Pregunta 1
Pregunta
What is apical periodontitis?
Respuesta
-
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
Pregunta 2
Pregunta
Which of these are common causes of apical periodontitis?
Pregunta 3
Pregunta
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
Respuesta
-
elevated
-
Tenderness
-
Severe
-
does not
Pregunta 4
Pregunta
What is a radiographic feature of acute apical periodontitis?
Pregunta 5
Pregunta
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]
Respuesta
-
dilation
-
edema
-
PMNL
-
Resorption
-
bone
-
bacterial
-
acute alveolar abscess
Pregunta 6
Pregunta
Chronic apical periodontitis is the most common sequelae of
Pregunta 7
Pregunta
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]
Respuesta
-
dull
-
ender to percussion
-
biting
-
Elongation
-
symptomatic
Pregunta 8
Pregunta
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
Pregunta 9
Pregunta
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]
Respuesta
-
acrophages
-
ymphocytes
-
Granulation
-
Cholesterol
-
aemosiderin
Pregunta 10
Pregunta
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
Respuesta
-
malassez
-
Epithelial
-
maxillary sinus
-
Respiratory
-
istulous
Pregunta 11
Pregunta
What are some sequelae of chronic apical periodontitis?
Pregunta 12
Pregunta
What are some developmental odontogenic cysts?
Respuesta
-
Eruption cyst
-
Gingival cyst
-
Odontogenic keratocyst
-
Radicular cyst
-
Paradental cyst
Pregunta 13
Pregunta
What are some inflammatory odontogenic cysts?
Respuesta
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Radicular cyst
-
Residual cyst
-
Paradental cyst
-
Odontogenic keratocyst
-
Eruption cyst
Pregunta 14
Pregunta
Epithelial cell rests of serres give rise to...
Respuesta
-
Odontogenic keratocyst
-
Gingival cyst
-
Lateral periodontal cyst
-
Eruption cyst
-
Radicular cyst
Pregunta 15
Pregunta
Reduced enamel epithelium gives rise to...
Respuesta
-
Eruption cyst
-
Paradental cyst
-
Dentigerous cyst
-
Odontogenic keratocyst
-
Gingival cyst
Pregunta 16
Pregunta
Epithelial cell rests of serres give rise to odontogenic keratocysts and eruption cysts
Pregunta 17
Pregunta
Reduced enamel epithelium gives rise to eruption cyst, paradental cyst and dentigerous cyst
Pregunta 18
Pregunta
Epithelial cell rests of malassez are the source of all radicular cysts
Pregunta 19
Pregunta
Pocket radicular cysts are
Respuesta
-
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
Pregunta 20
Pregunta
True radicular cysts are
Respuesta
-
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
Pregunta 21
Pregunta
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.
Respuesta
-
central epithelial
-
liquefaction
-
granulation
Pregunta 22
Pregunta
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
Respuesta
-
asymptomatic
-
on-vital
-
percussion
-
Maxillary
Pregunta 23
Pregunta
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]
Respuesta
-
Stratified squamous
-
Cholesterol
-
lymphocyte
-
Rushton
-
metaplasia
Pregunta 24
Pregunta
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]
Respuesta
-
Serum
-
mmunoglobulins
-
Cholesterol
-
ater
Pregunta 25
Pregunta
What type of molecule breaks down bone matrix to make room for cyst expansion?
Respuesta
-
Collagenases
-
Osteoclasts
-
Osteoblasts
Pregunta 26
Pregunta
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].
Respuesta
-
hypertonic
-
cyst lumen
-
expansion
Pregunta 27
Pregunta
Which molecules are important in bone resorption
Respuesta
-
Apical osteoclasts
-
PGE2
-
PGF2-alpha
-
IL-6
-
TNF-a
Pregunta 28
Pregunta
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
Respuesta
-
tooth extraction
-
Dense
-
Stratified
Pregunta 29
Pregunta
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.
Respuesta
-
clerotic
-
inflammation
-
paque
-
apex
-
widened
-
rabeculae
-
interstitial
Pregunta 30
Pregunta
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].
Respuesta
-
cemento
-
mandible
-
ysplasia
Pregunta 31
Pregunta
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]
Pregunta 32
Pregunta
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]
Respuesta
-
supparative
-
acute or chronic
-
enderness
-
thickening
-
PMNL
-
ellular
-
ecrotic
-
olonies
-
asodilation