Krok 2 STOMATOLOGY - Центр тестування при МОЗ …€¦ · · 2017-10-01Krok 2 STOMATOLOGY Student ID Last name ... of 16.10.2002 №374, of 29.05.2003 ... Крок

MINISTRY OF PUBLIC HEALTH OF UKRAINE

Department of human resources policy, education and science

Testing Board

Test items for licensing examination

Krok 2

STOMATOLOGY

Student ID Last name

Variant ________________

ББК 54.1я73

УДК 61

Authors of items: Aleksandrov O.O., Andrianova I.I., Artyukh V.M., Belaiev E.V., Bondalyetov V.O.,

Bondarenko V.S., Bosa L.F., Byelikov O.B., Cheliy O.I., Chernov D.V., Chernov O.YE., Chygrynets V.N.,

Denisenko O.G., Derkach L.Z., Devdera O.I., Dmytriyeva A.A., Dubova L.I., Dzhereliy A.O.,

Feshchenko I.F., Filimonov YU.V., Forostyaniy S.A., Furdichko A.I., Furman R.L., Gaiduk R.V.,

Gerasimchuk P.G., Golik V.P., Golovko N.V., Golubyeva I.M., Gordon-Zhura G.S., Gorlenko O.V.,

Grekulyak V.V., Grynovets’ B.S., Gubanova O.I., Gumets’kiy R.I., Gurzhiy O.V., Idashkina N.G.,

Ilnyckiy YA.M., Isakova N.M., Ivchenko N.A., Kaladze K.M., Karelina L.S., Kas’kova L.F.,

Kharchenko O.I., Kharkov L.V., Kl’omin V.A., Kolesnichenko O.V., Kolesnyk K.A., Kolesnyk V.M.,

Kolomeichuk B.YA., Kordys M.S., Kosaryeva L.I., Kostyshyn Z.T., Kovalenko M.O., Koval’ O.V.,

Koval’ S.M., Koval’chuk L.P., Kovach I.V., Kozynenko L.A., Krupnik N.M., Kuznecova L.V., Kuz’ G.M.,

Kurilets’ KH.S., Loganovs’ka YE.M., Lomeks O.I., Lungu V.I., Lysenko YU.G., Makarevich A.YU.,

Matviychuk O.YA., Mazuryna I.O., Mirchuk B.M., Mironova I.V., Mizyuk L.V., Moiseitseva L.O.,

Morozova M.M., Muzychina G.A., Neiko N.V., Nesin O.F., Novikov V.M., Odzhubeiska O.D.,

Oleksandrov O.O., Ovcharenko E.N., Ozhogan Z.R., Pan’kevych A.I., Polishchuk S.S., Popova O.I.,

Prots’ G.B., Potiyko V.I., Raiyda A.I., Rimsha O.YE., Riznyk S.S., Romanenko I.G., Romanovs’ka A.P.,

Romashkina O.A., Rubizova A.G., Samsonov O.V., Satanovskiy M.A., Scherbyna I.M., Shapovalov A.S.,

Sharan M.O., Shuklyn V.A., Shutak O.V., Sklyar S.O., Strel’chenya T.M., Svirchkov V.N., Sydorenko I.V.,

Sylenko YU.I., Syriy O.M., Tereshyna Z.L., Tsentilo V.G., Tsysynskiy M.B., Tyugashina YE.G.,

Udod O.O., Val'chuk O.G., Volovar O.S., Yeroshenko O.A., Zamureyko A.I., Zelinc’ka N.A.,

Zhdanov V.YE. and committees of professional expertise.

Item reviewers. Byelikov O.B., Gerelyuk V.I., Zhegulovich Z.E., Ilenko N.M., Kaskova L.F.,

Kosareva L.I., Kril A.Y., Moiseytseva L.O., Muzichina G.A., Muntyan L.M., Nerodenko N.I., Nesin O.F.,

Nikolishin A.K., Ostapko O.I., Rayda A.I., Rozkolupa O.O., Samsonov O.V., Sedletska A.O., Solonko G.M.,

Tril S.I., Usenko S.A., Filimonov YU.V., Kharchenko O.I., Yakovenko L.M.

The book includes test items for use at licensing integrated examination “Krok 2. Stomatology” and

further use in teaching.

The book has been developed for students of stomatological faculties and academic staff of higher

medical educational establishments.

Approved by Ministry of Public Health of Ukraine as examination and teaching

publication based on expert conclusions (Orders of MPH of Ukraine of

14.08.1998 №251, of 27.12.1999 №303, of 16.10.2002 №374, of 29.05.2003 №233).

© Copyright Testing Board.

General Instruction

Every one of these numbered questions or unfinished statements in

this chapter corresponds to answers or statements endings. Choose the

answer (finished statements) that fits best and fill in the circle with the

corresponding Latin letter on the answer sheet.

Крок 2 Stomatology (англомовний варiант, iноземнi студенти) 2015 рiк 1

1. After examination a 5-year-old child wasdiagnosed with acute general pulpitis of the 74tooth. What treatment will be most efficient inthis case?

A. Pulp extirpationB. Vital amputationC. Non-vital amputationD. Biological methodE. Tooth extraction

2. A 55-year-old female patient complainsof pain during eating food, erosions coveri-ng oral mucosa. The disease onset was morethan one month ago. Objectively: the mucosaof the gums, soft palate and dental arches isunchanged, but has large bright-red erosions.The mucosa is easily damaged and exfoliateswhen rubbed. The pain is slight. Impressionsmears contain Tzanck cells. What is the mostprobable diagnosis?

A. Pemphigus vulgarisB. Lever’s bullous pemphigoidC. Benign nonacantholytic pemphigusD. Erythema multiformeE. Lichen ruber planus, bullous form

3. A 17-year-old female patient complains ofgingival growth in the area of the upper andlower front teeth. When examined, the gingi-val papilla appear to be hyperemic, swollen,cover the teeth crowns up to 1/2, bleed whentouched. Pathology of the following system isimportant in etiology of this disease:

A. EndocrineB. Cardio-vascularC. DigestiveD. ImmuneE. Nervous

4. A 48-year-old male patient complains ofitching gums. Objectively: the gums are firm;cold water causes short-time pain in the teeth.X-ray imaging shows osteosclerosis of thealveolar septum: close-meshed bone structure,the alveolar septum height and intactness ofthe cortical plates is retained. What is the mostprobable diagnosis?

A. Initial parodontosisB. Atrophic gingivitisC. Initial periodontitisD. Periodontitis, stage IE. Parodontosis, stage I

5. A patient complains of spontaneous,paroxysmal, irradiating pain with short pain-free intervals. The pain arose 2 days ago andoccurs only at night. Make a provisional di-agnosis:

A. Acute diffuse pulpitisB. Acute deep cariesC. Exacerbation of chronic periodontitisD. Acute circumscribed pulpitisE. Acute purulent pulpitis

6. A 34-year-old patient had got in a car

accident. The patient stayed conscious. Hecomplains of headache, dizziness, generalweakness, nausea. 12 hours after the injurythe patient got "raccoon eyes"(periorbitalhaematomas) within the limits of the circularmuscle of eye. What fracture does the victimhave?

A. Fracture of skull baseB. Le Fort II fracture of maxillaC. Fracture of nasal bonesD. Bilateral fracture of zygomatic bonesE. Fracture of frontal bones

7. In the process of root extraction of the 38thtooth with Lecluse root elevator a dentist haspushed the root through into the perimandi-bular soft tissues. The root is situated underthe alveolar arch mucosa and can be clearlypalpated. What approach should the doctorchoose in the given case?

A. Dissection of soft tissues covering the rootfollowed by root extractionB. To try and extract the root through the toothsocketC. Surgical root extraction through extraoralsubmandibular way of accessD. Further actions can be determined only afterX-ray examinationE. To leave the root in the soft tissues

8. An 8-year-old girl complains of bleedinggums. The child suffers from pancreatic di-abetes. Objectively: gingival papillas in thearea of the upper and lower jaw teeth arehyperemic, swollen, cover 1/3 of the crown.What tests are necessary to determine severityof the illness?

A. X-ray radiographyB. Reoparodontography (Impedancephlebography of periodontium)C. Capillary fragility testD. PMA indexE. Stomatoscopy

9. A 47-year-old female patient complains ofinability to eat hot and cold food, as wellas of intense pain caused by sour, sweet andsalty food. Objectively: there is a slight lossof enamel on the molars and incisors. Probi-ng and cold test cause acute pain. What is themost likely diagnosis?

A. Hyperesthesia of dental hard tissuesB. Enamel erosionC. Enamel necrosisD. Enamel hypoplasiaE. Pathological abrasion of dental hard tissues

10. A 36-year-old patient complains of painunder the dental bridge. After its removal thepatient has been found to have an ulcer 0,3x0,5cm large on the alveolar process. The ulceris slightly painful and soft, the surroundingmucosa is hyperaemic, submandibular lymphnodes are not enlarged. What is a provisionaldiagnosis?


A. Decubital ulcerB. Trophic ulcerC. Sutton aphthaD. Cancerous ulcerE. Tuberculous ulcer

11. A 45-year-old female patient presents to adental clinic for prosthetics. Objectively: the47, 46, 45, 35, 36, 37 teeth are missing. Thereis dentoalveolar vertical displacement of the17, 16, 26, 27 teeth; the alveolar process ishypertrophied, the cervical margins are notexposed. When the teeth are closed, the di-stance between the occlusal surfaces of teethand the alveolar process is about 6 mm. Speci-fy the most efficient method of treatment ofsecondary deformation in this patient:

A. Pulp removal and teeth grindingB. Surgical treatmentC. GrindingD. Hardware-associated surgical treatmentE. Disocclusion

12. A 58-year-old patient has made an appoi-ntment to make a denture. Objectively: the22nd tooth is stable and intact. The alveolarcrest is atrophied; palate is flat. Removabledenture is to be made. What approach regardi-ng the 22nd tooth should be chosen by a denti-st?

A. To make a telescopic crownB. To retain the toothC. Removal of tooth pulpD. Tooth extractionE. To make a stump crown

13. A 35-year-old patient has made an appoi-ntment with a doctor to have oral cavity sanati-on. Objectively: the vestibular surface of the22nd tooth has a hard tissue defect localisedin the mantle dentin; the dentin is hard, dark-coloured, the floor of the cavity is coarse. Coldstimulus and probing are painless. What is themost probable diagnosis?

A. Chronic median cariesB. Enamel erosionC. Cuneiform defectD. Dental fluorosis, destructive formE. Hard tissue necrosis

14. A 12-year-old boy complains of a cavity in atooth on the lower left jaw. Objectively: 1/3 ofthe 36th tooth is destroyed, the carious cavityopens into the dental cavity; there is sensitivityto cold stimulus; probing and percussion arepainless. X-ray imaging shows the periodontalfissure of the 36th tooth roots to be widened.What is the provisional diagnosis?

A. Chronic fibrous periodontitisB. Chronic simple pulpitisC. Chronic gangrenous pulpitisD. Chronic granulating periodontitisE. Chronic granulomatous periodontitis

15. An 11-year-old girl complains of a cosmetic

defect: the placement of the 23rd tooth isincorrect. Objectively: the face is symmetrical.The 24th tooth has buccal placement above theocclusion area. The space between the 22ndand 24th is 3 mm. What additional examinati-on is required?

A. All of the methods named belowB. Pont analysisC. X-ray examinationD. Measuring the length of the dentititonE. Korkhaus analysis

16. A 48-year-old female patient had been deli-vered to a hospital with a cheek wound andsevere headache, nausea, dizziness. It is knownfrom the history that the patient had got atrauma as a result of a fall. After examinationshe was diagnosed with a contused laceratedwound of cheek, closed craniocerebral injury,brain concussion. This trauma can be qualifiedas:

A. Concominant traumaB. Isolated traumaC. Combined traumaD. PolytraumaE. Single

17. Parents of a 6-year-old child are concernedabout their child refusing to eat and havi-ng grey-and-yellow coating in the oral cavi-ty. The symptoms are observed over a peri-od of one year. The child complains of sharpdryness and burning pain in the mouth.The anamnesis states chronic bronchitisand systematic treatment using anitibiotics.Objectively: swollen and hyperemic mucousmembranes of lips and cheeks are covered inyellow and pale-grey coating. There is coati-ng on the tongue, which is connected with thetissue, cannot be removed and has infiltrationbasis. What is the most probable diagnosis?

A. Chronic candidiasis of mouthB. Acute herpetic stomatitisC. Chronic recurrent aphthous stomatitisD. Erythema multiformeE. Acute candidiasis of mouth

18. A 24-year-old female patient has Ri-chmond crown being made to restore thecrown of the central maxillar incisor. The capis completed. What step should be the next?

A. To fit the cap on the tooth stump and placethe post in the root canalB. To solder the post with the capC. To fit the cap and the post to the tooth rootD. Making of combination dental crownE. Tooth fixation with cement

19. A patient complaining of constant dull painin the 38th tooth has made an appointment wi-th a dentist. Mouth opening is restricted to 1sm. The patient is prescribed the extractionof the 38th tooth. What kind of anaesthesiashould be administered?


A. Веrcher-Dubov anaesthesiaB. MandibularC. TorusalD. Extraoral administration of mandibularanaesthesiaE. Tuberal

20. A 67-year-old patient complains ofrecurrent erosion on the red border of thelower lip. Objectively: the erosion is ovalin shape, 0,8х1,3 sm in size, covered in thinscabs that reveal glossy surface with punctatebleeding when removed. There are atrophicareas of the red border detected. Infiltrati-on elements are absent. The submandibularlymph nodes are not enlarged. What diagnosiscan be assumed?

