Question 1

Granulomatous inflammation is defined microscopically as a focal collection of which of the following cells?

Accepted Answer

A)  Mast cells 
B)  Neutrophils 
C)  Plasma cells 
D)  Lymphocytes 
E)  None of the above 
A)  Mast cells 
B)  Neutrophils 
C)  Plasma cells 
D)  Lymphocytes 
E)  None of the above

Question 2

A 17-year-old patient presents with three large painful tongue ulcers, each of which measures greater than 0.5 cm in diameter. He has scars in his buccal mucosa from previous lesions. The ulcers generally last several weeks before healing. He most likely has:

Accepted Answer

A)  Syphilis 
B)  Squamous cell carcinoma 
C)  Minor aphthous stomatitis 
D)  Major aphthous stomatitis 
E)  Tuberculosis 
A)  Syphilis 
B)  Squamous cell carcinoma 
C)  Minor aphthous stomatitis 
D)  Major aphthous stomatitis 
E)  Tuberculosis

Question 3

The traumatic tongue ulceration seen in infants in association with natal teeth is known as _____ ulceration.

Accepted Answer

A)  Factitial 
B)  Iatrogenic 
C)  Aphthous 
D)  Riga-Fede 
E)  Idiopathic 
A)  Factitial 
B)  Iatrogenic 
C)  Aphthous 
D)  Riga-Fede 
E)  Idiopathic

Question 4

A middle-aged man developed multiple flat ulcers in his palate, tongue, and buccal mucosa. The lesions measured approximately 1 cm in diameter and were preceded briefly by bullae. The lesions have been persistent for 6 weeks. He has no skin, eye, or genital lesions. Biopsy shows acantholysis with intraepithelial separation. He most likely has:

Accepted Answer

A)  Erythema multiforme 
B)  Discoid lupus erythematosus 
C)  Primary herpes simplex infection 
D)  Mucous membrane pemphigoid 
E)  None of the above 
A)  Erythema multiforme 
B)  Discoid lupus erythematosus 
C)  Primary herpes simplex infection 
D)  Mucous membrane pemphigoid 
E)  None of the above

Question 5

The underlying molecular defect in oral squamous cell carcinoma has been linked to which of the following?

Accepted Answer

A)  Amplification of genes associated with acceleration of cell cycle 
B)  Mutations of the p53 gene 
C)  Increased cell survival by alteration of apoptosis-associated protein expression 
D)  Increased cell motility through alteration of keratinocyte integrins and extracellular matrix protein expression 
E)  All the above 
A)  Amplification of genes associated with acceleration of cell cycle 
B)  Mutations of the p53 gene 
C)  Increased cell survival by alteration of apoptosis-associated protein expression 
D)  Increased cell motility through alteration of keratinocyte integrins and extracellular matrix protein expression 
E)  All the above

Question 6

Penicillin is the drug of choice for which of the following?

Accepted Answer

A)  Tuberculosis 
B)  Histoplasmosis 
C)  Aphthous ulcers 
D)  Actinomycosis 
E)  Intraoral herpes 
A)  Tuberculosis 
B)  Histoplasmosis 
C)  Aphthous ulcers 
D)  Actinomycosis 
E)  Intraoral herpes

Question 7

The most commonly occurring malignancy in the oral cavity is:

Accepted Answer

A)  Basal cell carcinoma 
B)  Kaposi's sarcoma 
C)  Adenocarcinoma 
D)  Metastatic cancer 
E)  None of the above 
A)  Basal cell carcinoma 
B)  Kaposi's sarcoma 
C)  Adenocarcinoma 
D)  Metastatic cancer 
E)  None of the above

Question 8

Iatrogenic injuries are caused by which of the following?

