Oral medicin Tuy Tel
ូរជ្រើសរើសចំលើយដែលត្រឹមត្រូវ
1. The benign neoplasm that originates from squamous epithelium is called aan
σ adenoma
σ choriocarcinoma
σ chondroma
σ lipoma
σ papilloma
2. Contact stomatitis may be caused by
σ dentifrice
σ lipstick
σ acrylic
σ antibiotics
σ All of the above
3. In the presence of an acute bacterial infection, laboratory tests will show an increase in
σ polymorphonuclear leukocytes
σ plasma cells
σ lymphocytes
σ monocytes
σ eosinophils
4. Mucoceles are most commonly found in the
σ upper lip
σ lower lip
σ tongue
σ buccal mucosa
σ soft palate
5. The radicular or root-end cyst occurs as a result of
σ trauma
σ pulpal necrosis
σ hyperparathyroidism
σ poorly calcified bone
6. Excessive formation of scar tissue beyond the wound margin is called
σ a fibroma
σ a keloid
σ a fibro-epithelial polyp
σ epithelial hyperplasia
7. Intermittent painful swelling in the submandibular region that increases at mealtime is indicative of
σ a ranula
σ a blockage of Wharton's duct
σ Ludwig's angina
σ a blockage of Stensen's duct
σ an epidemic parotitis
8. Which of the following isare NOT usually affected by hereditary ectodermal dysplasia?
σ Salivary glands
σ Teeth
σ Sweat glands
σ Hair
σ Fingernails
9. The term "carcinoma in situ" implies that the lesion shows
σ metaplasia
σ early invasion of malignant cells through the basement membrane
σ dysplasia of cells confined within the epithelium
σ distant metastasis of a malignant tumor
10. The redness of an inflammatory lesion of oral mucosa is due to
σ increased number of capillaries
σ increased size of capillaries
σ decreased thickness of epithelium
σ decreased connective tissue elements
σ All of the above
11. Which of the following is NEVER associated with an impacted tooth?
σ Adeno-ameloblastoma
σ Odontogenic myxoma
σ Pindborg's tumor
σ Primordial cyst
σ Ameloblastoma
12. An occluded submandibular duct can be diagnosed by
σ history
σ palpation
σ sialography
σ occlusal radiographs
σ All of the above
13. A 2cm, discrete, white lesion of the buccal mucosa has not resolved after elimination of all local irritants The most appropriate management would be to
σ cauterize it
σ apply toluidine blue staining
σ perform an incisional biopsy
σ re-examine at 6 month intervals
σ refer patient to family physician
14. Exfoliative cytology is of value in the diagnosis of
σ lichen planus
σ aphthous ulceration
σ herpes simplex
σ benign mucous membrane pemphigoid
σ erythema multiforme
15. Which one of the following would be of greatest value in determining the etiology of an oral ulceration?
σ History of the oral lesion
σ Cytological smear
σ Systemic evaluation
σ Laboratory tests
16. A 20-year old male presents with a three-day history of an acute generalized gingivitis He has malaise, fever and bilateral cervical lymphadenopathy A blood examination reveals
Hb: 89g100ml
Platelets: 82,000mm3
Red blood cell count: 3,900,000mm3
White blood cell count: 870,000mm3
Normal Values:
Hb: 14-18g100ml
Platelets: 150,000-400,000mm3 Red blood cell count: 4-5millionmm3
White blood cell count: 5,000-10,000mm3
The most likely diagnosis is
Hb: 89g100ml
Platelets: 82,000mm3
Red blood cell count: 3,900,000mm3
White blood cell count: 870,000mm3
Normal Values:
Hb: 14-18g100ml
Platelets: 150,000-400,000mm3 Red blood cell count: 4-5millionmm3
White blood cell count: 5,000-10,000mm3
The most likely diagnosis is
σ Thrombocytopenic purpura
σ Acute myelogenous leukemia
σ Infectious mononucleosis
σ Acute necrotizing ulcerative gingivitis
17. Trismus is most frequently caused by
σ tetanus
σ muscular dystrophy
σ infection
σ mandibular fracture
18. Hyperplastic lingual tonsils may resemble which of the following?
σ Epulis fissuratum
σ Lingual varicosities
σ Squamous cell carcinoma
σ Median rhomboid glossitis
σ Prominent fungiform papillae
19. A possible consequence for patients taking cyclosporine is
σ erythematous gingivae
σ fibrous gingival hyperplasia
σ loss of soft tissue attachment
σ epithelial sloughing
20. A well circumscribed 3mm radiolucent lesion is present in the apical region of the mandibular second premolar The tooth responds normally to vitality tests The radiolucency is most likely
σ a periapical granuloma
σ a periapical cyst
σ a chronic periapical abscess
σ the mental foramen
21. Physiologic (racial) pigmentation differs from melanoma because melanoma
σ is macular
σ contains melanin
σ affects the gingiva
σ undergoes clinical changes
22. Which of the following is NOT associated with Cushing’s disease?
σ Buffalo hump
σ Osteoporosis
σ Hirsutism( excessive hair growth in certain areas of a woman's face and body)
σ Hypertension
σ Diabetes insipidus
23. Which of the following presents with high serum calcium levels, thinning of cortical bone and giant cell osteoclasts in the jaw and drifting teeth?
