Chapter 2 DENT 1060 Flashcards
Which of the following is the body's initial response to injury? A. The immune response B. The inflammatory response C. Repair D. Hyperplasia
B. The inflammatory response
What type of inflammation occurs if the injury is minimal and brief and the source is removed from the tissue? A. Fatal B. Acute C. Chronic D. Life-threatening
B. Acute
During the inflammatory response, the first microscopic event is:
A. Dilation of the microcirculation
B. Increased permeability of the microcirculation
C. Formation of exudate
D. Constriction of the microcirculation
D. Constriction of the microcirculation
Which one of the following conditions is considered a chronic inflammatory lesion? A. Necrotizing sialometaplasia B. Periapical granuloma C. Aphthous ulcer D. Aspirin burn
B. Periapical granuloma
The directed movement of white blood cells to the area of injury is called: A. Pavementing B. Margination C. Chemotaxis D. Hyperemia
C. Chemotaxis
Which of the following cells are the most prevalent cells seen in chronic inflammation? A. Neutrophils B. Macrophages and lymphocytes C. Lymphocytes and plasma cells D. Neutrophils and lymphocytes
C. Lymphocytes and plasma cells
The macrophage has many functions. Which of the following is NOT a function of the macrophage? A. Phagocytosis B. Removal of large foreign matter C. Removal of inhaled particles D. Formation of antibodies
D. Formation of antibodies
Which of the following is the term used to describe blood plasma with cells and proteins that leaves the blood vessels and enters the surrounding tissues during inflammation? A. Hyperemia B. Hypertrophy C. Margination D. Exudate
D. Exudate
The process of phagocytosis during inflammation directly involves the:
A. Ingestion of foreign substances by white blood cells
B. Escape of plasma fluids and proteins from the microcirculation into the surrounding tissues
C. Displacement of white blood cells to the blood vessel walls
D. Attachment of white blood cells to the blood vessel walls
A. Ingestion of foreign substances by white blood cells
Which of the following statements is INCORRECT concerning the neutrophil? The neutrophil:
A. Makes up 30% of white blood cells
B. Contains lysosomal enzymes
C. Is a cell whose main function is phagocytosis
D. Has a multilobed nucleus
A. Makes up 30% of white blood cells
During the process of inflammation, the second type of white blood cell to emigrate from the blood vessel into the injured tissue is the: A. Neutrophil B. Red blood cell C. Lymphocyte D. Macrophage
D. Macrophage
Components of the complement system mediate the inflammatory process by:
A. Decreasing vascular permeability
B. Releasing histamine granules from neutrophils
C. Causing cytolysis of cells
D. Decreasing phagocytosis
C. Causing cytolysis of cells
Two days after injury, granulation tissue can be described as: A. Immature vascular connective tissue B. Fluid in the form of exudate C. Dense avascular connective tissue D. Ulcerated tissue
A. Immature vascular connective tissue
The enlargement of superficial lymph nodes that occurs as a systemic sign of inflammation is:
A. Called leukocytosis
B. Regulated by the hypothalamus
C. Caused by changes in their lymphocytes
D. A process that involves only the lymph nodes in the submental area
C. Caused by changes in their lymphocytes
Which statement concerning repair in the body is TRUE?
A. Repair can be completed with the injurious agents present
B. Functioning cells and tissue components are always replaced by functioning scar tissue
C. Repair always results in regeneration
D. The process of repair is initiated by the inflammatory response
D. The process of repair is initiated by the inflammatory response
The clot that forms during repair after injury:
A. Consists of fibrous connective tissue
B. Serves as a guide for migrating epithelial cells
C. Forms after skin injury, but not after mucosal injury
D. Occurs only with healing by secondary intention
B. Serves as a guide for migrating epithelial cells
Healing by secondary intention refers to healing of an injury when:
A. The incision has clean edges joined by sutures
B. Only a small clot forms
C. An infection forms in the injured area
D. There is increased formation of granulation tissue
D. There is increased formation of granulation tissue
Which of the following is the term used to describe an increase in the size of an organ or tissue resulting from an increase in the number of its cells? A. Hyperemia B. Hyperplasia C. Inflammation D. Hypertrophy
B. Hyperplasia
Normal bone tissue repair in the body can be delayed by:
A. Maintenance of osteoblast-producing tissues
B. Inadequate movement of bone tissue
C. Drainage of an area of edema
D. Reduction in the amount of tissue infection
B. Inadequate movement of bone tissue
Which one of the following lesions would clinically appear as a pigmented lesion? A. Amalgam tattoo B. Traumatic ulcer C. Frictional keratosis D. Aspirin burn
A. Amalgam tattoo
Which of the following statements is FALSE?
