Oral Medicince
71. Heavy cigarette smoking significantly increases the incidence of
σ½ aphthous stomatitis
σ½ geographic tongue
σ¾ lichen planus
σ½ atrophic glossitis
σ½ mucosal pigmentation
72. The articular disc of the temporomandibular joint is moved by the
σ¾ lateral (external) pterygoid muscle
σ½ medial (internal) pterygoid muscle
σ½ temporal muscle
σ½ fibres of the masseter muscle
σ½ upper fibres of the buccinator muscle
73. The characteristic oral lesion(s) of homogenous leukoplakia isare
σ½ vesicles and bullae
σ½ Fordyce's granules
σ¾ white patch that can not be rubbed of
σ½ hairy tongue
σ½ candidiasis (candidosis)
74. Which of the following skin lesion have accompanying oral manifestations?
σ½ Lichen planus
σ½ Pemphigus vulgaris
σ½ Erythema multiforme
σ¾ All of the above
75. Variations in the structure and the appearance of the normal mucosa include
σ½ Leukoedema
σ½ Fordyce’s granules
σ½ Linea alba
σ¾ All of the above
76. Butterfly rash on nose, dryness of mouth, inflamed areas with tendency to ulcerate in an adult female is most likely
σ½ Sub burn
σ¾ Lupus erythematosis
σ½ Allergic reaction
σ½ All of the above
77. During oral examination of 57 years old man a large white keratotic patch that covers the entire palate is noted Some “red dots� are also seen in this patch The most probable explanation is that the patient is a
σ¾ Pipe smoker
σ½ Snuff smoker
σ½ Cigar
σ½ Tobacco chewer
78. Swelling and redness of the orifice of minor salivary glands of palate occurs in
σ¾ Nicotinic stomatitis
σ½ Leukoplakia
σ½ Fovea palatine
σ½ Erythroplakia
79. A boy shows pearly white thickening of the buccal mucosa and has been present for some years His younger brother also has the same condition The condition is most likely to be
σ½ Lichen planus
σ¾ White sponge nevus
σ½ Leukoplakia
σ½ Submucous fibrosis
80. In which one of the following, vesicles and bullae are not seen
σ½ Pemhigus
σ½ Hepes zoster
σ½ Herpes simplex
σ¾ Lupus erythematosis
81. Which one is inherited as an autosomal dominant trait?
σ½ Lichen planus
σ½ Bullous pemphigoid
σ½ Pemphigous vulgaris
σ¾ White sponge nevus
σ½ None of the above
82. Which of the following is a precancerous precancerous lesion?
σ¾ Speckled Leukoplakia
σ½ Benign Migratory Glossitis
σ½ White Sponge Nevus
σ½ Black hairy tongue
σ½ All of above
83. An excisional biopsy of a nodule 5mm in diameter on the lateral border of the tongue was diagnosed as a fibroma This patient should have
σ½ hemisection of the tongue
σ½ radiotherapy to site of biopsy
σ¾ no additional therapy
σ½ re-excision with wider margins
σ½ radium implantation around biopsy site
84. The term applied to a low white blood cell count is
σ½ leukocytosis
σ¾ leukopenia
σ½ thrombocythemia
σ½ thrombocytopenia
σ½ Anemia
85. Which of the following is necessary to make a diagnosis of an odontogenic keratocyst?
σ½ Aspiration
σ½ Exfoliative cytology
σ½ Radiographic examination
σ¾ Histologic examination
σ½ All of the above
86. Papillary hyperplasia on the palate of a patient wearing a maxillary complete denture is most likely to be associated with
σ½ heavy smoking
σ½ an allergy to the acrylic resin
σ¾ an ill-fitting denture and poor oral hygiene
σ½ occlusion with posterior natural teeth
σ½ All of the above
87. A patient on broad spectrum antibiotics for four weeks presents with widespread, sore, red and white oral mucosal lesions The most likely diagnosis is
