Lesions Flashcards
1
Q
A reactive hyperplastic mass that occurs on the gingiva and is believed to be derived from connective tissue of the submucosa or periodontal ligament. a. Giant cell fibroma b. Peripheral fibroma c. Peripheral odontogenic fibroma d. Peripheral ossifying fibroma
A
b. Peripheral fibroma
2
Q
A gingival mass in which islands of woven (immature) bone and osteoid are seen. a. Giant cell fibroma b. Peripheral fibroma c. Peripheral odontogenic fibroma d. Peripheral ossifying fibroma
A
d. Peripheral ossifying fibroma
3
Q
A gingival mass composed of wellvascularized, non-encapsulated fibrous connective tissue. a. Giant cell fibroma b. Peripheral fibroma c. Peripheral odontogenic fibroma d. Peripheral ossifying fibroma
A
c. Peripheral odontogenic fibroma
4
Q
Peripheral odontogenic fibroma is best treated by: a. Local excision which should include the periodontal ligament, if involved. b. Extraction of the adjacent teeth is seldom necessary or justified c. Simple surgical excision with clear margins on histology. d. Reexcision to the periosteum
A
c. Simple surgical excision with clear
margins on histology.
5
Q
A fibrous hyperplasia in which many of the mesenchymal cells are relatively larger than normal fibroblasts (giant cells) and assume a stellate shape. a. Giant cell fibroma b. Peripheral fibroma c. Peripheral odontogenic fibroma d. Peripheral ossifying fibroma
A
a. Giant cell fibroma
6
Q
A connective tissue tumor which is the most common benign soft tissue neoplasm occurring in the oral cavity. It is often considered as reactive hyperplasia to trauma or local sources of irritation. A. Focal fibrous hyperplasia B. Myxoma C. Giant cell angiofibroma D. Peripheral odontogenic fibroma
A
A. Focal fibrous hyperplasia
7
Q
Focal Fibrous Hyperplasia may be ulcerated or demonstrate a thickened white surface. This white thickening of white surface is called as \_\_\_\_\_\_\_\_\_\_. A. Hyperkeratosis B. Leukocytes C. Keratosis D. Leukoplakia
A
A. Hyperkeratosis
8
Q
Treatment for focal fibrous hyperplasia A. Chemoradiation B. Surgical excision C. Surgical incision D. Both A and B
A
B. Surgical excision
9
Q
What is the other name of focal fibrous hyperplasia? A. Odontogenic fibroma B. Peripheral fibroma C. Neurofibroma D. Irritation fibroma
A
D. Irritation fibroma
10
Q
Females are affected twice as frequently as males. a. False b. True c. Both males and females d. None of the above
A
b. True
11
Q
What is the other term for Solitary Fibrous Tumor? A. Hemangiopericytoma B. Pericytoma C. Giant cell Angiofibroma D Myxoma
A
A. Hemangiopericytoma
12
Q
What is the treatment for Solitary Fibrous tumor? A. Incision B. Excision C. Both D. None of the above
A
B. Excision
13
Q
Solitary fibrous tumoris a tumor that is derived from? A. Leukocytes B. Pericytes C. Monocytes D. Erythrocytes
A
B. Pericytes
14
Q
In the histologic feature of Solitary Fibrous Tumor, the branching vascular chanels of varying sizes is often described as \_\_\_\_\_\_\_\_ pattern. A. Staghorn pattern B. Epitheloid pattern C. Spindle cell pattern D. Round cell pattern
A
A. Staghorn pattern
15
Q
All are clinical features of Giant Cell Angiofibroma, EXCEPT; a. Well-circumscribed variably encapsulated lesions b. Well-defined CD34 (-) tumor without atypia c. Fibroblastic spindle cells mingled with collagenous stroma e. None of the above
A
b. Well-defined CD34 (-) tumor
without atypia
16
Q
Cases were reported in extra-orbital sites of GCA, EXCEPT; a. Hip b. Retroauricular c. Mediastinum d. None of the above
A
d. None of the above
17
Q
Histologic features of GCA, except. a. Prominent vascularity b. Solid and pseudovascular spaces c. Absence of Infiltrating growth patterns d. Contain granules of melanin pigment
A
d. Contain granules of melanin pigment
18
Q
Site of predilection of GCA in oral cavity
a. Palate
b. Buccal mucosa
c. Tongue
d. None of the Above
A
b. Buccal mucosa
19
Q
It is a heterogeneous group of soft tissue tumors which have a common histologic appearance of abundant myxoid ground substance. Composed of mucoplysaccharide mainly hyaluronic acid. A. Myxoma B. Keratoacanthosis C. Giant cell fibroma D. Focal fibrous hyperplasia
A
A. Myxoma
20
Q
Myxoma of the oral cavity occurs more in which part? A. Maxilla B. Mandible C. Both D. None of the above
A
B. Mandible
21
Q
The oral counterpart of a dermal lesion known as cutaneous focal mucinosis or cutaneous myxoid cyst and is often misdiagnosed as an intraoral soft tissue myxoma: A. Nerve sheath myxoma B. Giant cell fibroma C. Oral focal Mucinosis D. Neuro fibroma
A
C. Oral focal Mucinosis
22
Q
Lesion in Nasopharyngeal Angiofibroma is generally manifested by the following, EXCEPT: A. nasal obstruction B. epistaxis C. nosebleeding D. none of the above
A
C. nosebleeding
23
Q
It is usually sessile, lobulated, rubbery and redpink to tan-gray in appearance? A. Angiomatous polyp B. Juvenile Nasopharyngeal fibroma C. Nasopharygeal teratoma D. Nasal polyp
A
B. Juvenile Nasopharyngeal fibroma
24
Q
Treatment for Fibroangioma: A. surgical excision B. radiotherapy C. surgical resection with preoperative embolization D. no treatment needed
A
C. surgical resection with preoperative
embolization
25
```
Used to delineate and define the extent
of the tumor especially in case of intra
cranial involvement in juvenile
nasopharyngeal angiofibroma.
a. MRI
b. CT Scan
c. Angiogram
d. Both A &B
```
a. MRI
26
```
. If benign fibrous hystiocytoma is found
at the oral area, where is it usually
located?
