Physical/Chemical

Question 1

Mucosal lesion at the occlusal plane; probably associated with pressure and friction

Answer 1

linea alba

Question 2

associated with stress, psychological disorders; F>M; at or near the occlusal plane; ragged, irregular surface

Answer 2

cheek chewing (morsicatio buccarum)

Question 3

frequently involve the tongue or buccal mucosa; common in patients with xerostomia; candidal infection may delay healing

Answer 3

traumatic ulceration

Question 4

fibrinopurulent surface membrane overlying inflamed granulation tissue; hyperplastic epithelium adjacent to the ulcer

Answer 4

traumatic ulceration

Question 5

long standing, deep seated ulceration secondary to some form of trauma; Riga-Fede disease

Answer 5

traumatic granuloma (or traumatic ulcerative granuloma with stromal eosinophilia)

Question 6

ulcerated surface, typically involving the tongue; firm, relatively non-tender; fibrinopurulent membrane

Answer 6

traumatic granuloma

Question 7

ulcerated surface; infiltration of muscle and connective tissue by large histiocytic cells; numerous eosinophils scattered throughout lesion

Answer 7

traumatic granuloma

Question 8

treatment of traumatic granuloma

Answer 8

incisional biopsy

Question 9

superficial, white, often corrugated appearance; removal of necrotic epithelium reveals erythematous, bleeding connective tissue

Answer 9

chemical injury

Question 10

coagulative necrosis; underlying acute and chronic inflammation

Answer 10

chemical injury

Question 11

_ is particularly susceptible to the effect of cancer therapy

Answer 11

epithelium

Question 12

Clinical features of _: mucositis, dermatitis, xerostomia, hypoguesia, osteoradionecrosis, developmental disorders

Answer 12

radiation

Question 13

Clinical features of _: mucositis, hemorrhage

Answer 13

chemotherapy

Question 14

_ of antineoplastic therapy: secondary to thrombocytopenia; reduced clotting factors; manifest as petechiae/ecchymosis

Answer 14

hemorrhage

Question 15

_ of antineoplastic therapy: initial whitish appearance; ulceration; pain/discomfort

Answer 15

mucositis

Question 16

_ of antineoplastic therapy: acute-erythema, edema, burning, pruritis; chronic- dry, smooth, atrophic, telangiactatic, ulcerated

Answer 16

dermatitis

Question 17

_ of antineoplastic therapy: secondary to damaged osteocytes and vasculature; non-vital bone, pain, surface ulceration

Answer 17

osteoradionecrosis

Question 18

factitial condition secondary to lip licking, biting, etc; often an infectious component (candida); rarely hypersensitivity reaction

Answer 18

exfoliative cheilitis

Question 19

F>M; dry, scaling, fissuring; may involve the perioral skin

Answer 19

exfoliative cheilitis

Question 20

clinical features of _: circumoral dermatitis and chronic lip fissure

Answer 20

exfoliative cheilitis

Question 21

red, purple, blue, or black; labial or buccal mucosa, palate; non-blanching

Answer 21

submucosal hemorrhage

Question 22

blue, black or grey macules; variable borders; while not frequent, amalgam may be seen on radiographs

Answer 22

amalgam tattoo

Question 23

amalgam preferentially stains _ fibers

Answer 23

reticulin

Question 24

_ systemic metallic intoxication- abdominal colic, anemia, fatigue, encephalopathy

Answer 24

acute

Question 25

_ systemic metallic intoxication- lead line, ulcerative stomatitis -tongue tremor, perio disease

Answer 25

chronic

Question 26

chronic mercury exposure in infants and children

Answer 26

acrodynia

Question 27

chelating agents for treatment of systemic metallic intoxication

Answer 27

EDTA and dimercaprol

Question 28

F>M; frequently on anterior facial gingiva; “reverse smokers” show involvement of the palate

Answer 28

smoker’s melanosis

Question 29

increased melanin production along the basal layer of epithelium; melanin incontinence; melanophagia

Answer 29

smoker’s melanosis

Question 30

_ - discoloration of underlying bone

Answer 30

minocycline

Question 31

macular pigmentation -check health hx to see if they are being treated for _ or _

Answer 31

lupus or RA

Question 32

Cutright lesion; metaplasia secondary to mechanical irritation of the denture

Answer 32

traumatic osseous and chondromatous metaplasia

Question 33

often associated with extensive ridge resorption; most often in posterior mandible; raised, polypoid lesion at the crest of the ridge

Answer 33

cutright lesion

Question 34

metaplastic bone and cartilage within a proliferation of dense fibrous connective tissure

Answer 34

cutright lesion

Question 35

common lesion often found incidentally on panorex; inflammatory exudate of tissue under the sinus mucosa

Answer 35

antral pseudocyst

Question 36

epithelial lined cavity that represents maxillary sinus tissue separated from the sinus following surgery

Answer 36

surgical ciliated cyst (sinus mucocele)

Question 37

secondary to obstructed osteum/ostia; sinus itself acts as a cyst; radiographically appear as cloudy sinus

Answer 37

obstructive type sinus mucocele

Question 38

secondary to blockage of seromucous duct; no mucous extravasation; typically no large enough to become evident radiographically

Answer 38

mucus retention cyst

Question 39

secondary to air introduction into subcutaneous and/or facial spaces; often result from clinician’s use of compressed air (high speed handpiece)

Answer 39

cervicofacial emphysema

Question 40

soft tissue swelling secondary to presence of air; minimal discomfort; crepitus; later- increased enlargement secondary to inflammation and edema; fever

Answer 40

cervicofacial emphysema