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MS II > TMD > Flashcards

TMD Flashcards

1
Q

What type of joint is the TMJ?

A

synovial, condylar, hinge-type

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2
Q

The fibrocartilage of the mandibular fossa is

a. nociceptive
b. avascular
c. neural
d. aneural
e. b and d

A

avascular and aneural

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3
Q

What shapes can the mandibular condyle have?

A

convex
flat
angular
rounded

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4
Q

The articular disc is

a. innervated in the center
b. avascular
c. aneural
d. vascularized and innervated in the periphery

A

vascularized and innervated in the periphery

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5
Q

What is the function of the articular disc?

A

increases lubrication
decreases wear
increases congruity
space filler

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6
Q

The disc can adapt to incongruent shapes of the mandibular head (true/false)

A

true

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7
Q

The disc can be a source of pain due to

A

displacement or deform

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8
Q

The superior TM joint (rotates/glides and translates)

A

glides and translates

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9
Q

The inferior TM joint (rotates/glides and translates)

A

rotates

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10
Q

This structure is loose connective tissue attached to the posterior aspect of the disc, it is highly innervated and vascularized

a. condylar fossa
b. temporomandibular ligament
c. retrodiscal tissue
d. articular disc

A

retrodiscal tissue

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11
Q

The retrodiscal tissue is

a. avascular and innervated
b. innervated and vascular
c. avascular
d. aneural

A

innervated and vascular

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12
Q

This supporting structure limits distraction and downward movements of the condyle, and stabilizes the meniscus

a. joint capsule
b. posterior ligaments
c. medial collateral ligaments
d. temporomandibular ligament

A

joint capsule

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13
Q

This supporting structure limits excessive movement by the mandible as the mouth opens, limited anterior translation of the condyle

a. joint capsule
b. posterior ligaments
c. medial collateral ligaments
d. temporomandibular ligament

A

temporomandibular ligament

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14
Q

This supporting structure limits medial translation of the condyle and prevents lateral disc placement

a. joint capsule
b. posterior ligaments
c. medial collateral ligaments
d. temporomandibular ligament

A

medial collateral ligament

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15
Q

This supporting structure limits posterior condyle disc displacement and anterior disc

a. joint capsule
b. posterior ligaments
c. medial collateral ligaments
d. temporomandibular ligament

A

posterior ligaments

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16
Q

Which muscle guides the biting motion

a. masseter
b. lateral pterygoid
c. medial pterygoid
d. temporalis

A

temporalis

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17
Q

This muscle has 2 layers and contributes to clenching and grinding

a. masseter
b. lateral pterygoid
c. medial pterygoid
d. temporalis

A

masseter

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18
Q

This muscle attaches to the disc which may cause problems if it becomes tight

a. masseter
b. lateral pterygoid
c. medial pterygoid
d. temporalis

A

lateral pterygoid

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19
Q

What is the TMJ innervated by?

A

trigeminal

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20
Q

This position is with the mouth open, teeth not in contact, and movement of the mandible starts and end here

a. occulsal position
b. open pack

A

open pack

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21
Q

Teeth are in full contact, clenched, and heads of condyles are in posterior aspect of the joint

a. open pack
b. occulsal position

A

ossulsal position

22
Q

This motion occurs between the articular disc and condyle

a. elevation
b. rotation/hinge
c. translation
d. depression

A

rotation/hinge

23
Q

This motion is when the condyle slides forward and runs out of movement the disc cushions the upper condyle

a. elevation
b. rotation/hinge
c. translation
d. depression

A

translation

24
Q

What are red flags to be aware of?

A 
upper cervical red flags
drop attacks
nystagmus with C/S ROM 
limb paresthesia, ataxia, weakness
lip paresthesia with C/S ROM
25
Q

What are typical symptoms with TMD?

A

pain in TMJ and masticatory muscles
restricted mouth opening
joint noises

26
Q

It is irrelevant to check the cervical spine or treat it (true/false)

A

false

27
Q

What are you looking for with MMT?

A

pain provocation

28
Q

Whar areas are the most common sources of referred pain to the craniofacial region

a. medial pterygoid, temporalis, masseter
b. lateral pterygoid ara, trap, masseter
c. masseter, hyoid, temporalis
d. lateral pterygoid and masseter

A

lateral pterygoid ara, trap, masseter

29
Q

This pathology is indicated by clicking and can be the first sign of dysfunction of TMJ

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

disc displacement with reduction

30
Q

What is the most common type of disc displacement with reduction?

A

reciprocal clicking

31
Q

This dysfunction is when the disc remains in the displaced position during mandibular movement

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

disc displacement without reduction

32
Q

Patient with this dysfunction usually says “my jaw used to click and pop, but now it does not”

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

disc displacement without reduction

33
Q

This dysfunction is characterized by crepitus and patient complains of grating, or grinding symptoms, tender with palpation

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

OA

34
Q

This patient has a chronic restriction of motion

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

OA

35
Q

This patient will present with prolonged inability to close the mandible from a max opening position

a. disc displacement without reduction
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

dislocation or sublux

36
Q

The condyle can be caught in front of the _ _

A

articular eminence

37
Q

This dysfunction is a localized inflammatory condition of the synovial tissue

a. synovitis/retrodiscal irritation
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

synovitis/retrodiscal irritation

38
Q

This is secondary to degeneration, trauma or secondary systemic connective tissue disorder

a. synovitis/retrodiscal irritation
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

synovitis/retrodiscal irritation

39
Q

This patient has increased pain with joint compression and joint movement and relief with distraction

a. synovitis/retrodiscal irritation
b. OA
c. disc displacement with reduction
d. dislocation or sublux

A

synovitis/retrodiscal irritation

40
Q

Pain will occur with outer range opening, distraction of joint or any posterior displacement of the condyle

a. trismus
b. capsulitis
c. synovitis
d. OA

A

capsulitis

41
Q

This dysfunction is restricted active mandibular motion due to tonic contraction of the muscles to mastication

a. trismus
b. capsulitis
c. synovitis
d. OA

A

trismus

42
Q

This restriction of mandibular movement is caused by articular dysfunction or tissue damage

a. trismus
b. capsulitis
c. synovitis
d. OA

A

trismus

43
Q

This injury occurs due to acute, severe psychological stress

A

hysterical trismus

44
Q

What muscles should be treated with soft tissue mobilization?

A 
masseter
temporalis 
pterygoids
suprahyoid 
cervical musculature
45
Q

Which directions are good for joint mobilization?

A

inferior glide/distraction
distraction with anterior glide
lateral glide
upper cervical distraction

46
Q

Exercise options for TMD

A 
tongue clucking 
control rotation 
mandibular rhythmic stabilization 
head nods
head retraction 
scapular retraction
47
Q

head nods target (upper cervical/lower cervical)

A

upper cervical

48
Q

retraction targets (upper cervical/lower cervical)

A

lower cervical

49
Q

Patient presents with dizziness, constant headaches, neck is rigid, has difficulty lying flat and night pain. Should you treat this patient?

A

no RED FLAGS

50
Q

What is the most common symptom with TMD?

a. jaw joint noises
b. pain with mouth opening
c. jaw locking
d. ear/cheek and facial pain

A

pain with mouth opening

MS II (17 decks)

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