A. floor of the mouth & tongue
B. upper and lower lip
C. vestibule & buccal mucosa
D. soft and hard palate
```
C. vestibule & buccal mucosa
27
```
. In BFH, when there are large areas with
tumor cells streaming on interlacing
fascicles from a central nidus, it imparts
a _________ pattern.
A. Rosette
B. Storiform
C. Villous
D. Reticular
```
B. Storiform
28
```
Most common site where BFH is located
when it is not found in the oral area.
a. Legs
b. Arms
c. Ears
d. Sinus
```
a. Legs
29
```
The histologic feature of BFH presents a
lesional stroma that is occasionally very
densely fibrotic or hyalinized that
makes it commonly misdiagnosed as
__________.
A. Sclerosing Hemangioma
B. Myxoma
C. Giant Cell Fibroma
D. Peripheral Fibroma
```
A. Sclerosing Hemangioma
30
```
Treatment for benign fibrous
histiocytoma.
A. Wide incision
B. Chemotherapy
C. Wide excision
D. None due to possible recurrence
```
C. Wide excision
31
```
It is the usual or most commonly seen
radiographic appearance of synovial sarcoma.
A. Soap-bubble
B. Snow storm
C. Honey comb
D. Bubble storm
```
B. Snow storm
32
A rarely described tumor of unknown etiology and
pathogenesis. It appears to be a benign process
mimicking malignant processes.
A. Myofibroblastic Tumors
B. Myxoma
C. Synovial Sarcoma
D. Giant Cell Angiofibroma
A. Myofibroblastic Tumors
33
```
Where do synovial sarcoma originate or arises?
A. Synovial Tissues
B. Synovial Cells
C. Epitheloid Cells
D. Pluripotential Mesenchymal Cells
```
D. Pluripotential Mesenchymal Cells
34
Tumor of mesenchymal cell origin composed of
malignant fibroblasts in a collagenous background
A. Fibromatosis
B. Gingival hyperplasia
C. Fibrosarcoma
D. Nodular fascitis
C. Fibrosarcoma
35
```
Treatment recommended dor fibrosarcoma
A. Attentive oral hygiene
B. Wide surgical excision
C. Gingivoplasty/gingivectomy
D. Conservative excision
```
B. Wide surgical excision
36
```
Differential diagnosis of Myofibroblastic Tumors
except.
A. Benign and malignant neoplasms of the
minor salivary glands
B. Leiomyoma
C. Irritation fibroma
D. Fibrosarcoma
```
D. Fibrosarcoma
37
```
Nodular growth contains plump spindle cells with
vesicular nuclei.
A. Fibrosarcoma
B. Fibromatosis
C. Nodular fasciitis
D. Solitary Fibrous Tumor
```
C. Nodular fasciitis
38
```
Locally aggresive lesion which is also called
pseudosarcomatos fibromatosis.
A. Fibrosarcoma
B. Nodular fasciitis
C. Fibromatosis
D. Myxoma
```
B. Nodular fasciitis
39
```
Treatment for myofibroblstic tumor:
A. conservative excision
B. Excision
C. incision
D. no treatment
```
A. conservative excision
40
Myofibroblastic tumors are ____ and similar to
fibromatosis but less aggressive.
A. benign
B. malignant
A. benign
41
```
What is the well-known etiologic factor of
generalized gingival hyperplasia?
A. Hormonal imbalance
B. Phenytoin
C. Plaque
D. Bacteria
```
B. Phenytoin
42
Increase in bulk of the free and attached gingiva
especially the interdental papilla is the common
clinical feature of this type of reactive hyperplasia.
A. Denture-Induced Fibrous Hyperplasia
B. Peripheral Fibroma
C. Generalized Gingival Hyperplasia
D. Focal Fibrous Hyperplasia
C. Generalized Gingival Hyperplasia
43
Nodular fascitiis is:
a. Benign
b. Malignant
c. Benign but aggresive
c. Benign but aggresive
44
Nodular fasciitis is commonly located at:
a. labial vestibule
b. buccal frenum
c. buccal mucosa
c. buccal mucosa
45
A condition where fibrous overgrowths of dermal
and subcutaneous connective tissue develop
tumours
A. Nodular Facitis
B. Generalized gingival hyperplasia
C. Fibromatosis
D.Synovial Sarcoma
C. Fibromatosis
46
```
Slow growing tumor
A. Superficial fibrosmtosis
B. Deep fibromatosis
C. Benign fibrous histiocytoma
D.Myofibrobalstic tumor
```
A. Superficial fibrosmtosis
47
```
What is the prognosis for patient with denture
induced hyperplasia?
