2
INBDE Questions Exam questions with verified || || || || || ||
detailed answers ||
Patient: 62-year-old female
|| ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
What marks the boundary between the sublingual and submandibular spaces? Select all
|| || || || || || || || || || || ||
correct answers.
||
Geniohyoid muscle ||
Mylohyoid groove ||
Genioglossus muscle ||
Mylohyoid line -- || ||
Mylohyoid muscle -- || ||
Patient: 62-year-old female
|| ||
,2
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
Into which space/s has the infection apparently traveled in this patient? Select all correct
|| || || || || || || || || || || || || ||
answers.
Submandibular space -- || ||
Maxillary sinus ||
Inferior nasal meatus || ||
Sublingual space -- || ||
Retropharyngeal space ||
Patient: 62-year-old female
|| ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
,2
The most likely pathway of infection was:
|| || || || || ||
Abscess >> carotid sheath >> sublingual space >> submandibular space
|| || || || || || || || ||
Abscess >> submandibular space >> sublingual space --
|| || || || || || ||
Abscess >> infratemporal space >> submandibular and sublingual spaces
|| || || || || || || ||
Abscess >> sublingual space >> submandibular space
|| || || || || ||
Patient: 62-year-old female || ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
To what other spaces could the infection travel if untreated? Select all correct answers.
|| || || || || || || || || || || || ||
Mediastinum -- ||
Carotid sheath -- || ||
Parotid space -- || ||
Retropharyngeal space -- || ||
Patient: An elderly female patient, age 78
|| || || || || ||
, 2
Chief Complaint: Dry eyes and dry mouth, joint pain
|| || || || || || || ||
Background / Patient History: Has been diagnosed with rheumatoid arthritis 20 years prior.
|| || || || || || || || || || || || ||
Now she has consistent dry eyes and mouth.
|| || || || || || ||
Current Findings: Her minor salivary gland biopsy shows extensive lymphocytic infiltration,
|| || || || || || || || || ||
but intact ductal cells and myoepithelial islands.
|| || || || || || ||
What is the likely diagnosis?
|| || || ||
Systemic Lupus Erythematosus || ||
Rheumatoid arthritis ||
Primary Sjogren's syndrome || ||
Secondary Sjogren's syndrome -- || || ||
Type 2 Diabetes
|| ||
Patient: An elderly female patient, age 78
|| || || || || ||
Chief Complaint: Dry eyes and dry mouth, joint pain
|| || || || || || || ||
Background / Patient History: Has been diagnosed with rheumatoid arthritis 20 years prior.
|| || || || || || || || || || || || ||
Now she has consistent dry eyes and mouth.
|| || || || || || ||
Current Findings: Her minor salivary gland biopsy shows extensive lymphocytic infiltration,
|| || || || || || || || || ||
but intact ductal cells and myoepithelial islands.
|| || || || || || ||
INBDE Questions Exam questions with verified || || || || || ||
detailed answers ||
Patient: 62-year-old female
|| ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
What marks the boundary between the sublingual and submandibular spaces? Select all
|| || || || || || || || || || || ||
correct answers.
||
Geniohyoid muscle ||
Mylohyoid groove ||
Genioglossus muscle ||
Mylohyoid line -- || ||
Mylohyoid muscle -- || ||
Patient: 62-year-old female
|| ||
,2
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
Into which space/s has the infection apparently traveled in this patient? Select all correct
|| || || || || || || || || || || || || ||
answers.
Submandibular space -- || ||
Maxillary sinus ||
Inferior nasal meatus || ||
Sublingual space -- || ||
Retropharyngeal space ||
Patient: 62-year-old female
|| ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
,2
The most likely pathway of infection was:
|| || || || || ||
Abscess >> carotid sheath >> sublingual space >> submandibular space
|| || || || || || || || ||
Abscess >> submandibular space >> sublingual space --
|| || || || || || ||
Abscess >> infratemporal space >> submandibular and sublingual spaces
|| || || || || || || ||
Abscess >> sublingual space >> submandibular space
|| || || || || ||
Patient: 62-year-old female || ||
Chief complaint: The patient says, "My lower back teeth hurt a lot! On the left side. Also, I
|| || || || || || || || || || || || || || || || || ||
think I look swollen under my chin, and my tongue feels thick."
|| || || || || || || || || || ||
Background/or patient history: None. || || ||
Current Findings: The patient has a temperature of 101.8 F. She has redness and swelling in
|| || || || || || || || || || || || || || || ||
the suprahyoid region of the neck, and her tongue is swollen. An x-ray reveals a periapical
|| || || || || || || || || || || || || || || ||
abscess of the left 3rd mandibular molar. You diagnose Ludwig's angina.
|| || || || || || || || || ||
To what other spaces could the infection travel if untreated? Select all correct answers.
|| || || || || || || || || || || || ||
Mediastinum -- ||
Carotid sheath -- || ||
Parotid space -- || ||
Retropharyngeal space -- || ||
Patient: An elderly female patient, age 78
|| || || || || ||
, 2
Chief Complaint: Dry eyes and dry mouth, joint pain
|| || || || || || || ||
Background / Patient History: Has been diagnosed with rheumatoid arthritis 20 years prior.
|| || || || || || || || || || || || ||
Now she has consistent dry eyes and mouth.
|| || || || || || ||
Current Findings: Her minor salivary gland biopsy shows extensive lymphocytic infiltration,
|| || || || || || || || || ||
but intact ductal cells and myoepithelial islands.
|| || || || || || ||
What is the likely diagnosis?
|| || || ||
Systemic Lupus Erythematosus || ||
Rheumatoid arthritis ||
Primary Sjogren's syndrome || ||
Secondary Sjogren's syndrome -- || || ||
Type 2 Diabetes
|| ||
Patient: An elderly female patient, age 78
|| || || || || ||
Chief Complaint: Dry eyes and dry mouth, joint pain
|| || || || || || || ||
Background / Patient History: Has been diagnosed with rheumatoid arthritis 20 years prior.
|| || || || || || || || || || || || ||
Now she has consistent dry eyes and mouth.
|| || || || || || ||
Current Findings: Her minor salivary gland biopsy shows extensive lymphocytic infiltration,
|| || || || || || || || || ||
but intact ductal cells and myoepithelial islands.
|| || || || || || ||
