Question 1

Systemic corticosteroids can be effective in the control of many oral inflammatory/immune mucosal conditions. Which of the following cannot be controlled with its use?

Accepted Answer

A) Major aphthae 
B) Minor aphthae 
C) Lichen planus 
D) Idiopathic erythroplakia 
E) None of the above 
A) Major aphthae 
B) Minor aphthae 
C) Lichen planus 
D) Idiopathic erythroplakia 
E) None of the above D

Question 2

A 52-year-old woman presents to her dentist with a painful tongue. The tongue appears normal clinically. Her CBC and diet are also normal. Her problem suggests which of the following?

Accepted Answer

A) Acute candidiasis 
B) Vitamin B deficiency 
C) Burning tongue syndrome 
D) Median rhomboid glossitis 
E) Pernicious anemia 
A) Acute candidiasis 
B) Vitamin B deficiency 
C) Burning tongue syndrome 
D) Median rhomboid glossitis 
E) Pernicious anemia C

Question 3

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

Accepted Answer

A) Arthritis, xerostomia, geographic tongue 
B) Atrophic mucosa, dysphagia, anemia 
C) Oral aphthae, conjunctivitis, urethritis 
D) Telangiectasias, epistaxis, gingival hypertrophy 
E) Mucosal pigmentation (lips), intestinal polyps 
A) Arthritis, xerostomia, geographic tongue 
B) Atrophic mucosa, dysphagia, anemia 
C) Oral aphthae, conjunctivitis, urethritis 
D) Telangiectasias, epistaxis, gingival hypertrophy 
E) Mucosal pigmentation (lips), intestinal polyps B

Question 4

Generally, which of the following is the most likely to show microscopic evidence of
Dysplasia?

Accepted Answer

A) Idiopathic leukoplakia 
B) Geographic tongue 
C) Idiopathic erythroplakia 
D) Nicotine stomatitis 
E) None of the above 
A) Idiopathic leukoplakia 
B) Geographic tongue 
C) Idiopathic erythroplakia 
D) Nicotine stomatitis 
E) None of the above

Question 5

A 68-year-old man presents with a 1 ´ 2 cm macular red lesion of his hard palate. This is asymptomatic, has been present for an unknown duration, and does not blanch with compression. The best clinical designation for this lesion would be:

Accepted Answer

A) Vascular malformation 
B) Erythroplakia 
C) Leukoplakia 
D) Chronic ulcer 
E) Verrucal-papillary lesion 
A) Vascular malformation 
B) Erythroplakia 
C) Leukoplakia 
D) Chronic ulcer 
E) Verrucal-papillary lesion

Question 6

Mental retardation, seizures, and vascular malformation of the face are components of which of the following conditions?

Accepted Answer

A) Stevens-Johnson syndrome 
B) Hereditary hemorrhagic telangiectasias 
C) Idiopathic erythroplakia 
D) Diabetic angiopathy 
E) None of the above 
A) Stevens-Johnson syndrome 
B) Hereditary hemorrhagic telangiectasias 
C) Idiopathic erythroplakia 
D) Diabetic angiopathy 
E) None of the above

Question 7

Burning mouth syndrome:

Accepted Answer

A) May be caused by Candida albicans 
B) Occurs more commonly in women than in men 
C) May be associated with xerostomia 
D) Most commonly affects the tongue 
E) All the above 
A) May be caused by Candida albicans 
B) Occurs more commonly in women than in men 
C) May be associated with xerostomia 
D) Most commonly affects the tongue 
E) All the above

Question 8

Port-wine stains are cutaneous lesions that may occur as isolated lesions or as part of the syndrome known a _____ syndrome.

Accepted Answer

A) Melkersson-Rosenthal 
B) Sturge-Weber 
C) Rendu-Osler-Weber 
D) Burning mouth 
E) Albright's 
A) Melkersson-Rosenthal 
B) Sturge-Weber 
C) Rendu-Osler-Weber 
D) Burning mouth 
E) Albright's

Question 9

Epistaxis is a clinical sign that is characteristically associated with which of the following?

