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1
Q
  1. The main nerve fibers associated with pain are
    a. A beta
    b. A gamma
    c. A delta
    d. C
    e. C and D
A

e. C and D

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2
Q
  1. Which of the following are associated with pain modulation
    i. Prostaglandins
    ii. Serotonin
    iii. Substance P
    iv. Bradykinin

b. 1 and 2
c. 2 and 3
d. 3 and 4
e. all of the above

A

e. all of the above

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3
Q
  1. Which sensory pathway relays information from the opposite side of the body
    a. Discriminative
    b. Anterolateral
A

b. Anterolateral

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4
Q
  1. Sensory input from the face and mouth are relayed through which ganglion
    a. Otic
    b. Gasserian
    c. Genticulate
A

b. Gasserian

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5
Q
  1. The fast anterolateral pathway that uses A delta fibers is
    a. Neospinothalamic
    b. Paleospinothalamic
A

a. Neospinothalamic

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6
Q
  1. Myofascial pain associated with TMJ dysfunction is
    a. Cutaneous pain
    b. Neuropathic pain
    c. Deep pain
    d. Vascular pain
A

c. Deep pain

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7
Q
  1. The duration of chronic pain is
    a. More than 1 month
    b. More than 3 months
    c. 6 months of pain
    d. More than a year of pain
A

c. 6 months of pain

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8
Q
  1. The most common type of orofascial pain is
A

a. Odontalgia

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9
Q
  1. A patient with a number 4 on the numeric pain distress scale should be given
    a. Weak opioids + NSAIDS
    b. Strong opioids
    c. NSAIDS
A

a. Weak opioids + NSAIDS

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10
Q
  1. An example of a COX-2 inhibitor
    a. Celecoxib (Celebrex)
    b. Aspirin
    c. Naproxen
    d. Tramadol
A

a. Celecoxib (Celebrex)

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11
Q
  1. Is a hypertensive patient taking NSAIDS at risk for increasing blood pressure
    a. Yes, NSAIDS can increase blood pressure
    b. No, NSAIDS only increase heart rate
    c. No, NSAIDS have no cardiovascular effects
A

a. Yes, NSAIDS can increase blood pressure

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12
Q
  1. The normal dose to prevent hepatotoxicity in a normal patient is
    a. 1 g
    b. 2 g
    c. 3 g
    d. 4 g
A

d. 4 g

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13
Q
  1. Opiods tend to attach to which receptor the majority of the time
    a. Mu
    b. Delta
    c. Kappa
    d. Sigma
    e. Epsilon
A

a. Mu

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14
Q

A patient with an allergy to codeine should not take
a. Penathrenes
b. Phenylpiperidines
c. Dephenylheptanes

A

a. Penathrenes

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15
Q
  1. According to the article, trigeminal Neuralgis most commonly affects which branch of CN 5
    a. V1
    b. V2
    c. V2, V3
A

c. V2, V3

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16
Q
  1. A patient that is diagnosed with trigeminal neuralgia tends to have densitization to which drug
    a. Tramadol
    b. Tegretol
A

b. Tegretol

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17
Q
  1. Which gender is more prone to have TMD
    a. Male
    b. Female
A

b. Female

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18
Q
  1. The neuralgia that is associated with stabbing pain on the tongue, pharynx, larynx, and soft tissue
    a. Trigeminal
    b. Glossopharyngeal
    c. Superior Laryngeal
    d. Occipital
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A

b. Glossopharyngeal

19
Q
  1. Neuralgias are classified as what type of pain
    a. Neuropathic
    b. Cutaneous
    c. Mood disorders
    d. Somatoform disorder
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A

a. Neuropathic

20
Q
  1. The nerve classification that is association with the fully recovery of function is
    a. Neuropraxia
    b. Axonotmesis
    c. Neurotmesis
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A

a. Neuropraxia

21
Q
  1. Which of the following are associated by condylar subchondral cyst formation
    a. Synovitis
    b. Capsulitis
    c. Osteoarthritis
    d. Restrodiscitis
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A

c. Osteoarthritis

22
Q
  1. The sagittal sutures of the cranium are
    a. Diathrosis
    b. Synchondrosis
    c. Gomphosis
    d. Synarthrosis
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A

d. Synarthrosis

23
Q
  1. Which type of arthrosis are solid non-synovial joints that can be fibrous or cartilaginous
    a. Synarthrosis
    b. Diarthrosis
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A

a. Synarthrosis

24
Q
  1. The TMJ is covered by what type of cartilage
    a. Hyaline
    b. Fibrocartilage
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A

b. Fibrocartilage

25
25. Which of the following is true concerning the TMJ i. Complex joint ii. Compound joint iii. Saddle Shaped joint iv. Ginglymo-arthroidal v. Synovial joint b. All of the above c. 1, 2, 3, 4 d. 2, 3, 4, 5 e. 1, 2, 4, 5
e. 1, 2, 4, 5
26
26. The difference between the TMJ and knee joint is that the disk for the knee joint is the meniscus a. True b. False
b. False
27
27. Translation occurs in the a. Superior joint space b. Inferior joint space
a. Superior joint space
28
28. Rotation occurs in the a. Superior joint space b. Inferior joint space
b. Inferior joint space
29
29. The muscles of mastication function as what part of the Class 3 lever system a. Load b. Fulcrum c. Force
c. Force
30
30. With subluxations of the TMJ, how would you pop the condyle back into place a. Move the mandible downward and back b. Move the mandible forward
a. Move the mandible downward and back
31
31. Which muscle attaches to the articular disk and condyle a. Masseter b. Temporalis c. Lateral Pterygoid d. Medial Pterygoid
c. Lateral Pterygoid
32
32. Which muscle inserts at the lateral ramus and angle of the mandible a. Masseter b. Temporalis c. Lateral Pterygoid d. Medial Pterygoid
a. Masseter
33
33. Which of the following are elevators of the mandible a. Superior head of the lateral pterygoid b. Masseter c. Posterior head of the temporalis
b. Masseter
34
34. Internal derangement is most often caused by a. Bruxism b. Trauma c. Psychologic/Physiologic habits
b. Trauma
35
35. According to the Wilkes Classification, which stage is associated with joint sounds, pain on function, but not x-ray presentation a. 1 b. 2 c. 3 d. 4 e. 5
b. 2
36
36. Which of the following is the least associated with movement of the mandible a. Articular eminence b. Right TMJ c. Occlusal Table d. Lateral Pterygoid e. All of the following are involved
e. All of the following are involved
37
37. Which of the following is the least associated with occlusion a. Palatine bone b. Maxilla c. Mandible d. Temporal bone
a. Palatine bone
38
38. The CBCT has less radiation than the CT a. True b. False
a. True
39
39. Which aspect of the condyle is best shown with the transcranial view a. Medial b. Lateral
b. Lateral
40
40. Which xray technique does not utilize ionizing radiation
a. MRI
41
41. The transfer of vibrational energy from 1 object to another
a. Resonance
42
42. Which of the following has the worst soft tissue picture a. CBCT b. CT c. MRI
a. CBCT
43
43. With a T1-weighted image, ________ shows up the brightest a. Fat b. Water c. CT d. Bone
a. Fat
44
44. What is a contraindication for an MRI
a. Implantable cardiac pacemaker
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