Oral Pathology Clinical Pathologic Correlations 7th Edition by Regezi – Test Bank
To Purchase
this Complete Test Bank with Answers Click the link Below
If face any problem or
Further information contact us At tbzuiqe@gmail.com
Sample Test
Chapter 3: White Lesions
Test Bank
MULTIPLE CHOICE
1. Three
small (2 ´ 2 mm), nodular, nonulcerated, and asymptomatic lesions were found in
the floor of the mouth of a 21-year-old man. Microscopically, the lesions were
composed of a collection of normal mature lymphocytes with germinal centers.
This patient has:
|
a. |
Lymphoma |
|
b. |
Mucous extravasation
phenomenon |
|
c. |
Fordyce granules |
|
d. |
Dermoid cysts |
|
e. |
Ectopic lymphoid tissue |
ANS:
E
REF: Chap 3 (Ectopic lymphoid tissue), p 110
2. Ectopic
lymphoid tissue is commonly seen in which of the following sites?
|
a. |
Posterior lateral tongue |
|
b. |
Floor of mouth |
|
c. |
Soft palate |
|
d. |
Tonsillar pillar |
|
e. |
All the above |
ANS:
E
REF: Chap 3 (Ectopic lymphoid tissue), p 110
3. Which
of the following disorders places the patient at risk for the appearance or
development of a malignancy?
|
a. |
Primary Sjögren’s syndrome |
|
b. |
Proliferative verrucous
leukoplakia |
|
c. |
Neurofibromatosis |
|
d. |
MEN III |
|
e. |
All the above |
ANS: E
REF: Chap 3 (Preneoplastic and neoplastic
lesions), pp 90-95 | Chap 7 (Neurofibroma/Mucosal neuromas of MEN III), pp 178-181
| Chap 8 (Sjögren’s syndrome), pp 196-199
4. Lupus
erythematosus is caused by which of the following?
|
a. |
Coxsackie virus |
|
b. |
Herpes simplex virus |
|
c. |
Immunodeficiency |
|
d. |
Vitamin A deficiency |
|
e. |
Autoimmunity |
ANS: E
REF: Chap 3 (Lupus erythematosus/Etiology and
pathogenesis), p 104
5. Which
of the following microscopic features accounts for the white appearance of
leukoedema?
|
a. |
Hyperkeratosis |
|
b. |
Acanthosis |
|
c. |
Reduced vascular supply |
|
d. |
Hydropic change of
keratinocytes |
|
e. |
Dyskeratosis |
ANS:
D
REF: Chap 3 (Leukoedema), pp 79-80
6. What
is the most likely cause of lichen planus?
|
a. |
Coxsackie virus |
|
b. |
One of the herpes viruses |
|
c. |
A mycobacterium |
|
d. |
Candida albicans |
|
e. |
Immunologic defect |
ANS:
E
REF: Chap 3 (Lichen planus/Etiology and pathogenesis), pp
97-98
7. Which
of the following benign conditions exhibits a clinical mucosal pattern that
seems to change or migrate over time?
|
a. |
Leukoedema |
|
b. |
Median rhomboid glossitis |
|
c. |
Fordyce’s granules |
|
d. |
Geographic tongue |
|
e. |
None of the above |
ANS:
D
REF: Chap 3 (Geographic tongue/Clinical features), pp 95-96
8. All
of the following are a consequence of snuff dipping except:
|
a. |
Increased incidence of
herpes simplex labialis |
|
b. |
Mucosal opacification |
|
c. |
Gingivitis |
|
d. |
Dependence |
|
e. |
Tooth abrasion |
ANS: A
REF: Chap 3 (White lesions associated with
smokeless tobacco), pp 83-85
9. Which
of the following represents an opportunistic fungal infection?
