Question 1

The white appearance associated with acute pseudomembranous candidiasis is due to which of the following?

Accepted Answer

A) Focal decrease in vascularity 
B) Edema of keratinocytes 
C) Hyperkeratosis 
D) Fungal colonies growing in and on the superficial keratin 
E) Acanthosis 
A) Focal decrease in vascularity 
B) Edema of keratinocytes 
C) Hyperkeratosis 
D) Fungal colonies growing in and on the superficial keratin 
E) Acanthosis

Question 2

A 32-year-old man presented with a 1 ´ 2 cm macular red-blue lesion in his hard palate. The lesion was asymptomatic and had been present for an unknown duration. He had no dental abnormalities and no significant periodontal disease. This could be all the following except:

Accepted Answer

A) Vascular malformation 
B) Nicotine stomatitis 
C) Ecchymosis 
D) Kaposi's sarcoma 
E) Erythroplasia 
A) Vascular malformation 
B) Nicotine stomatitis 
C) Ecchymosis 
D) Kaposi's sarcoma 
E) Erythroplasia

Question 3

Appropriate management of geographic tongue is:

Accepted Answer

A) Observation 
B) Excisional biopsy 
C) Incisional biopsy 
D) Nystatin therapy 
E) Antidepressant medication 
A) Observation 
B) Excisional biopsy 
C) Incisional biopsy 
D) Nystatin therapy 
E) Antidepressant medication

Question 4

Which of the following typically presents clinically as a yellow submucosal nodule?

Accepted Answer

A) White sponge nevus 
B) Squamous cell carcinoma 
C) Ectopic lymphoid tissue 
D) Amalgam tattoo 
E) None of the above 
A) White sponge nevus 
B) Squamous cell carcinoma 
C) Ectopic lymphoid tissue 
D) Amalgam tattoo 
E) None of the above

Question 5

Biopsy of bilateral white buccal mucosa lesions showed hyperkeratotic epithelium with basal cell destruction. The epithelium was supported by connective tissue containing a dense lymphocytic infiltrate. This is descriptive of:

Accepted Answer

A) Erythema multiforme 
B) Lichen planus 
C) Pemphigoid 
D) Pemphigus 
E) White sponge nevus 
A) Erythema multiforme 
B) Lichen planus 
C) Pemphigoid 
D) Pemphigus 
E) White sponge nevus

Question 6

A 21-year-old African American man presents for a routine examination. Both sides of his buccal mucosa exhibit a filmy white opacity. There is no pain, and the tissue feels normal to palpation. This could be which of the following?

Accepted Answer

A) Squamous cell carcinoma 
B) Hairy leukoplakia 
C) Nicotine stomatitis 
D) Leukoedema 
E) Geographic stomatitis 
A) Squamous cell carcinoma 
B) Hairy leukoplakia 
C) Nicotine stomatitis 
D) Leukoedema 
E) Geographic stomatitis

Question 7

All of the following are a consequence of snuff dipping except:

Accepted Answer

A) Increased incidence of herpes simplex labialis 
B) Mucosal opacification 
C) Gingivitis 
D) Dependence 
E) Tooth abrasion 
A) Increased incidence of herpes simplex labialis 
B) Mucosal opacification 
C) Gingivitis 
D) Dependence 
E) Tooth abrasion

Question 8

Which of the following represents an opportunistic fungal infection?

Accepted Answer

A) Shingles 
B) Aphthous stomatitis 
C) Candidiasis 
D) Herpangina 
E) Syphilis 
A) Shingles 
B) Aphthous stomatitis 
C) Candidiasis 
D) Herpangina 
E) Syphilis

Question 9

Systemic (acute) lupus erythematosus:

Accepted Answer

A) Represents an autoimmune disease in which patients develop multiple antibodies against nuclear and cytoplasmic proteins 
B) Usually does not develop from preexisting discoid disease 
C) May affect kidneys, heart, and joints 
D) Has a predilection for middle-aged women 
E) All the above 
A) Represents an autoimmune disease in which patients develop multiple antibodies against nuclear and cytoplasmic proteins 
B) Usually does not develop from preexisting discoid disease 
C) May affect kidneys, heart, and joints 
D) Has a predilection for middle-aged women 
E) All the above

Question 10

Which of the following provides a patient with increased risk for the development of oral squamous cell carcinoma?

