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Oral Pathology > Final Review COPY > Flashcards

Final Review COPY Flashcards

1
Q

The initial infection and signs and symptoms of deep fungal infections, including histoplasmosis, coccidioidomycosis and blastomycosis are usually related to disease in which of the following locations?

A. Lung

B. kidney

C. lymph nodes

D. nasal cavity

A

A. Lung

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2
Q

Which of the following statements is true concerning a positive reaction to the Purified Protein Derivative (PPD) skin test.

A) The patient has been infected previously with Mycobacterium tuberculosis.

B) The patient is contagious

C) The patient is in need of hospitalization.

D) The patient has active tuberculosis.

A

A) The patient has been infected previously with Mycobacterium tuberculosis.

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3
Q

The most common type of candidiasis affecting the oral mucosa is the _______ type.

A) Pseudomembranous

B) Erythmatous

C) Chronic hyperplastic

D) Chronic atrophic

A

D) Chronic atrophic

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4
Q

Healing of an injury in which there is little loss of tissue such as in a surgical incision is referred to as healing by:

A. tertiary intention

B keloid formation

C. Secondary intention

D. Primary intention

A

D. primary intention

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5
Q
  1. Which one of the following is a systemic sign of inflammation?

A. Redness

B. Pain

C. Loss of normal tissue function

D. Fever

A

D. Fever

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6
Q

The first microscopic event in the inflammatory response is:

A. decreased blood flow.

B. constriction of the microvasculature.

C. phagocytosis.

D. dilation of microvasculature.

A

C. phagocytosis.

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7
Q

Graves disease;

A. is contagious

B. is an Autoimmune disease

C. Causes hyperactivity

D. 2 and 3 only

A

D. 2 and 3 only

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8
Q

Hypothyriodism in infants and children is called Cretinism and may exhibit which of the following characteristics?

A. Delayed eruption of teeth and thickened lips

B. Loss of hair and microdontia

C. Marcoglossia and anodontia

D. None of the above

A

A. Delayed eruption of teeth and thickened lips

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9
Q

Primary Hyperparathyroidism is associated with;

A. Females over 60 more than men

B. hypercalemia and kidney stones

C. Parathyroid Adenoma

D. All of the above

A

D. All of the above

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10
Q

Which of the following oral manifestations are not associated with hyperparathyroidism;

A. Multilocular radiolucency

B. Osteoma

C. Giant Cell Granuloma

D. Ground glass appearance of trabeculae

A

B. Osteoma

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11
Q

Addison disease, pernicious anemia and graves disease are all associated with which of the following?

A. Leukemia

B. Type 1 Diabetes

C. Hyperpituitarism

D. Immunodeficiency

A

B. Type 1 Diabetes

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12
Q

The Schilling test detects an inability to absorb;

A. an injected dose of vitamin B-6

B. An oral dose of vitamin C

C. An injected dose of vitamin B-12

D. An oral dose of vitamin B-12

A

D. An oral dose of vitamin B-12

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13
Q

Hematocrit describes the;

A. The volume of packed red blood cells in a sample of whole blood

B. The total number of red blood cells per mm3 or whole blood

C. The amount of Hemoglobin/ 100ml of whole blood

D. none of the above

A

A. The volume of packed red blood cells in a sample of whole blood

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14
Q

The normal range of WBC count is;

A. 2,000-10,000 cells/microliter

B. 10,000 to 20,000 cells/microliter

C. 4,500- 10,000 cells/ microliter

D. 4,500-10,000 cells/deciliter

A

C. 4,500- 10,000 cells/ microliter

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15
Q

Surgical and dental procedures are contraindicated in;

A. Leukemia

B. Agranulocytosis

C. Cyclic Neutropenia

D. pernicious anemia

A

B. Agranulocytosis

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16
Q

A nonspecific presentation of cervical lymphadenopathy, atypical periodontal disease and petechiae may be symptoms of;