|
a. |
Shingles |
|
b. |
Aphthous stomatitis |
|
c. |
Candidiasis |
|
d. |
Herpangina |
|
e. |
Syphilis |
ANS:
C
REF: Chap 3 (Candidiasis), pp 104-108
10. On
routine examination of a 52-year-old male pipe smoker, an asymptomatic tissue
change was found in his palate. The entire hard palate was white with
occasional red dots. He has:
|
a. |
Candidiasis |
|
b. |
Nicotine stomatitis |
|
c. |
Squamous cell carcinoma |
|
d. |
Frictional hyperkeratosis |
|
e. |
Major aphthous ulcer |
ANS: B
REF: Chap 3 (Nicotine stomatitis), pp 85-86
11. Appropriate
management of geographic tongue is:
|
a. |
Observation |
|
b. |
Excisional biopsy |
|
c. |
Incisional biopsy |
|
d. |
Nystatin therapy |
|
e. |
Antidepressant medication |
ANS: A
REF: Chap 3 (Geographic tongue), pp 95-97
12. Examination
of an asymptomatic 27-year-old man reveals numerous circular white lesions
surrounding red atrophic patches on the dorsum of the tongue. The lesions
cannot be rubbed off with a gauze square. The patient most likely has:
|
a. |
Fissured tongue |
|
b. |
Speckled leukoplakia |
|
c. |
Benign migratory glossitis |
|
d. |
Squamous cell carcinoma |
|
e. |
Lichen planus |
ANS:
C
REF: Chap 3 (Geographic tongue/Etiology), p 95
13. A
14-year-old bone marrow transplant patient developed bilateral white lesions of
the lateral border of the tongue that measured 1 ´ 2 cm. Which of the following
conditions should receive serious consideration in a clinical differential
diagnosis?
|
a. |
Hairy leukoplakia |
|
b. |
White sponge nevus |
|
c. |
Geographic tongue |
|
d. |
Pemphigus vulgaris |
|
e. |
Aphthous stomatitis |
ANS:
A
REF: Chap 3 (Hairy leukoplakia), pp 86-87
14. Biopsy
of bilateral white buccal mucosa lesions showed hyperkeratotic epithelium with
basal cell destruction. The epithelium was supported by connective tissue
containing a dense lymphocytic infiltrate. This is descriptive of:
|
a. |
Erythema multiforme |
|
b. |
Lichen planus |
|
c. |
Pemphigoid |
|
d. |
Pemphigus |
|
e. |
White sponge nevus |
ANS:
B
REF: Chap 3 (Lichen planus/Etiology and pathogenesis), pp
97-98
15. Which
of the following occurs in the midline dorsum of the tongue?
|
a. |
Ectopic lymphoid tissue |
|
b. |
Basal cell carcinoma |
|
c. |
Secondary herpes simplex |
|
d. |
Median rhomboid glossitis
(candidiasis) |
|
e. |
Peripheral giant cell
granuloma |
ANS:
D
REF: Chap 3 (Candidiasis/Clinical features), pp 105-107
16. Clinical
diagnosis of candidiasis is confirmed by:
|
a. |
Characteristic odor |
|
b. |
Response to injection of
vitamin B12 |
|
c. |
Response to administration
of prednisone |
|
d. |
Demonstration of mycelia
and spores in scrapings |
|
e. |
Demonstration of sulfur
granules in exudates |
ANS: D
REF: Chap 3 (Candidiasis/Histopathology), p 107
17. A
9-year-old boy has bilateral, white thickening of his buccal mucosa that
extends into the vestibules. The lesions have been present since birth. His
brother has similar lesions. Which of the following is suggested?
|
a. |
Lichen planus |
|
b. |
Leukoedema |
|
c. |
Mucous patches |
|
d. |
White sponge nevus |
|
e. |
None of the above |
ANS:
D
REF: Chap 3 (White sponge nevus/Box 3-1), p 80
18. The
most common mucosal site for AIDS-related oral hairy leukoplakia is:
|
a. |
Conjunctiva |
|
b. |
Soft palate |
|
c. |
Lateral tongue |
|
d. |
Lingual gingiva |
|
e. |
Buccal mucosa |
ANS:
C
REF: Chap 3 (Hairy leukoplakia/Etiology and pathogenesis), p
86
19. Which
of the following is an autosomal-dominant disease?
|
a. |
White sponge nevus |
|
b. |
Geographic tongue |
|
c. |
Hemangioma |
|
d. |
Pemphigus vulgaris |
|
e. |
Median rhomboid glossitis |
ANS:
A
REF: Chap 3 (White sponge nevus), p 80
20. Biopsy
of a lesion of the buccal mucosa shows epithelial cells with hyperchromatic and
pleomorphic nuclei. Abnormal mitotic figures are found at all levels in the
epithelium. The basement membrane is intact. This is consistent with:
|
a. |
Lichen planus |
|
b. |
Leukoplakia |
|
c. |
Squamous cell carcinoma |
|
d. |
Carcinoma in situ |
|
e. |
Focal hyperkeratosis |
ANS:
D
REF: Chap 3 (Idiopathic leukoplakia/Histopathology), pp 93-94
21. Hairy
tongue is characterized by hypertrophy of which of the following papillae?