σ¾ candidiasis
σ½ leukoplakia
σ½ erythema multiforme
σ½ erosive lichen planus
σ½ pemphigoid
88. Which of the following conditions is an example of a mucous retention phenomenon?
σ½ Nicotine stomatitis
σ½ Koplik’s spots
σ¾ Ranula
σ½ Residual cyst
σ½ Nasopalatine cyst
89. Dentigerous cysts are usually found
σ½ periapically
σ¾ pericoronally
σ½ interradicularly
σ½ mid-root
90. Hairy leukoplakia is caused by which of the following viruses?
σ½ Papilloma
σ¾ Epstein-Barr
σ½ Herpes simplex
σ½ Human immunodeficiency
91. A patient who has until recently been on prolonged corticosteroid therapy may have
σ½ increased bleeding time
σ½ hyposensitivity to pain
σ¾ decreased tolerance to physiological stress
σ½ an increased metabolic rate
σ½ high level of plasmatic cortisol
92. The physiologic wear of hard dental tissue resulting from mastication is known as
σ½ decalcification
σ¾ attrition
σ½ abrasion
σ½ erosion
93. A radiographic term used to describe the dense bone image of the socket and septal crest is
σ½ periodontal ligament space
σ½ cancellous bone
σ½ cribriform plate
σ¾ lamina dura
σ½ cortical bone
94. Which oral condition predisposes to caries?
σ¾ Xerostomia
σ½ Leukoplakia
σ½ Pharyngitis
σ½ Stomatitis medicamentosa
σ½ None of the above
95. Necrotizing ulcerative gingivitis affects MAINLY the
σ½ attached gingivae
σ¾ gingival papillae
σ½ alveolar mucosa
σ½ buccal mucosa
σ½ epithelial attachment
96. Swelling related to increased tissue fluid is called
σ½ thrombosis
σ¾ edema
σ½ hematoma
σ½ embolism
σ½ surgical emphysema
97. Which of the following is contagious?
σ½ Pemphigus
σ¾ Acute herpetic gingivostomatitis
σ½ Recurrent aphthous stomatitis
σ½ Acute necrotizing ulcerative gingivitis
σ½ All of the above
98. A white cauliflower like protruding growth on the buccal mucosa is likely to be a :
σ½ Lipoma
σ¾ Papilloma
σ½ Lymphangioma
σ½ Fibroma
σ½ white sponge nevus
99. White sponge nevus is :
σ¾ A hereditary condition
σ½ Autoimmune in nature
σ½ An acquired infective condition
σ½ Chronic cheek biting
σ½ Allergic reaction
100. Lymphadenopathy is clinically manifested by :
σ½ Hypersalivation
σ¾ Swelling of the gland
σ½ Hyposalivation
σ½ Atrophy of the gland
σ½ Stone in the gland
101. A swelling or growth with broad base is referred to as :
σ½ Papillomatous lesion
σ½ Pedunculated lesion
σ½ Pleomorphic lesion
σ¾ Sessile lesion
σ½ Nodular lesion
102. Gingival swelling in leukemia is due to :
σ½ Inflammatory edema
σ½ Poor oral hygiene
σ½ Proliferation of blood vessels
σ¾ Infiltration of leukemic cells into gingival tissues
σ½ Infiltration of microorganisms into gingival tissues
103. Multiple white nodular elevation with a central red dot on the posterior part of palate represent :
σ½ Trush
σ½ Focal keratosis
σ½ papillary hyperplasia
σ¾ Nicotine stomatitis
σ½ Multiple warts
104. Leukoedema can be differentiated clinically from leukoplakia when it :
σ½ Disappears while stretching the mucosa
σ½ Is bilateral in nature
σ½ Is milky white in appearance
σ¾ All of the above
105. The most common cause of keratosis is:
σ¾ Physical trauma
σ½ Tobacco use
σ½ Genetic abnormalities
σ½ Mucocutaneous disease
σ½ Inflammatory reaction
106. Differential diagnosis of leukoedema includes the following except :
σ½ Leukoplakia
σ½ Cheek biting
σ½ White sponge nevus
σ½ Aspirine burn
σ¾ Linea alba buccalis
107. Which of the following is true regarding sublingual keratosis:
σ¾ It has a high rate of malignant transformation
σ½ The homogenous type is not considered as a high risk lesion
σ½ The homogenous type mixed with red component is only considered as high risk lesion
σ½ Small lesion can be left alone and managed by periodic check up
108. Erythroplakic lesion ,on histological examination may show:
σ½ Moderate to severe dysplasia
σ½ Severe dyplasia
σ½ Carcinoma in situ
σ½ Squamous cell carcinoma
σ¾ Any of the above
109. Histologically carcinoma in situ may show:
σ½ Mild to moderate dysplasia
σ½ Mild to severe dysplasia
σ½ Presence of a few epithelial change in the connective tissue
σ¾ Top to bottom change in the epithelium
σ½ None of the above
110. Topical steroid is a drug of choice in the management of the following conditions except :
σ½ Mucous membrane pemphigoid
σ½ Major aphthous ulcer
σ¾ Cold sore
σ½ Pemphigus vulgaris
σ½ Erosive lichen planus
111. The following condition may be associated with iron deficiency anemia except :
σ½ Burning mouth syndrome
σ½ Angular cheilitis
σ½ Xerostomia
σ¾ Multiple myeloma
σ½ Atrophic glossitis
112. Nikolsky sign is seen in :
σ¾ Pemphigus
σ½ Lichen planus
σ½ Erytheme multiform
σ½ Discoid lupus erythematosus
σ½ Nicotine stomatitis
113. The patient presents with a white lesion on the floor of the mouth of 6 months duration
σ½ The next procedure is :
σ½ Take an exfoliative cytologic smear
σ½ Keep the patient under observation
σ¾ Biopsy the lesion
σ½ Treat the lesion with topical steroid
σ½ Antibiotherapy
114. Which of the following is incorrect regarding thrush
σ½ Is seen is AIDS patient
σ½ Responds to nystatin
σ½ Can affect any age group
σ½ Is caused by candida albican
σ¾ Is an opportunistic infection
115. Chemical burn can generally be differentiated from keratotic lesions by:
σ½ The exfoliative cytology
σ½ A thorough clinical examination
σ½ \An incisional biopsy
σ¾ \An adequate history
116. Acute infections are characterized by the following except :
σ½ Swelling
σ½ Pain
σ½ Redness
σ½ High fever
σ¾ Insidious onset
117. Lichen planus is a common mucocutaneous disease which manifests in the oral cavity as :
σ½ Multiple discrete papules
σ½ Bullous lesions
σ¾ White radiating lines
σ½ Target like lesion
σ½ Milky lesion
118. Characteristic features of acute bacterial sialadenitis include the following except:
σ¾ Xerostomia
σ½ Tenderness and swelling of the affected gland
σ½ Pus exuding from the salivary duct
σ½ Sialorrhea
σ½ Cervical lymph node enlargement and leukocytosis
119. The most common white lesion seen in healthy adult male is :
σ½ Nicotine stomatitis
σ½ Leukolpakia
σ¾ Linea alba buccalis
σ½ Thrush
σ½ Frictional keratosis
120. Human papilloma virus HPV can cause the following except:
σ½ Condyloma accuminatum
σ½ Verruca vulgaris
σ½ Papilloma
σ½ Focal epithelial hyperplasia
σ¾ Erytheme multiform
121. Which is usually found when a systemic infection is present
σ½ Regional lymph node
σ¾ Fever
σ½ Cellulitis
σ½ Anorexia
σ½ Asthenia
122. Which is the LEAST likely to cause Xerostomia
σ½ Sjogren’s syndrome
σ½ Emotional reaction
σ½ Antidepressants drugs
σ¾ Submandibular sialolith
123. Oral mucosa and skin pigmentation occurs in patient with**
σ½ Diabetes mellitus
σ¾ Addison’s disease
σ½ Multiple myeloma
σ½ Squamous cell carcinoma
σ½ Cushing’s disease
124. Patient who has WBC count of just over 100,000 is most
σ½ likely suffering from**
σ½ Leucopoenia
σ¾ Leukaemia
σ½ Polycythemia
σ½ Thrombo cytopenic purpura
σ½ Anemia
125. Disorder of steroid will result in
σ½ Adrenal suppression
σ½ Delayed healing
σ½ Osteoporosis
σ¾ All of the above
126. Which of the following steroids can product Cushing's syndrome?
σ½ Estradiol
σ½ Testosterone
σ¾ Prednisolone
σ½ Progesterone
σ½ Diethylstilbestrol
127. Which articular disease most often accompanies Sjögren’s syndrome?
σ½ Suppurative arthritis
σ¾ Rheumatoid arthritis
σ½ Degenerative arthrosis
σ½ Psoriatic arthritis
σ½ Lupus arthritis
128. Cell rests of Malassez are thought to originate from
σ½ stellate reticulum
σ½ dental papilla
σ¾ Hertwig's root sheath
σ½ stratum intermedium
129. Periapical odontogenic cysts are associated with
σ½ impacted wisdom teeth
σ½ congenitally missing teeth
σ¾ non-vital teeth
σ½ a history of traumatic injury
σ½ Impacted maxillary canine
130. Condensing osteitis in the periapical region is indicative of aan
σ½ acute inflammation of the pulp
σ½ pulpal abscess
σ¾ chronic inflammation of the pulp