A. Manganotti’s abrasive precancerous cheilitisB. Leukoplakia, erosive ulcerative formC. KeratoacanthosisD. Bowen’s diseaseE. Cheilitis glandularis

21. A 66-year-old patient complains of denseraised induration at the tip of the nose.Protruding part of the induration often breaksoff and then continues to grow. Objectively:there is an affected area with focus up to 1sm in diameter at the tip of the nose. Thereis a protrusion growing from the focus; theprotrusion is 1-1,2 sm high, brownish-grey incolour, with dense consistency. What diagnosiscan be assumed?

A. Cutaneous hornB. KeratoacanthomaC. RhinophymaD. FibromaE. Hard papilloma

22. A 53-year-old patient complains of painand clicking in the left temporomandibularjoint. Objectively: the face is symmetrical,palpation of the lateral pterygoid muscles ispainful on the left side. Mouth opening isrestricted. Tomogram shows the bone outlineof joint surfaces to be smooth. Which diseaseof those given below corresponds with this cli-nical presentation?

A. Temporomandibular joint disfunctionB. Rheumatic arthritisC. Deforming arthrosisD. Acute posttraumatic arthritisE. Joint ankylosis

23. A 38-year-old male patient complainsof carious cavity. Prior to that there wereattacks of toothache with no external cause.Objectively: the distal masticatory surface ofthe 37th tooth has deep carious cavity filledwith softened pigmented dentine. Percussi-on is painless. Upon the extraction of thedegenerated tissue cold water stimulus causespain lasting about 1 minute. X-ray imagingshows deformation of the periodontal fissurein the area of the root apexes of the 37th tooth.What is the most probable diagnosis?

A. Chronic fibrous pulpitisB. Exacerbation of chronic pulpitisC. Acute deep cariesD. Chronic deep cariesE. Chronic fibrous periodontitis

24. A 32-year-old male patient complains ofdryness and burning pain in the back of thetongue. The symptoms have been lasting for1 week. The pain increases when spicy foodis taken. A day prior to that the patient hadsuffered from pneumonia and had been takingantibiotics. Objectively: the skin and mucosaof oral cavity are pale. The tongue mucosais hyperemic and swollen; there is crumblinggrey-and-white coating in the folds of the backof the tongue; the lateral surfaces of the tongueare desquamated. The saliva is thick and dragsin threads after a spatula. Choose the mosteffective drug complex for topical treatment.

A. Methylene blue + Pimafucin (Natamycin)B. Hydrocortisone ointment + SolcoserylC. Decaminum (Dequalinium chloride) +HydrocortisoneD. Furacilinum (Nitrofural) + Methylene blueE. Furacilinum (Nitrofural) + Solcoseryl

25. A 37-year-old woman has made an appoi-ntment to extraxt the 25th tooth. What kind ofanaesthesia is the most advisable?

A. Unilateral tuberal, infraorbital and palatinalanaesthesiaB. Unilateral tuberal and palatinal anaesthesiaC. Unilateral infiltration anaesthesia from thevestibular surfaceD. Unilateral infraorbital and incisoralanaesthesiaE. Unilateral infraorbital and palatinalanaesthesia

26. A 70-year-old patient with all his lower jawteeth lost is undergoing the process of fitti-ng individual dental spoon using Herbst tests.When the mouth is opened slowly the spoonrises in the front area. What area requirescorrection of the spoon placement?

A. Vestibular surface between caninesB. Behind the retromolar trigone to mandi-bulohyoid lineC. Frenulum of tongue areaD. From the retromolar trigone to the place,where the 2nd molar will be placedE. 1 cm from the midline on the sublingual end

27. Preventive examination of a 4,5-year-old child revealed some hidden cavities onthe contact surfaces of the 54 and 55 teeth.After removal of the overhanging edges ofthe enamel the softened dentin could beeasily removed with an excavator within themantle dentin. Select the optimal material fora permanent filling:


A. Compomer materialB. Composite materialC. Silicate cementD. Silicophosphate cementE. Polycarboxylate cement

28. A 38-year-old female patient complains ofpain in front of the external auditory meatusprojection, clicking when opening the mouth,sensation of stuffiness in the ears. Objectively:the face is symmetric, the trajectory of mouthopening is straight. There is a I class Kennedydefect, the 18, 17, 16, 26, 27, 28 teeth are missing.Which anatomical structure takes the greatestload in this situation?

A. Articular disc (meniscus)B. Articular headC. Distal surface of the medial articular tubercleD. Bottom of the glenoid fossa of the temporalboneE. Articular capsule

29. An 11-year-old child complains of painand bleeding gums when eating, bad breath,weakness and headache that have been lastingfor two days. Objectively: gingival mucosa inthe area of front lower teeth is swollen, brightlyhyperemic, easily bleeds when touched. Gingi-val papillas are covered with dirty-grey coati-ng; when coating is removed the underlayingsurface is bleeding and painful. The occlusionis deep. There are significant deposits of softdental plaque. The regional lymph nodes areslightly enlarged and painful when palpated.Body temperature is 37, 6oC . What is theprovisional diagnosis?

A. Acute ulcerative gingivitisB. Acute catarrhal gingivitisC. Chronic catarrhal gingivitisD. Chronic hypertrophic gingivitisE. Generalized periodontitis

30. An 18-year-old student needs prostheticporcelain-fused-to-metal denture for the 11,21 teeth. There are no contraindications forthe use of such construction. What is the mostappropriate material for taking impressions?

A. SielastB. StomalginC. OrthocorD. StensE. Repin

31. A 67-year-old patient complains of pain,bleeding, chewing disorder. The anamnesisstates domestic injuri of the lower jaw. Objecti-vely: the upper jaw dentition is retained. Thelower jaw has no teeth, there is central fractureof the lower jaw with bone defect, the placeof the fracture is swollen. What construction isthe most advisable in this case?

A. Vankevych dental-gingival splintB. Port gingival splintC. Gunning gingival splintD. Weber dental-gingival splintE. Zbarzh appliance

32. A 22-year-old patient complains of a pai-nful swelling in the right parotid gland. A weekearlier the patient got a cheek abrasion whichhealed under the purulent crust. Over the pasttwo days the patient had observed progressi-ng pain and fever up to 38, 6oC . Objectively:there is a soft tissue edema in the right parotidregion, the skin is slightly strained but has notchanged in colour. There is a dense painfulinfiltration 2,5x3,5 cm large, the skin over itexhibits limited mobility. The mouth can befully opened, the mucous membrane aroundthe orifice of the salivary duct is unchanged,the saliva is transparent. What is the most li-kely diagnosis?

A. Acute lymphadenitisB. Exacerbation of chronic parotitisC. Abscess of the parotid-masseteric regionD. Acute non-epidemic parotitisE. Epidemic parotitis

33. A 44-year-old patient complains of painfuland restricted mouth closing, inability to takefood and sharp pain in the temporomandibularjoint. Objectively: the mouth is half-open, thelower jaw is displaced in the distal projecti-on, the lower jaw processes are displacedupwards; trismus of the masticatory musclesand swelling in the temporomandibular jointareas are observed. What is the most probablediagnosis?

A. Dystal mandibular dislocationB. Bilateral mandibular fracture in the mandi-bular angle areaC. Acute arthritis of temporomandibular jointsD. Bilateral ankylosis of temporomandibularjointE. Bilateral fractures of the condylar processesof mandible

34. A 58-year-old patient has significantlynarrowed mouth opening due to trauma andburns of the face. He is prescribed partialremovable denture. What denture constructi-on is the most advisable in the given case?

A. Folding dentureB. Clammer-stabilized clasp (bugel) prosthesisC. Attachment-stabilized clasp (bugel) dentalprosthesisD. Jointed removable dentureE. Simple removable partial laminar denture

35. A 40-year-old patient complains of pain inthe lower jaw, malocclusion. He sustained atrauma 6 hours ago. Examination revealed asingular lower jaw fracture between the secondincisor and the left canine. Fragments di-splacement is insignificant. All teeth are retai-ned and stable. What is the optimal treatment?


A. One arch dental bracesB. Osteosynthesis with mini plateC. Full dental bracesD. Gartsatnikov splintE. Vasilyev splint

36. Having recovered from acute respiratorydisease, a patient has made an appointmentwith a dentist. The patient complains of painin the gums, bad breath, inability to take food,general weakness. Objectively: the gums arehyperemic, swollen, covered in necrotic dirty-grey coating; the gums bleed when the coati-ng is removed. Microbiological study of ti-ssues revealed a great number of cocci, bacilli,fusobacteria, and spirochaete. Specify the drugfor etiotropic treatment.

A. MetronidazoleB. GalascorbinumC. Potassium permanganateD. TripsinE. Carotolinum (Betacarotene)

37. A 4-year-old boy has been diagnosed wi-th acute purulent periostitis of the upperjaw from the 64th tooth. Choose the correctapproach in treatment.

A. The 64th tooth extraction, periosteotomy,pharmacotherapyB. The 64th tooth extraction, anti-inflammatorypharmacotherapyC. Endodontological treatment of the 64thtooth, anti-inflammatory pharmacotherapyD. Endodontological treatment of the 64thtooth, periosteotomyE. Periosteotomy, anti-inflammatorypharmacotherapy

38. During the examinations and everydayorthopaedic manipulations a dentist uses adental mirror. What is the way of its sterili-zation?

A. In the triple solution for 30 minutesB. In the 0,5% ethyl chloride solution for 20minutesC. In the 6% hydrogen peroxide solution for 6hoursD. In the dry heat sterilizer at 180oC for 10minutesE. In the 0,01% chloramine solution for 10minutes

39. A 45-year-old patient has central defect ofthe hard palate. The defect is 2х3 sm in si-ze. Dentition is intact. What construction ofobturator is the the most advisable in this case?

A. Palatal obturatorB. Pomerantseva-Urbanskaya obturatorC. Floating obturatorD. Ilyina-Markosyan obturatorE. Laminar denture with obturating element

40. A 32-year-old patient presented to aprosthetic dentistry clinic with a diagnosis ofmaxillary fracture.The fracture can be treatedby means of standard maxillo-mandibular

Zbarzh set. Which construction provides theintra-oral fixation?

A. Standard double archB. Aluminium arch barC. Plastic biteplateD. Weber’s splintE. Crown-supported soldered splint

41. A 32-year-old patient has made an appoi-ntment with a dental surgeon to have oralcavity sanation performed prior to dentureinstallation. During examination the doctorstated the following: the crown of the 25thtooth is destroyed. The tooth root is stable, andits percussion is painless. Mucosa of alveolarprocess is unchanged. X-ray imaging revealsslight widening of periodontal fissure. Whatprovisional diagnosis can be made?

A. Chronic fibrous periodontitis of the 25thtoothB. Chronic periodontitis of the 25th toothC. Chronic granulomatous periodontitis of the25th toothD. Chronic granulating periodontitis of the 25thtoothE. Cystogranuloma

42. A 10-year-old girl complains of an aestheticflaw. The anamnesis states, that she hadbeen sucking her right thumb up to theage of 7. Objectively: the face lower thi-rd is somewhat reduced. The sagittal fissurebetween the upper and lower incisors, is 9mm wide, class 2 according to the Angleclassification. Eshler-Bittner test leads to ini-tial temporary improvement of the girl’s face,followed by renewed deterioration. What cli-nical malocclusion is the most probable in thiscase?

A. Maxillary macrognathia and mandibularmicrognathiaB. Maxillary macrognathiaC. Mandibular micrognathiaD. Maxillary prognathism with lateralcompressionE. Mandibular retrognathia

43. A 35-year-old patient complains about itch,burning and edema of lips. These presentati-ons occured a week ago. Objectively: thereis reddening of vermilion border and skin,especially in the region of mouth corners, thereare also vesicles, crusts, small cracks along wi-th erythematous affection of vermilion border.What is the most likely diagnosis?

A. Acute eczematous cheilitisB. Multiform exudative erythemaC. Acute herpetic cheilitisD. Allergic contact cheilitisE. Exudative form of exfoliative cheilitis

44. A 44-year-old male patient complainsof fatigue and headache, limb numbness,dry mouth, burning and pain in the tongue.Objectively: skin and oral mucosa are pale.There are painful cracks in the corners of


mouth. Dorsum of tongue is smooth, glossy,with bright red striae. Blood count: Hb- 70g/l, RBCs - 1, 5 · 1012/l, colour index - 1,6,leukopenia, thrombocytopenia, lymphocytosis.What is the most likely diagnosis?

A. Addison-Biermer anemiaB. Chronic posthaemorrhagic anemiaC. Late chlorosisD. Iron deficiency anemiaE. Aplastic anemia

45. A 35-year-old male patient is prescribedadhesive dental bridge. Objectively: the 15thtooth is lost. The 14th and 16th abutmentteeth are stable. The teeth crowns are of medi-um height. The teeth equator is pronounced.Occlusion is orthognathic. What area of theabutment teeth MUST NOT be covered withdenture framework?

A. Cervical circumference of the teethB. Tooth equators of the approximal surfacesC. Tooth equators of the oral surfacesD. Fissures of masticatory surfacesE. Below the equator of vestibular surfaces

46. When a prosthodontist was preparing thepatient’s tooth, the patient had epileptic sei-zure that was subsequently terminated. Whatmistake had been made by the doctor?