|
a. |
Foliate |
|
b. |
Filiform |
|
c. |
Fungiform |
|
d. |
Circumvallate |
|
e. |
Interdental |
ANS:
B
REF: Chap 3 (Hairy tongue), p 88
22. Chronic
exposure to sunlight has been implicated in the pathogenesis of which of the following?
|
a. |
Basal carcinoma |
|
b. |
Squamous cell carcinoma of
the skin |
|
c. |
Actinic cheilitis |
|
d. |
Carcinoma of the lower lip |
|
e. |
All the above |
ANS: E
REF: Chap 2 (Squamous cell carcinoma/Carcinoma
of the lower lip), p 56 | Chap 3 (Actinic cheilitis/Box 3-8), pp 90-91
23. A
middle-aged man developed multiple flat ulcers in his palate, tongue, and
buccal mucosa. The lesions measured approximately 1 cm in diameter and were
preceded briefly by bullae. The lesions have been persistent for 6 weeks. He
has no skin, eye, or genital lesions. Biopsy shows acantholysis with
intraepithelial separation. He most likely has:
|
a. |
Erythema multiforme |
|
b. |
Discoid lupus erythematosus |
|
c. |
Primary herpes simplex
infection |
|
d. |
Mucous membrane pemphigoid |
|
e. |
None of the above |
ANS: E
REF: Chap 1 (Herpes simplex infection/Mucous
membrane pemphigoid), pp 1-6, 15-17 | Chap 2 (Erythema multiforme), pp 43-46 |
Chap 3 (Discoid lupus erythematosus), p 102
24. The
bullous eruption of attached gingiva mediated by autoantibodies directed
against basement membrane antigens is known as:
|
a. |
Pemphigus vulgaris |
|
b. |
Lupus erythematosus |
|
c. |
Erythema multiforme |
|
d. |
Behçet’s syndrome |
|
e. |
None of the above |
ANS: E
REF: Chap 1 (Pemphigus vulgaris), pp 11-15 |
Chap 2 (Erythema multiforme/Behçet’s syndrome), pp 42-46 | Chap 3 (Lupus
erythematosus), pp 102-104
25. Ingestion
of certain drugs is known to occasionally precipitate which of the following?
|
a. |
Herpetiform aphthous ulcers |
|
b. |
Geographic tongue |
|
c. |
Cicatricial pemphigoid |
|
d. |
Mucous patches |
|
e. |
None of the above |
ANS: E
REF: Chap 1 (Mucous membrane pemphigoid), pp
15-17 | Chap 2 (Herpetiform aphthous ulcers), p 39 | Chap 3 (Geographic
tongue), pp 95-97 | Chap 4 (Erythroplakia), pp 121-122
26. The
keratinocyte desmosome complex is the pathologic target in which of the
following diseases?
|
a. |
Discoid lupus erythematosus |
|
b. |
Systemic lupus
erythematosus |
|
c. |
Tuberculosis |
|
d. |
Pemphigoid |
|
e. |
None of the above |
ANS: E
REF: Chap 1 (Mucous membrane
pemphigoid/Bullous pemphigoid), pp 15-18 | Chap 2 (Tuberculosis), pp 29-32 |
Chap 3 (Discoid lupus erythematosus/Systemic lupus erythematosus), p 102
27. Circulating
autoantibodies can be demonstrated in which of the following diseases?
|
a. |
Minor aphthae |
|
b. |
Major aphthae |
|
c. |
Systemic lupus
erythematosus |
|
d. |
Discoid lupus erythematosus |
|
e. |
Recurrent herpes simplex |
ANS:
C
REF: Chap 3 (Systemic lupus erythematosus), p 102
28. Lesions
of immunologic origin are seen in the heart, kidney, and joints in which of the
following diseases?
