Oral medicine
1. The benign neoplasm that originates from squamous epithelium is called aan
Adenoma
Choriocarcinoma
Chondroma
lipoma
Papilloma
3. In the presence of an acute bacterial infection, laboratory tests will show an increase in
polymorphonuclear leukocytes
Plasma cells
Lymphocytes
Monocytes
Eosinophils
5. The radicular or root-end cyst occurs as a result of
Trauma
Hyperparathyroidism
Pulpal necrosis
Poorly calcified bone
6. Excessive formation of scar tissue beyond the wound margin is called
a fibroma
A fibro-epithelial polyp
A keloid
Epithelial hyperplasia
7. Intermittent painful swelling in the submandibular region that increases at mealtime is indicative of
A ranula
Ludwig's angina
A blockage of Wharton's duct
A blockage of Stensen's duct
An epidemic parotitis
8. Which of the following isare NOT usually affected by hereditary ectodermal dysplasia?
Salivary glands
Teeth
Sweat glands
Hair
Fingernails
9. The term "carcinoma in situ" implies that the lesion shows
Metaplasia
σ early invasion of malignant cells through the basement membrane
σ dysplasia of cells confined within the epithelium
Distant metastasis of a malignant tumor
10. The redness of an inflammatory lesion of oral mucosa is due to
σ increased number of capillaries
Increased size of capillaries
Decreased thickness of epithelium
Decreased connective tissue elements
All of the above
11. Which of the following is NEVER associated with an impacted tooth?
Adeno-ameloblastoma
Odontogenic myxoma
Pindborg's tumor
Ameloblastoma
Primordial cyst
12. An occluded submandibular duct can be diagnosed by
History
Palpation
Sialography
Occlusal radiographs
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
Cauterize it
Apply toluidine blue staining
Perform an incisional biopsy
Re-examine at 6 month intervals
Refer patient to family physician
14. Exfoliative cytology is of value in the diagnosis of
σ lichen planus
σ aphthous ulceration
σ herpes simplex
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
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
Thrombocytopenic purpura
Infectious mononucleosis
σ Acute myelogenous leukemia
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
Squamous cell carcinoma
σ Median rhomboid glossitis
σ Prominent fungiform papillae
19. A possible consequence for patients taking cyclosporine is
Erythematous gingivae
Fibrous gingival hyperplasia
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
A periapical cyst
σ a chronic periapical abscess
σ the mental foramen
21. Physiologic (racial) pigmentation differs from melanoma because melanoma
Is macular
Affects the gingiva
Contains melanin
Undergoes clinical changes
22. Which of the following is NOT associated with Cushing’s disease?
Buffalo hump
Osteoporosis
σ Hirsutism( excessive hair growth in certain areas of a woman's face and body)
Hypertension
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?
Hyperthyroidism
σ Hypothyroidism
Hyperparathyroidism
σ Hypoparathyroidism
24. Nystatin is the drug of choice for
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
Acute bacterial sialadenitis
σ Sjögren’s syndrome
σ sarcoidosis
26. If left untreated, a pyogenic granuloma will most likely
Shrink over time
σ remain unchanged
Continue to enlarge
σ burst and then heal
Burst, heal, but then recur
27. All of the following are well documented initiating factors of hairy tongue EXCEPT
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
Coronary heart disease
σ Poor oral hygiene
σ 29. All of the following appear as midline structures on periapical radiographs EXCEPT
σ zygomatic process of the maxilla
σ nasopalatineincisive canal
σ anterior nasal spine
Nasal septum
30. An ameloblastoma can develop from the epithelial lining of which of the following cysts?
Periradicular
σ Dentigerous
σ Residual
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
Complex odontoma
Pindborg tumor
32. Laboratory examination of the blood of a patient with an acute bacterial infection would show
σ lymphocytosis
σ leukocytosis
Monocytosis
σ leukopenia
Eosinophilia
33. Which of the following is NOT associated with infectious mononucleosis?
Pharyngitis
σ Lymphadenopathy
σ Petechiae of the palate
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
Acanthosis
σ hyperkeratosis
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
Folate papillae
Papilloma
σ Filiform papillae
σ Neurofibroma
37. Swallowing will aid in the diagnosis of
Branchial cyst
Thyroglossal duct cyst
Ranula
Retention cyst
Globulomaxillary cyst
38. Painless bluish lump filled with fluid on the lips; MOST likely is
Smoker’s keratosis
Squamous cell carcinoma
Mucocele
σ Fibroma
Fibro-epithelial polyp
39. In regards to Plummer-Vincent syndrome or “Paterson and Kelly syndrome”
All of the above
Iron deficiency is a feature
Atrophic oral and gastric mucosa
Dysphagia and angular cheilitis
Predisposing oral cancer
40. How would you treat Denture Stomatitis
Tetracycline
Systemic penicillin
Nystatin
NSAIDs
Corticosteroid
41. Which of the following conditions is not classified as a white lesion
Fordyce’s granules
Smoker’s keratosis
Leukoplakia
Lichen planus
Lipoma
42. Angular cheilitis in edentulous patient with complete denture is a result of
Deficiency of vitamin
Low vertical dimension
Iron deficiency anemia
Neutropenia
Crohn disease
43. Sjogren syndrome is characterised by
Dryness of the mouth
Dryness of the eyes
Rheumatoid arthritis
All of the above
44. Long use of Tetracycline is characterised by**
Aphtous ulcer
Candida Albicans
σ Lupus erythematosus
Lichen planus
Oral submucous fibrosis
45. The effects of tooth removal in healthy individuals can show as
Loss of contacts
All of the above
Slight tilting
Pocket formation
TMJ problem
46. Which is not a premalignant lesioncondition?
Leukoplakia
Erythroplakia
Erythema migrans Geographic tongue
Liche planus
Actinic cheilosis
47. Granulomas, cysts and chronic periapical abscesses may mostly be differentiated by
Biopsy
Radiographs
Electric pulp test
Thermal
Aspiration
48. Marsupialisation is a technique used in the treatment of
σ Pericoronitis
Granuloma
Ranula
Abscesses
Mucocele
49. Diagnosis of oral candidiasis (candidosis) is BEST confirmed by
Microscopic examination of smears
Biopsy
Blood count
Serological exam
Aspiration
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