TMD Diagnosis and Pathology

~ Exam ~

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This test has 25 questions.

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1. The goal of the TMD clinician should be to treat via definitive irreversible means in order to assure a cure.

  a. True

  b. False

2. The term TMD is used to connote: Temporal Mandibular Disease.

  a. True

  b. False

3. The TMJ is unique in that it has a disc:

  a. which is predominately fibrous tissue.

  b. has a muscle which moves both the bone and the disc.

  c. is a paired joint.

  d. All of the above.

  e. A & C

4. Headaches are no longer associated with TMD.

  a. True

  b. False

5. Disc Displacement in the TMJ eventually leads to Rheumatoid Arthritis

  a. True

  b. False

6. Diseases and dysfunctions effecting other parts of the body can affect facial and oral Structures in a similar manner

  a. True

  b. False

7. A click or popping sound in the TMJ connotes:

  a. Osteoarthritis

  b. A displaced disc

  c. A disc which can be captured

  d. Calcification within the jonnt

  e. B & C

8. In order for the TMJ Disc to be displaced there must be:

  a. Spasm in the masseter musle

  b. Spasm in the Superior Belly of the External Pterygoid Muscle

  c. A stretching or tearing of the capsular ligament

  d. A tear in the stylomandibular ligament

9. The term MPD is synonymous with Fibromyalgia.

  a. True

  b. False

10. Fibromyalgia:

  a. is always present in the facial musculature.

  b. affects only one segment of the body at a time

  c. has a greater number of mend affected than women

  d. is not related to sleep disorders

  e. None of the above

11. In MPD the muscles are always associated with:

  a. Spasm

  b. Trigger points

  c. Tenderness

  d. All of the above

12. Temporal Tendinitis:

  a. Involves the tendon which attaches the external pterygoid to the coronoid process.

  b. Involves the tendon which attaches the temporal muscle to the temporal bone.

  c. Involves the tendon which attaches the temporal muscle to the coronoid process.

  d. Involves the tendon which attaches the temporal muscle to the maxillae.

13. The suffix ‘itis’ connotes:

  a. Malignancy

  b. Inflammation

  c. Ligament damage

  d. Sprain

14. In the head and neck, neuralgia occurs only in the Fifth Cranial Nerve.

  a. True

  b. False

15. A screening of the CNS can be achieved by checking:

  a. Pupillary response to light

  b. Eye movement

  c. Tongue movement

  d. Gag reflex

  e. All of the above

16. Erosion and bruxism may result in:

  a. An increase in vertical dimension.

  b. A decrease in vertical dimension.

  c. Is not related to vertical dimension.

17. A balancing side contact means that teeth touch in a lateral movement on the opposite side to which the jaw is moving.

  a. True

  b. False

18. Anterior guidance assists the mandible in lateral movements.

  a. True

  b. False

19. Palpation of various structures in the head and neck:

  a. helps discern the extent of pain.

  b. helps discern the location of pain.

  c. helps in the treatment plan.

  d. All of the above

20. In order to accurately listen to joint noises one muse use:

  a. Stethoscope

  b. Doppler instrument

  c. Otoscope

  d. A & B

21. When the jaw opens without deviation it always connotes a health joint.

  a. True

  b. False

22. With a closed lock the disc always travels anteriorly and medially.

  a. True

  b. False

23. Clinical examination, palpation, and ROM recording can be diagnostic.

  a. True

  b. False

24. Left untreated a TMJ disc displacement will result in osteoarthritis.

  a. True

  b. False

25. 3 Dimensional Cone Beam CT Scans are the only means to diagnose TMJ disc displacement.

  a. True

  b. False