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Oral Path Ch 1
| Question | Answer |
|---|---|
| After arriving at a differential diagnosis, information from which one of the following categories will best establish a final or definitive diagnosis? a. Clinical b. Historical c. Microscopic d. Radiographic | c. Microscopic |
| The descriptive term that would best be used for a freckle is a: a. Bulla b. Vesicle c. Lobule d. Macule | d. Macule |
| Which one of the following terms describes the base of a lesion that is stalklike? a. Sessile b. Lobule c. Pedunculate d. Macule | c. Pedunculate |
| Clinical diagnosis can be used to determine the final or definitive diagnosis of all of the following except: a. Fordyce granules b. Unerupted supernumerary teeth c. Mandibular tori d. Erythema migrans | b. Unerupted supernumerary teeth |
| Radiographic diagnosis would contribute to the definitive diagnosis of all of the following except: a. Internal resorption b. Periapical cemento-osseous dysplasia c. Odontomas d. A retained deciduous tooth | d. A retained deciduous tooth |
| To determine the presence of blood dyscrasias, which one of the following would provide the most definitive information? a. Laboratory blood tests b. Bleeding during probing c. Pallor of the gingiva and mucosa d. Patient complaint of weakness | a. Laboratory blood tests |
| When an antifungal ointment or cream is used to treat angular cheilitis, which one of the following diagnostic categories is being used? a. Clinical b. Therapeutic c. Laboratory d. Differential | b. Therapeutic |
| Yellow clusters of ectopic sebaceous glands commonly observed on the buccal mucosa and evaluated through clinical diagnosis are most likely: a. Lipomas b. Fibromas c. Fordyce granules d. Linea alba | c. Fordyce granules |
| slow-growing, bony, hard, exophytic growth on the midline of the hard palate is developmental and hereditary in origin. The diagnosis is determined through clinical evaluation. a. Torus palantinus b. Mixed tumor c. Palatal cyst d. Nasopalatine cyst | a. Torus palantinus |
| The "white line" observed clinically on the buccal mucosa that extends from anterior to posterior along the occlusal plane is: a. Leukoedema b. Leukoplakia c. Linea alba d. Lichen planus | c. Linea alba |
| Occurs as erythematous area, devoid of filiform papillae, oval-rectangular shape, doesn't change, is located on the midline of the dorsal surface of the tongue? a. Median rhomboid glossitis b. Erythema migrans c. Fissured tongue d. Lingual thyroid | a. Median rhomboid glossitis |
| Which one of the following diagnostic categories would the dental hygienist most easily apply to the preliminary evaluation of oral lesions? a. Microscopic b. Clinical c. Therapeutic d. Differential | b. Clinical |
| Ex exostoses found on lingual of mandible, premolars. They are benign, bony, hard, require no tx. Radiograph radiopaque often bilateral. You suspect: a. Retrocuspid papilla b. Lingual mandibular bone concavity c. Genial tubercles d. Mandibular tori | d. Mandibular tori |
| Which one of the following terms is most often used when describing mandibular tori? a. Bullous b. Lobulated c. Sessile d. Pedunculated | b. Lobulated |
| Which of the following conditions is a benign anomaly, has a diffuse gray-to-white opaque appearance on the buccal mucosa, and is most commonly seen in adult Black individuals? a. Leukoedema b. Linea alba c. Erythema migrans d. Leukoplakia | a. Leukoedema |
| Pt has clinical signs of necrotizing ulcerative gingivitis. Hyg has pt benign H2O2 rinses without culturing the bacterial flora. This action applies to which diagnosis categories? a. Therapeutic b. Microscopic c. Clinical d. Final or definitive | a. Therapeutic |
| A small circumscribed lesion usually less than 1 cm in diameter that is elevated normal surrounding tissue is called a: a. Bulla b. Macule c. Vesicle d. Papule | d. Papule |
| The base of a sessile is: a. Broad and flat b. Stemlike c. Corrugated d. Lobulated | a. Broad and flat |
| The identification of which one of the following is not determined by clinical diagnosis? a. Fordyce granules b. Tori c. Compound odontoma d. Retrocuspid papilla | c. Compound odontoma |
| Another term for erythema migrans is: a. Allergic tongue b. Median Rhomboid glossitis c. Geographic tongue d. White hairy tongue | c. Geographic tongue |
| The cause of supernumerary teeth is most likely: a. Genetic b. Traumatic c. Cystic d. Systemic | a. Genetic |
| Historical diagnosis can include the patient's: a. Age and sex b. Family history c. Medical history d. All of the above | d. All of the above |
| Which condition is most often seen on the buccal mucosa? a. Melanin pigmentation b. Fordyce granules c. Nicotine stomatitis d. Angular cheilitis | b. Fordyce granules |
| Which one of the following is not considered a variant of normal? a. Migratory glossitis b. White hairy tongue c. Fissured tongue d. Hairy leukoplakia | d. Hairy leukoplakia |
