Question 1

Herpes simplex labialis is due to reactivation of a virus that resides in which of the following sites during latent periods?

Accepted Answer

A)  Basement membrane of the lip 
B)  Trigeminal ganglion 
C)  Submucosal macrophages in the lip 
D)  Epithelium of the vermilion 
E)  None of the above 
A)  Basement membrane of the lip 
B)  Trigeminal ganglion 
C)  Submucosal macrophages in the lip 
D)  Epithelium of the vermilion 
E)  None of the above B

Question 2

A 9-year-old girl presents with marked gingival inflammation and multiple small ulcers involving her vestibular mucosa, vermilion, and perioral skin. She has a fever, malaise, joint pain, and headache. She most likely has which of the following?

Accepted Answer

A)  Primary herpes simplex infection 
B)  Measles 
C)  Herpangina 
D)  Mucous membrane pemphigoid 
E)  Acute lupus erythematosus 
A)  Primary herpes simplex infection 
B)  Measles 
C)  Herpangina 
D)  Mucous membrane pemphigoid 
E)  Acute lupus erythematosus A

Question 3

The bullous eruption of attached gingiva mediated by autoantibodies directed against basement membrane antigens is known as:

Accepted Answer

A)  Pemphigus vulgaris 
B)  Lupus erythematosus 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  None of the above 
A)  Pemphigus vulgaris 
B)  Lupus erythematosus 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  None of the above E

Question 4

Microscopic evidence of active herpes simplex infection appears as multinucleation in which of the following cells?

Accepted Answer

A)  Langerhans cells 
B)  Macrophages 
C)  Keratinocytes 
D)  Schwann cells 
E)  None of the above 
A)  Langerhans cells 
B)  Macrophages 
C)  Keratinocytes 
D)  Schwann cells 
E)  None of the above

Question 5

Certain drugs and herpes simplex infections are known to precipitate which of the following oral diseases?

Accepted Answer

A)  Major aphthous ulcers 
B)  Pemphigus vulgaris 
C)  Lupus erythematosus 
D)  Behçet's syndrome 
E)  None of the above 
A)  Major aphthous ulcers 
B)  Pemphigus vulgaris 
C)  Lupus erythematosus 
D)  Behçet's syndrome 
E)  None of the above

Question 6

Lesions found in the buccal mucosa, known as Koplik's spots, are first signs of which of the following?

Accepted Answer

A)  Erythema multiforme 
B)  Herpangina 
C)  Rubeola 
D)  Varicella 
E)  Acute lupus erythematosus 
A)  Erythema multiforme 
B)  Herpangina 
C)  Rubeola 
D)  Varicella 
E)  Acute lupus erythematosus

Question 7

All but one of the following are contagious and thus are potential occupational hazards to the dentist and dental hygienist. Choose the noncontagious condition.

Accepted Answer

A)  Oral histoplasmosis 
B)  Pemphigus vulgaris 
C)  Cold sores 
D)  Primary herpes 
E)  Oral chancre 
A)  Oral histoplasmosis 
B)  Pemphigus vulgaris 
C)  Cold sores 
D)  Primary herpes 
E)  Oral chancre

Question 8

Secondary herpes simplex infections:

Accepted Answer

A)  Are cured with topical acyclovir 
B)  Usually present as single oval-shaped ulcers 
C)  Typically affect the buccal mucosa, tongue, and mucosal surface of the lip when occurring as an intraoral expression of the disease 
D)  Are always unilateral 
E)  None of the above 
A)  Are cured with topical acyclovir 
B)  Usually present as single oval-shaped ulcers 
C)  Typically affect the buccal mucosa, tongue, and mucosal surface of the lip when occurring as an intraoral expression of the disease 
D)  Are always unilateral 
E)  None of the above

Question 9

AIDS immunosuppressed patients are at risk for all of 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 10

A bullous eruption of attached gingiva mediated by autoantibodies to laminin 5 and BP antigens in basement membrane is known as:

Accepted Answer

A)  Pemphigus vulgaris 
B)  Lupus erythematosus 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  Mucous membrane pemphigoid 
A)  Pemphigus vulgaris 
B)  Lupus erythematosus 
C)  Erythema multiforme 
D)  Behçet's syndrome 
E)  Mucous membrane pemphigoid

Question 11

Bilateral buccal mucosal white lesions would be expected in all the following except:

Accepted Answer

A)  Cannon's disease (white sponge nevus) 
B)  Witkop's disease (HBI
D)  
C)  Secondary herpes zoster 
D)  Leukoedema 
E)  Cheek chewing 
A)  Cannon's disease (white sponge nevus) 
B)  Witkop's disease (HBI
D)  
C)  Secondary herpes zoster 
D)  Leukoedema 
E)  Cheek chewing

Question 12

A 67-year-old woman presents with multiple persistent large ulcers of her gingiva and buccal mucosa. Biopsy of tissue adjacent to the ulcers shows epithelial separation from submucosa through the level of the basement membrane. This is suggestive of which of the following?