A. No inquire into the patient anamnesisB. No inquire into the antecedent anamnesisC. No anaesthesiaD. Crude preparationE. Did not decline the appointment

47. A 30-year-old patient complains oftoothache caused by hot and cold stimuli.The pain irradiates to the ear and temple.Previously there was spontaneous nocturnaltoothache. Objectively: on the occlusal surfaceof the 37 tooth there is a deep carious cavi-ty communicating at one point with the toothcavity. Probing at the communication point, aswell as cold stimulus, cause acute pain. Thepain persists for a long time. Electric pulp testresult is 55 mA. What is the most likely di-agnosis?

A. Exacerbation of chronic pulpitisB. Acute diffuse pulpitisC. Exacerbation of chronic periodontitisD. Chronic concrementous pulpitisE. Acute purulent pulpitis

48. A 34-year-old-patient complains of hard ti-ssues defect of the 21st and 22nd teeth. He isreferred for porcelain-fused-to-metal crownsinstallation for his 21st and 22nd teeth wi-thout removal of tooth pulp. What kind ofanaesthesia administration should be used intooth preparation?

A. InjectionB. AudioanalgesiaC. TopicalD. General anesthesiaE. Cryanesthesia

49. An 8-year-old child needs his 74th toothextracted due to exacerbation of chronic peri-odontitis. What kind of anaesthesia should beused?

A. Mandibular anaesthesiaB. Torusal anaesthesiaC. Infiltration anaesthesiaD. Application anaesthesiaE. Mental nerve block

50. A 25-year-old patient complains of paincaused by eating sweet, hot and cold food;pain ceases, when stimulation stops. Objecti-vely: the adjoining surface of the 36th toothhas a deep carious cavity localised in the ci-rcumpulpar dentin. The dentin is softened.Probing of the carious cavity floor is painful.What is the most probable diagnosis?

A. Acute deep cariesB. Acute median cariesC. Chronic fibrous pulpitisD. Chronic median cariesE. Chronic deep caries

51. A 24-year-old patient complains of achingpain in the 11 tooth that is getting worse duringbiting down on food. Two days ago the toothwas filled for pulpitis. Objectively: the 11 toothis filled. The thermal test causes no pain, verti-cal percussion is slightly painful. X-ray pictureof the 11 tooth shows that the endodontic filli-ng is 1 mm above the root apex. Which of thefollowing methods will be most effective foreliminating this complication?

A. FluctuorizationB. Ultrahigh frequency therapyC. Relaxing incisionD. Submucous injection of 1% solution ofhydrocortisoneE. Analgetics

52. A removable denture is being made for apatient. At the stage of designinig the dentureaccessory material - isocol - is used. Whatgroup does it belong to?

A. InsulationB. ImpressionC. ModelingD. FormingE. Polishing

53. A 46-year-old patient, after his recoveryfrom flu, has suddenly started suffering frompain in the 36th tooth, the crown of which hadbeen destroyed. The soft tissues surroundingthe lower jaw are swollen. There are high feverup to 39oC and chill observed. Objectively:there is prominent swelling of the left lowerjaw alveolar mucosa (both oral and vestibularsurfaces). The 34th, 35th and 37th intact teeth


are mobile. Percussion is painful. The gingivalpockets produce purulent exudate. Vincent’ssymptom is observed. What diagnosis can beassumed?

A. Acute odontogenic mandibular osteomyeli-tis starting from the 36th toothB. Exacerbation of chronic periodontitis of the36th toothC. Acute suppurative mandibular periostitisstarting from the 36th toothD. PeriodontitisE. Exacerbation of chronic mandibularosteomyelitis

54. A doctor treating an AIDS-positive patienthas accidentally pierced his own skin of thepalm with a root needle. What should be thefirst course of actions?

A. Squeeze out blood, process the breach with70% alcohol solutionB. Squeeze out blood, process the breach withstrong solution of potassium permanganateC. Apply tourniquet to the shoulderD. Process the breach with 5% iodine solutionE. Process the breach with 3% hydrogenperoxide solution

55. A 45-year-old patient complains of mi-ssing teeth in the lower jaw on the right.Objectively: the 46, 45, 38, 48 teeth are mi-ssing. The 47 tooth is mobile (1 grade mobi-lity), the crown of the 44 tooth is decayedby 1/2. What orthopedic construction shouldbe recommended for restoration of masti-catory efficiency and prevention of periodontaloverload of the 47, 44 teeth?

A. Bugel denture with clasp fixation for the 47,44, 34 teethB. Soldered bridge supported by the 48, 44teethC. Porcelain-fused-to-metal bridge supportedby the 47, 46 teethD. Bridge supported by the 47 toothE. Small saddle denture with clasp fixation forthe 47, 44 teeth

56. A 53-year-old female patient complainsof feeling of tightness and coarseness in themucosa, the red border and the skin of the face.Objectively: the skin of the face has butterfly-shaped damage, the red border is infiltratedand tightly covered in hyperkeratinized scales.When an attempt is made to remove them,they bleed and are painful. What disease is thisclinical presentation characteristic of?

A. Lupus erythematosusB. Chronic hyperplastic candidiasisC. Lupus vulgaris (Tuberculosis luposa)D. Lichen ruber planusE. Secondary syphilis

57. A 7-year-old boy complains of increasedbody temperature, up to 38oC , headache, sorethroat. Objectively: there are erosions on theslightly hyperemic mucosa of the soft palate,

anterior palatal bars, tonsils. The submandi-bular lymph nodes are slightly enlarged, pai-nless. Name the causative agent of this disease.

A. Coxsackie virusB. Herpes simplex virusC. Epstein-Barr virusD. Klebs-Loeffler bacillusE. Bordet-Gengou bacillus

58. A 12-year-old girl has complaint of cariouscavity in a tooth. Objectively: there is class 1carious cavity according to the Black’s classi-fication in the 36th tooth; it is localised in theparapulpar dentin; the mouth of the cavity iswide. The dentin is dense and pigmented. Itis sensitive to cold stimulus, percussion is pai-nless. What is the most probable diagnosis?

A. Chronic deep cariesB. Chronic median cariesC. Acute deep cariesD. Acute median cariesE. -

59. A 35-year-old female patient has complai-nts of cosmetic defects of the front upperteeth crowns. The defects have been increasi-ng for the last 10 years. The patient suffersfrom unpleasant sensations when brushing herteeth, and when chemical stimuli are appli-ed. Objective examination revealed defectslocalised in the enamel of the front upper teethvestibular surface. The defects are oval, saucer-shaped, and have clear margins. Probing andcold stimuli sensitivity test resulted in positivereaction. Make the diagnosis.

A. Enamel erosionB. Enamel hypoplasiaC. Cuneiform defectD. Chemical necrosis of the toothE. Hyperesthesia of tooth hard tissues

60. A prosthodontist uses a mouth mirror forexamination and manipulation during regularappointments. How are mouth mirrors sterili-zed?

A. With 6% hydrogen solution freshly preparedon the day of use for 6 hoursB. In a dry-heat sterilizer under 180o Celsius for10 minutesC. With 1% chloramine solution for 10 minutesD. With 0,5% sulfachlorantin solution for 20minutesE. With triple solution for 30 minutes

61. A 56-year-old male patient complains ofpain in the left parotid-masticatory area andprogressing facial asymmetry first noticedone month ago. The diagnosis is the cancerof parotid gland - T2N2. What method oftreatment is optimal in the given case?


A. Combined methodB. Surgical extraction of neoplasmC. Radiation therapyD. ChemotherapyE. Lymph nodes removal

62. A 20-year-old male patient complains ofsharp pain in the mouth, increase of bodytemeperature up to 38, 5oC , headache andaching joints, general weakness. The diseaseonset was 3 days ago due to overexposureto cold. Objectively: the lips red border hashemorrhagic scabs, oral mucosa has largeerosions and ulcers merging with each otherand covered with greyish-white coating on thebackground of diffuse hyperemia. Conjuncti-vitis is observed. The skin of the forearms haserythematous spots sized 1,5 cm in diameter,with blisters in their center. What is the mostprobable diagnosis?

A. Stevens-Johnson syndromeB. Erythema multiformeC. Drug-induced stomatitisD. Lyell’s syndromeE. Behcet’s syndrome

63. A 36-year-old female patient has complai-nt of the 23rd tooth filling constantly fallingout. Objectively: the 23rd tooth has cariouscavity of the V class according to the Black’sclassification of caries lesions. A dentist hasmade a decision to restore anatomical shape ofthe tooth with dental inlay. What is the speci-fic feature of the cavity preparation for dentalinlay in this case?

A. Designing oval-shaped cavityB. Extention of the cavity floorC. Creation of retention pointsD. Creation of additional platformE. Making cavity outlet to the palatal surface

64. A 68-year-old patient, having suffered fromstroke, has time to time bouts of retching,which lead to unilateral diclocation of thetemporormandibular joint. Setting the jointwas possible only with anaesthesia. Objecti-vely: absent are the following teeth - from the21st to the 28th, 15th, 16th, 17th, 18th, 36th,37th, 44th, 46th, 47th. What kind of dentureconstruction will be optimal for the durationof treatment?

A. Removable laminar denture with mouthopening restrictorB. Schroder appliance with sliding jointC. Petrosov appliance with restrictorD. Yadrova applianceE. Khodorovych-Burgonska appliance withrestrictor

65. Parents of a 12-year-old child are concernedabout the child having white spots on thefrontal teeth of the upper jaw; the spotsappeared half a year ago. Objectively: thereare chalky spots detected in the cervical zoneof the 11th, 12th, 13th, 21st, 22nd, 23rd teethvestibular surface. The enamel in those spotsis dull; probing revealed it to be pliant and

coarse. The anamnesis states short-time paincaused by chemical stimuli. What is the provi-sional diagnosis?

A. Acute initial cariesB. Chronic initial cariesC. Acute superficial cariesD. Systemic hypoplasia of enamelE. Dental fluorosis

66. A 47-year-old patient is undergoing dentaltreatment of erosive/ulcerative form of li-chen ruber planus. 1-month-long conservati-ve therapy was uneffective. What physi-otherapeutic method is the most effective asa part of complex therapy?

A. CryodestructionB. Ultra-high-frequency treatmentC. ElectrophoresisD. Ultraviolet irradiationE. D’arsonvalization

67. A 21-year-old patient complains of aconstant progressing throbbing pain in the 27tooth. Objectively: a large carious cavity is fi-lled with softened dentin, the tooth cavity isclosed. Probing of the cavity floor is painless,percussion causes acute pain, there is gradeII tooth mobility. Palpation of the mucousmembrane in the projection of the root apex ofthe 27 tooth causes pain. Radiological changesare absent. What is the most likely diagnosis?

A. Acute purulent periodontitisB. Exacerbation of chronic periodontitisC. Acute diffuse pulpitisD. Acute serous periodontitisE. Acute purulent pulpitis

68. A child is 13 years old. The third uppertooth is fully cut, but situated slightly abovethe occlusion surface. What kind of abnormalplacement is it?

A. SupraversionB. TorsoversionC. VestibularD. InfraversionE. Oral

69. A 47-year-old patient complains of ulcer onthe back of the tongue. The anamnesis statesthat the ulcer had been preceded for a longterm by protruding infiltrate that was graduallygrowing until the ulcer appeared. Objectively:the back of the tongue has shallow oblongulcer surrounded with bumps with underminededge. What is the most probable diagnosis?

A. Tuberculous ulcerB. Primary syphilisC. Tongue actinomycosisD. Tongue abscessE. Decubitus ulcer

70. A 16-year-old patient has made an appoi-ntment with a doctor due to the followingcomplaints: enlarged lymph nodes and fistulain the submandibular area; general weakness;


low grade fever. Objectively: the submandi-bular lymph nodes are dense and slightly pai-nful, with clearly detectable margins. Caseoussubstance is produced from the fistulous tract.What is the most probable diagnosis?

A. Tuberculosis of lymph nodesB. Actinomycosis of lymph nodesC. Syphilitic lymphadenitisD. Chronic osteomyelitisE. Subcutaneous granuloma

71. A 42-year-old patient complains of painin the right side of her head, restrictedmovements of the lower jaw, clicking sound,periodic spasms of chewing muscles. Objecti-vely: the face is symmetric, mouth openi-ng is restricted. On palpation of the righttemporo-mandibular joint (TMJ) there arecrepitation and clicking accompanying mandi-ble movements. Examination of the oral cavityrevealed also a Kennedy’s class II defect on theright. What is the most likely diagnosis?

A. Pain dysfunction of the right TMJB. Acute arthritis of the right TMJC. Sclerosing osteoarthritis of the right TMJD. Contracture of the right TMJE. Myositis ossificans

72. A 13-year-old child suffers fromodontogenic osteomyelitis starting from the36th tooth and complicated by abscess of thepterygomandibular space. The 36th tooth isto be extracted; it is necessary to open thepterygomandibular space. These operationsrequire the following type of anaesthesia:

A. General anaesthesiaB. Веrcher-Dubov central anaesthesiaC. Infiltration anesthesiaD. Tuberal and palatinal anaesthesiaE. Torusal anaesthesia

73. Clinical stage of checking the clasp (bugel)dental prosthesis framework as it should beplaced in the oral cavity revealed the denturearch to come off unevenly from the hard palateand alveolar process creating the gap up to 0,8mm in width. What method can be applied toremove this defect?

