panhav007 said:
Q. intermittent painful swelling in the submandibular
region that increases at mealtime is indicative of
A. a ranula.
B. a blockage of Wharton's duct.
C. Ludwig's angina.
D. a blockage of Stensen's duct.
E. an epidemic parotitis.
Ans. is B. because ranula is a cyst caused by rupture to a major salivary gland duct causing saliva to disperse in the surrounding tissues, and it is mostly painless. But, blockage of warton's duct will cause pain especially at meal time when the submandibular gland secrets saliva which is kept inside because the duct is blocked , increasing pressure , causing pain.
Q . The most likely cause of tooth loss following a tunneling procedure to provide complete access
for a mandibular Class III furcation involvement is
A. root caries.
B. root sensitivity.
C. pulpal involvement.
D. recurrent pocketing.
ans is A. because pulpal involvment can be treated by pulpectomy, recurrent pocketing and root sensitivity can be treated by perio therapy, but root caries especially in the furcation area is mostly treated by sectioning the tooth and extraction, which means losing the tooth.
Q. With the development of gingivitis, the sulcus
becomes predominantly populated by
A. gram-positive organisms.
B. gram-negative organisms.
C. diplococcal organisms.
D. spirochetes.
Answer is B. because with "DEVELOPMENT of gingivitis" (not early gingivitis) the sulcus become dominated by gram -ve anerobes.