NMS Q&A Family Medicine

The Oral Cavity in Primary Care 11unerupted third molars (“wisdom teeth”). Onemonth ago, he had undergone incision and drainageof an abscess formed around his left lower thirdmolar, which had only partially erupted, showing twocusps above the gum line. In your response, which ofthe following do you indicate is the most significantsequela of failure of eruption and consequent impactionof third molars?(A) Malocclusion(B) Cosmetic implications(C) Inability to masticate with the molars(D) Formation of dentigerous cysts(E) Abscess formation15 A 17-year-old girl is brought to you for the complaintof a sore throat. You note the presence of petechiae ofthe mucosa overlying the hard palate. Cervical lymphnodes are notably enlarged and palpable but not tender.Which of the following nonbacterial diseasescould explain the foregoing?(A) Herpes simplex I(B) Infectious mononucleosis(C) Herpes simplex II(D) Influenza A virus(E) Rhinovirus16 A male teenager and his family complain of hishaving severe mouth soreness for the last 10 days.Examination discloses a fetid odor and fibrouspseudomembranes on many gingival crests. Whichof the following diagnoses best fits this situation?(A) Acute necrotizing gingivitis(B) Periodontal abscess(C) Dentigerous cyst(D) Herpes labialis(E) Molar impaction17 A 55-year-old man was found sleeping in an alley andsmelling of alcohol. He complained of swelling of theanterior neck and was brought to the emergencydepartment of your hospital. Physical examinationshows edema and erythema of the area of the anteriorneck as it merges with the floor of the mouth.Percussion of the teeth reveals a tender area surroundinga lower partially erupted third molar. Whatis this form of oral cavity infection called?(A) Caseous scrofula(B) Cavity formation with secondary lymph nodes(C) Coronary insufficiency(D) Ludwig angina(E) Mucosal epidermolysis