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INBDE > Oral Pathology (MENTAL DENTAL) > Flashcards

Oral Pathology (MENTAL DENTAL) Flashcards

1
Q

All of the following are true regarding Cleft Lip EXCEPT:

A. occurs in approximately 1 and 1000 births

B. can present as unilateral and bilateral

C. lack of fusion between palatal shelves

D. all of the above are true

A

C. lack of fusion between palatal shelves

Cleft Lip = lack of fusion between medial nasal process and maxillary process

Cleft Palate = lack of fusion between palatal shelves

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2
Q

Cleft palate is associated w/ lack of fusion between _____.

A

palatal shelves

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3
Q

________ are invaginations at commissures or near midling.

A. Fordyce granules

B. Lip pits

C. Fissured tongue

D. Geographic tongue

A

B. Lip pits

Van der Woude Syndrome = clefts + pits

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4
Q

Which of the following is comprised of clefts + pits?

A. Van der Woude Syndrome

B. Melkersson-Rosenthal Syndrome

C. Peutz-Jeghers Syndrome

D. Ramsay Hunt Syndrome

E. Stevens-Johnson Syndrome

A

A. Van der Woude Syndrome

Van der Woude Syndrome = clefts + pits

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

Peutz-Jeghers Syndrome = freckles + intestinal polyps

Ramsay Hunt Syndrome = herpes zoster reactvation in geniculate ganglion affecting CN VII and VIII resulting in facial paralysis, vertigo and deafness

Stevens-Johnson Syndrome = the major form of erythema multiforme

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5
Q

Which of the following is just another name for the major form of Erythema Multiforme?

A. Van der Woude Syndrome

B. Melkersson-Rosenthal Syndrome

C. Peutz-Jeghers Syndrome

D. Ramsay Hunt Syndrome

E. Stevens-Johnson Syndrome

A

E. Stevens-Johnson Syndrome

Van der Woude Syndrome = clefts + pits

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

Peutz-Jeghers Syndrome = freckles + intestinal polyps

Ramsay Hunt Syndrome = herpes zoster reactvation in geniculate ganglion affecting CN VII and VIII resulting in facial paralysis, vertigo and deafness

Stevens-Johnson Syndrome = the major form of erythema multiforme

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6
Q

Which of the following is associated with freckles + intestinal polyps?

A. Van der Woude Syndrome

B. Melkersson-Rosenthal Syndrome

C. Peutz-Jeghers Syndrome

D. Ramsay Hunt Syndrome

E. Stevens-Johnson Syndrome

A

C. Peutz-Jeghers Syndrome

Van der Woude Syndrome = clefts + pits

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

Peutz-Jeghers Syndrome = freckles + intestinal polyps

Ramsay Hunt Syndrome = herpes zoster reactvation in geniculate ganglion affecting CN VII and VIII resulting in facial paralysis, vertigo and deafness

Stevens-Johnson Syndrome = the major form of erythema multiforme

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7
Q

Which of the following is associated w/ reactivation of herpes zoster in geniculate ganglion affecting cranial nerves VII and
VIII resulting in facial paralysis, vetigo, and deafness?

A. Van der Woude Syndrome

B. Melkersson-Rosenthal Syndrome

C. Peutz-Jeghers Syndrome

D. Ramsay Hunt Syndrome

E. Stevens-Johnson Syndrome

A

D. Ramsay Hunt Syndrome

Van der Woude Syndrome = clefts + pits

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

Peutz-Jeghers Syndrome = freckles + intestinal polyps

Ramsay Hunt Syndrome = herpes zoster reactvation in geniculate ganglion affecting CN VII and VIII resulting in facial paralysis, vertigo and deafness

Stevens-Johnson Syndrome = the major form of erythema multiforme

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8
Q

Which of the following is associated w/ fissured tongue + granulomatous cheilitis + facial paralysis?

A. Van der Woude Syndrome

B. Melkersson-Rosenthal Syndrome

C. Peutz-Jeghers Syndrome

D. Ramsay Hunt Syndrome

E. Stevens-Johnson Syndrome

A

B. Melkersson-Rosenthal Syndrome

Van der Woude Syndrome = clefts + pits

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

Peutz-Jeghers Syndrome = freckles + intestinal polyps

Ramsay Hunt Syndrome = herpes zoster reactvation in geniculate ganglion affecting CN VII and VIII resulting in facial paralysis, vertigo and deafness

Stevens-Johnson Syndrome = the major form of erythema multiforme

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9
Q

Which of the following is associated w/ mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer?

A. Bechet’s Syndrome

B. Plummer-Vinson Syndrome

C. Lofgren’s Syndrome

D. Heerfordt Syndrome

E. Peutz-Jeghers Syndrome

A

B. Plummer-Vinson Syndrome

Bechet’s Syndrome = multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

Plummer-Vinson Syndrome = mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

Lofgren’s Syndrome = erythema nodosum + bilateral hilar lymphadenopathy + arthritis

Heerfordt Syndrome = anterior uveitis + parotid enlargement + facial nerve palsy + fever; also called uveoparotid fever

Peutz-Jeghers Syndrome = freckles + intestinal polyps

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10
Q

Which of the following is described as a multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of the eye.

A. Bechet’s Syndrome

B. Plummer-Vinson Syndrome

C. Lofgren’s Syndrome

D. Heerfordt Syndrome

E. Peutz-Jeghers Syndrome

A

A. Bechet’s Syndrome

Bechet’s Syndrome = multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

Plummer-Vinson Syndrome = mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

Lofgren’s Syndrome = erythema nodosum + bilateral hilar lymphadenopathy + arthritis

Heerfordt Syndrome = anterior uveitis + parotid enlargement + facial nerve palsy + fever; also called uveoparotid fever

Peutz-Jeghers Syndrome = freckles + intestinal polyps

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11
Q

Which of the following is associated w/ anterior uveitis + parotid gland enlargement + facial nerve palsy + fever and is also referred to as uveoparotid fever?

A. Bechet’s Syndrome

B. Plummer-Vinson Syndrome

C. Lofgren’s Syndrome

D. Heerfordt Syndrome

E. Peutz-Jeghers Syndrome

A

D. Heerfordt Syndrome

Bechet’s Syndrome = multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

Plummer-Vinson Syndrome = mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

Lofgren’s Syndrome = erythema nodosum + bilateral hilar lymphadenopathy + arthritis

Heerfordt Syndrome = anterior uveitis + parotid enlargement + facial nerve palsy + fever; also called uveoparotid fever

Peutz-Jeghers Syndrome = freckles + intestinal polyps

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12
Q

Which of the following is associated w/ erythema nodusum + bilateral hilar lymphadenopathy + arthritis?

A. Bechet’s Syndrome

B. Plummer-Vinson Syndrome

C. Lofgren’s Syndrome

D. Heerfordt Syndrome

E. Peutz-Jeghers Syndrome

A

C. Lofgren’s Syndrome

Bechet’s Syndrome = multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

Plummer-Vinson Syndrome = mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

Lofgren’s Syndrome = erythema nodosum + bilateral hilar lymphadenopathy + arthritis

Heerfordt Syndrome = anterior uveitis + parotid enlargement + facial nerve palsy + fever; also called uveoparotid fever

Peutz-Jeghers Syndrome = freckles + intestinal polyps

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13
Q

Which of the following is another name for Hereditary Hemorrhagic Telangiectasia and is associated w/ iron-deficiency anemia?

A. Gorlin Syndrome

B. Gardner Syndrome

C. McCune-Albright Syndrome

D. Osler-Weber-Rendu Syndrome

A

D. Osler-Weber-Rendu Syndrome

Gorlin Syndrome = multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nevoid basal cell carcinoma

Gardner Syndrome = multiple odontomas + intestinal polyps

McCune-Albright Syndrome = polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty

Osler-Weber-Rendu Syndrome = another name for Hereditary Hemorrhagic Telangiectasia and is associated w/ iron-deficiency anemia

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14
Q

Which of the following is associated with multiple odontomas + intestinal polyps?

A. Gorlin Syndrome

B. Gardner Syndrome

C. McCune-Albright Syndrome

D. Osler-Weber-Rendu Syndrome

A

B. Gardner Syndrome

Gorlin Syndrome = multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nevoid basal cell carcinoma

Gardner Syndrome = multiple odontomas + intestinal polyps

McCune-Albright Syndrome = polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty

Osler-Weber-Rendu Syndrome = another name for Hereditary Hemorrhagic Telangiectasia and is associated w/ iron-deficiency anemia

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15
Q

Which of the following is associated w/ multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nevoid basal cell carcinoma?

A. Gorlin Syndrome

B. Gardner Syndrome

C. McCune-Albright Syndrome

D. Osler-Weber-Rendu Syndrome

A

A. Gorlin Syndrome

Gorlin Syndrome = multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nevoid basal cell carcinoma

Gardner Syndrome = multiple odontomas + intestinal polyps

McCune-Albright Syndrome = polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty

Osler-Weber-Rendu Syndrome = another name for Hereditary Hemorrhagic Telangiectasia and is associated w/ iron-deficiency anemia

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16
Q

Which of the following is associated w/ polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty?

A. Gorlin Syndrome

B. Gardner Syndrome

C. McCune-Albright Syndrome

D. Osler-Weber-Rendu Syndrome

A

C. McCune-Albright Syndrome

Gorlin Syndrome = multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nevoid basal cell carcinoma

Gardner Syndrome = multiple odontomas + intestinal polyps

McCune-Albright Syndrome = polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty

Osler-Weber-Rendu Syndrome = another name for Hereditary Hemorrhagic Telangiectasia and is associated w/ iron-deficiency anemia

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17
Q

Which of the following is the most common?

