Chapter 1- Intro To Oral Lesions

Question 0

Lobule

Answer 0

A segment or lobe that is part of the whole; these lobes sometimes appear fused together.

Question 1

Bulla

Answer 1

A circumcised, elevated lesion that is more then 5 mm in diameter or, usually contains serous fluid, and looks like a blister.

Question 2

Macule

Answer 2

An area that is usually distinguished by a color different from that of the surrounding tissue; it is flat and does not protrude above the surface of the normal tissue. A freckle.

Question 3

Papule

Answer 3

A small, circumcised Lesion usually less than 1 cm in diameter or that is elevated or protrudes above the surface of a normal surrounding tissue.

Question 4

Pedunculated

Answer 4

Attached by a stem-like or stalk-like base similar to that of a mushroom.

Question 5

Pustules

Answer 5

Variously sized circumscribed elevations containing pus.

Question 6

Sessile

Answer 6

Describing the base of a lesion that is flat or broad instead of stemlike

Question 7

Vesicle

Answer 7

A small, elevated lesion less than 1 cm in diameter that contains serous fluid

Question 8

Nodule

Answer 8

A palpable solid lesion up to 1 cm in diameter found in soft tissue; it can occur above, level with, or beneath the skin surface.

Question 9

Palpating

Answer 9

The evaluation of a lesion by feeling it with the fingers to determine the texture of the area; the discriptive terms for palpating are soft, firm, semi-firm, and fluid filled. These are terms also describe the consistency of a lesion.

Question 10

Erythema

Answer 10

An abnormal redness of the oral mucosa or gingiva

Question 11

Pallor

Answer 11

Paleness of the skin or oral tissues

Question 12

Corrugated

Answer 12

Wrinkled

Question 13

Fissure

Answer 13

A cleft or groove, normal or otherwise, showing prominent depth.

Question 14

Papillary

Answer 14

Resembling small, nipple-shaped projections or elevations found in clusters

Question 15

Coalescence

Answer 15

The process by which parts of a whole join together, or fuse, to make one.

Question 16

Diffuse

Answer 16

Describes a lesion with borders that are not well defined, making it impossible to detect the exact parameters of the lesion; this may make treatment more difficult and, depending on the biopsy results, more radical.

Question 17

Diffuse

Answer 17

Describes a lesion with the borders that are not well defined, making it impossible to detect the exact parameters of the lesion; this may make treatment more difficult and, depending on the biopsy results, more radical

Question 18

Multiocular

Answer 18

Describes a lesion that extends beyond the confines of one distinct area and is defined as many lubes or parts that are somewhat fused together, making up the entire lesion; a multiocular radiolucency is sometimes described as a resembling soap bubbles; and odontogenic keratocyst cyst often presents a multiocular, radiolucent lesion.

Question 19

Radiolucent

Answer 19

Describes the black or dark areas on a radiograph; radiant energy can pass through the structures; less dense tissue such as pulp is seen as a radiolucent structure.

Question 20

Root resorption

Answer 20

Observed radiographically when the apex of the tooth appears shortened or blunted and your regularly sheet; occurs as a response to stimuli, which can include a cyst, tumor, or trauma; external resorption arises from tissues outside the tooth such as the periodontal ligament where as internal resorption is triggered by pulps like tissue reaction from with in the tooth; in the latter the pulp area can be seen as a diffuse radiolucency beyond the confines of the normal pulp area.

Question 21

Scalloping around the root

Answer 21

A radiolucent lesion that extends between the roots, and seen in a traumatic bone cyst; this lesion appears to extend the periodontal ligament.

Question 22

Unilocular

Answer 22

Having one compartment or unit that is well defined were outlined, as in a simple radicular cyst.

Question 23

After arriving at a differential diagnosis, information from which one of the following categories the best establish a final or definitive diagnosis?

Answer 23

Microscopic

Question 24

Descriptive term that would best be used for a freckle is a:

Answer 24

Macular

Question 25

Which one of the following terms describes the base of the lesion that is stalk like?

Answer 25

Pedunculated

Question 26

Clinical diagnosis can be used to determine the final or definitive diagnosis of all the following except

Answer 26

A. Fordyce granules.
B. Unerupted supernumerary teeth
C. Mandibular tori
D. Geographic tongue

B

Question 27

Radiographic diagnosis contribute to the definitive diagnosis of all the following except:

Answer 27

A.internal resorption’s
B. Periapical cemento–osseous dysplasia
C. Odontoma’s
D. A retained deciduous tooth

(D)

Question 28

When an antifungal appointment or cream is used to treat a suspected angular check iris, which one of the following diagnostic categories is being used?

Answer 28

Therapeutic

Question 29

Yellow clusters of ectopic sebaceous glands commonly observed on the buckle mucosa and evaluated through clinical diagnosis or most likely:

Answer 29

Fordyce granules

Question 30

A slow – growing, bony hard exophytic growth on the midline of the palate is developmental and hereditary in origin. The diagnosis is determined through the clinical evaluation. You suspect:

Answer 30

Torus palatines

Question 31

The white line observed clinically on the buccaneers mucosa that extends from anterior to posterior along the occlusal plane is:

Answer 31

Linea alba

Question 32

Which of the following occurs as an erythematous area, is devoid or filiform papillae, is oval to rectangular in shape, and is on the midline of the dorsal surface of the tongue?

Answer 32

Median rhomboid glossitis

Question 33

Which of the following diagnostic categories with the dental hygienist most easily applied to the preliminary evaluation of oral lesions?

Answer 33

Clinical

Question 34

These examples of exostoses are found on the lingual aspect of the mandible in the area of the premolars. They are benign, bony hard, and require no treatment. Radiographically they appear as radiopaque areas and are often bilateral. You suspect?

Answer 34

Mandibular tori

Question 35

Which of the following terms is most often used when describing mandibular tori

Answer 35

Lobulated

Question 36

Which of the following conditions is a benign anomaly, has a diffuse gray to white opaque appearance on the buccaneers mucosa, and is most commonly seen in adult black individuals

Answer 36

Leukoedema

Question 37

A patient has the clinical signs of necrotizing ulcerative gingivitis. The hygienist has the patient begin hydrogen peroxide rinses without culturing the bacterial flora. This action applies to which diagnostic category?

Answer 37

Therapeutic

Question 38

A small circumcised lesion usually less than 1 cm in diameter that is elevated and protrudes above the surface of normal surrounding tissue is called a:

Answer 38

Papule

Question 39

The base of a sessile lesion is:

Answer 39

Broad and flat

Question 40

The identification of which one of the following is not determined by clinical diagnosis?

Answer 40

Compound odontoma

Question 41

Another term for geographic tongue is:

Answer 41

Median rhomboid glossitis

Question 42

After arriving at a differential diagnosis, information from which (clinical, microscopic, historical, radiographically,therapeutic) will best establish a final or definitive notice diagnosis?

Answer 42

Microscopic

Question 43

When response to the application of an anti fungal ointment to angular chelitis is used as a diagnostic procedure, which diagnostic process is being utilized?

Answer 43

Theraputic

Question 44

Which diagnostic category would the dental hygienist most easily apply to the preliminary evaluation of an oral lesion?

Answer 44

Clinical

Question 45

Which term would be used to describe mandibular tori

Answer 45

Lobulated

Question 46

Historical diagnosis includes

Answer 46

Age
Sex
Family hx 
Duration of lesion
Race and Med. Hx