Exam 2 Practice

Question 1

irreversible pulpitis is often defined by

Answer 1

a painful response to cold that lingers

Question 2

a test cavity…

Answer 2

is employed when all other tests are inconclusive

Question 3

when a patient reports severe pain on biting, the percussion test should

Answer 3

be performed first with digital pressure

Question 4

the following is the most important finding of a chronic apical abscess

Answer 4

draining sinus tract

Question 5

you have submitted a biopsy sample from a PA lesion on which you performed surgery. The histopathology report states that lesion is composed of fibrous CT with many young “budding” capillaries. A chronic inflammatory infiltrate can be seen throughout the lesion. what is the histologic diagnosis for this lesion

Answer 5

PA granuloma

Question 6

a tooth with normal pulp should

Answer 6

give a quick sharp response to cold application

Question 7

which pulp vitality test cannot be performed on tooth that has a gold crown

cold application
electric pulp test
heat test

Answer 7

cold application and EPT????

chatgpt says all the above aren’t reliable. cannot find anything in lecture.

Question 8

wha is the best approach to determine if abscess is of periodontal or endodontic origin

Answer 8

pulp vitality tests

Question 9

you suspect tooth #18 might have endo involvement. what teeth should be used as controls for diagnostic testing?

Answer 9

19 and #31

Question 10

which theory best explains the referred pain phenomenon

Answer 10

covergence theory

Question 11

which teeth are most likely to refer pain to the ear

Answer 11

mandibular molars

Question 12

which teeth are more likely to refer pain to forehead area

Answer 12

maxillary incisor

Question 13

what is not a feature of trigeminal neuralgia

Answer 13

reproducible tooth pain

Question 14

a paatient presents with pain in upper right quadrant. several teeth in area are sensitive to percussion and sensitive to cold. hte patient says that pain increase when they bend down. there is no caries or large restorations present. what is likely source of patient pain

Answer 14

referred pain from max sinus

Question 15

what histologic feaure must be present for lesion to be considered an apical cyst

Answer 15

fluid filled cavity

Question 16

crown discolorization due to calcific metamorphosis usually is

Answer 16

yellow

Question 17

spreading pain results from extension of these to surrounding teeth and neighboring structures

Answer 17

inflammatory mediators

Question 18

a patient that complains of severe cold sensitivity most likely has

Answer 18

a vital but inflamed pulp

Question 19

what theory best explains sensitivity to cold

Answer 19

hydrodynamic theory

Question 20

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the most likely pulpal diagnosis

Answer 20

pulpal necrosis

Question 21

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the most likely PA diagnosis

Answer 21

acute apical abscess

Question 22

a patient you are examining has extensive facial swelling, tooth #11 is very sensitive to percussion there is no sensitivity to cold testing

what is the treatment for this tooth

Answer 22

1. endodontic therapy
2. antibiotic coverage
3. drainage

Question 23

the pulps in teeth are undergoing active internal resorption usually are

Answer 23

chronically inflamed

Question 24

what is not true of hyeprplastic pulpitis

Answer 24

it is not highly innervated

true: highly vascularized, epi lining, and contains CT

Question 25

T/F: heat test is part of routine endo exam

Answer 25

FALSE

Question 26

T/F: radiographs are used to determine what kind of PA pathology the patient has

Answer 26

TRUE

Question 27

T/F: during pulpitis histamine is responsible for vasodilation of pulpal blood vessels

Answer 27

TRUE

Question 28

if tooth can feel cold the pulp is

Answer 28

vital

Question 29

if you do a cold test and the tooth is non responsive to cold application, the tooth is likely

Answer 29

nectrotic

Question 30

if a pulp is vital, does that mean it is a healthy pulp

Answer 30

not always

Question 31

key findings on a pulp that has irreversible pulpitis

Answer 31

history of spontaneous pain and prolonged lingering pain after cold application

Question 32

if you are drilling on a tooth and get a pulp exposure, and the exposure site is dry that means the pul pis

Answer 32

necrotic

Question 33

what is the most diagnostic sign/symptom of symptomatic apical perio

Answer 33

pain to percussion

Question 34

what is the most diagnostic sign/symptom of chronic apical abscess

Answer 34

sinus tract

Question 35

what is the best diagnosis for a tooth with apical radiolucency, a necrotic pulp and no other sign or symptoms

Answer 35

asymptomatic apical perio

Question 36

swelling and pain is seen in

Answer 36

acute apical abscess

Question 37

what is the radiographic appearance of condensing oseitis

Answer 37

radiopacity at apex of tooth

Question 38

doc my tooth hurts a lot and i cant even touch is is example of

Answer 38

chief complaing

Question 39

T/F: when dealing with patient symptoms, it is important to try and reproduce the patients symptoms

Answer 39

true

Question 40

a percussion test will tell us if

Answer 40

there is inflammation in the PDL

Question 41

T/F: EPT will produce patient symptoms

Answer 41

FALSE

Question 42

T/F: a tooth with PA radiolucency is a sure sign of endo disease, therefore, pulp test are not necessary

Answer 42

FALSE

Question 43

you are observing a PA radiolucency on radiograph. this is an example of

Answer 43

objective sign

Question 44

what is used at creighton for cold testing teeth

Answer 44

refrigerant spray

Question 45

you have done a cold test and determined the pulp is normal. how would you record the findings

Answer 45

+

Question 46

what is the chief complaint

Answer 46

patient describing his/her symptoms in his/her own words

Question 47

what does spontaneous pain mean

Answer 47

unprovoked pain

Question 48

what is the most useful in detecting cracks ont eeth

Answer 48

transillumination

Question 49

how would you record a normal test for percussion

Answer 49

-

Question 50

what is used as conducting media for EPT

Answer 50

toothpaste

Question 51

T/F: when a sinus tract is present, it should be traced with gutta-percha point and x-ray taken to see the origin

Answer 51

TRUE

Question 52

T/F: a percussion test should be done by tapping the tooth with index finger first if not sensitive then used the mirror handle

Answer 52

TRUE

Question 53

T/F: acute apical abscess is associated with necrotic pulp

Answer 53

TRUE

Question 54

what can show systemic invovlement such as fever, lymphadenopathy and malaise

Answer 54

acute apical abscess

Question 55

what is a phenix abscess

Answer 55

acute apical abscess with radiolucency

Question 56

T/F: a sinus tract will always appear on attached gingiva

Answer 56

FALSE

Question 57

symptomatic apical periodontitis is always associated with necrotic pulp

Answer 57

false

Question 58

pain to cold comes frmo

Answer 58

the pulp

Question 59

is pulpitis visible on radiograpahs

Answer 59

no

Question 60

almost all pulp stones are

Answer 60

false

Question 61

overgrowth of pulp tissue into open carious lesion is referred to as

Answer 61

hyperplastic pulpitis

Question 62

a tooth more sensitive to cold than other teeth, after cold is removed from sensitive quickly disappears is called what

Answer 62

reversible pulpitis

Question 63

T/F: clinical findings closely correelaed to histology of the pulp

Answer 63

FALSE

Question 64

symptoms of symptomatic irreversible pulpitis

Answer 64

lingering pain to cold AND spontaneous pain