A. Good
B. Bad
C. Fair
D. None of the above
```
A. Good
48
```
It has a mucopolysaccharide keratin dystrophy,
also reffered to as "plasma pooling"
A. Synovial Sarcoma
B. Fibromatosis
C. Denture-Induced Hyperplasia
D. Nodular Fascitis
```
C. Denture-Induced Hyperplasia
49
A rare type of cancer that affects the soft tissues
which surrounds bones and organs seen in the
radiograph as spotty calcification
A. Fibromatosis
B.Nodular fascitis
C. Synovial sarcoma
D. Solitary Fibrous tumor
C. Synovial sarcoma
50
```
This is true about synovial sarcoma except:
A. Mostly found 5cm of a joint
B. slow enlarging deep seated mass
C. Has a snowstorm appearance
D. It arises from synovial cells
```
D. It arises from synovial cells
51
Palatal Condyloma may appear similar to papillary
hyperplasia. The only difference is that the palatal
condyloma is limited only to the denture boarder.
A. ALL STATEMENTS ARE TRUE
B. ALL STATEMENTS ARE FALSE
C. FIRST STATEMENT IS TRUE WHILE
SECOND STATEMENT IS FALSE
D. FIRST STATEMENT IS FALSE WHILE
SECOND STATEMENT IS TRUE
E. NONE OF THE ABOVE
C. FIRST STATEMENT IS TRUE WHILE
| SECOND STATEMENT IS FALSE
52
As seen on the picture, some cases of redundant
tissue exhibit extremely large rolls of what tissue
around the denture?
A.Loose connective tissue
B. Fibrous tissue
C. Dense connective tissue
D. Muscle Tissue
B. Fibrous tissue
53
Which of the following is not a classic
histopathologic features of malignant fibrous
histiocytoma?
A. Atleast mild cellular and nuclear
pleomorphism
B. The overlying epithelium usually
exhibits some hyperplasia
C. An admixture of fibroblastic and histiocytic
elements
D. Focal areas with a storifom or cartwheel
pattern of streaming spindle cells
B. The overlying epithelium usually
| exhibits some hyperplasia
54
```
A variant of malignant fibrous histiocytoma which
often has a soft consistency.
A. Prototypical pleomorphic-storiform
B. Myxoid
C. Giant cell
D. Angiomatoid
```
B. Myxoid
55
```
Where do usually malignant fibrous histiocytoma
occur?
A. Maxilla
B. Mandibular
C. Head and Neck areas
D. Neck area only
```
C. Head and Neck areas
56
Treatment for nodular fasciitis
A. surgical incision
B. surgical excision
C. conservative excision
B. surgical excision
57
```
Abundance of ___ is noted in Generalized Gingival
Hyperplasia.
A. Keratin
B. Collagen
C. Fibroblasts
D. All of the above
```
B. Collagen
58
```
What is the most common variant of malignant
fibrous histiocytoma?
A. Prototypical pleomorphic-storiform
B. Myxoid
C. Angiomatoid
D. Gian Cell
```
A. Prototypical pleomorphic-storiform
59
```
Differential diagnosis of Fibrosarcoma, except:
A. Synovial sarcomas
B. Sclerosing epithelioid fibrosarcomas
C. Fibrosarcomatous protuberans
D. Neurofibrosarcoma
```
D. Neurofibrosarcoma
60
Oral lesions appear as firm submucosal nodules or
exophytic masses with a diameter of ______.
A. 0.5-3.0 mm
B. 0.3-0.5 cm
C. 0.3-5.0 mm
D. 0.3-5.0 cm
D. 0.3-5.0 cm
61
```
Often demonstrates an alarmingly rapid rate of enlargement after birth and most commonly located
in the oral/pharyngeal mucosa
a. Vascular leiomyoma
b. Myxoid liposarcoma
c. Infantile hemangiopericytoma
d. Angiosarcoma
```
c. Infantile hemangiopericytoma
62
```
Histologically this type of vascular lesion branching vascular channels of varying sizes is often
described as, "staghorn pattern".
a. Hemangiopericytoma
b. Angiosarcoma
c. Lymphangioma
d. Benign lymphangioendothelioma
```
a. Hemangiopericytoma
63
. It is a relatively rare intraoral tumor made of fat, a round or oval-shaped lump of tissue that grows
just beneath the skin. is a relatively rare intraoral tumor made of fat, a round or oval-shaped lump of
tissue that grows just beneath the skin.
A. RHABDOMYOMA
B. LEIOMYOMA
C. HEMANGIOPERICYTOMA
D. LIPOMA
D. LIPOMA
64
They can feel a soft, mobile mass of tissue beneath the skin. Unless they encroach on joints, nerves,
or blood arteries, they are usually painless. These are frequently seen in the upper torso by patients.
These can arise in muscles or organs on a rare occasion.
A. LEIOMYOSARCOMA
B. LIPOMA
C. LYMPHANGIOMA
D. HEMANGIOPERICYTOMA
B. LIPOMA
65
SKELETAL MUSCLE CELLS with variable degrees of development and maturity in a benign tumor.
Currently characterized as a benign striated muscle tissue tumor.
