Oral Diagnosis Final Exam Test Bank

Front 1

This patient complained of pain in the Floor of his mouth particularly around meal time. You noted swelling, which was firm to palpation, and decided to take an occlusal radiograph. Which of the following is the most likely diagnosis of the radiopacity observed radiographically?
a) Avulsed tooth
b) Condensing osteitis
c) Osseous choristoma
d) Sialolith
e) Torus mandibularis

Back 1

D) Sialolith

Front 2

The tooth observed in the PA radiograph is non-vital. Combining this information with the projected photomicrograph, which of the following is the diagnosis of the periapical radiolucency?
a) periapical granuloma
b) periapical abscess
c) periapical cyst
d) Idiopathis osteosclerosis
e) rarefying and condensing osteitis

Back 2

C) periapical cyst

Front 3

The tooth observed in this PA radiograph is non-vital. Which of the following is the the most likely diagnosis of the mixed radiolucent and radiopaque lesion observed at the apices of the molar tooth?
a) periapical granuloma
b) periapical abscess
c) periapical cyst
d) idiopathic osteosclerosis
e) rarefying and condensing osteitis

Back 3

e) rarefying and condensing osteitis

Front 4

The asymptomatic mixed radiolucent radiopaque lesion observed in this projected radiograph is most likely which of the following?
a) odontoma
b) osteoma
c) periapical cemento-osseous dysplasia
d) calcifying odontogenic cyst
e) sialolith

Back 4

d) calcifying odontogenic cyst

Front 5

This solitary asymptomatic white lesion was discovered on routine examination of a 60 y.o. man who smoked and used alcohol heavily. Which of the following is the best clinical diagnosis of this adherent white lesion?
a) lichen planus
b) pseudomembranous candidiasis
c) leukoedema
d) leukoplakia
e) frictional keratosis

Back 5

d) leukoplakia

Front 6

The asymptomatic mixed radiolucent-radiopaque lesion observed at the apices of these viable mandibular incisors is most likely which of the following?
a) odontoma
b) osteoma
c) periapical cemento-osseous dysplasia
d) calcifying odontogenic cyst
e) florid cemento-osseous dysplasia

Back 6

c) periapical cemento-osseous dysplasia

Front 7

The patient in this photograph has many supernumerary teeth. he most likely has the following
a) osteogenesis imperfecta
b) nevoid basal cell carcinoma syndrome
c) chondroectodermal dysplasia
d) mandibulofacial dystosis
e) cleidocranial dysplasia

Back 7

e) cleidocranial dysplasia

Front 8

The patient in this case was a elderly male who had difficulty in communicating with you because of hearing and visual impairment. A clinical picture of his upper jaw is provided as well as a skull radiograph that he brought along. From what you can surmise, which of the following is the most likely diagnosis of his condition?
a) mccune albright syndrome
b) neurofibromatosis
c) paget disease
d) sturge weber syndrome
e) gardner syndrome

Back 8

c) paget disease

Front 9

Which of the following disease entities is most closely associated with the unique radiographic appearance shown in this projection?
a) fibrous dysplasia
b) osteosarcoma
c) proliferative periostitis
d) paget disease
e) chondrosarcoma

Back 9

a) fibrous dysplasia

Front 10

This rapidly developing ulcerated and indurated lesion was noted in a long time smoker and alcohol abuser. The lesion is most likely which of the following?
a) adenoid cystic carcinoma
b) basal cell carcinoma
c) squamous cell carcinoma
d) verrucous carcinoma
e) traumatic ulcer

Back 10

c) squamous cell carcinoma

Front 11

This patient presented with the ulcerated lesion with rolled borders that you observe on his face. A panorex revealed multiple cyst-like radiolucencies which were diagnosed as odontogenic keratocysts. He indicated that a family member had the same diagnosis. Which of the following syndromes is the patient most likely to have?
a) gardern syndrome
b) Peutz Jeghers syndrome
c) Sturge-Weber syndrom
d) McCune Albright syndrome
e) Nevoid basal cell carcinoma syndrome

Back 11

e) Nevoid basal cell carcinoma syndrome

Front 12

This periapical radiograph demonstrates which of the following?
a) a cementoblastoma
b) an odontoma
c) hypercementosis
d) condensing osteitis
e) periapical cemento-osseous dysplasia

Back 12

Hypercementosis

Front 13

Which of the following should head a list of differential diagnoses knowing that this asymptomatic lesion was observed in a young female patient when her dentist was trying to locate the unerupted canine tooth.
a) adenomatoid odontogenic tumor
b) ameloblastoma, solid/multicystic type
c) cementoblastoma
d) odontogenic myxoma
e) odontoma

Back 13

a) adenomatoid odontogenic tumor

Front 14

This young girl whose panorex is also projected had another sibling who had a similar appearance. This patient most likely has which of the following conditions?
a) neurofibromatosis
b) osteogenesis imperfecta
c) cherubism
d) nevoid basal cell carcinoma syndrome
e) chondroectodermal dysplasia

Back 14

c) cherubism

Front 15

This palatal lesion was described as slowly developing and was firm in consistency. It is most likely which of the following?
a) torus palatinus
b) mucocele
c) lipoma
d) osteoma
e) minor salivary gland tumor

Back 15

a) torus palatinus

Front 16

The radiographic appearance of this lateral skull film is most consistent with which of the following disease entities?
a) multiple myeloma
b) metastatic carcinoma
c) langerhans cell disease
d) sickle cell anemia
e) paget disease

Back 16

d) sickle cell anemia
(hair on end [hemolytic anemias])

Front 17

Which of the following should head the list of differential diagnoses for the project radiograph?
a) periapical cyst
b) dentigerous cyst
c) lateral periodontal cyst
d) ameloblastoma
e) calcifying odontogenic cyst

Back 17

b) dentigerous cyst
(3rd molar pericoronal)

Front 18

This asymptomatic radiolucency is most likely which of the following?
a) Aneurysmal bone cyst
b) boytroid type of lateral periodontal cyst
c) primordial cyst
d) stafne cyst
e) traumatic bone cyst

Back 18

d) stafne cyst
(below IA canal)

Front 19

The surgeon who explored this scalloped cyst-like radiolucency indicated that he found nothing occupying the space. This lesion is most likely which of the following?
a) aneurysmal bone cyst
b) periapical cyst
c) lateral periodontal cyst
d) stafne cyst
e) traumatic bone cyst

Back 19

e) traumatic bone cyst

Front 20

Which of the following should be included in a differential diagnosis of the asymptomatic soft to firm lesion appearing in the projected slide?
a) peripheral giant cell granuloma
b) papilloma
c) pyogenic granuloma
d) all of the above
e) A & C only

Back 20

e) A & C only

Front 21

The radiographic appearance of this skull film is most characteristic of which of the following lesions?
a) osteosarcoma
b) multiple myeloma
c) chondrosarcoma
d) leukemia
e) paget disease

Back 21

b) multiple myeloma

Front 22

Which of the following should be considered in the differential diagnosis of this multilocular radiolucent lesion?
a) ameloblastoma
b) ameloblastic fibroma
c) odontogenic myxoma
d) all of the above
e) A & C only

Back 22

d) all of the above

Front 23

This teenage patient presented with mild bony expansion. The tooth tested vital while the radiograph shows a mixed radiolucent radiopaque lesion involving the apical portions of the tooth root. This lesion is most likely which of the following?
a) periapical cemento-osseous dysplasia
b) hypercementosis
c) cementoblastoma
d) condensing osteitis
e) odontoma

Back 23

a) periapical cemento-osseous dysplasia

Front 24

The clinicians main concern in dealing with the multilocular radiolucent lesion shown in the accompanying radiograph and photomicrograph should be which of the following?
a) the rate of recurrence of this lesion
b) the malignant transformation rate of this lesion
c) the fact that this lesion is almost 90% of the time associated with gardner syndrome
d) the fact that most patients succumb to this lesion following invasion and metastasis
e) the fact that only radiation therapy is effective in treating this lesion

Back 24

a) the rate of recurrence of this lesion
(OKC parakeratin)

Front 25

Which of the following is the most likely diagnosis of the projected firm asymptomatic mass discovered on the buccal mucosa near the occlusal plane?
a) papilloma
b) mucocele
c) osteoma
d) hemangioma
e) Irritation (traumatic) fibroma

Back 25

e) Irritation (traumatic) fibroma

Front 26

Which of the following is the most likely diagnosis of the asymptomatic periapical radiolucencies observed in the projected radiograph?
a) periapical abscesses
b) periapical cysts
c) periapical cemento-osseous dysplasia
d) periapical scar tissue
e) periapical granulomas

