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Буклет 2011 року

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1. A 38-year-old patient complains of tension and enlargement of her lower lip and eyelids
occuring after taking aspirin for headache. The edema resolves soon after taking
antihistaminic drugs. What is the most likely diagnosis?
A. Quincke’s edema *
B. Melkersson-Rosenthal syndrome
C. Erysipelas of lips
D. Lymphadenic macrocheilitis
E. Meige trophedema

2. Parents of a 5-month-old baby complain of food refusal, ulcers on the palate. The infant was
born prematurely, is now artificially fed. Objectively: at the junction of hard and soft palate
there is an oval well-defined ulcer, covered with yellow-gray film and limited by a hyperemic
swelling, protruding above the surface of oral mucosa. Which group of drugs should be
administered for the aphtha epithelizati-on?
A. Keratoplastic agents *
B. Antiviral drugs
C. Antimycotic drugs
D. Antiseptics
E. Antibiotics

3. A 35-year-old male consulted a dentist about the 26 tooth extraction. After the patient had
been given tuberal anaesthesia, he presented with progressing tissue edema and limited
mouth opening. This condition was caused by:
A. Vessel trauma *
B. Muscle trauma during anaesthetization
C. Nerve trunk trauma
D. Hypersensitivity to the anaesthetic
E. Anaphylactic shock

4. After removal of dental deposit an 18-year-old patient underwent preventive examination. It

revealed painless chalky spots in the precervical area on the vestibular surface of the 22 and
41 teeth. Result of enamel resistance test is 7 What morphological changes are typical for this
disease?
A. Subsurface enamel demineralization *
B. Changes in the mantle dentine
C. Damage of dentinoenamel junction
D. Superficial enamel demineralization
E. Degeneratic changes of odontoblasts

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5. A 10-year-old child complains of sore throat, cough, fever (up to 38oC). These presentations
turned up 2 days ago. Objectively: acute catarrhal stomatitis is present. Tonsils are swollen,
hyperemic, covered with yellow-gray friable film which can be easily removed. Submandibular
and cervical lymph nodes are significantly enlarged, painful on palpation. Laboratory analysis
revealed leuko- and monocytosis. What is the most likely diagnosis?
A. Infectious mononucleosis *
B. Diphtheria
C. Scarlet fever
D. Rubella
E. Measles

6. A 50-year-old patient complains about missing of the 37, 36, 45, 46, 47 teeth. The 35, 38, 44,
48 teeth are intact and stable, their crowns exhibit anatomic form, sufficient height, relative
parallelism. Fulcrum line typically goes through the 35 and 44 abutment teeth. What fixing
element should be used in a clasp denture supported by the 35,44 teeth?
A. Acker clasp *
B. Roach clasp
C. Jackson clasp
D. Telescopic fixation
E. Bent wire clasp

7. A 60-year-old patient complains of pain in the masticatory muscles and temporomandibular

joint. The dentures were fabricated a month ago. Objectively: face configuration is abnormal,
the lower third of the face is elongated, the lips can only be closed with difficulty, the speech is
indistinct. When smiling, the base of the complete removable denture is exposed. What
mistakes were made during the fabrication of complete removable dentures for the upper jaw?
A. The vertical occlusal dimension was overrated *
B. The vertical occlusal dimension was underrated
C. Misidentified posterior occlusion
D. Misidentified anterior occlusion
E. Misplacement of maxillary teeth

8. A 58-year-old patient needs dental prosthetics. Objectively: the 22 tooth is stable, intact. The
atrophy of the alveolar crest is present, the palate is flat. It is planned to fabricate a removable
denture. What tactics should be chosen in respect of the 22 tooth?
A. It is required to fabricate a telescopic crown *
B. There is no need of any intervention
C. It should be depulped
D. It should be extracted
E. It is required to fabricate a stump crown

9. A 39-year-old patient needs a clasp denture with porcelain teeth for the lower jaw. What
method should be applied while substituting wax with plastic in order to avoid mold flash that
may cause bite opening?
A. Method of transfer molding *
B. Direct method of compression molding
C. Inverse method of compression molding

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D. Combined method of compression molding

E. In water under pressure

10. A 22-year-old patient was undergoing treatment of the 25th tooth for deep acute caries.
During preparation a dentist accidentally opened the horn of pulp. What method of treatment
should be applied?
A. Biologic method *
B. Vital amputation of pulp
C. Devital amputation
D. Vital extirpation
E. Devital extirpation

11. A 39-year-old patient complains of some soft ulcers and tubercles on the oral mucosa, gingival
haemorrhage, pain and loosening of teeth. Objectively: mucous membrane of tongue and gums
presents single ulcers with soft, swollen, slightly painful edges, covered with a yellow film.
Regional lymph nodes are enlarged, soft, painless, not adherent to the surrounding tissues.
What is your provisional diagnosis?
A. Lupus tuberculosis *
B. Lepra
C. Tertiary syphilis
D. Scrofuloderma
E. Sutton’s aphthae

12. A patient complains about mobility of the 26, 27, 28 teeth, periodic pain, sensation of
heaviness in the corresponding half of the upper jaw, haemorrhagic discharges from the left
side of nose. These presentations have been observed for 4 months, within the last month the
pain has become worse, the patient presents now with general weakness. Examination of the
oral cavity reveals the grade II mobility of the 26, 27, 28 teeth. On palpation of the maxillary
tuber, the bone wall was found to be absent. X-ray picture shows a homogeneous shadowing of
maxillary sinus; bone structures have unclear contours. What is the most likely diagnosis?
A. Upper jaw cancer *
B. Upper jaw adamantinoma
C. Upper jaw sarcoma
D. Chronic odontogenous maxillary sinusitis
E. Upper jaw osteoclastoma

13. An 8-year-old boy was diagnosed with chronic fibrous pulpitis of the 21 tooth. It was treated by
extirpation method. Choose the material for root filling:
A. Calcium-containing material *
B. Glass -ionomer cement
C. Zinc oxide eugenol paste
D. Resorcin-formalin paste
E. Phosphate cement

14. A 62-year-old patient has a median mandibular fracture complicated by pseudoarthrosis.

Objectively: the dental formula is 33, 34, 35, 36, 37, 47, 46, 45, 44, 43. The teeth are intact,

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stable, with high crowns. There is minor mobility of fragments without displacement. What is
the most appropriate type of denture for this patient?
A. Dental bridge without a pivot point *
B. Lamellar denture without a pivot point
C. Lamellar denture with Gavrilow’s pivot point
D. Lamellar denture with Oksman’s pivot point
E. Lamellar denture with Weinstein’s pivot point

15. During extraction of the 47 tooth its distal root was broken halfway along its length. What tool
should be chosen for extraction of the residual root fragments?
A. Left angled elevator *
B. Broad-beaked forceps
C. Close-beaked forceps
D. Right angled elevator
E. Straight elevator

16. A patient consulted a doctor about recurrent pain in the frontal part of his upper jaw. He has
history of previous treatment for pulpitis. Objectively: the crown of the 12 tooth is restored
with a filling. X-ray picture of the upper jaw shows an area of bone tissue destruction (up to 1
cm in diameter) at the root apex of the 12 tooth. The root channel of the 12 tooth is filled up to
the top. The patient was diagnosed with cystogranuloma of the 12 tooth. Choose the best
method of treatment:
A. Root apex resection *
B. Extraction of the 12 tooth
C. Conservative treatment
D. Dissection along the mucogingival junction
E. Replantation of the 12 tooth

17. Preventive examination of a 20-year-old student revealed chronic candidiasis of the oral
mucosa, generalized lymphadenopathy. He has a 1-year history of herpes simplex. The body
temperature often rises to 37,4 — 37,5oC, the patient has lost 8 kg of body weight over the last
month. These symptoms may be indicative of the following disease:
A. AIDS *
B. Infectious mononucleosis
C. Acute leukosis
D. Chronic leukosis
E. Lymphogranulomatosis

18. A 38-year-old male patient complains of a carious cavity. He had experienced spontaneous dull
pain in the tooth in question before. Objectively: the distal masticatory surface of the 37 tooth
presents a deep cavity made of soft pigmented dentin. Percussion is painless. After removing
the decay from the cavity, cold water has caused pain lasting for about a minute. X-ray picture
shows the deformation of the periodontal gap in the region of the 37 root apices. What is the
most likely diagnosis?
A. Chronic fibrous pulpitis *
B. Exacerbation of chronic pulpitis
C. Acute deep caries

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D. Chronic deep caries

E. Chronic fibrous periodontitis

19. A 32-year-old patient complains of experiencing dryness and burning of tongue back for a
week. The burning intensifies during taking irritating foods. Some time ago he had pneumonia
and was treated with antibiotics. Objectively: skin and oral mucosa are pale. The lingual
mucosa is hyperemic and edematous, the folds at the back of tongue are covered with the
crumbling gray-white plaque, desquamation of the lateral surface of tongue is also present.
Saliva is thick and attaches to a spatula. Choose the most effective drug complex for the local
treatment:
A. Methylene blue + pimafucin *
B. Hydrocortizone ointment + solcoseryl
C. Decamin + hydrocortizone ointment
D. Furacilin + methylene blue
E. Furacilin + solcoseryl

20. A 67-year-old patient needs a complete removable denture for his lower jaw. The adjustment of
custom tray is done by method of Herbst. It is required to specify the boundary of tray for the
sublingual region, 1 cm away from the midline. What Herbst test should be applied for this
purpose?
A. Alternate touching the cheeks with the tongue *
B. Touching the red border of the upper lip with the toungue
C. Active movements of mimic muscled
D. Swallowing
E. Slow mouth opening

21. A 40-year-old patient has an open occlusion resulting from the bilateral fracture of his upper
jaw and following malunion of fragments. The occlusal vertical dimension is maintained only
by molar teeth. There is a gap of about 1-1,5 mm between the rest of teeth. The dentitions are
without gaps. What kind of treatment would be most appropriate in this situation?
A. The molar teeth should be ground off and covered with crowns *
B. Orthodontic treatment
C. Combined apparatus and surgical treatment
D. Open reposition
E. Prosthetics with combined crowns

22. A 14-year-old child complains of bleeding and pain during eating in the lower right molar.
Objectively: the medial contact and masticatory surfaces of the 46 tooth exhibit a large carious
cavity filled with red tissue. Superficial probing causes pain and moderate bleeding. Deeper
probing causes acute pain. Percussion is painlessl. What is your provisional diagnosis:
A. Chronic hypertrophic pulpitis *
B. Chronic fibrous pulpitis
C. Chronic gangrenous pulpitis
D. Chronic papillitis
E. Chronic granulating periodontitis

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23. A 10-year-old girl complains of minor pain in a lower jaw tooth occuring during having cold
food. Objectively: the masticatory surface of the 36 tooth exhibits a carious cavity with a
narrow inlet located within the mantle dentin. Probing causes pain along the enamel-dentin
border. Make a diagnosis:
A. Acute median caries *
B. Acute deep caries
C. Chronic deep caries
D. Superficial caries
E. Chronic median caries

24. An 80-year-old patient presented to a clinic for the adjustment of the impression tray for the
upper jaw. Objectively: alveolar process exhibits marked homogenous atrophy, maxillary
tubers are absent, torus is weakly expressed. Buccal muscles and frenulum of the upper lip are
attached almost at the top of the alveolar process, the palatal slope is not steep. How to adjust
the impression tray in order to make a close-fitting valve?
A. To extend the borders along the A line *
B. To extend the external borders
C. To extend the borders in the frontal region
D. To extend the borders in the region of maxillary tubers
E. To overlay buccal muscles and frenulum with the impression tray

25. A 32-year-old male complains of constant mandibular movements simulating chewing that take
place when he is excited. Besides that, the patient complains of teeth grinding. Objectively: the
lateral surfaces of teeth have signs of abrasion, the tubercles are absent. What is the most
rational method of treatment?
A. Night guard, myogymnastics, selfmassage *
B. Restoration with opposite-directed dentures
C. Medicamental and machine treatment with further consultation with a dental surgeon
D. Consultation with a dental surgeon
E. Teeth alignment (selective tubercle removal)