A. To make a new framework for clasp dentalprosthesisB. To make adjustments to the framework usingcrampon forcepsC. To make adjustments to the framework usingdental hammer and bench anvilD. To heat the metal using a gasoline blow torchand make adjustments by pressing to the modelE. This kind of defect does not requireadjustments

74. A 48-year-old man has an X-ray image ofhis lower jaw made during sanation of the oralcavity. Destruction of the bone tissue in thegonial angle area is detected, the pathology isnot connected with tooth roots. The affectedarea has clear margins. Puncture consists of

brown exudate without cholesterol crystals.What is the provisional diagnosis?

A. OsteoclastomaB. Mandubular hemangiomaC. AdamantinomaD. Mandubular cystE. Cholesteatoma

75. A 20-year-old female patient complainsof pain caused by eating sweet or sour food.Objectively: the vestibular surface of the 11thtooth has a chalky spot, coarse when probed.The centre of the spot has defect localised inthe enamel. Fedorov-Volodkina index equals2,5 (Oral Hygiene Index). What is the mostprobable diagnosis?

A. Acute superficial cariesB. Acute median cariesC. Enamel hypoplasiaD. Initial cariesE. Enamel necrosis

76. A 50-year-old male patient complainsof "small sore"on the sublingual mucosa.Pathomorphologic study of tissue sampli-ng revealed the following: polymorphismof spiny epithelial cells has progressed intoatypism; increased mitosis; giant and multi-nucleate cells; acanthosis; hyperkeratosis andparakeratosis; basal membrane and basal layerare retained. What is the most probable di-agnosis?

A. Bowen’s diseaseB. Leukoplakia, erosive formC. Lichen ruber planus, hyperkeratotic formD. Lupus erythematosus, erosive/ulcerativeformE. Decubitus ulcer

77. A 15-year-old adolescent complains of hi-gh body temperature up to 39, 5 − 40, 0oC ,vomiting, headache and sore throat, especiallywhen swallowing. Objectively: oral mucosa isswollen, hyperemic. The patient is diagnosedwith acute catarrhal gingivitis. The tonsils arehypertrophic and covered with yellow-greycoating that does not spread from lymphoidtissue and is easily removed. Submandibular,cervical, and occipital lymph nodes are signi-ficantly enlarged since the very first day ofillness and are painful when palpated. The li-ver and spleen are enlarged. What is the mostprobable diagnosis?

A. Infectious mononucleosisB. ScarlatinaC. DiphtheriaD. Herpetic anginaE. Measles

78. A patient complains of loss of feeling inthe left side of his lower lip and chin, whi-ch occurred after the complicated extractionof the 37th tooth. Electric pulp test (EPT)revealed decrease in electroexcitability of theleft lower jaw teeth. What is the most probable


diagnosis?

A. Neuritis of the left inferior dental nerveB. Neuralgia of the left inferior dental nerveC. Alveolitis of the 37th tooth socketD. Herpes Zoster n.TrigeminiE. Acute osteomyelitis of the body of mandible

79. During the extraction of the 17 tooth the di-stal buccal root broke off and remained in thesocket. Select a tool to extract the root:

A. Bayonet forceps, straight elevatorB. Straight forceps, straight elevatorC. S-shaped forcepsD. Beak-shaped forceps, angular elevatorE. Angular elevators

80. A partial removable denture is being madefor a 50-year-old patient. What impressiontrays are the more advisable?

A. Split stock trayB. Metal stock trayC. Disposable stock trayD. Perforated stock trayE. Customized stock tray

81. An obturator is being made using Ilyina-Markosyan technique for a 45-year-old-patientto compensate for the defect of the hard andsoft palate. What type of connection betweenthe fixing and obturating parts will be used?

A. ButtonB. BandC. ClaspD. JointE. Spring

82. A 10-year-old child has fallen and hit stairswith his teeth. An appointment with a dentistwas made only 2 days later. There are complai-ns of cold stimulus causing sharp pain. Objecti-vely: the 11th tooth has transversal defectat 2/3 of the crown, the pulp is significantlyexposed. Probing causes sharp pain. Percussi-on is painful, the tooth is mobile. The gums areslightly hyperemic. What method of treatmentshould be used in this case?

A. Vital extirpationB. Non-vital extirpationC. Biological methodD. Vital amputationE. Non-vital amputation

83. A 33-year-old patient complains of slowlygrowing tumor mass in the left submandi-bular area. Objectively: a tumor with softelastic consistency can be palpated in the leftsubmandibular area; the tumor changes itsconfiguration when squeezed with fingers andis painless. The skin covering the tumor hasno changes in colour, movable. There are nochanges detected in the oral cavity. Salivaryglands function normaly. Shrinking-inflationsymptom is absent. What is the most probablediagnosis?

A. LipomaB. Brancial cleft cystC. Retention cyst of the left submandibularsalivary glandD. HemangiomaE. Chronic lymphadenitis

84. A 52-year-old patient complains of painand a swelling in the right parotid region.These manifestations have been present forabout 2 years. Over the last month the swelli-ng has grown bigger, pain has intensified.Objectively: the face is asymmetric due to thedense infiltrate in the right parotid region. Thepoorly circumscribed, painful formation infi-ltrates the surrounding tissues. At the rightside of neck in front and behind the sternoclei-domastoid muscle there are enlarged, dense,mobile lymph nodes. The right naso-buccalgroove is flattened, the corner of mouth isdownturned. The mouth opens freely. The arepronounced symptoms of the right facial nerveparesis. What disease can be suspected?

A. Adenocarcinoma of the parotid salivaryglandB. Chronic parotitisC. Actinomycosis of the parotid-masseterregionD. Chronic lymphadenitisE. Pleomorphic adenoma of the parotid gland

85. A 48-year-old patient complains of thelower jaw teeth mobility. Van Thiel dental spli-nt is to be made for prosthodontic treatment.What construction elements are supposed tofix it in place?

A. Whole piece proximal grip claspsB. Full metal crownsC. Wire claspsD. Parapulpar postsE. Equator crowns

86. A 38-year-old patient has made an appoi-ntment with a dentist to extract the 46th toothin preparation for prosthetics. Objectively:the 46th tooth is destroyed by 2/3. What ki-nd of anaesthesia is the most advisable for theextraction of the 46th tooth?

A. TorusalB. Веrcher-DubovC. MandibularD. InfiltrationE. Mental

87. A 13-year-old boy complains of generalweakness, high body temperature up to 39oC ,lack of appetite, constant pain in the body ofthe lower jaw. Objectively: observed is signifi-cant asymmetry of the face caused by soft ti-ssues swelling in the left buccal and submandi-bular areas. Mouth opening is restricted.Intraoral examination revealed the following:the 34th, 35th, 36th and 37th teeth are mobi-le; teeth percussion is painful. The crown ofthe 36th tooth is completely destroyed. Themucosa of those teeth is hyperemic and painfulwhen palpated. Muff-like enlargement of the


lower jaw alveolar process is detected. What isthe most probable diagnosis?

A. Acute mandibular odontogenic osteomyeli-tisB. Acute mandibular hematogenousosteomyelitisC. Acute mandibular odontogenic purulentperiostitisD. Ewing’s sarcomaE. Abscess of the right submandibular area

88. A 25-year-old woman complains of painin the 15th tooth, which is caused by thermalstimuli and quickly ceases, when stimulationstops. Objectively: visually detected is a defectwith smooth walls that join under an angle,which is located in the cervical zone of the 15thtooth vestibular surface. Thermometry is pai-nful; percussion is painless. What is the mostprobable diagnosis?

A. Cuneiform defectB. Enamel erosionC. Enamel hypoplasiaD. FluorosisE. Superficial caries

89. A 40-year-old female patient complains ofshort-term pain in the 34th tooth caused bythermal stimuli. Objectively: the distal surfaceof the 34th tooth has a carious cavity localisedin the circumpulpar dentin. The walls and floorof the cavity are softened, faintly pigmented;probing of the floor is slightly painful. Cold sti-mulus causes pain that ceases when stimulati-on stops. What is the most probable diagnosis?

A. Acute deep cariesB. Acute median cariesC. Chronic deep cariesD. Chronic median cariesE. Chronic fibrous pulpitis

90. A 24-year-old patient complains of newgrowth in the right lateral surface of the neck.The new growth was first noticed 4 monthsago, no appointment with doctor was made.Objectively: the face is asymmetrical due to thenew growth in the upper third part of the rightlateral surface of the neck. Palpation allows todetect the painless rounded new growth sized3х3,5 cm; its consistency is dence and elastic;the skin abowe the growth has no changes ofcolour and can be folded. The new growth isnot melded with its surrounding tissues and issituated along the front edge of the sternoclei-domastoid muscle. Puncture consists of paleyellow viscous fluid. What is the most probablediagnosis?

A. Brancial cleft cystB. Phlegmon of neck lateral surfaceC. Chronic lymphadenitis of neck lateralsurfaceD. Lipoma of neck lateral surfaceE. Acute serous lymphadenitis of neck lateralsurface

91. A female patient is 51-year-old, with

immobile teeth. The marginal periodontiumin the area of the 14th-11th, 21st-23rd teethhas inflammation symptoms; gingival and peri-odontal pockets are 4-5 mm deep. Whole piecemetal and plastic denture construction is to bemade for the patient. What are the specificsof the construction edge placement relative tothe marginal periodontium in this case?

A. Circular garland covering necks of allabutment teethB. Formation of gum-level circular ledgeC. Formation of subgingival circular ledgeD. Construction should be composed ofseparate crownsE. Construction should have neither lining norcircular ledge

92. Parents of an 8-year-old child with Downsyndrome took the child to a doctor for oralcavity sanitation. After the examination entai-ling great difficulties the child was found tohave four teeth decayed as a result of chronicperiodontitis. What kind of anesthesia shouldbe chosen for surgical sanitation in one visit?

A. PhlebonarcosisB. Conduction anesthesiaC. Mask anesthesiaD. Endotracheal anesthesiaE. Endotracheal anesthesia through atracheostoma

93. During examination of the 11-year-old chi-ld’s oral cavity the 23rd tooth vestibular posi-tion was detected. Correlation of the 16th and46th is Angle class 1, and 26th and 36th isAngle class 2. The width of the 23rd crownis 8 mm. The dentition lacks 4 mm to place the23rd properly. Front teeth occlusion is normal.Choose the optimal treatment approach.

A. Move the upper lateral teeth on the rightside in distal direction, than move the canineinto the correct placeB. Extract the canine; move the 24th and 25thteeth to replace the 23rdC. Widen the upper and lower dentitions, andmove the canine into the correct placeD. Widen the upper dentition, and move thecanine into the correct placeE. Extract the first premolar, and move thecanine into the correct place

94. A 47-year-old patient complains of a burni-ng sensation and pain in the mouth. Objecti-vely: on the mucous membrane of cheeks alongthe line of teeth contact and in the corners ofmouth there are multiple polygonal bright rederosions 1,0-1,5 cm in diameter located on thehyperkeratinized plaque and opaque whitishmucosa. Cytological analysis revealed kerati-nizing epithelial cells. What is the most likelydiagnosis?


A. Leukoplakia, erosive formB. Lichen planus, erosive formC. Erythema multiformeD. Secondary syphilisE. Lupus erythematosus, erosive form

95. A 24-year-old female patient complainsof the 15th tooth being lost. The defect is ofaesthetic nature. Objectively: the 14th and16th teeth are intact, stable, clinical crownsare tall with pronounced equators and normalorthognathic overlapping; X-ray image showsno pathologies in the periapical tissues. Whatkind of denture should be recommended forthe patient?

A. Adhesive dental bridgeB. Metal ceramic dental bridgeC. Metal plastic dental bridgeD. Plastic dental bridgeE. Cantilever bridge

96. A12-year-old child has a carious cavityon the surface of the 12th tooth. The cavi-ty is localised in the mantle dentin; its floorand walls are covered with pale softeneddentin. Probing the enamel-dentin border ispainful. Thermal stimuli cause short-term pai-nful reaction. Vertical percussion is painless,horisontal percussion is slightly painful. Gingi-val papilla between the 12th and 13th teethis swollen, hyperemic, bleeds when touched.What is the most probable diagnosis?

A. Acute median caries, gingival papillitisB. Acute deep caries, gingival papillitisC. Acute partial pulpitis, gingival papillitisD. Acute serous periodontitisE. Exacerbation of chronic periodontitis

97. A 27-year-old female patient has her 26thtooth cavity accidentially breached along themesial buccal line angle during treatment ofacute deep caries of the 26th. Choose the opti-mal method of treatment.

A. Biological methodB. Non-vital extirpationC. Non-vital amputationD. Vital amputationE. Vital extirpation

98. A 54-year-old patient complaining oftumor-like growth on the red border of theleft lower lip has made an appointment witha dentist. Examination revealed the affectedarea to be sized 1х1,5 cm, and have irregularshape with clear margins. Focus of the affectedarea does not protrude from the surroundingred border; the affected area is greyish-whitein colour and covered in thin closely placedscales. What is the most probable diagnosis?

A. Local precancerous hyperkeratosis of thelower lipB. Cheilitis abrasiva praecancerosa ManganottiC. Verrucous precancer of the lower lip redborderD. Bowen’s diseaseE. Erythroplasia of Queyrat

99. A 23-year-old male patient complains ofgum bleeding when he brushes his teeth or eatstough food. Objectively: the gums of the frontlower jaw are hyperemic, swollen and bleedwhen palpated. The oral and gingival mucosain other areas are not affected. The occlusi-on is deep. The teeth are firm, except for the41st and 31st (class 1 mobility). X-ray imagi-ng shows resorption of the alveolar septum inthe area of the 41st, 42nd, 32nd and 31st teethup to 1/3 of the root length. What is the mostprobable diagnosis?

