牙体牙髓病学 英文试题.docx

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牙体牙髓病学 英文试题.docx

牙体牙髓病学英文试题

牙体牙髓病学英文试题

一、选择题

1.对牙髓最具有破坏性的是C

A.Nd激光B.CO2激光

C.红激光D.光固化灯

E.牙髓活力电测定仪

2.感染根管常见的优势菌不包括C

A.普氏菌B.放线菌

C.G+细菌D.真杆菌

E.梭形杆菌

3.备洞时易损伤牙髓的因素不包括B

A.施力大B.用冷却剂

C.持续常时间钻磨D.制备深的窝洞

E.不用冷却剂

4.与顽固性根尖周病变和窦道经久不愈可能有关的细菌为B

A.普氏菌B.放线菌

C.G+细菌D.真杆菌

E.梭形杆菌

5.判断牙髓活力最可靠的检查方法是D

A.热诊B.冷诊

C.牙髓活力电测定D.试验性备洞

E.X线检查

6.诊断残髓炎最准确的依据是E

A.叩诊B.牙髓活力测试

C.病史D.症状

E.探查治疗后根管有痛觉

7.急性根尖周脓肿最佳的排脓途径C

A.从牙周间隙排脓B.从颊、舌侧粘膜或皮肤排出

C.经根管从龋洞排脓D.从上颌窦或鼻腔排脓

E.以上都不对

8.感染侵入牙髓组织的途径E

A.深龋B.深牙隐裂

C.深牙周袋D.重度磨耗

E.以上都有可能

9.根尖周炎疼痛最剧烈的阶段是B

A.粘膜下脓肿期B.骨膜下脓肿期

C.浆液期D.根尖脓肿期

E.瘘管形成期

10.上颌第一磨牙的根管形态特点是:

C

A.多数是2根管,即1个颊根管和1个腭根管

B.多数是3根管,即1个近颊、1个远颊和1个腭根管

C.多数是4根管,即2个近颊、1个远颊和1个腭根管

D.多数是4根管,即1个近颊、2个远颊和1个腭根管

E.多数是4根管,即1个近颊、1个远颊和2个腭根管

11.15号标准根管锉的锉尖直径和刃部末端直径分别是:

D

A.0.10mm和0.47mmB.0.10mm和0.45mm

C.0.15mm和0.45mmD.0.15mm和0.47mm

E.以上都不对

12.弯曲根管预备的常见并发症是:

A

A.根管台阶B.药物性根尖周炎

C.牙周组织坏死D.皮下气肿

E.误戏和误咽

13.根管预备的工作长度是指:

D

A.牙的实际长度B.从牙冠参照点到牙本质牙釉质界

C.从牙冠参照点到解剖根尖孔D.从牙冠参照点到生理根尖孔

E.从牙冠参照点到距生理根尖孔0.5~1mm

14.根管成形的标准是:

A

A.根管比原来直径至少扩大3个器械号

B.根尖预备到20号标准器械

C.根管内无大量渗出

D.根管冲洗无混浊液体

E.根管内无严重气味

15.下列哪一项不是牙髓切断术的潜在并发症:

E

A.根髓感染B.根管钙化

C.内吸收D.牙髓坏死

E.髓室穿孔

16.下列哪一项描述不是玻璃离子粘固剂修复术窝洞预备的特点()C

A.玻璃离子粘固剂与牙体组织有化学粘接,对固位形的要求可放宽

B.不必作倒凹、鸠尾等固位形

C.去除龋坏牙本质,必须作预防性扩展

D.窝洞的点、线角圆钝

E.洞缘釉质不作斜面

17.深龋患者激发痛较重,洞底软龋能够彻底去净,治疗方法应选择()C

A.双层垫底,一次完成充填治疗

B.局麻下开髓失活,行牙髓治疗

C.先做安抚治疗,待1~2周复诊时症状消除后,再以双层垫底充填治疗

D.实行活髓切断术

E.间接盖髓、双层垫底,一次完成充填治疗

18.临床上不易查出的继发龋可用下列哪些方法帮助诊断()C

A.探诊B.温度测验

C.X线D.染色法

E.麻醉法

  19.深龋备洞时,下列哪项措施是错误的()A

A.洞底平、侧壁直,两相垂直B.去尽腐质

C.保护牙髓D.洞缘线圆钝

E.尽量保留健康牙体组织

20.复合树脂充填后脱落的原因如下,除了()A

A.制备了固位形B.牙齿表面未注意清洁

C.酸蚀后的牙面接触唾液D.未制备洞斜面

E.充填体过薄

21.下列哪项不是窝洞的基本固位形()B

A.侧壁固位B.钉道固位

C.倒凹固位D.鸠尾固位

E.梯形固位

22.制备倒凹是为了:

()B

A.获得良好的抗力形B.获得良好的固位形

C.便于垫底D.便于充填

E.便于放置盖髓剂

23.