26. An 18-year-old patient complains about body temperature rise, weakness, pain induced by
eating and deglutition. Objectively: mucous membrane of the oral cavity is erythematic with
multiple petechia. Pharynx is hyperaemic. Regional lymph nodes are enlarged, mobile,
painless. In blood: leukocytosis, monocytosis, atypic mononuclears, ESR is 30 mm/h. What is
the leading factor of disease development?
A. Viral infection *
B. Bacterial infection
C. Autoimmune disorders
D. Immediate allergy
E. Delayed allergy

27. A 72-year-old patient complains of burning pain in the corners of mouth. Objectively: the folds
of mouth corners have erosions, covered with white coating that can be easily removed,
mucous membrane of mouth corners is macerated, of pearly colour. There is pathological tooth
wear and decreased vertical dimension of occlusion. What is your provisional diagnosis?
A. Angular cheilitis candidiasis *

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B. Atopic cheilitis
C. Chronic recurrent labial fissure
D. Streptococcal angular cheilitis
E. Syphilitic angular cheilitis

28. A 45-year-old patient presented to aclinic for prosthetics. Objectively: Kennedy III type, I
subtype dentition defect is present, the 46, 45, 44, 34, 35, teeth are missing. The bite is fixed.
Che Crowns of the 47, 43, 33, 37 teeth are high, of a well-defined anatomical shape, intact. It
is planned to fabricate a clasp denture. What system of the clasp denture fixation is the most
appropriate in this case?
A. Rumpel’s bar system *
B. Attachments
C. Roach clasp
D. Continuous clasp
E. Telescopic system

29. After a fall a 28-year-old patient visited the clinic of maxillofacial surgery and complained of
restricted mouth opening, skin numbness in the left infraorbital region, upper lip, wing of the
nose, pain in the left zygomatic region that gets worse when he opens his mouth. Palpation
revealed step deformity. What is the most likely diagnosis?
A. Fracture of the left zygomatic bone with a displacement *
B. Fracture of the left zygomatic bone without a displacement
C. Fracture of the upper jaw of Le Fort II (medium type)
D. Fracture of the upper jaw of Le Fort I (top type)
E. Fracture of the left zygomatic bone

30. A 75-year-old patient has been admitted to the dental department for the right-angle
mandibular fracture with a displacement. Objectively: the face is asymmetric due to the post-
traumatic swelling, palpation reveals the mobility of fragments and pain. The patient has a
lifelong history of epilepsy. What is the best method of treatment?
A. Osteosynthesis *
B. Immobilization with Vasilyev splints
C. Immobilization with Tigerstedt splints
D. Immobilization with Port splint
E. Immobilization with Vankevich splint

31. Analysis of a 10-year-old boy’s jaw models revealed that occlusal plane of the frontal maxillary
teeth was of concave form, its lateral parts were convex. Form of the alveolar process also
represents deformation of dental arches. The upper jaw is of saddle-like form with abrupt
narrowing in the region of premolar teeth. What type of bite is it?
A. Open *
B. Distal
C. Deep
D. Mesial
E. Cross

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32. A 59-year-old patient has a bilateral fracture of mandible in the region of the 44, 34 teeth,
other masticatory teeth are missing, toothless fragments are not displaced but mobile. Which
orthosis should be used for the immobilization of bone fragments?
A. Vankevich splint with orthodontic elastics *
B. Rudko’s apparatus
C. Limberg’s splint
D. Petrosov’s apparatus
E. Zbarzh apparatus

33. A 23-year-old patient complains of gingival haemorrhages, fatigue, indisposition. The

symptoms have appeared quite recently. Objectively: the skin and oral mucosa are pale. Gums
bleed when touched. There are petechiae on the mucous membrane of cheeks, lips and palate.
What laboratory test will allow to make a diagnosis?
A. Complete blood count *
B. Blood test for sugar
C. Blood test for Vitamin C
D. Bleeding time test
E. Immunogram

34. A 20-year-old patient complains of general weakness, fever, headache. These presentations
appeared three days ago. Objectively: the regional lymph nodes are enlarged, painful on
palpationl, body temperature is 37,8oC, oral mucosa is hyperemic and edematous. Mucous
mebrane of lips, palate, gums, cheeks presents single erosions of polycyclic irregular shape,
covered with grayish-white film, painful. Which drugs should be administered for the local
treatment of the early disease?
A. Antiviral *
B. Keratoplastic agents
C. Corticosteroid ointments
D. Antiseptics
E. Dyes

35. A patient has been diagnosed with traumatic open angular fracture of mandible with a
fragments displacement. Which of the following should be applied for transport immobilization
of the fragments?
A. Entin head-chin strap *
B. Tigerstedt splints
C. Standard Vasyliev splints
D. Gunning splints
E. Weber splints

36. A 50-year-old patient needs dental prosthetics. Objectively: the 14, 15, 16, 17, 24, 25, 26, 27
teeth are missing. The state of the abutment teeth is satisfactory. What type of fixation will
provide the best conditions for the stabilization of a removable denture?
A. Planar *
B. Sagittal
C. Transversal
D. Linear

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E. Point

37. A 6-year-old boy hit his forehead one day ago. A few hours later a swelling appeared in the
right superciliary region. Objectively: there is a considerable edema of forehead tissues
spreading to eyelids of the right eye, the skin over the swelling is cyanotic, the swelling is of
soft consistency. Fluctuation is also present. General condition of the boy is normal. Make a
provisional diagnosis:
A. Hematoma of the right superciliary region *
B. Postraumatic edema of tissues of the right superciliary region
C. Fracture of frontal bone
D. Hematic abscess of the right superciliary region
E. Inflammatory infiltration of tissues of the right superciliary region

38. A 14-year-old child complains about a cosmetic defect in the frontal teeth region. Objectively:
enamel of the 11, 12, 21, 22, 31, 32, 41, 42 teeth is thin in the region of cutting edge, there is
a sulcate enamel pit 1,5 mm wide which encircles the tooth and is parallel to the cutting edge.
The cusps of the 16, 26, 36, 46 teeth are underdeveloped and have conical form. What is the
most likely diagnosis?
A. Systemic hypoplasia *
B. Dentinogenesis imperfecta
C. Enamel dysplasia
D. Local hypoplasia
E. Stainton-Capdepont dysplasia

39. Preventive examination of a 45-year-old patient revealed a carious cavity in the 23 tooth
located within the mantle dentin. The cavity floor and walls are of dense, markedly pigmented
dentin, probing and cold test provoke no pain, percussion of the 23 tooth is painless.
Electroodontometry results - 6 mA. What is the most likely diagnosis?
A. Chronic median caries *
B. Acute median caries
C. Chronic deep caries
D. Acute deep caries
E. Chronic periodontitis

40. A 29-year-old patient undergoes a procedure of a metal inlay fabrication by the direct method.
The inlay is intended for the 26 tooth. Objectively: the 26 tooth presents a Black class I carious
cavity. Electroodontometry results - 6 mA. Examination of the ready inlay revealed a casting
defect in the region of the external angle. The dentist’s further actions will be:
A. Fabrication of a new inlay *
B. Cement fixation of the inlay
C. Plastic fixation of the inlay
D. Inlay fixation and restoration of the defect with a composite
E. Inlay fixation and restoration of the defect with amalgam

41. A 53-year-old patient complains of missing of mandibular teeth. He has a hi- story of
microstomy. Objectively: the 31, 32, 35, 36, 37, 38, 41, 42, 45, 46, 47 and 48 teeth are missing.

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The remaining teeth are stable, immobile. What kind of denture construction is recommended
for this patient?
A. Collapsible removable partial lamellar denture *
B. Removable partial lamellar denture
C. Dental bridge supported by the 43, 33 teeth and removable denture
D. Clasp denture
E. Splint-denture

42. During the examinations and everyday orthopedic manipulations a dentist uses a dental
mirror. How to sterilize dental mirrors?
A. In the triple solution for 30 minutes *
B. In the 0,5% ethyl chloride solution for 20 minutes
C. In the 6% hydrogen peroxide solution for 6 hours
D. In the dry heat sterilizer at 180oC for 10 minutes
E. in the 0,01% chloramine solution for 10 minutes

43. A 35-year-old woman was admi-tetd to the oral surgery department two hours after a road
accident. Objectively: cutaneous integuments are pale, there are beads of sweat on her face.
Respiration is heavy and obstructed. Pulse rate is 120 bmp, AP is 70/60 mm Hg. There is
wound penetrating to the oral cavity on the left cheek. During transportation the woman was
in supine position with her head thrown backwards. What kind of asphyxia is likely to develop
in this patient?
A. Aspirating *
B. Valvular
C. Stenotic
D. Obturative
E. Dislocational

44. A 10-year-old girl complains of an aesthetic defect. She has a history of sucking her right
thumb till the age of 7. Objectively: the height of the lower third of face is somewhat reduced.
There is a 9 mm gap in sagittal direction between the upper and lower incisors, Engle’s class
2. As a result of Eschler-Bittner test the girl’s face appears at first better, then worse. What
clinical form of occlusal anomaly is most likely?
A. Maxillary macrognathia and mandibular micrognathia *
B. Maxillary macrognathia
C. Mandibular micrognathia
D. Maxillary prognathism with lateral compression
E. Mandibular retrognathia

45. A 36-year-old patient requires a full coverage swaged metal crown for the 37 tooth. The
patient presented to a clinic for the crown adjustment. During the adjustment it was revealed
that the crown was to loose to fit the tooth cervix properly. How to eliminate this defect?
A. To get an impression and swage the crown anew *
B. To swage a new crown using the same matrix
C. To bend in the crown edges by using beak-shaped forceps
D. To anneal the crown
E. To bend in the crown edges by using clamp forceps

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46. A 31-year-old patient complains of experiencing recurrent pain in the 48 tooth for 4 years.
Objectively: right submandibular lymph nodes are enlarged, painless. Mucous membrane
around the partialy erupted 48 tooth is hyperemic. On probing the subgingival pocket of the 48
tooth exudes pus mixed with blood. What additional study will be most informative for
diagnosing this pathology?
A. Radiography *
B. Blood count
C. Electroodontometry
D. Blood and urine tests
E. Contrast radiography

47. A 44-year-old patient consulted a surgeon about constant acute pain in the upper jaw region
on the left that is getting worse during teeth joining. The pain was noted 3 days ago.
Objectively: the face is symmetrical, mouth opening is unlimited. The crown fof the 26 tooth is
half-destroyed. Probing of the carious cavity is painless. Percussion of the 26 tooth provokes
acute pain. Mucous membrane of the alveolar process is edematic, hyperemic on the level of
the 26 tooth. The 26 tooth was treated before. What is your provisional diagnosis?
A. Exacerbation of chronic periodontitis of the 26 tooth *
B. Acute purulent periodontitis of the 26 tooth
C. Acute pulpitis of the 26 tooth
D. Acute purulent periostitis of upper jaw of the 26 tooth on the left
E. Periodontitis of the 26, 27, 28 teeth

48. A 38-year-old patient complains of acute paroxysmal pain in the region of his left upper jaw,
left eye and temple. The pain is lasting (2-3 hours), gets worse at night. Objectively: the 26
tooth has a deep carious cavity, floor probing causes painful response, thermal stimuli provoke
long-lasting pain, percussion provokes minor pain. What is the most likely diagnosis?
A. Acute diffuse pulpitis *
B. Pulpitis complicated by the periodontitis
C. Acute limited pulpitis
D. Exacerbation of the chronic pulpitis
E. Acute purulent pulpitis

49. A 46-year-old patient has been diagnosed with chronic concrementous pulpitis of the 27 tooth.
X-ray picture shows that the concrement is located in the crown part of the tooth cavity and
occupies 1/4 of its volume. Select an adequate method of treatment:
A. Vital extirpation *
B. Biologic method
C. Devital extirpation
D. Vital amputation
E. Devital amputation

50. The child is 13 years old. The disease began suddenly with a body temperature rise up to
39oC, swelling of the upper jaw on the left. Objectively: the face is asymmetric due to the left
cheek edema. The skin over the swollen area is hyperemic and tense. The 26 tooth exhibits a
large carious cavity, percussion of the tooth causes pain reaction. The 25, 26, teeth are mobile.
Mucogingival junction in the region of the 24, 25, 26, 27 tooth is indistinct, alveolar mucosa is

