Question 1

What is a clinical difference between lichen planus and linea alba?

Accepted Answer

A)  Lichen planus may be removed with a gauze square; linea alba cannot be removed. 
B)  Lichen planus appears more bluish; linea alba appears white. 
C)  Lichen planus may appear on the buccal mucosa as well as the tongue, lips, and floor of the mouth; linea alba is confined to the buccal mucosa. 
D)  Lichen planus is asymptomatic; linea alba may cause erosions, bullae, or ulcers. 
A)  Lichen planus may be removed with a gauze square; linea alba cannot be removed. 
B)  Lichen planus appears more bluish; linea alba appears white. 
C)  Lichen planus may appear on the buccal mucosa as well as the tongue, lips, and floor of the mouth; linea alba is confined to the buccal mucosa. 
D)  Lichen planus is asymptomatic; linea alba may cause erosions, bullae, or ulcers.

Question 2

The breakdown of cellular adhesion between epithelial cells is termed

Accepted Answer

A)  cell-mediated immunity. 
B)  acantholysis. 
C)  Nikolsky sign. 
D)  anaphylaxis. 
A)  cell-mediated immunity. 
B)  acantholysis. 
C)  Nikolsky sign. 
D)  anaphylaxis.

Question 3

A cell product produced by the cells involved in the immune response is a(n)

Accepted Answer

A)  attenuation. 
B)  cytokine. 
C)  dendritic cell. 
D)  Langerhans cell. 
A)  attenuation. 
B)  cytokine. 
C)  dendritic cell. 
D)  Langerhans cell.

Question 4

A patient presents with a diffuse swelling of the upper lip caused by permeability of deeper blood vessels. The skin covering the swelling appears normal and not accompanied by itching. This is characteristic of what pathologic condition?

Accepted Answer

A)  Minor aphthous ulcer 
B)  Lichen planus 
C)  Angioedema 
D)  Sjögren syndrome 
A)  Minor aphthous ulcer 
B)  Lichen planus 
C)  Angioedema 
D)  Sjögren syndrome

Question 5

The histologic appearance of lesions in SLE may resemble

Accepted Answer

A)  an ulcer. 
B)  lichen planus. 
C)  pemphigus vulgaris. 
D)  erythema multiforme. 
A)  an ulcer. 
B)  lichen planus. 
C)  pemphigus vulgaris. 
D)  erythema multiforme.

Question 6

Behçet syndrome is an acute, nonrecurring autoimmune disease consisting mainly of oral ulcers, genital ulcers, ocular inflammation, and skin lesions. Systemic and topical corticosteroids, as well as immunosuppressive drugs, are used in the management of Behçet syndrome.

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 7

Treatment for pemphigus vulgaris involves

Accepted Answer

A)  high doses of systemic corticosteroids. 
B)  antihistamines. 
C)  antibiotics. 
D)  antiviral drugs. 
A)  high doses of systemic corticosteroids. 
B)  antihistamines. 
C)  antibiotics. 
D)  antiviral drugs.

Question 8

The three main types of lymphocytes active during an immune response include the following except one. Which one is the exception?

Accepted Answer

A)  T-cell 
B)  NK cell 
C)  B-cell 
D)  C-cell 
A)  T-cell 
B)  NK cell 
C)  B-cell 
D)  C-cell

Question 9

Acantholysis, or the dissolution of the intercellular bridges of the prickle cell layer of the epithelium, is an oral manifestation of which disease?

Accepted Answer

A)  HIV 
B)  Urticaria 
C)  Pemphigus vulgaris 
D)  Behçet syndrome 
A)  HIV 
B)  Urticaria 
C)  Pemphigus vulgaris 
D)  Behçet syndrome

Question 10

The onset of this condition is explosive. It is characterized by skin and mucosal lesions. The skin lesions are referred to as target, iris, or bull's eye lesions. The mucosal lesions affect the buccal mucosa, lips, and tongue and appear as superficial ulcerations. The lip lesions are ulcerated, encrusted, and bloody. On the basis of this description, which condition is suspected?

