11,12, 21, 22, and tubercles of the 16, 26,36 and 46
teethhave chalky spots with shiny surface that have been present since thetime of eruption.
Whatis the most likely diagnosis?
ASystemichypoplasia
BMultiplecaries
CEndemicfluorosis
DEnamelerosion
EAmelogenesisimperfecta
103
A65 year old patient complains of pain in the area of mucous membraneof hard palate on the
leftthat is getting worse during eating with use of a complete removabledenture. He has been
sufferingfrom this for 1,5 month. Objectively: left-sided hyperemia and edemaof mucous
membraneof hard palate; at the border of distal denture edge there is anulcer with dense walls
and fundus, surrounding tissues are infiltrated. The ulcer floor istuberous, covered with
fibrinousdeposit; ulcer palpation is painful. What examination method is to beapplied in the
firstplace?
ABiopsy
BBacterioscopy
CCytology
DAllergiccontact plastic test
ESerologicalreactions
104
A42-year-old patient was diagnosed with exacerbation of generalizedgrade II periodontitis
accompaniedby abscess formation. What method of general treatment should be
administeredin the first place?
AAntibiotictherapy
BVitamintherapy
CHyposensitizationtherapy
DStimulatingtherapy
EDetoxificationtherapy
105
A46-year-old patient complains about pain and bleeding from thecarious cavity of her 27 tooth
duringeating. Previously she had spontaneous pain. Examination of the 27tooth revealed a
deepcarious cavity on the masticatory surface consisting of red tissue,probing induced pain
andhaemorrhage. What treatment method should be chosen?
AVitalextirpation
BDevitalextirpation
CDevitalamputation
DVitalamputation
EBiologicalmethod
106
A43-year-old patient complains of increased tooth sensitivity tothermal and chemical stimuli,
gumitch. Objectively: the roots of the teeth are exposed to 1/3 of theirlength, the gums are
dense,pale pink. Thre is a small amount of dental plaque. In the region ofthe 15, 14, 24, 25,
44,34 teeth there are wedge-shaped defects within the dentin. Probing ofexposed cervices
andwedge-shaped defects causes pain reaction. What is the most likelydiagnosis?
AParodontosis
BAtrophicgingivitis
CGeneralizedperiodontitis
DGingivalrecession
ELocalizedperiodontitis
107
A40 year old patient complains about a carious cavity in the 22 tooth.Objectively: a deep
cariouscavity on the medial surface of the 22 tooth, probing induces mildpain. What is the
optimalmaterial for filling of the 22 tooth?
ACompositelight-setting material
BSilica-aluminacement
CGlass-ionomerlight-setting cement
DGlass-ionomerchemical-setting cement
ESilicophosphatecement
108
A25-year-old student complains of a carious cavity in the 22 tooth.The fillings fell out 2 months
ago. The tooth had been treated before for pulpitis. Objectively:there is a deep carious cavity
withthe rests of filling on the medial surface of the 22 tooth. The crownof the 22 tooth is dirty
pink.X-ray shows a root canal filled with the filling material by 1/2 ofthe root length; in the region
of the root apex there is a well-defined focus of destruction of bonetissue 0,3x0,3 cm large.
Whatis the most likely diagnosis?
AChronicgranulomatous periodontitis
BResidualpulpitis
CRadicularcyst
DChronicfibrous periodontitis
EChronicgranulating periodontitis
109
A35-year-old patient complains about constant dull pain in the 25tooth that is getting worse
whenbiting down on food. Objectively: masticatory surface of the 25 toothhas a carious cavity
communicatingwith the dental cavity. The purulent discharges from the canalfollowed the
probing.What method of diagnostics should be applied to confirm thediagnosis?
AX-rayexamination
BElectricpulp test
CThermaltest
DBacteriologicalexamination
EDeepprobing
110
A32-year-old patient complains of mouth soreness, body temperaturerise up to 38,5oC,
indisposition.Such condition has occurred periodically for several years after thepatient had
hada cold. Objectively: lips are covered with haemorrhagic crusts,hyperaemic mucous
membraneof lips and cheeks has erosions covered with fibrinous films.Hypersalivation is
present.What is the most likely diagnosis?
