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Anatomy · Head and neck
Sample itemA woman yawning widely is unable to close her mouth, and a hollow is felt in front of the tragus. How is the dislocation reduced?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Downward and backward pressure on the molars with the thumbs
In anterior dislocation of the temporomandibular joint the condyle slips in front of the articular eminence. Reduction is by pushing the mandible downward and then backward with the thumbs on the molars.
Option by option
A. Lateral traction on the angle of the mandible
Lateral traction does not disengage the condyle.
B. Downward and backward pressure on the molars with the thumbs (correct)
Correct. This unlocks the condyle from the eminence and moves it back into the fossa.
C. Backward pressure on the incisors
Pressure on the incisors does not generate the downward movement needed.
D. Upward and forward pressure on the chin
Upward and forward force would worsen the locking.
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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