Oral Pathology Identification Review

Create a detailed, educational illustration depicting various oral pathology conditions such as lesions, biopsies, and dental anatomy in a clinical setting.

Oral Pathology Identification Quiz

Test your knowledge on oral pathology with this comprehensive quiz designed for students, professionals, and enthusiasts. With 80 challenging questions, this quiz covers a wide range of topics including lesions, oral conditions, and tissue responses.

Key Features:

  • 80 detailed questions
  • Multiple choice format
  • Learning opportunity for dental students and practitioners
80 Questions20 MinutesCreated by LearningTooth101
A circumscribed, elevated lesion that is more than 5 mm in diameter. Usually contains serous fluid, and looks like a blister
A circumscribed, elevated lesion that is more than 5 mm in diameter  Usually contains serous fluid, and looks like a blister
Lobule
Bulla
Papule
Postule
A segment or lobe that is part of a whole.These lobes sometimes appear fused together
A segment or lobe that is part of a whole  These lobes sometimes appear fused together
Lobule
Bulla
Macule
Papule
A small, elevated lesion less than 1 cm in diameter that contains serous fluid
A small, elevated lesion less than 1 cm in diameter that contains serous fluid
Papule
Pustules
Vesicle
Lobule
Attached by a stemlike or stalklike base similar to that of a mushroom
Attached by a stemlike or stalklike base similar to that of a mushroom
Sessile polyp
Pedunculated polyp
Fibroma
Internal papule
Describes a lesion that extends beyond the confines of one distinct area.Defined as many lobes or parts that are somewhat fused together. This radiolucency is sometimes described as resembling soap bubbles
Describes a lesion that extends beyond the confines of xxone distinct area  Defined as many lobes or parts that are somewhat fused together   A multilocular radiolucency is sometimes described as resembling soap bubbles
Multilocular
Unilocular
Both options are correct
Arises from tissue outside the tooth, such as the periodontal ligament
Arises from tissue outside the tooth, such as the periodontal ligament
Internal root resorption
External root resorption
Scalloping around the root
Dead root
Triggered by pulpal tissue reaction from within the tooth The pulpal area can be seen as a diffuse radiolucency beyond the confines of the normal pulp area
Triggered by pulpal tissue reaction from within the tooth  The pulpal area can be seen as a diffuse radiolucency beyond the confines of the normal pulp area
Scalloping inside the root
External root resorption
Internal root resorption
Dead root
A radiolucent lesion that appears to extend up the periodontal ligament and between the roots
Screenshot 2023-08-05 9.22.40 AM
Stafne bone cyst
Median palatine cyst
Lingual mandicular bone concavity
Traumatic bone cyst

Cannot be diagnosed through clinical appearance, this lesion is diagnosed with radiographs

Defined as a odontogenic tumor that consists of a collection of numerous small teeth. They do not exhibit unlimited growth potential therefor are classified more as a developmental abnormality more than true tumors

Screenshot 2023-08-05 9.24.56 AM
Stefne bone cyst
Periapical cyst
Static bone cyst
Compound odontoma
Often referred to as a pseudocyst. Characterized by a well defined radiolucency in the posterior region of the mandible, infererior to the mandibular canal. Caused by a lingual depression in the mandible. Contains salivary gland tissue and may be an extension of the sublingual gland
Often referred to as a pseudocyst  Characterized by a well defined radiolucency in the posterior region of the mandible, infererior to the mandibular canal    Caused by a lingual depression in the mandible
Stafne bone cyst
Periapical cyst
Compound odontoma
None of the above

Clusters of ectopic sebaceous glands

Diagnosed through clinical appearance

Appear as yellow lobules in clusters

Commonly observed on vermilion border of lips and buccal mucosa

No treatment

Screenshot 2023-08-05 9.30.21 AM
Torus palatinus
Fordyce granules
Leukoedema
Linea alba

The pigment that gives color to skin, eyes, hair, mucosa, and gingiva

Most commonly observed in dark-skinned individuals

Screenshot 2023-08-05 9.31.57 AM
Keratin pigmentation
Melanin pigmentation
Abnormal pigmentation
None of the above
A sessile nodule on the gingival margin of the lingual aspect of the mandibular cuspids
Only a few millimeters in size Observed more often in young
Resolves with age
A sessile nodule xxon the gingival margin of the lingual aspect of the mandibular cuspids  xxOnly a few millimeters in size  Observed more often in young  Resolves with age
Mandibular tori
Mandibular papilla
Retrocuspid papilla
Linea alba