Back 26

e) periapical granulomas

Front 27

The two radiographs of this young child would be most closely associated with which of the following?
a) metastatic carcinoma
b) langerhans cell disease
c) juvenile periodontitis
d) multiple myeloma
e) cherubism

Back 27

Langerhans cell disease
(floating in air)

Front 28

What is the most likely diagnosis of this periapical radiopacity discovered in a periapical radiograph of this saymptomatic vital tooth?
a) condensing osteitis
b) idiopathic osteosclerosis
c) hypercementosis
d) cementoblastoma
e) odontoma, compound type

Back 28

b) idiopathic osteosclerosis

Front 29

The patient in this case had multiple pigmented lesions such as the one observed on his face as well as multiple bony lesions resembling those shown in the occlusal radiograph. This patient most likely has which of the following?
a) McCune albright or jaffe liechtenstein syndromes
b) Neurofibromatosis I syndrome
c) peutz-jeghers syndrome
d) sturge weber syndrome
e) monostotic fibrous dysplasia

Back 29

d) sturge weber syndrome
(port wine)

Front 30

Which of the following is the most likely diagnosis of the asymptomatic, solitary lesion observed in this photograph?
a) fibroma
b) verrucous carcinoma
c) papilloma
d) (inflammatory) papillary hyperplasia
e) lymphoepithelial cyst

Back 30

c) papilloma

Front 31

The pathologic biopsy report described this multilocular radiolucency as consistent with a diagnosis of central giant cell. The pathologist suggested which of the following disease entities should be ruled out based upon serum chemistries?
a) multiple myeloma
b) paget disease
c) osteomalacia
d) hyperparathyroidism
e) hypophosphatemia

Back 31

d) hyperparathyroidism

Front 32

The patient in this case was a 58 y.o. female, whose diabetes mellitus was poorly controlled. the rest of her medical history was non-contributory. Her chief complain was dull intermittant pain, which on occasion became more severe. based upon the clinical history and accompanying radiograph, this patient most likely suffers from which of the following?
a) fibrous dysplasia
b) metastatic carcinoma
c) osteomyelitis
d) osteosarcoma
e) proliferative periostitis

Back 32

c) osteomyelitis

Front 33

This patient's chief oral complaint was bone pain. In passing she noted "the pain is nothing like the pain I had when I passed a kidney stone a couple months ago." She related other complaints that included abdominal pain and the fact that her daughter "just didn't understand her problems or how she acted any more." Based upon the history and accompanying radiograph, which of the following disease entities should be at the top of the list for investigation?
a) hyperthyroidism
b) hyperparathyroidism
c) cushing syndrome
d) osteitis deformans
e) osteopetrosis

Back 33

b) hyperparathyroidism

Front 34

This 25 y.o. male complained of pain, swelling, and loosening of his teeth. The projected occlusal radiograph was taken of the swelling. This patient most likely has which of the following?
a) paget disease
b) osteosarcoma
c) osteopetrosis
d) fibrous dysplasia
e) proliferative periostitis

Back 34

a) paget disease
?

Front 35

Which of the following is the most likely diagnosis of these tongue lesions were said to come and go periodically?
a) geographic tongue
b) erythema multiforme
c) median rhomboid glossitis
d) hairy tongue
e) lymphangioma

Back 35

a) geographic tongue

Front 36

The three radiopacities indicated by the arrows are most likely which of the following?
a) buckshot pellets
b) areas of idiopathic osteosclerosis
c) tori or exostoses
d) osteosarcoma
e) complex odontomas

Back 36

c) tori or exostoses

Front 37

Which of the following is the most likely diagnosis of the solitary radiolucency observed on this radiograph?
a) staphne cyst
b) residual cyst
c) gingival cyst
d) median palatal cyst
e) nasolabial cyst

Back 37

b) residual cyst

Front 38

The lesions observed in this radiograph were discovered upon routine radiographic examination of an asymptomatic 46 y.o. african american female, who presented with no clinical evidence of the underlying bony lesion? This is most likely a case of which of the following?
a) osteosarcoma
b) chronic osteomyelitis
c) multiple complex odontomas
d) focal cemento-osseous dysplasia
e) florid cemento-osseous dysplasia

Back 38

e) florid cemento-osseous dysplasia

Front 39

The lesion observed in this young boy is most likely which of the following?
a) ewing sarcoma
b) osteosarcoma
c) proliferative periostitis
d) sickle cell anemia
e) leukemia

Back 39

c) proliferative periostitis

Front 40

The patient in this case is a 55 y.o. female who has been on steroids and antibiotics for over two weeks because of a pulmonary infection. The white lesions observed in this patient were easily removed with a tongue blade leaving a raw bleeding surface. These white lesions are most likely which of the following?
a) atrophic (erythematous) candidiasis
b) pseudomembranous candidiasis
c) chemical burns
d) sites of spreading bacterial infection
e) ANUG

Back 40

b) pseudomembranous candidiasis

Front 41

The patient in this case is a 11 y.o. girla whose chief complaints are pain and bleeding from the gingiva along with epitaxis and fatigue. Both sides of the mandible presented with this radiographic appearance but the maxilla was considered to be within normal limits. Of the following, this patient is most likely suffering from which of the following?
a) sickle cell anemia
b) thalassemia
c) uncontrolled diabetes
d) leukemia
e) hyperparathyroidism

Back 41

a) sickle cell anemia

Front 42

The radiographic appearance manifest in these three radiographs is most consistent with a diagnosis of which of the following?
a) osteoporosis
b) osteogenesis imperfecta
c) osteopetrosis
d) osteomyelitis
e) osteosarcoma

Back 42

c) osteopetrosis

Front 43

The radiographic appearance observed at the apices of this non-vital tooth is most consistent with a diagnosis of which of the following?
a) focal sclerosing osteomyelitis
b) idiopathic osteosclerosis
c) cementoblastoma
d) hypercementosis
e) focal cemento-osseous dysplasia

Back 43

a) focal sclerosing osteomyelitis

Front 44

The patient in this case is a 20 y.o. female who indicatres she has had multiple cysts removed from her face and forehead. A review of her family health history indicates that multiple relatives have had colon cancer. Utilizing the projected radiograph and her personal and family history, you believe this patient may have which of the following?
a) plummer vinson syndrome
b) gardner syndrome
c) nevoid basal cell carcinoma syndrome
d) cushing syndrome
e) von recklinghausen disease

Back 44

b) gardner syndrome

Front 45

The long-standing soft tissue mass observed in this long-time denture wearer is most likely which of the following?
a) verrucous carcinoma
b) fibroma
c) squamous cell carcinoma
d) papillary hyperplasia
e) epulis fissuratum

Back 45

e) epulis fissuratum

Front 46

The projected painless, ragged, ill defined radiolucency observed in this 70 y.o. male is most likely which of the following?
a) dentigerous cyst
b) fibrous dysplasia
c) infection/inflammation or malignancy
d) ameloblastic fibroma
e) ameloblastic fibro-odontoma

Back 46

c) infection/inflammation or malignancy

Front 47

This asymptomatic mixed radiolucent-radiopaque lesion was discovered at the apex of this vital tooth upon routine radiographic examination of a new patient. Which of the following is the most likely diagnosis of this lesion?
a) focal cemento-osseous dysplasia
rarefying and condensing osteitis
c) complex odontoma
d) fibrous dysplasia
e) mandibular torus

Back 47

a) focal cemento-osseous dysplasia

Front 48

This asymptomatix radiolucency was discovered between these two vital teeth. The radiolucency was most likely which of the following?
a) mental foramen
b) lateral radicular cyst
c) lateral periodontal cyst
d) residual cyst
e) gingival cyst

Back 48

c) lateral periodontal cyst

Front 49

Utilizing the projected radiograph and two photomicrographs, which of the following is the diagnosis of the lesion demonstrated in this slide?
a) residual cyst
b) radicular cyst
c) periapical granuloma
d) lateral periodontal cyst
e) traumatic bone cyst

Back 49

c) periapical granuloma

Front 50

Which of the following is the most appropriate term used for the keratotic lesion observed in association with this ill-fitting denture?
a) leukoplakia
b) frictional keratosis
c) papillary hyperplasia
d) verrucous carcinoma
e) nicotine stomatitis

Back 50

b) frictional keratosis

Front 51

Which of the following is the most likely diagnosis of a slow growing, bony-hard, exophitic growth on the midline of the palate that had been present for many years?
a) pleomorphic adenoma or mixed tumor
b) palatal cyst
c) torus palatinus
d) nasopalatine cyst
e) mucocele

Back 51

c) torus palatinus

Front 52

Median rhomboid glossitis is most commonly associated with which of the following?
a) a Staphylococcus aureus infection
b) an Actinomyces israelii infection
c) a mycobacterium tunerculosis infection
d) a Candida albicans infection
e) a herpes simplex infection