Accepted Answer

A)  Dental hygienists 
B)  Dentists 
C)  Physicians 
D)  Chiropractors 
E)  All the above 
A)  Dental hygienists 
B)  Dentists 
C)  Physicians 
D)  Chiropractors 
E)  All the above

Question 9

The most important histologic feature for the diagnosis of oral squamous cell carcinoma is:

Accepted Answer

A)  Invasion 
B)  A lymphocytic infiltrate 
C)  Pleomorphism 
D)  Encapsulation 
E)  Hyperchromatism 
A)  Invasion 
B)  A lymphocytic infiltrate 
C)  Pleomorphism 
D)  Encapsulation 
E)  Hyperchromatism

Question 10

The symptom of pain is a consistent feature of all the following except:

Accepted Answer

A)  Squamous cell carcinoma 
B)  Secondary herpes 
C)  Zoster 
D)  Minor aphthae 
E)  Acute traumatic mucosal ulcer 
A)  Squamous cell carcinoma 
B)  Secondary herpes 
C)  Zoster 
D)  Minor aphthae 
E)  Acute traumatic mucosal ulcer

Question 11

Chronic cough, productive cough, chest pain, and chronic oral ulcers would be suggestive of all the following except:

Accepted Answer

A)  Actinomycosis 
B)  Tuberculosis 
C)  Histoplasmosis 
D)  Coccidioidomycosis 
E)  Cryptococcosis 
A)  Actinomycosis 
B)  Tuberculosis 
C)  Histoplasmosis 
D)  Coccidioidomycosis 
E)  Cryptococcosis

Question 12

Gummas are chronic inflammatory lesions associated with which of the following?

Accepted Answer

A)  Gonorrhea 
B)  Tertiary syphilis 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  None of the above 
A)  Gonorrhea 
B)  Tertiary syphilis 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  None of the above

Question 13

Clinical control of patients with aphthous ulcers is most consistently and rationally achieved with which of the following?

Accepted Answer

A)  Chemical cautery 
B)  Excision 
C)  Topical penicillin 
D)  Mycelex troches (clotrimazole) 
E)  Corticosteroids 
A)  Chemical cautery 
B)  Excision 
C)  Topical penicillin 
D)  Mycelex troches (clotrimazole) 
E)  Corticosteroids

Question 14

Eye lesions may occur with which of the following conditions?

Accepted Answer

A)  Congenital syphilis 
B)  Mucous membrane pemphigoid 
C)  Behçet's syndrome 
D)  Reiter's syndrome 
E)  All the above 
A)  Congenital syphilis 
B)  Mucous membrane pemphigoid 
C)  Behçet's syndrome 
D)  Reiter's syndrome 
E)  All the above

Question 15

AIDS immunosuppressed patients are at risk for all the following except:

Accepted Answer

A)  Mucous membrane pemphigoid 
B)  Severe herpes simplex virus infections 
C)  Severe aphthous ulcers 
D)  Syphilis 
E)  Tuberculosis 
A)  Mucous membrane pemphigoid 
B)  Severe herpes simplex virus infections 
C)  Severe aphthous ulcers 
D)  Syphilis 
E)  Tuberculosis

Question 16

The so-called traumatic granuloma that mimics oral squamous cell carcinoma clinically is most commonly seen in which of the following sites?

Accepted Answer

A)  Tongue 
B)  Floor of the mouth 
C)  Buccal mucosa 
D)  Palate 
E)  Gingiva 
A)  Tongue 
B)  Floor of the mouth 
C)  Buccal mucosa 
D)  Palate 
E)  Gingiva

Question 17

A nonpainful, indurated lesion of the floor of the mouth that is present for 6 months best describes which of the following?

Accepted Answer

A)  Lichen planus 
B)  Minor aphthous ulcer 
C)  Basal cell carcinoma 
D)  Squamous cell carcinoma 
E)  Iatrogenic ulcer 
A)  Lichen planus 
B)  Minor aphthous ulcer 
C)  Basal cell carcinoma 
D)  Squamous cell carcinoma 
E)  Iatrogenic ulcer

Question 18

Most oral cancers appear to be linked to which of the following?