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hyperemic and bilaterally swollen in the region of the 25, 26. 27 teeth. What is the most likely
diagnosis?
A. Odontogenous maxillary osteomyelitis to the left of the 26 tooth *
B. Odontogenous maxillary periostitis to the left of the 26 tooth
C. Chronic periodontitis of the 26 tooth
D. Suppuration of the radicular cyst induced by the 26 tooth
E. Odontogenous purulent maxillary sinusitis induced by the 26 tooth

51. A 5-year-old child presents with chronic deep caries within the contact and masticatory
surfaces of the 75, 74, 84, 85 teeth. Which filling material should be used?
A. Silver amalgam *
B. Silidont
C. Evicrol
D. Silicin
E. Infantid

52. A patient complains of general weakness, pain in the gums, halitosis. Objectively: the patient is
pale, adynamic, body temperature is 38,5oC, submandibular lymph nodes are enlarged, painful
on palpation. Interdental gingival papillae are inflamed, their tops are "detruncated", covered
with gray-yellow necrotic incrustation. Radiography of alveolar process and blood count reveal
no apparent changes. What is the most likely diagnosis?
A. Acute ulcerous gingivitis *
B. Generalized periodontitis
C. Acute leukosis
D. Agranulocytosis
E. Localized periodontitis

53. Two years after radiation therapy a 49-year-old patient has been diagnosed with recurrence of
the lower lip carcinoma. Objectively: there is a 1x2 cm large neoplasm with an ulcer in the
centre in the region of the right half of the lower lip. Palpation of the right submandibular
region reveals two enlarged, dense, painless lymph nodes of round shape. Specify the stage of
the disease:
A. T2 N1 M0 *
B. T2 N0 M0
C. T1 N1 M0
D. T1 N2 M0
E. T1 N0 M0

54. A 38-year-old patient ordered a clasp upper jaw prosthesis. Its fabrication involves forming of
a fireproof model. What material should be applied for duplication?
A. Gelin *
B. Stomatoplast
C. Stomalgin
D. Orthocor
E. Dentafol

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55. A 20-year-old patient complains about unaesthetic look of the 24 tooth from the moment of its
eruption. Objectively: enamel of the 24 tooth is partly absent, the dentine is yellow. The 64
tooth was treated more than once when she was a child, but because of frequent
exacerbations, edemas and gingival fistula the 64 tooth was extracted when she was 9 years
old. What is the most likely diagnosis?
A. Localised hypoplasia *
B. Initial caries
C. Fluorosis
D. Systemic hypoplasia
E. Enamel aplasia

56. A 45-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, 14 teeth. Oral cavity
exasmination reveals no objective changes. The 36,37, 46 teeth are sealed with amalgam
fillings. What is the most likely cause of this condition?
A. Galvanic currents *
B. Allergy
C. Neurologic disorder
D. Chemical factors
E. Mechanic trauma

57. A 25-year-old patient complains of gingival haemorrhage and enlargement. Objectively:

hypertrophy of gingival papillae by 1/3 of the crown height in the frontal region of mandible.
Periodontal pockets are absent. What is the most likely diagnosis?
A. Hypertrophic gingivitis *
B. Catarrhal gingivitis
C. Ulcerous gingivitis
D. Localized periodontitis
E. Epulis

58. A chemical plant worker consulted a dentist about an oral mucosa burn caused by caustic
soda. Which of the following medications should be chosen for emergency care?
A. 0,5% acetic acid solution *
B. 50% ethyl alcohol
C. 0,1% liquid ammonia
D. 3% sodium chloride solution
E. 2% citric acid solution

59. A patient undergoes orthopaedic treatment of bounded edentulous spaces on both jaws by
means of fullcast combined dental bridges. The patient has a history of essential hypertension.
Which haemostatic drug SHOULD NOT be used for the gums retraction?
A. Noradrenaline *
B. Hydrogen peroxide
C. Aluminium chloride
D. Iron sulphate
E. Tetrahydrozoline

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60. Parents of a 1,5-month-old child complain of whitish depositions on the child’s buccal and
labial mucosa. Objectively: labial and buccal mucosa is hyperemic and covered with caseous
deposition that can be easily removed. Specify the causative agent of this disease:
A. Candida fungi *
B. Vincent’s spirochaetes
C. Fusiform bacillus
D. Loeffler’s bacillus
E. Diplococci

61. A 7-year-old boy complains of fever up to 38oC, headache, sore throat. Objectively: slightly
hyperemic soft palate mucosa, anterior palatine arches and tonsils exhibit erosions.
Submandibular lymph nodes are slightly enlarged, painless. What is the causative agent of this
disease?
A. Coxsackie virus *
B. Herpes simplex
C. Epstein-Barr virus
D. Loeffler’s Bacillus
E. Bordet-Gengou bacillus

62. A 68-year-old patient had a stroke, after which she now often experiences urges to vomit
causing unilateral TMJ dislocations. The dislocations could only be reduced under anesthesia.
The 21-28, 15, 16,17,18, 36, 37, 44, 46, 47 teeth are missing. What denture construction is
optimal for this patient for the treatment period?
A. Removable lamellar denture with a mouth opening stopper *
B. Schroeder appliance with sliding pivot
C. Petrosov’s appliance with a stopper
D. Yadrova’s appliance
E. Khodorovich-Burgonskaya appliance with a stopper

63. Parents of a 12-year-old child complain about white patches on the upper front teeth, which
appeared six months ago. Objectively: chalk-like patches on the vestibular surfaces in the
precervical area of the 13, 12, 11, 21, 22, 23 teeth. Their enamel is dull, pliable and rough on
probing. There is a history of short-term pain caused by chemical stimuli. What is your
provisional diagnosis?
A. Acute initial caries *
B. Chronic initial caries
C. Acute superficial caries
D. Systemic enamel hypoplasia
E. Dental fluorosis

64. A 3-year-old girl has been diagnosed with acute odontogenous periostitis of mandible starting
from the 74 tooth. It is required to perform periostomy and extract the 74 tooth. The child is
excited. Choose the best type of anesthesia for the surgery:
A. Intravenous anaesthesia *
B. Mandibular anaesthesia
C. Infiltration anaesthesia
D. Intubation anaesthesia

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E. Central anaesthesia

65. A 48-year-old patient complains of pain in the 32, 38 teeth which arose 3 months after
installing a dental bridge upon them. Objectively: the gums around the abutment teeth are
hyperemic, edematous, mobile in the vestibular-oral direction. What is the most likely cause of
this complication?
A. Functional overload of abutment teeth paradontium *
B. Improper preparation of abutment teeth
C. The form of the intermediate denture part
D. Contact of the denture with opposing teeth
E. Solid food consumption

66. An 11-year-old child complains of a carious cavity in the left upper molar, which appeared six
months ago. Objectively: the medial contact surface of the 26 tooth exhibits a carious cavity
located within the mantle dentin. The cavity floor and walls are dense, pigmented, with no pain
upon probing. The response to thermal stimuli is absent. Percussion of the tooth causes no
pain. Make a provisional diagnosis:
A. Chronic median caries *
B. Chronic deep caries
C. Acute median caries
D. Acute deep caries
E. Chronic periodontitis

67. A 42-year-old patient was diagnosed with exacerbation of generalized grade II periodontitis
accompanied by abscess formation. What method of general treatment should be administered
in the first place?
A. Antibiotic therapy *
B. Vitamin therapy
C. Hyposensitization therapy
D. Stimulating therapy
E. Detoxification therapy

68. A 43-year-old patient complains of increased tooth sensitivity to thermal and chemical stimuli,
gum itch. Objectively: the roots of the teeth are exposed to 1/3 of their length, the gums are
dense, pale pink. Thre is a small amount of dental plaque. In the region of the 15, 14, 24, 25,
44, 34 teeth there are wedgeshaped defects within the dentin. Probing of exposed cervices and
wedge-shaped defects causes pain reaction. What is the most likely diagnosis?
A. Parodontosis *
B. Atrophic gingivitis
C. Generalized periodontitis
D. Gingival recession
E. Localized periodontitis

69. A 32-year-old patient complains about mouth soreness, body temperature rise up to 38,5oC,
indisposition. Such condition has been occurring periodically for several years after the patient
had had a cold. Objectively: lips are covered with haemorrhagic crusts, hyperaemic mucous

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membrane of lips and cheeks has erosions covered with fibrinous films. Hypersalivation is
present. What is the most likely diagnosis?
A. Multiform exudative erythema *
B. Pemphigus vulgaris
C. Herpes recidivicus
D. Herpetiform Duhring’s dermatitis
E. Stevens-Johnson syndrome

70. Examination of a 5-year-old child revealed a cariuos cavity communicating with the tooth
cavity on the approxi-mal surface of the 54 tooth. Halitosis is present. Superficial probing of
the cavity is painless, deeper probing causes pain reaction. Percussion is painless.
Interviewing revealed that hot food caused pain. Select the medication for antiseptic treatment
of root canals:
A. Sodium hypochlorite *
B. Aethonium solution
C. Furacilin solution
D. Alcohol
E. Formalin solution

71. A 14-year-old teen complains of gingival haemorrhages during tooth brushing. Objectively:
gingival mucosa is hyperemic, pastous, bleeds when touched. Schiller-Pisarev test is positive.
PMA index - 70%. Hygienic index - 3,0. X-ray picture of the frontal area depicts no evident
changes. What is the most likely diagnosis?
A. Chronic catarrhal gingivitis *
B. Chronic periodontitis
C. Acute catarrhal gingivitis
D. Chronic hypertrophic gingivitis
E. Exacerbation of chronic periodontitis

72. A 50-year-old patient needs a splint for the lower front teeth. Objectively: the 33, 32, 31, 41,
42, 43 teeth present I-II class mobility and are devitalized. Which splint would be the most
appropriate in this case?
A. Mamlok-type splint *
B. Elbrecht’s splint
C. Kurliandsky splint
D. Murray’s splint
E. Van Thiel splint

73. A 34-year-old male patient complains about acute spasmodic pain in the region of his upper
jaw on the left that is getting worse as affected by cold stimuli. Toothache irradiates to the ear
and temple. He had acute toothache of the 37 tooth one year ago, but he didn’t consult a
dentist. Pain recurred three days ago. Objectively: the 37 tooth has a carious cavity
communicating with the dental cavity. Probing of the opened carious cavity is extremely
painful. X-ray picture shows widening of periodontal fissure at the root apex of the 37 tooth.
What is the most likely diagnosis?
A. Exacerbation of chronic pulpitis *
B. Exacerbation of chronic granulating periodontitis

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C. Exacerbation of chronic fibrous periodontitis

D. Acute diffuse pulpitis
E. Acute purulent pulpitis

74. A 30-year-old patient complains of a painless tumour-like formation in the region of the left
mandibular alveolar process. Objectively: there is a pale pink 1x1,5 cm large tumour-like
formation on the vestibular surface of the alveolar process at the 34 and 35 teeth. The
formation has a broad base, it does not bleed. Crowns of the 34, 35 teeth are intact, the teeth
are non-mobile. X-ray picture of the alveolar process shows no changes in bone structure.
What is the most likely diagnosis?
A. Fibrous epulis *
B. Pleomorphic adenoma
C. Mucosa papilloma
D. Giant-cell epulis
E. Hypertrophic epulis

75. A 57-year-old patient complains of mobility of all mandibular teeth. Objectively: the
34,35,36,45,46,47 teeth are missing. Orthopantomogram of the remaining teeth shows
resorption of the alveolar process within 1/3 of interdental septa height. What construction
should be offered to the patient?
A. Clasp denture with splinting appliances *
B. Bridge dentures in the region of masticatory teeth
C. Partial removable lamellar denture
D. Cap splint
E. Van-Thiel splint

76. A 48-year-old patient consulted a dental surgeon about extraction of the 37 tooth’s roots. What
tool should be chosen?
A. Closed-beak forceps *
B. Broad-beak forceps
C. S-shaped forceps
D. Bayonet forceps
E. Curved beak-shaped forceps

77. A 35-year-old patient was diagnosed with chronic median caries of the 36 tooth. There is a
Black’s class II cavity affecting masticatory surface. What material should be chosen for the
tooth filling?
A. Light-cure microhybride composite *
B. Glass ionomer cement
C. Silicophosphate cement
D. Light-cure fluid composite
E. Light-cure microfilled composite

78. After the extraction of the 26 tooth a 43-year-old patient presents with a communication
between the oral cavity and the maxillary sinus. X-ray picture shows no changes in the
maxillary sinuses. What tactics should be chosen by a dental surgeon to prevent maxillary

