Quiz Questions Flashcards
T/F. A tumor that has poorly differentiated cells and is not encapsulated would most likely be benign?
False. It would be malignant
You have a young women patient who is concerned about her wisdom teeth. You do PA radiographs and find that all are impacted except number 32. In the lower right you find a well-defined radiolucency in the area where number 32 would be. It is asymptomatic and there is no history of extraction. This is most likely a…?
Primordial cyst
T/F and T/F. Ameloblastomas are true tumors of tissue that would normally form dental structures. Ameloblastomas are often associated with primordial cysts.
True. False
T/F. Periapical cemental dysplasia is associated with teeth with pulpal necrosis?
False
T/F. It is much more likely that leukoplakia is carcinoma-in-situ than erythroplakia.
False
T/F. An ulceration on the lower lip that is diagnosed as cancer would have a better chance of being squamous cell carcinoma than basal cell carcinoma based upon its location.
True.
T/F. A birth mark also known as a port wine stain is an example of a pigmented cellular nervus.
False.
What is the fundamental difference that makes anaplasia different from any other cellular response to irritation?
Anaplasia cells are similar to cancer cells.
T/F. Tobacco is the biggest cause of basal cell carcinoma. Orally, basal cell carcinoma is most often seen on the tongue.
False. True
A 30 year old man presents himself to your practice for a prophy and exam. You notice that tooth number 28 is not present. You do a full mouth set of radiographs and find that there is no impacted tooth in that area, but there is a radiolucency with a fine radiopaque border. You question him about his past dental history and he tells you that he had a bad toothache and had a tooth removed in that area several years ago. This radiolucency is most likely?
Residual cyst
There are several different classes of carcinogens. Name one
Chemicals Viruses Smoking/Chewing Radiation Mechanical Trauma Hormones like estrogen
Of the terms listed, which one doesn’t fit with the rest? Encapsulated, slow growing, non-functional cells, and well differentiated.
Non-functional cells
The substitution of a more specialized, fragile cell type for a cell type that is less specialized and more durable in cases of prolonged irritation is the definition of?
Metaplasia
T/F. A papilloma is the most common benign intraoral tumor?
False. It is a fibroma.
T/F and T/F. Basal cell carcinoma is the most common intraoral malignancy. If an ulceration on the upper lip is a skin cancer, chances are greater that it is epidermoid carcinoma rather than basal cell carcinoma.
Both statements are false.
What histological feature defines a pathologic cavity as a cyst?
Epithelium lining
T/F. Erythroplakia has a greater chance of being cancer than leukoplakia.
True
What group of people is verrucous carcinoma most associated with?
Older men who chew
A middle-aged man presents for treatment as a new patient at the clinic where you practice. He is missing tooth number 29. Upon radiographic survey you find the tooth is not impacted and he has no history of extraction. He has a radiolucency with a well-defined border where that tooth should be. The radiolucency is probably a?
Primordial cyst
An ameloblastoma is most associated with a ?
Follicular cyst
Name the 2 things which control all body processes.
Endocrine and Nervous systems
Hyperpituitarism in adults causes a problem know as?
Acromegaly
A lack of antidiuretic hormone will cause a problem called?
Diabetes insipidus
Graves disease is associated with which gland?
Thyroid
Someone who is hyperthyroid would have all of the following symptoms except one: Rapid heart rate High blood pressure Decreased appetite Tremor of hands Fatigue
Decreased appetite
What nutrient is essential for the production of thyroid hormone?
Iodine
T/F. Hypotheroidism is associated with loss of the lamina dura.
False. Hyperthyroidism
T/F. Hyperthroidism is assocaited with metastatic calcification of tissues.
False
A man who complains that his hats and gloves no longer fit and who has very prominent cheek bones would probably suffer from:
Acromegaly
T/F. Leg cramping in older women at night is most associated with hypoparathyroidism.
True
T/F and T/F. Strawberry tongue is most associated with diptheria. Diptheria is a viral disease.
