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148 Cards in this Set
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- Back
- 3rd side (hint)
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A 12 year old girl has a slight enlargement of her mandible. She is otherwise healthy. On biopsy, the bony lesion is an empty space. What is her diagnosis? (Picture Question)
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Simple bone cyst
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- Aneurysmal bone cyst
- Simple bone cyst - Odontogenic keratocyst - Staphne bone cyst |
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A 58 year old Caucasian male presents for dental care. He is partially edentulous but has not received dental care recently. He is interested in having dental implants because his maxillary removable partial denture no longer fits, and it is the second time he has had to replace it. What would not be useful in finalizing his diagnosis? (Picture Question)
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Blood test showing elevated hyperparathyroid hormone levels
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- Elevated urinary hydroxyproline
- A bone biopsy that shows prominent osteoblasts and osteoclasts as well as reversal lines in the bone - Blood tests showing elevated hyperparathyroid hormone levels - A lateral skull film that shows a patchy cotton wool appearance of the skull |
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A woman came in with a chief complaint of multiple missing teeth. On the contrary, paroramic examination reveals 38 teeth in the mandible alone, many unerupted. What question would be least likely solve the mystery of the name of her condition?
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Do you have a family history of skin cancer?
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- Can you touch your shoulders together?
- Do you have a family history of skin cancer? - Do you have a family history of colon cancer? - Do you have any benign bony tumors (osteomas)? |
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A 53 year old African American female presented to the undergraduate dental clinic complaining that her jaw was enlarged and her denture did not fit. The lesion had appeared over the past 2 months. There is a hard enlargement of the mandible, and radiographs showed a diffuse poorly defined radiopacity with a sunburst or fingering expansion into the overlying soft tissues. What is the most likely diagnosis?
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Osteosarcoma
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- Paget disease of bone
- Osteoblastoma - Osteosarcoma - Florid cemento-osseous dysplasia |
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A 2 year old girl is about to have dentistry under general anaesthesia because she has poorly formed "opalescent" teeth. She has a history of multiple broken bones, including her leg which is in a cast, and her arm which was broken while taking her blood pressure. Her blood tests are normal. Her sclerae are blue in color. What is her diagnosis?
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Osteogenesis imperfecta
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- Osteopetrosis
- Paget disease of bone - Rickets - Osteogenesis imperfecta |
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A 46 year old African American patient has presented for comprehensive care at the dental clinic. Her chief complaint is that she wants tooth replacements. She is healthy. What is the most likely diagnosis for the unusual appearance of her bone? (Picture Question)
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Florid cemento-osseous dysplasia
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- Florid cemento-osseous dysplasia
- Paget disease of bone - Central ossifying fibroma - Hypercementosis - Periapical cemento-osseous dysplasia - Focal cemento-osseous dysplasia |
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A tumor in a 15-year-old boy was diagnosed in the diaphysis of the tibia. On x-ray examination, it had a sunburst appearance and histologically it was composed of a uniform population of small blue neuroectodermal cells. What is the most likely diagnosis?
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Ewing sarcoma
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- Synovial sarcoma
- Osteoblastoma - Ewing sarcoma - Chondrosarcoma |
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A 41 year old female has multiple well-defined radiolucencies, loss of lamina dura, and generalized loss of bone density in her jaws. She is a Type 1 diabetic who is on renal dialysis. What is the best diagnosis? (Picture Question)
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Hyperparathyroidism
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- Hyperthyroidism
- Hypophosphatasia - Rickets - Hypophosphatemia - Hyperparathyroidism - Osteomalacia |
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Osteogenesis imperfecta is an inbron error in the synthesis of what?
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Type I collagen
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- Phosphate crystals
- Type II collagen - Type I collagen - Type III collagen |
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A 27 year old African American woman has multiple radiolucent-radiopaque lesions around the apices of her mandibular anterior teeth. She was unaware of the lesions; they are incidental findings on x-ray and there is no bone or tooth pain. When you apply ice to the teeth in the area, they respond to cold for about as long as the stimulus is provided. What is the diagnosis of the bone lesions?
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Periapical cemento-osseous dysplasia
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- Periapical cemento-psseous dysplasia
- Central ossifying fibroma - Periapical granuloma - Chronic sclerosing osteomyelitis |
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An 18 year old patient has had slow enlargement of the right maxilla. The lesion has a ground-glass appearance on x-ray. The biopsy specimen shows a loose fibrous stroma and irregular "Chinese character" trabeculae of immature woven bone. What is the diagnosis?