Accepted Answer

A)  Tobacco 
B)  Herpes simplex virus 
C)  Cytomegalovirus 
D)  Trauma 
E)  X-radiation 
A)  Tobacco 
B)  Herpes simplex virus 
C)  Cytomegalovirus 
D)  Trauma 
E)  X-radiation

Question 19

The dentist or hygienist, through careless physical contact, could contract all the following from a diseased patient (with oral lesions) except:

Accepted Answer

A)  Syphilis 
B)  Tuberculosis 
C)  Squamous cell carcinoma 
D)  Histoplasmosis 
E)  San Joaquin valley fever 
A)  Syphilis 
B)  Tuberculosis 
C)  Squamous cell carcinoma 
D)  Histoplasmosis 
E)  San Joaquin valley fever

Question 20

Abundant eosinophils and macrophages are characteristically seen in which of the following?

Accepted Answer

A)  Acute traumatic ulcer 
B)  Secondary herpes simplex 
C)  Minor aphthous ulcers 
D)  Traumatic granuloma 
E)  Lichen planus 
A)  Acute traumatic ulcer 
B)  Secondary herpes simplex 
C)  Minor aphthous ulcers 
D)  Traumatic granuloma 
E)  Lichen planus

Granulomatous inflammation is defined microscopically as a focal collection of which of the following cells?

A 17-year-old patient presents with three large painful tongue ulcers, each of which measures greater than 0.5 cm in diameter. He has scars in his buccal mucosa from previous lesions. The ulcers generally last several weeks before healing. He most likely has:

The traumatic tongue ulceration seen in infants in association with natal teeth is known as _____ ulceration.

The underlying molecular defect in oral squamous cell carcinoma has been linked to which of the following?

Penicillin is the drug of choice for which of the following?

The most commonly occurring malignancy in the oral cavity is:

Iatrogenic injuries are caused by which of the following?

The most important histologic feature for the diagnosis of oral squamous cell carcinoma is:

The symptom of pain is a consistent feature of all the following except:

Chronic cough, productive cough, chest pain, and chronic oral ulcers would be suggestive of all the following except:

Gummas are chronic inflammatory lesions associated with which of the following?

Clinical control of patients with aphthous ulcers is most consistently and rationally achieved with which of the following?

Eye lesions may occur with which of the following conditions?

AIDS immunosuppressed patients are at risk for all the following except:

The so-called traumatic granuloma that mimics oral squamous cell carcinoma clinically is most commonly seen in which of the following sites?

A nonpainful, indurated lesion of the floor of the mouth that is present for 6 months best describes which of the following?

Most oral cancers appear to be linked to which of the following?

The dentist or hygienist, through careless physical contact, could contract all the following from a diseased patient (with oral lesions) except:

Abundant eosinophils and macrophages are characteristically seen in which of the following?

Vesiculobullous Diseases

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters

Exam 2: Ul-cerative Conditions

Granulomatous inflammation is defined microscopically as a focal collection of which of the following cells?

A 17-year-old patient presents with three large painful tongue ulcers, each of which measures greater than 0.5 cm in diameter. He has scars in his buccal mucosa from previous lesions. The ulcers generally last several weeks before healing. He most likely has:

The traumatic tongue ulceration seen in infants in association with natal teeth is known as _____ ulceration.

The underlying molecular defect in oral squamous cell carcinoma has been linked to which of the following?

Penicillin is the drug of choice for which of the following?

The most commonly occurring malignancy in the oral cavity is:

Iatrogenic injuries are caused by which of the following?

The most important histologic feature for the diagnosis of oral squamous cell carcinoma is:

The symptom of pain is a consistent feature of all the following except:

Chronic cough, productive cough, chest pain, and chronic oral ulcers would be suggestive of all the following except:

Gummas are chronic inflammatory lesions associated with which of the following?

Clinical control of patients with aphthous ulcers is most consistently and rationally achieved with which of the following?

Eye lesions may occur with which of the following conditions?

AIDS immunosuppressed patients are at risk for all the following except:

The so-called traumatic granuloma that mimics oral squamous cell carcinoma clinically is most commonly seen in which of the following sites?

A nonpainful, indurated lesion of the floor of the mouth that is present for 6 months best describes which of the following?

Most oral cancers appear to be linked to which of the following?

The dentist or hygienist, through careless physical contact, could contract all the following from a diseased patient (with oral lesions) except:

Abundant eosinophils and macrophages are characteristically seen in which of the following?

Vesiculobullous Diseases

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Connective Tissue Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters