Question 1

Which of the following oral lesions is associated with secondary syphilis?

Accepted Answer

A)  Herpetiform ulceration 
B)  Notched incisors 
C)  Gumma 
D)  Hairy tongue 
E)  Mucous patch 
A)  Herpetiform ulceration 
B)  Notched incisors 
C)  Gumma 
D)  Hairy tongue 
E)  Mucous patch

Question 2

All of the following are characteristic features of oral histoplasmosis except:

Accepted Answer

A)  Usually secondary to lung lesions 
B)  Causes a nonspecific acute tissue response featuring neutrophils 
C)  Presents as nonhealing ulcer(s) 
D)  May mimic oral squamous cell carcinoma 
E)  Responds to antifungals, such as amphotericin B 
A)  Usually secondary to lung lesions 
B)  Causes a nonspecific acute tissue response featuring neutrophils 
C)  Presents as nonhealing ulcer(s) 
D)  May mimic oral squamous cell carcinoma 
E)  Responds to antifungals, such as amphotericin B

Question 3

Oral squamous cell carcinoma:

Accepted Answer

A)  Is most commonly seen on the dorsum of the tongue 
B)  Is more common in women than in men 
C)  Presents typically as a painful recurring ulcer 
D)  Has been linked etiologically to the use of tobacco in all forms 
E)  May be preceded by a vesiculobullous eruption 
A)  Is most commonly seen on the dorsum of the tongue 
B)  Is more common in women than in men 
C)  Presents typically as a painful recurring ulcer 
D)  Has been linked etiologically to the use of tobacco in all forms 
E)  May be preceded by a vesiculobullous eruption

Question 4

A 68-year-old man has a small squamous cell carcinoma of the right posterior lateral border of the tongue. If left untreated, this lesion would most likely metastasize first to which of the following?

Accepted Answer

A)  Submental lymph nodes 
B)  Submandibular lymph nodes 
C)  Mandible 
D)  Lung 
A)  Submental lymph nodes 
B)  Submandibular lymph nodes 
C)  Mandible 
D)  Lung

Question 5

Ziehl-Neelsen is a microscopic special stain that is used to demonstrate microorganisms (in tissue) that cause which of the following?

Accepted Answer

A)  Tuberculosis 
B)  Histoplasmosis 
C)  Actinomycosis 
D)  Syphilis 
E)  None of the above 
A)  Tuberculosis 
B)  Histoplasmosis 
C)  Actinomycosis 
D)  Syphilis 
E)  None of the above

Question 6

The presenting clinical sign(s) of primary syphilis when it occurs in the oral/perioral region through oral-genital contact is (are):

Accepted Answer

A)  Acute ulcers preceded by bullae 
B)  Chronic ulceration 
C)  Maculopapulary rash 
D)  Dental abnormalities 
E)  Koplik's spots 
A)  Acute ulcers preceded by bullae 
B)  Chronic ulceration 
C)  Maculopapulary rash 
D)  Dental abnormalities 
E)  Koplik's spots

Question 7

Oral aphthous ulcers:

Accepted Answer

A)  Are triggered by herpes simplex virus 
B)  Are caused by herpes simplex virus 
C)  Are typically preceded by vesicles 
D)  May be associated with cutaneous ulcers 
E)  None of the above 
A)  Are triggered by herpes simplex virus 
B)  Are caused by herpes simplex virus 
C)  Are typically preceded by vesicles 
D)  May be associated with cutaneous ulcers 
E)  None of the above

Question 8

A 32-year-old man experiences sudden diffuse swelling of his lips and face following ingestion of a 1.5 pound steamed Maine lobster. Virtually no redness is associated with the swelling. This suggests which of the following?

Accepted Answer

A)  Angioedema 
B)  Contact allergy 
C)  Indigestion 
D)  Erythema multiforme 
E)  Stevens-Johnson syndrome 
A)  Angioedema 
B)  Contact allergy 
C)  Indigestion 
D)  Erythema multiforme 
E)  Stevens-Johnson syndrome

Question 9

Intraoral trauma, hormonal changes, and some dietary substances seem to be able to trigger which of the following diseases?