A. Localised periodontitisB. Generalised periodontitis, initial stageC. Generalised periodontitis, stage ID. Catarrhal gingivitisE. Parodontosis, stage I

100. A 78-year-old patient complains of diffi-culties when taking food and deformity of thedentition. The anamnesis states the lower jawfracture 2,5 month ago. Objectively: there is adeformity of the lower jaw front area, whichequals 19 mm (artificial joint). Both fragmentsof the lower jaw have 3 stable teeth each. Whatprosthesis construction is the most advisable inthis case?

A. Oxman joint fixed dentureB. Oxman joint denture with one pivot-pointC. Jointless removable dentureD. Kurlandsky’s denture with shock absorbingball-claspE. Oxman joint denture with two pivot-points

101. A 3,5-year-old child has symmetrical face,the middle part is predominant in proporti-ons, swallowing is infantile, breathing is nasal.In the oral cavity the dentition correspondswith the age norms, the sagittal fissure is 3mm, every tooth in the lateral part has itsanatagonist, the lower teeth touch the hardpalate. Miogymnastics with Dassa orbicularisoris activator is recommended. What functionis normalised by this apparatus in the givencase?

A. Lips closureB. BreathingC. ChewingD. SwallowingE. Speech

102. A patient consulted a dentist about painin the 47 tooth. X-ray examination revealedfragments of endodontic instruments in thecanals of the medial and distal root. In theperiapical zone there are well-defined areas ofbone destruction. Select the most appropriatemethod of treatment:


A. Tooth extractionB. RadectomyC. Tooth replantationD. Tooth hemisectionE. Conservative treatment

103. After unilateral resection of the upper jawa 52-year-old patient received the immediate-insertion denture. What is the term of its use?

A. 1-3 monthsB. 1-2 monthsC. 7-12 monthsD. 2-3 yearsE. 4-5 years

104. A 57-year-old female patient complains ofburning pain, dry mouth, feeling of foreignbody on the tongue back and lateral surfaces,which disappears in the process of eating.The first case of such symptoms was noteda year ago after psychic trauma. The patientsuffers from pancreatic diabetes and sleep di-sturbance. Examination revealed the followi-ng: the tongue mucosa is without significantchanges, moderately moistened. What is themost probable diagnosis?

A. GlossodyniaB. Candidal glossitisC. Glossitis areata exfoliativaD. Hunter-Moeller’s glossitisE. Glossitis with fissured tongue

105. A patient presented to a dental clinic forcomplex dental care. Objectively: the 37 toothexhibits a deep carious cavity communicati-ng with the tooth cavity. There is no responseto stimuli. Radiography reveals widening anddeformation of the periodontal ligament spacein the apical region. What is the most likelydiagnosis?

A. Chronic fibrous periodontitisB. Chronic granulating periodontitisC. Chronic granulomatous periodontitisD. Chronic fibrous pulpitisE. Chronic gangrenous pulpitis

106. A patient with post-resection upper jawdefect that invades the nasal cavity has madean appointment with a prosthodontic clinic.What denture is recommended in the givencase?

A. Replacement denture with obturatingelementB. Floating obturatorC. MouthguardD. Forming dentureE. Replacement denture

107. An 18-year-old patient with complaint oflarge diastem has made an appointment withprosthodontics specialist. Objectively: there isfull lateral displacement of central incisors dueto absence of the 12th and 22nd teeth. Whatinstrument is the most advisable for movingthe central incisors closer together?

A. Korkhaus applianceB. Vasylenko applianceC. Simple cotton ligatureD. Kalvelis applianceE. Begg appliance

108. An injured patient complains of limitedopening of the mouth, nose bleeding, skinnumbness in the infraorbital and lower eyelidregion. Objectively: there is face deformationdue to the depression of soft tissues in the leftcheekbone region, step deformity in the mi-ddle part of the inferior margin of the left orbitand in the area of the zygomatic alveolar crest.What is the most likely diagnosis?

A. Zygomatic bone fracture with displacementof bone fragmentsB. Fracture of the right zygomatic bone withoutdisplacement of fragmentsC. Le Fort I fracture of maxillaD. Le Fort II fracture of maxillaE. Fracture of the malar arch

109. A patient has sustained blunt objecttrauma to the face central area. Objectively:the nasal bones are mobile, there is signifi-cant swelling of the left temporal region softtissues, uneven "stair-like"shape of bones isobserved in the lower edges of both eyesocketsand maxillo-zygomatic sutures, bleeding, openbite. The central part of the face is elongated.What is the most probable diagnosis?

A. Le Fort fracture of maxilla, type IIB. Le Fort fracture of maxilla, type IC. Left temporal bone fractureD. Nasal fractureE. Le Fort fracture, type III

110. A 44-year-old female patient has complai-nts of the face swelling at the right lowerjaw area and teeth mobility. Objectively:soft tissues are without changes, the regionallymph nodes cannot be palpated. The alveolarprocess and the body of the lower jaw near the46th, 47th and 48th teeth are thickened, pai-nless when palpated, have bulges. The teeth inthe thickened area are mobile. Puncture consi-sts of brown fluid without cholesterol crystals.What is the provisional diagnosis?

A. OsteoclastomaB. AdamantinomaC. OsteomaD. Follicular cystE. Odontoma

111. A 49-year-old patient consulted a dentalsurgeon about the oral cavity sanitation. Hehas an indication for the extraction of the 16tooth. History: the tooth hasn’t been treatedbefore, it has decayed within the last 4 years.Objectively: the 16 tooth’s crown is decayed byover 2/3, the mucosa exhibits no pathologicalchanges. Which tool is required for the toothextraction?


A. Bayonet root forcepsB. S-shaped forceps (right)C. Straight elevatorD. S-shaped closed-beak forcepsE. Crown bayonet forceps

112. A 39-year-old patient, who works in aprinting house, complains of burning pain,metallic taste in the mouth and bad breath.Objectively: the skin is sallow in colour. Theoral mucosa has black-and-blue spots. Thegums are hyperemic and swollen. The edge ofthe gums has black-and-blue band. The palateis of yellow shade. Intoxication symptomsare observed. What is the most probable di-agnosis?

A. Lead stomatitisB. Mercurial stomatitisC. Bismuthic stomatitisD. MelanosisE. Addison’s disease

113. A 16-year-old female patient complains ofa deformation and restricted mouth openingsince birth. Objectively: the face is symmetri-cal, disproportionate, there is a bird-like facesymptom. The mouth opens up to 1 cm. Thepatient has an occlusal abnormality, namelydeep incisal overbite. What pathology is foundin this patient?

A. Micrognathia with congenital ankylosisB. Micrognathia with acquired ankylosisC. Maxillary protractionD. PrognathismE. Mandibular protraction

114. To perform a differentiated diagnostics ofthe lower jaw displacement a patient was askedto open his mouth as wide as possible, and thenthe lateral displacement of the lower jaw andface asymmetry were measured. What clinicaltest is it?

A. Ilyina-Markosyan clinical functional test 3B. Ilyina-Markosyan clinical functional test 1C. Ilyina-Markosyan clinical functional test 2D. Ilyina-Markosyan clinical functional test 4E. Eschler-Bittner clinical diagnostic test

115. What measurements are necessary todetermine the width of dental arch accordi-ng to the Pont’s method of analysis?

A. Crown width of four upper incisorsB. Crown width of upper central incisorsC. Crown width of six upper front teethD. Crown width of upper central incisors andthe first premolarsE. Size of dentition frontal segment

116. A patient complains of limited mouthopening, pain during swallowing, fever up to38, 5oC , weakness, indisposition. Objectively:the mouth opens up to 1 cm. After Berchetanesthesia examination of the oral cavityrevealed edema, hyperemia, tenderness of thepterygomandibular fold. Lateral and posteri-or pharyngeal walls are intact. The 38 tooth

is semi-impacted. Palpation of the internalsurface of the mandibular angle is painful.What is the most likely diagnosis?

A. Phlegmon of pterygomandibular spaceB. Acute tonsillitisC. Phlegmon of the infratemporal regionD. Acute pericoronitis of the 38 tooth regionE. Phlegmon of peripharyngeal space

117. A 35-year-old patient complains of aneoplasm on the tip of his tongue which heinjures with his teeth. The neoplasm someti-mes increases, and sometimes decreases in si-ze. Objectively: on the tip of tongue there is aroundish well-defined neoplasm 0,5 cm in di-ameter with broad base. The neoplasm is thesame colour as the mucosa of tongue. What isthe most likely diagnosis?

A. Papilloma of tongueB. Abscess of tongueC. Lipoma of tongueD. Hemangiofibroma of tongueE. Fibroma of tongue

118. A 37-year-old patient complains of bleedi-ng gums, bad breath, loose teeth, difficulti-es with chewing food. Objectively: gums arebluish-red in colour; periodontal pockets are6 mm deep and contain serous substance;class II teeth mobility; moderate deposits ofsubgingival and supragingival dental calculus;Oral Hygiene Index equals 3 points; there istraumatical occlusuion along all the length ofthe dental arches. What is the provisional di-agnosis?

A. Generalized periodontitis, stage II, chronicB. Generalized periodontitis, stage I, acuteC. Hypertrophic gingivitisD. Histiocytosis XE. Generalized periodontitis, stage II, acute

119. A 6,5-year-old child has closed non-pigmented fissures in the first permanentmolar, which have been revealed duringpreventive examination. Enamel transparencyis retained, its probing does not reveal anycoarseness. Choose the optimal method oftreatment in this case.

A. Non-invasive sealingB. Invasive sealingC. Preventive fillingD. ART techniqueE. Regular medical check-up

120. A 3-year-old child suffers from extremegingivitis with slight teeth mobility; teeth areintact. The skin is dry, the hair is brittle, theskin of the palms and soles of the feet is roughand covered in small cracks. What is the provi-sional diagnosis?


A. Papillon-Lefevre syndromeB. Niemann-Pick diseaseC. Hand-Schuller-Christian diseaseD. Eosinophilic granuloma (Taratynov’s di-sease)E. Letterer-Siwe disease

121. Parents of an 8-year-old child have madeand appointment with an orthodontist. Thereare complaints of their child having traumasof oral mucosa. Objectively: decreased hei-ght of the face lower part, everted lower lip,deep labiomental furrow, milk occlusion. Theupper incisors fully cover the lower ones; cutti-ng surface of the lower incisors make contactwith the anterior third of the palate. Mesiodi-stal ratio of the canines and the first permanentmolars is normal. Grouping of the upper andlower front teeth is dissimilar. Make the di-agnosis according to the Kalvelis classification.

A. Deep traumatic overbiteB. Deep incisor overbiteC. Deep neutral occlusionD. Deep prognatic (roof-shaped) occlusionE. -

122. A 64-year-old patient with edentulousjaws has a minor uniform atrophy of maxillaand a pronounced atrophy of lateral parts ofmandible. The mucosa in these parts makeslongitudinal folds, the alveolar crest is mobilein the anterior part. The condition of mandi-ble should be taken into consideration at thefollowing stage of fabrication of a completeremovable denture:

A. Taking differentiated functional impressionB. Taking anatomical impressionC. Taking compression functional impressionD. Taking decompression functional impressionE. Determining the central occlusion

123. A 46-year-old patient complains of masti-cation disruption caused by the lack of the34th, 35th and 36th teeth. The antecedentanamnesis is as follows: the teeth wereextracted 3 months ago due to complicationof cariosity. The patient anamnesis: the historyof tonsillitis, rheumatoid arthritis and Botki-n’s disease. After the appointment with thispatient instruments should be sterilized in thefollowing way:

A. Specialized procedureB. Dry-heat sterilizerC. Processing with lysolD. Processing with 0,1% chloramine solutionE. General procedure

124. A 49-year-old patient has a toothremoved from the left upper jaw under plexusanaesthesia with articaine-forte (Articaine +Epinephrine). After the operation the toothsocket did not fill with blood clot. How toprevent alveolitis in this case?

A. Loosely fill the socket with iodoform tamponB. Fill the socket with hemostatic spongeC. Lavage the socket with microcide solutionD. Lavage the socket with 0,1% chlorhexidinesolutionE. Fill the socket with antibiotic dusting powder

125. A 24-year-old female patient consulteda dentist about pain in the 26 tooth. Aftera physical examination the patient was di-agnosed with exacerbation of chronic peri-odontitis of the 26 tooth. During the toothextraction the coronal part of the tooth wasaccidentally broken. Further manipulations wi-th bayonet forceps failed to extract the toothroots. What actions are to be taken for thesuccessful root extraction?

A. To disjoin the roots by using a drill andfissure burrB. To send the patient to the hospitalC. To use Lecluse elevatorD. To complete the tooth extraction during thenext visitE. To use angular elevator

126. Preventive examination of a 5-year-oldchild revealed a habit of lower lip biting. Whatmalocclusion may develop if the child keepsthis habit?

A. Anterior biteB. Prognathic biteC. Open biteD. Deep overbiteE. Cross-bite

127. Parents of an 8-year-old girl are concernedthat she is chewing food too slowly. Objecti-vely: it is a period of transitional dentition.The first permanent molars has neutral relati-onship; sagittal fissure is 2 mm wide. The upperfront teeth cover the lower ones by 2/3. Namethe pathology.

