Krok 2 STOMATOLOGY · 2018-09-21 · Krok 2 Stomatology (англомовний варiант, iноземнi студенти) 2018 рiк 2 A. To ﬁt the cap on the tooth stump

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: Aksonova Ye.A., Amosova L.I., Babenko L.M., Babushkina N.S.,

Bahlyk T.V., Bas O.A., Beliaiev E.V., Bielikov O.B., Bik Ya.H., Bosa L.F., Chaikivsky R.V.,

Chernov D.V., Chumachenko V.A., Chyrkin V.I., Chyzhevsky I.V., Derkach L.Z., Dmitriyev M.O.,

Dorubets A.D., Dubrovina O.V., Dvornyk V.M., Dzetsiukh T.I., Eismund A.P., Fedorovych O.A.,

Flis P.S., Haiduk R.V., Hanchev K.S., Haranina T.S., Hembarovsky M.V., Herasym L.M.,

Hirchak H.V., Hladka O.M., Hodovanets O.I., Holik V.P., Holovko N.V., Holubieva I.M.,

Hordiychuk M.O., Hrad I.V., Hrechko N.B., Hrekuliak V.V., Huliuk A.H., Humetsky R.I.,

Hurzhiy O.V., Hrynkov Ye.I., Idashkina N.H., Ilenko N.M., Ilnytsky Ya.M., Ivchenko N.A.,

Karasiunok Ye.O., Karelina L.S., Kaskova L.F., Katurova H.F., Khalmatov B.D., Kharchenko O.I.,

Kharkov L.V., Kirsanova O.V., Klomin V.A., Konovalov M.F., Kopelian N.M., KosarievaL.I.,

Kotelevska N.V., Koval O.V., Kril A.Y., Kryzhanivska O.O., Kuz H.M., Kuchyrka L.I.,

Kyrychenko V.M., Larionov I.M., Lavrovska O.M., Levko V.P., Lokes K.P., Lunhu V.I.,

Lysiuk S.V., Lytovchenko Yu.O., Makarevych A.Yu., Malakhovska A.O., Mikhalova A.O.,

Moiseitseva L.O., Morozova M.M., Morozova N.P., Nemish T.Yu., Nesin O.F., Odzhubeiska O.D.,

Oktysiuk Yu.V., Onyshchenko S.I., Orlovsky V.O., Ozhohan Z.R., Parasochkina V.V.,

Pasechnyk A.M., Pavelko N.M., Petrushanko V.M., Polyshchuk L.F., Potiyko V.I.,

Prodanchuk A.I., Pryshko Z.R., Raida A.I., Romanenko I.H., Romankov I.O., Romashkina O.A.,

Rozumenko O.P., Ruzin H.P., Saiapina L.M., Samsonov O.V., Shakhnovsky I.V., Shcherbyna I.M.,

Shmat S.M., Shubladze H.K., Shuvalov S.M., Semenova O.O., Sidlak O.Ya., Skakun L.M.,

Skvortsova I.H., Smahliuk L.V., Stasiuk N.O., Svirchkov V.N., Sydorenko A.Yu., Sydorenko I.V.,

Sydorova A.I., Teslenko O.I., Tsilenko O.L.,Tyuhashkina Ye.H., Ushych A.H., Vasylenko V.M.,

Voliak M.N., Volkova O.S., Yermakova I.D., Yeroshenko A.V., Yevtushenko L.H., Zinchenko T.P.

and Committees of professional expertise.

Item reviewers. Bezvushko E.V., Bulbyk O.I., Chyzhevsky I.V., Dmytriieva A.A.,

Fastovets O.O., Gerelyuk V.I., Ilenko N.M., Kaskova L.F., Lungu V.I., Muntian L.M.,

Novikov V.M., Ostapko O.I., Smagliuk L.V., Solovey S.I., Tril S.I., Tsentylo V.G., Volynets V.M.,

Volyak M.N.

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.

Krok 2 Stomatology (англомовний варiант, iноземнi студенти) 2018 рiк 1

1. A removable full denture for the lowerjaw is being made for a 75-year-old man.Objectively the alveolar process is slightlyatrophied. Herbst tests are performed duringfitting of an impression tray. When lips arestretched forwards the tray slips off. Whereshould the tray edge be shortened in thiscase?

A. From canine to canine on the vestibularsideB. From canine to canine on the lingual sideC. From behind the mandibular tuberosity tothe mylohyoid lineD. Along the mylohyoid lineE. In the premolar area on the lingual side

2. A 18-year-old boy complains of bleedingand pain in her gums. The disease onset was4 days ago. Objectively the skin is pale, bodytemperature is 38.5oC . Her submandibularlymph nodes on the left are enlarged, painful,non-fused with the surrounding tissues. Thegingival papillae and gingival margin in thearea of 33, 34, 35, 36, and 37 are hyperemic,ulcerated, and covered in necrotic deposit.Teeth present with soft dental plaque. Makethe diagnosis:

A. Necrotizing ulcerative gingivitisB. Acute catarrhal gingivitisC. Chronic hypertrophic gingivitisD. Chronic catarrhal gingivitisE. -

3. A 60-year-old man complains of stabbingpain near the root of the tongue on the ri-ght, which develops during eating, especiallysour food. Objectively: there is a swelling inthe right submandibular area. On palpati-on the submandibular gland is dense andenlarged. Excretory duct orifice of the rightsubmandibular gland is dilated and producesmucopurulent secretion. What is the most li-kely diagnosis?

A. Sialolithiasis of the submandibular glandB. Calculous sialadenitis of the sublingualglandC. Acute suppurative lymphadenitisD. Acute sialodochitisE. Adenophlegmon of the right submandi-bular area

4. A 19-year-old woman, an actress, complai-ns of discoloration of her left maxillarycentral incisor. One year ago the pulp ofthis tooth was removed and the tooth wasfilled. Gradually the tooth assumed grayishcolor. Objectively the 11 is filled, discolored,firm, painless on percussion. Deep occlusi-on is observed. What part of the clinicalpresentation contraindicates installation ofan all-porcelain crown?

A. Deep occlusionB. Front teeth defects that cannot be correctedwith fillingsC. Enamel hypoplasia with tooth deformationand discolorationD. Tooth discolorationE. Devitalized teeth defects that cannot becorrected with dental inlays

5. A 32-year-old woman needs a denture. Onobjective examination the decision was madein favor of porcelain-fused-to-metal crown.What material should be used in this case toobtain the impression?

A. StomaflexB. RepinC. StomalginD. StensE. Orthocor

6. Parents of a 6-month-old child complain oftheir child having a large amount of dentaldeposit in the oral cavity. Objectively the oralmucosa is hyperemic, covered in white easilyremoved deposit that resembles curdled mi-lk. What is the causative agent of this disease?

A. Candida fungiB. Herpes simplex virusC. Klebs-Loeffler bacillusD. Coxsackie virusE. Epstein-Barr virus

7. A 55-year-old man complains of heartburnand unpleasant sensations in his tongue. Thepatient has been suffering from gastritis withlow acidity for approximately 5 years. Whatchanges in the tongue are the most likely tobe detected in this patient?

A. Atrophied and smoothed out lingual papi-llaeB. Hypertrophic lingual papillaeC. Erosions on the lateral surfaces of thetongueD. Coated tongueE. Fissured tongue

8. A 10-year-old child is referred by theorthodontist for extraction of tooth 53.Objectively the crown of 53 is retained, thetooth is immobile. X-ray of tooth 53 showsroot resorption by less than 1/3. Choose thebest instrument for extraction of tooth 53:

A. Straight crown forcepsB. Straight elevatorC. Root bayonet forcepsD. Crown forceps with S-shaped handlesE. Beak-shaped root forceps

9. A 24-year-old woman has Richmond crownbeing made to restore the crown of the centralmaxillar incisor. The cap is completed. Whatis the next step of prosthesis-making?


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

10. Removable full dentures are being madefor a 65-year-old man. Progenic occlusion isdetermined. What are the specifics of teethplacement in case of progenic occlusion ofedentulous jaws?

A. Superior dental arch is shortened by twopremolarsB. Anterior teeth are placed in direct occlusi-onC. Inferior dental arch is shortened by twopremolarsD. Anterior teeth are placed in orthognathicocclusionE. Short-bite anterior teeth

11. 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 isreduced. Tomography shows smooth boneoutline of joint surfaces. Which disease ofthose listed below corresponds with this clini-cal presentation?

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

12. A 47-year-old man complains of partialloss of his upper teeth. The patient’s medi-cal history states loss of teeth due to traumasustained 3 months ago. 11 and 12 are lost. 13,21, and 22 are destroyed by 2/3 and restoredwith fillings. Occlusion is orthognathic. Whatdenture construction would be optimal forthis patient, considering his occupation as alecturer?

A. Porcelain-fused-to-metal dental bridgeB. Plastic dental bridgeC. Clasp-retained (bugel) removable partialdenture with attachmentsD. Removable partial laminar denture for theupper jawE. Swaged-soldered metal dental bridge withfaceted intermediate part

13. A 7-year-old boy is diagnosed with epi-demic parotitis (mumps). Name the most li-kely complication of this disease:

A. OrchitisB. ColitisC. DermatitisD. PneumoniaE. Cholecystitis

14. During preventive examination a 40-year-old man presents with the following changes:marginal gingiva is enlarged, torus-shaped,cyanotic, slightly bleeding when touched wi-th a dental probe; there is no pain. Stainingthe gums with Lugol’s iodine solution resultsin light-brown coloring of mucosa. Make thediagnosis:

A. Chronic catarrhal gingivitisB. Acute catarrhal gingivitisC. Exacerbation of chronic catarrhal gingivitisD. Chronic hypertrophic gingivitisE. Generalized periodontitis

15. A 4-year-old boy has been diagnosed wi-th acute purulent periostitis of the upper jaworiginating from the 64 tooth. Choose theoptimal treatment tactics:

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

16. An adolescent complains of reduced andpainful mouth opening, difficulties when eati-ng, and swelling in the left mandibular anglethat developed after tooth 37 was extracted 3days ago. Objectively the face is asymmetricdue to soft tissue swelling in the area of theleft mandibular angle. Mouth opening is pai-nful and reduced to 2.0 cm. Disturbed occlusi-on is observed. Palpation of the left mandi-bular angle is painful, the tissues are soft,bone crepitus is detected. ”Indirect load tothe chin” symptom is positive in the areaof the left mandibular angle. The socket ofthe extracted tooth is packed with iodoformgauze. What is the most likely diagnosis?

A. Left mandibular angle fractureB. Mandibular alveolar fractureC. Anterior mandibular fractureD. Mandibular periostitis on the leftE. Odontogenic mandibular osteomyelitis

17. A 32-year-old man has metallic inlay madefor him. The denture is being made for tooth36 with Black’s class I carious cavity. Whatsurfaces of the inlay should be filed down andpolished before fixing the denture?

A. Occlusal surfaceB. Lateral surfacesC. All surfacesD. Inlay bottomE. Lateral surfaces and inlay bottom

18. A 12-year-old boy complains of pai-nful and bleeding gums on his upper jaw.Objectively the gingival margin in the area


of the 13, 12, 11, 21, 22, and 23 teeth isswollen, hyperemic, deformed due to gingi-val overgrowths. Gingival papillae cover thecrowns by 1/3 of their height, bleed on touch.Upper front teeth are overcrowded. X-rayshows no pathological changes of the peri-odontium. What drugs should be admini-stered for topical treatment in the first place?

A. Nonsteroidal anti-inflammatory drugsB. SclerosantsC. Steroidal anti-inflammatory drugsD. Keratoplastic agentsE. Cytostatic agents

19. A 43-year-old woman complains ofmobility and displacement of her upperfront teeth. Objectively: dental formula is

17 16 15 14 13 12 11 21 22 23 24 25 26 2747 46 45 44 43 42 41 31 32 33 34 35 36 37 .

Teeth 12 11 21 22 are slanted towardsthe vestibular side, diastema and tremataare observed, I-II degree teeth mobility isdetected. Select the orthodontic appliancefor correction of teeth misalignment as a partof complex treatment of periodontal disease:

A. Palatal plate with vestibular archB. Bynin applianceC. Schwartz applianceD. Katz crownE. Palatal plate with inclined plane

20. A 45-year-old man complains oftoothache and mobility of his upper frontteeth. Objectively his dental formula is asfollows:

17 16 15 14 13 12 11 21 22 23 24 25 26 2747 46 45 44 43 42 41 31 32 33 34 35 36 37 .

