Question 1

For which disease of bone is surgical recontouring most often recommended as its treatment modality?

Accepted Answer

A)  Periapical cemento-osseous dysplasia 
B)  Florid cemento-osseous dysplasia 
C)  Polyostotic fibrous dysplasia 
D)  Focal cemento-osseous dysplasia 
A)  Periapical cemento-osseous dysplasia 
B)  Florid cemento-osseous dysplasia 
C)  Polyostotic fibrous dysplasia 
D)  Focal cemento-osseous dysplasia

Question 2

Giant cell granulomas located in the gingiva or alveolar mucosa are referred to as central. Giant cell granulomas located within the maxilla or mandible are referred to as peripheral.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 3

A lesion of bone identical to the central giant cell granuloma and termed brown tumor occurs in patients with what type of disease?

Accepted Answer

A)  Hyperparathyroidism 
B)  Peripheral giant cell granuloma 
C)  Hypothyroidism 
D)  Peripheral ossifying granuloma 
A)  Hyperparathyroidism 
B)  Peripheral giant cell granuloma 
C)  Hypothyroidism 
D)  Peripheral ossifying granuloma

Question 4

What is one difference between the diagnosis of periapical cemento-osseous dysplasia and florid cemento-osseous dysplasia?

Accepted Answer

A)  Florid cemento-osseous dysplasia usually affects more than one quadrant of the maxilla and mandible, including posterior regions. 
B)  Periapical cemento-osseous dysplasia affects black females; florid cemento-osseous dysplasia affects all ethnicities. 
C)  The two conditions have various radiographic appearances. 
D)  Symptoms of the two conditions vary from asymptomatic to extremely painful. 
A)  Florid cemento-osseous dysplasia usually affects more than one quadrant of the maxilla and mandible, including posterior regions. 
B)  Periapical cemento-osseous dysplasia affects black females; florid cemento-osseous dysplasia affects all ethnicities. 
C)  The two conditions have various radiographic appearances. 
D)  Symptoms of the two conditions vary from asymptomatic to extremely painful.

Question 5

Which statement is true of osteomalacia?

Accepted Answer

A)  It is the result of a deficiency in phosphate. 
B)  In adults it may be related to various problems such as malabsorption syndrome. 
C)  It may be treated by the use of antacids. 
D)  Accelerated tooth eruption is associated with osteomalacia. 
A)  It is the result of a deficiency in phosphate. 
B)  In adults it may be related to various problems such as malabsorption syndrome. 
C)  It may be treated by the use of antacids. 
D)  Accelerated tooth eruption is associated with osteomalacia.

Question 6

Laboratory evaluation reveals that the serum _______________ level is significantly elevated in active Paget disease.

Accepted Answer

A)  alkaline phosphatase 
B)  platelet 
C)  hematocrit 
D)  leukocyte 
A)  alkaline phosphatase 
B)  platelet 
C)  hematocrit 
D)  leukocyte

Question 7

Cementoma is a term once used for periapical cemento-osseous dysplasia. Because the disease does not represent a neoplasm, cementoma has been replaced with periapical cemento-osseous dysplasia.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true, and the second is false. 
D)  The first statement is false, and the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true, and the second is false. 
D)  The first statement is false, and the second is true.

Question 8

The aneurysmal bone cyst is a "pseudocyst" which means:

Accepted Answer

A)  No epithelial lining exists. 
B)  The cyst does not appear on radiographic images. 
C)  The cyst is really a fibroma. 
D)  Malignant potential is present. 
A)  No epithelial lining exists. 
B)  The cyst does not appear on radiographic images. 
C)  The cyst is really a fibroma. 
D)  Malignant potential is present.

Question 9

Mosaic bone may be observed in a patient with Paget disease as a result of

Accepted Answer

A)  lack of trabeculae. 
B)  prominent reversal lines resulting from resorption and deposition of bone. 
C)  the presence of "giant cells." 
D)  a "ground glass" appearance. 
A)  lack of trabeculae. 
B)  prominent reversal lines resulting from resorption and deposition of bone. 
C)  the presence of "giant cells." 
D)  a "ground glass" appearance.

Question 10

Asymptomatic florid cemento-osseous dysplasia usually requires no treatment. However, in an edentulous patient, the sclerotic masses may perforate the mucosa causing which complication?

Accepted Answer

A)  Fibrous dysplasia 
B)  Aneurysmal bone cyst 
C)  Osteomyelitis 
D)  Central giant cell granuloma 
A)  Fibrous dysplasia 
B)  Aneurysmal bone cyst 
C)  Osteomyelitis 
D)  Central giant cell granuloma

Question 11

All statements are characteristic of osteomalacia except one. Which is the exception?