Accepted Answer

A)  Major aphthous ulcers 
B)  Secondary syphilis 
C)  Secondary herpes simplex infection 
D)  Pemphigus vulgaris 
E)  Mucous membrane pemphigoid 
A)  Major aphthous ulcers 
B)  Secondary syphilis 
C)  Secondary herpes simplex infection 
D)  Pemphigus vulgaris 
E)  Mucous membrane pemphigoid

Question 13

A 16-year-old girl developed multiple recurrent fluid-filled lesions of the vermilion of her lower lip. This has happened before in the same site. She has no eye, genital, or cutaneous lesions. A cytology smear contained numerous multinucleated cells. The diagnosis is:

Accepted Answer

A)  Pemphigus vulgaris 
B)  Mucous membrane pemphigoid 
C)  Lichen planus 
D)  Aphthous stomatitis 
E)  Herpes simplex infection 
A)  Pemphigus vulgaris 
B)  Mucous membrane pemphigoid 
C)  Lichen planus 
D)  Aphthous stomatitis 
E)  Herpes simplex infection

Question 14

Relative to pemphigus vulgaris and mucous membrane pemphigoid, which of the following is incorrect?

Accepted Answer

A)  IgG can be demonstrated in tissue biopsies of both diseases. 
B)  Both present as ulcers preceded by blisters. 
C)  Both respond to treatment with corticosteroids. 
D)  Both are self-limited. 
E)  Both can affect the same intraoral sites. 
A)  IgG can be demonstrated in tissue biopsies of both diseases. 
B)  Both present as ulcers preceded by blisters. 
C)  Both respond to treatment with corticosteroids. 
D)  Both are self-limited. 
E)  Both can affect the same intraoral sites.

Question 15

Site specificity is a characteristic clinical feature of which of the following conditions when it occurs intraorally?

Accepted Answer

A)  Syphilis 
B)  Candidiasis 
C)  Histoplasmosis 
D)  Intraoral tuberculosis 
E)  Secondary herpes simplex infection 
A)  Syphilis 
B)  Candidiasis 
C)  Histoplasmosis 
D)  Intraoral tuberculosis 
E)  Secondary herpes simplex infection

Question 16

The childhood disease that features a maculopapular rash, predominantly of the head, neck, and trunk, preceded by tiny ulcers of the buccal mucosa is known as:

Accepted Answer

A)  Herpangina 
B)  Measles 
C)  Varicella 
D)  Primary herpes gingivostomatitis 
E)  Erythema multiforme 
A)  Herpangina 
B)  Measles 
C)  Varicella 
D)  Primary herpes gingivostomatitis 
E)  Erythema multiforme

Question 17

A positive Nikolsky sign may be seen in which of the following conditions?

Accepted Answer

A)  Histoplasmosis 
B)  Major aphthae 
C)  Minor aphthae 
D)  Mucous membrane pemphigoid 
E)  None of the above 
A)  Histoplasmosis 
B)  Major aphthae 
C)  Minor aphthae 
D)  Mucous membrane pemphigoid 
E)  None of the above

Question 18

A 14-year-old girl presents with several small painful ulcers in her right posterior maxillary buccal attached gingiva. The lesions have been present for 3 days. She has no other oral lesions and is otherwise in good health. This description is suggestive of traumatic ulcers and what other condition?

Accepted Answer

A)  Primary herpes simplex infection 
B)  Secondary herpes simplex infection 
C)  Minor aphthae 
D)  Squamous cell carcinoma 
E)  Herpangina 
A)  Primary herpes simplex infection 
B)  Secondary herpes simplex infection 
C)  Minor aphthae 
D)  Squamous cell carcinoma 
E)  Herpangina

Question 19

Which of the following physicians' names (eponym) is used in association with the oral herald sign of rubeola?