类洞充填备洞时,要求:

()A

A.适当的固位形B.严格的抗力形

C.必须做鸠尾D.口小底大

E.底平壁直

24.右下颌第一恒磨牙颊面龋洞破坏越过边缘嵴至咬合面窝沟是:

()A

A.

类洞B.

类洞

C.

类洞D.

类洞

E.

类洞

25.垫底的部位为:

()D

A.仅在髓壁B.仅在轴壁

C.仅在侧壁D.仅在髓壁和轴壁

E.任何壁均可垫

26.下列说法正确的是B

A.男性患龋率略高于女性

B.龋病流行率主要随社会经济模式而变化

C.龋病流行模式依靠地理环境而改变

D.遗传因素对龋病的发生和发展产生重要的影响

E.环境因素对龋病的发生和发展无影响

27.釉质龋损害的4个区不包括A

A.坏死区B.透明带

C.暗带D.损害体部

E.釉质表面层

28.牙本质龋损在光镜下可看到微生物渗透至牙本质小管的区域是B

A.坏死区B.感染层

C.牙本质脱矿区D.硬化区

E.修复性牙本质层

29.静止龋属于B

A.急性龋B.慢性龋

C.继发龋D.牙釉质龋

E.牙骨质龋

30.病程进展快,多数牙在短期内同时患龋的急性龋称为E

A.湿性龋B.慢性龋

C.干性龋D.继发龋

E.猛性龋

31.Whichisthebestwayofpaincontrolforendodontictreatment

ALocalanestheticsBDevitalization

CAnalgesicsDOcclusalreduction

EIncisinganddrainage

32.Whichoneisnotthereasonforuseofrubberdam

AProtectaspirationorswallowingofinstrumentsorirrigants

BEliminatethedentalfearofpatients

CImprovevisibility

DReducedriskofcross-contamination

ELegalconsiderations

33.Thefollowingstatementsarecorrectexcept

ANearlyallcanalsexhibitacertaindegreeofcurvature.

BTheremaybemorethanonecanalswithinoneroot.

CTheapicalforamenusuallyopensattheanatomicalapex.

DApicalconstrictionoccursat0.5~1mmfromtheapicalforamen.

ELateralandaccessorycanalsmightbethecauseoftreatmentfailure.

34.Whichoneiswrongregardingtheprincipleofaccesscavity

AStraight-lineaccess

BConservationoftoothstructure

CUnroofingofthechamberandexposureofpulphorns

D.Facialsurfaceofanteriorteeth

EOcclusalsurfaceofposteriorteeth

35.Theadvantagesofgutta-perchaasafillingmaterialare

AItiscompactibleandadaptsexcellentlytotheirregularitiesandcontourofthecanal

BItisradiopaque

CItcanbeeasilyremovedfromthecanalwhennecessary

DItcanbesoftenedandmadeplasticbyheatorbyorganicsolvents

EAlloftheabove

36.Whichoneisincorrectaboutthecriteriaoftherootcanalisreadytobefilledafterthecompletionofrootcanalcleaningandshaping?

AThetoothisasymptomatic.BThecanaliswet.

CThereisnosinustract.DThereisnofoulodor.

EThetemporaryfillingisintact

37.Whichoneisnotthepathwaysofpulpalandperiapicalinfections?

ADentinaltubulesBPulpexposure

CGingivalDPeriodontalligament

EAnachoresis

38.Tug-backisachievedandthecanalisreadyforfilling

AWhenthegutta-perchahasextendedbeyondtheapex

BWhenthegutta-perchaiseasilyremovedfromtherootcanal

CWhenthegutta-perchaplacedtoapicalconstrictionexhibitsresistanceonremoval

DAftercementation

ENoneofabove

39.Mostrootcanalinfectionsinvolve

Aasingleobligateanaerobicspecies

Bmultipleanaerobicspeciesonly

Cmixedaerobicandanaerobicmicroorganisms

Dmultipleaerobicspeciesonly

Enoneofabove

40.Anabnormallyshapedtooththatmayappearasanextrawidecrown,anormalcrownwithanextraroot,orothercombinationsresultingfromtheunionoftwoadjacenttoothgermsbydentinduringdevelopmentiscalled

AfusedteethBconcresenceofteeth

CgeminatedteethDdilacerationsoftooth

Etaurodontism

41.Whichisn’tthenon-operativetreatmentofdentalcariesinthefollowing?