Dental cervices of 13 12 11 21 22 areexposed and demonstrate mobility of theIII degree. Mobile teeth are to be extractedand immediate denture is to be made for thepatient. How soon after the teeth extractionshould such dentures be inserted?

A. On the day of teeth extractionB. In 1-2 daysC. In 3-4 daysD. In 5-6 daysE. In 6-7 days

21. A 56-year-old man complains of swelli-ng and pain in his right parotid area. Theswelling was noticed 5-6 months ago. Objecti-vely right-sided paresis of the facial musclescan be determined. Palpation reveals therea modrately painful tuberous tumor fusedwith surrounding tissues. In the center ofthe tumor there is an area of softening.Submandibular and cervical lymph nodes onthe right are enlarged and dense. The mouthcan be opened without restriction. There isno saliva outflow from the opening of the ri-ght parotid gland. What provisional diagnosiscan be made?

A. Adenocarcinoma of the right parotid glandB. Chronic non-epidemic parotitisC. Chronic lymphadenitis of the right parotidareaD. Mixed tumor of the right parotid glandE. Actinomycosis of the right parotid gland

22. Parents of a 3-year-old child report thatthe child suffers from constant pain in theupper front teeth. Objectively: the coronalpart of the 61 tooth is gray and decayed.Probing of the root canal orifice is painful andaccompanied by bleeding. The tooth percussi-on provokes acute pain. Mucosa is hyperemic,edematic and painful. Palpation in the regionof the 61 and 62 teeth reveals a fistula. Whatis the provisional diagnosis?

A. Exacerbation of chronic periodontitisB. Acute suppurative periodontitisC. Acute diffuse pulpitisD. Chronic granulating periodontitisE. Exacerbation of chronic pulpitis

23. Puncture sample taken from a 13-year-old child contains giant Reed-Sternberg cells.What diagnosis can be confirmed by the cellcontent of this puncture material?

A. LymphogranulomatosisB. Tuberculous lymphadenitisC. Lymphocytic leukemiaD. Lymph node actinomycosisE. Infectious mononucleosis

24. A 25-year-old man complains of genelalmalaise, high body temperature, acute gi-ngival bleeding, and gingival enlargement.He has a history of nosebleeds. Objectivelythe patient presents with systemic lymphoidhyperplasia, pallor of skin and mucosa, II-IIIdegree hyperplasia of the gingival mucosa,hemorrhages into the buccal mucosa, andulcers covered with gray deposit. Whatexamination method would be optimal fordiagnosis-making in this case?

A. Complete blood test panelB. Yasynsky testC. BacterioscopyD. ImmunoassayE. Blood glucose test

25. A 19-year-old young man complains ofconstant pain in tooth 22, which intensifies onbiting with this tooth, sensation of ”protrudi-ng” tooth, and upper lip edema. The pati-ent has history of upper jaw trauma. Objecti-vely tooth 22 is intact. Vertical percussionis acutely painful. The upper lip is swollen,mucogingival fold in the area of tooth 22 isred and painful on palpation. What exami-nation method is necessary for diagnosis-making in this case?


A. X-rayB. Dental pulp testC. RheodentographyD. TransilluminationE. Thermometry

26. A patient complains of carious cavity intooth 11. The filling was lost one week ago.The tooth crown is dark, there is residual fi-lling material at the bottom of the cariouscavity. Vertical percussion is painless. X-rayshows an oval area of bone tissue resorpti-on with clear margins, 0.4х0.3 cm in size. Theroot canal is filled by 2/3 of its length. What isthe most likely diagnosis?

A. Chronic granulomatous periodontitisB. Chronic fibrous periodontitisC. Chronic granulating periodontitisD. Radicular cystE. Exacerbation of chronic periodontitis

27. A 28-year-old man is referred for oralcavity sanation. On examination there is afilling on the masticatory surface of tooth17, percussion is painless. Mucosa in the rootapex projection of 17 is cyanotic, vasoparesissymptom is positive. X-ray shows foci of bonetissue destruction with fuzzy margins in thearea of root apices, root canals are not filled.What is the most likely diagnosis?

A. Chronic granulating periodontitisB. Chronic fibrous periodontitisC. Chronic granulomatous periodontitisD. Radicular cystE. Chronic fibrous pulpitis

28. A 30-year-old woman complains of mi-ld burning sensation in her lower lip andits dryness. She peels skin scales off withher teeth. She has been presenting with thiscondition for 10 years. On examination theskin scales are gray and located on the lipfrom the Klein’s line to the center of thevermillion border from angle to angle of themouth. The scales are firmly attached in thecenter and are loose on the periphery. Theirforcible removal does not result in erosions.What is the most likely diagnosis?

A. Exfoliative cheilitisB. Lupus erythematosusC. Meteorological cheilitisD. Allergic contact cheilitisE. Eczematous cheilitis

29. A 32-year-old patient presents withbody temperature of 38.9oC , general fatigue,impaired speech, inability to eat. This condi-tion has been recurring for the last 4 years inautumn and spring. There are vesicles anderosions with grayish fibrinous coating onthe hyperemic and swollen labial and buccalmucosa. Nikolsky’s sign is negative. What isthe most likely diagnosis?

A. Erythema multiforme exudativumB. Pemphigus vulgarisC. Acute herpetic stomatitisD. Nonacantholytic pemphigusE. Dermatitis herpetiformis (Duhring’s di-sease)

30. A 28-year-old woman complains of persi-sting pain in tooth 34, which intensifies onbiting. Four days ago arsenic paste was leftin the 34. The patient missed her appoi-ntment with the dentist. Objective examinati-on detected occlusive dressing on the distalmasticatory surface of tooth 34, percussion isacutely painful. What treatment tactics wouldbe the most advisable in this case?

A. Arsenic antidote is placed into the rootcanal under occlusive dressingB. Dentin dressing is removed, electrophoresiswith antidote along the mucogingival fold isprescribedC. The root canal is lavaged with antidote, thetooth remains uncoveredD. The root canal is lavaged with antidote andfilledE. -

31. A 35-year-old man came to theprosthodontic clinic with complaints of teethmobility on his lower jaw. What type ofocclusion stabilization is recommended inthis case?

A. ArchB. SagittalC. FrontalD. ParasagittalE. Frontosagittal

32. A 57-year-old patient complains of toothmobility and inability to eat. Objectively: thelower 35, 36, 37, 38, 44, 45, 46 and 48 teeth aremissing; the 31, 32, 33, 34, 41, 42, 43, 47 teethexhibit grade II mobility, their clinical crownsare low, tooth equator is not pronounced.What is the optimal denture construction inthis case?

A. Removable cast splintB. Removable partial dentureC. Kurlyandsky splint barD. Bynin removable splintE. Removable splint with vestibulo-oral clasp

33. A 16-year-old young man complai-ns of temperature increase up to 38.7oC ,pain when eating and swallowing, foulacrid smell from his mouth. Lymph nodes,especially cervical ones, are enlarged, mobi-le, and painless. Objectively the patientpresents with generalized hyperemia of theoral mucosa, multiple petechiae, necroticspots, and profuse coating of the anteri-or pharynx. Blood test: increased ESR,marked leukocytosis, monocytosis, atypicalmononuclear cells, thrombocytopenia. Whatis the most likely diagnosis?


A. Infectious mononucleosisB. Vincent stomatitis (acute necrotizingulcerative gingivitis)C. Herpetic anginaD. Monoblastic leukemiaE. Acute herpetic stomatitis

34. A 57-year-old retired man complains ofattacks of burning pain and rashes on theskin of his face and oral mucosa on the right.Anamnesis: a course of radiation therapy fortreatment of gastric disease, past case of chi-ckenpox. Objectively: along the third branchof the trigeminal nerve the skin of the facepresents with isolated erosions covered in fi-brinous coating. There are multiple vesicleson the hyperemic and swollen oral mucosa.Right-sided lymphadenitis is observed. Whatis the most likely diagnosis?

A. Herpes zosterB. NeuralgiaC. MurrainD. Acute recurrent herpesE. Neuritis

35. A 12-year-old girl has complaint of a cari-ous cavity in her tooth. Objectively: there isBlack’s class 1 carious cavity in the 36 tooth;it is localized in the parapulpar dentin; themouth of the cavity is wide. The dentin isdense and pigmented. It is sensitive to coldstimulus, percussion is painless. What is themost likely diagnosis?

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

36. A 35-year-old woman has complaints ofcosmetic defects of the front upper teethcrowns. The defects have been aggravati-ng for the last 10 years. The patient suffersfrom unpleasant sensations when brushi-ng her teeth, and when chemical stimuliare applied. Objective examination revealeddefects localized in the enamel of the frontupper teeth vestibular surface. The defectsare oval, saucer-shaped, and have clear margi-ns. Response to probing and cold stimuli waspositive. Make the diagnosis:

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

37. A patient complains of dull ache in the16 tooth, which occurs during eating coldfood. Previously the tooth had been filleddue to deep caries, the filling was lost 1 yearago. Objectively: a deep carious cavity thatdoes not communicate with the tooth cavityis present; percussion is painless, probing is

painful along the whole floor of the cariouscavity. Electric pulp test - 50 microamperes.Thermodiagnosis is painful. Make the di-agnosis:

A. Chronic fibrous pulpitisB. Chronic deep cariesC. Chronic fibrous periodontitisD. Acute deep cariesE. Chronic gangrenous pulpitis

38. A 35-year-old man complains of thickeni-ng of his maxillary alveolar process. Prelimi-nary diagnosis of maxillary radicular cyst wasmade. What substance will be obtained as theresult of the puncture of the alveolar processin the area of buccal thickening?

A. Yellowish liquidB. BloodC. PusD. EpitheliumE. Turbid infiltration

39. Six months ago a 40-year-old man had histooth 26 extracted; afterwards his oral cavityand maxillary sinus became communicatingand the patient developed the first signs ofmaxillary sinusitis. What surgical procedureshould be performed in this case?

A. Maxillary sinusotomy with simultaneousplastic surgery for repair of the fistulaB. Caldwell-Luc surgeryC. Fistula plicationD. Fistula packing with Iodoform gauzeE. Osteotomy of the alveolar process

40. A 46-year-old woman complains ofbleeding gums, suppuration, teeth mobili-ty. She has been presenting with these signsfor 10 years. On examination her upper andlower gums are hyperemic, swollen, bleed ontouch. In the area of 42, 41, 31, and 32 peri-odontal pockets are up to 8 mm deep, containpurulent discharge; these teeth demonstratemobility of the II degree, other teeth presentwith mobility of the I degree. In the area of42, 41, 31, and 32 X-ray shows interalveolarsepta resorption by 1/2 of the root length andsigns of osteoporosis. What is the most advi-sable method of surgical treatment in thiscase?

A. OsteoplastyB. CurettageC. GingivotomyD. GingivectomyE. Flap surgery

41. A 40-year-old man had his root canal ofthe 34 tooth filled due to chronic fibrous peri-odontitis. Soon the treated place became pai-nful. On X-ray the root canal of the 34 toothis filled to the root apex. What tactics shouldthe dentist choose to manage the pain?


A. To prescribe physiotherapeutic proceduresB. To rinse with antiseptic mouthwashC. To make insicion along the mucogingivalfoldD. To provide conduction anesthesiaE. To provide infiltration anesthesia

42. A 49-year-old man was diagnosed wi-th recurrence of lower lip cancer two yearsafter he had undergone radiation therapy.Objectively in the area of his lower rightlip there is a neoplasm 1x2 cm in size withan ulcer in its center. In the right submandi-bular area there are 2 round, enlarged, dense,painless lymph nodes. What approach to thetreatment would be optimal in this case?

A. Combined treatmentB. Wedge resection of the lower lipC. Rectangular resection of the lower lipD. Trapezial resection of the lower lipE. Vanakh’s operation

43. During regular check-up a 6.5-year-oldchild presents with carious cavity on the di-stal proximal surface of 65 within mantledentin. Cavity walls and bottom are pi-gmented, dense, painless on probing; thereis no response to cold stimulus; percussionis painless. During tooth preparation thereis tenderness at the level of dentinoenameljunction. What is the most likely diagnosis?