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Fibrous dysplasia
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- Focal cemento-osseous dysplasia
- Central ossifying fibroma - Fibrous dysplasia - Paget disease of bone |
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A patient has a very painful jaw. The soft tissues are inflamed, red, and edematous. Biopsy reveals pieces of bone that have no osteocytes in the lacunae, and that are surrounded by neutrophils. In other areas, bacterial colonies are seen. What is the most likely diagnosis?
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Osteomyelitis
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- Paget disease of bone
- Osteomyelitis - Condensing ostitis - Osteopetrosis |
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What disease if the most common malignancy of bone?
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Osteosarcoma
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- Ewing sarcoma
- Chondrosarcoma - Osteosarcoma - Synovial sarcoma |
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What is the most common site for osteosarcoma to occur?
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Distal femur
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- Distal femur
- Vertebrae - Distal tibia - Maxilla |
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What is the best way to distinguish between Leukoedema and other similar conditions of the oral cavity?
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Stretching: Leukoedema disappears when stretched and the others do not
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- Stretching: Leukoedema disappears when stretched and others do no
- Brush biopsy: Leukoedema is negative and the others are positive - Scalpel Biopsy: Leukoedema shows dysplasia and others do not - Diascopy: Leukoedema is negative and the others are positive |
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What are the features of Parry Romberg Syndrome (Hemifacial atrophy)?
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Headaches, and progressive atrophy of one side of the face
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Beckwith-Wiedemann Syndrome?
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Gigantism plus hemifacial hyperplasia plus some primitive malignancies
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Treacher-Collins Syndrome?
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May have tiny ears, and clefts in eyelids
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Pierre-Robin Syndrome?
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Primary defect is small mandible
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Ascher Syndrome?
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Double lip plus thyroid goiter plus blepharochalasis
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Van Der Woude Syndrome?
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Congenital lip pits and strong risk of cleft lip +/- cleft palate
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Acrocephalosyndactyly/Crouzon Syndrome?
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Craniosynostosis, specific Fibroblast Growth Receptor defect
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the features of Eagle Syndrome?
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Elongated calcified stylohyoid ligament
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- Double lip plus thyroid goiter plus blepharochalasis
- Headaches, and progressive atrophy of one side of the face - Small body size, large ears, and insatiable appetite - Progressive mental retardation, seizures, and gender ambiguity - Elongated calcified stylohyoid ligament - Craniosynostosis, specific Fibroblast Growth Receptor defect - May have tiny ears, and clefts in eyelids - Primary defect is small mandible - Congenital lip pits and strong risk of cleft lip +/- cleft palate - Gigantism plus hemifacial hyperplasia plus some primitive malignancies |
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What are the clinical features of a dermoid cyst?
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Doughy cyst on midline of neck or floor of mouth
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a pilar (trichilemmal) cyst?
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Usually found on the scalp
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a lymphoepithelial cyst?
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Benign cystic lymph node
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a thyroglossal duct cyst?
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Cystic degeneration of remnants of thyroid descent in hyoid region usually
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a Stafne cyst?
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Asymptomatic radiolucency below mandibular canal near angle
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a nasolabial cyst?
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Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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What are the clinical features of a nasopalatine duct cyst?
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Heart shaped radiolucency on maxillary anterior midline
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- Heart shaped radiolucency on maxillary anterior midline
- Usually found on the scalp - Asymptomatic radiolucency below mandibular canal near angle - Cystic degeneration of remnants of thyroid descent in hyoid region usually - Benign cystic lymph node - Doughy cyst on midline of neck or floor of mouth - This cyst does not really exist - Cystic degeneration of nasolacrimal duct, in soft tissue of upper lip |
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Rootless teeth are most often found in which condition?
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Dentin dysplasia type I
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- Dentinogenesis imperfecta
- Taurodontism - Dentin dysplasia type I - Dentin dysplasia type II |
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What statement about dentinogenesis imperfecta is true?
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Type II and III share the same underlying mutation
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- Type I features shell teeth
- Type III is associated with osteogenesis imperfecta - Type I and II share the same underlying mutation - Type II and III share the same underlying mutation |
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A 22 yr old Caucasian male comes to your office to "bleach his teeth." You observe grayish discoloration on all teeth and attrition on several of the molars. What is the best diagnosis?