Accepted Answer

A) Idiopathic leukoplakia 
B) Erythroplakia 
C) Submucous fibrosis 
D) Lichen planus 
E) All the above 
A) Idiopathic leukoplakia 
B) Erythroplakia 
C) Submucous fibrosis 
D) Lichen planus 
E) All the above

Question 11

Oral epithelial dysplasia may:

Accepted Answer

A) Appear white clinically 
B) Appear red clinically 
C) Be seen on any mucosal surface 
D) Progress to invasive squamous cell carcinoma 
E) All the above 
A) Appear white clinically 
B) Appear red clinically 
C) Be seen on any mucosal surface 
D) Progress to invasive squamous cell carcinoma 
E) All the above

Question 12

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 13

Benign migratory glossitis:

Accepted Answer

A) Is not associated with any risk of malignant transformation 
B) Represents a self-limited viral infection 
C) Responds to systemic acyclovir 
D) Typically affects the ventral surface of the tongue 
E) Is commonly seen in children 
A) Is not associated with any risk of malignant transformation 
B) Represents a self-limited viral infection 
C) Responds to systemic acyclovir 
D) Typically affects the ventral surface of the tongue 
E) Is commonly seen in children

Question 14

The hard palate and gingiva are the characteristic sites for the appearance of all the following except:

Accepted Answer

A) Oral pigmented nevus 
B) Lichen planus 
C) Oral melanoma 
D) Kaposi's sarcoma 
E) Secondary herpes simplex 
A) Oral pigmented nevus 
B) Lichen planus 
C) Oral melanoma 
D) Kaposi's sarcoma 
E) Secondary herpes simplex

Question 15

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Accepted Answer

A) Primary Sjögren's syndrome 
B) Proliferative verrucous leukoplakia 
C) Neurofibromatosis 
D) MEN III 
E) All the above 
A) Primary Sjögren's syndrome 
B) Proliferative verrucous leukoplakia 
C) Neurofibromatosis 
D) MEN III 
E) All the above

Question 16

Which of the following occurs in the midline dorsum of the tongue?

Accepted Answer

A) Ectopic lymphoid tissue 
B) Basal cell carcinoma 
C) Secondary herpes simplex 
D) Median rhomboid glossitis (candidiasis) 
E) Peripheral giant cell granuloma 
A) Ectopic lymphoid tissue 
B) Basal cell carcinoma 
C) Secondary herpes simplex 
D) Median rhomboid glossitis (candidiasis) 
E) Peripheral giant cell granuloma

Question 17

Hairy leukoplakia:

Accepted Answer

A) May be seen in non-HIV immunosuppressed patients 
B) May appear as a flat or papillated lesion 
C) Occurs most commonly on the tongue 
D) May be bilateral 
E) All the above 
A) May be seen in non-HIV immunosuppressed patients 
B) May appear as a flat or papillated lesion 
C) Occurs most commonly on the tongue 
D) May be bilateral 
E) All the above

Question 18

Lesions of immunologic origin are seen in the heart, kidney, and joints in which of the following diseases?

Accepted Answer

A) Behçet's syndrome 
B) Wegener's granulomatosis 
C) Systemic lupus erythematosus 
D) Pemphigus 
E) Epidermolysis bullosa 
A) Behçet's syndrome 
B) Wegener's granulomatosis 
C) Systemic lupus erythematosus 
D) Pemphigus 
E) Epidermolysis bullosa

Question 19

Elevated white plaques are seen in the palate of an HIV-positive patient. Under the microscope, scrapings show hyphae and spores among superficial keratinocytes. This confirms which of the following?