|
a. |
Behçet’s syndrome |
|
b. |
Wegener’s granulomatosis |
|
c. |
Systemic lupus
erythematosus |
|
d. |
Pemphigus |
|
e. |
Epidermolysis bullosa |
ANS:
C
REF: Chap 3 (Systemic lupus erythematosus), p 102
29. A
positive ANA test would most likely be seen in which of the following?
|
a. |
Primary syphilis |
|
b. |
Primary herpes simplex |
|
c. |
Systemic lupus
erythematosus |
|
d. |
Erythema multiforme |
|
e. |
Pemphigoid |
ANS: C
REF: Chap 3 (Systemic lupus erythematosus), p 102
30. Systemic
(acute) lupus erythematosus:
|
a. |
Represents an autoimmune
disease in which patients develop multiple antibodies against nuclear and
cytoplasmic proteins |
|
b. |
Usually does not develop
from preexisting discoid disease |
|
c. |
May affect kidneys, heart,
and joints |
|
d. |
Has a predilection for
middle-aged women |
|
e. |
All the above |
ANS:
E
REF: Chap 3 (Systemic lupus erythematosus), p 102
31. Degranulation
of IgE-coated mast cells is associated with which of the following conditions?
|
a. |
Hereditary angioedema |
|
b. |
Lupus erythematosus |
|
c. |
Erythema multiforme |
|
d. |
Contact allergy |
|
e. |
None of the above |
ANS: E
REF: Chap 2 (Angioedema/Erythema
multiforme/Contact allergies), pp 43-49 | Chap 3 (Lupus erythematosus), pp
102-104
32. All
of the following conditions affect oral and perioral tissues and are
self-limiting (i.e., heal or disappear without therapeutic intervention)
except:
|
a. |
Varicella |
|
b. |
Herpangina |
|
c. |
Erythema multiforme |
|
d. |
Hand-foot-and-mouth disease |
|
e. |
Lupus erythematosus |
ANS:
E
REF: Chap 3 (Lupus erythematosus/Treatment), p 104
33. Cutaneous
lesions may be seen in all the following except:
|
a. |
Erythema multiforme |
|
b. |
Chronic lupus erythematosus |
|
c. |
Hairy leukoplakia |
|
d. |
Secondary herpes simplex
infections |
|
e. |
Primary herpes simplex
infections |
ANS: C
REF: Chap 3 (Hairy leukoplakia/Clinical features/Box
3-6), pp 86-87
34. Epstein-Barr
virus is responsible for which of the following?
|
a. |
Hereditary benign
intraepithelial dyskeratosis |
|
b. |
Hairy leukoplakia |
|
c. |
Hairy tongue |
|
d. |
Oral squamous cell
carcinoma |
|
e. |
None of the above |
ANS: B
REF: Chap 3 (Hairy leukoplakia/Etiology and pathogenesis), p
86
35. Median
rhomboid glossitis is a chronic white and/or red lesion occurring in the
midline dorsum of the tongue anterior to the circumvallate papillae that is believed
to be caused by:
|
a. |
Epstein-Barr virus |
|
b. |
Herpes simplex virus |
|
c. |
Autoantibodies |
|
d. |
Smokeless tobacco products |
|
e. |
None of the above |
ANS:
E
REF: Chap 3 (Candidiasis/Clinical features), pp 105-107
36. The
cells that are believed to mediate the destructive basal cell changes seen
microscopically in lichen planus are:
|
a. |
Plasma cells |
|
b. |
T lymphocytes |
|
c. |
B lymphocytes |
|
d. |
Langerhans cells |
|
e. |
Keratinocytes |
ANS:
B
REF: Chap 3 (Lichen planus/Etiology and pathogenesis), pp
97-98
37. The
white lesion known as idiopathic leukoplakia clinically is most frequently
diagnosed microscopically as:
|
a. |
Hyperkeratosis |
|
b. |
Moderate dysplasia |
|
c. |
In situ carcinoma |
|
d. |
Invasive carcinoma |
|
e. |
Leukoedema |
ANS:
A
REF: Chap 3 (Idiopathic leukoplakia), pp 91-95
38. Leukoplakia,
located in which of the following sites, would be regarded as having the
highest risk for malignant transformation?
|
a. |
Floor of mouth |
|
b. |
Upper lip |
|
c. |
Buccal mucosa |
|
d. |
Gingiva |
|
e. |
Palate |
ANS:
A
REF: Chap 3 (Idiopathic leukoplakia/Clinical features), pp
91-93
39. Purple
to red pruritic patches on lower legs and forearms are the typical cutaneous manifestation
of which of the following?