Clinical appearance

Red-to-purple enlarged vessels or clusters

Usually observed on the ventral and lateral surfaces of the tongue

Most commonly observed in individuals older than 60 years

Screenshot 2023-08-05 9.34.41 AM
Lingual frenum
Mandibular frenum
Lingual varicosities
Melanin pigmentation

A “white line” extends anteroposteriorly on the buccal mucosa along the occlusal plane

May be bilateral

May be more prominent in patients who have a clenching or bruxing habit

Screenshot 2023-08-05 9.36.12 AM
Leukoedema
Linea Alba
Amalgam tattoo
Leukoplakia

A generalized opalescence on the buccal mucosa

Most commonly observed in black adults

If the mucosa is stretched, the opalescence becomes less prominent

No treatment

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Leukoplakia
Leukoedema
Linea alba
Lichen planus

Clinical appearance: 

Flat or slightly raised oval or rectangular erythematous area in center of tongue

May be associated with a chronic infection with Candida albicans

No treatment necessary, but antifungal treatment may be used

Screenshot 2023-08-05 9.38.47 AM
Lingual thyroid
Median Rhomboid Glossitis
Erythema migrans
Geographic tongue

Clinical appearance: 

Erythematous patches surrounded by a white or yellow border

Diffuse areas devoid of filiform papillae

Distinct presence of fungiform papillae

There appear to be remission and changes in the depapillated areas

NOT a variant of normal- can be associated with other issues.

Screenshot 2023-08-05 9.40.11 AM
A) Erythema Migrans
B) Geographic tongue
C) Median rhomboid glossitis
D) a and b
E) None of the above

Clinical appearance: The dorsal surface of the tongue appears to have deep fissures or grooves

Cause: Unknown

Probably involves genetic factors

Seen in about 5% of the population

Screenshot 2023-08-05 9.41.49 AM
Fissured tongue
Geographic tongue
Scalloped tongue
Hairy tongue

Clinical appearance: Elongated filiform papillae are white- know what papillae are involved

Result of an increase in keratin production or a decrease in normal desquamation

Home care: Direct the patient to brush the tongue gently with a toothbrush to remove debris

Screenshot 2023-08-05 9.43.04 AM
White hairy tongue
Fissured tongue
Scalloped tongue
Geographic tongue

Tooth-to-tooth wear

May be observed in both primary and permanent dentition

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Abfraction
Attrition
Abrasion
None of the above

Cause: Microfracture of tooth structure in areas of concentration of stress. May be related to fatigue, flexure, fracture, and deformation of tooth structure. May occur in combination with abrasion

Appearance: Typically appears as wedge-shaped lesions at the cervical areas of teeth

Preventive treatment: Fabricating an acrylic splint

Screenshot 2023-08-05 9.56.43 AM
Erosion
Abfraction
Attrition
Abrasion
Tooth structure may be lost due to demineralization around a restoration, making the restoration appear raised or stand out, distinguishing it from abrasion or attrition
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Abrasion
Attrition
Erosion
Abfraction

Rapid destruction of teeth as a result of:

Methamphetamine acid content

Decreased salivary flow

Cravings for high-sugar beverages

Lack of oral hygiene

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Meth mouth
Attrition
NUG
Nicotine abuse
The tissue becomes necrotic and white
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Phenol burn
Aspirine burn
Electric burn
Hematoma

Used in dentistry as a cavity-sterilizing agent and a cauterizing agent

Will cause whitening and sloughing of the area as a result of tissue destruction

Screenshot 2023-08-05 10.05.17 AM
Aspiring burn
Phenol burn
Electric burn
Cavi burn

May be quite extensive, damaging oral tissue and even tooth buds

May cause permanent disfigurement and scarring

Treatment: Plastic surgery, Oral surgery, or Orthodontic therapy

Screenshot 2023-08-05 10.06.23 AM
Thermal burn
Electric burn
Phenol burn
Meth mouth
Which type of burn is this? 
Screenshot 2023-08-05 10.07.39 AM
Phenol
Electric
Aspirin
Thermal
The result of persistent trauma
Appearance: Hard (indurated), raised lesion Heals rapidly after biopsy
The result of persistent trauma  Appearance: Hard (indurated), raised lesion  Heals rapidly after biopsy
Hematoma
Traumatic granuloma
Frictional keratosis
None of the above

Accumulation of blood within tissue as a result of trauma

Appears as a red to purple to bluish-gray mass

Frequently seen on labial or buccal mucosa

Screenshot 2023-08-05 10.10.17 AM
 
Trauma
Hematoma
Fractional keratosis
Granuloma

A form of hyperkeratosis

Cause: Chronic rubbing or friction against an oral mucosal surface; resembles a callus on skin

Appearance: Opaque white

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Aspirin burn
Fractional Keratosis
Traumatic granuloma
Hematoma

A benign lesion typically associated with pipe and/or cigar smoking; may also occur with cigarette smoking

Raised red areas occur at the openings of ducts of inflamed minor salivary glands

Screenshot 2023-08-05 10.12.59 AM
Meth mouth
Smokeless tobacco keratosis
Nicotine stomatitis
None of the above

A white lesion located where chewing tobacco is placed, most often in the mucobuccal fold

Early lesions may have a granular or wrinkled appearance

Long-standing lesions may be more opaquely white and have a corrugated surface

Screenshot 2023-08-05 10.14.49 AM
Nicotine stomatitis
Meth mouth
Tobacco burn
Smokeless tobacco keratosis

A degeneration of the tissue of the lips

Appearance: 

Lips appear dry and cracked

The vermilion appears pale pink and mottled

The interface between lips and skin is indistinct

Microscopically: Epithelium is thinner than normal; degenerative CT changes

Screenshot 2023-08-05 10.16.15 AM
Solar chelitis (Actinic Chelitis)
Mucocele
Fordyce granules
Angular chelitis

A lesion formed when a salivary gland duct is severed and the mucous salivary gland secretion spills into the adjacent connective tissue

Not a true cyst because it is not lined with epithelium

A result of trauma to a minor salivary duct

Screenshot 2023-08-05 10.18.09 AM
Ranula
Mucocele
Pustule
Cyst

A salivary gland stone

May be found in both minor and major salivary glands

Formed by precipitation of calcium salts around a central core

May often be seen on radiographs

Treatment

Sometimes the calcification can be “milked” from the duct

It may require surgical removal; this may damage the duct

Screenshot 2023-08-05 10.19.53 AM
Mucocele
Salivary stone
Sialolith
Sialometaplasia
A proliferation of connective tissue containing numerous blood vessels and inflammatory cells occurring as a response to injury
Screenshot 2023-08-05 10.21.18 AM
Pyogenic granuloma
Tissue hyperplasia
Pregnancy tumor
Benign tumor

Recently defined lesion that clinically resembles a pyogenic granuloma

Thought to arise from improper exteriorization of junctional epithelium

Seen most commonly in younger patients, with a slight female predilection reported

Screenshot 2023-08-05 10.23.14 AM
Localized Juvenile Spongiotic Gingivitis
Peripheral Giant Cell Granuloma
Peripheral Ossifying Fibroma
None of the above

The most common mass on the gingiva

Caused by trauma

(Select all that apply) 

Screenshot 2023-08-05 10.24.59 AM
Fibroma
Irritation fibroma
Traumatic fibroma
Focal fibrous hyperplasia
What is the best clinical diagnosis? 
Screenshot 2023-08-05 10.27.06 AM
Gingival enlargement (gingival hyperplasia)
Gingivitis
Periodontitis
None of the above
Inflammation produces severe pain 
Screenshot 2023-08-05 10.29.41 AM
Chronic hyperplastic pulpitis
Necrosis of the pulp
Fistula
Periapical abscess
A localized mass of chronically inflamed granulation tissue that forms at the opening of the pulp canal, generally at the apex of a nonvital tooth root
Screenshot 2023-08-05 10.31.06 AM
Periapical granuloma
Residual cyst
Tooth resorption
None of the above