A. Chronic median cariesB. Acute median cariesC. Chronic deep cariesD. Chronic fibrous pulpitisE. Chronic granulating periodontitis

44. After adenotonsillectomia it is necessaryto break the mouth breathing habit in a 4-year-old child. The orthodontist recommendsapplication of an oral vestibular shield(Kerbitz’ vestibular plate). Vestibular shieldfacilitates training of the following muscle:

A. Orbicular muscleB. Temporal muscleC. Masseter muscleD. Lateral pterygoid muscleE. Medial pterygoid muscle

45. A 30-year-old man presents with freshmedian mandibular fracture without visibledisplacement of the fragments. What will bethe function of the dental apparatus to beprescribed in this case?

A. FixationB. SettingC. DirectingD. ReplacementE. Formation

46. A 43-year-old woman complains of herlower teeth mobility. Objectively the teethmobility is of the I-II degree. It is planned tomake a full-cast removable occlusal splint for

her. What material would be optimal for thissplint?

A. Cobalt nickel chromium alloyB. ”EI-95” alloyC. Stainless steelD. ”PD-250” alloy (silver palladium alloy)E. Gold alloy of 900 millesimal fineness

47. A 4-year-old practically healthy childcame for oral cavity sanation. Objectively onthe masticatory surface of 75 there is a cari-ous cavity within mantle dentin. The cavityis filled with softened dentin. Dentinoenameljunction is painful on probing. What materialwould be optimal for permanent filling?

A. Glass ionomer cementB. Phosphate cementC. Silicophosphate cementD. Composite materialE. Silicate cement

48. A 7.5-year-old practically healthy childcomplains of crown fracture and pain in theupper right incisor. Objectively 2/3 of crownof 11 is absent, the pulp is exposed and red;on probing it is acutely painful and bleedi-ng; tooth percussion is painful. The traumaoccurred 2 hours ago. What would be theoptimal treatment method in this case?

A. Vital amputationB. Devital amputationC. Vital extirpationD. Devital extirpationE. Biological approach

49. Parents of a 2.5-year-old child complain ofgradual destruction of the upper front teethof their child for the last several months.Objectively there are carious cavities withinmantle dentin on the contact and vestibularsurfaces of 52, 51, 61, and 62. The cavities arefilled with softened pigmented dentin thatcan be easily removed with dental excavator.Make the provisional diagnosis:

A. Acute median cariesB. Chronic deep cariesC. Acute deep cariesD. Chronic median cariesE. Chronic superficial caries

50. A 49-year-old man complains of progressi-ng reduction of mouth opening, pain onthe left when swallowing, severe deteriorati-on of his general well-being, temperatureincrease up to 39.3oC . Destroyed tooth 38presents with acute pain. Objectively the faceis symmetrical, the submandibular lymphnodes on the left are enlarged and painfulon palpation. Palpation under the left mandi-bular angle and in the the left retromandi-bular area provokes sharp pain. Mouthopening and movement of the mandible tothe left are significantly reduced. The leftpterygomandibular fold is hyperemic and


infiltrated. What is the most likely diagnosis?

A. Phlegmon of the pterygomandibular spaceB. Phlegmon of the parapharyngeal spaceC. Phlegmon of the retromandibular areaD. Phlegmon of the submandibular spaceE. Abscess of the sublingual fossa

51. A 40-year-old man presents withpathologic teeth grinding caused by theirfunctional overload due to the loss of manyantagonist teeth. With direct occlusion, verti-cal grinding of the front teeth resultedin protrusion of the patient’s lower jawforwards. Interalveolar space is diminished,the lower third of the face is shortened. Whatwould be the most advisable treatment in thiscase?

A. Prosthetics that increase interalveolarheightB. Prothetic treatmentC. Teeth shorteningD. Prosthetic treatmentE. Instrumental surgical treatment

52. A 7-year-old child complains of pain andswelling in the left submandibular region.The swelling in this region developed 2 daysago. Objectively: the child is in a satisfactorycondition, body temperature is of 37.3oC .Face is asymmetrical due to the soft tissueswelling in the left submandibular region.Palpation reveals a round formation 2x2 cmin size. The formation is mobile, painful, non-fused with the skin. The 74 tooth is discolored,percussion is painful. What is the provisionaldiagnosis?

A. Acute serous odontogenic lymphadenitisof the left submandibular regionB. Acute serous nonodontogenic lymphadeni-tis of the left submandibular regionC. Acute suppurative odontogeniclymphadenitis of the left submandibularregionD. Phlegmonous adenitis of the rightsubmandibular regionE. Lateral cervical cyst

53. A 48-year-old patient complains of thelower jaw teeth mobility. Van Thiel dentalsplint is to be made for prosthodontictreatment. What construction elements aresupposed to fix it in place?

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

54. A 55-year-old man suffered a blow to thefrontal mandibular area. He is diagnosed withmandibular fracture. Prior to trauma he waswearing removable dentures (partial laminardenture for the lower law and full denturefor the upper jaw). What can be used for

transport immobilization of the fracture?

A. Patient’s denturesB. Weber splintC. Vankevych splintD. Zbarzh apparatusE. Vasiliev splint

55. A 57-year-old woman came to a dentist forextraction of the 34 tooth due to exacerbati-on of chronic periodontitis. What instrumentwould be optimal for tooth extraction in thegiven case?

A. Beak-shaped non-crushing forcepsB. Beak-shaped crushing forcepsC. Beak-shaped curved forcepsD. Straight elevatorE. Curved elevators

56. A cast clasp-retained (bugel) removablepartial denture is being made for a 58-year-old patient. Impressions are made, centric jawrelation is determined, plaster casts are obtai-ned. What is the next stage?

A. Examination of the working model with aparallelometerB. Transfer of denture frame pattern to theworking modelC. Wax modelling of the denture frameD. Duplication of the working modelE. Marking the border seal

57. A 7-year-old boy underwent fissure seali-ng in teeth 36 and 46. Fissure sealing wouldbe most effective:

A. Immediately after eruption of thepermanent toothB. After permanent occlusion is formedC. If permanent teeth are affected with cariesD. In 1-2 years after tooth eruptionE. In 3-4 years after tooth eruption

58. A 6-year-old girl took paracetamol totreat a case of URTI two days ago, whi-ch resulted in the development of herpresent condition. The disease onset wasacute with temperature increase up to39.8oC . Objectively there are cockade-shapedmaculopapular rashes on her face. The vermi-lion border is swollen, hyperemic, coveredin massive brown crusts, and presents withbleeding cracks. Conjunctivitis is detected.Swollen and hyperemic oral mucosa presentswith numerous erosions covered with fibri-nous incrustations; the erosions are sharplypainful on palpation. What is the most likelydiagnosis?

A. Stevens-Johnson syndromeB. Erythema multiforme exudativumC. Acute herpetic stomatitisD. Chronic recurrent aphthous stomatitisE. Pemphigus

59. How often should the dentures be


replaced in children during the period of milkocclusion according to Ilyina-Markosian?

A. Every 6-8 monthsB. Every 8-10 monthsC. Every 10-12 monthsD. Every 12-16 monthsE. Every 16 months

60. On objective examination a 59-year-oldman with the edentulous mandible presentswith bone protrusions and mobile areas ofthe alveolar crest. To ensure proper fixati-on of the denture and even load distributionthe following functional impression should bemade:

A. DifferentiatedB. Complete anatomicalC. CompressionD. DecompressionE. Combined

61. A 28-year-old man complains of pain inthe infraorbital and parotid region on theleft. On examination: hemorrhage occurs inthe lower eyelid and conjunctiva of the lefteye, there are signs of crepitation and stepdeformity of the eyesocket lower edge. Themouth opens by 1 cm. Make the diagnosis:

A. Zygomatic bone fractureB. Malar arch fractureC. Left articular process fractureD. Traumatic arthritis of the temporo- mandi-bular jointE. Hematoma of the infraorbital region

62. A child is 8 years old. There are complai-nts of congested upper incisors. Objectively:the first molars closure is of Angle’s I class,frontal overbite is orthognathic. The 12 and22 teeth erupt palatinally with space defici-ency of 2/3 of the tooth crown. The 11 and21 teeth are 10 mm each in cross-section. Thechild has inherited father’s facial type withprognathism and macrodontia of the centralincisors. Choose the preventive treatment,considering this hereditary pathology:

A. Hotz serial extraction to reduce the dentalarchB. Jaw expansion to provide the space for the12 and 21 teethC. Massage of the 12 and 21 teeth area tostimulate their eruptionD. Extraction of the 12 and 21 teeth to reducethe dental archE. Shave off the approximal surfaces of the 11and 21 to provide the space for the 12 and 22teeth

63. A 38-year-old woman complains of burni-ng pain in her lips and angles of her mouth,their dryness. Anamnesis states that she hasbeen suffering from diabetes mellitus forthe last 8 years. Objectively: the vermilli-on border is dry, congestively hyperemic,

covered in scales of varying size. In the anglesof the mouth there are fissures covered inwhite coating, the skin is macerated. Whatointment should be prescribed for topicaltreatment in the given case?

A. ClotrimazolB. InterferonC. PrednisoloneD. LanolinE. Erythromycin

64. A 35-year-old woman complains of lipsenlargement. The first incident occurred oneyear ago, when she developed lip edema thatabated quickly, but the lips remained slightlyenlarged. Three days ago after overexposureto cold her lips enlarged again. Objectively:ptosis, upper and lower lips are markedlyenlarged, more on the left, soft, elastic, andpainless on palpation; no impressions on thelip surface are left after pressing it with a fi-nger. The tongue is swollen, with tuberoussurface and folds on its back. What is themost likely diagnosis?

A. Melkersson-Rosenthal syndromeB. Miescher’s granulomatous cheilitisC. Quincke’s edemaD. Achard’s syndromeE. Meige’s trophedema

65. A 45-year-old man complains of drynessand pain in the lower lip. On examination:the lower lip is swollen, dry, covered in smallscales and fissures. In the Klein area (wet-dryline) there are dilated openings of salivatoryglands observed as red dots producing clearsubstance. The lower lip mucosa is lumpy.What is the most likely diagnosis?

A. Glandular cheilitisB. Actinic cheilitisC. Meteorological cheilitisD. Eczematous cheilitisE. Exfoliative cheilitis

66. A 23-year-old man complains of gumbleeding when he brushes his teeth or eatssolid food. Objectively: the gums of the frontlower jaw are hyperemic, swollen and bleedi-ng when palpated. Oral and gingival mucosain other areas are not affected. The occlusi-on is deep. The teeth are firm, except for the41 and 31 (degree 1 mobility). X-ray showsresorption of the alveolar septum in the areaof the 41, 42, 32, and 31 teeth up to 1/3 of theroot length. What is the most likely diagnosis?

A. Localized periodontitisB. Generalized periodontitis, initial stageC. Generalized periodontitis, stage ID. Catarrhal gingivitisE. Parodontosis, stage I

67. A 40-year-old man, a chemical industryworker, notes the sour sensation in his mouth,pain response to thermal and chemical sti-


muli. On examination: on the vestibularsurface and cutting edge of the front teeththere are chalky enamel defects with unevenscalloped margins. Make the diagnosis:

A. Acidic necrosis of enamelB. Superficial cariesC. Enamel hypoplasia (erosive form)D. Fluorosis (erosive form)E. Median caries

68. A 42-year-old woman complains of acutelip enlargement, itching, and bursting sensati-on. She ascribes her condition to introductionof a new lipstick. On examination the lips aresignificantly enlarged and turgid, on palpati-on they are firm, elastic, and painless. Regi-onal lymph nodes are without changes. Whatis the most likely diagnosis?

A. Allergic contact cheilitisB. Meteorological cheilitisC. Exfoliative cheilitisD. Glandular cheilitisE. Actinic cheilitis

69. A 50-year-old patient, an employee of theprint shop, complains of foul smell from hismouth and excessive salivation. Objectivelyagainst the background of hyperemic andslightly swollen gums there is a blue-blackborder along the gum margin of the lowerjaw and upper front teeth. There is a largeamount of dental deposit observed. Namethe type of stomatitis in this patient:

A. LeadB. MercuryC. BismuthD. CatarrhalE. Necrotizing ulcerative

70. A 25-year-old man complains ofincorrectly positioned maxillary left centralincisor due to trauma sustained 2 months ago.Objectively tooth 21 is rotated around its axisinto palatal position. What would be the mostadvisable treatment method for correction ofthis defect?