Accepted Answer

A)  Tzanck 
B)  Reiter 
C)  Nikolsky 
D)  Behçet 
E)  Koplik 
A)  Tzanck 
B)  Reiter 
C)  Nikolsky 
D)  Behçet 
E)  Koplik

Question 20

All the following side effects are associated with long-term prednisone use except:

Accepted Answer

A)  Elevation of blood pressure 
B)  Aggravation of diabetes 
C)  Moon face 
D)  Aggravation or reactivation of tuberculosis 
E)  Precipitation of canker sores 
A)  Elevation of blood pressure 
B)  Aggravation of diabetes 
C)  Moon face 
D)  Aggravation or reactivation of tuberculosis 
E)  Precipitation of canker sores

Herpes simplex labialis is due to reactivation of a virus that resides in which of the following sites during latent periods?

A 9-year-old girl presents with marked gingival inflammation and multiple small ulcers involving her vestibular mucosa, vermilion, and perioral skin. She has a fever, malaise, joint pain, and headache. She most likely has which of the following?

The bullous eruption of attached gingiva mediated by autoantibodies directed against basement membrane antigens is known as:

Microscopic evidence of active herpes simplex infection appears as multinucleation in which of the following cells?

Certain drugs and herpes simplex infections are known to precipitate which of the following oral diseases?

Lesions found in the buccal mucosa, known as Koplik's spots, are first signs of which of the following?

All but one of the following are contagious and thus are potential occupational hazards to the dentist and dental hygienist. Choose the noncontagious condition.

Secondary herpes simplex infections:

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

A bullous eruption of attached gingiva mediated by autoantibodies to laminin 5 and BP antigens in basement membrane is known as:

Bilateral buccal mucosal white lesions would be expected in all the following except:

A 67-year-old woman presents with multiple persistent large ulcers of her gingiva and buccal mucosa. Biopsy of tissue adjacent to the ulcers shows epithelial separation from submucosa through the level of the basement membrane. This is suggestive of which of the following?

A 16-year-old girl developed multiple recurrent fluid-filled lesions of the vermilion of her lower lip. This has happened before in the same site. She has no eye, genital, or cutaneous lesions. A cytology smear contained numerous multinucleated cells. The diagnosis is:

Relative to pemphigus vulgaris and mucous membrane pemphigoid, which of the following is incorrect?

Site specificity is a characteristic clinical feature of which of the following conditions when it occurs intraorally?

The childhood disease that features a maculopapular rash, predominantly of the head, neck, and trunk, preceded by tiny ulcers of the buccal mucosa is known as:

A positive Nikolsky sign may be seen in which of the following conditions?

Which of the following physicians' names (eponym) is used in association with the oral herald sign of rubeola?

All the following side effects are associated with long-term prednisone use except:

Ul-cerative Conditions

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 1: Vesiculobullous Diseases

Herpes simplex labialis is due to reactivation of a virus that resides in which of the following sites during latent periods?

A 9-year-old girl presents with marked gingival inflammation and multiple small ulcers involving her vestibular mucosa, vermilion, and perioral skin. She has a fever, malaise, joint pain, and headache. She most likely has which of the following?

The bullous eruption of attached gingiva mediated by autoantibodies directed against basement membrane antigens is known as:

Microscopic evidence of active herpes simplex infection appears as multinucleation in which of the following cells?

Certain drugs and herpes simplex infections are known to precipitate which of the following oral diseases?

Lesions found in the buccal mucosa, known as Koplik's spots, are first signs of which of the following?

All but one of the following are contagious and thus are potential occupational hazards to the dentist and dental hygienist. Choose the noncontagious condition.

Secondary herpes simplex infections:

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

A bullous eruption of attached gingiva mediated by autoantibodies to laminin 5 and BP antigens in basement membrane is known as:

Bilateral buccal mucosal white lesions would be expected in all the following except:

A 67-year-old woman presents with multiple persistent large ulcers of her gingiva and buccal mucosa. Biopsy of tissue adjacent to the ulcers shows epithelial separation from submucosa through the level of the basement membrane. This is suggestive of which of the following?

A 16-year-old girl developed multiple recurrent fluid-filled lesions of the vermilion of her lower lip. This has happened before in the same site. She has no eye, genital, or cutaneous lesions. A cytology smear contained numerous multinucleated cells. The diagnosis is:

Relative to pemphigus vulgaris and mucous membrane pemphigoid, which of the following is incorrect?

Site specificity is a characteristic clinical feature of which of the following conditions when it occurs intraorally?

The childhood disease that features a maculopapular rash, predominantly of the head, neck, and trunk, preceded by tiny ulcers of the buccal mucosa is known as:

A positive Nikolsky sign may be seen in which of the following conditions?

Which of the following physicians' names (eponym) is used in association with the oral herald sign of rubeola?

All the following side effects are associated with long-term prednisone use except:

Ul-cerative Conditions

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