Back 52

d) a Candida albicans infection

Front 53

Which of the following is the most common cause of a mucocele?
a) a sialolith
b) tumor formation
c) severing of or trauma to a minor salivary gland
d) inflammation
e) mechanical obstruction of a salivary gland duct

Back 53

c) severing of or trauma to a minor salivary gland

Front 54

Which of the following is an example of a true cyst?
a) aneurysmal bone cyst
b) traumatic bone cyst
c) residual cyst
d) all of the above
e) A & C only

Back 54

c) residual cyst

Front 55

Which of the following disease entities may commonly manifest a positive nikolsky sign?
a) Pemphigous vulgaris
b) Lichen planus reticular type
c) Cicatricial pemphigoid
d) all of the above
e) A & C only

Back 55

e) A & C only

Front 56

Which of the following is associated with chronic osteomyelitis?
a) radiation therapy involving bone
b) sickle cell anemia
c) paget disease
d) all of the above
e) A & C only

Back 56

e) A & C only

Front 57

Which of the following is true of the conventional solid/multicystic ameloblastoma?
a) they occur most commonly in the posterior portion of the mandible
b) they are slow growing odontogenic tumors that may cause bone expansion
c) treatment consists of marginal resection with at least a 1 cm margin
d) all of the above
e) A & C only

Back 57

d) all of the above

Front 58

An odontoma is best classified as which of the following?
a) a neoplasm
b) a choristoma
c) a developmental (hamartoma) lesion
d) an inflammatory lesion
e) an immunological lesion

Back 58

c) a developmental (hamartoma) lesion

Front 59

Which of the following is the most common primary malignant tumor of bone in patients less than 40 years of age?
a) melanoma
b) chondrosarcoma
c) osteosarcoma
d) osteoma
e) squamous cell carcinoma

Back 59

c) osteosarcoma

Front 60

Which of the following is a common component of McCune-Albright syndrome?
a) Polyostotic fibrous dysplasia
b) multiple basal cell carcinoma
c) multiple oral papillomas
d) multiple odontogenic keratocysts
e) adenocarcinomas of the colon

Back 60

a) Polyostotic fibrous dysplasia

Front 61

Which of the following is a synonym for osteitis deformans?
a) McCune Albright syndrome
b) Gardner syndrome
c) Paget disease of bone
d) mixed tumor
e) Florid cemento-osseous dysplasia

Back 61

c) Paget disease of bone

Front 62

Which of the following is true of focal cemento-osseous dysplasia?
a) it is commonly associated with non-vital teeth
b) it occurs most commonly in the posterior mandible
c) it is more common in African-americans than whites
d) all of the above
e) A & C only

Back 62

b) it occurs most commonly in the posterior mandible

Front 63

Cafe au lait spots are commonly seen in which of the following disease entities?
a) paget disease
b) letterer-siwe disease
c) mccune albright syndrome
d) osteogenesis imperfecta
e) osteomalacia

Back 63

c) mccune albright syndrome

Front 64

Which of the following is true of sickle cell anemia?
a) It occurs as the result of a point mutation
b) weakness, shortness of breath and fatigue are common symptoms
c) a hair on end radiographic appearance may occur
d) all of the above
e) A & C only

Back 64

d) all of the above

Front 65

Hypercalcemia, renal stones, and abnormal bone metabolism with bone pain are characteristics most closely associated with which of the following conditions?
a) hyperpituitarism
b) hyperthyroidism
c) hypothyroidism
d) hyper function of the adrenal cortex
e) hyperparathyroidism

Back 65

e) hyperparathyroidism
(abdominal groans, renal stones and psychic moans)

Front 66

Osteomalacia in children is called which of the following?

Back 66

Rickets

Front 67

Which of the following is useful in the diagnosis of paget disease of bone?
a) serum alkaline phosphatase
b) serum acid phosphatase
c) complete blood count
d) serum calcium
e) serum vitamin D

Back 67

a) serum alkaline phosphatase

Front 68

Which of the following is the most common odontogenic tumor?
a) ameloblastoma
b) ameloblastic fibroma
c) odontogenic myxoma
d) cementifying fibroma
e) odontoma

Back 68

e) odontoma

Front 69

Which of the following is an example of a True Mixed tumor in which the epithelial and mesenchymal tissues are both neoplastic?
a) ameloblastoma
b) ameloblastic fibroma
c) odontoma
d) adenomatoid odontogenic tumor
e) Squamous odontogenic tumor

Back 69

d) adenomatoid odontogenic tumor

Front 70

Which histopathologic variant of unicystic ameloblastoma may warrant a more aggressive surgical approach according to some authorities?
a) luminal
b) intraluminal/plexiform
c) mural
d) desmoplastic
e) granular

Back 70

c) mural

Front 71

Which of the following statement is true of odontomas?
a) an odontoma is a true neoplasm
b) most odontomas are discovered during the second decade of life
c) compound odontomas are composed of enamel, dentin and cementum that is arranged in a random pattern bearing no morphilogical resemblance to normal teeth
d) all of the above
e) A & C only

Back 71

b) most odontomas are discovered during the second decade of life

Front 72

In which of the following does the conventional solid/multicystic ameloblastoma vary from the ameloblastic fibroma?
a) common radiographic appearance
b) site of predilection
c) average age of patient at diagnosis
d) all of the above
e) A & C only

Back 72

d) all of the above

Front 73

Which of the following statements is true of the adenomatoid odontogenic tumor?
a) they have a femal gender predilection
b) they occur most commonly in the posterior mandible
c) they are often encapsulated
d) all of the above
e) A & C Only

Back 73

e) A & C Only

Front 74

Which of the following lesions most commonly presents as a unilocular radiolucency?
a) ameloblastoma
b) ameloblastic fibroma
c) cementoblastoma
d) dentigerous cyst
e) ameloblastic fibro-odontoma

Back 74

d) dentigerous cyst

Front 75

A sunburst radiographic appearance is most closely associated with which of the following diseases?
a) proliferative periostitis
b) osteosarcoma
c) paget disease
d) fibrous dysplasia
e) ewing sarcoma

Back 75

b) osteosarcoma

Front 76

An onion skin radiographic appearance is most closely associated with which of the following diseases?
a) proliferative periostitis
b) osteosarcoma
c) paget disease
d) fibrous dysplasia
e) hyperparathyroidism

Back 76

a) proliferative periostitis

Front 77

A ground glass radiographic appearance is most closely associated with which of the following diseases?
a) proliferative periostitis
b) osteosarcoma
c) hyperparathyroidism
d) osteitis deformans
e) ewing sarcoma

Back 77

c) hyperparathyroidism

Front 78

Which of the following usually presents as a pericoronal radiolucency?
a) unicystic ameloblastoma
b) radicular cyst
c) stafne cyst
d) all of the above
e) A & C only

Back 78

a) unicystic ameloblastoma

Front 79

Which of the following statements is true of the periapical granuloma?
a) the periapical granuloma is a true granuloma
b) the periapical granuloma can be differentiated from the periapical cyst based strictly uponradiographic appearance
c) periapical granulomas are typically associated with non-vital teeth
d) all of the above
e) A & C only

Back 79

e) A & C only

Front 80

Which of the following statements is true of the dentigerous cyst?
a) dentigerous cysts are the most common inflammatory odontogenic cysts
b) ameloblastomas have been reported to arise from the lining of dentigerous cysts
c) dentigerous cysts are most commonly associated with the maxillary canine
d) all of the above
e) A & C only

Back 80

b) ameloblastomas have been reported to arise from the lining of dentigerous cysts

Front 81

Which type of ameloblastoma occurs most commonly in the anterior maxilla and may appear as a mixed radiolucent-radiopaque lesion?
a) follicular
b) plexiform
c) acanthomatous
d) desmoplastic
e) granular cell

Back 81

a) follicular

Front 82

Which of the following statements is true of primary hyperparathyroidism?
a) the most common cause of primary hyperthyroidism is an adenoma of the pituitary gland
b) primary hyperparathyroidism has a male gender predilection
c) loss of the lamina dura has been observed in cases of primary hyperparathyroidism
d) all of the above
e) A & C

Back 82

e) A & C

Front 83

Which of the following is true of fibrous dysplasia?
a) Fibrous dysplasia is typically slow growing
b) fibrous dysplasia is typically painful
c) fibrous dysplasia typically occurs in patients under the age of 25 years
d) all of the above
e) A&C

Back 83

e) A&C

Front 84

Which of the following statements is true of Langerhans cell disease?
a) lesions may appear as multiple punched out areas of radiolucency
b) a tooth floating in air radiographic appearance has been reported in langerhans
c) The eosinophilic granuloma subtype has only bony lesions
d) all of the above
e) A&C

Back 84

d) all of the above

Front 85

Which of the following may appear as a generalized radiolucency (generalized rarefaction)?
a) osteoporosis
b) osteopetrosis
c) hyperparathyroidism
d) all of the above
e) A&C

Back 85

e) A&C

Front 86

Which of the following types of oral leukoplakia is most likely to undergo malignant transformation?
a) smooth thin leukoplakia
b) thick fissured leukoplakia
c) granular leukoplakia
d) proliferative verrucous leukoplakia

Back 86

d) proliferative verrucous leukoplakia

Front 87

Which of the following clinical features is more consistent with a diagnosis of recurrent aphthous ulcers, minor type than with recurrent herpes simplex infection?
a) lesions occur most frequently on keratinized tissue
b) lesions usually occur as single ulcers
c) initial lesion begins as a vesicle
d) all of the above
e) A&C

Back 87

b) lesions usually occur as single ulcers

Front 88

Which of the following is the most common type of oral mucosal ulcer?