A. LEIOMYOSARCOMA
B. RHABDOMYOMA
C. RHABDOMYOSARCOMA
D. LEIOMYOMA
B. RHABDOMYOMA
66
4 classifications of Lymphangioma
1. Lymphangioma simplex
2. cavernous lymphangioma
3. cystic lymphangioma
4. benign lymphangioendothelioma
67
Give at least 2 clinical features of HEMANGIOPERICYTOMA
1. Rapidly enlarging red or bluish mass
| 2. sessile or pedunculated lesion
68
Treatment/s for ANGIOSARCOMA
Surgical resection
69
2 types of myossitis ossificans
1. Traumatic myositis
| 2. Myositis ossificans progressive
70
Rhabdomyoma is a malignant tumor showing skeletal muscle cell with varying degree of
differentiation and maturity.
a. true
b. false
b. false
71
The most common subtype of rhabdomyosarcoma observed in children, accounting for 60–70% of
all rhabdomyosarcoma cases in this age group.
a. pleomorphic rhabdomyosarcoma
b. alveolar rhabdomyosarcoma
c. Embryonal rhabdomyosarcoma
d. botryoid rhabdomyosarcoma
c. Embryonal rhabdomyosarcoma
72
Rhabdomyosarcoma is the malignant tumor of striated muscle which is derived from primitive
mesenchyme that retained capacity for skeletal muscle differentiation.
a. True
b. False
a. True
73
It is a Subclassification of lymphangioma that comprises a dilated lymphatic vessels with adventitia.
a. Lymphangioma simplex
b. Cavernous lymphangioma
c. Cystic lymphangioma
d. Benign lymphaendothelioma
b. Cavernous lymphangioma
74
Recommended treatment for Lymphangioma since it is more radioresistant
SURGICAL EXCISION
75
```
It is a benign hamartomatous hyperplasia of lymphatic vessels three fourths of all cases usually
occurs in the head and neck region.
a. Hemangiopericytoma
b. Lymphangioma
c. Angiosarcoma
d. Leiomyoma
```
b. Lymphangioma
76
```
The 2 inherited conditions can cause Lipoma:
o Madelung’s disease
o Gardner’s syndrome
o Cowden syndrome
o Adiposis Dolorosa
```
o Gardner’s syndrome
| o Cowden syndrome
77
Lipoma are freely movable beneath the mucosa, have a thin epithelium, superficial blood vessels
that are readily visible over the surface. Relatively soft to palpation and usually what color of surface
discoloration?
a. yellow
b. blue
c. brown
d. red
a. yellow
78
Stage of intraosseous lipoma lesions with partial necrosis based on the degree of involution.
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
b. Stage 2
79
Average diameter of a well-circumscribed palpable mass of Liposarcoma
a. 11cm
b. 9cm
c. 10cm
d. 8cm
c. 10cm
80
A rare type of cancer that begins in the fat cells and considered a type of soft tissue sarcoma. It can
occur in fat cells in any part of the body, but most cases occur in the muscles of the limbs or in the
abdomen.
a. Leiomyosarcoma
b. Rhabdomyosarcoma
c. Angiosarcoma
d. Liposarcoma
d. Liposarcoma
81
Extremely rare malignant mesenchymal tumor with a differentiation into vascular endothelium. It
can occur in any location, the most common sites are soft tissue and skin. May appear macular, nodular
or plaque-like.
a. Hemongiopericytoma
b. Angiosarcoma
c. Leiomyoma
d. Rhabdomyosarcoma
b. Angiosarcoma
82
The muscle in this disease is gradually replaced by connective tissue which undergoes osteoid
formation and subsequently ossification. In some cases cartilage formation may also be evident.
Characteristically, intact muscle fibers may be found within the bony tissue.
a. Myositis Ossificans Progressiva
b. Traumatic Myositis Ossificans
c. Leiomyoma
d. Rhabdomyoma
a. Myositis Ossificans Progressiva
83
Locally aggressive tumor with a high rate of lymph node infiltration and metastases.
a. Angiosarcoma
b. Lipoma
c. Hemangiopericytoma
d. Lymphangioma
a. Angiosarcoma
84
Muscle lesions, except.
a. Rhabdomyoma
b. Rhabdomyosarcoma
c. Leiomyoma
d. Hemangiopericytoma
d. Hemangiopericytoma
85
Most common sites of angiosarcoma are soft tissues and skin. Angiosarcoma of oral cavity is
extremely rare.
a. Both statements are correct.
b. First statement is correct, second statement is incorrect
c. First statement is incorrect, second statement is correct
d. Both statements are incorrect
a. Both statements are correct.
86
. Least common of all rhabdomyosarcoma
a. Botryoid rhabdomyosarcoma
b. Alveolar rhabdomyosarcoma
c. Pleomorphic rhabdomyosarcoma
d. Embryonal rhabdomyosarcoma
c. Pleomorphic rhabdomyosarcoma
87
Myositis ossificans progressiva treatment
a. Surgical excision
b. No treatment
b. No treatment
88
. The radiographic pattern may appear either as a feathery type of calcification in muscle, following ossification of a hematoma which dissected along muscle bundles, or as a solitary irregular calci- fied mass occurring in a simple hematoma.
Traumatic Myositis Ossificans
89
Clinical features of angiosarcoma is a rapidly enlarging red or bluish mass.
a. True
b. False
b. False
90
Occurs more frequently in the extremities than in other sites and is generally seen in older
individuals. It is occasionally ulcerated and may invade underlying bone and develop distant metastases.