A. Thrombocytopenia

B. Pernicious anemia

C. Iron deficiency anemia

D. Chronic Leukemia

A

D. Chronic Leukemia

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17
Q

Which of the following is associated with the rare condition, Acromegaly;

A. Hypersecretion of growth hormone

B. Macroglossia

C. occurs after closure of long bones in adult life

D. all of the above

A

D. all of the above

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18
Q

Diabetes is considered to be;

A. Chronic and incurable

B. Acute and reversible

C. Associated with Adenomas

D. Of gastrointestinal origin

A

A. Chronic and incurable

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19
Q

Type 1 Diabetes may cause;

A. Blindness

B. End stage kidney failure

C. Paresthesia and amutation of fingers and toes

D. All of the above

A

D. All of the above

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20
Q

Which one of the following is a feature of Type 2 Diabetes;

A) Insulin dependence

B) Sudden onset in 35 to 40 year old patients

C) Insulin resistance

D) Cannot be controlled by diet and exercise

A

C) Insulin resistance

(Type 2 Diabetes is also called non-insulin dependent diabetes mellitus.)

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21
Q

Normal red blood cell production is controlled by:

A) blood oxygen levels

B) growth hormone

C) Erythropoietin

D) Somatotropin

A

C) Erythropoietin

(“Normal red blood cell production is carefully regulated and involves both the precursor cells in the bone marrow and the hormone erythropoietic, which is produced by the kidneys”)

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22
Q

Restrocuspid papillae are located:

A) palate

B) floor of the mouth

C) gingiva lingual to the mandibular canines

D) canine eminence

A

C) gingiva lingual to the mandibular canines

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23
Q

The first response of the body to injury is:

A) anaphylaxis

B) Erythemia

C) Fever

D) Inflammation

A

D) Inflammation

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24
Q

Healing of an injury in which there is little loss of tissue such as in surgical incision is referred to as healing by:

A) tertiary intention

B) keloid formation

C) secondary intention

D) primary intention

A

D) primary intention

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25
Q

Which one of the following is a systemic sign of inflammation?

A) redness

B) pain

C) loss of normal tissue function

D) fever

A

D) fever

26
Q

The first microscopic event in the inflammatory response is:

A) decrease blood flow

B) constriction of the microcirculation

C) phagocytosis

D) dialation of microvasculature

A

C) phagocytosisf

27
Q

Verruca vulgaris closely resembles a papillary benign tumor of squamous epithelium called:

A) Heck lesion.

B) fibroma.

C) lipoma.

D) papilloma.

A

D) papilloma.

28
Q

Wickham striae is a term used to describe the oral mucosal lesions of:

A. linea alba.
B. frictional keratosis.
C. lichen planus.
D. erythema multiforme.

A

C. lichen planus.

29
Q

This condition is thought to be a hypersensitivity reaction. It is characterized by skin and mucous membrane lesions. The skin lesions are referred to as target, iris, or bull’s eye lesions. The lips and mucosal lesions are more extensive and painful and often appear bloody and crusted. The intraoral lesions are extensive superficial ulcerations. The onset is explosive. On the basis of these clinical features you suspect:

A) erythema multiforme

B) fixed drug eruptions

C) Beçhet syndrome

D) angioedema

A

A) erythema multiforme

30
Q

Apthous ulcers are found in all of the following systemic diseases except:

A) Bechet syndrome

B) Langerhans cell histiocytosis

C) Ulcerative Colitis

D) Cyclic neutropenia

A

B) Langerhans cell histiocytosis

31
Q

Which is the most common precipitating factor in the development of apthous ulcers?

A) allergy

B) trauma

C) systemic disease

D) Citrus foods

A

B) trauma

32
Q

The most common oral sire for cicatricial pemphigoid is the:

A. floor of the mouth

B. gingiva

C. palate

D. tongue

A

B. gingiva

33
Q

A triad of keratoconjunctivitis sicca, xerostomia, and connective tissue disorder describes which autoimmune disease?

A. Scleroderma

B. Systemic lupus

C. Ciciatricial pempagoid

D. Sjogren syndrome

A

D. Sjogren syndrome

34
Q

Germination is not:

A. a hereditary anomaly

B. an incomplete formation of two teeth

C. a condition that occurs often in anterior teeth

D. An abnormality of the size of a tooth

***

A

D. An abnormality of the size of a tooth

35
Q

A cyst that is intraosseous, moves teeth, and extends between trabeculae and is associated with Gorlin syndrome (nevoid basal cell carcinoma syndrome) is called;

A. Nevoid cyst

B. Eruption cyst

C. Odontogenic Keratocyst

D. Calcifying Odontogenic cyst

A

C. Odontogenic Keratocyst

36
Q

Pitting is the most common type of enamel hypoplasia seen in patients who have which condition during tooth development?

A. febrile illness

B. drinkingwater with 2.4 ppm of fluortide during tooth development

C. congenital syphilis

D. herpes simplex

A

A. febrile illness

37
Q

The only hypoplastic defect in a patients’s dentition is located on the facial surface of a permanent maxillary central incisor. The most likely cause of this defect is:

A. dietary deficiency during tooth formation

B. abscence of primary canal

C. physical trauma of the primary central incisor

D. neonatal hypoplasia

A

C. physical trauma of the primary central incisor

38
Q

Which disease is caused by the spirochete Treponema pallidum?

A. Necrotizing ulcertaive gingivitis

B. Actinomycosis

C. TB

D. Syphilis

A

D. Syphilis

39
Q

Congenital syhilis may cause a specific form of enamel hypoplasia called:

A. mottling

B. mulberry molars

C. Turner Tooth

D. pitting of teeth

A

B. mulberry molars

40
Q

Necrotizing sialometaplasia is thought to result from:

A. lack of blood supply to the area

B. a sialolith

C. trauma to the floor of the mouth

D. infectious causes

A

A. lack of blood supply to the area

41
Q

The most common site for a polp polyp is:

A. The apex of the tooth

B. the occlusal surface of a large open carious lesion

C. The gingival margin of the tooth

D. Deep in the pulp canal

A

B. the occlusal surface of a large open carious lesion

42
Q

A patient with Papillon-Lefevre syndrome will show a marked gingivoperiodontal inflammatory condition in the primary teeth at about ____ years of age.

A. 1

B. 1.5 - 2

C. 4 - 6

D. 8 - 9

A

B. 1.5 - 2

43
Q

Neurofibromatosis of von Recklinghausen is characterized by:

A) multiple neurofibromas appearing as macules of various sizes.
B) inevitable malignant transformation.
C) oral involvement in about 90% of patients.
D) café au lait pigmentation of the skin in 90% of patients.

A
44
Q

Pegged or absent maxillary lateral incisor

A. affect the secondary but not primary dentition

B. have a prevalence of 10% in the white population

C. are accompanied by congenitally lacking premolar teeth in 10% to 20% of the population

D. are genearlly an autosomal-recessive trait with variable expressivity

A

C. are accompanied by congenitally lacking premolar teeth in 10% to 20% of the population

45
Q

Snow-capped amelogenesis imperfecta is a variation of type _____ amelogenesis imperfecta.

A) I: hypoplastic

B) II: hypocalcified

C) III: hypomaturation

D) IV: hypoplastic-hypomaturation amelogenesis imperfecta

A

C) III: hypomaturation

46
Q

A hereditary abnormality of Teeth with normal crowns and abnormal roots describes;

A. dens in dente

B. Dentionogenesis imperfecta

C. Taurdontic teeth

D. Dentin dysplasia

A

D. Dentin dysplasia

47
Q

‘Keratin pearls” are a characteristic feature of:

A. squamous cell carcimona

B. basal cell carcinoma

C. pleomorphic adenoma

D. monnomorphic adenoma

A

A. squamous cell carcimona

48
Q

Severe epithelial dysplasia involving the full thickness of the epithelium is called:

a. anaplasia.
b. squamous cell carcinoma.
c. carcinoma in situ.
d. metastasis.