A. Unilateral cleft palate

B. Unilateral cleft lip

C. Bilateral cleft lip

D. Bilateral cleft palate

A

B. Unilateral cleft lip

  • Unilateral cleft lip (80%); Bilateral cleft lip (20%)
  • Cleft lip (1:1000 births)
  • Cleft palate (1:2000 births)
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18
Q

Lack of fusion between palatal shelves:

A. Cleft lip

B. Cleft palate

A

B. Cleft palate

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19
Q

Lack of fusion between medial nasal process and maxillary process:

A. Cleft lip

B. Cleft palate

A

A. Cleft lip

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20
Q

Ectopic sebaceous glands is associated with _______.

A

Fordyce Granules

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21
Q

_____ are invaginations at commisures or near the midline of the lips.

A

Lip pits

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22
Q

Which of the following is characterized my midline neck swelling and is located along the embryonic path of thyroid descent?

A. Lingual Thyroid

B. Branchial Cyst

C. Thyroglossal Duct Cyst

D. Leukoedema

A

C. Thyroglossal Duct Cyst

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23
Q

Which of the following is associated with a LATERAL neck swelling?

A. Lingual Thyroid

B. Branchial Cyst

C. Thyroglossal Duct Cyst

D. Leukoedema

A

B. Branchial Cyst

  • epithelial cyst within lymph node of neck (outside)
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24
Q

________ is characterized by a white or whitish-gray edematous lesion of buccal mucosa that dissipates when cheek is stretched.

A

Leukoedema

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25
Q

Which of the following is thyroid tissue mass at the midline of the base of the tongue? (Located along the embryonic path of thyroid descent)

A. Leukoedema

B. Thyroglossal duct cyst

C. Geographic tongue

D. Lingual thyroid

E. Fissured tongue

A

D. Lingual thyroid

Lingual thyroid = thyroid tissue mass at midline base of tongue

Thyroglossal duct cyst = midline neck swelling

note: both are located along embryonic path of thyroid descent

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26
Q

Which of the following is also called benign migratory glossitis and erythema migrants?

A. Leukoedema

B. Thyroglossal duct cyst

C. Geographic tongue

D. Lingual thyroid

E. Fissured tongue

A

C. Geographic tongue

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27
Q

Which of the following is characterized by white annular (ringed) lesions surrounding central red islands that migrate over time?

A. Leukoedema

B. Thyroglossal duct cyst

C. Geographic tongue

D. Lingual thyroid

E. Fissured tongue

A

C. Geographic tongue

Geographic tongue tx = NONE

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28
Q

Which of the following is characterized as folds and furrows of tongue dorsum?

. Leukoedema

B. Thyroglossal duct cyst

C. Geographic tongue

D. Lingual thyroid

E. Fissured tongue

A

E. Fissured tongue

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29
Q

________ are tumors composed of blood vessels or lymph vessels.

A

Angioma

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30
Q

Which of the following is characterized by congenital focal proliferation of capillaries?

A. Cherry angioma

B. Grape angioma

C. Hemangioma

D. Lymphangioma

A

C. Hemangioma

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31
Q

Which of the following is referred to as a “red mole”?

A. Cherry angioma

B. Grape angioma

C. Hemangioma

D. Lymphangioma

A

A. Cherry angioma

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32
Q

Which of the following is characterized by congenital proliferation of lymph vessels?

A. Cherry angioma

B. Grape angioma

C. Hemangioma

D. Lymphangioma

A

D. Lymphangioma

Hemangioma = capillaries

Lymphangioma = lymph vessels

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33
Q

Which of the following is an epithelial cyst within a lymph node of the neck and may appear as a lateral neck swelling?

A. Exostoses/Tori

B. Dermoid cyst

C. Branchial cyst

D. Oral Lymphoepithelial cyst

E. Stafne bone defect

A

C. Branchial cyst

Oral Lymphoepithelial cyst = epithelial cyst within lymphoid tissue of oral mucosa

Branchial cyst = epithelial cyst within lymph node of neck

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34
Q

Which of the following is associated with excessive cortical bone growth?

A. Exostoses/Tori

B. Dermoid cyst

C. Branchial cyst

D. Oral Lymphoepithelial cyst

E. Stafne bone defect

A

A. Exostoses/Tori

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35
Q

Which of the following is characterized as an epithelial cyst within lymphoid tissue of oral mucosa?

A. Exostoses/Tori

B. Dermoid cyst

C. Branchial cyst

D. Oral Lymphoepithelial cyst

E. Stafne bone defect

A

D. Oral Lymphoepithelial cyst

Oral Lymphoepithelial cyst = epithelial cyst within lymphoid tissue of oral mucosa

Branchial cyst = epithelial cyst within lymph node of neck

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36
Q

Which of the following is characterized as a radiolucency in the posterior mandible below the mandibular canal that is due to the lingual concavity of the jaw?

A. Exostoses/Tori

B. Dermoid cyst

C. Branchial cyst

D. Oral Lymphoepithelial cyst

E. Stafne bone defect

A

E. Stafne bone defect

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37
Q

Which of the following has a doughy consistency?

A. Exostoses/Tori

B. Dermoid cyst

C. Branchial cyst

D. Oral Lymphoepithelial cyst

E. Stafne bone defect

A

B. Dermoid cyst

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38
Q

Discuss Dermoid Cyst:

  • Mass in midline floor of mouth if _______ mylohyoid.
    • A. Above
    • B. Below
  • Mass in upper neck if _______ mylohoid.
    • A. Above
    • B. Below
  • What is the buzz word for dermoid cysts that you may see on the board exam?
A

Mass in midline floor of mouth if the dermoid cyst is _______ mylohyoid.

A. Above

B. Below

Mass in upper neck if the dermoid cyst is _______ mylohoid.

A. Above

B. Below

What is the buzz word for dermoid cysts that you may see on the board exam?

DOUGHY consistency

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39
Q

Which of the following is characterized as a large radiolucency that scallops around roots?

A. Branchial cyst

B. Oral Lymphoepithelial cyst

C. Nasopalatine duct cyst

D. Globulomaxillary lesioin

E. Traumatic bone cyst

A

E. Traumatic bone cyst

Other names for Traumatic Bone Cyst:

  • Simple bone cyst
  • Idiopathic bone cavity

_*****BOARD FAVORITE*****_

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40
Q

Which of the following is characterized as a heart-shaped radiolucency in the nasopalatine canal? (Caused by cystification of canal remnants)

A. Branchial cyst

B. Oral Lymphoepithelial cyst

C. Nasopalatine duct cyst

D. Globulomaxillary lesioin

E. Traumatic bone cyst

A

C. Nasopalatine duct cyst

Tx = excision

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41
Q

Which of the following is a clinical term denoting any radiolucency between maxillary canine and lateral incisors?

A. Branchial cyst

B. Oral Lymphoepithelial cyst

C. Nasopalatine duct cyst

D. Globulomaxillary lesion

E. Traumatic bone cyst

A

D. Globulomaxillary lesion

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42
Q

What are the other two names for Traumatic Bone Cyst?

A

Traumatic Bone Cyst

  • Simple Bone Cyst
  • Idiopathic Bone Cavity
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43
Q

Which of the following presents as a white line on buccal mucosa? This lesion is a type of focal hyperkeratosis due to chronic friction on mucosa.

A. Linea alba

B. Traumatic ulcer

C. Chemical burn

D. Nicotine stomatitis

E. Amalgam tattoo

A

A. Linea alba

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44
Q

Which of the following are associated w/ red dots acquired from inflamed salivary duct openings?

A. Linea alba

B. Traumatic ulcer

C. Chemical burn

D. Nicotine stomatitis

E. Amalgam tattoo

A

D. Nicotine stomatitis

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45
Q

Which of the following is characterized by brown, diffuse, irregular macules that are typically seen in the anterior gingiva? These lesions are reversible if smoking is discontinued.

A. Linea alba

B. Smoking-Associated Melanosis

C. Chemical burn

D. Nicotine stomatitis

E. Amalgam tattoo

A

B. Smoking-Associated Melanosis

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46
Q

Which of the following forms of a traumatic ulcer is associated with the mucosa and is an incomplete break that does NOT involve the submucosa?

A. Erosion

B. Ulcer

A

A. Erosion

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47
Q

Which of the following is associated w/ use of aspirin, hydrogen peroxide, silver nitrate or phenol?

A. Linea alba

B. Traumatic ulcer

C. Chemical burn

D. Nicotine stomatitis

E. Amalgam tattoo

A

C. Chemical burn

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48
Q

Which of the following is associated w/ tiny radio plaque particles in an x-ray where the gums are?

A. Linea alba

B. Traumatic ulcer

C. Chemical burn

D. Nicotine stomatitis

E. Amalgam tattoo

A

E. Amalgam tattoo

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49
Q

Which of the following are characterized by red dots associated with inflamed salivary duct openings?

A. Smoking-associated melanosis

B. Nicotine stomatitis

A

B. Nicotine stomatitis

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50
Q

Which of the following is related to the surfactant ingredient sodium lauryl sulfate found in toothpaste?

A. Melanotic macule

B. Hairy tongue

C. Dentifrice-associated sloughing

D. Submucosal hemorrhage

E. Chemical burn

A

C. Dentifrice-associated sloughing

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51
Q

Which of the following is characterized as a benign hyperpigmentation in mucosa “a freckle of mucosa”?

A. Melanotic macule

B. Hairy tongue

C. Dentifrice-associated sloughing

D. Submucosal hemorrhage

E. Smoking-associated melanosis

A

A. Melanotic macule

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52
Q

Which of the following is associated w/ elongated filiform papillae?