The most common site of presentation is head and neck region
a. pleomorphic rhabdomyosarcoma
b. alveolar rhabdomyosarcoma
c. Embryonal rhabdomyosarcoma
d. botryoid rhabdomyosarcoma
a. pleomorphic rhabdomyosarcoma
91
. It is a rare malignant vascular neoplasm of endothelial-type cells that line vessel walls.
a. Lipoma
b. Lymphangioma
c. Hemangiopericytoma
d. Angiosarcoma
d. Angiosarcoma
92
The most common site of radiation-induced angiosarcoma development.
a. Head & neck
b. Breast
c. Liver
d. Kidney
b. Breast
93
Lymphangiomas are benign, hamartomatous malformations originate from lymph vessels.
Which of the following is the most frequent location of lymphagiomas that oftenresulted to
macroglossia?
a. Dorsum of the tongue
b. Palate and buccal mucosa
c. Gingiva
d. Anterior two-thirds of the tongue
d. Anterior two-thirds of the tongue
94
. Lymphangiomas exhibit these clinical features except;
a. Red or purple nodules
b. pebbly surface resembling cluster of translucent vesicles
c. frog eggs or tapioca pudding
d. All of the above
a. Red or purple nodules
95
What type of lesion is the Lipoma?
a. fat lesion
b. Muscle lesion
c. Vascular lesion
a. fat lesion
96
Rarest site of lipoma?
a. Buccal mucosa
b. Lips
c. tongue
d. palate
d. palate
97
Often misdiagnosed as a non-malignant lesion because of its asymptomatic condition of slow -
growing painless and circumscribed submucosal mass which maybe present for several months or years
before the diagnose.
A. Hemangiopericytoma
B. Liposarcoma
C. Lipoma
D. Lymphangioma
B. Liposarcoma
98
Which statement is correct about Liposarcoma:
A. Most frequently arise from the deep-seated stroma rather than the submucosal or the
subcutaneous fat.
B. Dermal lesions are rare and may resemble as phleomorphic fibroma
C. Both A and B
C. Both A and B
99
What is the treatment for rhabdomyosarcoma?
a. Supportive care
b. Complete resection
c. Combination of surgery, radiation and chemotherapy
d. Surgical excision
c. Combination of surgery, radiation and chemotherapy
100
Presents as a rapidly growing mass that may cause pain or paresthesia if jaw involvement occurs
a. Rhabdomyoma
b. Lipoma
c. Rhabdomyosarcoma
d. Myositis ossificans
c. Rhabdomyosarcoma
101
Histologically it appears as an area with osteoid material surrounded by osteoblasts and a central
zone made of a cellular proliferation, well delimited and with peripheral mature laminar bone that
formed trabeculae.
A. Sterner's Tumor
B. Rhabdomyosarcoma
C. Angiosarcoma
D. Lymphangioma
A. Sterner's Tumor
102
.Best treatment/management for Myositis Ossificans ...
A. Surgical Incision
B. Use of radiation in combination with drug administration
C. Wide Surgical Excision with free margins
D. Chemotherapy
C. Wide Surgical Excision with free margins
103
```
What is the best way to treat leiomyosarcoma
A. Radiation therapy
B. Complete resection
C. Surgical incision
D. Chemotherapy
```
B. Complete resection
104
There is no definite identifiable factor as a causative factor for leiomyosarcoma.
A. True
B. False
A. True
105
```
Present as slow growing, asymptomatic sub mucosal masses, usually in the tongue, hard palate or
buccal mucosa
a. Lipoma
b. Leiomyoma
c. Leiomyosarcoma
d. Liposarcoma
```
b. Leiomyoma
106
What is the best treatment for Leiomyoma?
a. Surgical incision
b. Surgical excision
c. Complete resection
d. Radiation therapy
b. Surgical excision
107
. It is a genetic disorder that causes tumors to form in many different organs, has been reported in up
to 60-80% of patients diagnosed with rhabdomyomas.
a. Tuberous sclerosis
b. Cystic fibrosis
c. Cardiomyopathy
d. Marfan syndrome
a. Tuberous sclerosis
108
. What is the imaging modality of choice for rhabdomyoma?
a. CT scan
b. MRI
c. Xray
b. MRI
109
```
Treatment for hemangiopericytoma
A. surgical resection
B. Wide local excision
C. conservative excision
D. surgical incision
```
B. Wide local excision
110
```
Is a soft tissue tumor arising from the pericytes of Zimmermann
A. Angiosarcoma
B. Leiomyosarcoma
C. Rhabdomyosarcoma
D. hemangiopericytoma
```
D. hemangiopericytoma
111
It is a locally aggressive tumor with a high rate of lymph node infiltration and metastases.
a. Angiosarcoma
b. Lymphangioma
c. Hemangiopericytoma
d. Lipoma
a.Angiosarcoma
112
Myositis ossificans developing after a single acute traumatic injury usually manifests as a firm and
painful mass in the injured muscle. Mild discomfort without progressive limitation of motion.
A. ALL STATEMENTS ARE TRUE
B. ALL STATEMENTS ARE FALSE
C. FIRST STATEMENT IS TRUE WHILE SECOND STATEMENT IS FALSE
D. FIRST STATEMENT IS FALSE WHILE SECOND STATEMENT IS TRUE
E. NONE OF THE ABOVE
C. FIRST STATEMENT IS TRUE WHILE SECOND STATEMENT IS FALSE
113
The palate, mandible and lower lip are the most common site of hemangiopericytoma. No etiological
factors identified.