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Dentin dysplasia
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- Dens evaginatus
- Dentin dysplasia - Regional odontodysplasia - Amelogenesis imperfecta - Dens invaginatus - Dentinogenesis imperfecta - Taurodontism |
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Two teeth are joined by cementum. What is this called?
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Concrescence
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- Fusion
- Concresence - Abfraction |
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What statement about dentin dysplasia is not true?
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Dentin dysplasia is associated with osteogenesis imperfecta
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- Large pulp stones occur in the pulp chambers of type II dentin dysplasia
- Radiographically, dentin dysplasia type I often exhibits a shortened root and loss of the pulp chamber - Dentin dysplasia is associated with osteogenesis imperfecta - A clinical blue, amber to brown translucence is present in type II in deciduous teeth, which appears similar to dentinogenesis imperfecta |
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The sickling of red blood cells of patients with sickle cell anemia can induced in vitro by adding:
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Oxygen binding chemical
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- Alkali
- Oxygen - Normal serum - Normal blood - Oxygen binding chemical |
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A 12 year old boy presents with enlargement of his right maxilla.
- CT scan reveals a 7cm mass - Histological examination of the resected mass shows sheets of intermediate sized lymphoid cells with nuclei having coarse chromatin and several nucleoli. There are many mitoses. A "starry sky" pattern of macrophages is seen. - Cytogenic analysis of the lymphoid cells from the mass reveals t(8:14) (translocation). What is the most probable diagnosis? |
Burkitt lymphoma
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- Diffuse Large B cell lymphoma
- Follicular lymphoma - Burkitt lymphoma - Plasmacytoma - Acute lymphoblastic leukemia |
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What is the test result for iron deficiency anemia?
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Low HGB, low MCV, low serum iron, high total iron binding capacity
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- Low platelets, low WBC, low RBC
- Abnormal sickle shaped RBCs on peripheral smear - Low platelets, others normal - Low HGB, low MCV, low serum iron, high total iton binding capacity - WBC levels fluctuate up and down over regular 3 week periods - Low HGB, high MCV, autoimmune gastritis - Very high RBC |
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What are the test results for pernicious anemia?
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Low HGB, high MCV, autoimmune gastritis
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- Low platelets, low WBC, low RBC
- Abnormal sickle shaped RBCs on peripheral smear - Low platelets, others normal - Low HGB, low MCV, low serum iron, high total iton binding capacity - WBC levels fluctuate up and down over regular 3 week periods - Low HGB, high MCV, autoimmune gastritis - Very high RBC |
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What are the test results for aplastic anemia?
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Low platelets, low WBC, low RBC
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- Low platelets, low WBC, low RBC
- Abnormal sickle shaped RBCs on peripheral smear - Low platelets, others normal - Low HGB, low MCV, low serum iron, high total iton binding capacity - WBC levels fluctuate up and down over regular 3 week periods - Low HGB, high MCV, autoimmune gastritis - Very high RBC |
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What are the test results for sickle cell anemia?
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Abnormal sickle shaped RBCs on peripheral smear
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- Low platelets, low WBC, low RBC
- Abnormal sickle shaped RBCs on peripheral smear - Low platelets, others normal - Low HGB, low MCV, low serum iron, high total iton binding capacity - WBC levels fluctuate up and down over regular 3 week periods - Low HGB, high MCV, autoimmune gastritis - Very high RBC |
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Macrocytic, megaloblastic anemia in the elderly occurs typically in association with:
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Atrophic gastritis
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- Atrophic gastritis
- Osteoarthritis - Adenocarcinoma of the lung - Hypothyroidism - Chronic dermatitis |
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A 45-year-old male experienced gradual weight loss for months, along with weakness, anorexia, and fatigue. There is marked splenomegaly. A karyotypic analysis of the white blood cells shows the presence of the Philadelphia chromosome and aneuploidy. A complete blood count showed hemoglobin (HGB) of 12.9 (low), white blood count (WBC) is high, and platelet count is normal. What is the most likely diagnosis?
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Chronic myelongenous leukemia
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- Diffuse large cell lymphoma
- Chronic myelogenous leukemia - Multiple myeloma - Acute lymphoblastic leukemia |
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A 45-year-old male comes to your office and complains about "bleeding gums." His oral hygiene is fair, his gingiva are enlarged, he has lost 10-15 lbs. in the past month and has night sweats, and you notice bruising on his arms and neck. What is your presumptive dianosis until proven otherwise?
