Question 1
Question
What is apical periodontitis?
Answer
-
A cyst which forms due to frustrated healing
-
Inflammation around the periodontal ligament at the root apex of the tooth
-
An abscess present at the apex of the tooth
Question 2
Question
Which of these are common causes of apical periodontitis?
Question 3
Question
Clinical features of acute apical periodontitis:
Tooth [blank_start]elevated[blank_end] in socket
[blank_start]Tenderness[blank_end] on biting
[blank_start]Severe[blank_end] pain
Thermal change [blank_start]does not[blank_end] induce pain
Answer
-
elevated
-
Tenderness
-
Severe
-
does not
Question 4
Question
What is a radiographic feature of acute apical periodontitis?
Question 5
Question
Histological features of acute apical periodontitis:
Vascular [blank_start]dilation[blank_end]
O[blank_start]edema[blank_end]
[blank_start]PMNL[blank_end] infiltration
[blank_start]Resorption[blank_end] of surrounding [blank_start]bone[blank_end] if irritant not removed
If associated with [blank_start]bacterial[blank_end] infection, [blank_start]acute alveolar abscess[blank_end]
Answer
-
dilation
-
edema
-
PMNL
-
Resorption
-
bone
-
bacterial
-
acute alveolar abscess
Question 6
Question
Chronic apical periodontitis is the most common sequelae of
Question 7
Question
Clinical features of chronic apical periodontitis:
T[blank_start]ender to percussion[blank_end] ([blank_start]dull[blank_end] sound)
Mild pain on [blank_start]biting[blank_end]
[blank_start]Elongation[blank_end] in socket
Can be a[blank_start]symptomatic[blank_end]
Answer
-
dull
-
ender to percussion
-
biting
-
Elongation
-
symptomatic
Question 8
Question
Radiographic features of chronic apical periodontitis:
[blank_start]Thickening[blank_end] of the ligament at the root apex
[blank_start]Radiolucent[blank_end] area attached to the root apex
Question 9
Question
Histological features of chronic apical periodontitis:
Infiltration of m[blank_start]acrophages[blank_end]/l[blank_start]ymphocytes[blank_end]/plasma cells
[blank_start]Granulation[blank_end] tissue
[blank_start]Cholesterol[blank_end] crystals
H[blank_start]aemosiderin[blank_end]
Answer
-
acrophages
-
ymphocytes
-
Granulation
-
Cholesterol
-
aemosiderin
Question 10
Question
The epithelial lining of radicular cysts may be derived from:
[blank_start]Epithelial[blank_end] cell rests of [blank_start]malassez[blank_end]
[blank_start]Respiratory[blank_end] epithelium of the [blank_start]maxillary sinus[blank_end]
Oral epithelium from a f[blank_start]istulous[blank_end] tract
Answer
-
malassez
-
Epithelial
-
maxillary sinus
-
Respiratory
-
istulous
Question 11
Question
What are some sequelae of chronic apical periodontitis?
Question 12
Question
What are some developmental odontogenic cysts?
Answer
-
Eruption cyst
-
Gingival cyst
-
Odontogenic keratocyst
-
Radicular cyst
-
Paradental cyst
Question 13
Question
What are some inflammatory odontogenic cysts?
Answer
-
Radicular cyst
-
Residual cyst
-
Paradental cyst
-
Odontogenic keratocyst
-
Eruption cyst
Question 14
Question
Epithelial cell rests of serres give rise to...
Answer
-
Odontogenic keratocyst
-
Gingival cyst
-
Lateral periodontal cyst
-
Eruption cyst
-
Radicular cyst
Question 15
Question
Reduced enamel epithelium gives rise to...
Answer
-
Eruption cyst
-
Paradental cyst
-
Dentigerous cyst
-
Odontogenic keratocyst
-
Gingival cyst
Question 16
Question
Epithelial cell rests of serres give rise to odontogenic keratocysts and eruption cysts
Question 17
Question
Reduced enamel epithelium gives rise to eruption cyst, paradental cyst and dentigerous cyst
Question 18
Question
Epithelial cell rests of malassez are the source of all radicular cysts
Question 19
Question
Pocket radicular cysts are
Answer
-
Surrounding and continuous with the root canal and apex
-
Independent of the root canal and completely enclosed by epithelial lining
-
Open to the root canal and the periapical tissues
Question 20
Question
True radicular cysts are
Answer
-
Surrounding and continuous with the root canal and apex
-
Independent of the root canal and completely enclosed by epithelial lining
-
Open to the root canal and the periapical tissues
Question 21
Question
The cyst cavity of a radicular cyst develops from death of the [blank_start]central epithelial[blank_end] cells and [blank_start]liquefaction[blank_end] necrosis of the [blank_start]granulation[blank_end] tissue.