A. Orthodontic treatmentB. Surgical treatmentC. Instrumental surgical treatmentD. -E. Splinting followed by prosthetic treatment

71. A 44-year-old woman complains of theface swelling in the right lower jaw area andteeth mobility. Objectively: soft tissues arewithout changes, the regional lymph nodescannot be palpated. The alveolar process andthe body of the lower jaw near the 46, 47,and 48 teeth are thickened, painless whenpalpated, and lumpy. The teeth in the thi-ckened area are mobile. Puncture consistsof brown fluid without cholesterol crystals.What is the provisional diagnosis?

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

72. A 6.5-year-old child has closed non-pigmented fissures in the first permanentmolar, which have been revealed duri-ng preventive examination. Enameltransparency is retained, its probing revealsno coarseness. Choose the optimal method oftreatment in this case:

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

73. A man complains of gingival pain inhis upper left jaw and bleeding that occurswhen he brushes his teeth or eats solid food.Objectively on the upper jaw he wears aswaged-soldered metal bridge with 14 and16 as abutment teeth. The crown edge ispushed under the gingival margin by 0.3mm. Intermediate part is closely fitted tothe gums. The mucosa is hyperemic, swollen,interdental papillae are smoothed out;touching mucosa with a dental instrumentprovokes bleeding. What medical tacticsshould the dentist choose in the first place?

A. Remove the dental bridgeB. Refer the patient for cosultation with thedental therapistC. Refer the patient for X-rayD. Refer the patient for clinical blood testE. Make metal-fused-to-porcelain dentalbridge

74. When checking construction of thesoldered dental bridge with the 35 and 38abutment teeth the following was detected:pores in the place where abutment crownsand intermediate part are soldered together;masticatory cusps are sharply defined; thereis early contact with antagonist teeth; theintermediate part makes tight contact withthe alveolar process mucosa. How can thoseflaws be corrected?

A. Dental bridge should be remadeB. Intermediate part should be correctedC. Masticatory surface should be corrected,and soldered places - polishedD. Masticatory surface should be corrected,and the height of the flushing part is to beincreased up to 2 mmE. Tooth-antagonists should be shaved off

75. A 50-year-old man was diagnosed withsialolithiasis with the salivary gland stonelocated deep within the salivary gland.Choose the optimal treatment tactics:


A. Submandibular gland excisionB. Radiation therapyC. SclerotherapyD. Removal of the sialolith while retaining theglandE. Conservative pharmacotherapy

76. Due to lack of timely specializedtreatment a 44-year-old man presents wi-th incorrectly healed displaced mandibularfracture. Objectively the lower jaw narrowssharply, vestibular cusps of the lower teethcontact with oral cusps of the upper teeth.The patient declined surgical treatment.What treatment tactics should be chosen bythe dentist in this case?

A. Make a prosthesis with double dentitionB. Make a non-removable dental bridge withmovable jointC. Correct the malocclusion by filing down thepatient’s teethD. Correct the malocclusion via instrumentalsurgical methodE. Make a dentogingival laminar denture

77. A 57-year-old man presents with habi-tual mandibular dislocation. To reduce mouthopening, Yadrova apparatus was made. Howlong should the treatment last in this case?

A. 3 monthsB. 6 monthsC. 9 monthsD. 12 monthsE. 18 months

78. An HIV-infected patients needs a dentalprosthesis. The dentist plans to make dentalbridges for this patient. How should theinstruments be processed after the appoi-ntment?

A. According to the special schemeB. According to the usual schemeC. In a hot air sterilizerD. With lysoforminE. With 3% chloramine solution

79. A 30-year-old man complains of pain inhis front lower teeth, which he attributes toa trauma to the mental region. Objectively:continuous dentition, orthognathic occlusion.X-ray shows a median mandibular fracture.What dental splint would be optimal?

A. Flat occlusal splintB. Soldered splint on ringsC. Cap splintD. Weber’s splintE. Plastic mouthguard

80. To make the external prosthesis for a 62-year-old man it is necessary to obtain a Hi-ppocrates facial moulage of this patient. Whatimpression material should be used?

A. PlasterB. DentafolC. StensD. StomaflexE. Repin

81. A 19-year-old young man complainsof cosmetic defect of all his teeth, whichdeveloped immediately after the teeth erupti-on. Objectively on the vestibular and masti-catory surfaces of all patient’s teeth thereare enamel defects, tooth crowns presentwith dark brown discoloration. Percussionand probing are painful. In this area fluori-de levels in water are 2.6 mg/L. Make theprovisional diagnosis:

A. FluorosisB. Systemic hypoplasiaC. Chronic initial cariesD. Enamel erosionE. Chronic superficial caries

82. A 14-year-old teenager complains of dryand chapped lips especially in autumn andwinter. Objetively the vermillion border isdry, infiltrated, and covered in numerousscales. Skin of the lips is dense, pigmented,with pronounced pattern, peeling, and radialcracks. At the same time the skin of the faceis dry, lichenified, and excoriated. What is theprovisional diagnosis?

A. Atopic cheilitisB. Exfoliative cheilitisC. Actinic cheilitisD. Meteorological cheilitisE. Allergic contact cheilitis

83. A 56-year-old patient suffering fromexacerbation of schizophrenia has beenhospitalized in an oral in-patient departmentwith a diagnosis of the displaced mandibularfracture in the area of teeth 34 and 35. Whatmethod of treatment should be prescribed?

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

84. During preventive examination a 5-year-old child was determined to have insufficientphysiological attrition of the cusps of the deci-duous canines. What treatment tactics shouldthe doctor choose?

A. To shave off the retained canine cuspsB. Medical examination once a month untilthe incisors are replacedC. Medical examination every 6 months untilthe incisors are replacedD. Medical examination every 6 months untilthe canines are replacedE. No medical intervention is necessary

85. A 60-year-old patient has been undergoi-


ng the procedure of checking the completeremovable dentures construction and fixi-ng teeth on wax bases. The following flawshave been detected: fissure between the teethon the frontal area and cusp-to-cusp contactin the lateral area. What mistake had beenmade?

A. Anterior occlusion had been determinedinstead of central oneB. Posterior occlusion had been determinedinstead of central oneC. Lateral occlusion had been determinedinstead of central oneD. Models had been plastered in a wrong wayin an occluderE. Swabs had been crushed during determi-nation of central occlusion

86. A 35-year-old man complains of soursensation in his mouth and front teethsensitivity to thermal and mechanical sti-muli. Objective examination revealed visi-ble changes in the enamel of 13, 12, 11, 21,22, and 23. The enamel is dull, rough, mi-ssing on the cutting edge. Probing of thevestibular surface of these teeth is painful,response to thermal stimuli is positive. Thepatient’s medical record states his occupati-on in industrial production of inorganic acids.What is the most likely diagnosis?

A. Necrosis of dental hard tissuesB. FluorosisC. Enamel erosionD. Pathologic teeth grindingE. Enamel hypoplasia

87. A 55-year-old man was delivered into thehospital with bilateral mandibular fracturewithin the dentition. Objectively teeth 34, 35,36, 45, and 46 are missing. Lower incisors aremobile (I-II degree). Fragment displacementis insignificant. What splint should be madefor this patient?

A. WeberB. VankevychC. TigerstedtD. Flat occlusal splintE. Gunning-Port

88. A 30-year-old patient is diagnosed withacute suppurative odontogenic periostitis ofthe upper left jaw originating from tooth 23.The crown of 23 on the left is destroyed withcaries by 1/3. Teeth 22 and 24 are intact. Spot-film X-ray shows widening of the periodontalfissure of 23. What treatment would be themost advisable in this case?

A. Periosteotomy and pharmacotherapyfollowed by treatment of the causative toothB. -C. Extraction of the causative tooth, physi-otherapyD. Extraction of the causative tooth,pharmacotherapyE. Extraction of the causative tooth, peri-osteotomy

89. A 30-year-old patient complains of painand swelling in the area of the left parotidsalivary gland, which occurred 7 days afterhe had undergone abdominal cavity surgery.Objectively: body temperature is 39oC ,reduced mouth opening, dry mouth; when thegland is massaged, there is purulent exudatebeing secreted from its duct. The patient canbe diagnosed with the following disease:

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

90. A 45-year-old man presents with facialasymmetry due to a dense isolated infiltrati-on in his right buccal area; the skin over theinfiltration is cyanotic, thinned out; in thecenter of the infiltration there is a fistula. Inthe oral cavity the crown of 46 is destroyedby 2/3, along the mucogingival fold the bandconnecting the tooth with the fistula can bepalpated. Make the diagnosis:

A. Migrating facial granulomaB. Chronic mandibular osteomyelitisC. Cheek furuncleD. Odontogenic lymphadenitisE. Actinomycosis

91. A 53-year-old patient complains of anulcer on the lateral surface of the tongue. Theulcer appeared 6 months ago as the result ofa trauma caused by sharp tip of the 37 toothmetal crown. A dentist replaced the crownwith the one of better quality and prescribedkeratoplastic drugs. Despite these measuresthe ulcer continues to grow. Lately there hasbeen pain observed during talking, chewi-ng, swallowing; sometimes the pain irradi-ates to the pharynx. Objectively on the lateralsurface of the tongue there is a painful ulcerwith uneven raised dense margins and lumpyfloor with grayish necrotic coating. What isthe most likely diagnosis?

A. Cancer of the lateral surface of the tongueB. Trophic ulcerC. Traumatic ulcerD. Vincent’s necrotizing ulcerative stomatitisE. Tuberculous ulcer

92. A 13-year-old child complains of peri-odical gingival bleeding during teeth brushi-ng, which has been observed for half a year.Objectively the gingival mucosa in the frontal


mandibular area presents with congestivehyperemia and edema. Decay-missing-filled(DMF) index equals 4. Oral cavity hygiene isunsatisfactory. In this case it is necessary torecommend the patient the toothpastes with:

A. Herbal extractsB. Zinc citrateC. Calcium glycerophosphateD. Amine fluoridesE. Salt additives

93. A 70-year-old man has edentulous maxi-lla. Objectively maxillary tuberosity andalveolar processes are completely atrophi-ed; palatine vault is flat, its mucosal layer ismoderately pliant. In this case the patient’satrophic edentulous maxilla can be classifiedas:

A. Schroeder class IIIB. Keller class IIIC. Schroeder class IID. Keller class IIE. -

94. Teeth 71 and 81 erupted in a 6-year-oldchild, the lower jaw is retrogenic, the palate isflat with pronounced cross-folds. Determinethe condition of the oral cavity:

A. PhysiologicB. PathologicC. AbnormalD. SubcompensatedE. Decompensated

95. A 12-year-old girl complains of pain in hermouth that occurs during eating. Accordi-ng to her medical history these symptomsreemerge once or twice per year. Objectivelyon the mucogingival fold there are 3 aphthae5-7 mm in size, they have yellowish coati-ng and inflamed red border and are acutelypainful on touch. Name the most likely di-agnosis:

A. Chronic recurrent aphthous stomatitisB. Acute herpetic stomatitisC. Chronic recurrent herpetic stomatitisD. Erythema multiforme exudativumE. Toxic-allergic drug-induced stomatitis

96. An 8-year-old girl complains of tooth21 discoloration and pain response to hotstimulus. Several months ago tooth 21 wastreated for acute diffuse pulpitis by means ofvital amputation. Objectively tooth 21 is fi-lled, percussion is painless. X-ray shows therooth to be formed by 2/3, cortical plate ofthe tooth socket remains intact in the area ofroot radix. What material should be used forroot canal filling in this case?

A. Calcium hydroxide pasteB. Zinc phosphate cementC. Resorcinol-formalin pasteD. Glass ionomer cementE. -

97. The medical station of a regiment receiveda patient with signs of bilateral mandibularfracture. What is the main task of first aid inthis case?