σ½ early apical abscess formation
σ½ None of the above
131. Which of the following is NOT characteristic of periodontitis?
σ¾ Hypertrophy
σ½ Pocket formation without exudation
σ½ Destruction of the periodontal ligament
σ½ Alveolar bone resorption
σ½ Tooth mobility
132. The lesion most frequently associated with an ill-fitting denture flange is
σ½ stomatitis
σ½ lichen planus
σ¾ epulis fissuratum
σ½ angular cheilosis
133. A decrease in the neutrophil count is present in
σ½ iron deficiency anemia
σ½ myeloid leukemia
σ½ leukocytosis
σ½ thrombocytopenic purpura
Granulocytopenia
134. The primordial cyst probably results from
σ¾ cystic degeneration of the stellate reticulum early in the formation of the tooth
σ½ epithelial remnants in the periodontal ligament
σ½ an extension of pulpal inflammation after death of the pulp
σ½ failure of formation of the enamel matrix
σ½ the dental lamina
135. The radiographic image of the incisive foramen is located between the roots of the maxillary
σ½ incisors above their apices
σ½ central and lateral incisors below their apices
σ¾ central incisors below their apices
σ½ central and lateral incisors above their apices
136. The term applied to a high white blood cell count is
σ¾ leukocytosis
σ½ leukopenia
σ½ thrombocythemia
σ½ thrombocytopenia
σ½ Leukemia
137. Postoperative bleeding in thrombocytopenic purpura is due to a deficiency of
σ½ vitamin C
σ½ vitamin K
σ½ prothrombin
σ¾ platelets
σ½ Red blood cells
138. An abnormal decrease in the flow of saliva is associated with
σ½ ptyalism
σ½ sialomentaplasia
σ¾ xerostomia
σ½ pyroglossia
σ½ None of the above
139. A patient wearing complete dentures complaints of tingling and numbness in the lower lip bilaterally This is often an indication of
σ½ allergy to denture base material
σ¾ impingement of denture on mandibular nerve
σ½ defective occlusal contacts
σ½ impingement of denture upon mental nerve
σ½ neoplastic invasion of the inferior mandibular nerve
140. The most serious complication of a therapeutic dose of radiation to the mandible is
σ½ skin erythema
σ¾ osteoradionecrosis
σ½ obliterating endarteritis
σ½ loss of hair
σ½ hyperpigmentation of skin
141. Occasionally, mucous glands are seen in the epithelial lining of a dental cyst Which of the following terms best designates this state?
σ½ Anaplasia
σ¾ Metaplasia (Abnormal change in the nature of the tissue )
σ½ Dysplasia
σ½ Neoplasia
σ½ Hyperplasia
142. Fordyce's granules are
σ¾ ectopic sebaceous glands
σ½ ectopic sweat glands
σ½ small calcified nodules
σ½ aberrant mucous glands
143. A 50 year old woman has a history of rheumatoid arthritis, bilateral enlargement of one or more salivary glands and lacrimal glands, as well as dryness of the eyes, nose, mouth and throat The diagnosis is
σ½ erythema multiforme
σ½ Reiter's syndrome
σ½ Gardner's syndrome
σ¾ Sjögren's syndrome
σ½ Plummer-Vinson syndrome
144. A patient has an asymptomatic, white patch on the oral mucosa Which of the following methods of examination is most likely to lead to a diagnosis?