Accepted Answer

A)  Primary herpes 
B)  Varicella 
C)  Aphthous ulcers 
D)  Erythema multiforme 
E)  Angioedema 
A)  Primary herpes 
B)  Varicella 
C)  Aphthous ulcers 
D)  Erythema multiforme 
E)  Angioedema

Question 10

Cutaneous lesions that exhibit characteristic concentric red and white rings (target lesions) may be seen in association with the oral lesions that appear as:

Accepted Answer

A)  Persistent crateriform necrotic lesions 
B)  Erythematous patches 
C)  Multiple large ulcers 
D)  Crops of small (1 mm) ulcers preceded by vesicles 
E)  White patches 
A)  Persistent crateriform necrotic lesions 
B)  Erythematous patches 
C)  Multiple large ulcers 
D)  Crops of small (1 mm) ulcers preceded by vesicles 
E)  White patches

Question 11

A patient with stage I oral squamous cell carcinoma of the lower lip would be expected to have a _____ prognosis.

Accepted Answer

A)  Good 
B)  Fair 
C)  Poor 
A)  Good 
B)  Fair 
C)  Poor

Question 12

Most oral tuberculous ulcers are believed to occur through which of the following mechanisms?

Accepted Answer

A)  Direct mucosal infection from contact with an infected individual 
B)  Seeding of mucosa by organisms traveling through the blood 
C)  Seeding of mucosa by organisms traveling through the lymphatics 
D)  Mucosal implantation of organisms from infected sputum 
E)  None of the above 
A)  Direct mucosal infection from contact with an infected individual 
B)  Seeding of mucosa by organisms traveling through the blood 
C)  Seeding of mucosa by organisms traveling through the lymphatics 
D)  Mucosal implantation of organisms from infected sputum 
E)  None of the above

Question 13

Prognosis for a patient with oral squamous cell carcinoma largely depends on which of the following factors?

Accepted Answer

A)  Symptomology 
B)  Microscopic subtype 
C)  Clinical stage 
D)  Inflammatory cell infiltrate 
E)  All the above 
A)  Symptomology 
B)  Microscopic subtype 
C)  Clinical stage 
D)  Inflammatory cell infiltrate 
E)  All the above

Question 14

The etiology of oral aphthous ulcers has been associated with all the following except:

Accepted Answer

A)  Crohn's disease 
B)  Nontropical sprue 
C)  Iron deficiency 
D)  Ethanol intake 
E)  Folic acid deficiency 
A)  Crohn's disease 
B)  Nontropical sprue 
C)  Iron deficiency 
D)  Ethanol intake 
E)  Folic acid deficiency

Question 15

Granulomatous inflammation is characteristic of which the following diseases?

Accepted Answer

A)  Aphthous ulcers 
B)  Histoplasmosis 
C)  Pemphigus vulgaris 
D)  Erythema multiforme 
E)  Angioedema 
A)  Aphthous ulcers 
B)  Histoplasmosis 
C)  Pemphigus vulgaris 
D)  Erythema multiforme 
E)  Angioedema

Question 16

Oral tuberculosis:

Accepted Answer

A)  Is granulomatous in microscopic appearance 
B)  May appear clinically like primary syphilis 
C)  Is usually secondary to lung infection 
D)  Is contagious 
E)  All the above 
A)  Is granulomatous in microscopic appearance 
B)  May appear clinically like primary syphilis 
C)  Is usually secondary to lung infection 
D)  Is contagious 
E)  All the above

Question 17

A clinical differential diagnosis of a chronic, relatively nonpainful ulcer of the hard palate would include all the following except:

Accepted Answer

A)  Squamous cell carcinoma 
B)  Necrotizing sialometaplasia 
C)  Tuberculosis 
D)  Traumatic ulcer 
E)  Aphthous ulcer 
A)  Squamous cell carcinoma 
B)  Necrotizing sialometaplasia 
C)  Tuberculosis 
D)  Traumatic ulcer 
E)  Aphthous ulcer

Question 18

The histopathology of an oral mucosal factitial injury would most likely show which of the following?

Accepted Answer

A)  Ulceration 
B)  Acanthosis 
C)  Vesiculation 
D)  Dysplasia 
E)  Granuloma formation 
A)  Ulceration 
B)  Acanthosis 
C)  Vesiculation 
D)  Dysplasia 
E)  Granuloma formation

Question 19

An otherwise healthy 24-year-old man presents with a painful ulcer on his tongue. The lesion is oval and measures approximately 3 mm in diameter. The lesion was not preceded by a blister. This problem has been cyclic (once per month), and the lesions have healed in about 1 week. He most likely has:

Accepted Answer

A)  Minor aphthae 
B)  Major aphthae 
C)  Herpetiform aphthae 
D)  Secondary herpes 
E)  Erythema multiforme 
A)  Minor aphthae 
B)  Major aphthae 
C)  Herpetiform aphthae 
D)  Secondary herpes 
E)  Erythema multiforme

Question 20

Which of the following conditions is mediated by IgE (attached to mast cells)?