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sinusitis?
A. Plastic restoring of the communication *
B. Socket tamponade with a iodoform turunda
C. Socket filling with a hemostatic sponge
D. Sinus rinsing with an antibiotic solution
E. Socket filling with a blood clot

79. A 25-year-old patient complains of intermittent pain during taking sweet and cold food in the
21 tooth. Objectively: there is a hard tissue defect within the enamel in the cervical region of
the 21 tooth. The enamel edges are uneven and chalky. Probing the cavity bottom provokes no
pain, there is short-term pain reaction to cold stimuli. What is the most likely diagnosis?
A. Superficial caries *
B. Wedge-shaped defect
C. Initial caries
D. Enamel hypoplasia
E. Enamel erosion

80. External examination of a 9-year-old boy revealed strongly expressed nasolabial and labio-
mental folds, a shortening of the lower third of face. Examination of the oral cavity revealed
late transitional dentition, the upper front teeth completely overbite the lower teeth, the palate
exhibits imprints of the lower incisors. What is the most likely diagnosis?
A. Supraocclusion *
B. Dentoalveolar maxillary lengthening
C. Distal occlusion
D. Dentoalveolar mandibular lengthening
E. Mesial occlusion

81. A 70-year-old patient complains about the mobility of the 21 tooth. The tooth has not been
treated before. Objectively: there is II class mobility of the 21 tooth, the root is exposed by 1/2.
What tool should be used to extract the tooth?
A. Straight forceps *
B. S-shaped forceps
C. Bayonet forceps
D. Straight elevator
E. Beak-shaped forceps

82. Following the upper jaw examination (according to Schroeder) a 65-year-old patient was found
to have atrophied maxillary tubers, alveolar processes covered with atrophic, thin and pale
mucous membrane. What kind of functional impression technique should be applied?
A. Decompressive *
B. Compressive
C. Dosated
D. Pressure-free
E. Differentiated

83. An orthodontist monitors a 4-year-old child with mouth breath. The child has a history of

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adenotomy. Objectively: primary dentition occlusion; the upper incisors overlap the lower ones
by 1/3; distal surfaces of the second temporary molars are situated in the same vertical plane.
What preventive device will help the child to give up the habit of mouth breath?
A. Standard Schonherr’s vestibular screen *
B. Vesibular and oral Kraus’ screen
C. Frankel’s function regulator
D. Andresen-Haupl activator
E. Rudolph’s appliance

84. A 17-year-old patient consulted an orthodontist about improper position of an upper canine.
Objectively: permanent occlusion, class I Angle’s relationship of the first molars, the 13 tooth
has vestibular position above the occlusal line, there is a 6,5 mm gap between the 14 and 12
teeth. What period of orthodontic treatment will reduce the time of lidase phonophoresis
therapy?
A. Active period *
B. Retention period
C. Preparatory period
D. Passive period
E. -

85. Preventive examination of a 55-year-old man revealed a well-defined area of opaque mucosal
epithelium of the left cheek that didn’t protrude above the surrounding tissues and could not
be removed on scraping. Crowns of the 34, 35, 36 teeth were strongly decayed and had sharp
edges. What is the most likely diagnosis?
A. Leukoplakia *
B. Lichen ruber planus
C. Lupus erythematosus
D. Candidiasis
E. Soft leukoplakia

86. A 62-year-old patient presented to the prosthodontics clinic with complaints about poor
fixation of complete removable lamellar dentures that shows up during talking and wide mouth
opening. The dentures were fabricated 5 days ago. In course of denture fabrication process a
mistake was made during:
A. Obtaining the functional impression *
B. Occlusal plane orientation
C. Interalveolar dimension measurement
D. Wax reproduction check
E. Plastic polymerization

87. A 30-year-old patient has a carious cavity in the 11 tooth within parapulpar dentin. The tooth
corner and its cutting edge are affected. What filling material is best for restoration of the
anatomic tooth form?
A. Light-cure composite *
B. Silicate cement
C. Light-cure glass-ionomer cement
D. Chemical-cure paste-paste composite

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E. Chemical-cure powder-liquid composite

88. A 29-year-old patient complains of acute paroxysmal pain in the upper jaw on the left, that gets
worse during having cold food and irradiates into the ear and temple. A year ago she
experienced intense pain in the 27 the tooth but didn’t consult a dentist. Three days ago there
was the second attack of pain. Objectively: there is a deep carious cavity in the 27th tooth,
interconnecting with the tooth cavity. Probing the open area causes acute pain. What is the
most likely diagnosis?
A. Exacerbation of chronic pulpitis *
B. Acute serous periodontitis
C. Acute diffuse pulpitis
D. Exacerbation of chronic periodontitis
E. Acute limited pulpitis

89. A 23-year-old patient complains of whitish spots on the masticatory teeth, drawing of mouth
during taking acidic food. The spots appeared about 3 months ago. Objectively: the cervical
region of the 46, 36, 27 teeth exhibits some chalklike spots that can be easily stained with 2%
methylene blue, probing reveals the surface roughness. What is the most likely diagnosis?
A. Acute initial caries *
B. Acute superficial caries
C. Enamel hypoplasia
D. Endemic fluorosis
E. Chronic superficial caries

90. A 56-year-old patient has an oval, smooth, bright-red erosion on the red border of her lower
lip. Erosion is covered with haemorrhagic crusts that can be hardly removed. Crust removal
induces slight haemorrhage. Light traumatization of crust-free surface of erosion induces no
haemorrhage. Specify the type of lower lip precancer:
A. Abrasive precancerous Manganotti’s cheilitis *
B. Verrucous precancer of red border
C. Localized precancerous hyperkeratosis of red border
D. Bowen’s disease
E. Erythroplasia

91. A 55-year-old patient consulted a dentist about a roundish tumour-like formation of about 1 cm
in diameter located within the red border of his lower lip. Objectively: the tumor-like formation
protrudes about 5 mm above the red border, it is dense and grayish-red. The surface of the
formation is covered with thin scales that can be hardly removed. What is the most likely
diagnosis?
A. Verrucous precancer of the red border of lip *
B. Abrasive precancerous Manganotti’s cheilitis
C. Precancerous limited hyperkeratosis of the red border of lip
D. Bowen’s disease
E. Erythroplasia of Queyrat

92. A 4,5-year-old child presents with eruptions on skin and in the mouth which appeared on the

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previous day. Objectively: the child is in medium severe condition, body temperature is 38,
3oC. Scalp, trunk skin and extremities are covered with multiple vesicles with transparent
content. Mucous membrane of cheeks, tongue, hard and soft palate exhibits roundish erosion
covered with fibrinous film. Gums remain unchanged. Submandibular lymph nodes are slightly
enlarged. What diagnosis can be assumed?
A. Chicken pox-induced stomatitis *
B. Acute herpetic stomatitis
C. Exudative erythema multiforme
D. Measles-induced stomatitis
E. Scarlet fever-induced stomatitis

93. A 47-year-old patient with completely edentulous upper jaw underwent delayed implantation
with cylindrical implants. Prosthetics is recommended in:
A. 5-6 months *
B. 24 hours
C. 2 weeks
D. 1 month
E. 3 months

94. Preventive examination of a 5-year-old child reveals the infantile swallowing. The bad habit of
thrusting the tongue between the teeth may cause the following complication:
A. Incomplete eruption of the front teeth *
B. Broadenning of the upper dental arch
C. Broadening of the lower dental arch
D. Narrowing of the lower dental arch
E. Narrowing of the upper dental arch

95. After a preventive orthodontic examination a 9-year-old child was diagnosed with mesial
occlusion. The treatment of this pathology involves application of an apparatus with mechanic
action. What working element is to be applied in the apparatus intended for the correction of
this pathology?
A. Screw or spring *
B. Occlusal applications
C. Elastics and buccal shields
D. Inclined plane
E. Screw and bite plate

96. A 28-year-old male patient presented to a clinic on the 2nd day after the face trauma and
complained of bilateral mandibular pain, difficult swallowing and obstructed breathing.
Objectively: there was a slight swelling in the region of the molars on both sides, the teeth
were intact but the jaw fragment with the 43, 42, 41, 31, 32, 33 teeth deviated downward and
backward. Manual reposition didn’t produce any positive result. Which appliance should be
used for treatment?
A. Post’s appliance *
B. One-jaw Katz appliance
C. One-jaw Kurliandsky appliance
D. Brun appliance

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E. Betelman appliance

97. An 18-year-old patient presented to the orthopedic department with complaint of a large
diastema. Objectively: bodily lateral movement of central incisors induced by the missing 12,
22 teeth. What is the optimal appliance for moving the central incisors together?
A. Korkhaus apparatus *
B. Vasilenko apparatus
C. Cotton ligature
D. Kalvelis apparatus
E. Begg appliance

98. A 30-year-old patient needs to have his 26 tooth extracted because of exacerbation of chronic
periodontitis. Objectively: the crown of the 26 tooth is decayed by 1/3. What forceps can be
used for this tooth extraction?
A. S-shaped forceps with a projecting tip on the left beak *
B. S-shaped forceps with a projecting tip on the right beak
C. Straight forceps
D. Straight elevator
E. S-shaped forceps without projecting tips

99. A 26-year-old patient consulted a dentist about the 24 tooth extraction because of chronic
periodontitis exacerbation. The crown of the 24 tooth is intact. Choose the right tool for the
tooth exraction:
A. S-shaped forceps without projecting tips *
B. S-shaped forceps with a projecting tip on the left beak
C. S-shaped forceps with a projecting tip on the right beak
D. Straight forceps
E. Straight elevator

100. A 49-year-old patient consulted a dental surgeon about the oral cavity sanation. He has an
indication for the extraction of the 16 tooth. Anamnesis: the tooth hasn’t been treated before,
decayed within the last 4 years. Objectively: the 16 tooth’s crown is destroyed by over 2/3, the
mucosa exhibits no pathological changes. Which tool is required for the tooth extraction?
A. Bayonet root forceps *
B. S-shaped forceps (right)
C. Straight elevator
D. S-shaped closed-beak forceps
E. Crown bayonet forceps

101. Mother of a 3-year-old child complai- ns about white spots on the upper anterior teeth of her
child. Objectively: the vestibular surface of the 51 and 61 teeth exhibits a defect within the
enamel. Probing is painless. What is the optimal method of treatment?
A. Impregnation with silver nitrate solution *
B. Treatment with fluorine lacquer
C. Remodentum application
D. Preparation and filling

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E. Electrophoresis of sodium fluoride solution

102. A 20-year-old patient is to be given applicative anaesthesia in the frontal region of the upper
jaw prior to the conduction anesthesia. What concentration of li-docaine solution is required
for applicative anesthesia?
A. 10% *
B. 0,5%
C. 2%
D. 3%
E. 15%

103. A 13-year-old boy complains of pain in the region of the extracted 46 tooth, irradiating to the
ear and temple, halitosis. The tooth was extracted 3 days ago. Objectively: submandibular
lymph nodes are enlarged, painful on palpation. Mucosa around the extracted tooth is
hyperemic, edematous. The socket of the 46 tooth is filled with a gray clot. What is the most
likely diagnosis?
A. Alveolitis of the extracted 46 tooth *
B. Acute odontogenous mandibular osteomyelitis starting from the 46 tooth
C. Acute odontogenous lymphadenitis of the right submandibular region
D. Acute odontogenous mandibular periostitis starting from the 46 tooth
E. Neuralgia of the III branch of trigeminus

104. A 35-year-old patient complains about progressing throbbing pain in the 26 tooth. Objectively:
the 26 tooth has a carious cavity filled with softened dentine, tooth cavity is closed, probing of
the cavity floor is painless, percussion causes acute pain. There is I degree tooth mobility.
Roentgenological changes are absent. What is the most likely diagnosis?
A. Acute purulent periodontitis *
B. Acute purulent pulpitis
C. Acute serous periodontitis
D. Exacerbation of chronic periodontitis
E. Acute diffuse pulpitis

105. A 43-year-old patient consulted a dentist about pain in the 36th tooth. X-ray examination
revealed a breakage of an endodontic tool in the distal root. The root apex exhibits a well-
defined area of bone tissue destruction (d = 5 mm) with clear margins. What method of
treatment is most appropriate in this case?
A. Dental hemisection *
B. Root apex resection
C. Conservative treatment
D. Tooth replantation
E. Root amputation

106. A 25-year-old patient has a face trauma. Objectively: there is a significant soft tissue swelling
of the left half face, haemorrhage into the left eye sclera, crepitation in the region of nose
bones. Palpation reveals the mobility of the upper jaw, its percussion reveals tympanitis. X-ray
picture shows the fracture line running through the lower margin of the orbit on both sides of

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the sphenozygomatic suture and reaching behind the maxillary tuber. What is the most likely
diagnosis?
A. Le Fort II maxillary fracture *
B. Le Fort I maxillary fracture
C. Le Fort III maxillary fracture
D. Fracture of the left articular bone
E. Fracture of nose bones

107. A 57-year-old patient complains of a tumor in the left parotid region, which appeared 3 years
ago. Over the past six months, the tumor has increased significantly. Objectively: there is a
non-mobile lobulated tumour in the left parotid region, palpation causes minor pain reaction.
The skin over the tumour plicates easily, its upper part has well-defined margins, the bottom
part grows into the depth of gland. The tumour is 3x2,5 cm large. What is your provisional
diagnosis?
A. Pleomorphic adenoma *
B. Chronic parotitis
C. Fibroma
D. Cyst
E. Parotid gland carcinoma

108. A 53-year-old patient complains of a tumour in the right parotid region. The tumour was
revealed six months ago, wi- thin this period it doubled in size. Objectively: the right parotid
region has a dense 1,5 x 2 cm large neoplasm, the duct of the right parotid gland secretes
transparent saliva. The gland puncture gave no results. What disease are these clinical
presentations most typical for?
A. Pleomorphic adenoma of parotid gland *
B. Chronic lymphadenitis of parotid-masticatory region
C. Retention cyst of parotid gland
D. Fibroma of parotid-masticatory region
E. Lipoma of parotid-masticatory region

109. A 41-year-old patient complains of mobility of the 24, 26, 27 teeth, purulent discharges from
the socket of the extracted 25 tooth. 1,5 months ago the patient underwent a dissection along
the mucogingival junction and extraction of the 25 tooth. Objectively: alveolar mucosa in the
region of the 24, 26, 27 teeth is cyanotic and edematic. Along the mucogingival junction there
is a fistula with protruding granulations. There are also purulent granulation discharges from
the socket of the extracted 25 tooth. In the right infraorbital region some soft tissue swelling is
present. Which disease are these clinical presentations most typical for?
A. Chronic limited osteomyelitis *
B. Chronic alveolitis
C. Maxillary actinomycosis
D. Exacermation of chronic maxillary sinusitis
E. Chronic diffuse osteomyelitis

110. A 37-year-old patient complains of gingival haemorrhage, offensive breath, tooth mobility,
difficult mastication. Objectively: the gums are of cyanotic-red colour, periodontal pockets are
6 mm deep and contain serous exudate, there is II class tooth mobility, moderate amount of

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subgingival and supragingival tartar; hygiene index is 3 points, there is traumatic occlusion
along the entire length of the dental arches. What is your provisional diagnosis?
A. Chronic generalized grade II periodontitis *
B. Acute generalized grade I periodontitis
C. Hypertrophic gingivitis
D. Histiocytosis-X
E. Acute generalized II grade periodontitis

111. Parents of a 12-year-old child consulted an orthodontist about improper position of the child’s
upper teeth. Objectively: the face is narrow, elongated; the developing occlusion is present
(temporary second molars). The 13 and 23 teeth are located beyond the dental arch, they
deviate to the lips above the occlusal plane, there is a 2,5 mm gap between the 12 and 14
teeth, and a 1,5 mm gap between the 22 and 24 ones, 45° rotation the 33 and 43 teeth is
present. Choose the most rational method of treatment:
A. Extraction of the premolars and relocation of the canines *
B. Expansion of dental arches in the region of canine apices
C. Extraction of temporary premolars and expansion of dental arches
D. Compact osteotomy and expansion of dental arches
E. All the answers are wrong

112. Before extraction of a left upper tooth a 49-year-old patient had been given plexus anaesthesia
with Ultracaine Forte. After the operation the socket didn’t get filled with a blod clot. What is
the way to prevent alveolitis development in this patient?
A. To fill the socket with a loose iodoform tampon *
B. To fill the socket with a hemostatic sponge
C. To rinse the socket with microcide solution
D. To rinse the socket with 0,1% chlorhexi-dine solution
E. To fill the socket with antibiotic powder

113. Examination of a 45-year-old patient revealed some white patches on the buccal mucosa along
the teeth closure line that didn’t protrude above the inflamed and edematous surrounding
tissues. The patches could not be removed on scraping. A patient has smoken an average of 3
packs of cigarettes a day for 20 years. Specify the disease of buccal mucosa:
A. Leukoplakia plana *
B. Erosive leukoplakia
C. Pemphigus
D. Tappeiner’s leukoplakia (leukoplakia nicotinica)
E. Lichen ruber planus

114. X-ray examination of the maxillary alveolar process of a 35-year-old patient reveals a root
fracture of the 11 tooth in its apical region. The tooth has been treated before, the canal is
filled. The patient has a history of the tooth trauma. What method of treatment is indicated for
this case?
A. Root apex resection *
B. Tooth extraction
C. Tooth crowning
D. Tooth replantation

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E. -

115. During the examination of a soldered dental bridge supported by the 35 and 38 teeth the
following flaws were revealed: the pores in the soldered joints between the intermediate part
and supporting crowns, strongly expressed masticatory tubercles, early contact with the
opposing teeth, the intermediate part is tightly adjacent to the mucous membrane of the
alveolar process. What is the way to eliminate these defects?
A. To remake the dental bridge *
B. To correct the intermediate part
C. To correct the masticatory surface and polish the joints
D. To correct the masticatory surface and increase the height of the intermediate saddle
part up to 2 mm
E. To remove the tubercles of opposing teeth

116. A 42-year-old woman came to prosthetic dentistry to make dental prosthetics. Objectively:
dental formula is 18.... 13 12 11 21 22 23.... 28 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 '
The bite is deep, clinical crowns are low, survey line is not marked. The patient suffers from
epileptiform attacks. What prosthesis is indicated?
A. Partial removable lamellar prosthesis with metal base *
B. Dental bridges
C. Partial removable lamellar plastic prosthesis with retaining clasps
D. Partial removable lamelalr prosthesis with supporting-retaining clasps
E. Clasp denture

117. A 43-year-old female patient complains of mobility of the lower front teeth. Objectively: the 48,
47, 46, 45, 44, 34, 35, 36, 37, 38 teeth are missing. The 43, 42, 41, 31, 32, 33 teeth exhibit
grade II mobility, the mucous membrane around them is swollen and cyanotic. What splinting
construction is optimal for this patient?
A. Composite splint reinforced with fiberglass *
B. Partial removable denture with a vestibular bar
C. Clasp denture with multilink clasp and claw-like processes
D. Clasp denture with antithrowers
E. Clasp denture-splint in the frontal part

118. A 58-year-old patient was diagnosed with fracture of lower jaw with formation of a false joint.
Objectively: the 38, 36, 32, 41, 43, 48 teeth are missing. Preserved teeth are intact, stable.
There is no displacement of lower jaw fragments. X-ray picture shows a bone tissue defect to
up 2 cm large. What construction of prosthesis is indicated in this situation?
A. Fixed Oxman’s prosthesis with pivot point *
B. Oxman’s single-jointed prosthesis with pivot point
C. Gavrilow’s prosthesis with pivot point
D. Kurlyandsky prosthesis with roller damper clasp
E. Oxman’s double-jointed prosthesis with pivot point

119. A 15-year-old girl consulted a dental surgeon about a moderate swelling of the parotid-
masticatory region on the left. Objectively: on palpation, the left parotid gland is nodular,

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dense, painless. The duct exudes somewhat turbid saliva. The duct mouth is dilated, the
surrounding mucous membrane is cyanotic, pasty, with imprints of teeth. Make a diagnosis:
A. Chronic parenchymatous sialoadenitis *
B. Chronic interstitial sialoadenitis
C. Sialolithiasis
D. Pleomorphic adenoma
E. Cyst

120. A 53-year-old patient presented to a dental clinic for the orthopaedic treatment of the 27 tooth.
During preparation for local anesthesia, the patient felt sick (weakness, pallor,
hyperperspiration), and lost consciousness. What is the most likely diagnosis?
A. Syncope *
B. Collapse
C. Anaphylactic shock
D. Traumatic shock
E. Cardiogenic shock

121. A 27-year-old patient complains of bleeding, pain and swelling of gums, tooth mobility,
halitosis, general weakness. Objectively: submandibular lymph nodes are enlarged and painful,
gums are hyperemic and cyanotic, they are also swollen and bleed at probing, periodontal
pockets are 5-8 mm deep and contain sero-purulent exudate. There is massive dental deposit,
gingival recession and tooth migration. X-ray picture shows diffuse osteoporosis and irregular,
predominantly vertical, resorption of alveolar septa down to 2/3 of root length. What is the
most likely diagnosis?
A. Exacerbation of generalized grade III periodontitis *
B. Grade III parodontosis
C. Eosinophilic granuloma
D. Chronic generalized grade III periodontitis
E. Exacerbation of generalized grade II periodontitis

122. A 37-year-old patient complains of gingival haemorrhage, pain, halitosis, body temperature
rise up to 37,6oC. Objectively: the gums are markedly hyperemic, swollen, bleed on touch,
periodontal pockets are 3 mm deep, contain sero-purulent exudate. Orthopantomogram shows
diffuse osteoporosis of alveolar processes, resorption of the interdental septa down to 1/3 of
their height. What is the most likely diagnosis?
A. Generalized grade I periodontitis *
B. Exacerbation of chronic catarrhal gingivitis
C. Generalized grade II periodontitis, chronic course
D. Generalized grade II periodontitis, exacerbation
E. Generalized grade I periodontitis, chronic course

123. A 21-year-old patient complains of a drop-shaped bulge in the cervical region. Objectively:
there is an enamel droplet of about 2 mm in diameter on the vestibular surface of the 33 tooth.
What is the most likely diagnosis?
A. Enamel hyperplasia *
B. Enamel hypoplasia
C. Fluorosis

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D. Supernumerary tooth
E. Marble-bone disease

124. A 49-year-old male patient complains about gingival haemorrhage, teeth mobility in the frontal
region of his lower jaw, hypersensitivity of dental cervixes. X-ray picture shows widening of
periodontal fissure in the region of the 42, 41, 31, 32 teeth, as well as resorption of alveolar
process tissue to 1/3 of root length. The 42, 32 teeth present with I degree mobility, the 41, 31
teeth present with II degree of teeth mobility. What temporary splint should be used for frontal
stabilization of dentition?
A. Novotny *
B. Mamlock
C. Treuman
D. Kogan
E. Kopeinin

125. A 7-year-old child presents with deterioration of general health status, body temperature rise
up to 38,0oC. Objectively: buccal mucosa is covered with white maculae of a pinhead size,
protruding above the level of the mucosa. There are pink maculae on the palate. What is the
most likely diagnosis?
A. Measles *
B. Chicken pox
C. Scarlet fever
D. Diphthera
E. Infectious mononucleosis

126. A 32-year-old patient needs to be provided with metal-ceramic crowns for the 12, 11, 21 and
22 teeth. During the dental visit he is given infiltration anaesthesia with Ultracain DS
anaesthetic. What elements enter into its composition?
A. 4% articaine with adrenaline *
B. 2% mepivacaine with adrenaline
C. 4% articaine without a vasoconstrictor agent
D. 3% mepivacaine without a vasoconstrictor agent
E. 2% articaine with epinephrine

127. A 25-year-old got a polytrauma as a result of a road accident. On examination, he was

diagnosed with dislocation asphyxia. What kind of first aid should be rendered?
A. Tongue fixation *
B. Tracheotomy
C. Artificial ventilation of lungs
D. Medicamental management of laryngeal stenosis
E. Removal of mucus and foreign bodies from the upper airways

128. A 7-year-old child has been diagnosed with a complete dislocation of the 11 tooth caused by a
trauma that occurred 24 hours ago. The tooth has been taken along with the patient to the
dentist’s. Objectively: the alveolar socket edges are slightly hyperemic, the socket bone walls
are intact, the socket itself is filled with a blood clot. What is the optimal way of treatment?

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A. Replantation of the 11th tooth with a prior filling of the channel *

B. Replantation of the 11th tooth before the filling of the channel
C. Extraction of the 11th tooth
D. Reposition and fixation of the 11th tooth
E. Socket suturing with catgut

129. A 20-year-old patient got an injury. Objectively: the patient’s chin and lower jaw up to the 34
and 45 teeth are missing. The 45, 46, 47, 48, 34, 35, 36, 37 teeth are stable. At what stage of
medical evacuation the patient will get special medical aid?
A. Specialized army surgical hospital *
B. Battalion aid station
C. Regimental aid station
D. Separate medical detachment
E. Separate medical battalion

130. A 25-year-old patient complains about a light brown spot in the upper foretooth. Objectively:
the 23 tooth has a single light brown spot in the cervical region. Probing shows smooth
surface. The tooth is nonresponsive to cold and probing. What is the most likely diagnosis?
A. Chronic initial caries *
B. Fluorosis
C. Local enamel hypoplasia
D. Acute initial caries
E. Chronic superficial caries

131. A 33-year-old patient complains about an ulcer of oral cavity floor, that is located under his
tongue on a level between the 43 to the 33 tooth. Examination reveales that ulcer edges are
undermined and scalloped. Its grey-yellow floor is shallow and it is covered with small, easily
bleeding granulations. There is no ulcer infiltration. Make a clinical diagnosis:
A. Tubercular ulcer of oral cavity floor *
B. Decubital ulcer of oral cavity floor
C. Cancerous ulcer of oral cavity floor
D. Gummatous ulcer of oral cavity floor
E. Migratory granuloma of oral cavity floor

132. A 60-year-old patient presented to a clinic for checking her complete removable denture.
During the teeth placement on the wax bases a gap between the front teeth and cuspal
interference of the lateral teeth was revealed. What mistake was made?
A. The patient was found to have anterior occlusion instead of centric one *
B. The patient was found to have posterior occlusion instead of centric one
C. The patient was found to have lateral occlusion instead of centric one
D. The models were improperly plastered in the occludator
E. During establishing the centric occlusion, the occlusal rims were overpressed

133. A 45-year-old female patient consulted a prosthodontist about dental prosthetics. She works as
TV announcer. Objectively: the lower jaw dentition is without spaces, the upper jaw has a free-
end edentulous space and a boundary edentulous space in the lateral parts. The remaining 18,

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17, 13, 12, 11, 21, 22, 23, 24 teeth are stable. What fixing elements should be used in a clasp
denture for cosmetic purposes?
A. Attachments and bar system *
B. Telescopic crowns
C. Ney clasps
D. Jackson clasps
E. Dentoalveolar clasps

134. A 53-year-old patient with generalized periodontitis presented to a prosthodontics clinic for
fabrication of fixed splints for his both jaws intended to stabilize the dentitions along the entire
dental arch. Which of the upper jaw buttresses will be functionally significant for the
distribution of masticatory pressure?
A. Frontonasal, zygomatic, pterygopalatine, palatine *
B. Frontonasal, zygomatic, pterygopalatine
C. Zygomatic, pterygopalatine, palatine
D. Frontonasal, pterygopalatine, palatine
E. Frontonasal, zygomatic, palatine

135. A 38-year-old patient complains of discomfort, occasional sensation of tearing in the 17 tooth,
infrequent pain during eating hot food that lasts for 10-20 minutes. Objectively: the 17 tooth is
filled with composite materials, the tooth is slightly darker than the other ones. What is the
most likely diagnosis?
A. Chronic gangrenous pulpitis *
B. Chronic granulating pulpitis
C. Chronic concrementous pulpitis
D. Recurrent caries
E. Chronic fibrous pulpitis

136. On the 7th day after the operation on the abdominal cavity a 30-year-old patient presented
with pain and sweling in the region of parotid gland; body temperature rise up to 39oC; limited
mouth opening, dryness. Gland massaging results in discharge of purulent exudate from its
duct. The patient can be diagnosed with:
A. Acute non-epidemic parotiditis *
B. Acute epidemic parotiditis
C. Phlegmon of submasseteric space
D. Parenchymatous parotiditis
E. Phlegmon of parotidomasseteric region

137. A 50-year-old patient complains of a traumatic break-off in the front teeth. Objectively: the
crowns of the 12,21 teeth are broken off by 3/4, X-ray picture shows that the channels of the
11, 21 teeth are properly filled, the other teeth are intact. What actions should the dentist
take?
A. Fabricate fullcast metal stumps with a post and restorative metal-ceramic crowns *
B. Remove the 11 and 21 teeth and fabricate a dental bridge supported by the 12 and 22
teeth
C. Remove the 11 and 21 teeth and fabricate a partial removable lamellar denture for the
upper jaw

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D. Fabricate restorative swaged metal crowns for the 11 and 21 teeth

E. Fabricate a dentogingival plastic splint

138. A 16-year-old girl consulted a dentist about a cosmetic defect on her front teeth, namely some
dark spots and dentin defects. The spots were detected immediately after teeth eruption, the
defects developed with the lapse of time. The patient was diagnosed with erosive form of
dental fluorosis of the 16,11,12,22,26, 31,32,36,41,42,46 teeth. Select a method of treatment:
A. Restoration *
B. Remineralization
C. Prosthetics
D. Surgical treatment
E. Regular surveillance

139. During extration of the 26 tooth a 34-year-old patient developed tinnitus, skin pallor,
weakness. She was diagnosed with vertigo. What is the most appropriate tactics of emergency
care?
A. Placing the patient in Trendelenburg position *
B. Intravenous injection of 50% analgin
C. Intravenous injection of 0,1% adrenalin
D. Intravenous injection of cordiamin
E. Intravenous injection of prednisolone

140. A 30-year-old male patient consulted a dentist about a swelling in the region of his upper lip.
Objectively: the face is asymmetric because of upper lip edema, nasolabial fold is smoothed.
Mucogingival fold of the upper jaw vestibular surface in the region of the 11, 12, 21 teeth is
smoothed, hyperemic. Palpation is painful. Fluctuation is present. The patient was diagnosed
with acute purulent periostitis of the upper jaw satrting from the 21 tooth. Choose the
treatment tactics:
A. Preservation of the 21 tooth, periosteotomy, anti-inflammatory therapy *
B. Preservation of the 21 tooth, antiinflammatory therapy
C. Extraction of the 21 tooth, periosteotomy, anti-inflammatory therapy
D. Extraction of the 21 tooth, periosteotomy
E. Extraction of the 12, 21, 22 teeth, periosteotomy, anti-inflammatory therapy

141. A 37-year-old patient was admitted to the oral surgery department. The woman complains of
pain in her cheek that is made worse by touch. It is known from the anamnesis that five days
ago the patient fell down from the stairs and "hurt"her cheek. Objectively: in the depth of
cheek examination revealed a circumscribed infiltration, cheek skin is hyperaemic and doesn’t
make a fold, fluctuation symptom is present. Mucous membrane is edematic and has teeth
indentations. What is the most likely diagnosis?
A. Suppurated cheek haematoma *
B. Traumatic osteomyelitis of mandible
C. Cheek haematoma
D. Cheek phlegmon
E. Acute lymphadenitis

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142. A 42-year-old builder complains about a condyloma on his lower lip. It appeared 1,5 month
ago. It has been significantly growing throughout the last week. Objectively: the red border of
the lower lip is cyanotic and infiltrated, it has some isolated closly adhering squamae. There is
a well-defined hemispherical formation 8 mm in diameter and 4 mm high in the centre. The
formation is of grey-and-blue-and-red colour, it has rough surface formed by thin, closely
adhering and thick-based squamae. Regional lymph nodes are enlarged, mobile, dense and
painless. What is the most likely diagnosis?
A. Lower lip cancer *
B. Verruciform precancer
C. Pyogenic granuloma
D. Keratoacanthoma
E. Viral wart

143. A 12-year-old child presents with missing 31 and 41 teeth, the gap between the 32 and 42
teeth is 10 mm. Choose the most rational denture construction:
A. Partial lamellar removable adjustable denture *
B. Interdental wedge
C. Clasp denture
D. Dental bridge
E. Adjustable microprosthesis

144. A 6,5-year-old child has a gap 2,53 mm large between frontal teeth from canine to canine.
Relationship of the first permanent molars complies with Angle’s class I. Specify the severity
degree of bite deformation:
A. I degree *
B. II degree
C. III degree
D. IV degree
E. V degree

145. An 8-year-old child complains of a painless round formation under the tongue on the left which
was noticed by accident about a month ago. Objectively: there is a roundish formation up to
2,0 cm in diameter in the sublingual region deep in the soft tissues of mouth floor. It is soft,
painless to palpation, the mucous membrane over it is of grayish-blue color. What is the most
likely diagnosis?
A. Ranula of the left sublingual salivary gland *
B. Dermoid cyst of the mouth floor
C. Epidermoid cyst of the mouth floor
D. Lymphangioma of the mouth floor
E. Hemangioma of the mouth floor

146. X-ray examination of the 46 tooth in a 7-year-old child reveals the following: the root walls are
parallel, their thickness gradually decreases, they have pointed ends. The root canal converges
towards the tooth cavity, and diverges at the developing apical hole. Periodontal gap is of the
same width along the enti- re length of the root. At the root apex it merges with the growth
zone. Specify the stage of root development:
A. Continuing root apex development *

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B. Continuing root development

C. Open apex
D. Continuing periodontium development
E. Complete root and periodontium development

147. A 5-year-old child complains about spontaneous pain in an upper jaw tooth on the right that is
getting worse at night and during eating cold food. Objectively: the 65 tooth has a deep cavity
communicating with the tooth cavity. Probing is painful, percussion is painless. Cold water
causes long-standing pain. What is your provisional diagnosis?
A. Exacerbation of chronic pulpitis *
B. Acute periodontitis
C. Exacerbation of chronic periodontitis
D. Acute serous pulpitis
E. Acute purulent pulpitis

148. Parents of a 6-year-old child complain about pain in the child’s submandibular region on the
left, body temperature rise up to 37,5oC. Objectively: the child’s face is asymmetric due to the
infiltration of the submandibular region on the left. The infiltration is soft and elastic, mobile,
2x2,5 cm large; its palpation is slightly painful, the skin is unchanged. The teeth are intact.
Pharynx is hyperaemic. What is the most likely diagnosis?
A. Acute serous nonodontogenic submandibular lymphadenitis *
B. Acute serous odontogenic submandibular lymphadenitis
C. Acute purulent nonodontogenic submandibular lymphadenitis
D. Acute purulent odontogenic submandibular lymphadenitis
E. Submandibular adenophlegmon

149. A dentist performing gum anesthetization before the closed curettage had mistakenly used the
10% solution of silver nitrate instead of 10% lidocaine solution. The gums immediately became
white, swollen, painful. Which of these medications is to be used for emergency care?
A. 3% solution of potassium iodide *
B. 0,5% solution of acetic acid
C. 0,1% solution of liquid ammonia
D. 2% solution of citric acid
E. 50% of ethyl alcohol

150. A patient complains about paroxysmal upper jaw toothache on the left that is getting worse at
night. Toothache intensifies also under stimulation and irradiates to the left eye and temple.
Similar attacks were noted three months ago, the patient didn’t undergo any treatment.
Objectively: the 25 tooth has a deep carious cavity communicating with the tooth cavity.
Probing causes acute pain at the point of communication, vertical percussion is slightly
painful, horizontal one is painless. Mucous membrane in the projection of root apex of the 25
tooth is unchanged, its palpation is painless. Thermal probe causes acute pain, the pain attack
is long-lasting. Electroodontodiagnosis is 60 microampere. X-ray picture shows slight widening
of periodontal fissure at the root apex of the 25 tooth. What is the most probable diagnosis?
A. Exacerbation of chronic pulpitis *
B. Acute generalized pulpitis
C. Acute purulent pulpitis

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D. Acute purulent periodontitis

E. Exacerbation of chronic periodontitis

151. A 48-year-old woman complains about aching dull pain in the region of the left TJM, that is
getting worse during eating solid food. The pain appeared about 2,5 years ago. Objectively:
mouth opening is limited, there is sideward deviation of jaw during mouth opening, TMJ is
clicking. Examination of the oral cavity revealed secondary partial adentia. X-ray picture
shows sclerosis of the cortical plate of articulat head and narrowing of cartilage space. What is
the most likely diagnosis?
A. Arthrosis of the TMJ *
B. Chronic arthritis of the TMJ
C. Acute arthritis of the TMJ
D. Painful dysfunction of the TMJ
E. Exacerbation of chronic arthritis of the TMJ