Answer
-
central epithelial
-
liquefaction
-
granulation
Question 22
Question
Clinical features of radicular cysts:
Majority are [blank_start]asymptomatic[blank_end]
N[blank_start]on-vital[blank_end]
Sensitive to [blank_start]percussion[blank_end]
[blank_start]Maxillary[blank_end] anteriors most commonly affected
Answer
-
asymptomatic
-
on-vital
-
percussion
-
Maxillary
Question 23
Question
Histological features of radicular cysts:
[blank_start]Stratified squamous[blank_end] epithelial lining
[blank_start]Cholesterol[blank_end] crystals
Plasma cell and [blank_start]lymphocyte[blank_end] infiltration
[blank_start]Rushton[blank_end] bodies
Epithelial mucus [blank_start]metaplasia[blank_end]
Answer
-
Stratified squamous
-
Cholesterol
-
lymphocyte
-
Rushton
-
metaplasia
Question 24
Question
Contents of a radicular cyst:
[blank_start]Serum[blank_end] proteins
I[blank_start]mmunoglobulins[blank_end]
[blank_start]Cholesterol[blank_end] crystals
W[blank_start]ater[blank_end]
Answer
-
Serum
-
mmunoglobulins
-
Cholesterol
-
ater
Question 25
Question
What type of molecule breaks down bone matrix to make room for cyst expansion?
Answer
-
Collagenases
-
Osteoclasts
-
Osteoblasts
Question 26
Question
A radicular cysts lumen is [blank_start]hypertonic[blank_end] when compared to the inflammatory exudate. This means breakdown products in the inflammatory exudate travel into the [blank_start]cyst lumen[blank_end] which draws more water in, leading to further [blank_start]expansion[blank_end].
Answer
-
hypertonic
-
cyst lumen
-
expansion
Question 27
Question
Which molecules are important in bone resorption
Answer
-
Apical osteoclasts
-
PGE2
-
PGF2-alpha
-
IL-6
-
TNF-a
Question 28
Question
Features of residual cysts are:
[blank_start]Dense[blank_end] connective tissue
Retained after [blank_start]tooth extraction[blank_end]
[blank_start]Stratified[blank_end] epithelium
Answer
-
tooth extraction
-
Dense
-
Stratified
Question 29
Question
Condensing osteitis leads to dense s[blank_start]clerotic[blank_end] bone being deposited around the root apex due to low grade [blank_start]inflammation[blank_end].
Radiographic features include radio[blank_start]paque[blank_end] mass surrounding the [blank_start]apex[blank_end] of the root(s). The periodontal ligament is also [blank_start]widened[blank_end].
Histological features include dense bony t[blank_start]rabeculae[blank_end] with little [blank_start]interstitial[blank_end] marrow tissue.
Answer
-
clerotic
-
inflammation
-
paque
-
apex
-
widened
-
rabeculae
-
interstitial
Question 30
Question
In periapical cemental d[blank_start]ysplasia[blank_end] [blank_start]cemento[blank_end]-osseous tissue replaces bone. It most commonly occurs in the anterior [blank_start]mandible[blank_end].
Answer
-
cemento
-
mandible
-
ysplasia
Question 31
Question
The three stages of periapical cemental dysplasia are:
Osteo[blank_start]lytic[blank_end]
Cemento[blank_start]blastic[blank_end]
M[blank_start]ature[blank_end]
Question 32
Question
Acute alveolar abscess is a [blank_start]supparative[blank_end] process following on from [blank_start]acute or chronic[blank_end] periapical periodontitis. It causes initial t[blank_start]enderness[blank_end] of the tooth which goes on to become extremely painful.
Radiographic features including slight [blank_start]thickening[blank_end] of the periodontal ligament space
Histological features include:
Disintegrating [blank_start]PMNL[blank_end]s
C[blank_start]ellular[blank_end] debris
N[blank_start]ecrotic[blank_end] material
Bacterial c[blank_start]olonies[blank_end]
V[blank_start]asodilation[blank_end]
Answer
-
supparative
-
acute or chronic
-
enderness
-
thickening
-
PMNL
-
ellular
-
ecrotic
-
olonies
-
asodilation