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Dentistry · Oral and maxillofacial surgery: causes of trismus
Sample itemWhich of the following is a recognised cause of trismus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pericoronitis of a lower third molar
Trismus is restricted mouth opening from muscle spasm or fibrosis, and infection in masticatory spaces such as pericoronitis or abscess is a frequent cause. Others include tetanus, fractures of the zygomatic arch and radiotherapy fibrosis.
Option by option
A. Macroglossia
Macroglossia enlarges the tongue and does not cause trismus.
B. Ankyloglossia
Ankyloglossia limits tongue movement and not jaw opening.
C. Cleft palate
Cleft palate affects feeding and speech but does not restrict opening.
D. Pericoronitis of a lower third molar (correct)
Correct. Inflammation involving the masticatory muscles causes trismus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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