A

c. carcinoma in situ.

49
Q

Which of the following characteristics are associated with Warthin tumor;

A. It occurs in a minor salivary gland

B. It occurs in the Parotid gland

C. It occurs in the sublingual gland

D. none of the above

A

B. It occurs in the Parotid gland

50
Q

Which of the following is the most common malignant salivary gland tumor in children?

A) Adenoid cystic carcinoma

B) Mucoepidermoid carcinoma

C) Monomorphic adenoma

D) Pleomorphic adenoma

A

D) mucoepidermoid carcinoma

51
Q

70% of this tumnor occurs under age 20, and occur most frequently in the anterior part of the jaws.

A) Basal Cell Carcinoma

B) Calcifying epithelial odontogenic tumor

C) Adenomatoid odontogenic tumor

D) Odontogenic myxoma

A

C) Adenomatoid odontogenic tumor

52
Q

“A 48 year old black woman has multiple painless radiopaque masses in the mandible and maxilla in the posterior areas. No bony expansion is noted. The most likely diagnosis is”;

a. central cementifying fibroma
b. florid cement osseous dysplasia
c. periapical cemento osseous dysplasia
d. fibrous dysplasia

A

b. florid cement osseous dysplasia

53
Q

The most common radiographic appearance of fibrous dysplasia is;

A. Well circumscribed radiopacity

B. Well circumscribed multilocular radiolucency

C. Cotton-wool

D. Ground glass appearance

A

D. Ground glass appearance

54
Q

Which of the following caries a risk of developing Osteosarcoma

A) Paget disease

B) Periapical cemento-osseous sysplasia

C) Focal cemento-osseous dysplasia

D) Giant cel granuloma

A

A) Paget disease

55
Q

The most common cause of hyperthyroidism is;

A) Hyperplasia

B) Benign and malignant tumors of the gland

C) Pituitary gland disease

D) An autoimmune disorder

A

D) An autoimmune disorder

56
Q

An aneurysmal bone cyst occurs;

A) In men and women over 40

B) Found in the cranium

C) Unilocular in the maxilla and mandible

D) None of the above

A

C) Unilocular in the maxilla and mandible?

57
Q

Oral Manefestations of hyperthyroidism in adults include;

A. enlarged gingiva

B. leukoplakia

C. Candidiasis

D. osteoporosis affecting the alveolar bone and jaw function

A

D. osteoporosis affecting the alveolar bone and jaw function

58
Q

Multiple myeloma is a proliferation of plasma cells which produce large amounts of immunoglobulin. Which of the following are associated with this disease:

A) fibromas and bleeding

B) Bence Jones proteins in the urine and monoclonal spikes of a single type pf immunoglobulin

C) Localized lesions and gradual enlargements

D) B and C only

A

D) B and C only

59
Q

Which of the following oral manefestations are not associated with hyperparathyrodism?

A. Multilocular radiolucency

B. Osteoma

C. Giant Cell Granuloma

D. Ground glass appearance of trabeculae

A

B. Osteoma

60
Q

A compound Odontoma differs from a complex Odontoma in that the compound Odontoma;

A) Presents as a radiographic mass

B) Has unlimited growth potential

C) Is composed of several tooth-like structures

D) Is located on the posterior mandible

A

C) Is composed of several tooth-like structures

61
Q

Pernicious anemia is caused by a deficiency of intrinsic factor. It is secreted by;

A. Suprarenal gland

B. Parietal cells of the stomach

C. The gallbladder

D. Parietal cells of the liver

A

B. Parietal cells of the stomach

62
Q

Radiograph shows multiple radiolucent lesions of the mandible in a patient with ____;

A. Metastatic tumors

B. Multiple myeloma

C. Lymphoma

D. Osteoma

A

B. Multiple myeloma

Oral Pathology (14 decks)

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