Oral Medicince

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