Question 1

Acute leukemias, especially monocytic leukemias, may cause oral manifestations of bleeding and:

Accepted Answer

A) Generalized gingival hyperplasia 
B) Mucous extravasation 
C) Focal lymphoid hyperplasia 
D) Melanosis 
E) All the above 
A) Generalized gingival hyperplasia 
B) Mucous extravasation 
C) Focal lymphoid hyperplasia 
D) Melanosis 
E) All the above A

Question 2

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Accepted Answer

A) Gorlin's syndrome 
B) MEN III 
C) Neurofibromatosis 
D) Melanoma 
E) None of the above 
A) Gorlin's syndrome 
B) MEN III 
C) Neurofibromatosis 
D) Melanoma 
E) None of the above C

Question 3

Reactive hyperplasias:

Accepted Answer

A) Are relatively rare in dental patients 
B) Are etiologically associated with immunodeficiency 
C) Represent an overexuberant repair process 
D) Are caused by Candida albicans 
E) All the above 
A) Are relatively rare in dental patients 
B) Are etiologically associated with immunodeficiency 
C) Represent an overexuberant repair process 
D) Are caused by Candida albicans 
E) All the above C

Question 4

Pain is often a characteristic clinical feature of which of the following lesions?

Accepted Answer

A) Squamous papilloma 
B) Pyogenic granuloma 
C) Palatal papillomatosis 
D) Traumatic fibroma 
E) Traumatic neuroma 
A) Squamous papilloma 
B) Pyogenic granuloma 
C) Palatal papillomatosis 
D) Traumatic fibroma 
E) Traumatic neuroma

Question 5

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

Accepted Answer

A) Benign neoplasm of smooth muscle 
B) Malignant neoplasm of skeletal muscle 
C) Reactive hyperplasia 
D) Benign tumor of salivary gland origin 
E) Congenital lesion of lymphatic vessels 
A) Benign neoplasm of smooth muscle 
B) Malignant neoplasm of skeletal muscle 
C) Reactive hyperplasia 
D) Benign tumor of salivary gland origin 
E) Congenital lesion of lymphatic vessels

Question 6

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

Accepted Answer

A) Schwannoma 
B) Granular cell tumor 
C) Neurofibroma 
D) Fibromatosis 
E) Monomorphic adenoma 
A) Schwannoma 
B) Granular cell tumor 
C) Neurofibroma 
D) Fibromatosis 
E) Monomorphic adenoma

Question 7

Mucosal plexiform neuromas, pheochromocytomas, and thyroid medullary carcinomas are components of which of the following syndromes?

Accepted Answer

A) Peutz-Jeghers syndrome 
B) MEN III 
C) Addison's disease 
D) von Recklinghausen's disease of skin 
E) Sjögren's syndrome 
A) Peutz-Jeghers syndrome 
B) MEN III 
C) Addison's disease 
D) von Recklinghausen's disease of skin 
E) Sjögren's syndrome

Question 8

Granular cell tumors of the adult have a predilection for which of the following sites?

Accepted Answer

A) Gingiva 
B) Upper lip 
C) Lower lip 
D) Tongue 
E) Buccal mucosa 
A) Gingiva 
B) Upper lip 
C) Lower lip 
D) Tongue 
E) Buccal mucosa

Question 9

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

Accepted Answer

A) Ramus of the mandible 
B) Lips 
C) Tongue 
D) Palate 
E) None of the above 
A) Ramus of the mandible 
B) Lips 
C) Tongue 
D) Palate 
E) None of the above

Question 10

A 16-year-old patient complained of a 1 ´ 1 cm nontender mass in his upper lip. The lesion was nonulcerated and was composed of a dilated duct containing a sialolith. This would be which of the following?

Accepted Answer

A) Focal fibrous hyperplasia 
B) Traumatic neuroma 
C) Fibromatosis 
D) Mucous extravasation phenomenon 
E) None of the above 
A) Focal fibrous hyperplasia 
B) Traumatic neuroma 
C) Fibromatosis 
D) Mucous extravasation phenomenon 
E) None of the above

Question 11

Cells found in the congenital epulis of the newborn are identical or nearly identical to cells making up which of the following tumors?

Accepted Answer

A) Neurilemmoma 
B) Peripheral giant cell granuloma 
C) Mixed tumor 
D) Granular cell tumor 
E) None of the above 
A) Neurilemmoma 
B) Peripheral giant cell granuloma 
C) Mixed tumor 
D) Granular cell tumor 
E) None of the above

Question 12

Risk of malignant transformation is associated with which of the following, when occurring as multiple lesions, in conjunction with pigmented patches of the skin?

Accepted Answer

A) Lipoma 
B) Neurofibroma 
C) Granular cell tumor 
D) Traumatic fibroma 
E) Traumatic neuroma 
A) Lipoma 
B) Neurofibroma 
C) Granular cell tumor 
D) Traumatic fibroma 
E) Traumatic neuroma

Question 13

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Accepted Answer

A) Nodular fasciitis 
B) Fibromatosis 
C) Fibrosarcoma 
D) Rhabdomyosarcoma 
E) Adenoid cystic carcinoma 
A) Nodular fasciitis 
B) Fibromatosis 
C) Fibrosarcoma 
D) Rhabdomyosarcoma 
E) Adenoid cystic carcinoma

Question 14

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

Accepted Answer

A) Peripheral giant cell granuloma 
B) Peripheral fibroma 
C) Congenital epulis of the newborn 
D) Pyogenic granuloma 
E) Granular cell tumor 
A) Peripheral giant cell granuloma 
B) Peripheral fibroma 
C) Congenital epulis of the newborn 
D) Pyogenic granuloma 
E) Granular cell tumor

Question 15

Peripheral fibromas are seen exclusively in which of the following intraoral sites?