Back 88

TRAUMATIC ULCERS

Front 89

Which of the following statements is true of the oral papilloma?
a) caused by EBV
b) often undergoes malignant change
c) has a rough warty (califlower) appearance
d) often invades adjacent tissues
e) all of the above are true

Back 89

c) has a rough warty (califlower) appearance

Front 90

Which of the following statements is true of pyogenic granulomas?
a) have female gender predilection
b) oftern are red and may bleed easily due to their high degree of vascularity
c) conservative surgical excision is treatment of choice
d) all of the above
e) A&C

Back 90

d) all of the above

Front 91

Which of the following is considered to be an oral precancerous condition?
a) leukoplakia
b) erythroplakia
c) oral submucous fibrosis
d) all of the above
e) A&C

Back 91

b) erythroplakia

Front 92

Severe epithelial dysplasia, carcinoma in situ, or squamous cell carcinoma is discovered in approximately what percentage of the oral leukoplakic lesions?
a) 5%
b) 25%
c) 50%
d) 75%
e) 90%

Back 92

b) 25%

Front 93

Which of the following is the most common oral cancer?
a) mucoepidermoid carcinoma
b) basal cell carcinoma
c) squamous cell carcinoma
d) verrucous carcinoma
e) fibrosarcoma

Back 93

c) squamous cell carcinoma

Front 94

Which of the following malignant tumors is characterized by a monoclonal spike on immunoelectrophoresis?
a) melanoma
b) multiple myeloma
c) leukemia
d) lymphoma
e) squamous cell carcinoma

Back 94

b) multiple myeloma

Front 95

Which of the following is the most common odontogenic cyst of the jaws?
a) dentigerous cyst
b) lateral periodontal cyst
c) primordial cyst
d) apical periodontal cyst
e) keratocyst

Back 95

d) apical periodontal cyst

Front 96

Which of the following lesions may present with ragged and poorly defined borders?
a) osteolytic osteosarcoma
b) fibrous dysplasia, early stage
c) chronic osteomyelitis
d) all of the above
e) A&C

Back 96

e) A&C

Front 97

Which of the following has an age predilection for persons over the age of forty?
a) acute leukemia
b) proliferative periostitis
c) paget disease
d) fibrous dysplasia
e) cherubism

Back 97

c) paget disease

Front 98

Which of the following lesions may present with more than one radiographic appearance i.e. radiolucent mixed and/or radiopaque?
a) periapical cemento osseous dysplasia
b) osteosarcoma
c) calcifying odontogenic cyst
d) fibrous dysplasia
e) all of the above

Back 98

e) all of the above

Front 99

Based upon the radiographic appearance and projected photomicrograph, what is the most likely diagnosis of the radiolucency observed at the root apex of this non-vital tooth?
a) periapical abscess
b) periapical granuloma
c) periapical cyst
d) periapical osteitis
e) periapical cemento ossesous dysplasia

Back 99

c) periapical cyst

Front 100

Which of the following is the most likely diagnosis of the firm exophytic mass seen in the mandibular incisor region?
a) pyogenic granuloma
b) fibroma
c) mucocele
d) exostosis
e) mucoepidermoid carcinoma

Back 100

a) pyogenic granuloma

Front 101

The teeth in this case were asymptomatic, vital and of normal color. Which of the following is the most likely of these periapical radiolucencies?
a) condensing osteitis
b) periapical granuloma
c) periapical cyst (radicular cyst)
d) Periapical cemento-osseous dysplasia
e) accessory mental foramen

Back 101

d) Periapical cemento-osseous dysplasia

Front 102

Which of the following is the most likely diagnosis of the firm exophytic mass observed in the vestibule region of the denture wearer?
a) papilloma
b) verrucous carcinoma
c) benign salivary gland neoplasm
d) hemangioma
e) epulis fissuratum

Back 102

e) epulis fissuratum

Front 103

What is the most likely diagnosis of this asymptomatic radiolucent leion, which upon surgical exploration the oral surgeon reported that he found an empty space?
a) stafne cyst
b) traumatic bone cyst
c) lateral periodontal cyst
d) periapical cyst
e) ameloblastoma

Back 103

b) traumatic bone cyst
(mand PM/M)

Front 104

Which of the following is the most likely diagnosis of this slow growing firm mass that had been present for a few years?
a) papilloma
b) fibrous hyperplasia/fibroma
c) mucocele
d) pyogenic granuloma
e) squamous cell carcinoma

Back 104

b) fibrous hyperplasia/fibroma

Front 105

The bluish lesion observed in the tongue of this patient who was in exceptionally good health, could be emptied by digital pressure. Which of the following is the most likely diagnosis of this lesion?
a) mucocele
b) hemangioma
c) granuloma
d) kaposi sarcoma
e) oral melanotic macule

Back 105

b) hemangioma

Front 106

Which of the following should be placed first in your list of differential diagnoses of this pericoronal radiolucency?
a) adenomatoid odontogenic tumor
b) unicystic ameloblastoma
c) dentigerous cyst
d) normal follicular space
e) periapical cyst

Back 106

c) dentigerous cyst

Front 107

The patient in this case indicated that she had had similar lesions at the same site previously and that they healed in a couple of weeks. This solitary lesion was described as quite painful. Which of the following lesions should head your list of differential diagnoses?
a) recurrent herpes simplex infection
b) recurrent aphthous ulcer
c) ectopic geographic tongue
d) cicatricial pemphigoid
e) erythema multiforme minor

Back 107

b) recurrent aphthous ulcer

Front 108

Whic of the following should be first in your list of differential diagnosis for the projected pericoronal radiolucency discovered in this teenage female patient?
a) ameloblastoma
b) calcifying odontogenic cyst
c) unicystic ameloblastoma
d) adenomatoid odontogenic tumor
e) periapical cyst or granuloma

Back 108

d) adenomatoid odontogenic tumor

Front 109

The appearance of this solitary mass on the anterior tongue of this 26 y.o. female patient is most consistenct with a diagnosis of which of the following lesions?
a) fibroma
b) papilloma
c) lymphangioma
d) granular cell tumor
e) hairy leukoplakia

Back 109

b) papilloma

Front 110

The patient was unaware of this solitary cyst like radiolucency. Which of the following would most likely be the diagnosis of this lesion?
a) a portion of the maxillary sinus
b) solitary plasmacytoma
c) stafne cyst
d) traumatic bone cyst
e) residual cyst

Back 110

e) residual cyst

Front 111

These asymptomatic lesions are located in the mandibular vestibule. Their clinical features are most consistent witha diagnosis of which of the following?
a) aphthous ulcers
b) herpes simplex infection
c) chancres of syphilis
d) ectopic geographic tongue
e) squamous cell carcinoma

Back 111

d) ectopic geographic tongue

Front 112

The asymptomatic solitary radiolucency observed in this radiograph was discovered on routine radiographic examination? Which of the following is most likely to be the diagnosis?
a) traumatic bone cyst
b) residual cyst
c) stafne cyst
d) aberrant mandibular canal
e) dentigerous cyst

Back 112

c) stafne cyst

Front 113

The ulcerative lesions observed in this photograph are most likely to be which of the following?
a) aphthous ulcers
b) recurrent herpes simplex ulcers
c) ulcers associated with erythema multiforme
d) ulcers associated with cicatricial pemphigoid
e) ulcers resulting from an odontogenic infection

Back 113

b) recurrent herpes simplex ulcers

Front 114

The ill-defined radiolucency associated with the root of this molar tooth is most likely which of the following lesions?
a) periapical cemento osseous dysplasia
b) chronic osteitis
c) focal fibrous dysplasia
d) artifact
e) metastatic tumor

Back 114

b) chronic osteitis

Front 115

This asymptomatic solitary fusiform swelling of the right mandible in this 18 y.o. female patient is most likely which of the following?
a) hyperparathyroidism
b) ameloblastoma
c) acute osteomyelitis
d) fibrous dysplasia
e) traumatic bone cyst

