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Dentistry · Odontogenic infection
Sample itemWhat finding is most consistent with a periapical abscess from a nonvital tooth?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Localized swelling near the root apex with tenderness
A periapical abscess forms when infection from necrotic pulp extends beyond the root apex, causing localized pain, percussion tenderness, swelling, or drainage; source control and dental treatment are required.
Option by option
A. Diffuse enamel translucency
Enamel translucency is not an abscess sign.
B. Localized swelling near the root apex with tenderness (correct)
Correct: apical infection commonly produces local tenderness and swelling.
C. Bilateral earwax impaction
Earwax is unrelated to odontogenic infection.
D. A painless white tongue coating only
White tongue coating alone does not identify a periapical dental abscess.
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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