| Which cyst is often described as a radiolucency that scallops around the roots of the teeth involved? a. Stafne bone b. Traumatic bone c. Radicular d. Residual | b. Traumatic bone |
| What percentage of erythroplakias is diagnosed as severe epithelial dysplasia or squamous cell carcinoma? a. 10% b. 25% c. 60% d. 90% | d. 90% |
| Which of the following best describes the number of types ofHPV? More than: a. 35 b. 75 c. 100 d. 130 | d. 130 |
| Which one of the following terms best defines leukoplakia? a. Clinical b. Histologic c. Historical d. Microscopic | a. Clinical |
| Gingival enlargement is caused by which of the following groups of drugs? a. Antiviral b. Calcium channel blockers c. Antibiotics d. Hypersensitivity medications | b. Calcium channel blockers |
| Because it is associated with candidiasis, an antifungal medication is used sometimes to help in the diagnosis or treatment of: a. Lingual thyroid b. Erythema migrans c. Central papillary atrophy d. Black hairy tongue | c. Central papillary atrophy |
| The best way to determine whether lingual thyroid contains the patient's functioning thyroid tissue is: a. Thyroid scan b. Blood test c. Biopsy d. Medication | a. Thyroid scan |
| Retrocuspid papillae are found on the: a. Lingual gingiva between maxillary central b. Buccal mucosa c. Lingual aspects of mandibular canines d. Lateral border of the posterior tongue | c. Lingual aspects of mandibular canines |
| The benign stratified squamous cell papilloma is considered low risk and is associated with which types of HPV? a. 16 and 18 b. 2 and 3 c. 6 and 11 d. 1 and 9 | c. 6 and 11 |
| The most common location for lingual thyroid is: a. Ventral tongue b. Dorsal of anterior third of tongue c. In the neck d. Between the foramen cecum and epiglottis | d. Between the foramen cecum and epiglottis |
| Which of the following is characterized by symptoms including dysphagia, dysphonia, and dyspnea? a. Median rhomboid glossitis b. Erythema migrans c. Lingual thyroid d. Fissured tongue | c. Lingual thyroid |
| All of the following are characteristics of periapical cemento-osseous dysplasia except one. Which one is the exception? a. Black female b. Vital teeth c. Mid-30s age d. Elevated serum alkaline phosphatase | d. Elevated serum alkaline phosphatase |
| All of the following are diagnosed without biopsy except one. Which one is the exception? a. Fissured tongue b. Erythroplakia c. Central papillary atrophy d. Erythema migrans | b. Erythroplakia |
| A lesion is measured at 6 cm. What is the approximate size of the lesion? a. 6 inches b. 3 inches c. 100 mm d. 10 mm | b. 3 inches |
| Scrotal tongue is another term for: a. Geographic tongue (erythema migrans) b. Coated tongue c. Fissured tongue d. Median rhomboid glossitis | c. Fissured tongue |
| Approximately one third of patients with fissured tongue will also have: a. Erythema migrans b. Median rhomboid glossitis c. Hairy tongue d. Mandibular tori | a. Erythema migrans |
| Which of the following HPV subtypes are most frequently associated with oropharyngeal carcinoma? a. 6 and 11 b. 16 and 18 c. 13 and 32 d. 2 and 7 | b. 16 and 18 |
| All statements regarding leukoedema are true except? a. It is seen most often in darker-skinned individuals b. It disappears when the mucosa is stretched c. It is considered a variation of normal anatomy d. It is considered a leukoplakia | d. It is considered a leukoplakia |
| Which of the following statements regarding geographic tongue is false? a. It is also known as erythema migrans b. It is seen exclusively on the tongue c. The exact etiology is unknown d. Most patients are asymptomatic | b. It is seen exclusively on the tongue |
| The radiographic appearance of a complex odontoma shows a mass of: a. Radiolucency b. Tooth structures c. Radiopacity d. Supernumerary teeth | c. Radiopacity |
| A supernumerary tooth between the maxillary centrals is called: a. Odontoma b. Distodens c. Dens in Dente d. Mesiodens | d. Mesiodens |
| Gingival enlargement can be caused by: a. Clindamycin b. Nifedipine c. Amoxicillin d. Tegretol | b. Nifedipine |
| Which appearance of the tongue is associated with Sjögren syndrome? a. Geographic b. Strawberry c. Erythema migrans d. Cobblestone | d. Cobblestone |
| The term pedunculated can be used to describe which lesion? a. Retrocuspid papilla b. Fibroma c. Scrotal tongue d. Torus palatinus | b. Fibroma |
| Where is Hirschfeld papilla found? a. Dorsal of the tongue b. Posterior buccal mucosa c. Lingual gingival margin of mandibular canines d. On the incisal papilla | c. Lingual gingival margin of mandibular canines |
| Internal resorption will appear radiographically as: a. Radiopaque and localized b. Radiolucent and diffuse c. A periapical radiolucency d. Mesial or distal caries | b. Radiolucent and diffuse |