A. Deepening of incisor overbiteB. Widening of the sagittal fissureC. Tooth-alveolar lengthening of the front teethD. Tooth-alveolar shortening of the lateral teethE. Decrease of the lower face height

128. When checking construction of thesoldered dental bridge with the 35th and 38thabutment teeth the following was detected:pores in the place of soldering togetherabutment crowns with the intermediate part;masticatory tubercules are sharply defined;there is early contact with tooth-antagonists;the intermediate part makes tight contact withthe alveolar process mucosa. How can thoseflaws be corrected?


A. Dental bridge shoold be remadeB. Intermediate part should be correctedC. Masticatory surface should be corrected, andsoldered places - filedD. Masticatory surface should be corrected, andthe height of the flushing part is to be increasedup to 2 mmE. Tooth-antagonists sholud be filed down

129. A 14-year-old girl complains of indisti-nct pronunciation that developed at the ageof 14 after the acute respiratory viral disease.Examination revealed normal face and normalteeth alignment, occlusal disharmony was notfound. Palpation didn’t reveal cleft palate.Uvula doesn’t move during pronunciation ofsounds, its palpation does not cause gag reflex.What is the reason for indistinct pronunciationof sounds?

A. Paresis of the soft palate and uvula musclesB. Adenoid vegetationsC. Palatal slitD. Hypertrophy of lingual tonsilE. Deformation of the bite

130. A 53-year-old male patient has madea repeat appointment after 3 days upon theextraction of the 36th tooth. Spot X-ray of the36th tooth made from within the oral cavityrevealed the remaining mesial root. What toolsshould be used to extract this root?

A. Inward bent elevator and upper beak-shapedforceps without spikeB. Outward bent elevator and upper beak-shaped forceps without spikeC. Inward bent elevator and lower beak-shapedforceps without spikeD. Outward bent elevator and lower beak-shaped forceps without spikeE. Inward and outward bent elevators andupper beak-shaped forceps without spike

131. A 35-year-old female patient seeksprosthetic dentistry. Objectively: the 18, 14, 13,12, 11, 21, 22, 23, 24, 28 teeth need restoration.The crowns confining the defect are high andstable. To restore the integrity of the dentitionit is planned to fabricate a cast clasp denture.What kind of mechanical fixator should beused?

A. Bar fixationB. Supporting-retaining claspsC. Retaining claspsD. Telescopic fixationE. Dentoalveolar clasps

132. A 42-year-old female patient hasmade an appointment with a prosthodonticoffice to make a denture. Objecti-vely: dental formula is as follows:

18 . . . . 13 12 11 21 22 23 . . . . 2848 47 46 45 44 43 42 41 31 32 33 34 35 36 37 .

The patient has deep occlusion; clinical crownsare low; equator is not pronounced. The pati-ent suffers from epileptic seizures. What kindof denture should be prescribed for this pati-

ent?

A. Partial removable laminar metal-baseddentureB. Dental bridgeC. Partial removable laminar plastic denturewith clasp-retainersD. Partial removable laminar denture withsupporting-retaining claspsE. Clasp (bugel) dental prosthesis

133. A 22-year-old patient presented to aprosthetic dentistry clinic because of missingof the 21 tooth, the 11 and 22 teeth are intact.The 21 tooth was extracted 2 months ago. Whatconstruction is most suitable in this case?

A. Two-stage implantationB. One-stage implantation with simultaneousfabrication of porcelain-fused-to-metal crownC. Partial removable dentureD. Swaged and soldered denture supported bythe 11 and 22 teethE. Metal-plastic denture supported by the 11and 22 teeth

134. A 48-year-old patient has undergone uni-lateral resection of the upper jaw. He needsa resection prosthesis. Objectively: the 21, 22,23, 24, 25, 26 teeth are stable, hard palate isbroad, flat. What connection of clasps with thebase will reduce the instability of the resectionprosthesis?

A. ArticularB. StableC. ElasticD. FixedE. Does not matter

135. A 15-year-old girl complaining ofmoderate swelling of the left parotic-masticatory area has made an appointment wi-th a dental surgeon. Palpation revealed the leftparotid gland to be bulgy, dense, and painless.Its duct secretes turbid saliva. The duct orificeis dilated, the surrounding mucosa is cyanotic,pastose, with teeth imprints. What disease is it?

A. Chronic parenchymatous sialoadenitisB. Chronic interstitial sialoadenitisC. Calculous sialadenitis (sialolithiasis)D. Mixed tumorE. Cyst

136. The department of maxillofacial surgeryadmitted a patient who needs repair of a post-traumatic defect of nose wing up to 3,0 cm indiameter. The trauma occured six months ago.What kind of grafting is indicated in this clini-cal situation?


A. Grafting with chondrocutaneous flap of theauricleB. Grafting with local tissues of nasolabial orcheek regionsC. Grafting with pedicle flap of frontal andbuccal regionsD. Grafting with tubed pedicle (Filatov’s) flapE. Free grafting with dermal flap

137. A 25-year-old female patient consulted adentist about acute pain in the upper jaw onthe left. The pain occurs during eating. Objecti-vely: on the distal approximal surface of the26 tooth there is a cavity filled with light softdentin. Probing causes a slight pain along thedentin-enamel junction, percussion is painless.Cold water causes quickly abating pain. Whatis the most likely diagnosis?

A. Acute median cariesB. Chronic median cariesC. Acute deep cariesD. Chronic fibrous pulpitisE. Chronic deep caries

138. A 40-year-old female patient has made anappointment with a dentist. She complains ofpain in her front teeth of the upper and lowerjaws, which is caused by thermal, chemical andmechanical stimuli. Temporomandibular jointis also slightly painful. Objectively: the pati-ent has deep occlusion; the enamel of lingualsurface of the front upper teeth and vestbularsurface of the front lower teeth is rubbed offexposing the glossy pigmented dentin. What isthe most probable diagnosis?

A. Pathologic brygmusB. Chemical necrosis of the toothC. Physiological brygmusD. Hard tissues erosionE. Stainton-Capdepont syndrome

139. Whan conduction anaesthesia had beenadministerd by a dentist, in 2 seconds apatient developed the following symptoms:loss of consciousness, seizures, dilated pupils,absent pupillary response to light, low arteri-al pressure, laboured breathing, muffled heartsounds. What is the most probable diagnosis?

A. Anaphylactic shockB. SyncopeC. CollapseD. Cardiac infarctionE. Stroke

140. A 13-year-old boy needs his 46th toothextracted due to chronic granulomatous peri-odontitis. He has pancreatic diabetes as aconcomitant disease. Choose the most advi-sable anaesthetic and its way of administration.

A. Mandibular anaesthesia with 3%Scandonest solutionB. Intravenous anaesthesia with thiopentalsodium solutionC. Infiltration anesthesia with 2% lidocainesolutionD. Mandibular anaesthesia with Ultracain DSforte (epinephrine concentration 1:100 000)E. -

141. During the surgical removal of a retentioncyst of the lower lip a 14-year-old boy complai-ned of sudden weakness, dizziness, nausea.Objectively: the skin is covered with coldsweat. Respiration is frequent, pulse is weak,AP is decreased (90/60 mm Hg), the hands arecold. What is the most likely diagnosis?

A. SyncopeB. Toxic shockC. Traumatic shockD. Anaphylactic shockE. Collapse

142. A 10,5-year-old child complains of painfulrash on his lips. Objectively: the red borderof the lips is swollen, hyperemic, covered infissures and numerous scabs of dried blood.The skin of the upper lip has small blisterscontaining serous substance, which merge wi-th each other in some places. Maceration andweeping skin also can be observed, especiallyin the corners of the mouth. What is the mostprobable diagnosis?

A. Exematous cheilitisB. Meteorological cheilitisC. Atopic cheilitisD. Actinic cheilitisE. Exfoliative cheilitis

143. An 11-year-old child complains of drynessand tightness of the lips, which the child is li-cking constantly. Objectively: red border of thelips is dry, infiltrated, hyperemic and coveredin numerous thin scales. The skin of the lips isundamaged. What is the provisional diagnosis?

A. Meteorological cheilitisB. Atopic cheilitisC. Cheilitis exfoliativaD. Allergic contact cheilitisE. Exematous cheilitis

144. Parents of a 7,5-year old child brought himto a dentist for oral cavity sanitation. Objecti-vely: DEF (for primary teeth) + DMF (forpermanent teeth) index = 4, Green-Vermillionindex = 2,5. Fissures of the first permanentmolars are open, intact, non-pigmented. Whatmethod of primary prevention of dental cariesmay be appropriate in this case?

A. Non-invasive hermetizationB. Invasive hermetizationC. Application of fluoride varnishD. Application of antibacterial varnishE. Application of calcium gels

145. Parents of a 5-year-old child has made


an appointment with a dentist for preventi-ve examination of their child. Objectively:the DMF index (Decayed, Missing, Filled)=5,the gingival mucosa is pale pink in colour,Fedorov-Volodkina index is 2,5. For oral hygi-ene the child should use a toothbrush with thefollowing kind of bristle:

A. SoftB. MediumC. HardD. Extra-softE. Extra-hard

146. A 28-year-old patient complains of experi-encing gum discomfort, gingival haemorrhagesand pain, especially during eating, for aweek. Objectively: the gums are swollen andmarkedly hyperemic, especially within the 43,42, 41, 31, 32, 33 teeth, soft plaque and tartarare present, gingival sulcus is up to 2 mm deep.What is the most likely diagnosis?

A. Acute deep gingivitisB. Chronic catarrhal gingivitisC. Hypertrophic gingivitisD. Initial stage of chronic generalized peri-odontitisE. Exacerbation of initial generalized peri-odontitis

147. An 18-year-old patient complains ofchalky spot in the 23rd tooth, which is slightlypainful when cold stimulus is applied. Objecti-vely: the vestibular surface near dental cervixof the 23rd tooth has a white spot 2-3 mm insize. Probing is painless and reveals coarsenessof the surface. Thermal stimulus causes slightlypainful feeling. What is the most probable di-agnosis?

A. Acute initial cariesB. Chronic initial cariesC. FluorosisD. Local hypoplasiaE. Enamel necrosis

148. A 7-year-old child is diagnosed withcomplete dislocation of the 11th tooth causedby a trauma that happened 24 hours ago.The tooth was brought along. Objectively: thesocket edges are slightly hyperemic, bone wallsare intact; the tooth socket is filled with bloodclot. What approach is the most advisable forthe therapy?

A. Reimplantation of the 11th tooth precededby the canal fillingB. Reimplantation of the 11th tooth followedby the canal fillingC. Extraction of the 11th toothD. Reposition and fixation of the 11th toothE. Socket closure with catgut

149. A 56-year-old patient suffering fromexacerbation of schizophrenia has been hospi-talised in an oral in-patient department with adiagnosis of the lower jaw displaced fracture inthe area of the 34th-35th teeth. What methodof treatment should be prescribed?

A. OsteosynthesisB. One arch smooth dental bracesC. Full dental splintD. Weber splintE. Vankevytch splint

150. A 37-year-old patient had an appointmentwith his orthopaedist about dental prosthetics.During the preparation of hard dental tissuesfor a fixed denture he was given conducti-on anesthesia. During the injection the pati-ent developed cold sweat, sudden pallor andcyanosis, thready pulse. The patient stayedconscious, but became relaxed and lethargic.What is the provisional diagnosis?

A. CollapseB. Anaphylactic shockC. IntoxicationD. SyncopeE. Hypertensive crisis

151. A 48-year-old patient is in grave conditi-on: body temperature is of 39, 8oC , the faceis asymmetric due to the infiltration of thesubmental and both submandibular triangles.Speech is difficult as the tongue is displacedupwards. Swallowing is painful. Sublingual pli-cae are markedly hyperemic and edematous.What is the most likely diagnosis?

A. Phlegmon of mouth floorB. Abscess of tongue rootC. Phlegmon of submental triangleD. Phlegmon of alveololingual grooveE. Phlegmon of submandibular triangle

152. A 32-year-old patient is hospitalised inan oral surgery department with perforatingwound of the cheek. The size of the woundopening is 1,5х4,0 mm. What kind of restorati-ve surgical operation is the most advisable inthis case?

A. Filatov-Gillies tube graftB. Double-end flapC. Rotation flapD. Rauer’s double shoulder-breast flapE. Opposite triangular flaps (Z-plasty)

153. A 60-year-old patient has been undergoi-ng the procedure of checking the completeremovable dentures construction and fixingteeth on wax bases. The following flaws havebeen detected: fissure between the teeth onthe frontal area and tubercule contact in thelateral area. What mistake had been made?

A. Anterior occlusion was determined insteadof central oneB. Posterior occlusion was determined insteadof central oneC. Lateral occlusion was determined instead ofcentral oneD. Models were plastered in a wrong way in anoccluderE. Swabs were crushed, when central occlusionwas being determined


154. A 20-year-old patient in the 8th monthof pregnancy complains about an aestheticdefect, speech disturbance due to the mi-ssing upper front tooth. Objectively: the 12tooth is missing. The 11, 13 teeth are intact,stable, of anatomical shape. The patient hasorthognathic bite. What prosthesic designshould be preferred?

