Midterm Questions Flashcards

1
Q
What's the best instrument to use to retract your patients cheek when taking an impression?
A. your mouth
B. your friend's mouth
C. your finger
D. your mirror
A

D. your mirror

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2
Q

T or F:
studies report that the incidence of TMD symptoms in a population of orthodontically treated patients is greater than that in the untreated general population.

A

false

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3
Q
what is the only structure that can retract the disc posteriorly?
A. superior retrodiscal lamina
B. discal collateral ligaments
C. superior lateral pterygoid muscle
D. the condyle
A

A. superior retrodiscal lamina

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4
Q

T or F:

there is a simple cause and effect relationship explaining the association between occlusion and the development of TMD.

A

false

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5
Q

what does prolonged exposure to emotional stressors do to the autonomic nervous system on a chronic basis?
A. it upregulates it, compromising an individual’s ability to fight diseases
B. it upregulates it, increasing an individual’s ability to fight diseases
C. it downregulates it, compromising an individual’s ability to fight diseases
D. it downregulates it, increasing an individual’s ability to fight diseases

A

A. it upregulates it, compromising an individual’s ability to fight diseases

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6
Q

T or F:

we should tell patients that the goal of therapy for TMD is to manage pain, not cure it completely

A

true

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7
Q
which of the following is/are central mechanisms that can contribute to pain transitioning from an acute to a chronic state?
A. altered HPA-axis function
B. increased central sensitization
C. decreased descending inhibition
D. all of the above
A

D. all of the above

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8
Q

T or F:
once patients have transitioned into a state of chronic TMJ pain, attempts to manage the etiologic factors may no longer be adequate

A

true

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9
Q

which of the following statements describe the dynamic functional relationship between occlusion and TMD’s?
A. the occlusal condition affects orthopedic stability of the mandible as it loads against the cranium
B. acute changes in the occlusal condition can influence mandibular function
C. parafunctional habits are the primary cause cause of all occlusal disharmony
D. A and B only

A

D. A and B only

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10
Q

what are the two main factors that determine whether or not an intracapsular disorder will develop?
A. the degree of orthopedic stability and the amount of loading
B. the degree of muscle hyperactivity and degree of occlusal disharmony
C. the degree of muscle hyperactivity and amount of loading
D. the degree of orthopedic stability and degree of occlusal disharmony

A

A. the degree of orthopedic stability and the amount of loading

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11
Q
in a healthy patient, the interarticular pressure provided by elevator muscles normally maintains the condyle on which portion of the articular disc?
A. the anterior border
B. the thin intermediate zone
C. the posterior border
D. the retrodiscal tissues
A

B. the thin intermediate zone

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12
Q

in cases where the mandibular condyle becomes dislocated anterior to the articular eminence, which of the following describes the method and directionality whereby the clinician could guide the condyle back into the fossa?
A. apply superior and posterior pressure with thumbs on retromolar pad
B. apply inferior and posterior pressure with thumbs on retromolar pad
C. apply inferior and anterior pressure with thumbs on retromolar pad
D. apply superior and anterior pressure with thumbs on retromolar pad

A

B. apply inferior and posterior pressure with thumbs on retromolar pad

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13
Q

T or F:

the only healthy physiologic movement that should occur between the condyle itself and the articular disc is translation

A

false

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14
Q

T or F:

physiologic translatory movement is what should occur between the condyle-disc complex and the articular fossa

A

true

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15
Q
increased tonicity of which of the following is primarily responsible for anterior displacement of the articular disc in unhealthy joints?
A. anterior capsular ligaments
B. inferior lateral pterygoid
C. superior lateral pterygoid
D. superior retrodiscal lamina
E. discal collateral ligaments
A

C. superior lateral pterygoid

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16
Q

T or F:

proper diagnosis is the key to successful treatment

A

true

17
Q

which of the following is FALSE?
A. an adherence is a temporary sticking of the articular surfaces
B. clicks due to adherences occur following a period of static loading
C. if an adherence remains for a long period of time, fibrous tissue can develop to produce a true adhesion
D. an adhesion is a temporary sticking of the articular surfaces

A

D. an adhesion is a temporary sticking of the articular surfaces

18
Q

T or F:
a splint must be stable and the occlusal contacts properly managed in order to avoid it becoming the next occlusal imbalance

A

true

19
Q
which of the following needs to be ruled out as a cause for pulpitis before traumatic occlusion can be determined as the likely cause?
A. caries
B. recent dental procedure
C. periodontitis
D. both A and B
A

D. both A and B

20
Q
chronic pain is considered to be pain that has been present for \_\_\_ or longer.
A. 3 months
B. 6 months
C. 9 months
D. 12 months
A

B. 6 months

21
Q
42% of patients with \_\_\_ also report TMD-like symptoms.
A. myositis
B. fibromyalgia
C. muscle splinting
D. myofacial pain
A

B. fibromyalgia