Question 1

Oral reactive hyperplasias:

Accepted Answer

A) Represent premalignant processes 
B) Are caused by overgrowth of oral bacterial flora 
C) Represent preneoplastic processes 
D) Are relatively common in dental patients 
E) All the above 
A) Represent premalignant processes 
B) Are caused by overgrowth of oral bacterial flora 
C) Represent preneoplastic processes 
D) Are relatively common in dental patients 
E) All the above

Question 2

The Schwann cell is the cell of origin for which of the following tumors?

Accepted Answer

A) Leiomyoma 
B) Rhabdomyoma 
C) Neurilemmoma 
D) Mixed tumor 
E) None of the above 
A) Leiomyoma 
B) Rhabdomyoma 
C) Neurilemmoma 
D) Mixed tumor 
E) None of the above

Question 3

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Accepted Answer

A) Epithelial hyperplasia 
B) Generalized gingival hyperplasia 
C) Malignant leukocytes 
D) Abundant nerve tissue 
E) Sebaceous hyperplasia 
A) Epithelial hyperplasia 
B) Generalized gingival hyperplasia 
C) Malignant leukocytes 
D) Abundant nerve tissue 
E) Sebaceous hyperplasia

Question 4

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

Accepted Answer

A) Ibuprofen 
B) Aspirin 
C) Nifedipine 
D) Penicillin 
E) Tetracycline 
A) Ibuprofen 
B) Aspirin 
C) Nifedipine 
D) Penicillin 
E) Tetracycline

Question 5

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

Accepted Answer

A) Fibromatosis 
B) Traumatic fibroma 
C) Reactive hyperplasia 
D) Pyogenic granuloma 
E) Hyperplastic scar 
A) Fibromatosis 
B) Traumatic fibroma 
C) Reactive hyperplasia 
D) Pyogenic granuloma 
E) Hyperplastic scar

Question 6

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

Accepted Answer

A) Traumatic neuroma 
B) Neurofibroma 
C) Neurilemmoma 
D) Leiomyoma 
E) None of the above 
A) Traumatic neuroma 
B) Neurofibroma 
C) Neurilemmoma 
D) Leiomyoma 
E) None of the above

Question 7

The granular cell tumor is often surfaced by epithelium showing:

Accepted Answer

A) Pseudoepitheliomatous hyperplasia 
B) Atrophy 
C) Acantholysis 
D) Ulceration 
E) None of the above 
A) Pseudoepitheliomatous hyperplasia 
B) Atrophy 
C) Acantholysis 
D) Ulceration 
E) None of the above

Question 8

Surgical excision is the treatment of choice for which of the following?

Accepted Answer

A) Traumatic fibroma 
B) Traumatic neuroma 
C) Granular cell tumor 
D) Neurofibroma 
E) All the above 
A) Traumatic fibroma 
B) Traumatic neuroma 
C) Granular cell tumor 
D) Neurofibroma 
E) All the above

Question 9

A 54-year-old woman developed an asymptomatic 1 ´ 1 cm nodule in her buccal mucosa. An excisional biopsy was done and was described microscopically as a circumscribed mass of dense collagen and fibroblasts. This would be a:

Accepted Answer

A) Pyogenic granuloma 
B) Peripheral fibroma 
C) Focal fibrous hyperplasia 
D) Neurofibroma 
E) Papilloma 
A) Pyogenic granuloma 
B) Peripheral fibroma 
C) Focal fibrous hyperplasia 
D) Neurofibroma 
E) Papilloma

Question 10

A significant risk of malignant transformation is associated with which of the following?

Accepted Answer

A) Papillary hyperplasia 
B) Peripheral ossifying fibroma 
C) Squamous papilloma 
D) Focal epithelial hyperplasia (Heck's disease) 
E) None of the above 
A) Papillary hyperplasia 
B) Peripheral ossifying fibroma 
C) Squamous papilloma 
D) Focal epithelial hyperplasia (Heck's disease) 
E) None of the above

Question 11

Trauma or irritation is believed to be the cause of all the following except:

Accepted Answer

A) Papillary hyperplasia 
B) Mucous extravasation phenomenon 
C) Peripheral fibroma 
D) Pyogenic granuloma 
E) Neurofibroma 
A) Papillary hyperplasia 
B) Mucous extravasation phenomenon 
C) Peripheral fibroma 
D) Pyogenic granuloma 
E) Neurofibroma

Question 12

All the following occur predominantly in the gingiva except:

Accepted Answer

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

Question 13

All the following represent connective tissue reactions to injury except:

Accepted Answer

A) Pyogenic granuloma 
B) Traumatic neuroma 
C) Peripheral ossifying fibroma 
D) Lymphangioma 
E) Peripheral fibroma 
A) Pyogenic granuloma 
B) Traumatic neuroma 
C) Peripheral ossifying fibroma 
D) Lymphangioma 
E) Peripheral fibroma

Question 14

A 1 ´ 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

Accepted Answer

A) Peripheral fibroma 
B) Dysplastic oral wart 
C) Gingival cyst 
D) Neuroectodermal tumor of infancy 
E) Congenital granular cell tumor 
A) Peripheral fibroma 
B) Dysplastic oral wart 
C) Gingival cyst 
D) Neuroectodermal tumor of infancy 
E) Congenital granular cell tumor

Question 15

All the following could be classified as oral reactive fibrous hyperplasia except:

Accepted Answer

A) Traumatic fibroma 
B) Peripheral fibroma 
C) Fibromatosis 
D) Generalized gingival hyperplasia 
E) Denture-induced hyperplasia 
A) Traumatic fibroma 
B) Peripheral fibroma 
C) Fibromatosis 
D) Generalized gingival hyperplasia 
E) Denture-induced hyperplasia

Question 16

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

Oral reactive hyperplasias:

The Schwann cell is the cell of origin for which of the following tumors?

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

The granular cell tumor is often surfaced by epithelium showing:

Surgical excision is the treatment of choice for which of the following?

A 54-year-old woman developed an asymptomatic 1 ´ 1 cm nodule in her buccal mucosa. An excisional biopsy was done and was described microscopically as a circumscribed mass of dense collagen and fibroblasts. This would be a:

A significant risk of malignant transformation is associated with which of the following?

Trauma or irritation is believed to be the cause of all the following except:

All the following occur predominantly in the gingiva except:

All the following represent connective tissue reactions to injury except:

A 1 ´ 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

All the following could be classified as oral reactive fibrous hyperplasia except:

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

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

Oral reactive hyperplasias:

The Schwann cell is the cell of origin for which of the following tumors?

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

The granular cell tumor is often surfaced by epithelium showing:

Surgical excision is the treatment of choice for which of the following?

A 54-year-old woman developed an asymptomatic 1 ´ 1 cm nodule in her buccal mucosa. An excisional biopsy was done and was described microscopically as a circumscribed mass of dense collagen and fibroblasts. This would be a:

A significant risk of malignant transformation is associated with which of the following?

Trauma or irritation is believed to be the cause of all the following except:

All the following occur predominantly in the gingiva except:

All the following represent connective tissue reactions to injury except:

A 1 ´ 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

All the following could be classified as oral reactive fibrous hyperplasia except:

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

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