Accepted Answer

A)  Lichen planus 
B)  Erythema multiforme 
C)  Contact dermatitis 
D)  SLE 
A)  Lichen planus 
B)  Erythema multiforme 
C)  Contact dermatitis 
D)  SLE

Question 11

Which is not a specific component of immunity?

Accepted Answer

A)  A humoral response 
B)  A cell-mediated response 
C)  Memory 
D)  Pavementing 
A)  A humoral response 
B)  A cell-mediated response 
C)  Memory 
D)  Pavementing

Question 12

The diagnosis of lichen planus is made on the basis of

Accepted Answer

A)  clinical and radiographic appearance. 
B)  clinical and histologic appearance. 
C)  history of the condition. 
D)  therapeutic medication. 
A)  clinical and radiographic appearance. 
B)  clinical and histologic appearance. 
C)  history of the condition. 
D)  therapeutic medication.

Question 13

Antibodies pass through the placenta to a developing fetus and protect the newborn infant from disease; this is termed ____________ immunity.

Accepted Answer

A)  natural active 
B)  acquired passive 
C)  acquired active 
D)  natural passive 
A)  natural active 
B)  acquired passive 
C)  acquired active 
D)  natural passive

Question 14

Patients with Sjögren syndrome who experience xerostomia are at a high risk of the following conditions except one. Which is the exception?

Accepted Answer

A)  Melanotic macules 
B)  Dental caries 
C)  Oral candidiasis 
D)  Periodontal disease 
A)  Melanotic macules 
B)  Dental caries 
C)  Oral candidiasis 
D)  Periodontal disease

Question 15

This patient presents with an intraepithelial bulla from breakdown of the cellular adhesion between epithelial cells. The bulla rupture, resulting in a painful itching ulcer. The correct diagnosis for this progressive autoimmune disease is

Accepted Answer

A)  pemphigus vulgaris. 
B)  Reiter syndrome. 
C)  aphthous ulcers. 
D)  Langerhans cell disease. 
A)  pemphigus vulgaris. 
B)  Reiter syndrome. 
C)  aphthous ulcers. 
D)  Langerhans cell disease.

Question 16

A prodromal period begins

Accepted Answer

A)  1 week before the onset of ulcers. 
B)  1 to 2 days before the onset of ulcers. 
C)  the day the ulcers erupt. 
D)  7 to 10 days before ulcers erupt. 
A)  1 week before the onset of ulcers. 
B)  1 to 2 days before the onset of ulcers. 
C)  the day the ulcers erupt. 
D)  7 to 10 days before ulcers erupt.

Question 17

Antihistaminic drugs are the principal method of treatment for

Accepted Answer

A)  urticaria. 
B)  minor aphthous ulcers. 
C)  herpetiform aphthous ulcers. 
D)  contact mucositis. 
A)  urticaria. 
B)  minor aphthous ulcers. 
C)  herpetiform aphthous ulcers. 
D)  contact mucositis.

Question 18

The various types of T-cell lymphocytes include the T-helper cell, the T-suppressor cell, the cytotoxic cell, and what other type of cell?

Accepted Answer

A)  T-enhancement cell 
B)  Virulence cell 
C)  Memory cell 
D)  Oral cell 
A)  T-enhancement cell 
B)  Virulence cell 
C)  Memory cell 
D)  Oral cell

Question 19

Decreased salivary flow that results in xerostomia is also known as

Accepted Answer

A)  hyposalivation. 
B)  mucositis. 
C)  pruritus. 
D)  anaphylaxis. 
A)  hyposalivation. 
B)  mucositis. 
C)  pruritus. 
D)  anaphylaxis.

Question 20

The diagnosis of the type of aphthous ulcers is made on the basis of their distinctive clinical appearance, the location of the lesion, and a

Accepted Answer

A)  patient history. 
B)  therapeutic result. 
C)  radiographic examination. 
D)  laboratory test. 
A)  patient history. 
B)  therapeutic result. 
C)  radiographic examination. 
D)  laboratory test.

What is a clinical difference between lichen planus and linea alba?

The breakdown of cellular adhesion between epithelial cells is termed

A cell product produced by the cells involved in the immune response is a(n)

A patient presents with a diffuse swelling of the upper lip caused by permeability of deeper blood vessels. The skin covering the swelling appears normal and not accompanied by itching. This is characteristic of what pathologic condition?