Accepted Answer

A) Idiopathic leukoplakia 
B) Lichen planus 
C) Hairy leukoplakia 
D) Candidiasis 
E) None of the above 
A) Idiopathic leukoplakia 
B) Lichen planus 
C) Hairy leukoplakia 
D) Candidiasis 
E) None of the above

Question 20

The keratinocyte desmosome complex is the pathologic target in which of the following diseases?

Accepted Answer

A) Discoid lupus erythematosus 
B) Systemic lupus erythematosus 
C) Tuberculosis 
D) Pemphigoid 
E) None of the above 
A) Discoid lupus erythematosus 
B) Systemic lupus erythematosus 
C) Tuberculosis 
D) Pemphigoid 
E) None of the above

The white appearance associated with acute pseudomembranous candidiasis is due to which of the following?

A 32-year-old man presented with a 1 ´ 2 cm macular red-blue lesion in his hard palate. The lesion was asymptomatic and had been present for an unknown duration. He had no dental abnormalities and no significant periodontal disease. This could be all the following except:

Appropriate management of geographic tongue is:

Which of the following typically presents clinically as a yellow submucosal nodule?

Biopsy of bilateral white buccal mucosa lesions showed hyperkeratotic epithelium with basal cell destruction. The epithelium was supported by connective tissue containing a dense lymphocytic infiltrate. This is descriptive of:

A 21-year-old African American man presents for a routine examination. Both sides of his buccal mucosa exhibit a filmy white opacity. There is no pain, and the tissue feels normal to palpation. This could be which of the following?

All of the following are a consequence of snuff dipping except:

Which of the following represents an opportunistic fungal infection?

Systemic (acute) lupus erythematosus:

Which of the following provides a patient with increased risk for the development of oral squamous cell carcinoma?

Oral epithelial dysplasia may:

Benign migratory glossitis:

The hard palate and gingiva are the characteristic sites for the appearance of all the following except:

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Which of the following occurs in the midline dorsum of the tongue?

Hairy leukoplakia:

Lesions of immunologic origin are seen in the heart, kidney, and joints in which of the following diseases?

Elevated white plaques are seen in the palate of an HIV-positive patient. Under the microscope, scrapings show hyphae and spores among superficial keratinocytes. This confirms which of the following?

The keratinocyte desmosome complex is the pathologic target in which of the following diseases?

Vesiculobullous Diseases

Ulcerative Conditions

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 3: White Lesions

The white appearance associated with acute pseudomembranous candidiasis is due to which of the following?

A 32-year-old man presented with a 1 ´ 2 cm macular red-blue lesion in his hard palate. The lesion was asymptomatic and had been present for an unknown duration. He had no dental abnormalities and no significant periodontal disease. This could be all the following except:

Appropriate management of geographic tongue is:

Which of the following typically presents clinically as a yellow submucosal nodule?

Biopsy of bilateral white buccal mucosa lesions showed hyperkeratotic epithelium with basal cell destruction. The epithelium was supported by connective tissue containing a dense lymphocytic infiltrate. This is descriptive of:

A 21-year-old African American man presents for a routine examination. Both sides of his buccal mucosa exhibit a filmy white opacity. There is no pain, and the tissue feels normal to palpation. This could be which of the following?

All of the following are a consequence of snuff dipping except:

Which of the following represents an opportunistic fungal infection?

Systemic (acute) lupus erythematosus:

Which of the following provides a patient with increased risk for the development of oral squamous cell carcinoma?

Oral epithelial dysplasia may:

Benign migratory glossitis:

The hard palate and gingiva are the characteristic sites for the appearance of all the following except:

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Which of the following occurs in the midline dorsum of the tongue?

Hairy leukoplakia:

Lesions of immunologic origin are seen in the heart, kidney, and joints in which of the following diseases?

Elevated white plaques are seen in the palate of an HIV-positive patient. Under the microscope, scrapings show hyphae and spores among superficial keratinocytes. This confirms which of the following?

The keratinocyte desmosome complex is the pathologic target in which of the following diseases?

Vesiculobullous Diseases

Ulcerative Conditions

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