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Acute myelogenous leukemia
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- Acute myelogenous leukemia
- Diffuse gingival hyperplasia - Peripheral giant cell granuloma - Allergic plasma cell gingivitis |
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Even though sickle-cell anemia is usually fatal to homozygous individuals, the disease persists because:
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Individuals with one allele for sickle cell anemia are resistant to malaria
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- Gene therapy has alleviated the condition
- The disease is carried on a dominant allele - Individuals with one allele for sickle cell anemia are resistant to malaria - A combination of all of these reasons |
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What is the most common form of leukemia in children under the age of 5?
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Acute lymphoblastic leukemia
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- Chronic myelogenous leukemia
- Chronic lymphoblastic leukemia - Acute lymphoblastic leukemia - Acute myelogenous leukemia |
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What is the most likely clinical presentation of iron deficiency anemia?
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35 year old woman with blad tongue, pale gingiva, koilonychias, heavy menstrual periods
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- 72 year old woman with bald tongue, pale gingiva, autoimmune gastritis
- 60 year old man with red face and increased red cell count - 65 year old woman with IgG spike on serum electrophoresis - 5 year old boy with jaw mass, Starry Sky histology, EBV positive - 30 year old woman with hair on end pattern on skull x ray - 35 year old woman with blad tongue, pale gingiva, koilonychias, heavy menstrual periods - 75 year old man with painful punched out radiolucencies on skull x ray - 28 year old man with enlarging lymph node in neck |
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What is the most likely clinical presentation of B-12 deficiency anemia?
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72 year old woman with bald tongue, pale gingiva, autoimmune gastritis
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- 72 year old woman with bald tongue, pale gingiva, autoimmune gastritis
- 60 year old man with red face and increased red cell count - 65 year old woman with IgG spike on serum electrophoresis - 5 year old boy with jaw mass, Starry Sky histology, EBV positive - 30 year old woman with hair on end pattern on skull x ray - 35 year old woman with blad tongue, pale gingiva, koilonychias, heavy menstrual periods - 75 year old man with painful punched out radiolucencies on skull x ray - 28 year old man with enlarging lymph node in neck |
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What is the most likely clinical presentation of sickle cell anemia?
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30 year old woman with hair on end pattern on skull x ray
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- 72 year old woman with bald tongue, pale gingiva, autoimmune gastritis
- 60 year old man with red face and increased red cell count - 65 year old woman with IgG spike on serum electrophoresis - 5 year old boy with jaw mass, Starry Sky histology, EBV positive - 30 year old woman with hair on end pattern on skull x ray - 35 year old woman with blad tongue, pale gingiva, koilonychias, heavy menstrual periods - 75 year old man with painful punched out radiolucencies on skull x ray - 28 year old man with enlarging lymph node in neck |
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Ms. Farrell presents for dental care. She is a 33-year-old Caucasian female. She is asymptomatic. All teeth respnd normally to temperature, percussion, and mobility. What is the most likely diagnosis?
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Periapical cemento-osseous dysplasia
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- Periapical granulomas
- Radicular cysts - Paget disease of bone - Periapical cemento-osseous dysplasia |
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Mrs. Leventhal comes in because of severe pain in her right maxillary area, which started this afternoon. She describes it as an unbearable burning pain. She begs you to please start an endo immediately. No abnormal intraoral or perio findings are present. None of the teeth is percussion sensitive. All respond normally to ice. She had radiographs 2 weeks ago and no abnormalities were present. What is the most likely diagnosis?
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Pain of non dental origin
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- Pain of non dental origin
- Acute pulpitis - Acute periodontal abscess - Acute apical abscess |
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What are the four most common types of Epulis?
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- Pyogenic granuloma
- Focal fibrous hyperplasia - Peripheral giant cell granuloma - Peripheral ossifying fibroma |
- Peripheral ameloblastoma
- Fibromatosis - Pyogenic granuloma - Focal fibrous hyperplasia - Peripheral giant cell granuloma - Benign fibrous histiocytoma - Schwannoma - Peripheral ossifying fibroma |
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Mrs. Jones comes to you complaining that tooth #9 gives her sharp severe pain that persists for 10-15 minutes every time she eats ice cream. What is the best current therapy for this pattern of pain?