The histologic appearance of lesions in SLE may resemble

Behçet syndrome is an acute, nonrecurring autoimmune disease consisting mainly of oral ulcers, genital ulcers, ocular inflammation, and skin lesions. Systemic and topical corticosteroids, as well as immunosuppressive drugs, are used in the management of Behçet syndrome.

Treatment for pemphigus vulgaris involves

The three main types of lymphocytes active during an immune response include the following except one. Which one is the exception?

Acantholysis, or the dissolution of the intercellular bridges of the prickle cell layer of the epithelium, is an oral manifestation of which disease?

Which is not a specific component of immunity?

The diagnosis of lichen planus is made on the basis of

Antibodies pass through the placenta to a developing fetus and protect the newborn infant from disease; this is termed ____________ immunity.

Patients with Sjögren syndrome who experience xerostomia are at a high risk of the following conditions except one. Which is the exception?

This patient presents with an intraepithelial bulla from breakdown of the cellular adhesion between epithelial cells. The bulla rupture, resulting in a painful itching ulcer. The correct diagnosis for this progressive autoimmune disease is

A prodromal period begins

Antihistaminic drugs are the principal method of treatment for

The various types of T-cell lymphocytes include the T-helper cell, the T-suppressor cell, the cytotoxic cell, and what other type of cell?

Decreased salivary flow that results in xerostomia is also known as

The diagnosis of the type of aphthous ulcers is made on the basis of their distinctive clinical appearance, the location of the lesion, and a

Introduction to Preliminary Diagnosis of Oral Lesions

Inflammation and Repair

Infectious Diseases

Developmental Disorders

Genetics

Neoplasia

Nonneoplastic Diseases of Bone

Oral Manifestations of Systemic Diseases

Orofacial Pain and Diseases Affecting the Temporomandibular Joint

Filters

Exam 3: Immunity and Immunologic Oral Lesions

What is a clinical difference between lichen planus and linea alba?

The breakdown of cellular adhesion between epithelial cells is termed

A cell product produced by the cells involved in the immune response is a(n)

A patient presents with a diffuse swelling of the upper lip caused by permeability of deeper blood vessels. The skin covering the swelling appears normal and not accompanied by itching. This is characteristic of what pathologic condition?

The histologic appearance of lesions in SLE may resemble

Behçet syndrome is an acute, nonrecurring autoimmune disease consisting mainly of oral ulcers, genital ulcers, ocular inflammation, and skin lesions. Systemic and topical corticosteroids, as well as immunosuppressive drugs, are used in the management of Behçet syndrome.

Treatment for pemphigus vulgaris involves

The three main types of lymphocytes active during an immune response include the following except one. Which one is the exception?

Acantholysis, or the dissolution of the intercellular bridges of the prickle cell layer of the epithelium, is an oral manifestation of which disease?

Which is not a specific component of immunity?

The diagnosis of lichen planus is made on the basis of

Antibodies pass through the placenta to a developing fetus and protect the newborn infant from disease; this is termed ____________ immunity.

Patients with Sjögren syndrome who experience xerostomia are at a high risk of the following conditions except one. Which is the exception?

This patient presents with an intraepithelial bulla from breakdown of the cellular adhesion between epithelial cells. The bulla rupture, resulting in a painful itching ulcer. The correct diagnosis for this progressive autoimmune disease is

A prodromal period begins

Antihistaminic drugs are the principal method of treatment for

The various types of T-cell lymphocytes include the T-helper cell, the T-suppressor cell, the cytotoxic cell, and what other type of cell?

Decreased salivary flow that results in xerostomia is also known as

The diagnosis of the type of aphthous ulcers is made on the basis of their distinctive clinical appearance, the location of the lesion, and a

Introduction to Preliminary Diagnosis of Oral Lesions

Inflammation and Repair

Infectious Diseases

Developmental Disorders

Genetics

Neoplasia

Nonneoplastic Diseases of Bone

Oral Manifestations of Systemic Diseases

Orofacial Pain and Diseases Affecting the Temporomandibular Joint

Filters