Initial clicking of TMJ is a sign of:

 # Initial clicking of TMJ is a sign of:

A. Retruded condyle

B. Unevenness of condylar surfaces

C. Incoordination between condylar surfaces and disc

D. Condyle too far anterior in relation to disc

The correct answer is A. Retruded condyle.

Early stages of disc displacement are characterised by clicking. Clicking can be heard while opening the mouth, while closing the mouth, or both. An opening click signifies recapture of the displaced disc between the articulating joint surfaces. A closing click occurs just prior to tooth contact and is not as loud as the opening click. When the disc becomes non-reducible, i.e. there is no recapture of the disc while opening the mouth, the clicking reduces in intensity or vanishes.

In the early stages (disc displacement with reduction), patients have been described as having increased range of anterior condylar translation. As the stage of disc displacement without reduction ensues, the patient encounters reduced mouth opening and even locked closed in some cases.

Ref: Mehndiratta A, Kumar J, Manchanda A, et al. Painful clicking jaw: a pictorial review of internal derangement of the temporomandibular joint. Pol J Radiol. 2019;84:e598-e615. Published 2019 Dec 23. doi:10.5114/pjr.2019.92287

The best space maintainer for the early loss of upper primary incisor is the pin and tube maintainer, because :

 # The best space maintainer for the early loss of upper primary incisor is the pin and tube maintainer, because :

A. It is aesthetically acceptable 

B. It does not injure the upper lip 

C. It is easy to fabricate 

D. It allows lateral growth of the bone

The correct answer is D. It allows lateral growth of the bone.

The removable pin and tube space maintainer is designed to prevent space loss after the premature loss of a primary incisor. It allows for the natural lateral growth of the bone and provides sufficient space for the permanent tooth to erupt properly. This type of space maintainer is usually considered effective and well-tolerated by patients. While aesthetics and ease of fabrication are also important considerations, the primary purpose of a space maintainer is to preserve the space for the permanent tooth and support proper oral development.

Salt and pepper appearance in MRI of salivary gland is suggestive of:

 # Salt and pepper appearance in MRI of salivary gland is suggestive of:

A. Sjogren syndrome

B. Thalassemia

C. Mumps

D. Salivary gland tumor

The correct answer is A. Sjogren syndrome.

A salt and pepper appearance of the salivary glands on MRI is particularly suggestive of Sjogren syndrome. Salt and pepper appearance of IOPA X rays is seen in Thalassemia.

Which visceral arch is rudimentary in humans?

 # Which visceral arch is rudimentary in humans?

A. 4th 

B. 5th 

C. 6th

D. 7th

The correct answer is B. 5th.

The pharyngeal arches, also known as visceral arches, are structures seen in the embryonic development of vertebrates that are recognisable precursors for many structures.

In the human embryo, the arches are first seen during the fourth week of development. They appear as a series of outpouchings of mesoderm on both sides of the developing pharynx. The vasculature of the pharyngeal arches is known as the aortic arches.

During human, and all vertebrate development, a series of pharyngeal arch pairs form in the developing embryo. These project forward from the back of the embryo toward the front of the face and neck. Each arch develops its own artery, nerve that controls a distinct muscle group, and skeletal tissue. The arches are numbered from 1 to 6, with 1 being the arch closest to the head of the embryo, and arch 5 existing only transiently.

What is the most superior point of the external auditory canal?

 # What is the most superior point of the external auditory canal?

A. Sella

B. Porion

C. Basion

D. Orbitale

The correct answer is B. Porion.

The porion is the most superior point of the external auditory canal. The sella is the center of the hypophyseal fossa. The basion is the most anterior point of the foramen magnum. The orbitale is the most inferior point of the infraorbital rim. 

Which factor requires careful consideration, when taking measurements from an image?

 # Which factor requires careful consideration, when taking measurements from an image? 

A. Definition 

B. Magnification 

C. Reconstruction 

D. Superimposition

The correct answer is B. Magnification.

The magnification factor of any image must be carefully considered when taking measurements. Image definition is significant to the overall diagnosis; however, the magnification factor is of special concern when calculating bone dimensions.  Image reconstruction is largely a function of multiplanar reformatting (MPR).  Superimposition is a factor for some images (panoramic radiographs and conventional tomograms); however, the magnification factor must be carefully considered when calculating bone dimensions. 

The common organism implicated in dry socket is:

 # The common organism implicated in dry socket is:

A. Streptococcus

B. Staphylococcus

C. Treponema denticola

D. Pneumococcus

The correct answer is C. Treponema denticola.

A number of bacteria are known to possess fibrinolytic activity. It has been recently postulated

that Treponema denticola may have an etiological role in the genesis of dry socket.