Back 115

d) fibrous dysplasia

Front 116

These keratotic white lesions with a red halo were observed bilaterally in the buccal mucosa of a 43 y.o. female patient. Which of the following is most likely the diagnosis of these lesions?
a) linea alba
b) leukoedema
c) lichen planus
d) white sponge nevus
e) leukoplakia

Back 116

c) lichen planus

Front 117

This is the cross section through the body of the mandible. Of the following lesions, this radiographic appearance is most consistent with a diagnosis of which of the following?
a) osteosarcoma
b) hyperparathyroidism
c) fibrous dysplasia
d) central giant cell granuloma
e) ameloblastoma

Back 117

a) osteosarcoma

Front 118

This 64 y.o. male patient complained of bone pain and numerous infections over the last several months. Laboratory test indicated Bence Jones proteins in his urine. These findings are most consistent with a diagnosis of which of the following?
a) langerhans cell disease
b) paget disease
c) metastatic carcinoma
d) multiple myeloma
e) sickle cell anemia

Back 118

d) multiple myeloma

Front 119

This radiograph demonstrates multiple punched out radiolucencies in a 10 y.o. male patient. In addition to the bony lesions the patient manifested exophthalmos and diabetes insipidus. This is most likely a case of which of the following?
a) langerhans cell disease
b) paget disease
c) multiple myeloma
d) sickle cell anemia
e) thalassemia

Back 119

a) langerhans cell disease

Front 120

The malignant transformation potential for the projected palatal lesion is best described by which of the following?
a) greater than proliferative verrucous leukoplakia
b) equal to that of erythroleukoplakia
c) less than erythroplakia but more than leukoplakia
d) rarely if ever occurs

Back 120

d) rarely if ever occurs
(nicotine stomatitis)

Front 121

The patient in this case is an elderly female who indicates she has had several fractures and back pain over the past 5 years. The history and radiographic appearance of the mandible are most consistent with which of the following disease entities?
a) osteopetrosis
b) osteoporosis
c) multiple myeloma
d) metastatic carcinoma
e) polyostotic fibrous dysplasia

Back 121

b) osteoporosis

(mand not very dense, gen rarefaction)

Front 122

The complete denture patient wears his dentures almost constantly. The elevated warty lesions of the palatal vault are most likely which of the following?
a) stomatitis nicotina
b) papillomas
c) necrotizing sialometaplasia
d) candidiasis
e) papillary hyperplasia

Back 122

e) papillary hyperplasia

Front 123

This african american patient suffers from repeat infections delayed growth and renal problems. Coupling this history with the projected radiograph, this patient most likely has which of the following disease entities?
a) osteosarcoma
b) iron deficiecy anemia
c) sickle cell anemia
d) fibrous dysplasia
e) cherubism

Back 123

c) sickle cell anemia
(hair on end)

Front 124

This firm smooth swelling was discovered near the junction of the hard and soft palates in a 60 y.o. patient. She indicated the following lesion had been slowly enlarging for the past couple of years. Which of the following lesions should be placed first in your list of differential diagnoses?
a) maxillary torus
b) papillary hyperplasia
c) mucocele
d) minor salivary gland tumor
e) nicotine stomatitis

Back 124

d) minor salivary gland tumor

Front 125

Which of the following is the most likely diagnosis of the mixed radiolucent radiopaque lesions found at the apices of the mandibular first molar?
a) periapical cemento-osseous dysplasia
b) focal cemento-osseous dysplasia
c) calcifying odontogenic cyst
d) odontoma
e) rarefying and condensing osteits

Back 125

e) rarefying and condensing osteits
(nonvital)

Front 126

The patient in this case is a 64 y.o. male, who has type II diabetes mellitus, hypertension and smokes and drinks heavily. The roughened lesion obsered in the floor of his mouth and over the mandibular alveolar ridge is indurated and occasionally bleeds. Whic of the following is the most likely diagnosis of this lesion?
a) papilloma
b) squamous cell carcinoma
c) melanoma
d) basal cell carcinoma
e) verruca vulgaris

Back 126

b) squamous cell carcinoma

Front 127

The mixed periapical radiolucent radiopaque lesion is associated with teeth which are normal in appearance and test vital with pulp testing. What is the most likely diagnosis of this lesion?
a) periapical cemento-osseous dysplasia
b) rarefying and condensing osteitis
c) odontoma
d) calcifying odontogenic cyst
e) osteitis deformans

Back 127

a) periapical cemento-osseous dysplasia

Front 128

Which of the following is the best diagnosis for the white lesion observed in this projection showing the clinical picture and a photomicrograph of the lesion?
a) odontogenic keratocyst
b) squamous cell carcinoma
c) hyperkeratosis and acanthosis consistent with a clinical diagnosis of leukoplakia
d) leukoedema
e) white sponge nevus

Back 128

c) hyperkeratosis and acanthosis consistent with a clinical diagnosis of leukoplakia
(thick spinous, thick keratin)

Front 129

Which of the following is observed involving the two premolar teeth seen in this radiograph?
a) periapical cemento osseous dysplasia
b) idiopathic osteosclerosis
c) condensing osteitis
d) hypercementosis
e) hyperostosis

Back 129

d) hypercementosis
(PDL can be seen)

Front 130

Which of the following is the most likely diagnosis of the red lesion to which the arrow is pointing?
a) squamous cell carcinoma
b) median rhomboid glossitis
c) erythema migrans
d) erythroplakia
e) lingual varix

Back 130

b) median rhomboid glossitis

Front 131

What is the most likely diagnosis of the radiopacity to which the head of the arrow is pointing?
a) condensing osteitis
b) idiopathic osteosclerosis
c) hypercementosis
d) proliferative periostitis
e) periapical granuloma

Back 131

a) condensing osteitis
(tooth has been RCT)

Front 132

Using the radiographic image and the projected photomicrograph, which of the following is the correct diagnosis in this case?
a) periapical
b) periapical granuloma
c) periapical cemento-osseous dysplasia
d) dentigerous cyst
e) hypercementosis

Back 132

b) periapical granuloma
(nonvital filled w/inflam cells)

Front 133

What is the most likely diagnosis of the brownish black macule observed on the lip of this 22 y.o. male patient? He says it has been there a long time and has not changed in size shape or color and it did not blanch with digital pressure.
a) amalgam tattoo
b) melanoma
c) labial melanotic macule
d) hematoma
e) hemangioma

Back 133

c) labial melanotic macule

Front 134

Using the projected raiograph and accompanying photomicrograph, which of the following is the diagnosis of this multilocular radiolucent lesion?
a) odontogenic keratocyst
b) ameloblastoma
c) central giant cell granuloma
d) cherubism
e) osteitis deformans

Back 134

b) ameloblastoma
(ant mand, soap bubble, columnar epithelium)

Front 135

Using the projected photograph and accompanying radiograph, which of the following is the most likely diagnosis of this multilocular radiolucent lesion?
a) odontogenic keratocyst
b) ameloblastoma
c) central giant cell granuloma
d) cherubism
e) osteitis deformans

Back 135

d) cherubism
(child)

Front 136

Using the projected radiograph and the accompanying photomicrograph, which of the following is the diagnosis of this multilocular radiolucent lesion?
a) odontogenic keratocyst
b) ameloblastoma
c) central giant cell granuloma
d) cherubism
e) osteitis deformans

Back 136

a) odontogenic keratocyst
(6 cells, pallisade, post mand ramus)

Front 137

Using the projected radiograph and accompanying photomicrograph and armed with the knowledge that this patient had hypercalcemia, which of the following is the most likely diagnosis in this case?
a) odontogenic keratocyst
b) hyperparathyroidism
c) cherubism
d) hyperthyroidism
e) osteitis deformans

Back 137

b) hyperparathyroidism
(contains giant cells, hyper PTH looks histologically identical to CGCG)

Front 138

Use the projected photograph ( a skin lesion was diagnosed as a basal cell carcinoma) and the accompanying radiograph (one cyst-like radiolucency was diagnosed as an OKC) to answer the following question. Which of the following lesions are known to be associated with this syndrome?
a) calcification of the falx cerebri
b) rib anomalies such as bifid rib
c) increased head circumference and mild hypertelorism
d) all of the above
e) A & C only

Back 138

d) all of the above

Front 139

Using the projected radiograph and accompanying photomicrograph, which of the following is the diagnosis of this mixed radiolucent radiopaque lesion?
a) Adenomatoid odontogenic tumor
b) calcifying odontogenic cyst
c) odontoma
d) osteoma
e) torus

Back 139

c) odontoma
(max anterior)