σ Hyperthyroidism
σ Hyperparathyroidism
σ Hypothyroidism
σ Hypoparathyroidism
24. Nystatin is the drug of choice for
σ aphthous stomatitis
σ candidiasis
σ periodontal abscess
σ necrotizing ulcerative gingivitis (NUG)
25. A patient with pain, fever and unilateral parotid swelling following a general anesthetic most likely has
σ Mumps
σ sialolithiasis
σ acute bacterial sialadenitis
σ Sjögren’s syndrome
σ sarcoidosis
26. If left untreated, a pyogenic granuloma will most likely
σ shrink over time
σ remain unchanged
σ continue to enlarge
σ burst and then heal
σ burst, heal, but then recur
27. All of the following are well documented initiating factors of hairy tongue EXCEPT
σ candidiasis
σ mouth rinses
σ antibiotics
σ systemic corticosteroids(Prednisone)
σ radiotherapy to the head and neck
28. Which of the following is NOT a risk factor for periodontitis?
σ Smoking
σ Poorly controlled diabetes
σ Coronary heart disease
σ Poor oral hygiene
29. All of the following appear as midline structures on periapical radiographs EXCEPT
σ nasopalatineincisive canal
σ anterior nasal spine
σ nasal septum
σ zygomatic process of the maxilla
30. An ameloblastoma can develop from the epithelial lining of which of the following cysts?
σ Periradicular
σ Dentigerous
σ Residual
σ Lateral periodontal
31. A radiopaque area within the alveolar process containing several rudimentary teeth suggests aan
σ periapical cemento-osseousdysplasia
σ ameloblastoma
σ compound odontoma
σ complex odontoma
σ Pindborg tumor
32. Laboratory examination of the blood of a patient with an acute bacterial infection would show
σ lymphocytosis
σ leukocytosis
σ monocytosis
σ leukopenia
σ eosinophilia
33. Which of the following is NOT associated with infectious mononucleosis?
σ Pharyngitis
σ Lymphadenopathy
σ Petechiae of the palate
σ Gingival enlargement
σ Fatigue
34. The term used to describe epithelial changes including nuclear hyperchromatism, loss of increased nuclear to cytoplasmic ratio and abnormal mitoses is
σ acanthosis
σ hyperkeratosis
σ dysplasia
σ parakeratosis
σ hyperparakeratosis
35. A smooth, elevated, red patch devoid of filiform papillae, located in the midline of the dorsum of the tongue immediately anterior to the circumvallate papillae is indicative of
σ benign migratory glossitis
σ median rhomboid glossitis
σ a granular cell tumor
σ iron deficiency anemia
σ a fibroma
36. Patient complains of finger-like growth on the lateral aspect of the tongue The lesion is painless and of normal colour The MOST PROBABLE diagnosis is