AMultiformexudative erythema
BPemphigusvulgaris
CHerpesrecidivicus
DHerpetiformDuhring's dermatitis
EStevens-Johnsonsyndrome
111
A28 year old woman complains about acute pain on the left of her upperjaw during eating. 6
daysago the 28 tooth was extracted, after that the pain came. The patientconsiders that
extractionof the 28 tooth caused "damaging" of the next tooth.Objectively: alveolus of the 28
toothis at a stage of healing. On the distal surface of the 27 tooth thereis a carious cavity in the
precervical area that doesn't communicate with the tooth cavity. Coldstimulus causes short
attackof pain. Dentin of walls and floor is light and softened. Probing ofthe floor is painful.
Whatis the most probable diagnosis?
AAcutedeep caries
BAcutelocal pulpitis
CAcutediffuse pulpitis
DChronicdeep caries
EChronicfibrous pulpitis
112
A34-year-old male patient complains of acute spasmodic pain in theregion of his upper jaw on
the left that is getting worse as affected by cold stimuli. Toothacheirradiates to the ear and
temple.He had acute toothache of the 37 tooth one year ago, but he didn'tconsult a dentist.
Painrecurred three days ago. Objectively: the 37 tooth has a cariouscavity communicating with
thedental cavity. Probing of the opened carious cavity is extremelypainful. X-ray picture shows
wideningof periodontal fissure at the root apex of the 37 tooth. What is themost likely diagnosis?
AExacerbationof chronic pulpitis
BExacerbationof chronic granulating periodontitis
CExacerbationof chronic fibrous periodontitis
DAcutediffuse pulpitis
EAcutepurulent pulpitis
113
Apatient complains about pain in the 45 tooth induced by cold, sourand sweet food stimuli.
Thepain abates when the stimulus action is stopped. Objectively: thereis a carious cavity on
themasticatory surface within mantle dentin filled with food rests andsoftened dentin,
overhangingenamel edeges are chalky. What is the diagnosis?
AAcutemedian caries
BChronicmedian caries
CAcutesuperficial caries
DAcutedeep caries
EChronicdeep caries
114
A35-year-old patient has been diagnosed with chronic median caries ofthe 36 tooth. There is
aBlack's class II cavity affecting masticatory surface. What materialshould be chosen for the
toothfilling?
ALight-curemicrohybride composite
BGlassionomer cement
CSilicophosphatecement
DLight-curefluid composite
ELight-curemicrofilled composite
115
A25-year-old patient complains of intermittent pain during takingsweet and cold food in the 21
tooth.Objectively: there is a hard tissue defect within the enamel in thecervical region of the 21
tooth. The enamel edges are uneven and chalky. Probing the cavitybottom provokes no pain,
thereis short-term pain reaction to cold stimuli. What is the most likelydiagnosis?
ASuperficialcaries
BWedge-shapeddefect
CInitialcaries
DEnamelhypoplasia
EEnamelerosion
116
Preventiveexamination of a 55-year-old man revealed a well-defined area ofopaque mucosal
epitheliumof the left cheek that didn't protrude above the surrounding tissuesand could not be
removedon scraping. Crowns of the 34, 35, 36 teeth were strongly decayed andhad sharp
edges.What is the most likely diagnosis?
ALeukoplakia
BLichenruber planus
CLupuserythematosus
DCandidiasis
ESoftleukoplakia
117
A50-year-old patient complains about a cosmetic defect of the upperfrontal teeth. After
meticulousexamination the patient was diagnosed with wedge-shaped defect of the11, 12, 13,
21, 22, 23 teeth. What material should be chosen for the toothfilling?
ACompomerrestorative material
BSilicatecement
CGlass-ionomercement
DChemical-curecomposite
ESilicophosphatecement
118
A30-year-old patient has a carious cavity in the 11 tooth withinparapulpar dentin. The tooth
cornerand its cutting edge are affected. What filling material is best forrestoration of the
anatomictooth form?
ALight-curecomposite
BSilicatecement
CLight-cureglass-ionomer cement
DChemical-curepaste-paste composite
EChemical-curepowder-liquid composite
119
A29-year-old patient complains of acute paroxysmal pain in the upperjaw on the left, that gets
worseduring having cold food and irradiates into the ear and temple. Ayear ago she
experiencedintense pain in the 27 the tooth but didn't consult a dentist. Threedays ago there
wasthe second attack of pain. Objectively: there is a deep cariouscavity in the 27th tooth,
interconnectingwith the tooth cavity. Probing the open area causes acute pain. Whatis the
mostlikely diagnosis?