A. Melanotic macule

B. Hairy tongue

C. Dentifrice-associated sloughing

D. Submucosal hemorrhage

E. Smoking-associated melanosis

A

B. Hairy tongue

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53
Q

Discuss Submucosal Hemorrhage:

  • Do these lesions blanch?
  • Petechiae?
  • Purpura?
  • Ecchymosis?
  • Hematoma?
A
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54
Q

Hairy tongue is associated w/ elongated ________ papillae:

A. Fungiform

B. Circumvallate

C. Filiform

D. Foliate

A

C. Filiform

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55
Q

All of the following lesions are forms of submucosa hemorrhage EXCEPT?

A. Petechiae

B. Hemangiomas

C. Purpura

D. Ecchymosis

E. Hematomas

A

B. Hemangiomas

Submucosal hemorrhage = DO NOT BLANCH

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56
Q

Which of the following is known to cause Hand-foot-and-mouth disease and Herpangina?

A. Herpes simplex virus (HSV)

B. Varicella zoster virus (VZV)

C. Coxsackie virus

D. Measles

E. Papilloma

A

C. Coxsackie virus

Herpangina: found on the posterior oral cavity (soft palate, throat and tonsils)

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57
Q

Which of the following is associated with Ramsay Hunt Syndrome?

A. Herpes simplex virus (HSV)

B. Varicella zoster virus (VZV)

C. Coxsackie virus

D. Measles

E. Papilloma

A

B. Varicella zoster virus (VZV)

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58
Q

Discuss Herpes Simplex Virus (HSV) in regards to each of the following:

  • Primary infection:
  • Tx?
  • Where is it latent?
  • Recurrent infection:
  • Herpes Labialis:
  • Recurrent intraoral herpes?
  • What causes reactivation?
  • Herpetic whitlow?
  • Herpes gladiatorum?
A
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59
Q

Which of the following is associated w/ Koplik’s spots (buccal mucosa dot ulcers)?

A. Herpes simplex virus (HSV)

B. Varicella zoster virus (VZV)

C. Coxsackie virus

D. Measles

E. Papilloma

A

D. Measles

***BOARDS Q***

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60
Q

Which of the following is a benign epithelial pedunculated or sessile (dome-shaped) proliferation on skin or mucosa?

A. Herpes simplex virus (HSV)

B. Varicella zoster virus (VZV)

C. Coxsackie virus

D. Measles

E. Papilloma

A

E. Papilloma

Papilloma: caused by several strains of HPV

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61
Q

Discuss Varicella Zoster Virus (VZV) in regards to each of the following:

  • Primary infection?
  • Latent in ______?
  • Recurrent infection?
  • Ramsay Hunt Syndrome?
A
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62
Q

Which of the following is caused by several strains of HPV and is known as a common skin wart?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

A. Verruca Vulgaris

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63
Q

Which of the following is characterized as a white patch on the lateral tongue that does NOT wipe off?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

D. Oral Hairy Leukoplakia

Note: Oral Hairy Leukoplakia is also associated w/ Burkitt’s Lymphoma

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64
Q

Which of the following is caused by EBV and is associated w/ Burkitt’s Lymphoma?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

D. Oral Hairy Leukoplakia

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65
Q

Which of the following is caused by HPV 13 and 32?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

C. Focal Epithelial Hyperplasia (Heck’s Disease)

***BOARDS***

Acuminatum = HPV 6 and 11

Focal Epithelial Hyperplasia = HPV 13 and 32

Proliferative Verrucous Leukoplakia = HPV 16 and 18

Verrucous Carcinoma = HPV 16 and 18

***BOARDS***

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66
Q

Which of the following is caused by HPV 6 and 11?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

B. Condyloma Acuminatum

***BOARDS***

Conduloma Acuminatum = HPV 6 and 11

Focal Epithelial Hyperplasia = HPV 13 and 32

Proliferative Verrucous Leukoplakia = HPV 16 and 18

Verrucous Carcinoma = HPV 16 and 18

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67
Q

Which of the following is caused by HPV 16 and 18?

A. Condyloma Acuminatum

B. Focal Epithelial Hyperplasia

C. Proliferative Verrucous Leukoplakia

D. Verrucous Carcinoma

E. Two of the above

A

E. Two of the above

***BOARDS***

Condyloma Acuminatum = HPV 6 and 11

Focal Epithelial Hyperplasia = HPV 13 and 32

Proliferative Verrucous Leukoplakia = HPV 16 and 18

Verrucous Carcinoma = HPV 16 and 18

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68
Q

Which of the following is caused by HPV and is associated w/ genital warts, or from oral sex with someone w/ genital warts? Tx: excise w/ high recurrence.

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

B. Condyloma Acuminatum

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69
Q

Which of the following is caused by HPV and is characterized as multiple dome-shaped warts on oral mucosa? To: excision w/ excellent prognosis.

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

C. Focal Epithelial Hyperplasia (Heck’s Disease)

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70
Q

What is another name for Focal Epithelial Hyperplasia?

A

Heck’s disease

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71
Q

Which of the following is caused by contact w/ Treponema pallidum (spirochete)?

A. Verruca Vulgaris

B. Condyloma Acuminatum

C. Focal Epithelial Hyperplasia (Heck’s Disease)

D. Oral Hairy Leukoplakia

E. Syphilis

A

E. Syphilis

***BOARDS***

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72
Q

Discuss Syphilis in regards to each of the following:

  • What is Syphilis caused by?
  • Primary lesion?
  • Secondary lesion?
  • Tertiary lesion?
  • What is the triad that we need to know for Congenital Syphilis?

***This is very important to know for BOARDS***

A
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73
Q

Which of the following is caused by Neisseria gonorrhoeae?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

C. Gonorrhea

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74
Q

Which of the following is caused by Mycobacterium Tuberculosis?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

B. Tuberculosis

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75
Q

Which of the following is caused by a fungal infection?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. None of the above

A

E. None of the above

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76
Q

Which of the following is caused by Actinomyces israelii (filamentous) - NOT FUNGAL?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

D. Actinomycosis

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77
Q

Which of the following is caused by Group A strep (Streptococcus pyogenes)?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

E. Scarlet fever

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78
Q

Which of the following is associated w/ Strawberry tongue (white-coated tongue w/ red inflamed fungi form papillae)?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

E. Scarlet fever

Strawberry tongue = fungiform papillae

Hairy tongue = filiform papillae

***BOARDS***

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79
Q

Which of the following is associated w/ Sulfur granules in purulent exudate?

A. Syphilis

B. Tuberculosis

C. Gonorrhea

D. Actinomycosis

E. Scarlet fever

A

D. Actinomycosis

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80
Q

Discuss Tuberculosis in regards to each of the following?

  • Caused by inhalation of _______.
  • Primary?
  • Hilum?
  • Secondary?
  • Miliary?
  • What patients are especially at high risk for TB?
  • What is tx for TB?
A
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81
Q

Which of the following is associated w/ Fungiform papillae?

A. Strawberry tongue

B. Hairy tongue

A

A. Strawberry tongue

Strawberry tongue = Fungiform papillae

Hairy tongue = Filiform papillae

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82
Q

Discuss Actinomycosis in regards to each of the following:

  • What is it caused by?
  • Periapical?
  • Cervicofacial?
  • _______ in purulent exudate.
  • Tx?
A
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83
Q

Discuss Scarlet Fever in regards to each of the following:

  • Cause by?
  • This is when ______ becomes a systemic infection.
  • Strawberry tongue?
  • Tx?
A
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84
Q

Discuss Candidiasis in regards to each of the following:

  • Candidiasis is also known as _______.
  • Pseudomembranous?
  • Atrophic?
  • Median rhomboid glossitis?
  • Angular cheilitis?
  • Tx?
A
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85
Q

Which of the following is a white plaque that rubs off?

A. Oral Hairy Leukoplakia

B. Pseudomembranous candidiasis

C. Both of the above

D. None of the above

A

B. Pseudomembranous candidiasis

Oral hairy leukoplakia does NOT rub off

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86
Q

Which of the following deep fungal infections is found in US Southwest, valley fever?

A. Balstomycosis

B. Coccidiomycosis

C. Cryptococcosis

D. Histoplasmosis

A

B. Coccidiomycosis

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87
Q

Which of the following deep fungal infections is found in US Midwest?

A. Balstomycosis

B. Coccidiomycosis

C. Cryptococcosis

D. Histoplasmosis

A

D. Histoplasmosis

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88
Q

Which of the following deep fungal infections is found in US Northeast, spores?

A. Balstomycosis

B. Coccidiomycosis

C. Cryptococcosis

D. Histoplasmosis

A

A. Balstomycosis

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89
Q

Which of the following deep fungal infections is found in US West?

A. Balstomycosis

B. Coccidiomycosis

C. Cryptococcosis

D. Histoplasmosis

A

C. Cryptococcosis

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90
Q

Which of the following is an allergic rxn mediated by mast cell release of IgE and histamines?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

C. Angioedema

***BOARDS***

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91
Q

Which of the following is known as “Canker sore”?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

A. Aphthous ulcer

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92
Q

Which of the following is an allergic rxn to drug or food contact?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

C. Angioedema

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93
Q

Which of the following is an allergic rxn to inhaled antigen?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

D. Wegener’s Granulomatosis

Wegener’s granulomatosis = strawberry gingivitis

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94
Q

Which of the following is associated w/ Sutton’s Disease and Bechet’s Syndrome?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

A. Aphthous ulcer

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95
Q

Discuss Aphthous Ulcer in regards to each of the following:

  • What is the common name?
  • keratinized or nonkeratinized?
  • Minor and major forms?
  • What’s another name for the major form of aphthous ulcers?
  • Bechet’s Syndrome?
  • Tx?
A
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96
Q

Discuss Erythema Multiforme in regards to each of the following:

  • Where do these lesion most commonly appear?
  • Minor form?
  • Major form?
  • What’s another name for the major form?
A
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97
Q

Discuss Angioedema in regards to each of the following?