Front 140

Using the projected radiograph and two accompanying photomicrographs, which of the following is the diagnosis of this mixed radiolucent radiopaque lesion?
a) ameloblastoma
b) calcifying odontogenic cyst
c) odontoma
d) rarefying and condensing osteitis
e) periapical granuloma

Back 140

b) calcifying odontogenic cyst
(ghost cells)

Front 141

Using the projected photograph and accompanying radiograph which of the following is the most likely diagnosis of this solitary mixed radiolucent radiopaque lesion?
a) cherubism
b) fibrous dysplasia
c) ameloblastoma
d) odontoma, mature stage
e) rarefying and condensing osteitis

Back 141

b) fibrous dysplasia
(ground glass)

Front 142

This patient was a 60 y.o. male, who had hearing and visual problems. His alkaline phosphate was markedly elevated. Using this information and the accompanying two radiograph, which of the following is the most likely diagnosis of his condition?
a) multiple myeloma
b) fibrous dysplasia
c) langerhans cell disease
d) metastatic carcinoma, probably from the prostate
e) paget disease

Back 142

e) paget disease
(cotton wool)

Front 143

This radiograph demonstrates an area of radiopacity at the apex of the maxillary second premolar. The tooth is of normal color and is vital. Which of the following is the best diagnosis of this lesion?
a) condensing osteitis
b) rarefying and condensing osteitis
c) idiopathic osteosclerosis
d) hypercementosis
e) periapical granuloma

Back 143

c) idiopathic osteosclerosis

Front 144

The radiopaque lesion overlying the mandibular canine and extending to the first mandibular premolar, is most likely which of the following? The patient is generally in good health
a) torus
b) condensing osteitis
c) impacted supernumerary tooth in cleidocranial dysplasia
d) an osteoma in a patient with gardner syndrome
e) periapical cemento-osseous dysplasia

Back 144

a) torus

Front 145

Which of the following is the most likely diagnosis of this radiolucent lesion of the mandible with poorly and irregularly defined borders? Also consider the accompanying photomicrograph and the fact that the patient complains of painand suppuration
a) fibrous dysplasia
b) metastatic carcinoma
c) osteomyelitis
d) ameloblastoma
e) squamous cell carcinoma

Back 145

c) osteomyelitis
(empty lacunae)

Front 146

Which of the following uniques radiographic appearances is demonstrated in this x-ray. Please observe the inferior border of the mandible.
a) ground glass
b) sunburst
c) cotton wool
d) onion skin
e) salt and pepper

Back 146

d) onion skin

Front 147

Observe the projected clinical photograph and accompanying radiograph. These features are most consitent with a diagnosis of which of the following?
a) sturge weber syndrome
b) gardner syndrome
c) nevoid basal cell carcinoma syndrome
d) mccune albright syndrome
e) cleidocranial dysplasia

Back 147

e) cleidocranial dysplasia
(no clavicle supernumerary)

Front 148

Three slides are used to demonstrate this case. Observe the pathology demonstrated in the two clinical photographs (epidermoid cysts and polyp) and in the projected radiograph (multiple separate radiopacities) The features observed in these three slides are most consistent with a diagnosis of which of the following syndromes?
a) mccune albright
b) plummer vinson
c) sturge weber
d) gardner
e) peutz jeghers

Back 148

d) gardner

Front 149

This lateral skull film is most consistent with a diagnosis of which of the following disease? There is no technical problem with the film.
a) osteopetrosis
b) osteoporosis
c) multiple myeloma
d) osteogenesis imperfecta
e) sickle cell anemia

Back 149

a) osteopetrosis
(marble bone)

Front 150

Which of the following disease entities is most closely associated with the projected radiographic pattern?
a) osteosarcoma
b) proliferative periostitis
c) paget disease
d) sickle cell anemia
e) hyper parathyroidism

Back 150

e) hyper parathyroidism
(ground glass)

Front 151

Which of the following disease entities is most closely associated with the projected radiographic pattern?
a) osteosarcoma
b) proliferative periostitis
c) paget disease
d) sickle cell anemia
e) fibrous dysplasia

Back 151

c) paget disease

Front 152

The radiographic patter shown in this occlusal x-ray of the mandible is termed which of the following?
a) cotto wool
b) ground glass
c) sunburst
d) hari on end
e) tramline

Back 152

c) sunburst

Front 153

The radiographic pattern of a sunburst is most often associated with?

Back 153

Osteosarcoma

Front 154

The radiographic pattern of a cotton wool is most often associated with?

Back 154

Paget disease

Front 155

The radiographic pattern of a ground glass is most often associated with?

Back 155

Fibrous dysplasia

Front 156

The radiographic pattern of a onion skin is most often associated with?

Back 156

proliferative periostitis

Front 157

What is the most common type of oral mucosal ulcer?

Back 157

Traumatic ulcers

Front 158

Which of the following types of leukoplakia has the lowest malignant transformation potential?
a) proliferative verrucous leukoplakia
b) thick fissured leukoplakia
c) granular leukoplakia
d) smooth thin leukoplakia

Back 158

d) smooth thin leukoplakia

Front 159

What disease entities are most often associated with a ground glass radiographic appearance?

Back 159

Fibrous dysplasia
Hyper PTH

Front 160

Which of the following may appear as a soft tissue radiopacity?
a) sialolith
b) calcified lymph nodes
c) amalgam tattoo
d) all of the above
e) A & C

Back 160

d) all of the above

Front 161

Which of the following is least likely to appear as a multiliocular radiolucency?
a) odontogenic keratocyst
b) ameloblastoma
c) periapical granuloma
d) odontogenic myxoma
e) central giant cell granuloma

Back 161

c) periapical granuloma
(unilocular, cystlike)

Front 162

Which of the following may appear as a unilocular radiolucency?
a) residual cyst
b) periapical granuloma
c) periapical cemento-osseous dysplasia
d) all of the above
e) A&C

Back 162

d) all of the above

Front 163

All of the following statements are true of the radicular or periapical cyst EXCEPT
a) is the 2nd most common pulpperiapical lesion after the periapical granuloma
b) is the most common of all odontogenic cysts
c) can be distinguished radiographically from a periapical granuloma
d) can be treated with nonsurgical endodontics if the treatemnt plan calls for the maintenance of the tooth
e) an untreated cyst may slowly enlarge and cause expansion of the cortical plates

Back 163

c) can be distinguished radiographically from a periapical granuloma

Front 164

All of the following are true of dentigerous cysts EXCEPT
a) are most common in the posterior mandible
b) most commonly appear as a periapical radiolucency
c) signs or symptoms may include delayed eruption of the tooth
d) patients are usually over the age of 18
e) most frequently involved tooth is the Mand 3rd molar

Back 164

b) most commonly appear as a periapical radiolucency
(pericoronal)

Front 165

All of the following statements are true of unicystic (mural) ameloblastomas EXCEPT.
a) occurs most frequently in the posterior mandible
b) the recurrence rate is the same as for the solid/multicystic ameloblastoma
c) occurs with about equal frequency in both sexes
d) may cause delayed tooth eruption
e) most patients are under the age of 30

Back 165

b) the recurrence rate is the same as for the solid/multicystic ameloblastoma

Front 166

Which cyst occurs when a permanent tooth fails to develop i.e. which cyst occurs in place of a tooth?
a) primordial cyst
b) residual cyst
c) radicular cyst
d) incisive canal cyst
e) dentigerous cyst

Back 166

a) primordial cyst

Front 167

Which of the following may occur/appear as solitary cyst-like radiolucency?
a) residual cyst
b) traumatic bone cyst
c) marrow space
d) stafne cyst
e) all of the above

Back 167

e) all of the above

Front 168

All of the statements are true of giant cell lesions of primary hyperparathyroidism EXCEPT
a) is more common in males than females
b) lesions are more common in mandible
c) patients may manifest kidney stones
d) serum calcium is normally elevated
e) patients are usually over the age of 30 years

Back 168

a) is more common in males than females

Front 169

All of the statements are true of Stafne cyst EXCEPT
a) occurs only in the mandible
b) occurs at all ages
c) teeth are always nonvital
d) radiolucency usually contains normal salivary gland tissue

Back 169

c) teeth are always nonvital
(vital)

Front 170

Which cyst is the one that remains after its associated (usually carious) tooth has been lost?
a) residual
b) dentigerous
c) primordial
d) odontogenic keratocyst
e) eruption cyst

Back 170

a) residual

Front 171

Which feature allows for the diagnosis of an odontogenic keratocyst?
a) multilocular radiographic appearance
b) certain histologic features
c) poorly defined scalloped borders
d) nonvital tooth
e) association with impacted tooth

Back 171

b) certain histologic features

Front 172

Basic tissue changes that could produce abnormal red conditions would include which of the following?
a) atrophy or erosion of the mucosa
b) accumulation of heavy metals such as lead
c) vascular dilation because of inflammation
d) all of the above
e) A&C