A. ALL STATEMENTS ARE TRUE
B. ALL STATEMENTS ARE FALSE
C. FIRST STATEMENT IS TRUE WHILE SECOND STATEMENT IS FALSE
D. FIRST STATEMENT IS FALSE WHILE SECOND STATEMENT IS TRUE
E. NONE OF THE ABOVE
A. ALL STATEMENTS ARE TRUE
114
```
Univaculated and multivaculated nucleated lipoblasts.
A. Lymphangioma
B. Hemangiopericytoma
C. Lipoma
D. Liposarcoma
```
D. Liposarcoma
115
Lipomas are benign, slow growing, soft tissue mesenchymal tumors. Lipomas of oral cavity is
common.
A. 1st statement is correct, 2nd statement is wrong.
B. 1st statement is wrong, 2nd is correct
C. Both statements are wrong
D. Both statements are correct
A. 1st statement is correct, 2nd statement is wrong.
116
what are the 3 principal microscopic forms of rhabdomyosarcoma?
a. spindle, botryoid, strap
b. alveolar,pleomorphic, embryonic
c. spindle, alveolar, botryoid
b. alveolar,pleomorphic, embryonic
117
Leiomyoma usually arises from
a. Oral cavity
b. muscle tissue
c. blood vessel
d. buccal mucosa
a. Oral cavity
118
```
Histopathology of Lymphangioma shows lymphatic spaces that contain:
A. RBC
B. PROTEINACEOUS FLUID
C. BOTH A AND B
D. NONE OF THE ABOVE
```
C. BOTH A AND B
119
Which is true about leiomyosarcoma?
A. A very rare tumor that is associated with aggressive clinical behavior and low survival
B. Presenting signs and symptoms are generally non-specific, usually painless
C. Higher incidence is supposed to occur among children
D. A and B are both correct
D. A and B are both correct
120
Patients with rhabdomyoma should be monitored with
a. Echocardiography
b. Electrocardiography
c. Both a and b
c. Both a and b
121
```
Granular cell tumor is a rare softtissue neoplasm that occur anywhere
in the body especially in
a. mouth
b. tongue
c. neck
d. all of the above
```
d. all of the above
122
```
Prominent feature of Granular Cell
Tumors
a. presence of microfilaments
b. pseudoepitheliomatous
hyperplasia
c. autophagic vacuoles
d. unencapsulated sheets of large
polygonal cells
```
b. pseudoepitheliomatous
| hyperplasia
123
```
Congenital Granular Cell tumor occurs
in any site. It only occurs on infants.
a. Statement 1 is false.
Statement 2 is true.
b. Statement 1 is true. Statement
2 is false.
c. All statements are true.
d. All statements are false.
```
a. Statement 1 is false.
| Statement 2 is true.
124
```
Treatment and Prognosis of GCTs.
a. conservative surgical incision
with poor prognosis.
b. conservative surgical incision
with excellent prognosis.
c. conservative surgical excision
with excellent prognosis.
d. conservative surgical excision
with poor prognosis
```
c. conservative surgical excision
| with excellent prognosis.
125
```
Granular cell tumors usually begins in
___ cells
a. Schwann Cells
b. Fibroblasts
c. Satellite Cells
d. Loose connective tissue
```
a. Schwann Cells
126
```
Neural sheath in origin and has intact
epithelium
a. Traumatic Neuroma
b. Oral Granular Cell Tumor
c. Olfactory neuroblastoma
d. Schwannoma
```
b. Oral Granular Cell Tumor
127
```
Has large uniform cells with granular
cytoplasms
a. Oral GCT
b. Congenital GCT
c. Both A & B
d. None of the above
```
c. Both A & B
128
Treatment for Traumatic Neuroma
a. Surgical excision
b. Incision
c. Conservative excision
d. No treatment
a. Surgical excision
129
```
Differential diagnosis of Traumatic
Neuroma
a. Traumatic Fibroma
b. Lymphagioma
c. C.lipoma
d. Neurofibroma
```
d. Neurofibroma
130
Caused by injury to peripheral nerve
a. Granular cell tumor
b. Schwannoma
c. Traumatic neuroma
d. Olfactory neuroblastoma
c. Traumatic neuroma
131
```
All are true about Traumatic neuroma
except
a. It is small, firm, slow glowing
often painful nodules
b. Usually arise from the side of a
nerve
c. Originate from schwann cells
d. D It is yellowish surface
```
a. It is small, firm, slow glowing
| often painful nodules
132
```
It may occur centrally in association
with nerve trunk
a. Olfactory Neuroblastoma
b. Traumatic neuroma
c. Neurofibroma
d. Schwannoma
```
b. Traumatic neuroma
133
```
Histopathologic features of Traumatic
neuroma
a. Vessels are prominent and
often surrounded by a dense
sclerosis
b. No distinct myelin sheath
c. A histologic subtype is
plexiform neurofibroma
d. Fungating, plexiform and
multilobular variants may occur
```
b. No distinct myelin sheath
134
```
Microscopically, bundles of nerves in a
haphazard or tortuous arrangement
are found admixed with dense
collagenous fibrous tissue.
a. Traumatic neuroma
b. Neurofibroma
c. Mucosal neuroma
d. Granular Cell Tumor
```
a. Traumatic neuroma
135
```
Schwannomas originate from what
cell?
a. White Blood Cells
b. Spindle Cells
c. Brain Cells
d. Schwann Cells
```
d. Schwann Cells
136
```
What best describes a Schwannoma’s
malignancy?
a. Always malignant
b. Rarely malignant
c. Never malignant
d. Situationally malignant
```
b. Rarely malignant
137
```
Which is true for Schwannomas?