AExacerbationof chronic pulpitis
BAcuteserous periodontitis
CAcutediffuse pulpitis
DExacerbationof chronic periodontitis
EAcutelimited pulpitis
120
A33-year-old male patient complains about tongue pain that is gettingworse during eating and
talking.Objectively: there is a painful ulcer 0,6 cm large on the lateralsurface of tongue. The
flooris covered with grey deposit. The crown of the 47 tooth is destroyed.What is the most
likelydiagnosis?
ADecubitalulcer
BTrophiculcer
CHardchancre
DTuberculousulcer
ECancerousulcer
121
A27-year-old patient complains about pain of the 35 tooth caused bycold stimuli, that quickly
abatesafter elimination of stimulus. Objective examination of the 35 toothrevealed a defect of
hardtooth tissue within enamel. Defect edges are fragile and white.Electroodontodiagnosis is
5microampere. What is the most likely diagnosis?
AAcutesuperficial caries
BLocalenamel hypoplasia
CAcuteinitial caries
DEnamelnecrosis
EEnamelerosion
122
A20-year-old pregnant woman complains of gingival enlargement,bleeding and pain during
eatingand tooth brushing. Objectively: gingival papillae on the upper andlower jaw are
hyperaemic,haemorrhagic, painfu, cover the crowns of teeth by 1/2. Scallopedcontours of
marginalgingiva are abnormal. What is the most likely diagnosis?
AHypertrophicgingivitis, edematous form
BAcutecatarrhal gingivitis
CChroniccatarrhal gingivitis
DGeneralizedperiodontitis
EHypertrophicgingivitis, fibrous form
123
A23-year-old patient complains of whitish spots on the masticatoryteeth, drawing of mouth
duringtaking acidic food. The spots appeared about 3 months ago.Objectively: the cervical
regionof the 46, 36, 27 teeth exhibits some chalk-like spots that can beeasily stained with 2%
methyleneblue, probing reveals the surface roughness. What is the most likelydiagnosis?
AAcuteinitial caries
BAcutesuperficial caries
CEnamelhypoplasia
DEndemicfluorosis
EChronicsuperficial caries
124
A23-year-old patient complains about gingival haemorrhage during toothbrushing and eating
solidfood. Objectively: gingiva of the frontal part of mandible ishyperaemic, edematic, it
bleedson palpation. Mucous membrane of the oral cavity as well as gingivain other regions
presentno changes. The patient has deep overbite. Teeth are stable exceptfor the 41 and 31
(Іdegree of mobility). X-ray picture shows resorption of interalveolarsepta by 1/3 of root length
inthe region of the 42, 41, 32, 31 teeth. What is the most likelydiagnosis?
ALocalisedperiodontitis
BInitialgeneralized periodontitis
CGeneralizedI degree periodontitis
DCatarrhalgingivitis
EIdegree parodontosis
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A22-year-old patient complains about short-lasting spasmodic pain inthe 26 tooth with long
periodsof pain absence. Objectively: the 26 tooth has a carious cavity inthe masticatory
surface,dental cavity is not opened. Probing causes pain in the pulp hornprojection. Thermal
stimulicause sharp pain, percussion is painless. Regional lymph nodes arenot palpable. What
isthe most likely diagnosis?
AAcutecircumscribed pulpitis
BAcutedeep caries
CAcutediffuse pulpitis
DAcutepurulent pulpitis
EExacerbationof chronic pulpitis
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A27-year-old patient complains about gingival haemorrhage during toothbrushing. Objectively:
gingivaledge is hyperaemic, edematic, painful on touch. Periodontal pouchesare absent. X-ray
picture shows resorption of cortical plate, osteoporosis ofinterdental septa. What is the most
likelydiagnosis?