|
a. |
Mucocutaneous candidiasis |
|
b. |
Lupus erythematosus |
|
c. |
Hereditary benign
intraepithelial dyskeratosis |
|
d. |
Lichen planus |
|
e. |
Erythema multiforme |
ANS:
D
REF: Chap 3 (Lichen planus/Clinical features), pp 98-99
40. Hairy
tongue:
|
a. |
Is a pre-AIDS sign |
|
b. |
Is an opportunistic
Epstein-Barr virus infection |
|
c. |
Typically occurs
bilaterally on the lateral surfaces of the tongue |
|
d. |
Has malignant potential |
|
e. |
None of the above |
ANS:
E
REF: Chap 3 (Hairy tongue—entire topic/Box 3-7), pp 88-89
41. Oral
mucosal petechiae and/or ecchymoses would be a clinical sign of all the
following except:
|
a. |
Hemophilia |
|
b. |
Trauma |
|
c. |
Idiopathic thrombocytopenia |
|
d. |
Monocytic leukemias |
|
e. |
Lupus erythematosus |
ANS:
E
REF: Chap 3 (Lupus erythematosus—entire topic), pp 102-104
42. Oral
candidiasis presents in which of the following ways?
|
a. |
White plaques that can be removed,
leaving a red bleeding surface |
|
b. |
Red patch |
|
c. |
Red or white lesion in the
midline of the tongue anterior to the circumvallate papillae |
|
d. |
Cracking and fissuring of
the angles of the mouth |
|
e. |
All the above |
ANS: E
REF: Chap 3 (Candidiasis/Clinical features), pp 105-107
43. A
42-year-old man presents with a 1 ´ 1 cm white patch on the lateral surface of
his tongue. Based solely on this information, clinical differential diagnosis
should include:
|
a. |
Frictional hyperkeratosis |
|
b. |
Hairy leukoplakia |
|
c. |
Idiopathic leukoplakia |
|
d. |
All the above |
|
e. |
None of the above |
ANS: D
REF: Chap 3 (Frictional hyperkeratosis/Hairy
leukoplakia/ Idiopathic leukoplakia), pp 82-83, 86-87, 91-95
44. A 31-year-old
man presents for a routine dental examination. Soft tissue examination shows
that both sides of his tongue have several circular red nonulcerated lesions of
approximately 1 cm in diameter. The red patches are surrounded by white
hyperkeratotic margins. He is asymptomatic and is otherwise in good health. He
most likely has:
|
a. |
Bilateral squamous cell
carcinomas |
|
b. |
Hairy leukoplakia |
|
c. |
Median rhomboid glossitis |
|
d. |
Leukoedema |
|
e. |
Geographic tongue |
ANS: E
REF: Chap 3 (Geographic tongue/Box 3-11), pp 95-97
45. A
47-year-old woman presented with painful ulcers and white lesions on her
gingiva, tongue, and buccal mucosa of 6 months’ duration. Biopsy of one of the
white areas showed hyperkeratosis, basal cell destruction, and an intense
lymphocytic infiltrate subjacent to the epithelium. This patient most likely
has:
|
a. |
Lichen planus |
|
b. |
Mucous membrane pemphigoid |
|
c. |
Pemphigus vulgaris |
|
d. |
White sponge nevus |
|
e. |
Behçet’s syndrome |
ANS:
A
REF: Chap 3 (Lichen planus—entire topic), pp 97-102
46. Although
hairy tongue is often idiopathic, some cases are believed to be associated with
which one of the following?
|
a. |
Systemic antibiotic therapy |
|
b. |
Infection by HHV8 |
|
c. |
Trauma |
|
d. |
Vitamin C deficiency |
|
e. |
Hot, spicy foods |
ANS:
A
REF: Chap 3 (Hairy tongue/Etiology), p 88
47. Elevated
white plaques are seen in the palate of an HIV-positive patient. Under the
microscope, scrapings show hyphae and spores among superficial keratinocytes.
