Question 137 (part 2) · LDEK · Periapical diseases

Choose true statements characterising chronic purulent periapical tissue inflammation:

1) it may occur as primary chronic form as a consequence of irritation with pathogenic triggers from root canal;
2) in diffuse form, increased mobility of tooth may occur;
3) physical examination reveals enlarged, hard, painless and non-movable lymph nodes;
4) it is not accompanied by any subjective symptoms;
5) it is characterized by presence of active or passive fistula and no purulent exudate from canal.
Correct answer is:
  1. A. 1,3,4.
  2. B. 1,2,3.
  3. C. 3,4,5.
  4. D. 1,2,5.
  5. E. 2,4,5.
Hint

Consider how a draining sinus tract changes symptoms and canal findings, and which lymph-node features suggest neoplasia rather than infection.

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