σ Folate papillae
σ Filiform papillae
σ Neurofibroma
σ Papilloma
37. Swallowing will aid in the diagnosis of
σ Branchial cyst
σ Thyroglossal duct cyst
σ Ranula
σ Retention cyst
σ Globulomaxillary cyst
38. Painless bluish lump filled with fluid on the lips; MOST likely is
σ Smoker’s keratosis
σ Squamous cell carcinoma
σ Mucocele
σ Fibroma
σ Fibro-epithelial polyp
39. In regards to Plummer-Vincent syndrome or “Paterson and Kelly syndrome”
σ Iron deficiency is a feature
σ Atrophic oral and gastric mucosa
σ Dysphagia and angular cheilitis
σ Predisposing oral cancer
σ All of the above
40. How would you treat Denture Stomatitis
σ Tetracycline
σ Systemic penicillin
σ Nystatin
σ NSAIDs
σ Corticosteroid
41. Which of the following conditions is not classified as a white lesion
σ Fordyce’s granules
σ Smoker’s keratosis
σ Leukoplakia
σ Lichen planus
σ Lipoma
42. Angular cheilitis in edentulous patient with complete denture is a result of
σ Deficiency of vitamin
σ Low vertical dimension
σ Iron deficiency anemia
σ Neutropenia
σ Crohn disease
43. Sjogren syndrome is characterised by
σ Dryness of the mouth
σ Dryness of the eyes
σ Rheumatoid arthritis
σ All of the above
44. Long use of Tetracycline is characterised by**
σ Aphtous ulcer
σ Candida Albicans
σ Lupus erythematosus
σ Lichen planus
σ Oral submucous fibrosis
45. The effects of tooth removal in healthy individuals can show as
σ Loss of contacts
σ Slight tilting
σ Pocket formation
σ TMJ problem
σ All of the above
46. Which is not a premalignant lesioncondition?
σ Leukoplakia
σ Erythema migrans Geographic tongue
σ Erythroplakia
σ Liche planus
σ Actinic cheilosis
47. Granulomas, cysts and chronic periapical abscesses may mostly be differentiated by
σ Radiographs
σ Electric pulp test
σ Biopsy
σ Thermal
σ Aspiration
48. Marsupialisation is a technique used in the treatment of
σ Pericoronitis
σ Granuloma
σ Abscesses
σ Mucocele
σ Ranula
49. Diagnosis of oral candidiasis (candidosis) is BEST confirmed by
σ Microscopic examination of smears
σ Biopsy
σ Blood count
σ Serological exam
σ Aspiration
50. Antibiotics should be used routinely to prevent infection arising from oral surgery in patients suffering from all the following EXCEPT
σ Agranulocytosis
σ Sever uncontrolled diabetes
σ Aplastic anaemia
σ Mumps
σ Leukaemia
51. Painful salivary gland are MOST likely to be indicate to**
σ Mucocele
σ Mumps
σ Sjogren’s syndrome
σ Ranula
σ xerostomia
52. The papillae that are few in numbers, associated with MOST taste buds, associated with Von Ebner’s glands are**
σ Fungiform
σ Circumvallate
σ Foliate
σ Filiform
σ All of the above
53. Acute pyogenic bacteria infection may result in**
σ Leucopoenia
σ Neutropenia
σ Leukocytosis
σ Lymphocytosis
σ Eosinophilia
54. A common clinical sign of occlusal traumatism is
σ tooth mobility
σ pocket formation
σ gingival recession
σ temporomandibular joint pain -dysfunction syndrome
σ pulp calcifications
55. Gingival hyperplasia may be
σ familial
σ idiopathic
σ drug induced
σ All of the above
σ None of the above
56. Which of the following should be evaluated for surgical removal before new complete dentures are constructed?
σ Mandibular tori
σ Epulis fissuratum
σ Papillaryhyperplasia
σ Sharp, prominent mylohyoid ridges
σ All of the above
57. Which of the following is most likely to displace the adjacent teeth?
σ Lateral periodontal cyst
σ Dentigerous cyst
σ Periapical cemental dysplasia
σ Periapical abscess
σ Radicular cyst
58. Clinical examination of a 42 year old heavy smoker reveals a white patch in the retromolartonsillar pillar region The patch cannot be wiped off The most likely diagnosis is
σ lichen planus
σ leukoplakia
σ white sponge nevus
σ frictional hyperkeratosis
σ pseudomembranous candidiasis
59. Which of the following have a tendency to recur if not treated
σ Giant cell granuloma
σ Lipoma
σ Fibrous epulis
σ Haematoma
σ Pulp polyps
60. The tonsillar lymph node is situated at the level of
σ Angle of the mandible
σ C6 vertebrae
σ Jugulodigastric crossing
σ Clavicle
σ Jugulo-omohyoid crossing
61. Which of the following is true regarding gingivosis (Desquamative gingivitis)
σ It is caused by hormononal imbalance
σ Is seen only at or after menopause
σ Is frequently caused by lichen planus
σ Is a variant pregnancy gingivitis
σ Is related to nutritional disturbance
62. Keratotic lesion surrounded by cold web like lines
σ Wickham’s Striae appears as lace-like network on the buccal mucosa; your diagnosis is**
σ Lichen Planus
σ Keratosis follicularis
σ White sponge nevus
σ Leukoplakia
σ Oral sub mucous fibrosis
63. All of the following are keratinised EXCEPT of
σ Crevicular epithelium
σ Palatal epithelium
σ Alveolar mucosa
σ Free gingiva
σ Attached gingiva
64. On inspection of lateral boarder of the tongue at the base,which structure would you expect to find
σ Filiform papillae
σ Fungiform papillae
σ Foliate papillae
σ Lymph nodes
σ Circumvallate papillae
65. Which of the following is NOT complication of radiation to head and neck area**
σ Xerostomia
σ Mucositis
σ Increased caries
σ Heightened taste increases the taste sensation
σ Increased risk of osteomyelitis
66. Odontogenic cyst develop from the following structures except
σ Reduced enamel epithelium of tooth crown
σ Dental lamina dura
σ Epithelium trapped after sutures
σ Hertwig’s root sheath
67. A white diffuse wrinkled appearance of the buccal mucosa which diminishes in prominence or disappears upon stretching is indicative of
σ leukoedema
σ lichen planus
σ candidiasis
σ linea alba
σ white sponge nevus
68. A large pericoronal radiolucency associated with an impacted third molar tooth is most likely aan
σ ameloblastoma
σ odontogenic keratocyst
σ eruption cyst
σ dentigenous cyst
σ calcifying odontogenic cyst
69. The best management for a gingival cyst of the newborn is
σ curettage
σ incisional biopsy
σ cystologic smear
σ excisional biopsy
σ observation
70. Exfoliative cytology can be useful in detecting viral cytopathologic effects in all of the following EXCEPT
σ shingles
σ cold sores (herpes labialis)
σ chicken pox
σ hairy leukoplakia
σ acute herpetic gingivostomatitis
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