This confirms which of the following?
|
a. |
Idiopathic leukoplakia |
|
b. |
Lichen planus |
|
c. |
Hairy leukoplakia |
|
d. |
Candidiasis |
|
e. |
None of the above |
ANS:
D
REF: Chap 3 (Candidiasis—entire topic), pp 104-108
48. Which
of the following oral lesions most likely results from chronic friction?
|
a. |
Vascular malformation |
|
b. |
Pigmented nevus |
|
c. |
Focal hyperkeratosis |
|
d. |
Secondary herpes |
|
e. |
Leukoedema |
ANS: C
REF: Chap 3 (Focal [frictional] hyperkeratosis/Etiology), pp
82-83
49. Oral
candidiasis is an opportunistic infection that may be associated with one of
several predisposing factors. These include all the following except:
|
a. |
Prolonged use of oral
topical corticosteroids |
|
b. |
Therapeutic irradiation |
|
c. |
Antibiotic therapy |
|
d. |
Smokeless tobacco use |
|
e. |
AIDS |
ANS:
D
REF: Chap 3 (Candidiasis), pp 104-108
50. Dysplastic
changes of oral epithelium can be seen in biopsies of:
|
a. |
Idiopathic leukoplakia |
|
b. |
Leukoedema |
|
c. |
Melanotic macules |
|
d. |
Hairy leukoplakia |
|
e. |
Mucous membrane pemphigoid |
ANS: A
REF: Chap 3 (Idiopathic
leukoplakia/Histopathology/Box 3-9), pp 92-95
51. Biopsy
of a white lesion from the lower lip of an 82-year-old man showed
hyperkeratosis, basophilic change of collagen, numerous telangiectasias, and
epithelial atrophy. This is indicative of which of the following:
|
a. |
Lip biting |
|
b. |
Squamous cell carcinoma |
|
c. |
Idiopathic leukoplakia |
|
d. |
Lichen planus |
|
e. |
Actinic cheilitis |
ANS:
E
REF: Chap 3 (Actinic cheilitis/Histopathology), p 90
52. Benign
migratory glossitis:
|
a. |
Is not associated with any
risk of malignant transformation |
|
b. |
Represents a self-limited
viral infection |
|
c. |
Responds to systemic
acyclovir |
|
d. |
Typically affects the
ventral surface of the tongue |
|
e. |
Is commonly seen in
children |
ANS: A
REF: Chap 3 (Geographic tongue/Treatment and
prognosis), pp 96-97
53. A 27-year-old
man presents for a routine oral examination. Both sides of his buccal mucosa
exhibit a filmy white opacity that disappears when the cheek is stretched.
There is no pain, and the tissue feels normal to palpation. This would most
likely be:
|
a. |
Squamous cell carcinoma |
|
b. |
Hairy leukoplakia |
|
c. |
Nicotine stomatitis |
|
d. |
Leukoedema |
|
e. |
Benign migratory glossitis |
ANS:
D
REF: Chap 3 (Leukoedema/Clinical features), p 79
54. Ectopic
sebaceous glands:
|
a. |
Are known as Fordyce’s
granules |
|
b. |
Appear as yellow-white
nodules intraorally |
|
c. |
Do not need to be biopsied |
|
d. |
Have no malignant potential |
|
e. |
All the above |
ANS:
E
REF: Chap 3 (Fordyce’s granules), p 110
55. Which
of the following clinical abnormalities in a white lesion associated with the
use of smokeless tobacco would indicate the need for biopsy?
|
a. |
Mass |
|
b. |
Induration |
|
c. |
Ulceration |
|
d. |
Red patch |
|
e. |
All the above |
ANS: E
REF: Chap 3 (White lesions associated with smokeless
tobacco/Etiology), p 84
56. Opaque
white lesions cover right and left buccal mucosae, vestibules, and floor of the
mouth of a 15-year-old girl. The lesions do not rub off and are asymptomatic.