A true epithelium-lined cyst

Associated with the root of a nonvital tooth

The most commonly occurring cyst in the oral region

Usually asymptomatic and discovered on radiograph

Screenshot 2023-08-05 10.33.21 AM
Root resoption
Periapical granuloma
Radicular cyst
Residual cyst

A change in the bone near the apices of teeth

Thought to be a reaction to low-grade infection

Generally asymptomatic

If painful, may be associated with pulpal inflammatory disease

Screenshot 2023-08-05 10.35.32 AM
Necrotic mandibular inflamation
Focal sclerosing osteomyelitis (condensing osteitis)
Alveolar osteitis
Alveolar infection
Commonly seen after NOT following proper post-op extraction instructions 
Screenshot 2023-08-05 10.37.18 AM
Alveolar osteitis (Dry socket)
Open socket
Alveolar infection
Open bone

Acute, self-limited disease that affects skin and mucous membranes

Cause: Not clear; may be a hypersensitivity reaction

Target, iris or bull’s-eye lesions

Concentric erythematous rings alternating with normal skin color

Screenshot 2023-08-05 10.45.19 AM
Erythema multiforme
Lingual granuloma
Geographic tongue
Fissured tongue

A benign, chronic disease affecting the skin and oral mucosa

Unknown cause

Lesions have characteristic Wickham’s striae (lacelike)

Screenshot 2023-08-05 10.47.16 AM
Aspirin burn
Linea Alba
Licken Planus
Leukoplakia
This is a form of __________
Screenshot 2023-08-05 10.49.06 AM
Reticular lichen planus
Urticaria
Erythema multiforme
None of the above

When diagnosed, this vascular lesion meets the criteria for the diagnosis of acquired immune deficiency syndrome (AIDS)

Screenshot 2023-08-05 11.07.03 AM
Lymphoma
Fibrosis
Kaposi Sarcoma
Periapical Granuloma
They respond to steroids
Screenshot 2023-08-05 11.08.28 AM
Aphthous ulcers
Salivary gland disease
Mucosa fibroma
None of the above
In HIV-positive patients, it generally signals the beginning of progressively severe immunodeficiency
Thrush
Hairy Leukoplakia
HPV
None of the above
______________is caused specifically by the Coxsackievirus
______________is caused specifically by the Coxsackievirus
Herpangina
Thrush
Fordyce granules
Urticaria
This is known as?
This is known as?
Verruga Vulgaris
HPV
SLE
Condyloma Acuminatum
Most commonly from Candida, but may be caused by other factors such as nutritional deficiency
Screenshot 2023-08-05 11.16.51 AM
Angular Chelitis
Candida Leukoplakia
Chronic Mucocutaneous Candidiasis
None of the above
What is the cause of denture stomatitis?
What is the cause of denture stomatitis?
Ill-fitting denture
Overuse of denture
Not cleaning denture
None of the above
Identify 
Screenshot 2023-08-05 11.20.51 AM
Dry socket
Pericoronitis
Acute osteomyelitis
None of the above
A developmental anomaly resulting in a disturbance in the maturation of the enamel matrix
Screenshot 2023-08-05 11.31.25 AM
Enamel Hypocalcification
Staining of teeth
Ghost teeth
Regional odontodysplasia
Enamel Hypoplasia
Enamel Hypocalcification
Endogenous staining of teeth
Regional odontodysplasia

An abnormal curve or bend in the root of a tooth

Usually discovered on radiograph

May cause a problem if the tooth must be removed or a root canal performed

Screenshot 2023-08-05 11.36.27 AM
Concrescences
Root resorption
Dilaceration
Talon cusp

Appears as two crowns joined together by a notched incisal area

Radiographically, usually one single root and one common pulp canal exist

Screenshot 2023-08-05 11.38.01 AM
Fusion
Gemination
Dens in dente
Hypercementosis
Two adjacent teeth joined by cementum
Two adjacent teeth joined by cementum
Dilaceration
Concrescences
Gemination
Fusion
Is filled with salivary gland tissue that may be an extension of the sublingual gland
Screenshot 2023-08-05 11.41.19 AM
Static Bone Cyst
Aneurysmal Bone Cyst
Redicular Cyst
Gland Cyst
This is known as
Screenshot 2023-08-05 11.43.54 AM
Vermilion border
Angular chelitis
Commissural lip pits
All of the above