A. Immediate prosthesisB. Plastic bridgeC. Porcelain-fused-to-metal bridgeD. Plastic-to-metal bridgeE. Implant with a pocelain crown

155. A 30-year-old patient complains of painand swelling in the area of the left parotid sali-vary gland, which occurred 7 days after he hadundergone abdominal cavity surgery. Objecti-vely: body temperature equals 39oC , restrictedmouth opening; dry mouth; when the glandis massaged, there is purulent exudate beingsecreted from its duct. The patient can be di-agnosed with the following disease:

A. Acute non-epidemic parotitisB. Acute epidemic parotitisC. Phlegmon of submasseteric spaceD. Parenchymatous parotitisE. Phlegmon of parotid-masticatory region

156. A 16-year-old girl complains of cosmeticdefect of the front teeth - there are darkspots and hard tissues defects. The spots weredetected in the process of teething, the defectsdeveloped later. The following diagnosis wasmade: erosive form of fluorosis of the 16th,11th, 12th, 22nd, 26th, 31st, 32nd, 36th, 41st,42nd, 46th teeth. Choose the method oftreatment.

A. Restoration treatmentB. Remineralization treatmentC. ProstheticsD. Surgical treatmentE. Regular medical check-up

157. An 8-year-old boy has thickening of thelower jaw body in the area of the 83rd, 84thand 85th teeth. In the given area a roundedpainless tissue protrusion can be detected; theDupuytren’s symptom is positive. Deciduousteeth are intact. X-ray image of the lower jawmade in lateral projection shows the focus ofbone destruction with clear margins in the areaof the 83rd, 84th and 85th teeth. The 44th toothfollicle is shifted down in distal direction, thecrown is projected on the destruction focus.What is the clinical diagnosis?

A. Follicular cyst of mandibula from the 44thtoothB. Fibrous dysplasia of mandibleC. Mandibular ameloblastomaD. Radicular cyst of mandibula from the 84thtoothE. Mandibular osteoclastoma

158. In the process of the 26th tooth extracti-on a 34-year-old patient suddenly developed

the following symptoms: tinnitus, weakness,paleness of skin. Vertigo was diagnosed. Whatfirst aid approach is the most advisable?

A. Put the patient in the Trendelenburg positi-onB. Intramuscular injection of 50% analgin(mеtamisole sodium) solutionC. Intravenous injection of 0,1% epinephrineD. Subcutaneous injection of cordiaminE. Intravenous injection of prednisolone

159. A 15-year-old adolescent complains of atwo-day long sharp pulsing pain in the tooth,which intensifies when biting or touchingthe tooth with the tongue. Objectively: the26th tooth contains composite material filli-ng. Vertical and horisontal percussion of thetooth are painful, the tooth is slightly mobilein vestibular-oral projection. Gingival mucosaof the affected area is hyperemic, swollen,sharply painful when palpated. X-ray imagingshows no changes. What is the most probablediagnosis?

A. Acute purulent periodontitisB. Acute purulent pulpitisC. Acute serous periodontitisD. Acute serous pulpitisE. Exacerbation of chronic periodontitis

160. A 5-year-old child has a cavity localised inthe deep dentin on the masticatory surface ofthe 75th tooth. The cavity is filled with softenedpigmented dentin and food remains. The chi-ld complains of dull pain when taking food orcold liquids. Probing of the cavity floor is sli-ghtly painful; when the dentin is removed withexcavator, pink pulp is visible through the cavi-ty floor. What is the most probable diagnosis?

A. Chronic fibrous pulpitisB. Chronic deep cariesC. Acute deep cariesD. Acute diffuse pulpitisE. Chronic gangrenous pulpitis

161. A 9-year-old child complains of dull painin a tooth, which increases when the tooth ispressed. One month ago the tooth was treatedfor pulpitis. Objectively: the 36th tooth is fi-lled; percussion is sharply painful; mucosa ishyperemic, swollen. X-ray imaging does notshow any changes. What is the most probablediagnosis?

A. Acute serous periodontitisB. Exacerbation of chronic pulpitisC. Acute diffuse pulpitisD. Acute suppurative pulpitisE. Exacerbation of chronic periodontitis

162. A 50-year-old female patient complainsof pain in the upper left jaw, high fever upto 38, 5oC , worsening of her general conditi-on. The disease onset was 3 days ago. Objecti-vely: the face is asymmetrical due to swellingof the right cheek soft tissues, palpation is pai-nful, the skin is hyperemic. The crown of the16th tooth is destroyed completely; percussion


sensitivity is positive. There is hyperemia andedema of the alveolar process soft tissues in thearea of the 15th, 16th and 17th teeth vestibularsurface. What is the most probable diagnosis?

A. Acute odontogenic maxillary periostitis inthe area of the 16th toothB. Exacerbation of chronic periodontitis of the16th toothC. Acute odontogenic maxillary osteomyelitisstarting from the 16th toothD. Acute odontogenic right-side maxillarysinusitisE. Chronic odontogenic maxillary osteomyelitis

163. A 60-year-old patient complains of agrowth in the mental region, which is painlessand slowly grows in size. Objectively: thereis rounded infiltrate with clear margins in themental region; it is slightly painfiul, the skinunder it is very thin. Palpation in the vestibuleof mouth reveals dense band going from thegrowth to the destroyed 33rd tooth. What isthe most probable diagnosis?

A. Odontogenic granuloma of the faceB. Odontogenic abscess of the mental regionC. Atheroma of the mental regionD. Acute lymphadenitis the mental regionE. Chronic lymphadenitis of the mental region

164. A 43-year-old patient complains of mobi-lity of all his teeth. Upon examination andadditional tests the following diagnosis ismade: generalized periodontitis. What kind oftreatment does this patient need?

A. ComplexB. ProsthodonticC. SurgicalD. TherapeuticE. Orthodontal

165. A 38-year-old female complains ofexperiencing pain in her lower lip for halfa year, difficult eating and talking. The pati-ent sought medical help at place of residence,but the administered treatment was ineffecti-ve. Examination of the lower lip revealeda deep fissure in the centre which affectedthe vermilion border and partly the mucousmembrane of lips. The fissure was coveredwith a brown crust, after its removal the fi-ssure started bleeding. The fissure edges arehyperkeratinized, infiltrated. Select the opti-mal treatment tactics:

A. Fissure excisionB. Application of keratoplastic agentsC. Irradiation with helium-neon laserD. Application of corticosteroid ointmentE. Application of antibiotic ointment

166. A 44-year-old male patient diagnosed withchronic generalized periodontitis, class II, hashad flap surgery of the lower jaw. What kind oforal hygiene procedures are recommended forthis patient during the first 2-3 days after thesurgery?

A. Oral rinsing with sodium bicarbonate soluti-on, chlorhexidine solutionB. Teeth cleaning with chewing gumC. Teeth flossingD. Teeth brushing using soft-bristled toothbrushand anti-inflammatory toothpasteE. Teeth cleaning with interdental stimulatorsand interdental brushes

167. A 42-year-old female patient presented toa dentist for oral sanitation. She has a historyof tonsillitis, rheumatoid arthritis, Botkin’s di-sease. What are the conditions of instrumenttreatment after the patient’s visit?

A. Under the special schemeB. Under general conditionsC. Dry-air sterilizationD. Processing with lysolE. Processing with 0,1% solution of chloramine

168. A 50-year-old patient complains of hislower jaw teeth mobility. Objectively: thedentition is intact; the necks of the teeth arebared; the tooth crowns are tall; teeth mobilityis class 1-2. What kind of dental splint is themost advisable?

A. Elbrecht splintB. Mamlock splintC. Full crown splintD. Equator crown splintE. Cap splint

169. A patient complains of an increasingnew growth in the left sublingual area, whi-ch he first noticed 2 months ago. Some ti-me after that he noticed this new growth tosecrete large amount of clear viscous fluid,which was colorless and tasteless; initially thiscaused the new growth to become smaller butsubsequently it started to grow again. Objecti-vely: there is a rounded new growth sized 3x3cm in the left sublingual area, its consistency issoft and elastic, there is no pain. The mucosaabove is thinned out, semitransparent, bluishin shade. What is the most probable diagnosis?

A. Retention sublingual cystB. Hemangioma of sublingual areaC. Dermoid cyst of sublingual areaD. Post-traumatic cyst of sublingual areaE. Pleomorphic adenoma of sublingual gland

170. After extreme exposure to cold a 42-year-old patient complains of headache in the leftfrontal lobe and the left upper jaw. Objecti-vely: the face is symmetrical; left nasal meatusbreathing is obstructed, and serous-purulentdischarge is being produced; palpation of thesuborbital area and further along the mucogi-ngival fold in the 24th, 25th teeth projecti-on reveals slight pain. Percussion of theseteeth is painless. The 24th tooth has a filli-ng. The alveolar process mucosa has no visi-ble changes. X-ray imaging shows decreasedpneumatization of the left maxillary sinus.What is the provisional diagnosis?


A. Exacerbation of chronic odontogenic maxi-llary sinusitisB. Acute periodontitis of the 24thC. Exacerbation of chronic periodontitis of the24thD. Acute rhinogenous maxillary sinusitisE. Acute albuminous periostitis of the leftmaxilla

171. A 8,5-year-old child is practically in goodhealth. There is a complaint of pain in theupper left tooth, due to it having been physi-cally damaged 3 hours ago. Objectively: 1/2 ofthe 21st tooth crown is destroyed, the pulp issignificantly exposed, red, sharply painful andbleeding when probed. Percussion of the 21sttooth is sharply painful. Choose the optimalmethod of the 21st tooth treatment.

A. Vital amputationB. Vital extirpationC. Non-vital amputationD. Non-vital extirpationE. Biological method

172. A 34-year-old male patient complains ofa cosmetic defect, a cavity on the vestibularsurface in the cervical part of the 21 tooth.Objectively: the carious cavity is within theenamel, the floor and the walls are pigmented,probing and percussion and painless. There isno pain reaction to stimuli. What is the mostlikely diagnosis?

A. Chronic surface cariesB. Acute surface cariesC. Necrosis of dental hard tissuesD. Acute median cariesE. Chronic median caries

173. A 6-year-old child complains of pain in theright submandibular region. A day before hecomplained of a sore throat. Objectively: thechild is in moderately severe condition, bodyit is 37, 9oC . The face is asymmetric due to adense tender infiltrate in the right submandi-bular region. The infiltrate is slightly mobi-le, the overlying skin is hyperemic. There isfluctuation in the center. The teeth are intact.What is the most likely diagnosis?

A. Acute suppurative non-odontogenicsubmandibular lymphadenitisB. Acute serous non-odontogenic submandi-bular lymphadenitisC. Phlegmonous adenitisD. Acute suppurative odontogenic submandi-bular lymphadenitisE. Sialadenitis

174. A dentist treats a 35-year-old patient fromchronic deep caries of the 24th tooth that hasmesial-occlusal-distal cavity. What should thedentist do to prevent the cavity edges from chi-pping?

A. To file down the edgesB. To insert parapaulpar postsC. To use extra hard materialD. To make retention furrows in the area ofenamel-dentin joiningE. To shape a wide-angled slant of enamel

175. A 19-year-old young man complains ofunaesthetical look of his teeth, nearly all ofwhich have spots and defects; his teeth havehad such appearance since the moment ofteething. The patient was born and had beenliving until the age of 5 in the area, where thefluorine content of drinking water was 3,2 mg/l.Objectively: the enamel of all his teeth is ofdull chalky shade with separate dark-brownspots, and has multishaped defects with densemargins, that are the most pronounced on thefront upper teeth. What type of fluorosis doesthis patient have?

A. ErosiveB. LinedC. PatchyD. Chalky-speckledE. Destructive

176. To fill a medium depth carious cavityin the 37th tooth (Black class 2) of a 35-year-old male patient a doctor has chosen atechnique of layer-by-layer tooth restoration.What composite material should be applied forcovering the carious cavity walls and floor tocreate the initial super adaptive layer?

A. FlowableB. CondensableC. MacrofilledD. MicrohybridE. Microfilled

177. A 13-year-old girl has bleeding gums andher front teeth are mobile. These symptomshave been observed during the last month.Objectively: the gum mucosa in the area ofthe lower incisors and canines is swollen,hyperemic, bleeding when touched. There isclass I teeth mobility, periodontal pockets are3 mm deep. Orthopantomogram shows bonetissue destruction of the alveolar septums upto 1/3 of their height. Congestion of the lowerjaw front teeth can be observed. Oral Hygi-ene Index equals 4,2. What specialist must beconsulted first?

A. OrthodontistB. NeurologistC. EndocrinologistD. HematologistE. Gastroenterologist

178. A 45-year-old patient complains of beingunable to chew food due to loss of the lateralteeth. The rest of his teeth have mobility of the1-2 type. What construction is the most advi-sable for dental prosthetics?


A. Removable denture splintB. Fixed dental bridgeC. Metal-based prosthesisD. Clasp (bugel) dental prosthesisE. Removable laminar denture

179. A 65-year-old male patient complains of along-lasting pain in a mandibular tooth on theright. The pain increases on biting. The patienthas a history of this tooth treatment for cari-es. Objectively: the cavity on the masticatorysurface of the 36 tooth is filled, percussioncauses pain responce. Along the mucogingi-val junction in the projection of the 36 toothroots there is a fistula with purulent discharge.What is the most likely diagnosis?

A. Chronic granulating periodontitisB. Radicular cyst of the mandibleC. Exacerbation of chronic periodontitisD. Chronic fibrous periodontitisE. Chronic granulomatous periodontitis

180. During examination of an 8-year-old chi-ld there were spots detected on the vesti-bular surface of the 11th, 12th, 21st and 22ndteeth. The spots are pearly-white, glossy, pai-nless when probed, and gradually merge withnon-changed enamel. Ultraviolet irradiationrevealed the spots to fluoresce blue. The childhas been living up to the age of 3 in the region,where fluorine content of drinking water was 2mg/l. What kind of non-carious lesion is it?