σ¾ Biopsy
σ½ Culture
σ½ Exfoliative cytology
σ½ Application of methylene blue
σ½ Serology
145. Radiographically, a primordial cyst will show
σ½ mixed radiolucency and radiopacity
σ½ a radiolucency around the crown of an impacted tooth
σ½ a radiolucency containing multiple rudimentary teeth
σ¾ a radiolucency
σ½ None of the above
146. Papillary hyperplasia under a denture is usually due to (an)
σ½ Candida albican
σ¾ ill fitting denture
σ½ allergy to denture material
σ½ avitaminosis
σ½ Bacterial infection
147. A hemorrhagic bone cyst (traumatic cyst) is a radiolucency most frequently seen
σ½ in the mandibular ramus
σ½ posteriorly to the maxillary molars
σ¾ from the symphysis to the ramus of the mandible
σ½ in the maxillary premolar area
σ½ None of the above
148. Ocular lesions are associated with
σ½ lichen planus
σ½ herpangina
σ½ necrotizing ulcerative gingivitis
σ½ leukoplakia
σ¾ cicatricial pemphigoid
149. Which of the following is caused by a specific microorganism?
σ½ Geographic tongue
σ¾ Candidiasis
σ½ Median rhomboid glossitis
σ½ Granuloma pyogenicum
σ½ None of the above
150. Difficulty in mouth opening, dysphagia, tongue stiffness and generalized induration of the skin are characteristic of
σ½ lupus erythematosus
σ¾ scleroderma
σ½ erythema multiforme
σ½ lichen planus
σ½ malignant disease
151. The most likely complication following surgery for a patient with thrombocytopenic purpura would be
σ½ angina
σ¾ hemorrhage
σ½ "dry socket"