AapplicationoffluorideBapplicationofAPFgel

CremineralizativetherapyDenameloplasty

Epitandfissuresealing

42.Whichisnottheaimofoperativetherapyonthedentalcariesmanagement?

AToremoveinfecteddentineandprohibitcaries

BToprotectthepulpandavoidpain

CToenhancethestrengthofthetooth

DTofacilitateplaquecontrol

ETorestoretheappearance(ofteeth)anditsfunction

43.Whichisthebeststatementaboutresistanceform

AResistanceformisthedesignofacavityinsuchawaythattheremainingtoothsubstanceandtherestorativematerialcanwithstandmasticatorystress

BThebulkrequiredwilldependontheflexuralstrengthofrestorativematerial.Inthecaseofamalgamitisestimatedthataminimumof1.5-2mmthicknessoftherestorativematerialisrequiredtowithstandmasticatorystress

CIfamarginalridgeisfoundtobetooweakinthecauseofanocclusalcavitypreparation,aClassIIcavitymayhavetobepreparedinstead,soastoeliminatetheweakmarginalridge.Thisisparticularlyindicatedwheretheridgeisonlyofenamelthicknessandunsupportedbysounddentine

DThecavityshouldbedesignedthattheocclusalmarginsofthecavityareinareasnotsubjectedtoexcessiveocclusaltrauma,otherwisetheenamelwallofthecavityand/orthemarginsoftherestorativematerialmayfracture.Inpractice,thismaybeachievedbyplacinganocclusalmarginsofacavityaboutone-quarter(1/4)oftheintercuspaldistance.Note,thateffortsshouldalwaysbemadetoconservesoundtoothtissue

EAlloftheabove

44.Whichisthemostdangerareaoftoothindentalcariesoccurredafteryouhavelearneddentalcaries?

APitsandfissuresonocclusalsurfacesofmolarsandpremolars

BApproximalsurfacesofallteeth.

CGingivalthirdsofallteeth,bothonfacialandlingualsurfaces

DPitsandfissuresnearthelingualofmaxillaryincisorsandcanines(lingualpits)

EPitsandfissuresonthebuccalofmolars

45.Whichisnottrueinthefollowingstatementaboutdentalcariesandmicro-organisms?

ACariescouldbeinducedbyspecificbacteria,especiallymutansstreptococci-group(eg.StreptococcusmutansandStrep.sobrinus).

BTherearecariesoccurredwhenonlyfedacariogenic(highsucrose)diet.

CInthe’60sKeyesinfectedgerm-freeanimalswithknownstrainsofstreptococciandfoundthattheseorganismsweretransferredtouninfectedlittermateswhothenbecamesusceptibletocaries.Hethusdemonstratedthatdentalcarieswaspotentiallyinfectiousandtransmissible.

DWhentalkingaboutcariogenicmicroorganisms,weoftenrefertoStreptococcusmutans,LactobacillusandActinomyces.

EOcclusalcariescouldbepreventedusingpenicillininanimalstudy.

46.Theadvantagesglass-ionomercementinclude

Ahighadhesionproperties

Blowabrasionproperties

Cuseasapermanentrestoration

Dreductionincariesduetofluoridereleasingproperties

Ealloftheabove

47.Whichoneofthestatementsiserrorinretentivepinplacement

Abeavoidedbifurcationandtrifurcationareas

Bparalleltotheexternalsurfaceofthetooth

Cmanypinholesbebetterplacedindifferentplanes

Dthelengthofpinindentineshouldbelongerthanthatofinrestoration

Ebeinthehardestdentine

48.Thereasonsofspontaneouspainaftertoothfillinginclude

AmistakenlyjudgetheconditionofpulpBneglectsmallpulpexposure

CirritationofmaterialstopulpDresidualcariousdentine

Ealloftheabove

49.Whichofthefollowingisacontra-indicationtoendodontictreatment

ADiabetes

BPregnancy

CHIV-infectedpatients

DPatientsufferingfromheartattackwithinpast6months

ECancer

50.Centralcuspismostcommonin

AmaxillarythesecondpremolarsBmaxillarythefirstpremolars

CmandibularthefirstpremolarsDmandibularthesecondpremolars

Emaxillarythesecondmolars

51.Submergeddeciduousteethoccursmostcommonin

AprimarymaxillarythesecondmolarsBprimarymaxillarythefirstmolars

CprimarycentralincisorsDprimarymandibularthesecondmolars

Eprimarymandibularthefirstmolars

52.Inclinicalassessment,whichisnotcorrect?

ASpontaneousdiscomfortatnightprovideaclueasthetoothisinflamed

BVitalometertestsareveryunreliable

C

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