Develops in place of a tooth

Most commonly in place of a third molar

Most often seen in young adults and discovered on radiographic examination

Screenshot 2023-08-05 11.45.46 AM
Eruption cyst
Primordial cyst
Follicular cyst
All of the above
What type of cyst is this? 
Screenshot 2023-08-05 11.47.43 AM
Internal periodontal cyst
Lateral periodontal cyst
Glandular odontogenic cyst
Keratocyst
Identify
Identify
Lateral periodontal cyst
Nasopalatine canal cyst
Median palatine cyst
Keratocyst
Identify
Identify
Nasopalatine canal cyst
Median palatine cyst
Lateral periodontal cyst
Nasolabial cyst
Identify 
Screenshot 2023-08-05 11.51.30 AM
Lingual cyst
Frenum cyst
Lymphoepithelial cyst
Epidermal cyst
Identify
Identify
Goiter
Thyroid cyst
Thyroglossal tract cyst
Epidermal cyst
Identify
Identify
Lateral maxillary cyst
Median mandibular cyst
Lateral mandibular cyst
Median maxillary cyst
The patient presents with lesions on the tongue and on the skin. The oral manifestation has lesions that are ulcerated, encrusted, and bloody. The lesions on the skin can be described as target, iris, or bullseye. Cause is unclear, possibly a hypersensitivity. WHAT CONDITION COULD THIS BE?
The patient presents with lesions xxon the tongue and xxon the skin.   The oral manifestation has lesions that are ulcerated, encrusted, and bloody.   The lesions xxon the skin can be described as target, iris, or bullseye.   Cause is unclear, possibly a hypersensitivity.   WHAT CONDITION COULD THIS BE?
Erythema Multiforme
Systemic Lupus Erythematosus (SLE)
Sjogrens Syndrome

This condition is 8 times more likely to be seen in women than in men

Usually seen in women of childbearing age

3 times more likely to be seen in black women

Characterized extraorally by a butterfly rash

Characterized intraorally by erythematous plaques or erosions that may have white striae that radiate from the center of the lesion


Screenshot 2023-08-05 12.07.53 PM
Systemic Lupus Erythematosus (SLE)
Erythema Multiforme
Sjogrens Syndrome

Patients who suffer from this syndrome will have xerostomia, dry eyes, and a very high probability of having rheumatoid arthritis.

May also have Raynaud Phenomenon

Screenshot 2023-08-05 12.08.48 PM
Sjogrens Syndrome
Erythema Multiforme
Systemic Lupus Erythematosus (SLE)
Herpes Simplex Virus (HSV1)

Patient presents with crusted lesion on the corner of the lips and states she gets cold sores a lot.

Stages of “cold sore” starts with fluid filled vesicle, followed by a “wet” stage where lesion leaks clear fluid. She states that the last stage is the crusted stage it is currently in and lesion will go away soon.

What is the same of this lesion?

Screenshot 2023-08-05 12.10.08 PM
Herpes Simplex Virus (HSV1)
Sjogrens Syndrome
Erythema Multiforme
Systemic Lupus Erythematosus (SLE)
This lesion is most likely caused by the Epstein-Barr virus
This lesion is most likely caused by the Epstein-Barr virus
Hairy leukoplakia
Lateral tongue fibroma
Lateral lingual growth
All of the above
This condition is also called multifocal epithelial hyperplasia and is often seen in children. It is caused by specific strains of the Human Papilloma Virus (HPV) and is not commonly seen in patients with HIV.
Screenshot 2023-08-05 12.13.51 PM
HECK’S DISEASE
LYME DISEASE
CHICKENPOX
GRANULOMA
This unilateral cluster of vesicles on along the patient’s peripheral nerve is a characteristic of what condition?
Screenshot 2023-08-05 12.15.46 PM
HERPES ZOSTER OR SHINGLES
CHICKENPOX
HECK’S DISEASE
LYME DISEASE
Name the condition
Name the condition
Supernumerary root
Supernumerary tooth
Dens in dente
Concrescences
Name the condition
Screenshot 2023-08-05 12.19.28 PM
Dens in dente
Supernumerary tooth
Fusion
Gemination
The most common supernumerary tooth
The most common supernumerary tooth
Mesiodens
Distodens
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