A. To control shock, bleeding, and asphyxiaand to provide transport immobilizationB. To check and correct previously appliedbandagesC. To administer analgesics and cardiac medi-cationsD. To clean oral cavity from blood clots, toothshards, and bone fragmentsE. To provide symptomatic therapy and care

98. A 35-year-old man has been hospitali-zed into a dentofacial unit with complaints ofmobility of the 38, 37, and 36 teeth and a fi-stulous tract in the socket of the extracted 35tooth. The condition has been persisting for 3months. Insertion of a grooved probe into thefistulous tract palpated a bared coarse bonefragment that easily moved under pressure.X-ray of the lower jaw demonstrates a focusof bone tissue destruction, with a spot ofdense bone tissue 0.5х0.3 cm in size. Makethe diagnosis:

A. Chronic osteomyelitisB. Acute osteomyelitisC. Exacerbation of chronic osteomyelitisD. Chronic periostitisE. Actinomycosis

99. A 10-year-old child complains of persi-sting throbbing pain in tooth 36, whi-ch appeared one day ago. Hot stimulusaggravates the pain, while cold mitigates itslightly. Objectively on the masticatory andmedial surfaces of tooth 36 there is a deepcarious cavity non-communicating with thedental cavity. Probing of the cavity bottomand percussion are painful. X-ray shows nopathologic changes of the periodontium.What treatment method shold be chosen inthis case?

A. Vital extirpationB. Devital extirpationC. Vital amputationD. Devital amputationE. Conservative treatment

100. A 11-year-old child complains of pain inthe lower right lateral tooth, which occurswhen eating, especially hot food. On themasticatory surface of the 46 tooth there is alarge carious cavity filled with softened light-brown dentin. The cavity is located withinparapulpar dentin. In the projection of themedial buccal pulp horn the carious cavitycommunicates with the pulp chamber. Deep


probing is painful. Electric pulp test - 60 mi-croamperes. Make the diagnosis:

A. Chronic gangrenous pulpitisB. Chronic hypertrophic pulpitisC. Acute diffuse pulpitisD. Chronic fibrous pulpitisE. Acute focal pulpitis

101. A 7-year-old practically healthy child wasundergoing the carious cavity preparation oftooth 46 due to acute median caries. Duringthis procedure the mesio-buccal pulp hornwas accidentally exposed. What treatmentwould be optimal in this case?

A. Biological approachB. Devital amputationC. Devital extirpationD. Vital amputationE. Vital extirpation

102. A woman complains of pain in hergums, unpleasant smell from her mouth,difficult eating, general weakness, low-grade fever. Objectively her gums arehyperemic, with areas of ulceration, coveredin necrotic deposit. Microscopy revealedfusospirochetosis. Choose the medication foretiotropic treatment:

A. MetronidazoleB. KeratolineC. GalascorbinD. ChlorhexidineE. Chymotrypsin

103. A man complains of gingival bleedingthat has been persisting for the last 2 years.Objectively he presents with chronic diffusecatarrhal gingivitis, teeth mobility is of theI degree, periodontal pockets are 2-3 mmdeep with small amount of serous exudate,occlusion is markedly traumatic. X-ray showsdamaged cortical plate, enlarged periodontalfissure in the apical areas of the interalveolarsepta, osteoporosis, and interalveolar septaresorption by 1/3 of their height. Make thediagnosis:

A. Generalized periodontitis, stage I, chronicdevelopmentB. Chronic catarrhal gingivitisC. Parodontosis, stage ID. Generalized periodontitis, stage I,exacerbated developmentE. Generalized periodontitis, early stage,chronic development

104. A 55-year-old man came to theprosthodontic clinic to have a denture madefor him. Tooth 11 is missing in the pati-ent. Two days ago he was released from thein-patient unit after a case of myocardialinfarction. What tactics should the dentistchoose?

A. Make a temporary removable dentureB. Make a clasp-retained (bugel) removablepartial dentureC. Make a dental bridge with 12 and 21 asabutment teethD. Temporarily refrain from making a dentureE. Perform implantation

105. A 23-year-old man complains of acutegingival bleeding and unpleasant smell fromthe mouth that appeared 5 days ago. Objecti-vely gingival papillae and marginal gingi-va are friable, bright red, swollen, painful,and bleed profusely on palpation. Gingivalpockets are 3 mm deep. X-ray shows markedosteoporosis of the interalveolar septa, peri-odontal fissure in the apical areas of theinteralveolar septa is enlarged. Cortical plateis intact. Make the diagnosis:

A. Acute catarrhal gingivitisB. Acute leukemiaC. Acute necrotizing ulcerative gingivitisD. Generalized periodontitis, stage II,exacerbated developmentE. Hypovitaminosis C

106. A 27-year-old patient has been referredby a prosthodontist for endodontic treatmentof the 45 tooth. Objectively: the 45 toothcrown is destroyed; the lateral surface ofthe tongue and the buccal mucosa havepatches of grayish macerated epithelium sli-ghtly protruding above the mucosa surface atthe points of direct contact with the 45 tooth.The uvula and palatal bars are stagnant-red in colour; hard palate has papulaesurrounded with red margin and coveredin grayish epithelium. The submandibular,cervical, supraclavicular, and subclavicularlymph nodes are enlarged and painless. Whatis the provisional diagnosis?

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

107. A 6-year-old boy with congenital heartdisease (pulmonary artery stenosis) presentswith suppurative periostitis of the maxilla.The child needs surgical treatment. What unitshould he be referred to?

A. The pediatric maxillofacial unitB. The out-patient unit, no precautions arenecessaryC. The out-patient unit after preliminarycardiological treatmentD. The cardiology unitE. The out-patient or in-patient unit at thediscretion of the child’s parents

108. Parents of a 3-year-old child complain offood periodically getting into the child’s nasalcavity during feeding. Objectively there is afissure in the area of the soft palate. Make the


diagnosis:

A. Isolated partial nonunion of the soft palateB. Congenital hidden cleft palateC. Isolated nonunion of the hard and softpalateD. Cleft hard palateE. Combined cleft palate

109. A 9-year-old girl complains of persistingpain in tooth 11 that one month ago sustaineda trauma resulting in broken crown. The toothreceived no treatment. Objectively the 1/4 ofthe tooth crown of 11 is broken off, the remai-ning crown is grayish, the dental cavity is notexposed. Percussion is acutely painful. Themucogingival fold is hyperemic and acutelypainful on palpation. Make the diagnosis:

A. Acute traumatic periodontitisB. Acute diffuse suppurative pulpitisC. Acute suppurative periodontitisD. Exacerbation of chronic periodontitisE. Chronic granulating periodontitis

110. A patient complains of fever up to 38oC ,headache, pain in the joints anf muscles, vesi-cles in the oral cavity, mainly in the frontalpart. Eating is sharply painful. For the lastseveral years the disease has been recurringduring wet and windy weather. The patientoften suffers from cases of URTI. Objecti-vely: on the buccal, lingual, labial mucosathere are confluent erosions against theerythematous background, with gray-whitecoating. There are bloody scabs on the vermi-llion border and in the angles of the mouth.Make the diagnosis:

A. Erythema multiforme exudativumB. SyphilisC. Acute aphthous stomatitisD. Acute necrotizing ulcerative stomatitisE. Chronic recurrent aphthous stomatitis

111. A patient with complaints of toothachein the left upper jaw has made an appoi-ntment with a dental clinic. He was diagnosedwith chronic periodontitis of the 24 tooth.What kind of anesthesia is necessary for pai-nless extraction of the 24 tooth?

A. Infraorbital and palatinal anesthesiaB. Tuberal and palatinal anesthesiaC. Infraorbital and incisor anesthesiaD. Tuberal and incisor anesthesiaE. Surface and tuberal anesthesia

112. A 2.5-year-old child is registered forregular check-ups with the orthodontist. TheI stage of physiogical occlusion developmentcorresponds with eruption of the followinggroup of temporary teeth:

A. Temporary molarsB. Temporary central incisorsC. Temporary lateral incisorsD. Temporary caninesE. Front teeth

113. Due to trauma of the area of teeth 44and 45, a 12-year-old boy suffers from thepathologic displacement of the mandibularalveolar process and rupture of the alveolarprocess mucosa. What additional examinati-on is necessary to specify the diagnosis?

A. X-ray of the mandible in frontal and lateralprojectionsB. Skull X-ray in axillary projectionC. X-ray of the mandible in frontal and ParmaprojectionD. Computed tomography of the mandibleE. -

114. A 12-year-old child presents withtemperature 38oC , chills, nausea, vomiti-ng, delirium, and weakness. On the middlethird of the face there is hyperemia in abutterfly-shaped pattern. Regional lymphnodes are enlarged and mildly painful. Inblood: leukocytes - 12 · 109/L, lymphocytes -8.0 · 109/L, ESR- 26 mm/hour. What diagnosisshould be made?

A. Erysipelatous inflammationB. Facial vein thrombophlebitisC. Cutaneous actinomycosisD. Streptoderma, submandibularlymphadenopathyE. Acute non-odontogenic maxillary sinusitis

115. X-ray of the patient shows a focusof bone destruction 3x4 cm in size in themandibular body. The focus is structuredas numerous small cavities different in sizeand shape and separated by septa. Tumorpuncture yielded brown liquid. What is themost likely diagnosis?

A. Giant cell tumor of the mandibleB. Radicular cyst of the mandibleC. Carcinoma of the mandibleD. Soft odontoma of the mandibleE. Mandibular ameloblastoma

116. An orthodontist has been addressed byparents of a 5-year-old child. The child has the54 tooth extracted, all the other deciduousteeth are present. The doctor made a thin-wall crown for the 55 tooth with interdentalwedge to the 53 tooth. What is the purpose ofsuch treatment?

A. Prevention of dentition malformationB. Aesthetic restorationC. Restoration of masticatory efficiencyD. Acceleration of permanent tooth eruptionE. Deceleration of permanent tooth eruption

117. Removable partial dentures for upperand lower teeth are being made for a 45-year-


old man. Complete anatomical impressionswere made using ”Ypeen” alginate material.What should be used for disinfection of obtai-ned impressions?

A. 2.5% glutaraldehyde with рH- 7.0 - 8.7B. 0.1% desoxone solutionC. -D. Phenol solution in proportion 1:20E. 6% hydrogen peroxide solution

118. A 48-year-old man complains of gingivalovergrowth (”gums cover the teeth”). Thepatient suffers from epilepsy and takes anti-convulsant agents. Objectively gingival papi-llae are of normal color, dense, with lumpysurface; they do not bleed on probing andcover the lower front teeth up to their incisalsurfaces. What is the most likely diagnosis?

A. Hypertrophic gingivitis, fibrous form,degree IIIB. Hypertrophic gingivitis, edematous form,degree IIIC. Gingival fibromatosisD. Hypertrophic gingivitis, fibrous form,degree IIE. Hypertrophic gingivitis, edematous form,degree II

119. A 21-year-old man came to the denti-st complaining of general weakness, musclepain, body temperature up to 38.3oC , indi-gestion, excessive salivation, and rashes inthe oral and nasal cavities, urethra, on the wi-ngs of the nose, and in the interdigital folds.These symptoms appeared after ingestion ofmilk during the patient’s stay in the village.What is the most likely diagnosis?

A. MurrainB. Herpetic stomatitisC. Herpes zosterD. Behcet’s diseaseE. Infectious mononucleosis

120. A 28-year-old man complains of pai-nless sore in his mouth that persists despi-te the attempts at self-treatment. Objecti-vely the regional lymph nodes on the leftare enlarged and painless. Mucosa of the leftcheek presents with round ulcer, 1 cm in di-ameter, with raised margins and cartilage-likeinfiltration in its basis. The surface of the ulceris colored meat red and painless on palpation.What is the most likely diagnosis?

A. Primary syphilisB. CancerC. Secondary syphilisD. Lupus vulgarisE. Decubitus ulcer

121. A 25-year-old woman made an appoi-ntment with the dental surgeon for oral cavi-ty sanation. Objectively the crown of tooth 37is destroyed by 2/3. Gingival mucosa aroundtooth 37 is without changes. What anesthesia

should the dental surgeon give to the patientfor the procedure of tooth extraction?

A. Mandibular and buccal anesthesiaB. Intraoral infraorbital nerve blockC. Tuberal anesthesiaD. Mandibular anesthesiaE. Mental nerve block

122. A 34-year-old man complains of soft ti-ssues edema in his lower left jaw and fistulaein the submandibular area. Teeth 36 and 37are destroyed. Alveolar mucosa is swollenand hyperemic at the level of 36 and 37. X-raydetected sequestra in the mandibular bodyon the left. What treatment method shouldbe chosen in this case?