  • What’s angioedema caused by?
  • What are clinical signs and symptoms?
  • Mediated by ________? (BOARDS)
  • Tx?
A
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98
Q

Discuss Wegener’s Granulomatosis in regards to each of the following:

  • How is this caused?
  • Clinical manifestation?
  • Tx?
A
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99
Q

Stevens-Johnson Syndrome is another name for the major for of which of the following?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

B. Erythema Multiforme

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100
Q

Sutton Disease is another name for the major form of which of the following?

A. Aphthous ulcer

B. Erythema Multiforme

C. Angioedema

D. Wegener’s Granulomatosis

A

A. Aphthous ulcer

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101
Q

Which of the following is associated w/ basal zone vacuolization and sawtooth rete pegs?

A. Lichen Planus

B. Lupus Erythematosus

C. Scleroderma

D. Pemphigus Vulgaris

E. Mucous Membrane Pemphigoid

A

A. Lichen Planus

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102
Q

Which of the following is associated w/ a Butterfly rash over the bridge of the nose?

A. Lichen Planus

B. Lupus Erythematosus

C. Scleroderma

D. Pemphigus Vulgaris

E. Mucous Membrane Pemphigoid

A

B. Lupus Erythematosus

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103
Q

Which of the following is Subasilar and produces antibodies against the basement membrane?

A. Lichen Planus

B. Lupus Erythematosus

C. Scleroderma

D. Pemphigus Vulgaris

E. Mucous Membrane Pemphigoid

A

E. Mucous Membrane Pemphigoid

Pemphigus = above

Pemphigoid = below

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104
Q

Which of the following is Suprabasilar that produces antibodies against desmosomes?

A. Lichen Planus

B. Lupus Erythematosus

C. Scleroderma

D. Pemphigus Vulgaris

E. Mucous Membrane Pemphigoid

A

D. Pemphigus Vulgaris

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105
Q

Discuss Lichen Planus in regards to each of the following:

  • T lymphocytes?
  • _______ secondary to this destruction is observed.
  • Reticular?
  • Erosive?
  • Tx?
A
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106
Q

Discuss Lupus Erythematosus in regards to each of the following:

  • Discoid chronic type?
  • Systemic acute type?
  • Tx?
A
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107
Q

Which of the following is characterized as hardening of skin and connective tissue?

A. Lichen Planus

B. Lupus Erythematosus

C. Scleroderma

D. Pemphigus Vulgaris

E. Mucous Membrane Pemphigoid

A

C. Scleroderma

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108
Q

Discuss Scleroderma in regards to each of the following:

  • Clinical manifestation?
  • Clinical signs and symptoms?
A
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109
Q

What is the difference between Pemphigus and Pemphigoid?

A
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110
Q

Which of the following is a red patch that has a high risk of malignancy?

A. Leukoplakia

B. Proliferative Verrucous Leukoplakia

C. Erythroplakia

D. Actinic Cheilitis

E. Smokeless Tobacco-Associated Lesion

A

C. Erythroplakia

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111
Q

Which of the following are premalignant lesions that is caused by sun damage (UVB especially)?

A. Leukoplakia

B. Proliferative Verrucous Leukoplakia

C. Erythroplakia

D. Actinic Cheilitis

E. Smokeless Tobacco-Associated Lesion

A

D. Actinic Cheilitis

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112
Q

Which of the following is characterized as recurrent and warty AND may be associated with HPV 16 and 18?

A. Leukoplakia

B. Proliferative Verrucous Leukoplakia

C. Erythroplakia

D. Actinic Cheilitis

E. Smokeless Tobacco-Associated Lesion

A

B. Proliferative Verrucous Leukoplakia

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113
Q

Which of the following is characterized as a white mucosal change in the vestibule due to direct effects of tobacco?

A. Leukoplakia

B. Proliferative Verrucous Leukoplakia

C. Erythroplakia

D. Actinic Cheilitis

E. Smokeless Tobacco-Associated Lesion

A

E. Smokeless Tobacco-Associated Lesion

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114
Q

All of the following are premalignant conditions EXCEPT:

A. Leukoplakia

B. Proliferative Verrucous Leukoplakia

C. Erythroplakia

D. Actinic Cheilitis

E. Focal Epithelial Hyperplasia

A

E. Focal Epithelial Hyperplasia

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115
Q

Discuss Leukoplakia in regards to each of the following:

  • Diagnosis?
  • Clinical presentation?
  • Tx?
A
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116
Q

Discuss Proliferative Verrucous Leukoplakia in regards to each of the following:

  • Clinical presentation?
  • Associated w/?
  • High risk of?
A
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117
Q

Discuss Erythroplakia in regards to each of the following?

  • Diagnosis/clinical description?
  • How does Erythroplakia present in the oral cavity?
  • Higher risk of malignancy than_______.
  • Tx?
A
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118
Q

Discuss Actinic Cheilitis in regards to each of the following:

  • What does Actinic refer to?
  • What causes this lesion?
  • Is this a premalignant condition?
A
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119
Q

Discuss Smokeless Tobacco-Associated Lesion:

A
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120
Q

Which of the following cancer types is characterized as epithelial?

A. Carcinoma

B. Sarcoma

C. Leukemia

D. Lymphoma

A

A. Carcinoma

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121
Q

Which of the following cancer types is characterized as blood?

A. Carcinoma

B. Sarcoma

C. Leukemia

D. Lymphoma

A

C. Leukemia

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122
Q

Which of the following cancer types is characterized as mesenchymal (CT)?

A. Carcinoma

B. Sarcoma

C. Leukemia

D. Lymphoma

A

B. Sarcoma

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123
Q

Which of the following cancer types is characterized as lymphatic?

A. Carcinoma

B. Sarcoma

C. Leukemia

D. Lymphoma

A

D. Lymphoma

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124
Q

Discuss the stages of cancer:

A
125
Q

Which of the following types of cancers very rarely metastasizes and is due to sun damage?

A. Verrucous Carcinoma

B. Squamous Cell Carcinoma

C. Basal Cell Carcinoma

D. Oral Melanoma

A

C. Basal Cell Carcinoma

126
Q

Which of the following is caused by tobacco and HPV 16 and 18 and is a slow growing malignancy?

A. Verrucous Carcinoma

B. Squamous Cell Carcinoma

C. Basal Cell Carcinoma

D. Oral Melanoma

A

A. Verrucous Carcinoma

127
Q

Which of the following is caused by medications?

A. Fibroma

B. Gingival Hyperplasia

C. Denture-Induced Fibrous Hyperplasia

D. Traumatic Neuroma

E. Pyogenic Granuloma

A

B. Gingival Hyperplasia

“CDC” = Calcium channel blockers, Dilantin, Cyclosporine

***BOARDS Q***

128
Q

Which of the following is caused by oncogenes or inactivation of tumor suppressor genes?

A. Verrucous Carcinoma

B. Squamous Cell Carcinoma

C. Basal Cell Carcinoma

D. Oral Melanoma

A

B. Squamous Cell Carcinoma

129
Q

Which of the following is associated w./ Plummer-Vinson Syndrome?

A. Verrucous Carcinoma

B. Squamous Cell Carcinoma

C. Basal Cell Carcinoma

D. Oral Melanoma

A

B. Squamous Cell Carcinoma

130
Q

Which of the following is most likely to appear on the palate or gingiva?

A. Verrucous Carcinoma

B. Squamous Cell Carcinoma

C. Basal Cell Carcinoma

D. Oral Melanoma

A

D. Oral Melanoma

Oral melanoma = malignancy of melanocytes

131
Q

Which of the following is characterized as hyperplasia of capillaries?

A. Fibroma

B. Gingival Hyperplasia

C. Denture-Induced Fibrous Hyperplasia

D. Traumatic Neuroma

E. Pyogenic Granuloma

A

E. Pyogenic Granuloma

132
Q

Which of the following is caused by an injury to a nerve (most common = mental foramen)?

A. Fibroma

B. Gingival Hyperplasia

C. Denture-Induced Fibrous Hyperplasia

D. Traumatic Neuroma

E. Pyogenic Granuloma

A

D. Traumatic Neuroma

133
Q

Discuss Fibroma in regards to each of the following:

  • Also called? (3 names)
  • What is the cause of a fibroma?
  • _____ hyperplasia of oral mucosa.
A
134
Q

Discuss Gingival Hyperplasia in regards to each of the following:

  • What 3 drugs cause gingival hyperplasia?
  • Tx?
A
135
Q

Discuss Denture-Induced Fibrous Hyperplasia in regards to each of the following:

  • Epulis Fissuratum?
    • (vestibule/palate)
  • Papillary Hyperplasia?
    • (vestibule/palate)
A
136
Q

Discuss Traumatic Neuroma in regards to each of the following:

  • What is it?
  • What’s it caused by?
  • Where is this most common at?
  • What is MEN 2B?
A
137
Q

Which of the following is associated w/ Multiple Endocrine Neoplasia (MEN 2B)?

