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Dental Orofacial Pain > TMD Exam > Flashcards

TMD Exam Flashcards

1
Q

What is the normal range of motion of TMJ?

A

40-60mm

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2
Q

What is the normal range of L/R lateral movement of TMJ?

A

9-12mm

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3
Q

If the opening is deviated to one side during mouth opening, which disc of TMJ is the cause?

A

The side to which deviation goes

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4
Q

Which of the following medical disorders can cause facial pain?
(Select all correct answers)

Migraine headaches

Viruses

Neurological disorders

Arthritis

A

Migraine headaches

Viruses

Neurological disorders

Arthritis

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5
Q

Orofacial Pain Disorders include all of the following EXCEPT?

Temporomandibular Disorders

Masticatory muscle disorders

Arthritis

Intracranial hypertension

A

Intracranial hypertension

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6
Q

Which of the following muscles close the mandible? (Select all correct answers)

Temporalis

Masseter

Digastric muscle

Medial pterygoid

Lateral pterygoid

A

Temporalis

Masseter

Medial pterygoid

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7
Q

Your patient comes to your office at 8 a.m. stating that she awakened with her jaw shifted to the left side and her teeth do not touch. You observe that the midline is shifted 3 mm to the left. A spasm in which muscle can cause this malocculsion?

Right lateral pterygoid

Left lateral pterygoid

Right masseter

Left masseter

A

Right lateral pterygoid

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8
Q

Which of the following is NOT a function of the articular disc of the TMJ?

Acts as a shock absorber

Limits forward movement during tranlation

Stabilizes condylar movements

Decreases wear in the TMJ

A

Limits forward movement during tranlation

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9
Q

What type of cartilage lines the mandibular fossa and the condyle?

A

Fibrocartilage

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10
Q

T/F: Hyaline cartilage lines the mandibular fossa and condyles & has the ability to repair itself.

A

False

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11
Q

T/F: A clicking noise in the TMJ indicating a disc displacement always requires treatment

A

False

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12
Q

Which nerve innervates the temporomandibular joint?

Facial

Masseteric

Auriculotemporal

Temporal

A

Auriculotemporal

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13
Q

Which of the following are TRUE regarding the temporomandibular joint? (Select all correct answers)

The condyles move synchronously

The condyles move asynchronously

Synovial fluid lubricates the TMJ

The articular disc is composed of hyaline cartilage

The mid-condyles reach the summit of the articular eminence with normal translation

A

The mid-condyles reach the summit of the articular eminence with normal translation
check

Synovial fluid lubricates the TMJ
check

The condyles move synchronously
check

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14
Q

Select all of the components of the Pain History Intake for a orofacial pain patient:

Chief compalint pertaining to pain

History of present pain illness

Range of motion

Past Medical History pertaining to pain disorders or surgery

Psychosocial History including anxiety and depression

A

Chief compalint pertaining to pain
check

History of present pain illness
check

Past Medical History pertaining to pain disorders or surgery
check

Psychosocial History including anxiety and depression
check

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15
Q

Which of the following habits should you inquire about if your patient has jaw pain?
Select all correct answers

Jaw clenching or bruxism

Biting on their fingernails

Chewing gum

Biting on pens or pencils

Cheek or lip biting especially when anxious

A

Jaw clenching or bruxism
check

Biting on their fingernails
check

Chewing gum
check

Biting on pens or pencils
check

Cheek or lip biting especially when anxious
check

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16
Q

T/F: The pain frequency and duration as well as the pain rating can give a good indication of the patient’s pain disability.

A

Ture

17
Q

T/F: It is important to ask your patient about their Past Treatments for their jaw pain and specifically ask the name of the medication, dose and dosing to know if this is the reason why that particular medication did not help the patient’s jaw pain.

A

True

18
Q

Which of the following questions would be helpful to ask your patient who informs you that her past occlusal night guard did not help her jaw pain?

Was it a soft or hard night guard?

Did you wear it every night?

Was it custom made by your dentist or bought in a drugstore?

Was it expensive?

A

Was it a soft or hard night guard?
check

Did you wear it every night?
check

Was it custom made by your dentist or bought in a drugstore?
check

19
Q

What is the normal range of vertical opening for unassisted and assisted mouth opening?

20-30 mm

30-40 mm

40-50 mm

40-60 mm

60-65 mm

A

40-60 mm

20
Q

During lateral movements your patient reports clicking noises and you measure right lateral movement at 5 mm. You would suspect an anterior disc displacement in which side?

Right TMJ

Left TMJ

A

Left TMJ

21
Q

During mouth opening you observe that your patient’s midline deflects to the right side and does not return to the midline. Maximum assisted opening=30mm. You suspect the following:

Anterior disc displacement with reduction in the right TMJ

Anterior disc displacement with reduction in the left TMJ

Anterior disc displacement without reduction in the right TMJ

Anterior disc displacement without reduction in the left TMJ

A

Anterior disc displacement without reduction in the right TMJ

22
Q

During the muscle palpation examination, you will tell your patient which of the following:

To rate their pain as mild, moderate or severe

To inform you if the pain immediately spreads to a different location

To inform you if the exam worsens their symptoms

To point to the location where the pain spreads to

To inform you if you are reproducing their symptoms

A

To rate their pain as mild, moderate or severe
check

To inform you if the pain immediately spreads to a different location
check

To inform you if the exam worsens their symptoms
check

To point to the location where the pain spreads to
check

To inform you if you are reproducing their symptoms
check

23
Q

The advantage of ordering a Panoramic radiograph for your facial pain patient is that it allows visualization of the maxilla, mandible, teeth and TMJ on one film.

True

False

A

True

24
Q

Your patient complains of sharp, electric shock like pain on the right face lasting for minutes. You should evaluate the pain distribution by performing which test(s)?

Asking your patient to frown, close their eyelids and smile

Asking the patient to clench their teeth and tell you where the pain is located

Touching the face with a cotton tipped applicator on V1-3 and ask if the sensation is the same on the right and left sides

Touching the face with a 25 guage needle on V1-3 and ask if the sensation is the same on the right and left sides

A

Touching the face with a cotton tipped applicator on V1-3 and ask if the sensation is the same on the right and left sides

Touching the face with a 25 guage needle on V1-3 and ask if the sensation is the same on the right and left sides

Dental Orofacial Pain (14 decks)

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