Accepted Answer

A)  Contact allergy 
B)  Angioedema 
C)  Erythema multiforme 
D)  Aphthous ulcers 
E)  None of the above 
A)  Contact allergy 
B)  Angioedema 
C)  Erythema multiforme 
D)  Aphthous ulcers 
E)  None of the above

Which of the following oral lesions is associated with secondary syphilis?

All of the following are characteristic features of oral histoplasmosis except:

Oral squamous cell carcinoma:

A 68-year-old man has a small squamous cell carcinoma of the right posterior lateral border of the tongue. If left untreated, this lesion would most likely metastasize first to which of the following?

Ziehl-Neelsen is a microscopic special stain that is used to demonstrate microorganisms (in tissue) that cause which of the following?

The presenting clinical sign(s) of primary syphilis when it occurs in the oral/perioral region through oral-genital contact is (are):

Oral aphthous ulcers:

A 32-year-old man experiences sudden diffuse swelling of his lips and face following ingestion of a 1.5 pound steamed Maine lobster. Virtually no redness is associated with the swelling. This suggests which of the following?

Intraoral trauma, hormonal changes, and some dietary substances seem to be able to trigger which of the following diseases?

Cutaneous lesions that exhibit characteristic concentric red and white rings (target lesions) may be seen in association with the oral lesions that appear as:

A patient with stage I oral squamous cell carcinoma of the lower lip would be expected to have a _____ prognosis.

Most oral tuberculous ulcers are believed to occur through which of the following mechanisms?

Prognosis for a patient with oral squamous cell carcinoma largely depends on which of the following factors?

The etiology of oral aphthous ulcers has been associated with all the following except:

Granulomatous inflammation is characteristic of which the following diseases?

Oral tuberculosis:

A clinical differential diagnosis of a chronic, relatively nonpainful ulcer of the hard palate would include all the following except:

The histopathology of an oral mucosal factitial injury would most likely show which of the following?

An otherwise healthy 24-year-old man presents with a painful ulcer on his tongue. The lesion is oval and measures approximately 3 mm in diameter. The lesion was not preceded by a blister. This problem has been cyclic (once per month), and the lesions have healed in about 1 week. He most likely has:

Which of the following conditions is mediated by IgE (attached to mast cells)?

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

Which of the following oral lesions is associated with secondary syphilis?

All of the following are characteristic features of oral histoplasmosis except:

Oral squamous cell carcinoma:

A 68-year-old man has a small squamous cell carcinoma of the right posterior lateral border of the tongue. If left untreated, this lesion would most likely metastasize first to which of the following?

Ziehl-Neelsen is a microscopic special stain that is used to demonstrate microorganisms (in tissue) that cause which of the following?

The presenting clinical sign(s) of primary syphilis when it occurs in the oral/perioral region through oral-genital contact is (are):

Oral aphthous ulcers:

A 32-year-old man experiences sudden diffuse swelling of his lips and face following ingestion of a 1.5 pound steamed Maine lobster. Virtually no redness is associated with the swelling. This suggests which of the following?

Intraoral trauma, hormonal changes, and some dietary substances seem to be able to trigger which of the following diseases?

Cutaneous lesions that exhibit characteristic concentric red and white rings (target lesions) may be seen in association with the oral lesions that appear as:

A patient with stage I oral squamous cell carcinoma of the lower lip would be expected to have a _____ prognosis.

Most oral tuberculous ulcers are believed to occur through which of the following mechanisms?

Prognosis for a patient with oral squamous cell carcinoma largely depends on which of the following factors?

The etiology of oral aphthous ulcers has been associated with all the following except:

Granulomatous inflammation is characteristic of which the following diseases?

Oral tuberculosis:

A clinical differential diagnosis of a chronic, relatively nonpainful ulcer of the hard palate would include all the following except:

The histopathology of an oral mucosal factitial injury would most likely show which of the following?

An otherwise healthy 24-year-old man presents with a painful ulcer on his tongue. The lesion is oval and measures approximately 3 mm in diameter. The lesion was not preceded by a blister. This problem has been cyclic (once per month), and the lesions have healed in about 1 week. He most likely has:

Which of the following conditions is mediated by IgE (attached to mast cells)?

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