152. A patient with haemophilia consulted a dental surgeon about decay of a right lower tooth.
Objectively: the crown of the 46 tooth is completely decayed below the gum level. Percussion
causes minor pain reaction. It is planned to extract the 46 tooth. The extraction procedure
should be performed in:
A. Haematological department *
B. Stomatological clinic
C. Maxillofacial surgery department after the consultation with a haematologist
D. Stomatological clinic and following administration of haemostatic drugs
E. Maxillofacial surgery department

153. A 22-year-old patient undergoes treatment for acute deep caries of the 26th tooth. The pulp-
capping material of choice is Ca(OH)2/salicylate cement "Life", the constant filling material is
ligh-cure condensable composite "Solitaire-2". The pulp cap should be covered with:
A. Glass-ionomer cement *
B. Adhesive composite system
C. Insulating varnish
D. Phosphate cement
E. Zinc-eugenol cement

154. A group of specialists conducts an epidemiological survey of certain age groups of population
aimed at evaluation of periodontal disease prevalence and treatment needs. These rates are
studied by means of the following index:
A. CPITN (WHO index) *
B. OHI-S (Green-Vermillion index)
C. PDI (Ramfjord index)
D. PI (Russel index)
E. PMA (Parma)

155. A 27-year-old victim was delivered to to the facial surgery department with a cut wound of
right cheek. The trauma is civilian, the patient got it in a fight. The deadline for early surgical
d-bridement without preliminary antibiotic injection is no more than:

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A. 24 hours *
B. 48 hours
C. 72 hours
D. 12 hours
E. 1 hour

156. A 28-year-old patient has been admitted to the oral and maxillofacial surgery for a carbuncle of
face. Objectively: the patient is in a critical condition, face, mucous membranes of lips and
conjunctiva are edematous and cyanotic. Body temperature is 40oC. The patient presents with
delirium, hallucinations. The carbuncle is located on the upper lip, the surrounding soft tissues
are swollen. Palpebral fissures are closed due to the edema of eyelids. What is the most likely
complication of carbuncle?
A. Cavernous sinus thrombosis *
B. Meningitis
C. Cerebral abscess
D. Sepsis
E. Orbit phlegmon

157. A 37-year-old patient has been diagnosed with abscessed furuncle of the upper lip. After
dissection of the inflammation focus the exudate has been sent for bacteriological analysis.
Which causative agent for furuncle is most likely to be found?
A. Staphylococcus monoculture *
B. Colibacillus monoculture
C. Proteus monoculture
D. Staphylococcus and protozoa association
E. Streptococcus monoculture

158. A 54-year-old patient complains of a tumor-like formation in the region of his lower lip which
appeared 1-1,5 months ago. Objectively: there is a round tumourlike formation up to 1cm in
diameter on the red border of the lower lip on the right. Roll-like edges of the formation
protrude above the level of the red border. In the centre of the formation a brown crust is
visible. After its removal a crateriform hole can be seen. There is no bleeding or pain. Regional
lymph nodes are not enlarged. What is the most likely diagnosis?
A. Keratoacanthoma *
B. Lower lip carcinoma
C. Lower lip papilloma
D. Lower lip fibroma
E. Verrucous carcinoma

159. A 26-year-old patient presented at a clinic for prosthetics. Objectively: the crown of the 16
tooth is destroyed by 1/3. It is planned to restore its anatomical shape with a metal inlay. What
is the first stage of cavity preparation?
A. Cavity widening and necrosectomy *
B. Making additional cavities
C. Beveling
D. Completing the cavity floor
E. Completing the cavity walls

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160. A 52-year-old female patient complains of severe paroxysmal pain in the region of the 34 tooth.
Throughout the year the 35,36,37 teeth were sequentially extracted because of pain
complaints. Percussion of the 34 tooth causes acute paroxysmal pain. The same pain arises
when talking and washing the projection area of the mental foramen. Clinical and
roentgenologic examination revealed no signs of bone tissue destruction. What is the most
likely diagnosis?
A. Neuralgia of the 3 branch of trigeminus *
B. 34 tooth pulpitis
C. Facial nerve neuritis
D. Ganglionitis of pterygopalatine ganglion
E. Neuritis of the 3 branch of trigeminus

161. A 45-year-old female patient complains of a slightly painful, tumourlike formation in the right
parotid region that appeared two months ago for no apparent reason. The patient notes
weakness, occasional body temperature rise up to 37, 2oC - 37,6oC. Two weeks ago she
underwent the anti-inflammatory therapy which did not have positive effect. Objectively: the
face is asymmetric due to a minor swelling in the right parotid region. Palpation reveals a
roundish dense and elastic formation with even contours, it is slightly painful, not adherent to
the skin. Incisive canal exudes a small amount of transparent saliva. What is the most likely
diagnosis?
A. Hertsenberg’s pseudoparotitis *
B. Parotid atheroma
C. Acute infectious parotitis
D. Epidemic parotitis
E. Sjogren’s syndrome

162. An 8,5-year-old child is apparently healthy. The child complains about pain in an upper tooth
on the left caused by traumatic injury sustained three hours ago. Objectively: the crown part of
the 21 tooth is destroyed by 1/2, the pulp is red and significantly exposed, probing causes
acute pain and bleeding. Percussion of the 21 tooth is extremely painful. Choose the most
efficient treatment method of the 21 tooth:
A. Vital amputation *
B. Vital extirpation
C. Devital amputation
D. Devital extirpation
E. Bioassay technique

163. A 23-year-old patient complains about root exposition, gingival hemorrhage during tooth
brushing, gum itch. Objectively: there is supragingival and subgingival dental calculus. Gums
are hyperaemic, edematic, pouches are 3,5 mm deep. X-ray picture shows resorption of
interalveolar septa by 1/3. What is the most likely diagnosis?
A. Chronic generalized I degree periodontitis *
B. Chronic generalized II degree periodontitis
C. Exacerbation of generalized I degree periodontitis
D. Exacerbation of generalized II degree periodontitis
E. II degree periodontitis

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164. A 14-year-old child complains about acute spontaneous spasmodic pain in an upper jaw tooth
on the right. The pain has been lasting for 3 days, it is throbbing, irradiating to the temple,
getting worse at night. Objectively: surface of the 15 tooth exhibits a carious cavity within
parapulpar dentine. Dentine is softened, of greyish colour. Probing of the whole cavity floor is
painful, percussion of the 15 tooth is painless. What is the most likely diagnosis?
A. Acute purulent pulpitis *
B. Acute diffuse pulpitis
C. Acute focal pulpitis
D. Acute periodontitis
E. Exacerbation of chronic periodontitis

165. A 12-year-old boy complains of severe pain caused by cold food in the 11 tooth. A day before
he had a crown break off of the 11 tooth. Examination revealed an oblique fracture of the 11
tooth crown with the opening of the tooth cavity, probing causes acute pain, comparative
percussion is painful, there is minor tooth mobility. What treatment should be administered?
A. Vital extirpation *
B. Devital extirpation
C. Biologic method
D. Vital amputation
E. Devital amputation

166. A gravida (36 weeks) complains of gingival haemorrhages and excessive plaque despite a
thorough hygienic care of oral cavity. Objectively: gingival papilla and marginal gingival edge
are spongiose, bleeding when touched. Fedorov-Volodkina’s hygiene indexis 3,7 points. What
kind of toothpaste should be recommended to this patient after the professional oral hygiene?
A. Chlorhexidine-containing toothpaste *
B. Toothpaste with mineralizing agents
C. Herbal toothpaste
D. Fluorine-containing toothpaste
E. Gel toothpaste

167. A girl is 13 years old. She lives in an area where fluoride concentration in the drinking water is
at the rate of 1,6 mg/l. Dental examination revealed some chalklike spots on the vestibular
surfaces of all her teeth. The white coloration is more intense in the cenre and less on the
periphery. There is light-brown pigmentation in the region of the central incisors along the
cutting edge. What is the most likely diagnosis?
A. Dental fluorosis *
B. Acute initial caries
C. Systemic enamel hypoplasia
D. Stainton-Capdepont syndrome
E. Amelogenesis imperfecta

168. An 8-year-old child is found to have convex facil profile, forced closing of lips, sagittal gap of 7
mm. Eschler-Bittner test produces some face improvement. This abnormality can be eliminated
by means of Frankel type regulator. What is the mechanism of action of this device?
A. Normalization of labial, buccal and lingual pressure as well as of mandible position *
B. Inhibition of maxilla growth in the sagittal direction

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C. Maxillary expansion by means of a screw

D. Normalization of mandible position and growth by means of intermandibular traction
E. Normalization of upper front teeth position by means of a vestibular bar

169. A 40-year-old patient has been given anesthesia, immediately after which he developed severe
weakness, heart palpitation. Objectively: the patient is conscious, inert, skin is markedly
hyperemic, there is acute headache, AP is 180/100 mm Hg, heart sounds are muffled. What
state is it?
A. Hypertensic crisis *
B. Cardiogenic form of anaphylactic shock
C. An attack of stenocardia
D. Cardial pain
E. Myocardial infarction

170. A completely edentulous 70-year-old patient has ordered complete removable dentures.
Artificial teeth are placed upon the spherical surface. Close teeth contact by movements of the
lower jaw will be guaranteed by the following average radius of the spherical surface:
A. 9 cm *
B. 5 cm
C. 7 cm
D. 12 cm
E. 18 cm

171. A 13 year-old girl has presented with gingival haemorrhage and mobility of the front teeth
over the last month. Objectively: gingival mucosa around the lower incisors and canines is
edematous, hyperemic, bleeds on touch. There is grade l tooth mobility, periodontal pockets
are 3 mm deep. Orthopantomogram shows the resorption of interalveolar septa by 1/3 of their
height. There is crowding of the lower front teeth. Hygiene index is 4,2. The patient has to
consult the following specialist:
A. Orthodontist *
B. Neuropathologist
C. Endocrinologist
D. Haematologist
E. Gastroenterologist

172. A 13-year-old girl has been experiencing gingival hemorrhages and frontal teeth mobility
throughout the last month. Objectively: gingival mucous membrane in the region of lower
incisors and canines is edematic, hyperemic, it bleeds on touch. These teeth present with I
degree mobility, parodontal pouches are 3 mm deep. Orthopantomogram shows reduction of
bone tissue of interalveolar septa by 1/3 of their height. Frontal teeth of the lower jaw are
overcrowded. Hygiene index is 4,2. What local treatment should be provided in the first place?
A. Professional hygiene *
B. Anti-inflammatory therapy
C. Orthodontic care
D. Physical therapy
E. Antibacterial therapy

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173. A 65-year-old patient complains of a break off of three front artificial porcelain teeth of the
removable denture fabricated 2 months ago. In what way are the porcelain teeth linked with
the plastic denture base?
A. By means of crampon-fixing wire elements *
B. By means of glue
C. Due to physicochemical connection
D. By means of clasps
E. By means of diatoric cavities

174. A 47-year-old patient complains of persistent ache in the 27 tooth, that gets worse when biting.
Objectively: skin colour is normal, the face is symmetrical, the mouth opens without any
difficulties, alveolar mucosa at the level of 27 tooth is edematous and hyperemic. The 27 tooth
presents a deep carious cavity communicating with the pulp chamber. Percussion of the 27
tooth causes acute pain. What is your provisional diagnosis?
A. Exacerbation of acute periodontitis of the 27 tooth *
B. Acute purulent maxillary periostitis in the region of the 27 tooth
C. Acute purulent periodontitis of the 27 tooh
D. Acute generalized purulent pulpitis of the 27 tooth
E. Chronic odontogenic left-sided maxillary sinusitis

175. A patient complains of "clicking"in the TMJ. On auscultation, the sounds can be heard in the
middle and at the beginning of mouth opening. These signs give evidence of:
A. Reduction in occlusal vertical dimension *
B. Increase in occlusal vertical dimension
C. TMJ dislocation
D. Joint capsule distension
E. Joint subluxation