A. Extraction of teeth 36 and 37 and mandi-bular sequestrectomyB. Extraction of teeth 36 and 37C. Mandibular sequestrectomyD. Puncture of the inflamed areaE. Antibacterial treatment

123. A 42-year-old man was delivered to thehospital in the severe condition: inert, bodytemperature is 39.1oC , there is acutely painfulinfiltration of the mouth floor and submandi-bular area on the right. The skin over theinfiltration is turgid and cyanotic. Palpati-on detects crepitus under the skin. What di-agnosis can be made in this case?

A. Ludwig’s angina (suppurative-necroticphlegmon of the mouth floor)B. Adenophlegmon of the mouth floorC. Malignant tumor of the mouth floorD. Actinomycosis of the mouth floorE. Odontogenic phlegmon of the mouth floor

124. After a blow to the temporomandibularjoint the patient developed facial hematoma,the joint is difficult to move, mandibularmobility is reduced. Attempts to open themouth wide are painful. What examinationshould be performed to make the diagnosis?

A. Bilateral X-ray of the temporomandibularjoint with mouth open and closedB. Limit the joint mobilityC. X-ray and consultation with the neurologistD. Rheoencephalography and consultationwith the neurologistE. Panoramic dental X-ray

125. A 38-year-old man after a domestic acci-dent complains of pain and mobility of hisupper teeth, problems with eating. Objecti-vely: soft tissues edema. The 11 and 21 teethare displaced towards the palate, mobile(II degree), painful on percussion. Mucosasurrounding the affected teeth is hyperemicand swollen. X-ray demonstrates widenedperiodontal fissure of the 11 and 21. Choosethe treatment method:


A. Setting of the teeth and their fixation witha flat occlusal splintB. Extraction of the 11 and 21 teethC. Reimplantation of the 11 and 21 teethD. Immobilization or mouthguardE. Removal of tooth pulp in the 11 and 21teeth

126. A 4-year-old child has developed acutespontaneous pain in the tooth on the lowerright jaw, which aggravates on biting. Objecti-vely: in the 85 tooth there is a deep cariouscavity non-communicating with the dentalcavity. Probing is sharply painful at all poi-nts of the cavity floor. Painful reaction to coldwater stimulus and percussion is observed;mucosa surrounding the 85 is hyperemic.Submandibular lymphadenitis is detected.Make the provisional diagnosis:

A. Acute pulpitis complicated with peri-odontitisB. Acute serous periostitisC. Acute serous periodontitisD. Acute suppurative pulpitisE. Exacerbation of chronic periodontitis

127. During Eschler-Bittner test the profileof a 12-year-old girl with posterior occlusionhas shown some improvement. Specify thecondition that resulted in the development ofposterior occlusion in this patient:

A. Mandibular underdevelopmentB. Maxillary overdevelopmentC. Mandibular underdevelopment and maxi-llary overdevelopmentD. Mandibular overdevelopmentE. Maxillary underdevelopment

128. Parents of an 8-year-old girl complain oftheir child having an aesthetic defect of herteeth. Objectively the patient’s lower face isshortened. Her chin protrudes forwards andher upper lip is sunken. During teeth closurethe deep underbite becomes apparent.Mesio-occlusion is observed in the lateralareas. Choose the apparatus optimal for thetreatment:

A. Frankel functional regulator - 3B. Frankel functional regulator - 2C. Osadchy apparatusD. Andresen-Haupl activatorE. Frankel functional regulator - 1

129. During or immediately after an injecti-on, certain local complications can develop.What is NOT one of those complications?

A. Mucosal necrosisB. Dermal ischemiaC. DiplopiaD. Functional paralysis or paresis of facialmusclesE. Damage to a blood vessel by the needle

130. What manipulation of those listed below

is NOT a part of typical procedure of toothextraction with forceps?

A. Applying tip of forceps jaw to the edge ofalveolar processB. Applying forceps jaw to the toothC. Pushing forceps jaw to the cementoenameljunctionD. Closure of forceps handlesE. Tooth dislocation and extraction from thesocket

131. A patient needs the 36 tooth extracted.After administering anesthesia the doctorstarted applying the elevator. However,immediately after that the patient suddenlypaled, complained of dizziness, ear noise, andblackout and slid down in the chair. What isthe most likely diagnosis?

A. UnconsciousnessB. Anaphylactic shockC. CollapseD. ShockE. Hypoglycemic coma

132. A child is diagnosed with congeni-tal cleft in the soft palate and posteri-or part of the hard palate. What type ofanesthesia should be given to the patient foruranostaphyloplasty?

A. Intubation narcosisB. Intravenous narcosisC. Anesthesia maskD. Infiltration anesthesiaE. Conduction anesthesia

133. A 6-year-old child complains of painand edema in the upper right jaw, bodytemperature up to 37.9oC , and deteriorationof general well-being. Symptom onset was 3days ago. Objectively the face is asymmetricdue to soft tissue edema of buccal andinfraorbital regions on the right. The crownof 54 is destroyed by 1/2, percussion is pai-nful; the tooth previously had been treatedfor complicated caries. On the palatine sideof the affected tooth area there is a painfulinfiltration with fluctuation in its center; thetissues over the infiltration are hyperemic.Make the provisional diagnosis:

A. Acute suppurative periostitis of the maxillaoriginating from tooth 54B. Acute serous periostitis of the maxillaoriginating from tooth 54C. Acute odontogenic osteomyelitis of themaxillaD. Exacerbation of chronic periodontitis of 54E. Chronic odontogenic osteomyelitis of themaxilla

134. A 27-year-old man presents with missi-ng crown of 11. Objectively teeth 21 and 12are intact; intraoral spot film X-ray shows theroot of 11 to be filled to the apex, no changesin the periapical tissues, no pathologic mobi-


lity. What construction of the denture shouldbe recommended for this patient?

A. Metal stump inlay with overlayingporcelain-fused-to-metal crownB. Stump inlay with overlaying swaged crownC. Stump inlay with overlaying plastic crownD. Stump inlay with overlaying full cast metalcrownE. Remove the root of 11 and performimplantation

135. A 54-year-old patient complains offrequent crunching sound in the righttemporomandibular joint, which developedone month ago. In the morning the crunchingis more frequent and decreases towards theevening. Objectively: the face is symmetrical,the skin over the joint is without changes, themouth opens by 2.9 mm. What is the mostlikely diagnosis in this case?

A. ArthrosisB. Acute arthritisC. Temporomandibular joint dislocationD. Chronic arthritisE. Temporomandibular joint pain dysfunctionsyndrome

136. On examination of a 27-year-old pati-ent the tip of the dental probe caught onthe fissures of the 36, 37, and 38 teeth.Margins of the enamel defect are dark, thesurface is coarse. Teeth transillumination wi-th photopolymer lamp revealed the defect tobe limited to the enamel. What is the mostlikely diagnosis?

A. Chronic superficial cariesB. Chronic median cariesC. Acute superficial cariesD. Chronic initial cariesE. Acute initial caries

137. A 68-year-old patient addressed a surgi-cal department of a dental clinic for extracti-on of the 45 tooth. During procedure thepatient developed burning retrosternal painattack irradiating to the left shoulder, scapula,hand. The skin is pale, BP is 140/100 mmHg, heart rate is rapid. Skin hyperplasia canbe observed in the Zakharin-Head’s zones.What emergency condition did the patientdevelop?

A. Angina pectoris attackB. Heart failureC. Bronchial asthma attackD. Hypertensic crisisE. -

138. After sustained trauma a man developednose bleeding, reduced mouth opening,sensation of paresthesia in the right infraorbi-tal region and lower eyelid. Objectively theface is asymmetric due to concave righttemporal region; step deformity symptom isobserved in the middle of the lower right eye

socket and in the area of zygomaticoalveolarcrest. What is the most likely diagnosis?

A. Displaced fracture of the temporal boneB. Le Fort II maxillary fractureC. Nondisplaced fracture of the temporal boneD. Le Fort I maxillary fractureE. Zygomatic arch fracture

139. A 14-year-old boy complains of rapidwearing-off of tooth crowns. Objectively:tooth crowns are worn-off by 1/3. Enameleasily chips off and is pale gray in color. Makethe diagnosis:

A. Stainton-Capdepont syndromeB. Dentinogenesis imperfectaC. FluorosisD. Systemic hypoplasiaE. Focal hypoplasia

140. A 63-year-old man complains of painin the area of maxillary mucogingival foldcaused by using a removable laminar denture.Objectively: in the area of the mucogingi-val fold there is a trophic ulcer with swollenmargins and hemorrhaging floor. Make thediagnosis:

A. Denture-related stomatitisB. Toxic chemical stomatitisC. Toxic infectious stomatitisD. Allergic contact stomatitisE. Greenhouse effect

141. Objective examination of a 10-year-oldchild revealed slight hyperemia, infiltration,and dryness of the whole surface of the vermi-llion border. Architectonics of the lips is di-sturbed. Dryness and contracted sensationare observed in the lips, especially during coldseasons. Make the provisional diagnosis:

A. Meteorological cheilitisB. Atopic cheilitisC. Allergic contact cheilitisD. Exfoliative cheilitisE. Cheilitis of microbial origin

142. A 24-year-old woman made an appoi-ntment with the dental surgeon for extractionof tooth 38. What anesthesia should be gi-ven to the patient for the procedure of toothextraction?

A. TorusalB. MandibularC. TuberalD. InfiltrationE. Plexus

143. During application of tuberal anesthesiathe patient developed rapidly increasing ti-ssue edema and reduced mouth opening.What resulted in such a condition?


A. Vascular traumaB. Muscle trauma during anesthesia applicati-onC. Nerve trunk traumaD. Intolerance to the anestheticE. Anaphylactic shock

144. A woman came to the dental surgeon wi-th complaints of teeth mobility. After objecti-ve examination and X-ray analysis she wasdiagnosed with generalized periodontitis ofstages I and II. Which teeth of those affectedby periodontitis should be extracted?

A. With degrees 2-3 of tooth mobilityB. Intact teethC. Teeth with painful percussionD. With degree 1 of tooth mobilityE. Carious teeth

145. After the inflammatory process in theparotid area a woman developed frequentpain attacks resembling electric current inher face on the right. The attacks last for 15-20 minutes. The most likely diagnosis is:

A. Trigeminal neuralgiaB. Tympanic plexus neuralgiaC. Trigeminal neuritisD. Exacerbation of chronic maxillary sinusitisE. Exacerbation of chronic osteomyelitis

146. Mother and her 11-year-old daughtercame to the medical station. According to themother her daughter has fallen when playingoutdoors. The doctor determined the patientto have an isolated mechanical injury of softtissues in her cheek with damaged skin. Makethe diagnosis:

A. AbrasionB. ContusionC. BruiceD. HematomaE. Wound

147. The patient with shallow vestibule ofmouth and edentulous mandible underwent asurgery: a mucoperiosteal flap was relocatedfrom the alveolar ridge to the body of themandible and fixed with denture acting as abandage. What surgical procedure was usedfor vestibular deepening?

A. RumpelB. KazanjianC. ThierschD. TraunerE. Rhermann

148. A 7-year-old girl received conductionanesthesia with 2% articaine solution forextraction of tooth 16. She has no history ofallergies. After receiving anesthesia the pati-ent complained of weakness, she developedskin pallor, cyanosis, and nausea. Her bloodpressure dropped significantly. The patient isconscious. What is the provisional diagnosis?

A. CollapseB. Anaphylactic shockC. Allergic response to the anestheticD. Pain shockE. Vertigo

149. An ambulance has delivered an 8-year-old child to an admission room. Anoral surgeon has made the following di-agnosis: odontogenic phlegmon of the rightsubmandibular area. What surgical approachwould be advicable for surgical treatment ofthis phlegmon?

A. Dissection in the submandibular area,parallel to the mandibleB. Dissection parallel to the torus mandi-bularisC. Dissection around the mandibular angleD. Dissection along the lower neck foldE. Dissection in the area of pterygomandi-bular fold

150. A 42-year-old man came to theprosthodontics clinic to have dentalprosthesis made for him. Objectively teeth34, 35, 36, 43, and 16 are absent in this pati-ent. During examination alginate impressionsfor diagnostic models were obtained. Whatshould be used for disinfection of obtainedimpressions?