Biopsy showed intracellular edema and perinuclear condensation of keratin in
keratinocytes. There is no inflammatory cell infiltrate of submucosa. This
description suggests which of the following?
|
a. |
Leukoedema |
|
b. |
Cheek chewing |
|
c. |
Idiopathic leukoplakia |
|
d. |
Lichen planus |
|
e. |
White sponge nevus |
ANS:
E
REF: Chap 3 (White sponge nevus/Box 3-1), p 80
57. Candidiasis
is also known by which of the following synonyms?
|
a. |
Thrush |
|
b. |
Candidosis |
|
c. |
Perleche |
|
d. |
Yeast infection |
|
e. |
All the above |
ANS: E
REF: Chap 3 (Candidiasis/Box 3-13), pp 104-108
58. Atrophy
of the tongue papillae may be seen in all the following except:
|
a. |
Pernicious anemia |
|
b. |
Hairy tongue |
|
c. |
Geographic tongue |
|
d. |
Iron deficiency anemia |
|
e. |
Vitamin B deficiency |
ANS:
B
REF: Chap 3 (Hairy tongue—entire topic), p 88
59. The
use of smokeless tobacco is:
|
a. |
Related to the development
of opportunistic oral infections |
|
b. |
More prevalent among young
women than young men |
|
c. |
Associated with the
development of oral ulcers |
|
d. |
A good substitute for
smoking cigarettes |
|
e. |
None of the above |
ANS: E
REF: Chap 3 (White lesions associated with
smokeless tobacco—entire topic/Box 3-3), pp 83-85
60. Which
of the following oral lesions has malignant potential?
|
a. |
“Snuff dipper’s pouch” |
|
b. |
Leukoplakia associated with
smoking |
|
c. |
Epithelial dysplasia |
|
d. |
Actinic cheilitis |
|
e. |
All the above |
ANS: E
REF: Chap 3 (White lesions associated with
smokeless tobacco/Leukoplakia/Actinic cheilitis), pp 83-85, 90-95
61. All
the following oral diseases have a relatively short (days to weeks)
self-limited course except:
|
a. |
Secondary herpes |
|
b. |
Erythema multiforme |
|
c. |
Lichen planus |
|
d. |
Aphthous ulcers |
|
e. |
Herpes zoster |
ANS:
C
REF: Chap 3 (Lichen planus/Clinical features), pp 98-99
62. A
57-year-old patient presents with bright red mucosa under her 10-year-old
maxillary denture. The tissue is painful and has been present for several
weeks. The remainder of her examination is negative. This is most likely which
of the following?
|
a. |
Allergy to her denture
material |
|
b. |
Chronic candidiasis |
|
c. |
Erythroplasia |
|
d. |
Hemangioma |
|
e. |
None of the above |
ANS: B
REF: Chap 3 (Candidiasis/Clinical features), pp 105-107
63. The
white appearance associated with acute pseudomembranous candidiasis is due to
which of the following?
|
a. |
Focal decrease in
vascularity |
|
b. |
Edema of keratinocytes |
|
c. |
Hyperkeratosis |
|
d. |
Fungal colonies growing in
and on the superficial keratin |
|
e. |
Acanthosis |
ANS:
D
REF: Chap 3 (Candidiasis/Histopathology), p 107
64. Oral
epithelial dysplasia may:
|
a. |
Appear white clinically |
|
b. |
Appear red clinically |
|
c. |
Be seen on any mucosal
surface |
|
d. |
Progress to invasive
squamous cell carcinoma |
|
e. |
All the above |
ANS:
E
REF: Chap 3 (Idiopathic leukoplakia—entire topic), pp 91-95
65. The
hard palate and gingiva are the characteristic sites for the appearance of all
the following except:
|
a. |
Oral pigmented nevus |
|
b. |
Lichen planus |
|
c. |
Oral melanoma |
|
d. |
Kaposi’s sarcoma |
|
e. |
Secondary herpes simplex |
ANS: B
REF: Chap 3 (Lichen planus/Etiology and pathogenesis), pp
97-98
66. Bilateral
buccal mucosa white lesions would least likely be seen in which of the
following?
|
a. |
Lichen planus |
|
b. |
Cheek chewing |
|
c. |
Hereditary benign intraepithelial
dyskeratosis |
|
d. |
White sponge nevus |
|
e. |
Idiopathic leukoplakia |
ANS:
E
REF: Chap 3 (Idiopathic leukoplakia/Clinical features), pp
91-93
67. A
21-year-old African American man presents for a routine examination. Both sides
of his buccal mucosa exhibit a filmy white opacity. There is no pain, and the
tissue feels normal to palpation. This could be which of the following?