Back 172

e) A&C

Front 173

Differential diagnoses of erythroplakia would include all of the following EXCEPT
a) atrophic candidiasis
b) leukoedema
c) erythema multiforme
d) macular hemangioma
e) purpuric macule (early stage)

Back 173

b) leukoedema

Front 174

Which of the following may be a predisposing condition to oral candidiasis?
a) multiple antibiotic regimens
b) Sjogrens syndrome
c) prolonged denture use
d) all of the above
e) A&C

Back 174

d) all of the above

Front 175

All of the following statements are true of cicatricial (benign mucous membrane) pemphigoid EXCEPT
a) while the etiology is unknown, the disease is known to have an autoimmune component
b) is more common in males under the age of 30
c) primarily found on mucous membranes
d) the gingiva is the most common oral site of involvement
e) immunofluorescence is an important and useful diagnostic technique

Back 175

b) is more common in males under the age of 30
(females autoimmune)

Front 176

All of the following statements are true of epulis fissuratum EXCEPT
a) is much more common in males
b) can be classified as one of the inflammatory hyperplasias
c) typically observed at the borders of ill-fitting dentures
d) is much more common in adults than children

Back 176

a) is much more common in males
(females)

Front 177

McCune albright syndrome is a developmental defect of unknown cause that often manifests which of the following?
a) cafe au lait macules (spots)
b) neurofibromas
c) precocious puberty in girls
d) all of the above
e) A&C

Back 177

e) A&C
(fibrous dysplasia)

Front 178

Which of the following is most closely associated with Gardner syndrome?
a) osteomas
b) neurofibromas
c) odontogenic keratocysts
d) fibrous dysplasia
e) tram line calcifications

Back 178

a) osteomas

Front 179

All of the following is true of osteosarcoma EXCEPT
a) may appear as a bandlike widening of the PDL space and this is pathognomonic for the disease
b) radiographically may show a sunburst or sunray appearance
c) pain, swelling, paresthesia or anesthesia and tooth mobility may occur
d) is second to multiple myeloma and lymphoma as the most frequently encountered primary tumor of the jawbones
e) the average age of onset is in the 3rd to 4th decade

Back 179

a) may appear as a bandlike widening of the PDL space and this is pathognomonic for the disease

Front 180

All of the following statements are true of fibrous dysplasia EXCEPT
a) is considered a hamartomatous fibro osseous lesion
b) the etiology is unknown
c) depending upon the stage may appear as a radiolucent mixed radiolucent radiopaque or radiopaque lesion
d) is best treated by radiation therapy
e) is basically a disease of children, adolescents and young adults

Back 180

d) is best treated by radiation therapy

Front 181

Which of the following are clinical features associated with the basal cell nevus syndrome?
a) jaw cysts, which are parakeratotic OKCs
b) basal cell carcinomas
c) skeletal abnormalities such as bifid rib, kyphoscoliosis and hypertelorism
d) all of the above
e) A&C only

Back 181

d) all of the above

Front 182

All of the following statements are true of langerhans cell disaese EXCEPT
a) was formally known as Neiman pick disease
b) lesions may appear as multiple separate well defined radiolucencies
c) although the etiology is unknown, immunologic defects have been implicated
d) teeth may appear to be floating in air

Back 182

a) was formally known as Neiman pick disease

Front 183

Which of the following are associated with primary hyperparathyroidism
a) metastatic calcifications may occur(kidney stones)
b) serum calcium and phosphorous levels are typically normal
c) generalized rarefaction of the jaws may occur along with a loss of lamina dura (10% of cases)
d) all of the above
e) A&C

Back 183

e) A&C

Front 184

All of the following statements is true of sickle cell anemia EXCEPT
a) is a hereditary disease caused by a point mutation
b) a hair on end radiographic appearance is pathognomic for the disease
c) patients may exhibit pallor fatigue weakness and dyspnea
d) patients are susceptible to infections

Back 184

b) a hair on end radiographic appearance is pathognomic for the disease

Front 185

All of the following statements are true of osteoporosis except?
a) may present as generalized rarefaction of the jawbones
b) may be drug induced
c) is also known as osteomalacia
d) is more common in postmenopausal females

Back 185

c) is also known as osteomalacia

Front 186

All of the following statements are true of paget disease of bone except
a) depending upon the stage it may be radiolucent, mixed radiolucent/radiopaque or radiopaque
b) serum alkaline phosphatase levels are markedly low
c) teeth may show hypercementosis
d) is more common in patients over the age of 40
e) is more common in the maxilla

Back 186

b) serum alkaline phosphatase levels are markedly low
(high)

Front 187

All of the following statements are true of multiple myeloma except
a) is the most common primary malignant tumor of bone
b) is characterized by the proliferation of abnormal plasma cells
c) patients often complain that their dentures are too small as well as their hats
d) radiographically may manifest multiple separate well-defined radiolucencies
e) hypercalcemia, amyloidosis and pancytopenia may be seen

Back 187

c) patients often complain that their dentures are too small as well as their hats

Front 188

Which oral lesions may reflect the presence of a parathyroid adenoma?
a) loss of lamina dura
b) lesions microscopically resembling CGCG
c) brown tumor
d) all of the above
e) A&C

Back 188

d) all of the above

Front 189

Osteosarcoma of the jaw radiographically may show which of the following appearances?
a) cortical destruction
b) altered trabeculation
c) symmetrically widened PDL space
d) displaced teeth
e) all of the above

Back 189

e) all of the above

Front 190

Which of the following radiographic appearances is most commonly associated with multiple myeloma?
a) ground glass appearance
b) peas in a pod radiolucency
c) punched out radiolucency
d) cotton wool radiolucency
e) all of the above as it depends on the stage of the lesion

Back 190

c) punched out radiolucency

Front 191

Which of the following is the most common type of odontogenic cyst?
a) dentigerous cyst
b) radicular (apical periodontal) cyst
c) primordial cyst
d) gingival cyst of the adult
e) lateral periodontal cyst

Back 191

b) radicular (apical periodontal) cyst

Front 192

All of the following statements are true of multiple myeloma except
a) is the most common primary malignant tumor of bone
b) is characterized by the proliferation of abnormal plasma cells
c) patients often complain that their dentures are too small as well as their hats
d) radiographically may manifest multiple separate well-defined radiolucencies
e) hypercalcemia, amyloidosis and pancytopenia may be seen

Back 192

c) patients often complain that their dentures are too small as well as their hats

Front 193

Which oral lesions may reflect the presence of a parathyroid adenoma?
a) loss of lamina dura
b) lesions microscopically resembling CGCG
c) brown tumor
d) all of the above
e) A&C

Back 193

d) all of the above

Front 194

Osteosarcoma of the jaw radiographically may show which of the following appearances?
a) cortical destruction
b) altered trabeculation
c) symmetrically widened PDL space
d) displaced teeth
e) all of the above

Back 194

e) all of the above

Front 195

Which of the following radiographic appearances is most commonly associated with multiple myeloma?
a) ground glass appearance
b) peas in a pod radiolucency
c) punched out radiolucency
d) cotton wool radiolucency
e) all of the above as it depends on the stage of the lesion

Back 195

c) punched out radiolucency

Front 196

Which of the following is the most common type of odontogenic cyst?
a) dentigerous cyst
b) radicular (apical periodontal) cyst
c) primordial cyst
d) gingival cyst of the adult
e) lateral periodontal cyst

Back 196

b) radicular (apical periodontal) cyst

Front 197

Odontomas are usually discovered because of which of the following reasons?
a) they prevent tooth eruption
b) they become infected
c) they produce pain
d) they produce a marked swelling
e) they occur in families

Back 197

a) they prevent tooth eruption

Front 198

Which of the following lesions would have a predilection for patients over the age of 40?
a) cherubism
b) fibrous dysplasia
c) paget disease
d) osteosarcoma

Back 198

c) paget disease

Front 199

All of the following are true of periapical cysts EXCEPT
a) is associated with an erupted tooth
b) is frequently asymptomatic
c) lamina dura at apex is missing
d) is associated with a vital tooth
e) is a reactive inflammatory cyst

Back 199

d) is associated with a vital tooth

Front 200

1. Your textbook lists seven distinct periapical radiolucent lesions that are the sequelae of pulpitis. Which of the following is not included in this group of lesions?
a. Periapical granuloma
b. Lateral periodontal cyst
c. Radicular cyst
d. Abscess
e. Scar

Back 200

a. Periapical granuloma

Front 201

2. Which features are suggestive of non-vital pulps?
a. History of trauma
b. History of painful pulpitis
c. Dark or reddish hue of crown
d. All of the above
e. A and C only