a. They are triangular lesions
b. Nerves are pushed out of the
tumor
c. Commonly cancerous
d. Nerves inflate into tumors
```
b. Nerves are pushed out of the
| tumor
138
How are Schwannomas treated?
a. Excision
b. Incision
c. Revision
d. Derision
a. Excision
139
```
What neoplasm is said to originate
from Schwann cells that is described to
be well circumscribed, minimally
invasive, and is classified as idiopathic
a. Shawarma
b. Olfactory Neuroma
c. Schwannoma
d. Neurofibroma
```
c. Schwannoma
140
```
What radiographic analysis can be
observed in Schwannoma?
a. Cystic and fatty degeneration
b. Multiple Endocrine Neoplasia
Type 2B Presents Early in
Childhood
c. dumbbell shaped mass
centered at cribriform
d. Beef fatty sauce with welldefined borders
```
a. Cystic and fatty degeneration
141
```
Schwannoma’s cellular are composed
of?
a. Lobular growth pattern, with
asymmetrical contours and
sharply delineated borders.
b. haphazard arrangement of
bland cells with spindled and
oval nuclei
c. A round cell tumor
d. Haphazard arrangement of
small nerve fascicles
```
b. haphazard arrangement of
bland cells with spindled and
oval nuclei
142
```
Schwannomas are malignant
encapsulated tumors found on the
nerve sheath.
a. False
b. True
```
a. False
143
```
It is broadly classified as dermal
(myxoid) and plexiform neurofibromas.
a. Palisaded Encapsulated
Neuroma
b. Schwannoma
c. Neurofibroma
d. Traumatic Neuroma
```
c. Neurofibroma
144
Solitary nodular neurofibroma, except:
a) lipoma
b) amyloidosis
c) traumatic fibroma
d) granular cell tumor
b) amyloidosis
145
```
It is the histologic subtype of
neurofibroma
a) fusiform or wavy nuclei
b) spindle-shaped cells
c) plexiform neurofibroma
d) mast cell
```
c) plexiform neurofibroma
146
Diffuse neurofibroma, except:
a. granular cell tumor
b. lymphangioma
c. amyloidosis
d. all of the above
a. granular cell tumor
147
```
A benign tumors of nerve sheath origin
involving multiple nerve fascicles of the
smaller branches of peripheral nerves.
a) Palisaded Encapsulated
Neuroma
b) Granular Cell Tumor
c) Neurofibroma
d) Schwannoma
```
c) Neurofibroma
148
```
Differential Diagnosis Solitary nodular
neurofibroma.
a) Granular cell tumor
b) Schwannoma
c) Salivary gland tumors
d) Palisaded encapsulated
neuroma
```
a) Granular cell tumor
149
```
. Clinical Features of neurofibroma,
except.
a) Nonulcerated nodules
b) Crowe’s sign
c) Lisch spots
d) Encapsulated submucosal mass
```
d) Encapsulated submucosal mass
150
```
Treatment for neurifibroma.
a) Surgical excision
b) Prophylactic thyroidectomy
c) Radiation
d) Combination of surgery,
radiation, and chemotherapy
```
a) Surgical excision
151
```
It comprises a group of conditions characterized
by neoplasms arising in several endocrine
organs.
a. Palisaded Encapsulated Neuroma
b. Schwannoma
c. Neurofibroma
d. Multiple endocrine neoplasia or MEN
syndromes
```
d. Multiple endocrine neoplasia or MEN
| syndromes
152
Is caused by a mutation in the RET oncogene
resulting in a single amino acid substitution of a
single methionine to threonine that affects a
critical region of the tyrosine kinase catalytic
core.
a. Solitary neurofibroma
b. MEN III
c. MEN I
d. Medullary thyroid carcinoma (MTC)
b. MEN III
153
It usually appears early in life as small, discrete
nodules on the conjunctiva, labia, or larynx, or
in the oral cavity.
a. Mucosal neuromas of MEN III
b. Palisaded encapsulated neuroma
c. Esthesioneuroblastoma
d. Granular Cell Tumors
a. Mucosal neuromas of MEN III
154
```
_______ is where the Multiple endocrine
neoplasia oral lesions are seen.
a. Gingiva, buccal mucosa, tongue
b. Hard palate and lips
c. Tongue, lips, and buccal mucosa
d. Soft palate and tongue
```
c. Tongue, lips, and buccal mucosa
155
```
Mucosal neuromas are composed of
___________ of nerve tissue surrounded by
normal connective tissue.
a. serpiginous bands
b. prominent lymphatic vessels
c. pseudoepitheliomatous hyperplasia
d. palisaded schwannoma cells
```
a. serpiginous bands
156
A progressive malignancy that invades locally
and has the ability to metastasize to local lymph
nodes and distant organs.
a. neurilemmoma
b. Pheochromocytoma
c. Medullary thyroid carcinoma (MTC)
d. Olfactory neuroblastoma
c. Medullary thyroid carcinoma (MTC)
157
```
A benign neoplasm that produces
catecholamines that may cause significant
hypertension and other cardiovascular
abnormalities.
a. esthesioneuroblastoma
b. pheochromocytoma
c. Medullary thyroid carcinoma (MTC)
d. Schwannoma
```
b. pheochromocytoma
158
Malignant peripheral nerve sheath tumor is
commonly found in people with this genetic
condition.
a. Neurofibromatosis type 1
b. Neurofibromatosis type 2
c. Neurofibroma
d. None of the above
a. Neurofibromatosis type 1
159
```
When Malignant peripheral nerve sheath tumor
gets larger, what does it manifests?
a. Symptoms includes lump under the
skin, weakness and pain.
b. Could result in anasopharyngeal mass
or an invasive maxillary sinus lesion
c. No symptoms at all
d. Café-au-lait macules are seen
```
a. Symptoms includes lump under the
| skin, weakness and pain.
