Midterm

Question 1

OFP is the ___, ___, and ___ of …

Answer 1

evaluation
diagnosis
treatment

Question 2

OFP encompasses (7)

Answer 2

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

Question 3

OFP became specialty in ___

Answer 3

2020

Question 4

how many OFP residencies

Answer 4

13 (x 2 residents per year)

Question 5

rotate =

Answer 5

ginglymoid

Question 6

translate =

Answer 6

arthrodial

Question 7

TMJ is a ___ joint

Answer 7

ginglymoarthrodial

Question 8

condyle fits into the ___ (___) fossa

Answer 8

mandibular (glenoid)

Question 9

volume of each (2) TMJ joint spaces

Answer 9

1 cc (2 total)

Question 10

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

Answer 10

true

Question 11

retrodiscal tissue innervated by ___ Nn

Answer 11

auriculotemporal Nn

Question 12

compressive loading is most in the ___ region of the condyle

Answer 12

anteromedial

Question 13

discal ligaments allow ___ movement

Answer 13

AP

Question 14

discal ligaments are innervated (T/F)

Answer 14

true

Question 15

capsular ligaments allow ___ movement

Answer 15

rotational (attach medial and lateral)

Question 16

extracapsular ligaments function to ___ ___ the Mn

Answer 16

passively stabilize

Question 17

ligaments that limit inferior movement

Answer 17

sphenomandibular
stylomandibular

Question 18

main TMJ Aa supply

Answer 18

superficial temporal (and Mx)

Question 19

rotation occurs in the ___ space

Answer 19

inferior

Question 20

translation occurs in the ___ space

Answer 20

superior

Question 21

normal ROM on radiograph

Answer 21

condyle reaches middle of AE

Question 22

Mm that close Mn

Answer 22

superficial masseter
medial pterygoid
temporalis

Question 23

inferior lateral pterygoid function

Answer 23

pro + lat

Question 24

superior lateral pterygoid function

Answer 24

stabilize

Question 25

digastric function

Answer 25

depress retract

Question 26

deep masseter function

Answer 26

retrude

Question 27

temporalis hyperactivity causes ___ deviation

Answer 27

ipsilateral

Question 28

medial pterygoid hyperactivity causes ___ deviation

Answer 28

contralateral

Question 29

medial pterygoid can assist in ___

Answer 29

pro

Question 30

lateral pterygoid hyperactivity causes ___ deviation

Answer 30

contralateral

Question 31

TMD encompasses (3)

Answer 31

musculoskeletal articular disc inflammatory/non-inflammatory

Question 32

limited left excursive = ___ displacement of the ___

Answer 32

AM right disc

Question 33

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

Answer 33

true

Question 34

displacement with reduction path

Answer 34

shifts to affected side and returns (hump)

Question 35

*displacement without reduction path*

Answer 35

shifts to affected side and stays

Question 36

referred pain = "___ ___"

Answer 36

myofascial pain

Question 37

palpate temporalis and masseter ___ with mouth ___

Answer 37

extraorally open

Question 38

pano does not show ___ TMJ

Answer 38

lateral

Question 39

osseous imaging modalities

Answer 39

2D skull pano CBCT

Question 40

soft tissue imaging modalities

Answer 40

MRI arthrography ultrasound

Question 41

2D skull +/-

Answer 41

access + magnification and superimposition -

Question 42

TMJ concavity on pano causes ___ ___ ___ ___

Answer 42

panoramic condylar pseudocyst artifact (PCPA)

Question 43

MDCT units

Answer 43

hounsfield

Question 44

T1 MRI, fat is ___ and water is ___

Answer 44

bright dark

Question 45

T2 MRI, fat is ___ and water is ___

Answer 45

bright bright (2 bright for T2)

Question 46

MRI advantage

Answer 46

no ionizing radiation

Question 47

best imaging for disc perforation

Answer 47

arthrography

Question 48

arthrography disadvantage

Answer 48

ionizing radiation contrast HSR

Question 49

___ is the MC developmental defect

Answer 49

aplasia

Question 50

aplasia often affects ___

Answer 50

hearing

Question 51

aplasia causes shift to the ___ side

Answer 51

affected

Question 52

treacher collins

Answer 52

downward slant notched lower eyelid hypoplastic midface deafness

Question 53

condylar hyperplasia causes ___ crossbite

Answer 53

contralateral (and open bite)

Question 54

coronoid hyperplasia results in ___ ___

Answer 54

decreased MIO

Question 55

___, ___, and ___ cancers metastasize to Mn

Answer 55

breast prostate lung

Question 56

subluxation clinical Dx

Answer 56

pop at MIO deviates to contralateral side excessive MIO

Question 57

subluxation Tx

Answer 57

retruded exercises decrease Mm activity eminectomy

Question 58

how to unlock jaw

Answer 58

inferior and posterior

Question 59

ankylosis deflects to the ___ side

Answer 59

affected

Question 60

how to detect fibrous ankylosis

Answer 60

MRI

Question 61

ankylosis on clinical exam

Answer 61

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

Question 62

imaging of fibrous ankylosis

Answer 62

absence of ipsilateral condylar translation disc space seen must use MRI

Question 63

___ and ___ are disease processes associated with TMD

Answer 63

GERD IBS

Question 64

MC direction for disc displacement

Answer 64

AM

Question 65

internal derangement = ?

Answer 65

displacement with reduction

Question 66

displacement with reduction diagnostic criteria

Answer 66

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

Question 67

what can cause displacement with reduction

Answer 67

micro/macro trauma poor lubrication Mm hyperactivity ligament laxity

Question 68

displacement with intermittent non-reduction criteria

Answer 68

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

Question 69

type of displacement that can be acute or chronic

Answer 69

displacement without reduction

Question 70

arthrocentesis procedure

Answer 70

LR solution into superior space

Question 71

chronic displacement without reduction criteria

Answer 71

> 4 months MRI imaging proof

Question 72

arthroscopy is best for ___ disorders

Answer 72

intracapsular

Question 73

arthralgia criteria

Answer 73

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

Question 74

ipsilateral disocclusion can be caused by what?

Answer 74

effusion (edema)

Question 75

polyarthritides major criteria

Answer 75

osteoarthritic changes on imaging

Question 76

osteoarthrosis is ___-___

Answer 76

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

Question 77

acute, sudden malocclusion = think ___, ___, ___

Answer 77

Mm fracture tumor

Question 78

gradual malocclusion = think ___ or ___

Answer 78

arthritis osteochondroma

Question 79

acute/chronic delineated by what?

Answer 79

3 months

Question 80

RA

Answer 80

symmetric morning stiffness PIP

Question 81

OA

Answer 81

non-inflammatory DIP/bouchard nodes

Question 82

7 MC TMD

Answer 82

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

Question 83

myalgia vs myofascial pain

Answer 83

not refer refer

Question 84

active TPs vs latent TPs

Answer 84

painful to palpation, spontaneous, or refer/autonomic symptoms locally tender but NOT spontaneous

Question 85

toothache pain MC from which which Mm (MTD)

Answer 85

masseter temporalis digastric

Question 86

TMJ/ear pain can be from what Mm

Answer 86

SCM (and MLM)

Question 87

myositis must have criteria

Answer 87

local pain erythema, edema, or increased temp

Question 88

contracture

Answer 88

MIO < 40 hard end feel

Question 89

ASA max dose

Answer 89

4g

Question 90

naproxen dosing

Answer 90

BID