A. Fibroma

B. Gingival Hyperplasia

C. Denture-Induced Fibrous Hyperplasia

D. Traumatic Neuroma

E. Pyogenic Granuloma

A

D. Traumatic Neuroma

138
Q

Discuss Pyogenic Granuloma in regards to each of the following:

  • Hyperplasia of _______?
  • What color is this lesion?
  • Caused by?
  • Common site is _____?
A
139
Q

Which of the following is a neoplasm of fibroblasts that is difficult to eradicate and often recurs?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

B. Fibromatosis

Nodular Fasciitis = Fibroblasts

Fibromatosis = Fibroblasts

Granular Cell Tumor = Schwann cells

Schwannoma = Schwann cells

Neurofibroma = Schwann cells + Fibroblasts

140
Q

Which of the following is a neoplasm of fibroblasts that is easy to eradicate and rarely recurs?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

A. Nodular Fasciitis

Nodular Fasciitis = Fibroblasts

Fibromatosis = Fibroblasts

Granular Cell Tumor = Schwann cells

Schwannoma = Schwann cells

Neurofibroma = Schwann cells + Fibroblasts

141
Q

Which of the following is a neoplasm of Schwann cells and is associated w/ Pseudoepitheliomatous hyperplasia (PEH), which mimics SCC?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

C. Granular Cell Tumor

Note: Granular Cell Tumor is named such because these tumor cells have a granular cytoplasm

Nodular Fasciitis = Fibroblasts

Fibromatosis = Fibroblasts

Granular Cell Tumor = Schwann cells

Schwannoma = Schwann cells

Neurofibroma = Schwann cells + Fibroblasts

142
Q

Which of the following is a neoplasm of Schwann cells AND fibroblasts?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

E. Neurofibroma

Nodular Fasciitis = Fibroblasts

Fibromatosis = Fibroblasts

Granular Cell Tumor = Schwann cells

Schwannoma = Schwann cells

Neurofibroma = Schwann cells + Fibroblasts

143
Q

Which of them following is most common on the dorsal surface of the tongue?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

C. Granular Cell Tumor

144
Q

Which of the following is characterized as a Acellular Verocay in Antoni A tissue (line of scrimmage) and is a neoplasm of Schwann cells?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

D. Schwannoma (Neurilemmoma)

***On a practice Q***

145
Q

What is another name for a Schwannoma?

A

Neurilemmoma

146
Q

Which of the following is associated w/ Neurofibromatosis/Von Recklinghausen’s Disease?

A. Nodular Fasciitis

B. Fibromatosis

C. Granular Cell Tumor

D. Schwannoma (Neurilemmoma)

E. Neurofibroma

A

E. Neurofibroma

147
Q

What is the criteria for Neurofibromatosis Type I/Von Recklinghausen’s Disease? (4)

Hint: Frecklinghousen’s disease

A
  1. Multiple neurofibromas
  2. Multiple skin freckles (cafe at lait spots)
  3. Axillary freckles (Crowe’s sign)
  4. Iris freckles (Lisch spots)

note: Neurofibromas can transform to neurofibrosarcomas

148
Q

Which of the following is a neoplasm of skeletal muscle?

A. Leiomyoma

B. Rhabdomyoma

C. Lipoma

D. Neurofibroma

A

B. Rhabdomyoma

149
Q

Which of the following is a neoplasm of smooth muscle?

A. Leiomyoma

B. Rhabdomyoma

C. Lipoma

D. Neurofibroma

A

A. Leiomyoma

150
Q

Which of the following is a malignant proliferation of Schwann cells?

A. Fibrosarcoma

B. Neurofibrosarcoma

C. Kaposi’s Sarcoma

D. Schwannoma

E. Granular Cell Tumor

A

B. Neurofibrosarcoma

151
Q

Which of the following is a malignant proliferation of fibroblasts?

A. Fibrosarcoma

B. Neurofibrosarcoma

C. Kaposi’s Sarcoma

D. Schwannoma

E. Granular Cell Tumor

A

A. Fibrosarcoma

152
Q

Which of the following is a malignant proliferation of endothelial cells?

A. Fibrosarcoma

B. Neurofibrosarcoma

C. Kaposi’s Sarcoma

D. Schwannoma

E. Granular Cell Tumor

A

C. Kaposi’s Sarcoma

153
Q

If a purple lesion appears on the BOARD EXAM the answer is almost certainly ________.

A. Fibrosarcoma

B. Neurofibrosarcoma

C. Kaposi’s Sarcoma

D. Schwannoma

E. Granular Cell Tumor

A

C. Kaposi’s Sarcoma

154
Q

Which of the following is caused by HHV8 and is most commonly seen as a complication of AIDS?

A. Fibrosarcoma

B. Neurofibrosarcoma

C. Kaposi’s Sarcoma

D. Schwannoma

E. Granular Cell Tumor

A

C. Kaposi’s Sarcoma

155
Q

A PURPLE lesion is characteristic of. _______.

A

Kaposi’s Sarcoma

156
Q

Which of the following is a Malignant proliferation of smooth muscle cells?

A. Leiomyoma

B. Lipoma

C. Rhabdomyosarcoma

D. Leiomyosarcoma

E. Rhabdomyoma

A

D. Leiomyosarcoma

Leiomyoma = neoplasm of smooth muscle

Rhabdomyoma = neoplasm of skeletal muscle

Lipoma = Neoplasm of fat cells

Leiomyosarcoma = malignant proliferation of smooth muscle cells

Rhabdomyosarcoma = malignant proliferation of skeletal muscle cells

Liposarcoma = malignant proliferation of fat cells

157
Q

Which of the following is a Malignant proliferation of skeletal muscle cells?

A. Leiomyoma

B. Lipoma

C. Rhabdomyosarcoma

D. Leiomyosarcoma

E. Rhabdomyoma

A

C. Rhabdomyosarcoma

158
Q

Which of the following is most common on buccal mucosa?

A. Leiomyoma

B. Lipoma

C. Liposarcoma

D. Leiomyosarcoma

E. Rhabdomyoma

A

B. Lipoma

159
Q

Which of the following is a rapidly expanding ulcerative lesion that heals on its own in 6-10 weeks? (Can be caused by a GP injection)

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

C. Necrotizing Sialometaplasia

Note: usually due to ischemic necrosis of minor salivary glands in response to trauma or local anesthesia

160
Q

Which of the following is caused by trauma to a salivary duct that needs to be completely excised?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

A. Mucous Extravasation Phenomenon

Mucocele = common in lower lip

Ranula = floor of the mouth

161
Q

Which of the following is primarily a pulmonary disease that affects salivary glands and is notorious for causing xerostomia?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

E. Sarcoidosis

Hyperimmune = granulomas

Note: associate sarcoidosis w/ TB bc this disease may be triggered by mycobacteria

***BOARDS***

162
Q

Which of the following is Hyperimmune and causes granulomas?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

E. Sarcoidosis

163
Q

Which of the following is caused by blockage of glands in sinus mucosa and is also called antral pseudocyst?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

D. Sinus Retention Cyst

Tx: none

164
Q

Which of the following is caused by blockage of salivary duct by sialolith and is a true cyst bc it is lined by epithelium?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

B. Mucous Retention Cyst

165
Q

Which of the following is the most important to know for boards?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

A. Mucous Extravasation Phenomenon

***SEE ATTACHED PICTURE***

166
Q

Discuss Mucous Extravasation Phenomenon in regards to each of the following:

  • What is it caused by?
  • Mucocele?
  • Ranula?
  • Tx?
A

“Biting lip”

167
Q

Which of the following is associated w/ both Lofgren’s syndrome and Heerfordt syndrome?

A. Mucous Extravasation Phenomenon

B. Mucous Retention Cyst

C. Necrotizing Sialometaplasia

D. Sinus Retention Cyst

E. Sarcoidosis

A

E. Sarcoidosis

168
Q

What are the 4 characteristics of Lofgren’s Syndrome?

A
  1. Erythema nodosum
  2. Bilateral hilar (lungs)
  3. Lymphadenopathy
  4. Arthritis
169
Q

What are the 4 characteristics of Heerfordt Syndrome?

A
  1. Anterior uveitis
  2. Parotid gland enlargement
  3. Facial nerve palsy
  4. Fever

Also called uveoparotid fever

170
Q

Which of the following is an autoimmune disorder that is lymphocyte mediated?

A. Lofgren’s Syndrome

B. Heerfordt Syndrome

C. Sjogren’s Syndrome

D. Von Recklinghausen’s disease

A

C. Sjogren’s Syndrome

171
Q

Discuss Sjogren’s Syndrome in regards to each of the following:

  • Why is it the most tested autoimmune disorder on boards?
  • What is it mediated by?
  • Primary?
  • Secondary?
  • Tx?
A
172
Q

Which of the following is composed of oncocytes and lymphoid cells?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

C. Warthin’s Tumor

173
Q

Which of the following is composed of a single cell type?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

B. Monomorphic Adenoma

174
Q

Which of the following is composed of a mixture of cell types?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

A. Pleomorphic Adenoma

note: Pleomorphic adenoma is also called mixed tumor

175
Q

Which of the following is the most common benign salivary gland tumor?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

A. Pleomorphic Adenoma

176
Q

Which of the following is usually found in the parotid of older men?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

C. Warthin’s Tumor

177
Q

A firm rubbery swelling that is most common on the palate for minor salivary gland or ear for parotid gland?

A. Pleomorphic Adenoma

B. Monomorphic Adenoma

C. Warthin’s Tumor

A

A. Pleomorphic Adenoma

178
Q

Which of the following is characterized as a Cribiform or Swiss cheese microscopic pattern?

A. Pleomorphic Adenoma

B. Mucoepidermoid Carcinoma

C. Polymorphous Low-Grade Adenocarcinoma (PLGA)

D. Adenoid Cystic Carcinoma

A

D. Adenoid Cystic Carcinoma

179
Q

Which of the following is the most common salivary gland malignancy?

A. Pleomorphic Adenoma

B. Mucoepidermoid Carcinoma

C. Polymorphous Low-Grade Adenocarcinoma (PLGA)

D. Adenoid Cystic Carcinoma

A

B. Mucoepidermoid Carcinoma

180
Q

Which of the following is the second most common salivary gland malignancy for minor glands?