σ½ delayed healing
σ½ infection
152. A child on antibiotic therapy would be more likely to develop which of the following diseases?
σ½ Herpangina
σ½ Pemphigus
σ¾ Moniliasis
σ½ Herpetic gingivostomatitis
σ½ Lichen planus
153. A positive Nikolsky's sign is a diagnostic feature of
σ½ lichen planus
σ½ erythema multiforme
σ¾ pemphigus
σ½ chronic marginal gingivitis
σ½ lupus erythematosus
154. Which of the muscles of mastication is associated with the condylar head and the articular disc?
σ½ Masseter
σ½ Temporalis
σ½ Internal pterygoid
σ¾ External pterygoid
155. A patient complains of dull, constant pain in his jaws upon awakening You would suspect
σ½ acute pulpitis
σ½ sinusitis
σ¾ bruxism
σ½ chronic gingivitis
156. Geographic tongue is characterized by
σ½ congenital deformity of tissue
σ¾ atrophic filiform papillae
σ½ association with scrotal tongue
σ½ predominance in elderly patients
σ½ atrophic foliate papillae
157. Occlusal (night) guards are used to
σ¾ treat bruxism
σ½ reduce pocket formation
σ½ prevent pulpitis
σ½ permit eruption or elongation of teeth
σ½ prevent tooth erosion
158. A patient with bruxism is likely to demonstrate
σ½ radiographic evidence of the widening of the periodontal ligament
σ½ increased mobility of teeth
σ½ premature wear of occlusal surfaces
σ½ TMJ discomfort
σ¾ All of the above
159. Abrasion is most commonly seen on the
σ½ lingual surface of posterior teeth
σ½ occlusal surface of posterior teeth
σ½ incisal edges
σ¾ facial surfaces of teeth
160. The prolonged use of antibacterial lozenges or mouthwashes contributes to the development of
σ¾ oral candidiasis
σ½ geographic tongue
σ½ fissured tongue
σ½ Koplik's spots
σ½ aphthous ulcers
161. A lowering of serum calcium is the stimulus for the endogenous release of
σ½ thyroid hormone
σ½ adrenocortical hormone
σ½ insulin
σ¾ parathyroid hormone
σ½ adrenalin
162. Enlargement of the thyroid gland can be caused by
σ½ insufficient fluoride
σ½ excess iodine
σ¾ insufficient iodine
σ½ excess calcium
σ½ excess sodium
163. Which of the following has the highest rate of recurrence?
σ¾ Odontogenic keratocyst
σ½ Nasoalveolar cyst
σ½ Median palatal cyst
σ½ Incisive canal cyst
σ½ Radicular cyst
164. Which of the following lesions has a tendency to bleed easily?
σ¾ Pyogenic granuloma
σ½ Osteoma
σ½ Fibroma
σ½ Papilloma
σ½ Lipoma
165. The cell concerned with antibody production is called
σ½ polymorphonuclear leukocyte
σ½ mast cell
σ¾ plasma cell
σ½ macrophage
σ½ megakaryocyte
166. Which of the following is a complication of prolonged systemic corticosteroid treatment?
σ¾ Oral candidiasis
σ½ Xerostomia
σ½ Aphthous stomatitis
σ½ Anorexia
σ½ Gingival hyperplasia
167. Acanthosis is a thickening of the following layer
σ½ granular layer
σ½ stratum corneum
σ½ basal cell layer
σ¾ prickle cell layer
168. Koilonychia is
σ½ bifid uvula
σ½ auricular tags
σ½ ankyloglossia
σ½ mulberry molars
σ¾ spoon-shaped (concave) nails
169. Oral leukoplakia has the most favorable prognosis when it is
σ¾ present in a non-smoker
σ½ accompanied by pain
σ½ infected with Candida albicans
σ½ speckled in appearance
σ½ on the hard palate
170. Which muscle defines the floor of the mouth?
σ½ Stylohyoid
σ½ Digastric
σ½ Geniohyoid
σ¾ Mylohyoid
σ½ Platysma
171. Soft, white, elevated plaques of the oral mucosa are characteristic of
σ½ angioma
σ¾ candidosis (candidiasis)
σ½ actinomycosis
σ½ herpes simplex
σ½ submucous fibrosis
172. Which of the following mucosae is normally keratinized?
σ½ Soft palate
σ¾ Hard palate
σ½ Lateral tongue
σ½ Ventral tongue
σ½ Free gingiva
173. Which of the following is the most powerful jaw-closing muscle?
σ½ Temporalis
σ½ Lateral pterygoid
σ¾ Masseter
σ½ Medial pterygoid
174. Which of the following is NOT suggestive of a diagnosis of necrotizing ulcerative gingivitis (NUG)?
σ½ Bleeding from the gingiva
σ½ “Punched-outâ€� papillae with necrotic slough
σ½ Bad breath
σ½ Metallic taste
σ¾ Periodontal pocketing
175. Adrenal corticosteroids
σ½ increase heart rate
σ½ cause vasodilation
σ½ increase protein synthesis
σ¾ reduce inflammation
176. The characteristic oral lesion(s) of pemphigus isare
σ¾ vesicles and bullae
σ½ Fordyce's granules
σ½ white plaques
σ½ hairy tongue
σ½ candidiasis (candidosis)
177. Which of the following is NOT characteristic of acute leukemia?
σ½ Gingival enlargement
σ¾ Decreased bleeding time
σ½ Elevated leukocyte count
σ½ Anemia
σ½ Thrombocytopenia
178. Which one of the following types of pain is most likely to be
σ½ associated with TMJ disorders
σ½ Exacerbated pain by hot or cold food
