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Orofacial Pain > Midterm > Flashcards

Midterm Flashcards

1
Q

OFP is the ___, ___, and ___ of …

A

evaluation
diagnosis
treatment

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2
Q

OFP encompasses (7)

A

TMD
masticatory muscle
cervical muscle
neurovascular
neuropathic
OSA
systemic disorders causing facial pain

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3
Q

OFP became specialty in ___

A

2020

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4
Q

how many OFP residencies

A

13 (x 2 residents per year)

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5
Q

rotate =

A

ginglymoid

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6
Q

translate =

A

arthrodial

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7
Q

TMJ is a ___ joint

A

ginglymoarthrodial

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8
Q

condyle fits into the ___ (___) fossa

A

mandibular (glenoid)

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9
Q

volume of each (2) TMJ joint spaces

A

1 cc (2 total)

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10
Q

the articular disc has NO Nn of BVs (T/F)

A

true

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11
Q

retrodiscal tissue innervated by ___ Nn

A

auriculotemporal Nn

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12
Q

compressive loading is most in the ___ region of the condyle

A

anteromedial

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13
Q

discal ligaments allow ___ movement

A

AP

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14
Q

discal ligaments are innervated (T/F)

A

true

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15
Q

capsular ligaments allow ___ movement

A

rotational (attach medial and lateral)

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16
Q

extracapsular ligaments function to ___ ___ the Mn

A

passively stabilize

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17
Q

ligaments that limit inferior movement

A

sphenomandibular
stylomandibular

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18
Q

main TMJ Aa supply

A

superficial temporal (and Mx)

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19
Q

rotation occurs in the ___ space

A

inferior

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20
Q

translation occurs in the ___ space

A

superior

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21
Q

normal ROM on radiograph

A

condyle reaches middle of AE

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22
Q

Mm that close Mn

A

superficial masseter
medial pterygoid
temporalis

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23
Q

inferior lateral pterygoid function

A

pro + lat

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24
Q

superior lateral pterygoid function

A

stabilize

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25
Q

digastric function

A

depress
retract

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26
Q

deep masseter function

A

retrude

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27
Q

temporalis hyperactivity causes ___ deviation

A

ipsilateral

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28
Q

medial pterygoid hyperactivity causes ___ deviation

A

contralateral

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29
Q

medial pterygoid can assist in ___

A

pro

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30
Q

lateral pterygoid hyperactivity causes ___ deviation

A

contralateral

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31
Q

TMD encompasses (3)

A

musculoskeletal
articular disc
inflammatory/non-inflammatory

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32
Q

limited left excursive = ___ displacement of the ___

A

AM
right disc

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33
Q

HPI is NOT = to medical history (T/F)

A

true

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34
Q

displacement with reduction path

A

shifts to affected side and returns (hump)

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35
Q

displacement without reduction path

A

shifts to affected side and stays

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36
Q

referred pain = “___ ___”

A

myofascial pain

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37
Q

palpate temporalis and masseter ___ with mouth ___

A

extraorally
open

38
Q

pano does not show ___ TMJ

A

lateral

39
Q

osseous imaging modalities

A

2D skull
pano
CBCT

40
Q

soft tissue imaging modalities

A

MRI
arthrography
ultrasound

41
Q

2D skull +/-

A

access +

magnification and superimposition -

42
Q

TMJ concavity on pano causes ___ ___ ___ ___

A

panoramic condylar pseudocyst artifact
(PCPA)

43
Q

MDCT units

A

hounsfield

44
Q

T1 MRI, fat is ___ and water is ___

A

bright
dark

45
Q

T2 MRI, fat is ___ and water is ___

A

bright
bright
(2 bright for T2)

46
Q

MRI advantage

A

no ionizing radiation

47
Q

best imaging for disc perforation

A

arthrography

48
Q

arthrography disadvantage

A

ionizing radiation
contrast HSR

49
Q

___ is the MC developmental defect

A

aplasia

50
Q

aplasia often affects ___

A

hearing

51
Q

aplasia causes shift to the ___ side

A

affected

52
Q

treacher collins

A

downward slant
notched lower eyelid
hypoplastic midface
deafness

53
Q

condylar hyperplasia causes ___ crossbite

A

contralateral
(and open bite)

54
Q

coronoid hyperplasia results in ___ ___

A

decreased MIO

55
Q

___, ___, and ___ cancers metastasize to Mn

A

breast
prostate
lung

56
Q

subluxation clinical Dx

A

pop at MIO
deviates to contralateral side
excessive MIO

57
Q

subluxation Tx

A

retruded exercises
decrease Mm activity
eminectomy

58
Q

how to unlock jaw

A

inferior and posterior

59
Q

ankylosis deflects to the ___ side

A

affected

60
Q

how to detect fibrous ankylosis

A

MRI

61
Q

ankylosis on clinical exam

A

limited MIO
deviate to affected side
hard end feel
NO pain
needs MRI to Dx

62
Q

imaging of fibrous ankylosis

A

absence of ipsilateral condylar translation
disc space seen
must use MRI

63
Q

___ and ___ are disease processes associated with TMD

A

GERD
IBS

64
Q

MC direction for disc displacement

A

AM

65
Q

internal derangement = ?

A

displacement with reduction

66
Q

displacement with reduction diagnostic criteria

A

opening and closing click/pop
imaging shows disc position improvement during opening
no degenerative changes

67
Q

what can cause displacement with reduction

A

micro/macro trauma
poor lubrication
Mm hyperactivity
ligament laxity

68
Q

displacement with intermittent non-reduction criteria

A

MIO < 35 mm
PAIN
(in addition to other criteria)

69
Q

type of displacement that can be acute or chronic

A

displacement without reduction

70
Q

arthrocentesis procedure

A

LR solution into superior space

71
Q

chronic displacement without reduction criteria

A

> 4 months
MRI imaging proof

72
Q

arthroscopy is best for ___ disorders

A

intracapsular

73
Q

arthralgia criteria

A

localized pain worsened by function
no osteoarthritic changes on imaging
no noises

74
Q

ipsilateral disocclusion can be caused by what?

A

effusion (edema)

75
Q

polyarthritides major criteria

A

osteoarthritic changes on imaging

76
Q

osteoarthrosis is ___-___

A

non-inflammatory
(no pain, no degenerative changes on imaging)!

77
Q

acute, sudden malocclusion = think ___, ___, ___

A

Mm
fracture
tumor

78
Q

gradual malocclusion = think ___ or ___

A

arthritis
osteochondroma

79
Q

acute/chronic delineated by what?

A

3 months

80
Q

RA

A

symmetric
morning stiffness
PIP

81
Q

OA

A

non-inflammatory
DIP/bouchard nodes

82
Q

7 MC TMD

A

myalgia
myofascial pain
arthralgia
OA
osteoarthrosis
displacement with reduction
displacement without reduction
(MMADDOO)

83
Q

myalgia vs myofascial pain

A

not refer
refer

84
Q

active TPs vs latent TPs

A

painful to palpation, spontaneous, or refer/autonomic symptoms

locally tender but NOT spontaneous

85
Q

toothache pain MC from which which Mm (MTD)

A

masseter
temporalis
digastric

86
Q

TMJ/ear pain can be from what Mm

A

SCM
(and MLM)

87
Q

myositis must have criteria

A

local pain
erythema, edema, or increased temp

88
Q

contracture

A

MIO < 40
hard end feel

89
Q

ASA max dose

A

4g

90
Q

naproxen dosing

A

BID

91
Q
A

Orofacial Pain (3 decks)

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