A. Pleomorphic Adenoma

B. Mucoepidermoid Carcinoma

C. Polymorphous Low-Grade Adenocarcinoma (PLGA)

D. Adenoid Cystic Carcinoma

A

C. Polymorphous Low-Grade Adenocarcinoma (PLGA)

181
Q

Which of the following is composed of mucous and epithelial cells?

A. Pleomorphic Adenoma

B. Mucoepidermoid Carcinoma

C. Polymorphous Low-Grade Adenocarcinoma (PLGA)

D. Adenoid Cystic Carcinoma

A

B. Mucoepidermoid Carcinoma

182
Q

What does the prefix “Adeno” refer to?

A

Gland

183
Q

Which of the following is associated w/ Burkitt’s Lymphoma?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

B. Non-Hodgkin’s Lymphoma

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

184
Q

Which of the following is a neoplasm of B or T cells?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

B. Non-Hodgkin’s Lymphoma

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

185
Q

Which of the following is associated w/ multiple punched out radiolucencies usually in the skull?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

C. Multiple Myeloma

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

186
Q

Which of the following is associated w/ Reed-Sternberg cells (malignant B cells)?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

A. Hodgkin’s Lymphoma

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

187
Q

Which of the following is a neoplasm of bone marrow cells (lymphocytes, NK cells, granulocytes, and megakaryocytes)?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

D. Leukemia

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

188
Q

Which of the following involves a neoplasm of antibody-secreting B cells aka plasma cells?

A. Hodgkin’s Lymphoma

B. Non-Hodgkin’s Lymphoma

C. Multiple Myeloma

D. Leukemia

A

C. Multiple Myeloma

Hodgkin’s Lymphoma = Reed-Sternberg cells (malignant B cells)

Non-Hodgkin’s Lymphoma = B or T cells

Multiple Myeloma = plasma cells

Leukemia = bone marrow cells

189
Q

Discuss Burkitt’s Lymphoma:

A

Burkitt’s Lymphoma: type of B cell NHL w/ bone marrow involvement, swelling, pain, tooth mobility, lip paresthesia, halts root development

190
Q

Discuss Multiple Myeloma in regards to each of the following:

  • Also called?
  • What cells is this condition associated w/?
  • What is the radiographic presentation? (BOARDS)
  • Amyloidosis?
  • Tx?
A
191
Q

Discuss Leukemia in regards to each of the following:

  • What cells are associated w/ this condition?
  • Classification is based on?
  • What does the pneumonic ALL Children Are ChiLL represent?
  • What are the 3 clinical signs of Leukemia?
A
192
Q

Which of the following mainly affects older patients?

A. Acute Lymphoid Leukemia

B. Chronic Myeloginous Leukemia

C. Acute Myelogenous Leukemia

D. Chronic Lymphocytic Leukemia

A

D. Chronic Lymphocytic Leukemia

“ALL Children Are ChiLL”

193
Q

Which of the following mainly affects younger patients?

A. Acute Lymphoid Leukemia

B. Chronic Myeloginous Leukemia

C. Acute Myelogenous Leukemia

D. Chronic Lymphocytic Leukemia

A

A. Acute Lymphoid Leukemia

194
Q

Which of the following is most common in the mandibular premolar region and is always associated with a vital tooth?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

A

C. Lateral Periodontal Cyst

195
Q

Which of the following is the MOST common odontogenic cyst and is always associated w/ a nonvital tooth?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

A

A. Radicular Cyst

Also called periapical cyst

196
Q

Which of the following is an accumulation of fluid between crown and reduced enamel epithelium that is most common in canines and 3rd molars?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

A

B. Dentigerous Cyst

197
Q

Which of the following is the soft tissue counterpart of Lateral Periodontal Cyst (LPC)?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

E. Gingival cyst of Newborn

A

D. Gingival Cyst of Adult

198
Q

Which of the following is a radiolucency attached to CEJ of impacted tooth?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

E. Gingival cyst of Newborn

A

B. Dentigerous Cyst

Note: also called eruption cyst if lesion occurs over erupting teeth in children

199
Q

Discuss Radicular Cyst in regards to each of the following:

  • Also called ______.
  • Why is this an important cyst to know?
  • Radiographic description?
  • Always associated with (vital/nonvital teeth)?
  • Necrotic pulp causes ______.
    • Acute?
    • Chronic?
  • Epithelial Rests of Malassez?
  • Tx?
A
200
Q

Which of the following is associated w/ Epithelial Rests of Malassez (ERM) from Hertwig’s epithelial Rooth Sheath (HERS)?

A. Radicular Cyst

B. Dentigerous Cyst

C. Lateral Periodontal Cyst

D. Gingival Cyst of Adult

E. Gingival cyst of Newborn

A

A. Radicular Cyst

201
Q

Discuss Dentigerous Cyst in regards to each of the following:

  • Also called _____ if lesion occurs over erupting teeth in children.
  • Radiographic description?
  • What teeth do Dentigerous cyst most commonly occur?
  • Accumulation of fluid between _______ and _________.
  • Tx?
A
202
Q

Which of the following is associated w/ Gorlin Syndrome?

A. Gingival Cyst of Newborn

B. Primordial Cyst

C. Keratocystic Odontogenic Tumor (KCOT)

D. Calcifying Odontogenic Cyst (COC)

A

C. Keratocystic Odontogenic Tumor (KCOT)

203
Q

Which of the following is associated w/ Ghost cells (empty space where nucleus was and keratin fills it)?

A. Gingival Cyst of Newborn

B. Primordial Cyst

C. Keratocystic Odontogenic Tumor (KCOT)

D. Calcifying Odontogenic Cyst (COC)

A

D. Calcifying Odontogenic Cyst (COC)

204
Q

Which of the following is characterized by Rests of dental lamina epithelialize the small lesions?

A. Gingival Cyst of Newborn

B. Primordial Cyst

C. Keratocystic Odontogenic Tumor (KCOT)

D. Calcifying Odontogenic Cyst (COC)

A

A. Gingival Cyst of Newborn

205
Q

Which of the following develops where a tooth would have formed and is most commonly seen at the mandibular 3rd molar region?

A. Gingival Cyst of Newborn

B. Primordial Cyst

C. Keratocystic Odontogenic Tumor (KCOT)

D. Calcifying Odontogenic Cyst (COC)

A

B. Primordial Cyst

206
Q

Which of the following is also called Gorlin Cyst?

A. Gingival Cyst of Newborn

B. Primordial Cyst

C. Keratocystic Odontogenic Tumor (KCOT)

D. Calcifying Odontogenic Cyst (COC)

A

D. Calcifying Odontogenic Cyst (COC)

207
Q

Discuss Gingival Cyst of Newborn in regards to each of the following:

  • Bohn’s nodules?
  • Epstein’s pearls?
  • Rests of dental lamina?
  • Tx?
A
208
Q

Discuss Primordial Cyst in regards to each of the following?

  • Where does this cyst develop?
  • What is the most common site in the oral cavity?
  • Tx?
A
209
Q

Discuss Keratocystic Odontogenic Tumor (KCOT) in regards to each of the following:

  • Why is this lesion so bad?
  • What is the most common site in the oral cavity for KCOT?
  • What is the clinical presentation of these lesions?
  • What syndrome is KCOT associated with?
  • Tx?
A
210
Q

Discuss Calcifying Odontogenic Cyst (COC) in regards to each of the following:

  • Also called ______.
  • Are these lesions common or predictable?
  • Ghost cells?
A
211
Q

Which of the following is characterized as a radiolucency w/ driven snow calcifications (white flecks)?

A. Ameloblastoma

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

C. Adenomatoid Odontogenic Tumor (AOT)

D. Odontogenic Myxoma

A

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

***BOARDS***

212
Q

Which of the following is clinically characterized as an amorphous pink amyloid w/ concentric calcifications termed Liesegang rings?

A. Ameloblastoma

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

C. Adenomatoid Odontogenic Tumor (AOT)

D. Odontogenic Myxoma

A

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

CEOT = “driven snow” and Liesegang rings

213
Q

Which of the following is a multilocular benign but aggressive lesion that requires a wide excision or resection due to high recurrence?

A. Ameloblastoma

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

C. Adenomatoid Odontogenic Tumor (AOT)

D. Odontogenic Myxoma

A

A. Ameloblastoma

214
Q

Which of f the following is mostly observed in anterior maxilla over impacted canines and contains epithelial duct-like spaces and enameloid material?

A. Ameloblastoma

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

C. Adenomatoid Odontogenic Tumor (AOT)

D. Odontogenic Myxoma

A

C. Adenomatoid Odontogenic Tumor (AOT)

Tx: surgical excision, good prognosis

215
Q

Which of the following is characterized as a slimy stroma?

A. Ameloblastoma

B. Calcifying Epithelial Odontogenic Tumor (CEOT)

C. Adenomatoid Odontogenic Tumor (AOT)

D. Odontogenic Myxoma

A

D. Odontogenic Myxoma

216
Q

Discuss Ameloblastoma in regards to each of the following:

  • (benign/malignant)? (Aggressive or not)?
  • Differential diagnosis for multilocular lesions?
  • Tx?
A
217
Q

Discuss Calcifying Epithelial Odontogenic Tumor (CEOT) in regards to each of the following:

  • Also called ______.
  • Radiographic presentation?
  • Clinical presentation?
  • Tx?
A
218
Q

Discuss Adenomatoid Odontogenic Tumor (AOT) in regards to each of the following:

  • Contains ______.
  • Where do these mainly occur?
  • Tx?
A
219
Q

Discuss Odontogenic Myxoma in regards to each of the following:

  • Also called _______.
  • Clinical presentation?
  • Radiographic presentation?
  • Tx?
A
220
Q

Which of the following is associated w/ a ball of cementum and cementoblasts replacing a tooth’s root?