Back 201

d. All of the above

Front 202

3. Which of the following represents the most common type of pathologic radiolucency?
a. Periapical granuloma
b. Radicular cyst
c. Periapical cemento-osseous dysplasia
d. Periapical abscess
e. Periapical scar

Back 202

a. Periapical granuloma

Front 203

4. Periapical emento-osseus dysplasia always appears as a radiolucent lesion
a. True
b. False

Back 203

b. False

Front 204

5. The traumatic bone cyst is classified as a true cyst because it has an epithelial lining
a. True

False

Back 204

b) false

Front 205

1. The follicular space of a developing tooth would appear as a pericoronal radiolucency?
a. True
b. False

Back 205

True

Front 206

2. Dentigerous (follicular) cysts are the most common developmental odontogenic cysts
a. True
b. False

Back 206

a. True

Front 207

3. Which of the following can appear as pericoronal radiolucencies according to your textbook?
a. Ameloblastoma (aggressive)
b. Ameloblastic fibroma
c. Adenomatoid odontogenic tumor (thick capsule - shells out easily)

All of the above (all are benign neoplasms)

Back 207

All of the above (all are benign neoplasms)

Front 208

4. Which of the following is seen most commonly in the anterior part of the maxilla?
a. Dentigerous cyst (mand. third molar is most common)
b. Ameloblastoma
c. Adenomatoid odontogenic tumor
d. All of the above
e. A and C only

Back 208

c. Adenomatoid odontogenic tumor

Front 209

5. Dentigerous cysts may:
a. Cause delayed eruption of a tooth
b. Cause swelling
c. Cause asymmetry
d. All of the above
e. A and C only

Back 209

d. All of the above

Front 210

5. Dentigerous cysts may:
a. Cause delayed eruption of a tooth
b. Cause swelling
c. Cause asymmetry
d. All of the above
e. A and C only

Back 210

d. All of the above

Front 211

1. Which of the following is least likely to appear as a multilocular radiolucency?
a. Ameloblastoma
b. Central giant cell granuloma
c. Cherubism
d. Odontogenic myxoma
e. Radicular cyst

Back 211

e. Radicular cyst

Front 212

2. A/An _______ cyst is a cyst that has remained after its associated tooth has been lost

Back 212

residual

Front 213

3. Giant cell lesions of primary hyperparathyroidism are:
a. Seen more frequently in females
b. Seen more frequently in males
c. Seen with equal frequency in both sexes

Back 213

a. Seen more frequently in females

Front 214

4. Stafne's cyst occurs:
a. More frequently in the maxilla
b. Only in the mandible
c. With equal frequency in both jaws

Back 214

b. Only in the mandible

Front 215

5. The aneurysmal bone cyst is classified as a pseudocyst because it does not have an epithelial lining
a. True
b. False

Back 215

True

Front 216

1. According to your textbook, most solitary radiolucencies with ragged and indistinct borders are produced by three basic types of pathologic processes. These are:
a. Inflammation, stafne's cyst, osteolytic malignancy
b. Inflammation, odontogenic cyst, amelolastoma
c. Inflammation, fibrous dysplasia, osteolytic malignancy
d. Osteolytic malignancy, genetic disease, inflammation
e. Odontogenic tumors, odontogenic cysts, stafne's cyst

Back 216

c. Inflammation, fibrous dysplasia, osteolytic malignancy

Front 217

2. According to your textbook, blood chemistry values are pathognomonic for most diseases of bone
a. True
b. False

Back 217

False

Front 218

3. Fibrous dysplasia is a precancerous lesion occurring mostly in younger adults
a. True
b. False (not precancerous)

Back 218

b. False (not precancerous)

Front 219

4. Multiple myeloma is a malignant tumor composed of which of the following?
a. Langerhans cells
b. Plasma cells
c. Lymphcytes
d. Epithelial cells
e. Osteoblasts

Back 219

b. Plasma cells

Front 220

5. Leukemia may cause which of the following?
a. Incomplete formation of tooth crowns
b. Partial or complete destruction of the corticies of tooth crypts
c. Enlargement of tooth crypts with failure of bone formation about the apical portion of the developing or erupting tooth
d. All of the above

Back 220

d. All of the above

Front 221

1. Which of the following may appear as a mixed radiolucent/radiopaque lesion associated with teeth?
a. Periapical cemento-osseous dysplasia
b. Adenomatoid odontogenic tumor
c. Cemento-ossifying fibroma
d. All of the above
e. A and C only

Back 221

d. All of the above

Front 222

2. The most common complaint of a patient with an odontoma relates to the delayed eruption of a permanent tooth
a. True
b. False

Back 222

a. True

Front 223

3. Which of the following is the predominant age predilection for odontomas?
a. 5-20 years
b. 21-35 years
c. 50-70 years

Back 223

a. 5-20 years

Front 224

4. Which of the following is true of adenomatoid odontogenic tumors? (avg age is 17, usually maxilla)
a. Most common in females
b. Most common in the mandible of patients over 50 yrs
c. May appear as mixed radiolucent/radiopaque lesions
d. All of the above
e. A and C only

Back 224

e. A and C only

Front 225

5. A combined periapical rarefying (lucent) and condensing osteitis could present radiographically as a mixed radiolucent/radiopaque lesion
a. True
b. False

Back 225

a. True

Front 226

1. Which of the following may be mixed radiolucent/radiopaque lesions not necessarily contacting teeth?
a. Fibrous dysplasia
b. Chronic osteomyelitis
c. Osteoblastic metastatic carcinoma (e.g. metastatic breast and prostate cancer)
d. All of the above
e. A and C only

Back 226

d. All of the above

Front 227

2. Which of the following is a malignant mixed radiolucent/radiopaque lesion?
a. Fibrous dysplasia
b. Cementoossifying fibroma
c. Ossifying subperiosteal hematoma
d. Paget disease
e. All are benign lesions

Back 227

e. All are benign lesions

Front 228

3. A rectangular, indistinct lesion of the maxilla of a 14 y.o. patient would more likely be diagnosed as which of the following?
a. Fibro-osseous lesion of PDLO (periodontal ligament origin)
b. Fibrous dysplasia

Back 228

b. Fibrous dysplasia

Front 229

4. Paget disease most commonly affects the maxilla of patients under the age of 20 years
a. True
b. False

Back 229

b. False (is more common in maxilla though)

Front 230

5. Which of the following is most helpful in identifying an ossifying post-surgical bony defect?
a. The radiographic appearance
b. A history of surgery
c. Clinical features of tenderness and swelling

Back 230

b. A history of surgery

Front 231

1. An area of bony sclerosis is termed ______________ if its cause cannot be readily explained and __________________________ if its cause can be associated with an inflammatory process.

Back 231

1. An area of bony sclerosis is termed idiopathic osteosclerosis if its cause cannot be readily explained and condensing osteitis, aka focal sclerosing osteomyelitis if its cause can be associated with an inflammatory process.

Front 232

2. Excessive formation of cementum on the surface of the root of the tooth is termed hypercementosis and may be associated with which of the following?
a. Acromegaly
b. Local inflammation
c. Osteitis deformans (aka Paget's disease)
d. All of the above(can also see hypercementosis with Gardner's Syndrome)
e. A and C only

Back 232

d. All of the above(can also see hypercementosis with Gardner's Syndrome)

Front 233

3. Calcareous (radiopaque) deposits in the ducts of the major or minor salivary glands or within the glands themselves are called:
a. Rhinoliths
b. Sialoliths
c. Phleboliths
d. Antroliths

Back 233

b. Sialoliths

Front 234

4. Which of the following terms has been used to describe the radiographic appearance of fibrous dysplasia?
a. Orange peel
b. Stippled
c. Salt-and-pepper
d. Ground Glass
e. All of the above

Back 234

e. All of the above (all are terms used for ground glass appearance)

Front 235

1. Florid cemento-osseous dysplasia is the most common cause of pathologic generalized radiopacify of the jaws
a. True
b. False

Back 235

a. True

Front 236

2. Paget's disease (aka osteitis deformans) may appear radiographically as: (for exam, know lesions that have multiple appearances)
a. A generalized rarefaction
b. A mixed RL/RO lesion
c. A "cotton-woll" radiopacity
d. All of the above
e. None of the above

Back 236

d. All of the above

Front 237

3. Osteopetrosis is the name given to a group of diseases that affect the growth and remodelling of bone
a. True (see decrease in function of osteoclasts)
b. False

Back 237

a. True (see decrease in function of osteoclasts)

Front 238

4. Tori may appear as multiple separate radiopacities
a. True
b. False

Back 238

True

Front 239

5. The teeth associated with lesions of periapical cemento-osseous dysplasia are typically:
a. Vital
b. Nonvital
c. Extracted
d. Deformed
e. Exfoliated

Back 239

a. Vital