AInitialgeneralized periodontitis
BExacerbationof chronic catarrhal gingivitis
CGeneralizedI degree periodontitis
DChroniccatarrhal gingivitis
EPeriodontitis
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A20 year old patient complains about gum itching, gingival haemorrageduring tooth brushing
andeating, unusual look of gums. He has been observing thesepresentations for the last 1,5
year.It is known from the patient's anamnesis that he has been takingdiphenylamine
anticonvulsantsfor 2 years. Objective examination revealed gingival hyperemia andedema. In
thefrontal part the gums cover vestibular surface of teeth by 1/2 oftheir height. Along the loose
gingival edge growth of granulation tissue is present, probing causesgingival haemorrage. No
roentgenologicalchanges were revealed. Make a diagnosis:
AChronichypertrophic gingivitis
BChroniculcerative gingivitis
CChroniccatarrhal gingivitis
DLocalizedperiodontitis
EGeneralizedperiodontitis
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A20-year-old patient complains about pain and haemorrhages in theregion of the 36 tooth
occuringduring eating solid food. Objectively: medial masticatory surface ofthe 36 tooth has a
largecarious cavity occupied by a carneous tumour-like formation, probinginduces
haemorrhageand pain in the region of connection of the carious cavity with thepulp chamber.
Percussionis painless. Electroodontodiagnosis is 40 microampere.Roentgenological changes
are absent. What is the most likely diagnosis?
AChronichypertrophic pulpitis
BEpulis
CHypertrophicpapillitis
DChronicgangrenous pulpitis
EChronicfibrous pulpitis
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Apatient complains about spontaneous pain in the area of his 15 toothhe has been feeling for
2days. Thermal stimuli make the pain worse, its attacks last up to 30minutes. Objectively:
thereis a deep carious cavity in the 15 tooth consisting of light softeneddentin, floor probing is
painfulin one point, reaction to the thermal stimuli is positive, percussionis painless. Make a
diagnosis:
AAcutelocal pulpitis
BAcutediffuse pulpitis
CPulphyperemia
DAcutedeep caries
EAcutecondition of chronic pulpitis
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A57-year-old patient complains about dental hypersensitivity tochemical stimuli, gum itch.
Objectively:roots are exposed down to 1/3 of their length, gums are dense andpale rose.
Wedge-shapeddefects in the area of the 14, 13, 24, 25, 26, 34 teeth are withinthe dentine.
Probingof dental cervixes and wedge-shaped defects is painfull. What is themost likely diagnosis?
AIdegree parodontosis
BGeneralizedperiodontitis
CIIdegree periodontitis
DAtrophicgingivitis
ELocalisedperiodontitis
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A35-year-old patient complains of progressing throbbing pain in the 26tooth. Objectively: the
26tooth has a carious cavity filled with softened dentine, tooth cavityis closed, probing of the
cavityfloor is painless, percussion causes acute pain. There is I gradetooth mobility.
Roentgenologicalchanges are absent. What is the most likely diagnosis?
AAcutepurulent periodontitis
BAcutepurulent pulpitis
CAcuteserous periodontitis
DExacerbationof chronic periodontitis
EAcutediffuse pulpitis
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Apatient complains of burning, itch and lower lip enlargement. He hasbeen suffering from this
fora long time. Objectively: the patient's face is asymmetric due to theflattening of nasolabial
fold.His lower lip is edematic, of normal colour, painless on palpation.The patient has plicated
tongue.What is your provisional diagnosis?
AMelkersson-Rosenthalsyndrome
BQuincke'sedema
CLymphangioma
DHemangioma
EGranulomatousMiescher's cheilitis
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A43-year-old patient consulted a dentist about pain in the 36th tooth.X-ray examination
revealeda breakage of an endodontic tool in the distal root. The root apexexhibits a
well-definedarea of bone tissue destruction (d = 5 mm) with clear margins. Whatmethod of
treatmentis most appropriate in this case?
ADentalhemisection
BRootapex resection
CConservativetreatment
DToothreplantation
ERootamputation
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A30-year-old patient consulted a dentist about a cosmetic defect andslight pain in the 44 tooth
during tooth brushing. Objectively: there is a Black's class Vcarious cavity within mantle
dentine.Probing of the cavity walls causes slight pain, thermal probe ispositive. What filling
materialis to be chosen for restoration of this cavity?
ACompomerrestorative material
BChemical-curecomposite
CAmalgam
DPolycarboxylatecement
EMetalceramics
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