Theme 2. Additional (special) methods of examination. Preliminary and final diagnosis.

1. A 38-year-old patient consulted a prosthodontist about metal taste, dry mouth and tongue

burning. Objectively: defects of the lower dental arch were replaced with soldered stainless

steel bridges. What examination method would be the most appropriate in this case?

A *Galvanometry

B Masticatiography

C Occlusiography

D Myography

E Electroodontometry

2. A 28-year-old patient complains of a cosmetic defect in the frontal part of his upper jaw.

Objectively: the crown part of the 11 tooth is decayed below the gum level. The root is

stable, percussion is painless. It is planned to restore the tooth with a stump inlay and

cover it with a metal-ceramic crown. What additional method of diagnostics should be

applied in this clinical situation?

A *X-ray diagnostics

B Electromyography

C Masticatiography

D Gnathodynamometry

E Electroodontodiagnostics

3. A patient was questioned and inspected in prosthodontics clinic. What is the next step?

1. * Order additional examination

2. Conduct treatment

3. Put final diagnosis

4. Choose denture construction

5. Make treatment plan

4. What is a tone of masticatory and mimic muscles measured by?

À) *Miotonometry

B) Polyarography

C) Electro-myography

D) Masticatiography

E) Tomography

5. How many phases are there in the every chewing period of masticatiography?

À) *5

B) 8

C) 4

D) 2

E) 1

6. A patient was undergone additional methods of examination. What is the next step?

1. *Put final diagnosis

2. Prepare mouth for prosthetics

3. Make treatment plan

4. Put preliminary diagnosis

5. Take diagnostic impression

7. What material is used for the masticatory test of Gelman?

À) *Almond

B) Hazel-nut

C) Apple

D) Rusk

E) Chewing-gum

8. What limits does a healthy tooth react on electricity?

À) *from 2-6 mcА

B) from 7-14 mcА

C) from 26-30 mcА

D) from 31-60 mcА

E) from 15-25 mcА

9. What methods of examination are NOT considered as additional?

À) *Palpation research

B) Anthropometric research

C) Radiologic research

D) Gnatometric research

E) Thermometric research

10. Treatment plan is done:

1. *After additional examination and final diagnosis

2. After mouth preparation

3. Before additional examination

4. After preliminary diagnosis

11. For more exact determination of the functional state of the masticatory system the functional methods of diagnostics are used. What masticatory tests are NOT considered as functional tests?

À) *X-ray

B) Miotonometry

C) Masticatiografy

D) Myography

E) Electro-myography

12.What additional method of examination does allow to expose position, form, sizes and structure of different organs, define their topography-anatomical interrelation with a near-by located organs and tissues?

À) *Teleradiologic research

B) Computer tomography

C) Radio-therapy with the use of contrast substance

D) Electro-radiography

E) Orthopantomography

13. Patient comes to dental clinic with complaints of absence of 45, 46, 47,48 teeth. A patient extremely rejects to wear removable prosthetic appliance. What additional inspection must be conducted to the patient for determination of indications to treatment using implants?

À) *Radiographic inspection

B) Parallelometry

C) Masticatiography

D) Miotonometry

E) Reography

14. Who were the authors of functional tests?

1. *Gelman, Christensen, Rubinov

2. Agapov, Oxman, Konushko

3. Konushko, Kurlandsky, Oxman

4. Gelman, Christensen, Agapov

5. Rubinov, Agapov, Oxman

15. Which is not a component of a clinical record?

A. *Ledger card

B. Health history

C. Clinical chart

D. Radiographs

E. Informed-consent form

16. The method of objective examination of prosthodontic patient DOES NOT include:

A) *questioning;

B) palpation;

C) inspection;

D) X-ray research

E) auscultation.

17. If a doctor during patient’s examination had suspicion on a presence of HIV, he must:

A) *finish the examination and refer a patient for a blood test;

B) say to the patient about the suspicion and to stop a reception;

C) refuse patient in providing dental treatment;

D) continue examination and begin dental treatment;

E) send a patient to a specialized department.

18. Masticatory efficiency can be evaluated with such methods:

1. *Static and dynamic

2. Functional

3. Static

4. Static and radiological

5. Dynamic and functional

19. Patient complains of ruined crown part of 25 tooth. While inspection tooth was revealed ruined on more than ½. Radiologically: endodontical treatment wasn’t performed. What type of mouth preparation is necessary to provide for the patient?

1. *Therapeutic

2. Surgical

3. Orthodontical

4. Surgical and therapeutic

5. Therapeutic and endodontical

20. Masticatory pressure was measured for a patient. Which device was used for this purpose?

1. *Gnatodynomometer

2. Masticatiographer

3. Computer scanner

4. Electric pulp tester

5. Myotonometer

21. Galvanometer is a device for measuring:

1. *voltage or current of very small value

2. B. voltage or current

3. C. magnetic field

4. D. current of high value

5. –

22. The patient had a recording of biopotentials of the masticatory muscles. What method was carried out?

A. * Electromyography

B. Face-bow

C. Miotonometry

D. Arthrography

E. Gnathodynamometry

23. An examination of the patient revealed a partial defect of dentition and periodontitis of moderate severity. What happens to a pulp with electroconductivity?

A. * Increases in the number of times

B. increases slightly

C. Does not change

D. Decreases slightly

E. Decreases by several times

24. A 47-year-old patient consulted a dentist about dental cervix exposure on both jaws.

Objectively: the dentitions are intact, the dental cervixes are exposed. Untimely teeth contacts

are present. It is planned to perform selective grinding. What controlling method should be

chosen?

A *Occlusiography

B Masticatiography

C Chewing test

D Roentgenography

E Gnathodynamometry

25. 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