160
Where does Malignant peripheral nerve sheath
tumor arise more often when it is seen on the
bone?
a. Buccal Nerve
b. Posterior Superior Alveolar Nerve
c. Inferior Alveolar Nerve
d. Middle Superior Alveolar Nerve
c. Inferior Alveolar Nerve
161
```
Malignant peripheral nerve sheath tumor
believed to be from which cell origin?
a. Microglial cell
b. Ependymal cell
c. Oligodendrocyte
d. Schwann cell
```
d. Schwann cell
162
```
Histopathologic activity of Malignant peripheral
nerve sheath tumor, except…
a. Resembles neurofibroma
b. Indistinct cytoplasm
c. Abundance of spindle cells
d. Areas of apoptosis
```
d. Areas of apoptosis
163
```
Differential diagnosis of Malignant peripheral
nerve sheath tumor.
a. Ewing’s sarcoma
b. Epithelioid sarcoma
c. Rhabdomyosarcoma
d. Uterine sarcoma
```
c. Rhabdomyosarcoma
164
```
What is the best treatment for Malignant
peripheral nerve sheath tumor?
a. Radiation therapy
b. Excision with wide free margins
c. Chemotherapy
d. All of the above
```
d. All of the above
165
Patients with neurofibromatosis 2 are at high
risk of developing benign and malignant nerve
sheath tumor. Treatment of Malignant
peripheral nerve sheath tumor could cause
metastasis.
a. All statements are true
b. All statements are false
c. 1
st statement is true, 2nd statement is false
d. 1
st statement is false, 2nd statement is true
d. 1
| st statement is false, 2nd statement is true
166
```
What are the symptoms of Olfactory
Neuroblastoma?
a. Losing the sense of smell
b. Frequent nosebleeds
c. Difficulty breathing through the nose
d. All of the above
```
d. All of the above
167
High-risk patients with neuroblastoma can be
maintained in continual remission with antiGD2-specific monoclonal antibody therapy
combined with GM-CSF with / without IL-2
a. True
b. False
a. True
168
```
A thorough history and a comprehensive head
and neck examination are not performed
initially.
c. True
d. False
```
d. False
169
Olfactory Neuroblastoma is a round cell tumor
e. True
f. False
e. True
170
```
What color does Olfactory Neuroblastoma
appear to be on t1 weight images?
a. Black
b. White
c. Hypointense to gray
d. Yellow
```
c. Hypointense to gray
171
```
What does T3 mean in TNM Classification?
g. into the orbit/protruding into the anterior
cranial fossa, without dural invasion
h. involving the nasal cavity and/or pns
(excluding sphenoid)
i. including sphenoid with extension to or
erosion of the cribriform plate
j. involving the brain
```
g. into the orbit/protruding into the anterior
| cranial fossa, without dural invasion
172
Another term for Olfactory Neuroblastoma
k. Sarcoma
l. Carcinoma
m. Lymphoma
n. Esthesioneuroblastoma
n. Esthesioneuroblastoma
173
. _________ is a rare form of cancer involving
nasal cavity and believed to arise from the
olfactory epithelium.
o. Lymphoma
p. Olfactory Neuroblastoma
q. Sarcoma
r. Carcinoma
p. Olfactory Neuroblastoma
174
It is a distinctive benign neural tumor, which
usually presents as a solitary skin-colored
papule or a nodule.
a. Neural Lesions
b. Palisaded Encapsulated Neuroma
c. Multiple Endocrine Neoplasia Syndromes
d. Olfactory Neuroblastoma
b. Palisaded Encapsulated Neuroma
175
Palisaded Encapsulated Neuroma (PEN) is also
called as?
a. Neural Lesions
b. Palisaded Encapsulated Neuroma
c. Multiple Endocrine Neoplasia Syndromes
d. Solitary Circumscribed Neuroma
d. Solitary Circumscribed Neuroma
176
```
What is the only definitive way to treat
Palisaded Encapsulated Neuroma?
a. Immunotherapy
b. Surgical excision
c. Chemotherapy
d. Surgery: Wide Excision
```
b. Surgical excision
177
```
Where does the Palisaded Encapsulated
Neuroma occur?
a. Palate
b. Nose
c. Lips
d. Head
```
a. Palate
178
```
What is the shaped of the Palisaded
Encapsulated Neuroma?
a. Dome- shaped
b. Spherical shaped
c. Shoe shaped
d. Curved shape
```
a. Dome- shaped
179
What does this dome-shaped nodule exhibits?
a. infiltrative growth pattern
b. Solid microscopic pattern
c. Myoepithelial Cells
d. Fascicular microscopic pattern
d. Fascicular microscopic pattern
180
What does Palisaded Encapsulated Neuroma is
associated with?
a. Neurofibromatosis
b. MEN III
c. Both Neurofibromatosis and MEN III
d. It is not associated with Neurofibromatosis
or MEN III
d. It is not associated with Neurofibromatosis
| or MEN III