A. Fluorosis, speckled formB. Fluorosis, lined formC. Fluorosis, erosive formD. Local hypoplasiaE. Systemic hypoplasia

181. A woman with complaints of restrictedmouth opening has made an appointment wi-th a prosthodontic clinic. What muscles areresponsible for the downwards mowement ofthe lower jaw?

A. Mylohyoid muscle, digastric muscle, geni-ohyoid muscleB. Masticatory muscle, medial pterygoid muscleC. Temporal muscle, lateral pterygoid muscle,digastric muscleD. Orbicular muscle of mouth, mylohyoidmuscleE. Geniohyoid muscle, medial pterygoid muscle

182. A 45-year-old patient is diagnosed wi-th generalized periodontitis; there is classII mobility of the 13th, 12th, 21st, 22nd,23rd teeth. The patient has made an appoi-ntment with dental clinic to make a prostesisafter the extraction of the 11th tooth. Whatprosthodontic construction is the most advi-sable for combined therapy of generalizedperiodontitis in this case?

A. Combination of photopolymer material withfiberglass frameworkB. Immediate prosthesisC. Adhesive dental bridgeD. Porcelain-fused-to-metal whole piece dentalbridgeE. Wire splint

183. A 65-year-old male patient complai-ns of crepitation and clicking in bothtemporomandibular joints; pain when movi-ng his mandible to the right; ear noise;dry mouth; glossalgia. He has been using acomplete removable denture for the mandi-ble for 6 months. The patient has no historyof rheumatosis. Objectively: the lower third ofthe face is shortened, mental fold is stronglypronounced, mouth corners are downturned,there are angular fissures and cracks. Palpationreveals crepitation during TMJ moving. Whatis the most likely diagnosis?

A. Costen’s syndromeB. Temporomandibular arthritisC. Temporomandibular arthrosisD. Temporomandibular dislocationE. Temporomandibular osteoarthritis

184. A 45-year-old patient undergoes teethpreparation. 15 minutes after anesthetizationwith 4% solution of Ubistesin forte the pati-ent developed hyperemia of skin, increasedheart rate, headache, syncope. Previously thepatient had not exhibited such reaction to thisanesthetic. What complication occurred in thepatient?

A. Arterial pressure riseB. Anaphylactic shockC. SyncopeD. CollapseE. Myocardial infarction

185. An accident victim with an injury of faceand the temporal region was diagnosed wi-th a fracture of the zygomatic arch. Whichprocesses of the skull bones are damaged?

A. Temporal process of the zygomatic bone andthe zygomatic process of the temporal boneB. Zygomatic process of the frontal bone andthe zygomatic process of the temporal boneC. Temporal process of the zygomatic bone andthe zygomatic process of the frontal boneD. Zygomatic process of the maxilla and thezygomatic process of the temporal boneE. Zygomatic process of the maxilla and thezygomatic process of the frontal bone

186. A 20-year-old male patient complains ofspontaneous pain in the 24 tooth, which arosesuddenly and persists for about 15 minutes.Objectively: the distal surface of the 24 toothexhibits a deep carious cavity with overhangi-ng walls. The cavity is filled with light softeneddentin and communicates with the tooth cavity.The cold stimulus causes acute, slowly abati-ng pain. Percussion causes no pain response.Select the best method of treatment:


A. Vital extirpationB. Vital amputationC. Biological methodD. Devital amputationE. Devital extirpation

187. A 25-year-old patient complains of painwhen biting on the 15 tooth. The pain arosetwo days ago, has a constant aching natureand increased significantly over the last day.Objectively: the crown of the 15 tooth is gray,the medial contact surface exhibits a deep cari-ous cavity communicating with the tooth cavi-ty. Percussion causes acute pain, the gingivalmucosa in the projection of the 25 tooth rootapex is hyperemic. The regional lymph node istender. Radiograph shows an ill-defined zoneof periapical bone destruction. What is themost likely diagnosis?

A. Exacerbation of chronic periodontitisB. Acute serous periodontitisC. Acute suppurative periodontitisD. Chronic granulating periodontitisE. Acute serous periodontitis, intoxication stage

188. A 27-year-old patient has been referredby a prosthodontist for endodontic treatmentof the 45th tooth. Objectively: the 45th toothcrown is destroyed; the lateral surface of thetongue and the buccal mucosa have patchesof greyish macerated epithelium slightly risi-ng above the mucosa surface at the points ofdirect contact with the 45th tooth. The uvulaand palatal bars are stagnant-red in colour;hard palate has papulae surrounded with redmargin and covered in greyish epithelium. Thesubmandibular, cervical, supraclavicular, andsubclavicular lymph nodes are enlarged andpainless. What is the provisional diagnosis?

A. Secondary syphilisB. Chronic recurrent aphthous stomatitisC. Lupus erythematosus, patch stageD. Soft leukoplakia (leucoplakia mollis)E. Lichen ruber planus

189. A 20-year-old male patient with insulin-dependent diabetes mellitus has been givenanesthesia with Ultracain DS-forte for surgi-cal oral sanitation. What complications maydevelop in this case?

A. Abnormal levels of blood glucoseB. Increased blood pressureC. ClonusD. Atopic dermatitisE. Toxic shock

190. A 43-year-old patient complains of mobi-lity and significant neck exposure of the lowerfront teeth. Objectively: the gums in the regi-on of the 44, 43, 42, 41, 31, 32, 33, 34 teethare pale and cyanotic, non-bleeding. The 42,41, 31, 32 teeth exhibit the I-II grade mobility.The overcrowding of the 42, 41, 31, 32 teeth ispresent. The necks of the 42, 41, 31, 32 teethare exposed by 1/2 of the root length, the necksof the 43, 33 teeth are exposed by 1/4. What ki-nd of dental prosthesis should be applied in

this case?

A. Cast removable splintB. Kurlyandsky splint barC. Cap splintD. Portion crownE. Half-ring splint

191. A 7-year-old child has to undergo plasticsurgery of the upper lip frenulum. Whatoperation should be performed to lengthenthe frenulum of the upper lip?

A. Dieffenbach graftingB. Thiersch grafting with local flapsC. Relaxing incisions of the mucosaD. Grafting with a pedicle flapE. Szymanowsky grafting with local flaps

192. A 12-year-old boy is in the dental offi-ce to complete treatment of the 36th toothchronic periodontitis exacerbation. There areno complaints. Objectively: occlusive dressi-ng of the 36th tooth is intact; tooth percussi-on is painless; there are no pathologies of themucosa surrounding the 36th; mucosa palpati-on is painless. What material is the most advi-sable for root canal filling in this case?

A. Sealer with gutta-percha postB. Zinc oxide eugenol pasteC. Resorcinol-formalin pasteD. Calcium-containing pasteE. Phosphate cement

193. A patient with complaints of toothache inthe left upper jaw has made an appointmentwith a dental clinic. He was diagnosed withchronic periodontitis of the 24th tooth. Whatkind of anaesthesia is necessary for painlessextraction of the 24th tooth?

A. Infraorbital and palatinal anaesthesiaB. Tuberal and palatinal anaesthesiaC. Infraorbital and incisor anaesthesiaD. Tuberal and incisor anaesthesiaE. Surface and tuberal anaesthesia

194. A 60-year-old patient needs a partialremovable denture for the upper jaw. Thecentral occlusion has been determined. Whatis the next stage of prosthetics?

A. Checking the wax denture constructionB. Try-in of the dentureC. Fabrication of plaster modelsD. Relining the dentureE. Taking impressions

195. A 12-year-old boy, due to trauma ofthe 44th and 45th teeth area, suffers fromthe following: pathologic displacement of themandibular alveolar process; rupture of thealveolar process mucosa. What additionalexamination is necessary to specify the di-agnosis?


A. X-ray radiography of mandibula in frontaland lateral projectionsB. X-ray radiography of cranium in axillaryprojectionC. X-ray radiography of mandibula in frontaland Parma projectionD. Tomography of mandibulaE. -

196. A 5-year-old shild has sustained a trauma.Objectively: the crowns of the 51st and 61stteeth are shorter then their adjacent ones. Themucosa surrounding the 51st and 61st teeth ishyperemic and swollen. X-ray imaging showsthe periodontal fissure to be absent in the api-cal area of the 51st and 61st roots, 51st and61st roots apexes are submerged in the spongybone of the body of the lower jaw. Choose theoptimal treatment.

A. Extraction of the 51st and 61st teethB. Splinting of teethC. Regular medical check-upD. Anti-inflammatory therapyE. Resection of the 51st and 61st teeth and theirsplinting

197. A 10-year-old child complains of pain andswelling in the left submandibular region; eati-ng causes pain. Objectively: the mouth can befully opened, the mucosa of the torus mandi-bularis is hyperemic, excretory duct producespus. X-ray imaging reveals an oval shade inthe left submandibular area. What is the mostprobable diagnosis?

A. Calculous sialadenitis of submandibularsalivary glandB. Mandibular osteomaC. Foreign bodyD. Chronic lymphadenitisE. Chronic sialadenitis

198. A patient complains of the alveolarprocess deformation of the left upper jaw.Objectively: the crown of the 25th tooth

is destroyed with cariosity. X-ray image ofthe paranasal sinuses shows the left one tohave veil-like shading with clear dome-shapedmargin. X-ray image of the crown of the 25thtooth shows absence of the periodontal fissureat the the palatal root apex. What is the mostprobable diagnosis?

A. Radicular cyst that invaded in the maxillarysinusB. Chronic rhinogenous maxillary sinusitisC. Chronic odontogenic maxillary sinusitisD. Maxillary sinus mucosal cystE. Maxillary cancer

199. A 26 year-old female patient suffers frombleeding gums. For 3 years she has beensuffering from pancreatic diabetes. Objecti-vely: gingival papillas of all her teeth arehyperemic, swollen and overlap with the teethcrowns by 1/3 of the crowns height. Whatmethod of examination must be conducted fordifferentiated diagnostics?

A. X-ray radiographyB. Schiller-Pysarev iodine testC. Capillary fragility testD. Reoparodontography (Impedancephlebography of periodontium)E. Stomatoscopy

200. Parents of a 3-year-old child took the childto a pedodontist for oral sanitation. The childhas cerebral palsy. Objectively: there is multi-ple dental caries, gingival mucosa is hyperemic,oral hygiene is inadequate. What method ofdental health care may be appropriate in thiscase?

A. Under general anesthesiaB. Under local anesthesia injectionC. Under local application anesthesiaD. Without anesthesiaE. Giving sedatives

INSTRUCTIONAL BOOK

Ministry of public health of Ukraine (MPH of Ukraine)

Department of human recources policy, education and science

Testing Board

TEST ITEMS FOR LICENSING EXAMINATION: KROK 2. STOMATOLOGY.

Kyiv. Testing Board.

(English language).

Approved to print 18.03./№24. Paper size 60х84 1/8

Offset paper. Typeface. Times New Roman Cyr. Offset print.

Conditional print pages 24. Accounting publishing pages 28.

Issue. 333 copies.

List of abbreviations

A/G Albumin/globulin ratio HR Heart rate

A-ANON Alcoholics anonymous IDDM Insulin dependent diabetes mellitus

ACT Abdominal computed tomography IFA Immunofluorescence assay

ADP Adenosine diphosphate IHD Ischemic heart disease

ALT Alanin aminotranspherase IU International unit

AMP Adenosine monophosphate LDH Lactate dehydrogenase

AP Action potential MSEC Medical and sanitary expert committee

ARF Acute renal failure NAD Nicotine amide adenine dinucleotide

AST Aspartat aminotranspherase NADPH Nicotine amide adenine dinucleotide

phosphate restored

ATP Adenosine triphosphate NIDDM Non-Insulin dependent diabetes

mellitus

BP Blood pressure PAC Polyunsaturated aromatic

carbohydrates

bpm Beats per minute PAS Periodic acid & shiff reaction

C.I. Color Index pCO2 CO2 partial pressure

CBC Complete blood count pO2 CO2 partial pressure

CHF Chronic heart failure pm Per minute

CT Computer tomography Ps Pulse rate

DIC Disseminated intravascular coagualtion r Roentgen

DCC Doctoral controlling committee RBC Red blood count

DM-2 Non-Insulin dependent diabetes mellitus RDHA Reverse direct hemagglutination assay

DTP Anti diphtheria-tetanus vaccine Rh Rhesus

ECG Electrocardiogram (R)CFT Reiter's complement fixation test

ESR Erythrocyte sedimentation rate RIHA Reverse indirect hemagglutination

assay

FC Function class RNA Ribonucleic acid

FAD Flavin adenine dinucleotide RR Respiratory rate

FADH2 Flavin adenine dinucleotide restored S1 Heart sound 1

FEGDS Fibro-esphago-gastro-duodenoscopy S2 Heart sound 2

FMNH2 Flavin mononucleotide restored TU Tuberculin unit

GIT Gastrointestinal tract U Unit

Gy Gray USI Ultrasound investigation

GMP Guanosine monophosphate V/f Vision field

Hb Hemoglobin WBC White blood count

HbA1c Glycosylated hemoglobin X-ray Roentgenogram

Hct Hematocrit

HIV Human immunodeficiency virus

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