Accepted Answer

A) Rosenthal-Rosenthal syndrome 
B) Sturge-Weber syndrome 
C) Rendu-Osler-Weber syndrome 
D) Burning mouth syndrome 
E) Albright's syndrome 
A) Rosenthal-Rosenthal syndrome 
B) Sturge-Weber syndrome 
C) Rendu-Osler-Weber syndrome 
D) Burning mouth syndrome 
E) Albright's syndrome

Question 10

A 32-year-old woman presents with a soft, nonpainful mass (1 ´ 2 cm) between teeth nos. 24 and 25. Differential diagnosis should include at least pyogenic granuloma and:

Accepted Answer

A) Mucous membrane pemphigoid 
B) Mucous patch (secondary syphilis) 
C) Plasma cell gingivitis 
D) Peripheral giant cell granuloma 
E) None of the above 
A) Mucous membrane pemphigoid 
B) Mucous patch (secondary syphilis) 
C) Plasma cell gingivitis 
D) Peripheral giant cell granuloma 
E) None of the above

Question 11

Burning mouth or burning tongue syndrome:

Accepted Answer

A) May result from excessive cigarette smoking 
B) Occurs more commonly in men than in women 
C) May occur in association with xerostomia 
D) Is cured with estrogen therapy 
E) Is one of the oral manifestations of HIV-infected patients 
A) May result from excessive cigarette smoking 
B) Occurs more commonly in men than in women 
C) May occur in association with xerostomia 
D) Is cured with estrogen therapy 
E) Is one of the oral manifestations of HIV-infected patients

Question 12

Pinhead-sized red macules were found on the lips and in the buccal and labial mucosa of a 24-year-old woman. The lesions blanched with compression. The patient also had a history of frequent epistaxis. She most likely has which of the following?

Accepted Answer

A) Rendu-Osler-Weber syndrome 
B) Sturge-Weber syndrome 
C) Iron deficiency anemia 
D) Melanoma 
E) Lead intoxication 
A) Rendu-Osler-Weber syndrome 
B) Sturge-Weber syndrome 
C) Iron deficiency anemia 
D) Melanoma 
E) Lead intoxication

Question 13

Dysplasias and carcinomas account for approximately what percentage of clinical idiopathic erythroplakias seen in oral mucous membranes?

Accepted Answer

A) 10% 
B) 25% 
C) 50% 
D) 75% 
E) 90% 
A) 10% 
B) 25% 
C) 50% 
D) 75% 
E) 90%

Question 14

Trauma or irritation is believed to be an initiating event for which of the following?

Accepted Answer

A) Neurofibroma 
B) Verruca vulgaris 
C) Fibromatosis 
D) Pyogenic granuloma 
E) All the above 
A) Neurofibroma 
B) Verruca vulgaris 
C) Fibromatosis 
D) Pyogenic granuloma 
E) All the above

Question 15

The commonly seen vascular malformation of the lower lip that is associated with aging and sun exposure is known as:

Accepted Answer

A) Peripheral giant cell granuloma 
B) Pyogenic granuloma 
C) Varix 
D) Hereditary telangiectasia 
E) Kaposi's sarcoma 
A) Peripheral giant cell granuloma 
B) Pyogenic granuloma 
C) Varix 
D) Hereditary telangiectasia 
E) Kaposi's sarcoma

Question 16

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

Accepted Answer

A) Aphthous ulcers, conjunctivitis, genital ulcers 
B) Atrophic mucosa, dysphagia, anemia 
C) Café au lait macules, neurofibromas 
D) Telangiectasias, epistaxis 
E) None of the above 
A) Aphthous ulcers, conjunctivitis, genital ulcers 
B) Atrophic mucosa, dysphagia, anemia 
C) Café au lait macules, neurofibromas 
D) Telangiectasias, epistaxis 
E) None of the above

Question 17

White lesion(s) may be seen on the tongue in all the following except:

Accepted Answer

A) Benign migratory glossitis 
B) Burning tongue syndrome 
C) Median rhomboid glossitis 
D) Idiopathic leukoplakia 
E) Lichen planus 
A) Benign migratory glossitis 
B) Burning tongue syndrome 
C) Median rhomboid glossitis 
D) Idiopathic leukoplakia 
E) Lichen planus

Question 18

A 23-year-old woman developed an asymptomatic red and partially ulcerated swelling in her buccal gingiva between teeth nos. 24 and 25. She is pregnant and is in good health. This is most likely which of the following?

Accepted Answer

A) Erythroplasia 
B) Gingival cyst 
C) Varix 
D) Pyogenic granuloma 
E) Neuroectodermal tumor 
A) Erythroplasia 
B) Gingival cyst 
C) Varix 
D) Pyogenic granuloma 
E) Neuroectodermal tumor

Question 19

HIV-associated Kaposi's sarcoma:

Accepted Answer

A) Is typically seen in men over the age of 60 years 
B) Occurs most commonly in the buccal mucosa intraorally 
C) Is associated with one of the herpesviruses 
D) Has an excellent prognosis 
E) Presents as a painful nonhealing ulcer 
A) Is typically seen in men over the age of 60 years 
B) Occurs most commonly in the buccal mucosa intraorally 
C) Is associated with one of the herpesviruses 
D) Has an excellent prognosis 
E) Presents as a painful nonhealing ulcer

Question 20

Biopsy of a mass in the lower lip of a 10-year-old boy showed inflamed granulation tissue. This describes which of the following?