|
a. |
Squamous cell carcinoma |
|
b. |
Hairy leukoplakia |
|
c. |
Nicotine stomatitis |
|
d. |
Leukoedema |
|
e. |
Geographic stomatitis |
ANS:
D
REF: Chap 3 (Leukoedema/Clinical features), p 79
68. The
microscopic feature that accounts for the white clinical appearance of lichen
planus is:
|
a. |
Fibrin membrane over a
chronic ulcer |
|
b. |
Intracellular edema of
keratinocytes |
|
c. |
Acanthosis |
|
d. |
Hyperkeratosis |
|
e. |
Vasculitis |
ANS:
D
REF: Chap 3 (Lichen planus), pp 97-102
69. The
clinical differential diagnosis for chronic red gingival patches would include:
|
a. |
Atrophic lichen planus |
|
b. |
Contact hypersensitivity |
|
c. |
Lupus erythematosus |
|
d. |
Chronic candidiasis |
|
e. |
All the above |
ANS: E
REF: Chap 3 (Lupus erythematosus/Differential
diagnosis/Lichen planus/Differential diagnosis), pp 101, 104
70. The
etiology of hairy tongue is associated with:
|
a. |
Systemic antibiotic therapy |
|
b. |
Oral hydrogen peroxide
abuse |
|
c. |
Therapeutic irradiation to
the head and neck |
|
d. |
All the above |
|
e. |
None of the above |
ANS:
D
REF: Chap 3 (Hairy tongue/Etiology), p 88
71. Actinic
cheilitis:
|
a. |
Is quite harmless if
Vaseline is used to protect the lip |
|
b. |
Is due to infrared
radiation |
|
c. |
Has no malignant potential |
|
d. |
Is seen predominantly in
the lower lip |
|
e. |
None of the above |
ANS: D
REF: Chap 3 (Actinic cheilitis), pp 90-91
72. All
the following are effective in the treatment of acute oral candidiasis except:
|
a. |
Mycelex troches |
|
b. |
Lotrimin tablets |
|
c. |
Acyclovir tablets |
|
d. |
Nystatin pastilles |
|
e. |
Mycostatin oral suspension |
ANS:
C
REF: Chap 3 (Candidiasis/Treatment and prognosis), p 108
73. Which
of the following provides a patient with increased risk for the development of
oral squamous cell carcinoma?
|
a. |
Idiopathic leukoplakia |
|
b. |
Erythroplakia |
|
c. |
Submucous fibrosis |
|
d. |
Lichen planus |
|
e. |
All the above |
ANS: E
REF: Chap 3 (Idiopathic leukoplakia/Submucous
fibrosis/Lichen planus), pp 91-95, 97-102, 109-110 | Chap 4 (Erythroplakia), pp
121-122
74. Fluconazole
is a systemically taken drug that is particularly effective in the treatment of
which of the following?
|
a. |
Candidiasis |
|
b. |
Syphilis |
|
c. |
Actinomycosis |
|
d. |
Tuberculosis |
|
e. |
Zoster |
ANS: A
REF: Chap 3 (Candidiasis/Treatment and
prognosis/Box 3-16), p 108
75. Idiopathic
leukoplakia:
|
a. |
May recur after excision |
|
b. |
Is caused by papillomavirus |
|
c. |
Is clinically diagnostic
and therefore requires no biopsy |
|
d. |
Is most commonly seen in
children and young adults |
|
e. |
None of the above |
ANS:
A
REF: Chap 3 (Idiopathic leukoplakia/Treatment and prognosis),
p 95
76. Hairy
leukoplakia:
|
a. |
May be seen in non-HIV
immunosuppressed patients |
|
b. |
May appear as a flat or
papillated lesion |
|
c. |
Occurs most commonly on the
tongue |
|
d. |
May be bilateral |
|
e. |
All the above |
ANS:
E
REF: Chap 3 (Hairy leukoplakia), pp 86-87
77. A
32-year-old man presented with a 1 ´ 2 cm macular red-blue lesion in his hard
palate. The lesion was asymptomatic and had been present for an unknown
duration. He had no dental abnormalities and no significant periodontal
disease. This could be all the following except:
|
a. |
Vascular malformation |
|
b. |
Nicotine stomatitis |
|
c. |
Ecchymosis |
|
d. |
Kaposi’s sarcoma |
|
e. |
Erythroplasia |
ANS:
B
REF: Chap 3 (Nicotine stomatitis—entire topic), pp 85-86
Comments
Post a Comment