WorksheetsTMD and OROFACIAL PAIN
Total questions: 40
Worksheet time: 36mins
What is the type of musculoskeletal pain?
superficial somatic pain
deep somatic pain
inflammatory pain
visceral pain
What is the type of pain produce by musculoskeletal?
(a)
Which of the following central excitatory effects causes the myofascial trigger points?
Sensory system
Motor system
Endocrine system
Autonomic system
Where is the source of myofascial pain if the pain is at the TMJ area?
sternocleidomastoid sternal head
sternocleidomastoid clavicular head
masseter
anterior temporalis
What is the theory for pain referral from myofascial trigger point?
Convergence-projection theory
Projection-convergence theory
Gate control theory
Descending subnucleus pain theory
What is the type of pain caused by nerve?
dull pain
sharp pain
burning pain
throbbing pain
Which of the following is DC/TMD classification of myalgia?
Fibromyalgia
Myofascial pain
local myalgia
myofascial pain with referral
myositis
What is the most important different between myalgia and myofascial pain?
(a)
Pain spreads beyond the site of palpation within the boundary of muscle is
Myalgia
Myofascial pain without referral
Myofascial pain with referral
What is the name of hypersensitive nodules in taut band of skeletal muscle?
(a)
What type of trigger point is tender during palpation however there is no spontaneous pain?
(a)
What is the special clinical examination for pain?
Wipe off
Blanching off
Nikolsky's sign
Local injection
Palpation of active trigger point may causes autonomic responses example sweating, flushing and lacrimation
Yes
No
Which of the injection is used in theurapeutic in myofascial pain?
1% lidocaine with vasoconstrictor
0.5% procaine with vasoconstrictor
Empty needle
Botox injection
Which of the following endocrine disorder is closely related with myalgia?
Diabetes mellitus
Hyperthyroidism
Hypothyroidism
Cushing's syndrome
Name the most established and world-wide accepted classification for orofacial pain.
(a)
What is the first line medication for trigeminal neuralgia?
(a)
What is the most common and important side effects of carbamazapine?
Anaemia
Thrombocytopenia
Leukopenia
liver cirrhosis
What is the name of disorder that can be presented similar to trigeminal neuralgia. but in younger patient?
(a)
Which of the following ear symptoms is most common among TMD patients?
Hyperaucousis
hypoaucusis
tinnitus
lost of hearing
Which of the following terms is about sensation of pain but the stimulus does NOT normally provoke pain?
Hyperalgesia
Hyperaesthesia
Hyperpathia
Allodynia
Dyseusia
A 60-year-old lady complained of jaw fatigue or jaw pain after few minutes of chewing. She also claimed that she has severe headaches. What is the most likely diagnosis?
(a)
A 60-year-old lady complained of jaw fatigue or jaw pain after few minutes of chewing. She also claimed that she has severe headaches. List two relevant investigations with its justification
A 60-year-old female presented with lacerating sharp shooting pain which last for 60 seconds during swallowing. What is the diagnosis?
Multiple sclerosis
Trigeminal neuralgia
glassopharyngeal neuralgia
Eagle's syndrome
What structure causes eagle's syndrome?
(a)
Patient presented with severe pain on the right side with prominent temporal arteries. What is the gold investigation for this patient?
Full blood count
Erythrocyte sedimentation rate
Full blood picture
Liver function test
What is the most significant complication of temporal arteritis?
Heart attack
Blindness
Liver failure
Acute renal failure
A 30-year-old lady complained of dull pain at her right molar ridge for the past two months. Further question revealed that she had 48 MOS done last five months. Give the diagnosis and its justification.
A 30-year-old lady complained of dull pain at her right molar ridge for the past two months. Further question revealed that she had 48 MOS done last five months. What is the contraindicated treatment for this patient and justify the answer?
A 30-year-old lady complained of dull pain at her right molar ridge for the past two months. Further question revealed that she had 48 MOS done last five months. Choose the pharmacological treatment for this patient.
Gabapentin
NSAIDS
Steroid
SNRI
Which of the following disorders have positive response to carbamazapine?
Trigeminal neuralgia
Eagle's syndrome
Temporal arteritis
Occipital neuralgia
What is the side effect of carbamazapine used in HLA-B 15:02 patient?
(a)
Which of the following local factors can cause burning mouth syndrome?
Alcohol based mouthwash
Chewing tobacco
Gastric reflux
Xerostomia
A 50-year-old obese patient presented with burning mouth. Intraorally, there are multiple periodontal abscess with oral candidiasis. What is the significant investigation for this patient?
Liver function test
Renal function test
Full blood count
HbA1c test
What is the diagnostic anaesthesia block result for post traumatic trigeminal neuropathies?
Total lost of pain
Pain is similar to before block
Pain increases
What is the cause of post herpetic trigeminal neuropathy?
(a)
What is the primary disease cause by herpes zoster?
(a)
A 40-year-old male presented with severe sharp shooting pain 1 minute. The severity is 10/10 and triggered by touching his cheek. What is the most likely diagnosis and justify your answer?
A 40-year-old male presented with severe sharp shooting pain 1 minute. The severity is 10/10 and triggered by touching his cheek. What is the best investigation for this patient and justify the answer.
A 40-year-old male presented with severe sharp shooting pain 1 minute. The severity is 10/10 and triggered by touching his cheek. Name the pharmacological treatment for this patient.
NSAIDS
Lamotrigine
carbamazapine
Opioid