A. Central Odontogenic Fibroma (COF)

B. Periapical Cemento-Osseous Dysplasia (PCOD)

C. Ameloblastic Fibroma

D. Odontoma

E. Cementoblastoma

A

E. Cementoblastoma

221
Q

Which of the following is a myxomatous connective tissue most commonly seen in posterior mandible and mainly occurs in children and teens?

A. Central Odontogenic Fibroma (COF)

B. Periapical Cemento-Osseous Dysplasia (PCOD)

C. Ameloblastic Fibroma

D. Odontoma

E. Cementoblastoma

A

C. Ameloblastic Fibroma

222
Q

Which of the following is associated w/ Gardner Syndrome?

A. Central Odontogenic Fibroma (COF)

B. Periapical Cemento-Osseous Dysplasia (PCOD)

C. Ameloblastic Fibroma

D. Odontoma

E. Cementoblastoma

A

D. Odontoma

223
Q

Which of the following is characterized as dense collagen w/ strands of epithelium?

A. Central Odontogenic Fibroma (COF)

B. Periapical Cemento-Osseous Dysplasia (PCOD)

C. Ameloblastic Fibroma

D. Odontoma

E. Cementoblastoma

A

A. Central Odontogenic Fibroma (COF)

Central = bone, well-defined multilocular

Peripheral = gum (can’t see radiographically)

224
Q

Discuss Central Odontogenic Fibroma (COF) in regards to each of the following:

  • Composed of?
  • Cental?
  • Peripheral?
A
225
Q

Discuss Cementoblastoma in regards to each of the following:

  • Radiographic presentation?
  • What is it?
  • Tx?
A
226
Q

Discuss Ameloblastic Fibroma in regards to each of the following:

  • Occurs in (children/teens or adults)? (BOARDS)
  • Most common site in oral cavity?
  • Composed of?
  • Called an _____ if there is an odontoma present as well:
  • Tx?
A
227
Q

Discuss Odontoma in regards to each of the following:

  • Radiographic description?
  • Can block _____?
  • Compound?
  • Complex?
  • What syndrome are Odontoma’s associated w/?
A

“Looks like mini toothsies”

228
Q

Which of the following is a circumscribed opaque mass of bone and osteoblasts that requires surgical excision as Tx?

A. Central Ossifying Fibroma

B. Fibrous Dysplasia

C. Periapical Cementoblastoma-Osseous Dysplasia (PCOD)

D. Osteoblastoma

A

D. Osteoblastoma

229
Q

Which of the following has a Ground-glass appearance radiographically?

A. Central Ossifying Fibroma

B. Fibrous Dysplasia

C. Periapical Cementoblastoma-Osseous Dysplasia (PCOD)

D. Osteoblastoma

A

B. Fibrous Dysplasia

230
Q

Which of the following is most common at apices of mandibular anteriors and is associated w/ vital teeth?

A. Central Ossifying Fibroma

B. Fibrous Dysplasia

C. Periapical Cementoblastoma-Osseous Dysplasia (PCOD)

D. Osteoblastoma

A

C. Periapical Cementoblastoma-Osseous Dysplasia (PCOD)

231
Q

Which of the following is composed of fibroblastic stroma in which foci of mineralized products are formed? (Juvenile = aggressive variant)

A. Central Ossifying Fibroma

B. Fibrous Dysplasia

C. Periapical Cementoblastoma-Osseous Dysplasia (PCOD)

D. Osteoblastoma

A

A. Central Ossifying Fibroma

232
Q

Discuss Central Ossifying Fibroma in regards to each of the following:

  • Composed of?
  • Central = ?
  • Peripheral = ?
  • Juvenile = ?
  • Tx?
A
233
Q

Discuss Fibrous Dysplasia in regards to each of the following:

  • Radiographic presentation?
  • Usually stops growing after _____.
  • What syndrome is Fibrous Dysplasia associated with?
  • Tx?
A
234
Q

Discuss Periapical Cemento-Osseous Dysplasia (PCOD) in regards to each of the following:

  • Etiology?
  • Most common site in oral cavity?
  • Most common people affected?
  • Is PCOD associated w/ vital or nonvital teeth?
  • Radiographic presentation?
  • Tx?
A
235
Q

Discuss Osteoblastoma in regards to each of the following:

  • What is it?
  • Tx?
A
236
Q

Which of the following favors the anterior mandible and is composed of fibroblasts and multinucleated giant cells?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

A. Central Giant Cell Granuloma

Tx: excision

237
Q

Which of the following is associated w/ elevated alkaline phosphatase?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

C. Hyperparathyroidism

238
Q

Which of the following is characterized as a symmetrical bilateral swelling, expansive bilateral multilocular radiolucencies?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

D. Cherubism

239
Q

Which of the following is characterized as discrete punched out “ice cream scoop” radiolucencies that lead to floating teeth?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

E. Langerhans Cell Disease

240
Q
  • Pseudocyst composed of blood-filled spaces
  • Multilocular radiolucency
  • Expansile (expands mandible)
  • Posterior mandible is favored
  • Tx = excision

Which of the following is described by the bullets pts above?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

B. Aneurysmal Bone Cyst

241
Q

Which of the following is associated w/ elevated alkaline phosphatase?

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Paget’s Disease

D. Cherubism

E. Langerhans Cell Disease

A

C. Paget’s Disease

Paget’s Disease = Cotton wool appearance

242
Q

Which of the following is is characterized as a cotton wool appearance?

(BOARDS)

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Paget’s Disease

D. Hyperparathyroidism

E. Langerhans Cell Disease

A

C. Paget’s Disease

note: both Paget’s disease and Hyperparathyroidism have elevated alkaline phosphatase due to breakdown of bone

243
Q

Discuss Central Giant Cell Granuloma (CGCG) in regards to each of the following:

  • Composed of?
  • Where in the mouth is this typically seen?
  • Central = ?
  • Peripheral = ?
  • Tx?
A
244
Q

Discuss Aneurysmal Bone Cyst in regards to each of the following:

  • What is it?
  • Radiographic presentation?
  • Where in the oral cavity is this typically seen?
  • Tx?
A
245
Q

Discuss hyperparathyroidism in regards to each of the following:

  • Causes _______.
  • Tumor? (BOARDS)
  • Elevated _____?
  • Von Recklinghausen’s disease of bone?
A
246
Q

Which of the following is associated w/ Brown tumor?

***BOARDS***

A. Central Giant Cell Granuloma

B. Aneurysmal Bone Cyst

C. Hyperparathyroidism

D. Cherubism

E. Langerhans Cell Disease

A

C. Hyperparathyroidism

247
Q

Discuss Cherubism in regards to each of the following:

  • Radiographic presentation?
  • Tx?
A
248
Q

Discuss Langerhans Cell Disease in regards to each of the following:

  • Also called?
  • Rare type of ____.
  • How does this happen?
  • Radiographic presentation? (BOARDS)
  • Tx?
A
249
Q

Discuss Paget’s Disease in regards to each of the following:

  • What is it?
  • Who does it usually effect?
  • Elevated ______?
  • Radiographic appearance? (BOARDS)
  • Dentures?
  • Tx?
A
250
Q

Which of the following is commonly initiated by odontogenic infection and trauma? This condition does NOT cause the tooth to be loose, periodontitis does.

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Focal Sclerosing Osteomyelitis (Condensing Osteitis)

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

A. Acute Osteomyelitis

251
Q

Bone sclerosis resulting from low-grade inflammation like chronic pulpitis is characteristic of which of the following?

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Condensing Osteitis

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

C. Condensing Osteitis

***VERY HIGHLY TESTED ON BOARDS***

252
Q

Chlorohexidine rinse is the tx for which of the following?

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Condensing Osteitis

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

***BOARDS***

253
Q

Which of the following is associated w/ Sequestration?

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Condensing Osteitis

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

B. Chronic Osteomyelitis

254
Q

Which of the following is associated w/ Garre’s Osteomyelitis?

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Condensing Osteitis

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

B. Chronic Osteomyelitis

255
Q

Which of the following has an onion skin appearance?

A. Acute Osteomyelitis

B. Chronic Osteomyelitis

C. Condensing Osteitis

D. Diffuse Sclerosing Osteomyelitis

E. Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ)

A

B. Chronic Osteomyelitis

256
Q

Discuss Acute Osteomyelitis in regards to each of the following:

  • Most common initiating causes are ______ and _______.
  • How does this lesion progress?
  • Symptoms?
  • Loose tooth?
  • Tx?
A
257
Q

Discuss Chronic Osteomyelitis in regards to each of the following:

  • Radiographic appearance?
  • Cardinal sign?
  • Chronic osteomyelitis w/ Proliferative periosteitis (onion skin) is known as _______.
  • Tx?
A
258
Q

Discuss Focal Sclerosing Osteomyelitis in regards to each of the following:

  • Also called?
  • Results from?
  • Tx?
A
259
Q

Discuss Diffuse Sclerosing Osteomyelitis in regards to each of the following:

  • Same as _____ just wider scale and may lead to jaw fracture and osteomyelitis.
  • Tx?
A
260
Q

Discuss Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ) in regards to each of the following:

  • Risk of development is much greater w/ _____ than oral.
  • Symptom?
  • Tx? (BOARDS)
A
261
Q

What is the most frequently symptom that pts experience w/ malignancy in bone?

A

Numb lip (paresthesia) = Think Malignancy

***BOARDS***

262
Q

Which of the following is characterized as sarcoma of jaws where new cartilage is produced by tumor cells.