Accepted Answer

A)  It is the result of a deficiency in calcium. 
B)  In adults it may be related to the chronic use of antacids. 
C)  It is treated with vitamin D and calcium nutritional supplements. 
D)  The pattern of diseased bone is best described as mosaic bone. 
A)  It is the result of a deficiency in calcium. 
B)  In adults it may be related to the chronic use of antacids. 
C)  It is treated with vitamin D and calcium nutritional supplements. 
D)  The pattern of diseased bone is best described as mosaic bone.

Question 12

The serum alkaline phosphatase level is significantly elevated in persons with active Paget disease. This is detected through which diagnostic process?

Accepted Answer

A)  Historical 
B)  Laboratory 
C)  Therapeutic 
D)  Differential 
A)  Historical 
B)  Laboratory 
C)  Therapeutic 
D)  Differential

Question 13

Characteristics of monostotic fibrous dysplasia include that

Accepted Answer

A)  it is commonly diagnosed in middle-aged women. 
B)  the expanding nature of the lesion may lead to malocclusion, tipping, or displacement of adjacent teeth. 
C)  it involves a painful swelling or bulging of the buccal plate of the maxilla or mandible when seen orally. 
D)  it involves multiple bones. 
A)  it is commonly diagnosed in middle-aged women. 
B)  the expanding nature of the lesion may lead to malocclusion, tipping, or displacement of adjacent teeth. 
C)  it involves a painful swelling or bulging of the buccal plate of the maxilla or mandible when seen orally. 
D)  it involves multiple bones.

Question 14

This 74-year-old patient presents with an enlargement of the maxilla, pain, and a chief complaint that his dentures no longer fit. Radiographic examination reveals a patchy radiolucency and radiopacity that resembles cotton wool. These findings are indicative of what disease of bone?

Accepted Answer

A)  Osteomalacia 
B)  Paget disease of bone 
C)  Fibrous dysplasia 
D)  Florid cemento-osseous dysplasia 
A)  Osteomalacia 
B)  Paget disease of bone 
C)  Fibrous dysplasia 
D)  Florid cemento-osseous dysplasia

Question 15

All are likely complaints of a patient with Paget disease of bone except one. Which is the exception?

Accepted Answer

A)  "My partial denture does not fit." 
B)  "I can't hear you, can you speak louder?" 
C)  "I have spaces between my teeth that I never had before." 
D)  "My tongue is always sore." 
A)  "My partial denture does not fit." 
B)  "I can't hear you, can you speak louder?" 
C)  "I have spaces between my teeth that I never had before." 
D)  "My tongue is always sore."

Question 16

Why is treatment with radiation therapy for polyostotic fibrous dysplasia contraindicated?

Accepted Answer

A)  It is too severe of a treatment for a young child. 
B)  An association exists with malignant transformation to osteosarcoma. 
C)  Because of the defined borders of the lesions, surgery is the treatment of choice. 
D)  The lesions remain asymptomatic and localized. 
A)  It is too severe of a treatment for a young child. 
B)  An association exists with malignant transformation to osteosarcoma. 
C)  Because of the defined borders of the lesions, surgery is the treatment of choice. 
D)  The lesions remain asymptomatic and localized.

Question 17

Surgical treatment would most likely be recommended for a patient with ________ dysplasia.

Accepted Answer

A)  periapical cemento-osseous 
B)  focal cemento-osseous 
C)  florid cemento-osseous 
D)  fibrous 
A)  periapical cemento-osseous 
B)  focal cemento-osseous 
C)  florid cemento-osseous 
D)  fibrous

Question 18

Osteomalacia is a disease of bone that develops over a long period of time as a result of deficiency of which substance?

Accepted Answer

A)  Connective tissue 
B)  Calcium 
C)  Fluoride 
D)  Vitamin A 
A)  Connective tissue 
B)  Calcium 
C)  Fluoride 
D)  Vitamin A

Question 19

Early lesions of periapical cemento-osseous dysplasia are well circumscribed and radiolucent and may resemble which condition?

Accepted Answer

A)  Periapical abscess 
B)  Benign cementoblastoma 
C)  Odontoma 
D)  Osteoma 
A)  Periapical abscess 
B)  Benign cementoblastoma 
C)  Odontoma 
D)  Osteoma

Question 20

Fibrous dysplasia is characterized by

Accepted Answer

A)  necrosis and sloughing of bony sequestra. 
B)  replacement of bone with normal fibrous connective tissue with no calcification. 
C)  replacement of bone with abnormal connective tissue with no calcification. 
D)  replacement of bone with abnormal connective tissue with varying amounts of calcification. 
A)  necrosis and sloughing of bony sequestra. 
B)  replacement of bone with normal fibrous connective tissue with no calcification. 
C)  replacement of bone with abnormal connective tissue with no calcification. 
D)  replacement of bone with abnormal connective tissue with varying amounts of calcification.