176. A 32-year-old patient presented to a clinic for takingof an upper jaw impression. During this
procedure she choked with a piece of impression material, there was risk of asphyxia. What
are the first-priority actions within emergency care?
A. Abrupt push-like compressions of the lower thorax *
B. Artificial ventilation of lungs
C. Plaster removal from the airways
D. Closed-chest cardiac massage
E. Tracheotomy

177. A 32-year-old 3-month pregnant patient presented to the prosthodontics clinic for the
prosthetics. Objectively: the 16 tooth is missing. It is planned to fabricate a dental bridge
supported by the 15 and 17 teeth. The patient was gi- ven an anaesthetic of articaine group
”Ultracain DS” The orthopaedist chose this anaesthetic because:
A. It is low-toxic, is not capable of crossing the hemato-placental barrier *
B. It is low-toxic
C. It reduces the volume of uteroplacental circulation
D. It is most commonly used in the stomatological practice
E. It doesn’t contain sulphites

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178. A patient consulted a dental surgeon about extraction of the roots of the 36 tooth. The tooth
decayed long ago. Objectively: the crown of the 36 is destroyed by 2/3, percussion is painless,
mucosa around the 36 tooth exhibits no evident pathological changes. X-ray picture of the
alveolar process shows a roundish well-defined radiolucency near the apex of the medial root.
What is the most likely diagnosis?
A. Chronic granulomatous periodontitis *
B. Exacerbation of chronic periodontitis
C. Chronic granulating periodontitis
D. Acute purulent periodontitis
E. Chronic fibrous periodontitis

179. A 52-year-old patient complains about teeth mobility, gingival haemorrhage. The 44, 45, 34, 35
teeth present with I degree mobility, the 43, 42, 41, 31, 32, 33 teeth present with II degree of
teeth mobility. There is gingival edema, parodontal pouches are 5-6 mm deep. X-ray picture
shows destruction of bone tissue by 1/2 of root length. A dentist made a diagnosis: generalized
periodontitis of median severity. What orthopaedic construction is the most efficient in this
situation?
A. Elbrecht splint *
B. Plastic mouthguard
C. Murray’s splint
D. Mamlock splint
E. Temporary Novotny splint

180. A victim got a face and temporal region trauma. A doctor made a diagnosis: fracture of malar
arch. What processes of cranial bones are injured?
A. Temporal process of zygomatic bone and zygomatic process of temporal bone *
B. Zygomatic process of frontal bone and zygomatic process of temporal bone
C. Temporal process of zygomatic bone and zygomatic process of frontal bone
D. Zygomatic process of maxilla and zygomatic process of temporal bone
E. Zygomatic process of maxilla and zygomatic process of frontal bone

181. A 7-year-old child sustained a sport injury. He complains about pain in the region of mandible,
inability to join his teeth. Pressing against the chin causes intensification of pain in the region
of mandible on the right. The child is diagnosed with a fracture of mandible body without
fragment displacement. What therapeutic tactics should be chosen in order to prevent the
displacement of bone fragments in the transitional dentition?
A. Fragment immobilization by means of an intraoral splint *
B. Administration of anti-inflammatory therapy
C. Application of sling bandage
D. Fixation by means of Tigerstedt splints
E. Osteosynthesis

182. At the end of the reception hours a dental surgeon has to fill in the stomatological forms.
Name the form of everyday reporting on children dental reception:
A. Form 39 *
B. Form 9
C. Form 19

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D. Form 29
E. Form 49

183. A patient has orthopaedic indications for the 37 tooth extraction. What kind of anaesthesia
should be given to this patient before the extraction?
A. Mandibular torus anaesthesia *
B. Infraorbital + buccal anaesthesia
C. Mental + buccal anaesthesia
D. Tuberal + buccal anaesthesia
E. Mandibular

184. On removing a dental plaque, a 19-year-old patient is found to have two white patches in the
precervical region of the 11 and 21 teeth. After drying the patches increase in size. What is the
most likely diagnosis?
A. Initial caries *
B. Fluorosis
C. Local hypoplasia
D. Enamel necrosis
E. Amelogenesis imperfecta

185. A 27-year-old patient has been referred for endodontic treatment on the 45 tooth. Objectively:
the tooth crown is decayed, the lateral surface of tongue and cheek mucosa being in direct
contact with the 45 tooth are covered with grayish plaques of macerated epithelium that are
somewhat raised above the surface of the mucous membrane. Uvula and palatine arches are of
dark red colour, and the hard palate has papules with a red rim and covered with grayish
epithelium. Submandibular, cervical, supraclavicular, subclavicular lymph nodes are enlarged,
painless. What is your provisional diagnosis?
A. Secondary syphilis *
B. Chronic recurrent aphthous stomatitis
C. Lupus erythematosus, plaque stage
D. White sponge nevus
E. Lichen ruber planus

186. Examination of a 6-year-old boy revealed enlarged lymph nodes in both submandibular and
cervical regions. Objectively: the 75, 84 and 85 teeth are decayed, there are presentations of
commissural cheilitis. According to the boy’s mother, he has been quickly getting tired,
sweating from the least physical exercise, complaining about weakness throughout the last 2-3
months. He also gave up training in a sports class. What plan of additional examination should
be adopted?
A. Complete blood count, haematologist consultation *
B. Biochemical blood test, endocrinologist consultation
C. Puncture biopsy, oncologist consultation
D. Magnetic resonance tomography, immunologist consultation
E. Pulmonary roentgenography, pulmonologist consultation

187. A child was born with schistasis of alveolar process, hard and soft palate. The optimal way to

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feed the child before the surgery will be through:

A. Obturator *
B. Enteric feeding tube
C. Baby bottle nipple
D. Spoon
E. -

188. A 32-year-old patient complains about pain and swelling in the region of his mandible and left
cheek. He has been suffering from this for 2 days. Objectively: his general condition is
satisfactory. Body temperature is 37,5oC. There is an edema of soft tissues in the left buccal
region. Submandibular lymph nodes are bilaterally enlarged, painful on palpation. Crown of
the 37 tooth is partially decayed, the tooth is immobile, percussion is slightly painful.
Mucogingival fold in the region of the 37 tooth is edematic, hyperaemic, flattened, its
palpation causes acute pain. What is the most likely diagnosis?
A. Acute purulent periostitis of mandible beginning from the 37 tooth *
B. Acute odontogenous osteomyelitis of mandible
C. Chronic productive periostitis of mandible beginning from the 37 tooth
D. Chronic odontogenous osteomyelitis of mandible
E. Abscess of alveololingual groove on the left

189. A 7-year-old child presents withf facial asymmetry, severe pain in the lower jaw on the left,
body temperature rise up to 39,0oC. Objectively: the face is asymmetric due to the massive
swelling of soft tissues in the mandibular region on the left. The skin over the infiltration is
hyperemic and cannot be plicated. Mouth opening is limited, painful. The crown of the 75
tooth is destroyed by 2/3, the tooth exhibits the grade II mobility. Percussion of the 36 tooth is
painful, the 75 tooth -painless. Edema and fluctuation of soft tissues on the buccal and lingual
sides of these teeth are present. What measures are to be taken in the first place?
A. To extract the 75 tooth, to lance the inflammation focus on both sides *
B. To extract the 75 tooth, to lance the inflammation focus on the buccal side
C. To extract the 75, 36 teeth, to lance the inflammation focus on the buccal side
D. To lance the inflammation focus on the lingual and buccal sides
E. To lance the inflammation focus in the submandibular region

190. A 42-year-old patient complains of a cavity in the 26 tooth. Objectively: the 26 tooth exhibits a
deep carious cavity, dentine is dense, pigmented, there is pain reaction to a cold stimulus,
percussion and probing are painless. What is your provisional diagnosis?
A. Chronic deep caries *
B. Acute deep caries
C. Chronic fibrous pulpitis
D. Chronic median caries
E. Acute median caries

191. A 12-year-old boy repeatedly visits a dentist to finish treatment of the 36 tooth for the
exacerbation of chronic periodontitis. The complaints are absent. Objectively: occlusive
dressing on the 36 tooth is preserved, tooth percussion is pai-nlessl, mucous membrane of the
36 has no pathological changes, is painless on palpation. What material should be used for root
canal filling in this case?

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A. Sealer with a gutta-percha point *

B. Zinc-eugenol paste
C. Resorcinol-formalin paste
D. Calcium-containing paste
E. Phosphate cement

192. A 63-year-old patient requires a full-arch denture for the upper jaw. Objectively: the 18, 17,
16, 15, 25, 26, 27 teeth are missing, the gag reflex is not marked, the torus is of average size.
In order to avoid possible inconvenience while using the denture, the arch should be located at
the following distance from the palatine fossae:
A. 10-12 mm *
B. 4-8 mm
C. 23-25 mm
D. 2-3 mm
E. 16-22 mm

193. A 3-year-old patient presented to the prosthetic dentistry clinic for the traumatic loss of an
upper central incisor. The patient hasn’t undergone prosthetics before. He has a history of
asthma. What are the first-priority measures of bronchospasm prevention?
A. Tests for plastic and metal allergy *
B. Preparation following the anaestheti-zation
C. Teeth treatment with a remineralizing solution
D. Fabrication of a temporary construction
E. Administration of sedative drugs

194. A 47-year-old patient complains of pain in the lateral part of mandible to the left of the
toungue edge, which is caused by tongue movements. Two days ago the patient was provided
with claspps’ fixation a partial removable clasp denture for the 47, 42, 33 teeth. Retroalveolar
region of the mucous membraneis exhibits a localized hyperemic area matching the edge of
the denture. Which muscle contractions demarcate the boundary in this region?
A. Mandibulohyoid *
B. Geniohyoid
C. Hyoglossal
D. Medial wing muscle
E. Masticatory

195. A 40-year-old female patient complains about crepitation and pain in the region of TMJ
projection on the right, that arise in the final stage of mouth opening. Articular sounds turned
up after dental prosthetics. Mouth opening is unlimited, mouth is opened in a straight path,
amplitude of mouth opening is 5 cm. What is the most likely diagnosis?
A. Lower jaw subluxation *
B. Lower jaw dislocation
C. Anterior dislocation of articular disk
D. Posterior dislocation of articular disk
E. Meniscus tresis

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196. A 40-year-old patient needs the oral cavity sanation, which involves extraction of the upper
central incisors. What nerve structure will be blocked as a result of incisor anaesthesia?
A. Nasopalatine nerve *
B. Anterior superior alveolar branch of the infraorbital nerve
C. Median superior alveolar branch of the infraorbital nerve
D. Posterior superior alveolar branch of the infraorbital nerve
E. Dental nerve plexus

197. A maxillofacial surgery department admitted a patient with a half-open mouth, his chin was
put forward and deviated to the right. On palpation, the left mandibular fossa was found to be
empty. Internal palpation failed to detect the left articular head. Mandibular movements were
possible but restricted. What is the most likely diagnosis?
A. Unilateral dislocation of the left TMJ *
B. Unilateral dislocation of the right TMJ
C. Bilateral dislocation of the TMJ
D. Acute arthritis of the left TMJ
E. Acute arthritis of the right TMJ

198. A 68-year-old patient with compensated insulin-dependent diabetes mellitus had to spend 8
hours at a hospital. Within this time he didn’t eat and was nervous. The patient became
aggressive, pale and sweaty, then he lost consciousness. What is the most likely diagnosis?
A. Hypoglycemic coma *
B. Anaphylactic shock
C. Hypertensic crisis
D. Acute respiratory failure
E. Collapse

199. Rising from a chair after a dental procedure, a 60-year-old patient felt retrosternal pain
radiating to the left arm, nausea, weakness. Objectively: the patient is pale, his face is sweaty.
AP is 90/60 mm Hg, pulse is arrhythmic, of poor volume, 100/min. Heart sounds are muffled,
vesicular breathing is present. What is your provisional diagnosis?
A. An attack of coronary artery disease *
B. Myocardial infarction
C. Hypertensic crisis
D. Stenocardia
E. Pulmonary artery thrombosis

200. During the cystectomy involving resection of the root apices of the 11, 21 and 22 teeth a 45-
year-old patient developed skin pallor and cyanosis, a cold sweat, a sharp drop in blood
pressure (70/40 mmHg). The patient is conscious but complains of weakness. What state has
been developed?
A. Collapse *
B. Haematoma
C. Epileptic seizure
D. Quincke’s edema
E. Syncope

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