Patient Assessment and Diagnosis Flashcards
7 cards from real ADEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Diagnosis flashcards as text
A patient reports jaw pain, clicking on opening, and limited mouth opening of 28 mm. These findings are most consistent with:
Answer: Temporomandibular joint disorder (TMD)
Jaw pain, TMJ clicking, and restricted opening (<40 mm) are hallmark signs of temporomandibular disorder.
During a periodontal assessment, the clinical attachment level (CAL) is calculated by:
Answer: Adding probing depth to recession or subtracting pseudopocket depth from probing depth
CAL = probing depth + recession when the gingival margin is apical to the CEJ, or CAL = probing depth − pseudopocket when the margin is coronal.
A 45-year-old patient presents with smooth, shiny, cupped-out lesions on occlusal surfaces of mandibular molars and lingual erosion of maxillary anteriors. The most likely etiology is:
Answer: Bulimia nervosa with acid regurgitation
Lingual erosion of maxillary teeth combined with cupped occlusal surfaces suggests chronic acid exposure from purging (perimolysis).
When assessing salivary flow, hyposalivation is defined as an unstimulated whole saliva flow rate of less than:
Answer: 0.1 mL/min
Hyposalivation is clinically defined as unstimulated whole saliva flow below 0.1 mL/min.
Which of the following medications most commonly causes gingival enlargement that would be identified during a periodontal assessment?
Answer: Amlodipine (calcium channel blocker)
Calcium channel blockers such as amlodipine are among the drug classes most associated with drug-influenced gingival enlargement.
A radiograph shows a radiolucent area at the apex of a non-vital tooth with an intact lamina dura elsewhere. This finding is most consistent with:
Answer: Periapical abscess or granuloma
A periapical radiolucency on a non-vital tooth with intact surrounding lamina dura is characteristic of a periapical abscess or granuloma.
During a comprehensive periodontal assessment, mobility is graded as Class II. What does this indicate?
Answer: Tooth moves 1-2 mm horizontally in any direction
Class II tooth mobility is defined as horizontal movement of 1-2 mm, indicating moderate periodontitis or bone loss.