Accepted Answer

A) Mucous extravasation phenomenon 
B) Mucoepidermoid carcinoma 
C) Hematoma 
D) Lymphangioma 
E) Pyogenic granuloma 
A) Mucous extravasation phenomenon 
B) Mucoepidermoid carcinoma 
C) Hematoma 
D) Lymphangioma 
E) Pyogenic granuloma

Systemic corticosteroids can be effective in the control of many oral inflammatory/immune mucosal conditions. Which of the following cannot be controlled with its use?

A 52-year-old woman presents to her dentist with a painful tongue. The tongue appears normal clinically. Her CBC and diet are also normal. Her problem suggests which of the following?

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

Generally, which of the following is the most likely to show microscopic evidence of Dysplasia?

A 68-year-old man presents with a 1 ´ 2 cm macular red lesion of his hard palate. This is asymptomatic, has been present for an unknown duration, and does not blanch with compression. The best clinical designation for this lesion would be:

Mental retardation, seizures, and vascular malformation of the face are components of which of the following conditions?

Burning mouth syndrome:

Port-wine stains are cutaneous lesions that may occur as isolated lesions or as part of the syndrome known a _____ syndrome.

Epistaxis is a clinical sign that is characteristically associated with which of the following?

A 32-year-old woman presents with a soft, nonpainful mass (1 ´ 2 cm) between teeth nos. 24 and 25. Differential diagnosis should include at least pyogenic granuloma and:

Burning mouth or burning tongue syndrome:

Pinhead-sized red macules were found on the lips and in the buccal and labial mucosa of a 24-year-old woman. The lesions blanched with compression. The patient also had a history of frequent epistaxis. She most likely has which of the following?

Dysplasias and carcinomas account for approximately what percentage of clinical idiopathic erythroplakias seen in oral mucous membranes?

Trauma or irritation is believed to be an initiating event for which of the following?

The commonly seen vascular malformation of the lower lip that is associated with aging and sun exposure is known as:

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

White lesion(s) may be seen on the tongue in all the following except:

A 23-year-old woman developed an asymptomatic red and partially ulcerated swelling in her buccal gingiva between teeth nos. 24 and 25. She is pregnant and is in good health. This is most likely which of the following?

HIV-associated Kaposi's sarcoma:

Biopsy of a mass in the lower lip of a 10-year-old boy showed inflamed granulation tissue. This describes which of the following?

Vesiculobullous Diseases

Ulcerative Conditions

White 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 4: Red-Blue Lesions

Systemic corticosteroids can be effective in the control of many oral inflammatory/immune mucosal conditions. Which of the following cannot be controlled with its use?

A 52-year-old woman presents to her dentist with a painful tongue. The tongue appears normal clinically. Her CBC and diet are also normal. Her problem suggests which of the following?

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

Generally, which of the following is the most likely to show microscopic evidence of Dysplasia?

A 68-year-old man presents with a 1 ´ 2 cm macular red lesion of his hard palate. This is asymptomatic, has been present for an unknown duration, and does not blanch with compression. The best clinical designation for this lesion would be:

Mental retardation, seizures, and vascular malformation of the face are components of which of the following conditions?

Burning mouth syndrome:

Port-wine stains are cutaneous lesions that may occur as isolated lesions or as part of the syndrome known a _____ syndrome.

Epistaxis is a clinical sign that is characteristically associated with which of the following?

A 32-year-old woman presents with a soft, nonpainful mass (1 ´ 2 cm) between teeth nos. 24 and 25. Differential diagnosis should include at least pyogenic granuloma and:

Burning mouth or burning tongue syndrome:

Pinhead-sized red macules were found on the lips and in the buccal and labial mucosa of a 24-year-old woman. The lesions blanched with compression. The patient also had a history of frequent epistaxis. She most likely has which of the following?

Dysplasias and carcinomas account for approximately what percentage of clinical idiopathic erythroplakias seen in oral mucous membranes?

Trauma or irritation is believed to be an initiating event for which of the following?

The commonly seen vascular malformation of the lower lip that is associated with aging and sun exposure is known as:

Which of the following signs and symptoms are consistent with the diagnosis of Plummer-Vinson syndrome?

White lesion(s) may be seen on the tongue in all the following except:

A 23-year-old woman developed an asymptomatic red and partially ulcerated swelling in her buccal gingiva between teeth nos. 24 and 25. She is pregnant and is in good health. This is most likely which of the following?

HIV-associated Kaposi's sarcoma:

Biopsy of a mass in the lower lip of a 10-year-old boy showed inflamed granulation tissue. This describes which of the following?

Vesiculobullous Diseases

Ulcerative Conditions

White 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