Both statements are false
T/F and T/F. Actinomycosis is associated with lesions that produce a discharge containing “sulfur granules.” Sulfur granules are small mineral deposits produced by the infection that actually contain the minerals sulfur in them.
True. False
T/F. Actinomycosis is caused by a fungal organism.
False.
T/F and T/F. Koplik’s spots are associated with rubella. Rubella is a bacterial disease.
False. False
T/F and T/F. Photophobia is associated with rubeola. Rubeola produces a red lesion in the oral cavity.
True. True.
What is the most serious complication associated with rubella?
A woman contracting it in the first trimester of pregnancy, because it can cause birth defects
What 2 food groups are most associated with the process of dental decay?
Sugars and starches
Name a characteristic of saliva that affects the decay process.
A buffer to neutralize acid
The quantity of saliva
T/F. Complex sugars have less caries forming potential than simple sugars.
True.
T/F and T/F. The same organism that causes chicken pox in children causes shingles in adults. These are bacterial diseases.
True. False
What is the basic pathology associated with either type of diabetes mellitus?
Damage of the blood vessels
T/F. Both diabetes mellitus and diabetes insipidus involve sugar metabolism. Both diabetes mellitus and diabetes insipidus involve polyuria as a patient symptom.
False. True.
What is the leading cause of death in diabetics?
Myocardial Infarction. (MI)
What is the one reason not to give someone having a diabetic reaction oral sugar?
They could choke
T/F and T/F. Diabetic coma is associated with hypoglycemia. Diabetic coma would likely be the most commonly seen diabetic emergency in a dental office.
Both statements are false
Blood pumped from the right ventricle travels to the?
Lungs
What is the cause of death in a patient with an aneurysm?
Internal bleeding
T/F. Nitroglycerin works by causing vasoconstriction of the peripheral blood vessels.
False
There are three arteries that are more affected by atheroscelorsis. Name 2
Aorta
Arteries of the brain
T/F and T/F. Generally speaking, when speaking of vascular disease, we’re speaking about obstruction of some type of vessel. Arterial disease will most often be seen as swelling and edema of body tissues.
True. False.
Where is the most common location of formation of the clot that forms a pulmonary embolism?
Veins in the leg
T/F. The respiratory drive in healthy people is based upon low oxygen content in their blood.
False.
T/F. People suffering from COPD have trouble inhaling air.
False. It is exhaling air
T/F and T/F. Brochial asthma is a form of COPD. Asthma attacks in children can be caused by stress.
False. True.
T/F and T/F. Emphysema is a disease of the bronchial passages. The most common cause of emphysema is a long term, low grade, bacterial infection.
Both statements are false.
T/F and T/F. People suffering from chronic bronchitis would exhibit bronchial dilation. People suffering from chronic bronchitits would experience excessive mucous secretions in the bronchial passages.
False. True.
Blood from the right ventricle is pumped to the?
Lungs
T/F. The method of action of nitroglycerine is to cause peripheral vasoconstriction and thereby reduce the workload on the heart.
False. It would be vasodilation
T/F. The plaques of atherosclerosis involve only the innermost layer of the blood vessel.
False. The middle layer as well
The person exhibiting a reduced cardiac stroke volume would most likely have what problem?
Congestive Heart Failure
Pulmonary embolisms are usually caused by blood clots. Where is the site of origin of the clot that forms an obstruction in the lungs?
Leg veins
T/F. In healthy people, it is the low level of oxygen in the the blood that causes us to take a breath.
False.
T/F and T/F. People suffering from COPD have some sort of restriction that prevents them from easily inhaling air. Bronchial asthma is a form of COPD.
Both statements are false
T/F and T/F. Emphysema is a disease of the bronchial passages. Emphysema is reversible if the patient quits smoking.
Both statements are false
Albuterol is one of the inhalers used to treat chronic bronchitis. What action does this drug have on the body?
It is a brochodialator
Define anemia.
Below normal levels of hemoglobin in the blood.
The most common anemia is?
Iron deficiency anemia
The anemia most associated with a beefy red tongue is?
B12 deficiency anemia