Accepted Answer

A) Lip 
B) Buccal mucosa 
C) Palate 
D) Tongue 
E) Gingiva 
A) Lip 
B) Buccal mucosa 
C) Palate 
D) Tongue 
E) Gingiva

Question 16

A biopsy of a painful nodule from the soft tissue adjacent to the mental foramen showed the presence of mixture of both hyperplastic nerve tissue and scar. This is indicative of:

Accepted Answer

A) Nodular fasciitis 
B) Traumatic neuroma 
C) Peripheral fibroma 
D) Granular cell tumor 
E) Neurofibroma 
A) Nodular fasciitis 
B) Traumatic neuroma 
C) Peripheral fibroma 
D) Granular cell tumor 
E) Neurofibroma

Question 17

A 16-year-old girl had an asymptomatic 2 ´ 3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

Accepted Answer

A) Granular cell tumor 
B) Ranula 
C) Mucocele 
D) Lymphangioma 
E) Lymphoma 
A) Granular cell tumor 
B) Ranula 
C) Mucocele 
D) Lymphangioma 
E) Lymphoma

Question 18

A firm asymptomatic lump measuring 1 ´ 1 cm was discovered in the mandibular gingiva of a 32-year-old woman. The mass was well defined, firm, and the same color as the surrounding tissue. Which of the following would be most likely?

Accepted Answer

A) Granular cell tumor 
B) Peripheral fibroma 
C) Necrotizing sialometaplasia 
D) Salivary gland tumor 
E) Pyogenic granuloma 
A) Granular cell tumor 
B) Peripheral fibroma 
C) Necrotizing sialometaplasia 
D) Salivary gland tumor 
E) Pyogenic granuloma

Question 19

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Accepted Answer

A) Retromolar pad 
B) Buccal mucosa 
C) Lateral border of the tongue 
D) Anterior vestibular mucosa 
E) Hard palate 
A) Retromolar pad 
B) Buccal mucosa 
C) Lateral border of the tongue 
D) Anterior vestibular mucosa 
E) Hard palate

Question 20

Nifedipine-induced gingival hyperplasia may be confused clinically with all the following except:

Accepted Answer

A) Dilantin-induced hyperplasia 
B) MEN III 
C) Idiopathic gingival hyperplasia 
D) Leukemic infiltrates of gingiva 
E) Generalized gingival hyperplasia associated with "local factors" 
A) Dilantin-induced hyperplasia 
B) MEN III 
C) Idiopathic gingival hyperplasia 
D) Leukemic infiltrates of gingiva 
E) Generalized gingival hyperplasia associated with "local factors"

Acute leukemias, especially monocytic leukemias, may cause oral manifestations of bleeding and:

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Reactive hyperplasias:

Pain is often a characteristic clinical feature of which of the following lesions?

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

Mucosal plexiform neuromas, pheochromocytomas, and thyroid medullary carcinomas are components of which of the following syndromes?

Granular cell tumors of the adult have a predilection for which of the following sites?

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

A 16-year-old patient complained of a 1 ´ 1 cm nontender mass in his upper lip. The lesion was nonulcerated and was composed of a dilated duct containing a sialolith. This would be which of the following?

Cells found in the congenital epulis of the newborn are identical or nearly identical to cells making up which of the following tumors?

Risk of malignant transformation is associated with which of the following, when occurring as multiple lesions, in conjunction with pigmented patches of the skin?

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

Peripheral fibromas are seen exclusively in which of the following intraoral sites?

A biopsy of a painful nodule from the soft tissue adjacent to the mental foramen showed the presence of mixture of both hyperplastic nerve tissue and scar. This is indicative of:

A 16-year-old girl had an asymptomatic 2 ´ 3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

A firm asymptomatic lump measuring 1 ´ 1 cm was discovered in the mandibular gingiva of a 32-year-old woman. The mass was well defined, firm, and the same color as the surrounding tissue. Which of the following would be most likely?

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Nifedipine-induced gingival hyperplasia may be confused clinically with all the following except:

Vesiculobullous Diseases

Ulcerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary 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 7: Connective Tissue Lesions

Acute leukemias, especially monocytic leukemias, may cause oral manifestations of bleeding and:

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Reactive hyperplasias:

Pain is often a characteristic clinical feature of which of the following lesions?

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

Mucosal plexiform neuromas, pheochromocytomas, and thyroid medullary carcinomas are components of which of the following syndromes?

Granular cell tumors of the adult have a predilection for which of the following sites?

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

A 16-year-old patient complained of a 1 ´ 1 cm nontender mass in his upper lip. The lesion was nonulcerated and was composed of a dilated duct containing a sialolith. This would be which of the following?

Cells found in the congenital epulis of the newborn are identical or nearly identical to cells making up which of the following tumors?

Risk of malignant transformation is associated with which of the following, when occurring as multiple lesions, in conjunction with pigmented patches of the skin?

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

Peripheral fibromas are seen exclusively in which of the following intraoral sites?

A biopsy of a painful nodule from the soft tissue adjacent to the mental foramen showed the presence of mixture of both hyperplastic nerve tissue and scar. This is indicative of:

A 16-year-old girl had an asymptomatic 2 ´ 3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

A firm asymptomatic lump measuring 1 ´ 1 cm was discovered in the mandibular gingiva of a 32-year-old woman. The mass was well defined, firm, and the same color as the surrounding tissue. Which of the following would be most likely?

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Nifedipine-induced gingival hyperplasia may be confused clinically with all the following except:

Vesiculobullous Diseases

Ulcerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary 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