A. 0.5% sodium hypochlorite solutionB. 3% hydrogen peroxide solutionC. 10% hydrogen peroxide solutionD. SterilliumE. 3% sodium hypochlorite solution

151. A 36-year-old woman needs a dentalprosthesis. Objectively there is a carious cavi-ty on the mesial masticatory surface of tooth46, interdental contact is disturbed. Dentalinlay is to be made for this patient. Accordingto Black’s classification of dental caries thiscavity is class:

A. 2B. 3C. 4D. 5E. 1

152. A 45-year-old man complains of painand crepitation in the temporomandibularjoint during the movements of the lowerjaw. Objectively: the face is symmetrical,the mouth opens with slight displacementto the left. Dentition is intact. On occlusi-ography there were detected centric andeccentric supracontacts. What treatmentmethods should be applied in the first place?


A. Selective teeth shavingB. Mouthguard for muscle relaxationC. Appliances that limit mouth openingD. Mouthguards that increase the height ofcentral occlusionE. Lower jaw immobilization

153. A 45-year-old patient after administrati-on of local anesthesia in preparation for oralsurgery has suddenly felt unwell, developedincreasing edema of laryngeal mucosa andrespiration disorder. The dentist stopped themanipulations in the oral cavity. What type ofasphyxia developed in the patient?

A. StenoticB. DislocationalC. ValvularD. ObturativeE. Aspiration

154. A 19-year-old young man, who was wai-ting for the appointed time at the denti-st’s, suddenly developed an attack: his facebecame purple, bloody foam flowed fromhis mouth (bitten tongue), pupils were di-lated and unresponsive to light, the patientdeveloped first tonic then clonic convulsi-ons that stopped spontaneously, after that hecalmed down and fell asleep quickly. Whathappened with the patient?

A. Epileptic seizureB. Sympathoadrenal crisisC. SpasmophiliaD. Morgagni-Adams-Stokes syndromeE. Pulmonary embolism

155. A victim of a traffic accident was deli-vered into the admission room. The patient issupine and unconscious. His skin is cyanotic,respiration is extremely labored, mucosa ispale, blood clots are accumulated in the oralcavity. The patient is diagnosed with displacedbilateral mandibular fracture. How shouldthis patient be transported?

A. In the prone position on a soft stretcherB. Positioned on the side on a rigid stretcherC. In the sitting position with the head thrownbackD. In the sitting position with air tube insertedinto the upper airwaysE. Positioned on the side on a soft stretcher

156. A victim of a traffic accident was deli-vered into the admission room. The patient issupine and unconscious. His skin is cyanotic,respiration is extremely labored, mucosa ispale, blood clots are accumulated in the oralcavity. The patient is diagnosed with displacedbilateral mandibular fracture. What measuresshould be taken to prevent complications inthis case?

A. Fixation of the lower jaw and tongue withstandard Entin’s head-chin strapB. Fixation of the tongue to the patient’scollarC. Tracheostomy and artificial pulmonaryventilationD. Removal of foreign bodies from the oralcavityE. Excision of injured mucosal flaps

157. The hospital received a 19-year-old pati-ent injured in a landmine explosion wi-th an open displaced mandibular fracturein the area of the left mandibular angleand a contused lacerated wound of theleft submandibular area. The patient is inmoderately severe condition, pulse is 80/min.,blood pressure is 110/80 mm Hg. Whatanesthesia should be given to the patient forinitial surgical d-bridement?

A. Endotracheal anesthesiaB. Intravenous anesthesiaC. NeuroleptanalgesiaD. Conduction anesthesia with premedicationE. Conduction anesthesia

158. A 5-year-old child developed ahemorrhage after pulp extirpation of 74 dueto exacerbated chronic pulpitis. The childsuffers from Von Willebrand disease. Whatactions should be taken by the dental surgeonto stop bleeding?

A. To hospitalize the child to the hematologi-cal unitB. To hospitalize the child to the maxillofacialunitC. To place sutures on the mucosaD. To plug the cavity with epsilon-aminocaproic acid dressingE. To plug the cavity with hemostatic sponge

159. Parents of a 9-year-old child came to thedentist complaining that their child presentswith enlarged cervical lymph nodes on the ri-ght. During examination palpation revealedthe lymph nodes in the right submandibular,cervical, supraclavicular, and infraclavicularareas to be enlarged up to 2-2.5 cm in di-ameter, painless, non-matted together, andnon-fused to the skin (resemble ”potatoesin a sack”). The parents note rapid fatigabi-lity and night sweats in their child. Whatadditional examinations should the child bereferred for?

A. Puncture biopsy of the lymph nodesB. Pirquet and Mantoux testsC. Wassermann testD. CT of the cervical spineE. Clinical blood and urine tests

160. A 45-year-old patient complains of inabi-lity to properly masticate due to the loss oflateral teeth. The 17, 16, 15, 25, 26, 27, 37, 36,35, 44, 45, and 46 teeth are missing. The retai-ned teeth exhibit the I-II degree of mobi-


lity. The patient is diagnosed with generali-zed periodontitis. Kennedy class I dentiti-on defects are observed. What constructionwould be optimal in the given case?

A. Clasp-retained (bugel) removable partialdenture with splinting elementsB. Partial laminar dentureC. Elbrecht’s dental splintD. Mamlok’s dental splintE. Cantilever dental bridges

161. A 70-year-old patient addressed a hospi-tal with complaints of poorly stabilizedcomplete removable dentures of the upperand lower jaws. What method of artificialteeth arrangement is preferable in makingof a new complete removable denture?

A. According to individual occlusal curvesB. According to disocclusal planesC. According to standard occlusal curvesD. According to spherical occlusal curvesE. According to prothetic occlusal planes

162. A 2.5-year-old child has fever up to38.5oC , low appetite, rashes in the oral cavity.The disease onset was 3 days ago. Objecti-vely: the skin of the perioral area is covered inscarce vesicles with clear content. Within theoral cavity on the buccal and lingual mucosathere are sharply painful erosions, 2-3 mmin size, with white coating and hyperemiccrown. The gums are swollen, hyperemic. Thesubmandibular lymph nodes are enlarged,painful on palpation. Make the diagnosis:

A. Acute herpetic stomatitisB. Stevens-Johnson syndromeC. Erythema multiforme exudativumD. Stomatitis with the background of infecti-ous mononucleosisE. Stomatitis with the background of chi-ckenpox

163. A 25-year-old man complains of short-term pain in the tooth on the lower ri-ght jaw during eating sweet, hot, and coldfood. Objectively: in the 36 tooth on thedistal surface there is a carious cavity non-communicating with the dental cavity, dentinis softened. Probing of the cavity floor is pai-nful, percussion is painless. Electric pulp testis 16 microamperes. Make the final diagnosis:

A. Acute deep cariesB. Acute median cariesC. Pulpal hyperemiaD. Chronic gangrenous pulpitisE. Chronic fibrous periodontitis

164. A 30-year-old woman came to the dentistwith complaints of uncomfortable sensationof pressure in her upper right tooth, whichaggravates in response to hot stimulus, andfoul smell from the mouth. Objectively: thereis a deep carious cavity in the 17 tooth, whi-ch communicates with the tooth cavity. Deep

probing causes severe pain, percussion of the17 tooth is painful. X-ray: there is slight wi-dening of the periodontal fissure near the rootapex. Electric pulp test - 70 microamperes.What final diagnosis can be made?

A. Chronic gangrenous pulpitisB. Chronic fibrous pulpitisC. Acute purulent pulpitisD. Chronic fibrous periodontitisE. Exacerbation of chronic fibrous periodonti-tis

165. Medical committee registers the patients,who for a long time lived in an area pollutedwith radiation. The patients are advised onthe diet that will quickly purge the body fromradionuclides. The portion of products richin pectine should be increased in their diet.Name these products:

A. Fruits and vegetablesB. Meat productsC. PastaD. Dairy productsE. Baked goods

166. A 44-year-old man came to extractdestroyed tooth 24. Objectively his face issymmetrical, the crown of 24 is destroyed by2/3, percussion is painless. Gingival mucosasurrounding the tooth is unchanged. X-rayshows enlarged periodontal fissure in the areaof the root apex. What is the most likely di-agnosis?

A. Chronic fibrous periodontitis of 24B. Chronic granulating periodontitis of 24C. Chronic granulomatous periodontitis of 24D. Exacerbation of chronic periodontitis of 24E. Chronic gangrenous periodontitis of 24

167. A 46-year-old man complains of constantlosing of a filling in his lower right tooth.Objectively: in the 16 tooth on the approxi-mal masticatory surface there is a defect ofcrown hard tissues at 1/3. The tooth has nodiscoloration, percussion is painless. Whatconstruction should be prescribed?

A. InlayB. Porcelain-fused-to-metal crownC. Semi-crownD. 3/4 crownE. Plastic crown

168. A 10-year-old boy complains of acutepain attacks in the area of his upper left teeth.The toothache persisted for a night. Objecti-ve examination revealed a carious cavity onthe masticatory surface of the 26 tooth withinparapulpar dentin. Probing is sharply painfulat all points of the cavity floor. Markedlypositive reaction to cold water stimulus isobserved. Select the most likely diagnosis:


A. Acute diffuse pulpitisB. Acute serous periodontitisC. Acute suppurative pulpitisD. Acute suppurative periodontitisE. Acute local pulpitis

169. In a state of inebriation a 36-year-oldwoman suffered a domestic accident 4 hoursago. She was delivered to the maxillofacialsurgery unit. On examination she was provisi-onally diagnosed with a deep perforating inci-sed wound of the lateral surface of her facewith injured perioral area and parotid gland.The woung edges are gaping. This gaping iscaused by:

A. Location of facial musclesB. Wound communication with the oral cavityC. Specifics of facial innervationD. Location of masticatory musclesE. Depth of the wound

170. The maxillofacial surgery unit recei-ved a patient with complaints of inabilityto close his mouth. This condition occurredwhen the patient was biting an apple. Objecti-vely there is a frightened expression on thepatient’s face, the mouth is open wide, thechin is displaced to the left, salivation isobserved. Palpation through the externalacoustic meatus detected no movements ofthe right articular head. What is the most li-kely diagnosis?

A. Right temporomandibular joint dislocationB. Fracture of the mandibular processC. Acute temporomandibular arthritisD. Temporomandibular joint pain dysfunctionsyndromeE. Bilateral temporomandibular joint di-slocation

171. A 19-year-old girl addressed an oncologi-st with complaints of slowly growing tumor-like mass on the tip of her tongue. The masswas first noticed 5-6 years ago. The pati-ent requested no medical help. Objectively:there is a pale pink round growth with wi-de pedicle on the tongue apex; the growthis painless, elastic; there are no changes ofmucosa surrounding the pedicle. Submandi-bular lymph nodes cannot be palpated. Whatkind of tumor is it?

A. PapillomaB. AtheromaC. FibromaD. LipomaE. Keratoma

172. During carious cavity preparation in a20-year-old man, the pulp-chamber floor wasaccidentally perforated and horn of the pulpwas exposed. On the carious cavity floor thereis a point-like puncture surrounded with whi-te predentin. Pink pulp can be seen throughthe perforation, pulp probing is acutely pai-nful. What treatment should be given to the

patient?

A. Biological approachB. Vital amputationC. Vital extirpationD. Devital amputationE. Devital extirpation

173. A 37-year-old woman came to the dentistwith complaints of brief attacks of toothachecaused by eating sweets. Objectively there isa shallow carious cavity within enamel. Onprobing cavity walls and bottom are coarse;there is no response to thermal stimuli. Makethe diagnosis:

A. Acute superficial cariesB. Endemic fluorosisC. Enamel hypoplasiaD. Acute median cariesE. Chronic median caries

174. A 24-year-old patient came to the dentistcomplaining of chalky lesions on the frontteeth. Objectively teeth 13, 12, 11, 21, 22,and 23 present with chalky lesions separatedby areas of healthy unchanged enamel. Lesi-on surface is coarse; there is no response tothermal stimuli. Childhood years of the pati-ent were spent in the area with fluorine levelof 1.8 mg/L in drinking water. Make the di-agnosis:

A. Endemic fluorosisB. Enamel hypoplasiaC. Enamel hyperplasiaD. Acute superficial cariesE. Chronic superficial caries

175. A 48-year-old patient has addressed ahospital with complaints of defects in theparagingival area and slight sensitivity tothermal stimuli. Objectively there are hardtissue defects that resemble a wedge withsmooth polished walls on the precervicalvestibular surface of the 23 and 24 teeth.Thermal test is slightly positive. What is themost likely diagnosis?