A. Attrition is the wearing away of tooth structure during mastication
B. Bruxism is the same process as mastication
C. Erosion is the loss of tooth structure resulting from chemical action
D. Abrasion is caused by mechanical, repetitive habits
B. Bruxism is the same process as mastication
Loss of tooth structure associated with bulimia is caused by: A. Attrition B. Erosion C. Bruxism D. Abrasion
B. Erosion
An aspirin burn in the oral cavity: A. Occurs as a result of an overdose of aspirin B. Is usually painless C. Results from a misuse of aspirin D. Usually takes several weeks to heal
C. Results from a misuse of aspirin
A patient has a generalized white appearance of the palate. Tiny erythematous dots can be seen, surrounded by a thickened, raised, white-to-gray area. Overall the palate appears wrinkled. This condition is most likely: A. Papillary hyperplasia of the palate B. Nicotine stomatitis C. An aspirin burn D. Necrotizing sialometaplasia
B. Nicotine stomatitis
Which of the following is the most common cause of a mucocele? A. Acute inflammation B. Tumor formation C. Minor salivary gland duct trauma D. A sialotlith
C. Minor salivary gland duct trauma
A ranula is located on the: A. Lower lip B. Buccal mucosa C. Retromolar area D. Floor of the mouth
D. Floor of the mouth
Which one of the following lesions would NOT occur on the gingiva? A. Irritation fibroma B. Pyogenic granuloma C. Giant cell granuloma D. Epulis fissuratum
D. Epulis fissuratum
Generalized loss of tooth structure primarily on the lingual surfaces of maxillary anterior teeth is associated with: A. Erosion B. Attrition C. Abrasion D. Abraction
A. Erosion
Which of the following may be a cause of external tooth resorption? A. Caries B. Salivary gland dysfunction C. Chronic inflammation D. Medication
A. Caries
Which one of the following is considered to be the most likely cause of necrotizing sialometaplasia? A. Loss of blood supply B. Radiation therapy C. Smoking D. A sialolith
A. Loss of blood supply
The most common site for a mucocele to occur is the: A. Floor of the mouth B. Tongue C. Buccal mucosa D. Lower lip
D. Lower lip
The peripheral giant cell granuloma occurs only on the: A. Gingiva or alveolar mucosa B. Hard palate C. Buccal mucosa D. Floor of the mouth
A. Gingiva or alveolar mucosa
A sialotlith is:
A. Chronic inflammation of a salivary gland
B. Acute inflammation of a salivary gland
C. A pooling of saliva in the connective tissue
D. A salivary gland stone
D. A salivary gland stone
Which of the following statements is FALSE?
A. A periapical cyst develops from a periapical granuloma
B. A periapical abscess always causes radiographic periapical changes
C. A periapical granuloma is a circumscribed area of chronically inflamed tissue
D. A periapical cyst is also a radicular cyst
B. A periapical abscess always causes radiographic periapical changes
Epulis fissuratum results from irritation caused by:
A. A denture flange
B. Denture adhesive
C. Poor suction from the denture in the palatal vault
D. An allergic reaction to the acrylic in the denture
A. A denture flange
Which of the following statements is TRUE?
A. A traumatic neuroma is never painful
B. Necrotizing sialometaplasia is considered a denture-related lesion
C. Chronic hyperplastic pulpitis is similar to gingival hyperplasia
D. Gingival enlargement may be caused by medication
D. Gingival enlargement may be caused by medication
Loss of tooth structure caused by chemical action describes: A. Abrasion B. Internal resorption C. Erosion D. Attrition
C. Erosion
Which of the following cysts is characteristically associated with a tooth that is nonvital on pulp testing? A. Residual B. Radicular C. Dentigerous D. Dermoid
B. Radicular
Which of the following cysts results when a tooth is extracted without removing the periapical cystic sac? A. Radicular B. Primordial C. Residual D. Periodontal
C. Residual
The most common cause of a radicular cyst is:
A. Deep restorations without a base
B. Caries
C. Occlusal trauma
D. Toothbrush abrasion at the cemento-enamel junction
B. Caries
The wearing away of tooth structure through an abnormal mechanical action defines: A. Attrition B. Abrasion C. Erosion D. Resorption
B. Abrasion
Which one of the following is NOT associated with attrition? A. Toothpaste B. Bruxism C. Mastication D. Age
A. Toothpaste