A. Osteosarcoma

B. Chondrosarcoma

C. Ewing’s Sarcoma

D. Metastatic Carcinoma

A

B. Chondrosarcoma

Osteosarcoma = new bone

Chondrosarcoma = new cartilage

Ewing’s Sarcoma = round cells

263
Q

Which of the following is a sarcoma of jaws where new bone is produced by tumor cells?

A. Osteosarcoma

B. Chondrosarcoma

C. Ewing’s Sarcoma

D. Metastatic Carcinoma

A

A. Osteosarcoma

Osteosarcoma = new bone

Chondrosarcoma = new cartilage

Ewing’s Sarcoma = round cells

264
Q

Which of the following is characterized as a sunburst pattern?

A. Osteosarcoma

B. Chondrosarcoma

C. Ewing’s Sarcoma

D. Metastatic Carcinoma

A

A. Osteosarcoma

Osteosarcoma = new bone

Chondrosarcoma = new cartilage

Ewing’s Sarcoma = round cells

265
Q

Which of the following is characterized as a sarcoma of long bones involving “round cells”?

***BOARDS***

A. Osteosarcoma

B. Chondrosarcoma

C. Ewing’s Sarcoma

D. Metastatic Carcinoma

A

C. Ewing’s Sarcoma

Osteosarcoma = new bone

Chondrosarcoma = new cartilage

Ewing’s Sarcoma = round cells

266
Q

List each of the following from most common to least common sites of metastatic cancer spreading from:

  • Lung
  • Breast
  • Kidney
  • Prostate
A

Breast > Lungs > Kidneys > Prostate

***BOARDS***

267
Q

Discuss Osteosarcoma in regards to each of the following:

  • Sarcoma of jaws where ______ is produced by tumor cells.
  • Radiographic presentation?
  • Survival rate?
  • Tx?
A
268
Q

Discuss Chondrosarcoma in regards to each of the following:

  • Sarcoma of jaws where ______ is produced by tumor cells.
  • Radiographic presentation?
  • More common involving ____ due to cartilaginous origin.
A
269
Q

Discuss Ewing’s Sarcoma in regards to each of the following:

  • Sarcoma of long bones involving ______.
  • ______ affects the jaws.
  • Affects (children or adults)?
  • Involves ____.
A
270
Q

Discuss Metastatic Carcinoma in regards to each of the following:

  • Symptoms?
  • Order of spread from most common to least? (Lung, kidney, breast, prostate)
A
271
Q

Which of the following is commonly seen on the buccal mucosa and is asymptomatic?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

A. White Sponge Nevus

note: White sponge Nevus can not be wiped off

272
Q

Supernumerary teeth are commonly seen in which of the following conditions?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

D. Cleidocranial Dysplasia

Cleidocranial Dysplasia = supernumerary teeth + missing clavicles

Ectodermal Dysplasia = missing teeth + hypoplastic hair or nails

***BOARDS***

273
Q

Missing teeth and hypoplastic hair or nails are commonly seen in which of the following?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

E. Ectodermal Dysplasia

Cleidocranial Dysplasia = supernumerary teeth + missing clavicles

Ectodermal Dysplasia = missing teeth + hypoplastic hair or nails

***BOARDS***

274
Q

Missing Clavicles and supernumerary teeth are seen in which of the following?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

D. Cleidocranial Dysplasia

Cleidocranial Dysplasia = supernumerary teeth + missing clavicles

Ectodermal Dysplasia = missing teeth + hypoplastic hair or nails

***BOARDS***

275
Q

Telangiectasia (red macula or papule, dilated or broken capillary) is associated w/ which of the following?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

C. Hereditary Hemorrhagic Telangiectasia

276
Q

Which of the following is associated w/ iron-deficiency anemia?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

C. Hereditary Hemorrhagic Telangiectasia

***BOARDS***

277
Q

Epistaxis (nose bleeds) is a frequent sign of which of the following?

A. White Sponge Nevus

B. Epidermolysis Bullosa

C. Hereditary Hemorrhagic Telangiectasia

D. Cleidocranial Dysplasia

E. Ectodermal Dysplasia

A

C. Hereditary Hemorrhagic Telangiectasia

278
Q

_________ is a red macula or papule, dilated or broken capillary that blanches when pressed on)

A

Telangiectasia

279
Q

Discuss White Sponge Nevus in regards to each of the following?

  • What type of hereditary condition is this?
  • What is the clinical presentation?
A
280
Q

Discuss Epidermolysis Bullosa in regards to each of the following:

  • What type of hereditary condition is this?
  • Clinical presentation?
A
281
Q

Discuss Hereditary Hemorrhagic Telangiectasia (HHT) in regards to each of the following:

  • What type of hereditary disorder HHT?
  • What syndrome is another name for HHT?
  • Define Telangiectasia:
  • What does this condition cause?
  • What is HHT associated w/?
  • _____ is a frequent presenting sign
A
282
Q

Discuss Cleidocranial Dysplasia in regards to each of the following:

  • What are the two cardinal signs of Cleidocranial Dysplasia?

***He got 10 BOARD Qs on this***

A
283
Q

Discuss Ectodermal Dysplasia in regards to each of the following:

What are the two cardinal signs of Ectodermal Dysplasia?

***He got 10 BOARD Qs on this***

A
284
Q

What is the difference between Cleidocranial Dysplasia and Ectodermal Dysplasia?

A
285
Q

Which of the following is an intrinsic alteration of enamel?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

B. Amelogenesis Imperfecta

286
Q

Lack of bone remodeling and resorption leads to “Stone bone”, which is associated with which of the following?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

A. Osteopetrosis

287
Q

Chevron pulps and short roots are a cardinal sign of which of the following?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

D. Dentin Dysplasia

288
Q

Blue sclera is associate w/ which of the following?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

C. Dentinogenesis Imperfecta

***He got a BOARD question on this specifically***

289
Q

Short roots, bell-shaped crowns and obliterated pulps are associated w/ which of the following?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

C. Dentinogenesis Imperfecta

Note: bulbous crowns in radiographs due to constricted DEJ

290
Q

Thin to no enamel, but dentin and pulp are normal is consistent w/ which of the following conditions?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

B. Amelogenesis Imperfecta

291
Q

Ghost teeth are a cardinal sign of which of the following conditions?

A. Osteopetrosis

B. Amelogenesis Imperfecta

C. Dentinogenesis Imperfecta

D. Dentin Dysplasia

E. Regional Odontodysplasia

A

E. Regional Odontodysplasia

Note: quadrant of teeth exhibit short roots, open apices and enlarged pulp chambers (Ghost teeth)

***BOARDS***

292
Q

Discuss Osteopetrosis in regards to each of the following:

  • What type of hereditary condition is this?
  • Also called __________ and ________? (2)
  • Lack of bone remodeling and resorption leads to “_______”
A
293
Q

Discuss Amelogenesis Imperfecta in regards to each of the following:

  • What type of hereditary condition is this?
  • Intrinsic alteration of ______ only.
  • How many teeth are affected?
  • Clinical presentation?
  • Tx?
A

***BOARDS***

294
Q

Discuss Dentinogenesis Imperfecta in regards to each of the following:

  • What type of hereditary condition?
  • Intrinsic alteration of _______.
  • How many teeth are affected?
  • Radiographic presentation?
  • Bulbous crowns in radiographs due to _________.
  • Systemic sign?
  • Tx?
A

***BOARDS***

295
Q

Discuss Dentin Dysplasia in regards to each of the following:

  • What type of hereditary condition?
  • Intrinsic alteration of ______.
  • How many teeth are affected?
  • Radiographic presentation?
  • Tx?
A
296
Q

Discuss Regional Odontodysplasia in regards to each of the following:

  • Radiographic presentation?
  • Buzz word?
  • Tx?
A

***BOARDS***

297
Q

Which of the following affects the number of teeth? (1 less tooth)

A. Fusion

B. Gemination

A

A. Fusion

298
Q

In _____, one root buds into two crowns.

A. Fusion

B. Gemination

A

B. Gemination

Fusion = one less tooth (two buds merge into one bud)

Gemination = normal tooth count (one root buds into two crowns)

299
Q

What is the difference between Fusion and Gemination?

A
300
Q

What is the criteria for Van der Woude Syndrome?

A

Van der Woude Syndrome = clefts + lips

301
Q

What is the criteria for Melkersson-Rosenthal Syndrome?

A

Melkersson-Rosenthal Syndrome = fissured tongue + granulomatous cheilitis + facial paralysis

302
Q

What is the criteria for Sturge-Weber Syndrome?

A

Sturge-Weber Syndrome = angiomas of leptomeninges (arachnoid and pia mater) + skin along the distribution of the trigeminal nerve

303
Q

What is the criteria for Peutz-Jeghers Syndrome?

A

Peutz-Jeghers Syndrome = freckles + intestinal polyps

304
Q

What is the criteria for Ramsay Hunt Syndrome?

A

Ramsay Hunt Syndrome = herpes zoster reactivation in geniculate ganglion affecting cranial nerves VII and VIII resulting in facial paralysis, vertigo, deafness

305
Q

What is the criteria for Behcet’s Syndrome?

A

Behcet’s Syndrome = multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

306
Q

What is the criteria for Plummer-Vinson Syndrome?

A

Plummer-Vinson Syndrome = mucosal atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

307
Q

What is the criteria for Gorlin Syndrome?

A

Gorlin Syndrome = multiple KCOTs, multiple BCCs, calcified falx cerebri, fatal, also called nervous basal cell carcinoma

308
Q

What is the criteria for Gardner Syndrome?

A

Gardner Syndrome = multiple odontomas + intestinal polyps

309
Q

What is the criteria for McCune-Albright Syndrome?

A

McCune-Albright Syndrome = polyostotic (more than one bone) fibrous dysplasia + cutaneous cafe au lait spots + endocrine abnormalities like precocious puberty

INBDE (18 decks)

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