A. Cuneiform defectB. Enamel necrosisC. Acute deep cariesD. Enamel erosionE. Endemic fluorosis

176. Parents of a 7-year-old child addressed ahospital with complaints of their child havi-ng no permanent teeth in the front area ofthe mandible. Anamnesis states that the fi-rst deciduous teeth erupted at the age of11 months. Objective clinical examinationrevealed the following: appearance is withoutchanges; milk occlusion; there are physiologi-cal diastema and tremata; edge-to-edge inci-sor contact. What preliminary diagnosis canbe made according to Kalvelis classification?


A. Retarded eruptionB. Supernumerary toothC. AdentiaD. DystopiaE. Hypoplasia

177. A 5.5-year-old child is undergoi-ng preventive examination. There are nocomplaints from the patient. Objectively: inthe precervical area of buccal surface of the75 tooth there is an enamel patch with lossof natural glossiness. The enamel surface iscoarse, painless on probing. Tooth percussi-on is painless. Thermodiagnosis is negative.Damaged enamel stains with 2% water soluti-on of methylene blue. Make the diagnosis:

A. Acute initial cariesB. Enamel hypoplasiaC. FluorosisD. Acute superficial cariesE. Chronic initial caries

178. A 68-year-old man has removable parti-al dentures made for him. At the stage ofchecking the denture construction, occlusalcontact in the lateral areas is cusp-to-cuspand frontal area has sagittal fissure. What mi-stake was made by the doctor?

A. Anterior occlusion is fixedB. Lateral occlusion is fixedC. Prothetic plane is designed incorrectlyD. Height of centric occlusion is understatedE. Height of centric occlusion is overstated

179. An 80-year-old man needs a removablepartial denture for the lower jaw. How shouldthe denture boder be located relative to thenatural teeth?

A. Covers the crowns by 2/3 of their heightB. Covers the crowns by 1/3 of their heightC. Fully covers the crownsD. Reaches dental cervicesE. Located below dental cervices

180. A 52-year-old woman needs a dentalprosthesis. Upon objective examination aremovable partial laminar denture is determi-ned to be optimal denture construction in hercase. What material should be applied to theimpression tray edges?

A. OrthocorB. PlasterC. WaxD. SilastE. Stens

181. A 46-year-old man, a teacher, complai-ns of lower teeth mobility that impedes theprocess of biting. Objectively the dentition isuninterrupted, front teeth demonstrate the IIdegree of mobility. X-ray shows straight andfilled root canals of 32, 31, 41, and 42. Whatappliance will stabilize front teeth while retai-ning their aesthetic appearance?

A. Mamlok’s dental splintB. Removable segmented splint for the frontteethC. Cap splintD. Splint with embrasure claspsE. Semicrown splint

182. A woman complains of spontaneousattacks of acute pain, with practically nointermissions and irradiation into the temple;cold water slightly mitigates the pain. In tooth26 examiantion revealed deep carious cavitynon-communicating with the dental cavity.Probing of the cavity bottom is acutely pai-nful, the tooth is tender on vertical percussi-on. Make the provisional diagnosis regardingtooth 26:

A. Acute suppurative pulpitisB. Acute diffuse pulpitisC. Pulpal hyperemiaD. Chronic fibrous pulpitisE. Chronic hypertrophic pulpitis

183. A 78-year-old man complains of a painfulsore in his mouth that has been persisting for2 months already. The patient is a smoker.Objectively on the buccal mucosa on the ri-ght there is a shallow ulcer up to 1.5 cm insize with lumpy floor and uneven margins.There are yellowish granules on its periphery.Palpation is painful, the lesion is soft. Regi-onal lymph nodes are enlarged, painful, andmatted together. What is the provisional di-agnosis?

A. Tuberculous ulcerB. Cancerous ulcerC. Decubitus ulcerD. Trophic ulcerE. Hard chancre

184. A 37-year-old patient has symmetricalface; the mucosa in the area of the 12 toothroot apex projection is pale pink; palpation ispainless; the tooth crown is destroyed by 1/3;percussion is painless. X-ray: the root canal ofthe 12 tooth is filled to the apex; granuloma 4mm in diameter is located near the root apex.Choose the method of surgical treatment:

A. Granuloma removal with root apex resecti-onB. Root hemisectionC. Coronary radicular tooth separationD. Root amputationE. Tooth extraction

185. A 48-year-old man presents with verruci-form, dense, gray-white growths on the buccalmucosa. The growths protrude above theneighbouring tissues and are surrounded bykeratinized gray-white spots that cannot bescraped off. Make the provisional diagnosis:


A. Verrucous leukoplakiaB. Erosive leukoplakiaC. Bowen’s diseaseD. Erythroplasia of QueyratE. Papillomatosis

186. During preventive examination apatient was diagnosed with precanceroushyperkeratosis of the lower lip vermillionborder. What treatment should be prescri-bed?

A. Surgical removal of the focus withinhealthy tissuesB. Surgical removal of the focus within healthytissues + close-focus roentgenotherapyC. No treatment is necessaryD. Surgical removal of the focus within healthytissues + chemotherapyE. Palliative treatment

187. A 63-year-old man complains of feverand multiple painful rashes in his oral cavi-ty and on his face and torso. 3-4 days beforethe rashes appeared he had noticed a burni-ng sensation followed by sharp shootingpain resembling that which occurs duringlumbago. The patient takes cytotoxic drugsfor leukemia treatment. On examinationthere are multiple aphthae located in a rowon the vermillion border and labial, lingual,and buccal mucosa on the right. The aphthaehave hyperemic borders, they are not fusedtogether and are sharply painful on palpati-on. The right side of the face presents witherythematous spots, vesicles, and erosions.Make the provisional diagnosis:

A. Herpes zosterB. Toxic allergic dermatostomatitisC. Erythema multiforme exudativumD. Secondary syphilisE. Chronic recurrent herpes

188. A 34-year-old man presents with persisti-ng dull pain in his tooth, which aggravates onbiting. One week ago the tooth was treatedfor deep caries. Objectively on the masti-catory surface of tooth 36 there is a filling,percussion is painful, there is a supracontactobserved in the area of 36. X-ray showsunchanged periodontium. What mistake wasmade when tooth 36 was filled?

A. High fillingB. Filling without insulation layerC. Gingival attachment is disturbedD. Insulation layer exceeds borders of thedentinoenamel junctionE. Filling without medicinal substance sealedinside

189. A 35-year-old man complains of persi-sting pain in tooth 24, which intensifies onbiting. Objectively on the distal masticatorysurface of tooth 24 there is a deep cariouscavity filled with food debris. Percussion ofcavity bottom is painless, there is no pain

response to thermal stimuli. Percussion oftooth 24 is acutely painful. X-ray shows nopathologic changes of periapical tissues inthe area of root apices of 24. What is the mostlikely diagnosis?

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

190. A 22-year-old man complains of tearing,throbbing, constant, intensifying pain in thetooth on the upper left jaw. The pain has beenpersisting for 4 days. Objectively tooth 26 hasdeep carious cavity non-communicating withthe dental cavity. Probing is painless. Percussi-on is acutely painful. The tooth is mobile.Mucogingival fold in the area of tooth 26 ispainful on palpation. Make the diagnosis:

A. Acute suppurative periodontitisB. Acute serous periodontitisC. Acute suppurative pulpitisD. Exacerbation of chronic periodontitisE. Acute local pulpitis

191. A 22-year-old patient has suffered uni-lateral linear fracture in the area of the gonialangle. Immobilization was provided with fulldental brace with loops and intermaxillaryelastic expansion. Recovery was uncompli-cated. The brace should be removed after:

A. 3 weeksB. 2 weeksC. 1 weekD. 10 daysE. -

192. A 27-year-old patient was provisi-onally diagnosed with acute suppurativeodontogenic maxillary sinusitis. What radi-ology method would be the most informativein this case?

A. Computed tomographyB. X-rayC. Panoramic radiographyD. Spot-film radiographyE. -

193. A 22-year-old man presents with swollenand hyperemic mucosa of the retromolararea; tooth 38 is covered with hood-shapedgingival flap that discharges pus on palpati-on; body temperature is 37.5oC . What urgentaid should be given to the patient in this case?

A. Gingival flap incision and antibacterialtreatmentB. Gingival flap excisionC. Extraction of tooth 38D. Antibiotic treatmentE. Gingival flap incision

194. A 43-year-old man came to the maxi-


llofacial surgeon with complaints of aestheticdefect. Examination revealed excessiveaccumulation of adipose tissue in the pati-ent’s neck and upper torso, which resemblescollar with unclear magins; neck mobilityis reduced. Family history shows the samesymptoms to be present in the patient’sfather. Make the provisional diagnosis:

A. Madelung’s deformityB. LipomaC. NeurofibromatosisD. FibromaE. Lymphangioma

195. A 73-year-old man is registered forregular check-ups in an oncological clinicafter completion of the combined treatmentfor oral mucosa cancer stage II (radiationtherapy and surgery). During one of the routi-ne check-ups an area of exposed mandibularbone is detected. There are no inflammatorychanges of surrounding mucosa. A fistulatract with soft granulation is detected. Mandi-bular X-ray shows a sequestrum without clearmargin between healthy and necrotic bone.What is the most likely provisional diagnosis?

A. Mandibular osteoradionecrosisB. Acute purulent mandibular osteomyelitisC. Posttraumatic mandibular osteomyelitisD. Relapse of oral mucosa cancerE. Chronic mandibular periostitis

196. A 19-year-old patient came to adentofacial clinic with complaints of painin the gonial angle on the right, impairedmouth opening and painful chewing. The si-gns had been persisting for 5 days, emergedspontaneously and had been aggravatinggradually. Mandibular contracture is of theIII degree. On examination of the oral cavity:hyperemia, edema of the retromolar space onthe right, hood-shaped mucosa from underwhich pus is being discharged and 2 toothtubercles can be detected. X-ray shows obli-que medial tooth position. Make the di-agnosis:

A. Acute suppurative pericoronitis of the 48toothB. Acute suppurative periostitis from the 48toothC. Chronic local mandibular osteomyelitisD. Mandibular angle fractureE. Acute submandibular sialadenitis

197. Parents of a 6-year-old child complainof their child having a gradually enlarging

neoplasm in the left parotid-masticatory regi-on. Skin over the tumor is without discolorati-on. The tumor is painless, but when the headbends down the tumor increases in size andassumes bluish coloring. What disease can besuspected in the child?

A. HemangiomaB. FibromaC. AtheromaD. LymphangiomaE. Cyst of the parotid gland

198. An 11-year-old child presents withprotrusion of the upper front teeth, thereare tremata and diastema between the chi-ld’s teeth. What apparatus can be used fortreatment of this pathology?

A. OsadchyB. BrukleC. Frankel, type 3D. VasylenkoE. Mershon

199. A 40-year-old patient complains of painin the tragus area, clicking during mouthopening, stuffed ears. Objectively the faceis symmetrical, mouth opening path is strai-ght. Dentition defect can be estimated as theI class by Kennedy; the 18, 17, 16, 26, 27, 28teeth are missing. In this case the load wouldbe the most traumatizing for the followinganatomical structure:

A. Interarticular diskB. Articular capsuleC. Articular headD. Distal slope of the articular tubercleE. Floor of the temporal bone socket

200. A 38-year-old man complains of sensati-on of a foreign body on his tongue anddevelopment of gag reflex during talking.The signs appeared after the prolonged taki-ng of antibiotics. Objective examinationdetected thickened and pigmented filiformpapillae enlarged to 2-3 cm in size. Histologi-cal analysis detected papillar hyperplasia andmarked keratinization without alteration ofthe surrounding tissues. What is the most li-kely diagnosis?

A. Black hairy tongueB. Median rhomboid glossitisC. Fissured tongueD. Glossitis areata exfoliativaE. Geographic tongue

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 10.04./№32. Paper size 60х84 1/8

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

Conditional print pages 24. Accounting publishing pages 28.

Issue. 306 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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