ICS 101 FINAL EXAM UPDATED QUESTIONS
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Jaw opens 40 mm, deviates to right, returns to midline, click on right, no pain. Dx?
A: Disc displacement without reduction, right side
B: Disc displacement with reduction, right side
C: Disc displacement without reduction, left side
D: Disc displacement with reduction, left side
B: Disc displacement with reduction, right side
Note: Deviation is always towards the affected side, reduction means return to
normal function, click implicates disc gets back on.
Jaw opens 25 mm, deviates right, does not return to midline, no click, no pain. Dx?
A: Disc displacement without reduction, right side
B: Disc displacement with reduction, right side
C: Disc displacement without reduction, left side
D: Disc displacement with reduction, left side
A: Disc displacement without reduction, right side
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Jaw opens 20 mm, deviates right, NOT returning to midline by the time it reaches
20 mm. There is no click. There is pain 1 inch below TMJ, and palpation hurts but
pain does not extend past that spot. localized tenderness. Most likely diagnosis?
A: Myalgia
B: Myofascial pain
C: Myofascial pain with referral
D: Arthralgia
A: Myalgia
Note: Myalgia is localized pain, Myofascial is spreading or referred pain,
Arthralgia is joint pain, but in this question pain is below TMJ (where the masseter
is located).
Jaw deviates 1.5 mm to right then returns to midline. Chart as?
A: Straight
B: Corrected deviation
C: Uncorrected deviation
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D: Totally weird
A: Straight
Note: So long as AT THE END (so deviation during movement does not matter),
the midline of both arches is within 4 mm of each other, it is corrected deviation. If
deviation stays within the 4 mm, it is straight.
Your patient has a horizontal incisal overjet of 2 mm. At maximum protrusion, the
distance between the incisal edges of #8 and #25 is 4 mm. What is the patient's
actual protrusive range of motion? [Normal protrusive range of motion (overjet 2
mm, max protrusion 4 mm → total = 6 mm)]
A: 2 mm
B: 4 mm
C: 6 mm
D: 8 mm
C: 6 mm
Note: Front teeth are 2 mm in front (abnormality), protrusion of normal jaw
includes those 2 mm.
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How hard should you palpate the TMJ?
A: Hard enough to cause pain on asymptomatic person
B: Half the force that would cause pain on an asymptomatic person
C: A quarter force
D: Twice the force
B: Half the force that would cause pain on an asymptomatic person
Erosive tooth wear is the __ most common oral condition.
A: First
B: Second
C: Third
D: Fourth
Third
What is ETW (Erosive Tooth Wear)?
A: Acid-induced tooth surface loss with no plaque present
B: Putting clothes on your teeth
C: Base-induced tooth surface loss with no plaque present