σ½ Keeps patient awake at night
σ¾ Associated with muscle tenderness
σ½ Associated with trigger spots related to the trigeminal nerve
179. What controls the occlusion**
σ½ Teeth
σ½ Receptors in periodontal membrane
σ½ Neuromuscular receptors
σ½ TMJ
σ¾ All of the above
180. What is the typical feature of Lichen planus**
σ½ Smooth rete pegs
σ¾ Band of lymphocytes inflammation and hyper parakeratosis
σ½ Immunofluorescence of liquefied layer
σ½ White line on the occlusion plane
σ½ Red and white granulations
181. The following are sign and symptom in Ehlers-Danlos syndrome Except for:
σ½ Fragility of the skin and blood vessels,
σ½ Hyperlaxity of the joints,
σ¾ Xerostomia
σ½ Hyperelasticity of the skin,
σ½ Delay wound healing
182. Radiography is used to detect the following conditions EXCEPT for:
σ½ impacted teeth
σ½ Retained root tips
σ¾ Benign migratory glossitis
σ½ Rarefying osteitis
σ½ Cystsradiolucentradiopaque lesions
183. The following are the indications for biopsy EXCEPT for :
σ½ Any lesion that persists for more than 2 weeks with no apparent etiology
σ½ Any inflammatory lesion that does not respond to local treatment after 10-14 days
σ½ Persistent hyperkeratotic changes in surface tissues
σ¾ Any lesion that regress after removal its cause
σ½ Lesions that interfere with local function (egfibroma)
184. The diagnosis of a 15cm white patch after incisional biopsy is severe epithelial dysplasia The most appropriate management is :
σ½ Radiotherapy
σ½ Repeat biopsy
σ¾ Complete excision
σ½ Observation
σ½ All of the above
185. A 2cm discrete, white lesion of the buccal mucosa has not result after elimination of all local irritations The most appropriate management would be to:
σ½ Cauterize it
σ½ Apply toluidine blue staining
σ¾ Perform an incisional biopsy
σ½ Refer patient to family physician
σ½ Re-examine at 6 month interval
186. The redness of inflamed gingiva is due to:
σ½ The degree of keratinization
σ½ Subgingiva deposit
σ¾ Increase vasodilatation
σ½ Increase collagen fiber density
σ½ All of the above
187. Tooth grinding ( bruxism)is due to :
σ½ Premature contact in the retruded centric position
σ½ Balancing prematurities in non working
σ½ Stress
σ¾ All of the above
188. An increased heart rate may be associated with
σ½ prolonged corticosteroid therapy
σ¾ hyperthyroidism
σ½ hypothyroidism
σ½ Down syndrome
189. Hypochromic anemia is associated with
σ½ vitamin B12 deficiency
σ¾ iron deficiency
σ½ aminopyrine therapy
σ½ folic acid deficiency
190. A patient with multiple small bruises (purpura) most likely has a low count of T-cells
σ¾ platelets
σ½ lymphocytes
σ½ eosinophils
σ½ erythrocyte
191. A clenching habit may be a factor in
σ½ suprabony periodontal pocket formation
σ½ marginal gingivitis
σ¾ increased tooth mobility
σ½ generalized recession
192. Exophthalmia may be a sign of
σ½ yperadrenalism
σ¾ hyperthyroidism
σ½ hypoadrenalism
σ½ hypoparathoidism
σ½ hypothyroidism
193. A horizontal streak on the buccal mucosa at the level of the occlusal plane extending from the commissure to the posterior teeth IS CALLED
σ½ lichen planus
σ½ leukoplakia
σ¾ linea alba buccalis
σ½ Verruca Vulgaris
σ½ Nicotine Stomatitis
194. Odontogenic cyst develop from the following structures except
σ½ Reduced enamel epithelium of tooth crown
σ½ remnants of dental lamina epithelium entrapped within the gingiva
σ¾ Epithelium trapped after sutures of maxillary processes
σ½ Hertwig’s root sheath
195. Granulation tissue which extends coronally from the pulp of a carious tooth is known as
σ½ epulis granulomatosum
σ¾ a pulp polyp
σ½ a pyogenic granuloma
σ½ a fibroma
σ½ a papilloma
196. Which of the following is the most common form of internal temporomandibular joint (TMJ) derangement?
σ½ Osteoarthritis of the TMJ
σ¾ Anterior misalignment
σ½ Secondary degenerative arthritis
σ½ Capsulitis
197. If at some point in the joint’s excursion, the disk returns to the head of the condyle, the derangement is said to be with reduction In what proportion of the population does TMJ derangement with reduction occur?
σ½ One tenth
σ½ One fourth
σ¾ One third
σ½ One half
198. Diagnosis of TMJ disk derangement with reduction requires observation of the jaw when the mouth is opened Which of the following does the patient experience when the jaw is opened > 10 mm (measured between upper and lower incisors)?
σ½ Numbness
σ½ Severe pain
σ¾ click or pop
σ½ Tinnitus
199. When initial treatments of capsulitis due to disk derangement are unsuccessful, which of the following treatments is used?
