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23 Endodontics > Exam 2 Practice > Flashcards

Exam 2 Practice Flashcards

1
Q

irreversible pulpitis is often defined by

A

a painful response to cold that lingers

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2
Q

a test cavity…

A

is employed when all other tests are inconclusive

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3
Q

when a patient reports severe pain on biting, the percussion test should

A

be performed first with digital pressure

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4
Q

the following is the most important finding of a chronic apical abscess

A

draining sinus tract

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5
Q

you have submitted a biopsy sample from a PA lesion on which you performed surgery. The histopathology report states that lesion is composed of fibrous CT with many young “budding” capillaries. A chronic inflammatory infiltrate can be seen throughout the lesion. what is the histologic diagnosis for this lesion

A

PA granuloma

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6
Q

a tooth with normal pulp should

A

give a quick sharp response to cold application

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7
Q

which pulp vitality test cannot be performed on tooth that has a gold crown

cold application
electric pulp test
heat test

A

cold application and EPT????

chatgpt says all the above aren’t reliable. cannot find anything in lecture.

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8
Q

wha is the best approach to determine if abscess is of periodontal or endodontic origin

A

pulp vitality tests

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9
Q

you suspect tooth #18 might have endo involvement. what teeth should be used as controls for diagnostic testing?

A

19 and #31

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10
Q

which theory best explains the referred pain phenomenon

A

covergence theory

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11
Q

which teeth are most likely to refer pain to the ear

A

mandibular molars

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12
Q

which teeth are more likely to refer pain to forehead area

A

maxillary incisor

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13
Q

what is not a feature of trigeminal neuralgia

A

reproducible tooth pain

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14
Q

a paatient presents with pain in upper right quadrant. several teeth in area are sensitive to percussion and sensitive to cold. hte patient says that pain increase when they bend down. there is no caries or large restorations present. what is likely source of patient pain

A

referred pain from max sinus

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15
Q

what histologic feaure must be present for lesion to be considered an apical cyst

A

fluid filled cavity

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16
Q

crown discolorization due to calcific metamorphosis usually is

A

yellow

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17
Q

spreading pain results from extension of these to surrounding teeth and neighboring structures

A

inflammatory mediators

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18
Q

a patient that complains of severe cold sensitivity most likely has

A

a vital but inflamed pulp

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19
Q

what theory best explains sensitivity to cold

A

hydrodynamic theory

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20
Q

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the most likely pulpal diagnosis

A

pulpal necrosis

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21
Q

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the most likely PA diagnosis

A

acute apical abscess

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22
Q

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the treatment for this tooth

A
  1. endodontic therapy
  2. antibiotic coverage
  3. drainage
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23
Q

the pulps in teeth are undergoing active internal resorption usually are

A

chronically inflamed

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24
Q

what is not true of hyeprplastic pulpitis

A

it is not highly innervated

true: highly vascularized, epi lining, and contains CT

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25
Q

T/F: heat test is part of routine endo exam

A

FALSE

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26
Q

T/F: radiographs are used to determine what kind of PA pathology the patient has

A

TRUE

27
Q

T/F: during pulpitis histamine is responsible for vasodilation of pulpal blood vessels

A

TRUE

28
Q

if tooth can feel cold the pulp is

A

vital

29
Q

if you do a cold test and the tooth is non responsive to cold application, the tooth is likely

A

nectrotic

30
Q

if a pulp is vital, does that mean it is a healthy pulp

A

not always

31
Q

key findings on a pulp that has irreversible pulpitis

A

history of spontaneous pain and prolonged lingering pain after cold application

32
Q

if you are drilling on a tooth and get a pulp exposure, and the exposure site is dry that means the pul pis

A

necrotic

33
Q

what is the most diagnostic sign/symptom of symptomatic apical perio

A

pain to percussion

34
Q

what is the most diagnostic sign/symptom of chronic apical abscess

A

sinus tract

35
Q

what is the best diagnosis for a tooth with apical radiolucency, a necrotic pulp and no other sign or symptoms

A

asymptomatic apical perio

36
Q

swelling and pain is seen in

A

acute apical abscess

37
Q

what is the radiographic appearance of condensing oseitis

A

radiopacity at apex of tooth

38
Q

doc my tooth hurts a lot and i cant even touch is is example of

A

chief complaing

39
Q

T/F: when dealing with patient symptoms, it is important to try and reproduce the patients symptoms

A

true

40
Q

a percussion test will tell us if

A

there is inflammation in the PDL

41
Q

T/F: EPT will produce patient symptoms

A

FALSE

42
Q

T/F: a tooth with PA radiolucency is a sure sign of endo disease, therefore, pulp test are not necessary

A

FALSE

43
Q

you are observing a PA radiolucency on radiograph. this is an example of

A

objective sign

44
Q

what is used at creighton for cold testing teeth

A

refrigerant spray

45
Q

you have done a cold test and determined the pulp is normal. how would you record the findings

A

+

46
Q

what is the chief complaint

A

patient describing his/her symptoms in his/her own words

47
Q

what does spontaneous pain mean

A

unprovoked pain

48
Q

what is the most useful in detecting cracks ont eeth

A

transillumination

49
Q

how would you record a normal test for percussion

A

-

50
Q

what is used as conducting media for EPT

A

toothpaste

51
Q

T/F: when a sinus tract is present, it should be traced with gutta-percha point and x-ray taken to see the origin

A

TRUE

52
Q

T/F: a percussion test should be done by tapping the tooth with index finger first if not sensitive then used the mirror handle

A

TRUE

53
Q

T/F: acute apical abscess is associated with necrotic pulp

A

TRUE

54
Q

what can show systemic invovlement such as fever, lymphadenopathy and malaise

A

acute apical abscess

55
Q

what is a phenix abscess

A

acute apical abscess with radiolucency

56
Q

T/F: a sinus tract will always appear on attached gingiva

A

FALSE

57
Q

symptomatic apical periodontitis is always associated with necrotic pulp

A

false

58
Q

pain to cold comes frmo

A

the pulp

59
Q

is pulpitis visible on radiograpahs

A

no

60
Q

almost all pulp stones are

A

false

61
Q

overgrowth of pulp tissue into open carious lesion is referred to as

A

hyperplastic pulpitis

62
Q

a tooth more sensitive to cold than other teeth, after cold is removed from sensitive quickly disappears is called what

A

reversible pulpitis

63
Q

T/F: clinical findings closely correelaed to histology of the pulp

A

FALSE

64
Q

symptoms of symptomatic irreversible pulpitis

A

lingering pain to cold AND spontaneous pain

23 Endodontics (12 decks)

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