For which disease of bone is surgical recontouring most often recommended as its treatment modality?

Giant cell granulomas located in the gingiva or alveolar mucosa are referred to as central. Giant cell granulomas located within the maxilla or mandible are referred to as peripheral.

A lesion of bone identical to the central giant cell granuloma and termed brown tumor occurs in patients with what type of disease?

What is one difference between the diagnosis of periapical cemento-osseous dysplasia and florid cemento-osseous dysplasia?

Which statement is true of osteomalacia?

Laboratory evaluation reveals that the serum _______________ level is significantly elevated in active Paget disease.

Cementoma is a term once used for periapical cemento-osseous dysplasia. Because the disease does not represent a neoplasm, cementoma has been replaced with periapical cemento-osseous dysplasia.

The aneurysmal bone cyst is a "pseudocyst" which means:

Mosaic bone may be observed in a patient with Paget disease as a result of

Asymptomatic florid cemento-osseous dysplasia usually requires no treatment. However, in an edentulous patient, the sclerotic masses may perforate the mucosa causing which complication?

All statements are characteristic of osteomalacia except one. Which is the exception?

The serum alkaline phosphatase level is significantly elevated in persons with active Paget disease. This is detected through which diagnostic process?

Characteristics of monostotic fibrous dysplasia include that

This 74-year-old patient presents with an enlargement of the maxilla, pain, and a chief complaint that his dentures no longer fit. Radiographic examination reveals a patchy radiolucency and radiopacity that resembles cotton wool. These findings are indicative of what disease of bone?

All are likely complaints of a patient with Paget disease of bone except one. Which is the exception?

Why is treatment with radiation therapy for polyostotic fibrous dysplasia contraindicated?

Surgical treatment would most likely be recommended for a patient with ________ dysplasia.

Osteomalacia is a disease of bone that develops over a long period of time as a result of deficiency of which substance?

Early lesions of periapical cemento-osseous dysplasia are well circumscribed and radiolucent and may resemble which condition?

Fibrous dysplasia is characterized by

Introduction to Preliminary Diagnosis of Oral Lesions

Inflammation and Repair

Immunity and Immunologic Oral Lesions

Infectious Diseases

Developmental Disorders

Genetics

Neoplasia

Oral Manifestations of Systemic Diseases

Orofacial Pain and Diseases Affecting the Temporomandibular Joint

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Exam 8: Nonneoplastic Diseases of Bone

For which disease of bone is surgical recontouring most often recommended as its treatment modality?

Giant cell granulomas located in the gingiva or alveolar mucosa are referred to as central. Giant cell granulomas located within the maxilla or mandible are referred to as peripheral.

A lesion of bone identical to the central giant cell granuloma and termed brown tumor occurs in patients with what type of disease?

What is one difference between the diagnosis of periapical cemento-osseous dysplasia and florid cemento-osseous dysplasia?

Which statement is true of osteomalacia?

Laboratory evaluation reveals that the serum _______________ level is significantly elevated in active Paget disease.

Cementoma is a term once used for periapical cemento-osseous dysplasia. Because the disease does not represent a neoplasm, cementoma has been replaced with periapical cemento-osseous dysplasia.

The aneurysmal bone cyst is a "pseudocyst" which means:

Mosaic bone may be observed in a patient with Paget disease as a result of

Asymptomatic florid cemento-osseous dysplasia usually requires no treatment. However, in an edentulous patient, the sclerotic masses may perforate the mucosa causing which complication?

All statements are characteristic of osteomalacia except one. Which is the exception?

The serum alkaline phosphatase level is significantly elevated in persons with active Paget disease. This is detected through which diagnostic process?

Characteristics of monostotic fibrous dysplasia include that

This 74-year-old patient presents with an enlargement of the maxilla, pain, and a chief complaint that his dentures no longer fit. Radiographic examination reveals a patchy radiolucency and radiopacity that resembles cotton wool. These findings are indicative of what disease of bone?

All are likely complaints of a patient with Paget disease of bone except one. Which is the exception?

Why is treatment with radiation therapy for polyostotic fibrous dysplasia contraindicated?

Surgical treatment would most likely be recommended for a patient with ________ dysplasia.

Osteomalacia is a disease of bone that develops over a long period of time as a result of deficiency of which substance?

Early lesions of periapical cemento-osseous dysplasia are well circumscribed and radiolucent and may resemble which condition?

Fibrous dysplasia is characterized by

Introduction to Preliminary Diagnosis of Oral Lesions

Inflammation and Repair

Immunity and Immunologic Oral Lesions

Infectious Diseases

Developmental Disorders

Genetics

Neoplasia

Oral Manifestations of Systemic Diseases

Orofacial Pain and Diseases Affecting the Temporomandibular Joint

Filters