σ¾ Corticosteroids injected into the TMJ
σ½ Splinting
σ½ Muscle relaxation
σ½ Jaw rest
200. A patient presents with small yellow spots, present bilaterally on buccal mucosa opposite to posterior teeth without any other associated complaint Most probable diagnosis of the condition is:
σ½ Koplik’s spot
σ¾ Fordyce’s granules
σ½ Melanotic macule
σ½ White sponge nevus
201. A patient presented with asymptomatic, smooth, circumscribed red area in midline anterior to circumvallate papillae on the dorsum of tongue with microscopic evidence of epithelial hyperplasia The most probable diagnosis of the condition is:
σ½ geographic tongue
σ½ hairy tongue
σ¾ median rhomboid glossitis
σ½ lingual thyroid
202. In hairy tongue, there is hypertrophy of:
σ½ fungiform papillae
σ¾ filiform papillae
σ½ foliate papillae
σ½ circumvallate papillae
203. A patient reported with an asymptomatic white patch on buccal mucosa which cannot be rubbed off The patch was present for the last 3 months Patient is a heavy cigarette smoker Most probable diagnosis of the lesion is:
σ¾ Leukoplasia
σ½ Candidiasis
σ½ Erythroplakia
σ½ White sponge nevus
204. Skin lesions of the hereditary hemorrhagic telangiectasia are most common on:
σ½ arms
σ½ abdomen
σ½ legs
σ¾ face
205. Characteristic hemorrhagic lesions of the hereditary hemorrhagic telangiectasia occurs most often on
σ½ Tongue
σ¾ Lips
σ½ Gingival
σ½ Palate
206. Primary Sjogren’s syndrome consists of keratoconjunctivitis sicca and:
σ¾ Xerostomia
σ½ Rheumatoid arthritis
σ½ SLE
σ½ Scleroderma
207. Triad of Sjogren’ syndrome consists of:
σ½ conjunctivitis, stomatitis, rheumatoid arthritis
σ¾ keratoconjunctivitis, xerostomia, rherumatoid arthritis
σ½ keratoconjunctivitis, xerostomia, osteoarthritis
σ½ conjunctivitis, stomatitis, urethritis
208. A patient presents with slightly painful white lesions of oral mucosa which when wiped off shows the red surface underneath The patient is on penicillin therapy for last 12 weeks The most likely diagnosis of lesion is:
σ½ Actinomycosis
σ¾ Candidiasis
σ½ Lichen planus
σ½ Leukoplakia
209. Sialoliths are mainly composed of:
σ¾ calcium phosphate
σ½ calcium oxide
σ½ calcium carbonate
σ½ calcium sulphate
210. Which of the following groups of lymph nodes is first to exhibit lymphadenopathy in cases of infection mononucleosis?
σ½ axillary
σ¾ cervical
σ½ inguinal
σ½ mediastinal
211. An early oral manifestation of infectious mononucleosis is;
σ¾ palatal petechiae
σ½ oral ulceration
σ½ inflammation of mucous membrane
σ½ edema of soft palate and uvula
212. Most common form of leukaemia in children is:
σ¾ acute lymphocytic leukaemia
σ½ chronic myeloid leukaemia
σ½ acute monocytic leukaemia
σ½ chronic lymphocytic leukaemia
213. In thrombocytopenic purpura:
σ½ bleeding time is normal, clotting time is prolonged
σ½ Both bleeding and clotting time are prolonged
σ¾ Bleeding time is prolonged, clotting time is normal
σ½ Both bleeding time and clotting time are norma
214. A patient presents with spontaneous necrotizing ulcers of oral cavity On laboratory examination, RBC count was normal but WBC count was 2,000 with lymphocytes 65% neutrophils 5%, monocytes 28%, eosinophils 2% and basophils 0% The most likely diagnosis is:
σ½ infectious mononucleosis
σ¾ agranulocytosis
σ½ cyclic neutropenia
σ½ leukaemia
215. A patient presents with petechiae on oral mucosa with gingival bleeding Blood examination shows platelet count of 30,000mm3 with increase in bleeding time and clot retraction time, RBC, WBC are normal Most probable diagnosis is:
σ½ hemophilia
σ½ infectious mononucleosis
σ¾ thrombocytopenic purpura
σ½ anemia
216. A patient presents with an asymptomatic white corrugated patch present bilaterally on his buccal mucosa He also reports the occurrence of same kind of lesion in his mother and younger brother Most likely diagnosis is:
σ½ Pemphigus
σ½ Leukoedema
σ½ Candidiasis
σ¾ White sponge nevus
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