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Endodontic therapy
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- Sedative filling
- Remove occlusion from tooth - Endodontic therapy - New filling |
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Mrs. Jones comes to you complaining that tooth #9 gives her sharp severe pain that persists for 10 minutes every time she eats ice cream. Which of the following is the most appropriate clinical diagnosis?
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Irreversible pulpitis
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- Irreversible pulpitis
- Periapical granuloma - Periapical abscess - Reversible pulpitis |
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Your patient is a 42-year-old woman who is asymptomatic and in good health. There is a well defined apical radiolucency below a severely carious tooth. The molar is not sensitive to percussion. No enlargement of the jaw is evident in that area. The tooth was extracted and the radiolucent lesion from the apex of the tooth was submitted for biopsy. Microscopic examination revealed "granulation tissue interspersed with lymphocytes and plasma cells, and a cavity lined by stratified squamous epithelium." What is the diagnosis?
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Periapical cyst
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- Acute pulpitis
- Apical abscess - Periapical cyst - Dentigerous cyst - Periapical granuloma |
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What is believed to be the major cause of Foreign Body Gingivitis?
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Prophy paste
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- Filling material
- Toothpaste - Prophy paste - Household cleaning products |
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What is/are consistently and characteristically found in Necrotizing Ulcerative Gingivitis?
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Spirochetes and fusiform bacteria
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- Cocci and Pseudomonas
- Gram negative bacteria and HIV infection - Cocci and fusiform bacteria - Spirochetes and fusiform bacteria |
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A patient has had generalized soreness and redness of his gingiva for several months. He is diagnosed with plasma cell gingivitis. What is the underlying mechanism in this condition?
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Allergic reaction to food
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- Gram negative bacterial infection
- Foreign bodies in the gingiva - Allergic reaction to food - Pre leukemic blood disorder |
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A radiopacity is at the apex of a tooth with D3 caries. The patient is a 56-year-old African-American female. What is the most likely diagnosis of the radiopacity?
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Condensing osteitis
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- Periapical cemento osseous dysplasia
- Condensing osteitis - Periapical granuloma - Periapical abscess |
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A 5 year old patient has lost much of the bone around her primary teeth. Her palms are red and scaly. Her fingernails are fragile. She has had repeated skin infections. What is the best diagnosis?
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Papillon Lefevre Syndrome
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- Dyskeratosis congenita
- Generalized aggressive periodontitis - Papillon Lefevre Syndrome - Necrotizing ulcerative periodontitis |
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Mr. Green has not taken great care of his teeth, and now he is presenting because he has a bad taste in his mouth. The mandibular right bicuspids are percussion sensitive and do not respond to cold. What is the best working diagnosis for the soft lump?
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Parulis
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- Parulis
- Squamous cell carcinoma - Condensing osteitis - Periapical granuloma |
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What vitamin deficiency gives rise to Scorbutic Gingivitis?
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A
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- B
- C - D - A |
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Mrs. Martinez is experiencing spontaneous pain in #14 area. The tooth is very painful to biting, but does not respond to hot or cold. There is no periapical change seen on radiograph. What is the best diagnosis?
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Acute apical periodontitis
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- Irreversible pulpitis
- Acute apical periodontitis - Periapical granuloma - Radicular cyst |
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What is most likely to occur in an otherwise-healthy 12-year-old?
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Adenomatoid Odontogenic Tumor
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- Adenomatoid Odontogenic Tumor
- Calcifying Odontogenic Cyst - Odontogenic Keratocyst - Calcifying Epithelial Odontogenic Tumor - Ameloblastoma |
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A 12-year-old girl presents with multiple well-defined radiolucencies in her jaws. She had an ovarian fibroma 2 years ago, and has calcification of her falx cerebri. This is a familial disease; one sibling and her father are similarly affected. What tumor is she most at risk of?
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Basal cell carcinoma
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- Endometrial carcinoma
- Osteosarcoma - Basal cell carcinoma - Neurosarcoma - Squamous cell carcinoma - Retinoblastoma |
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A patient is a 15-year-old boy who experienced painless, bilateral enlargement of the mandible between the ages of 3 and 11 years. What is the diagnosis? (picture question)
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Cherubism
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- Cherubism
- Paget disease - Caffey disease - Fibrous dysplasia |
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A biopsy from an expansile radiolucency in the posterior mandible of a 25-year-old man in good health consists of islands of odontogenic epithelium, with tall columnar cells at the periphery surrounding spindle cells resembling stellate reticulum. What is the diagnosis?
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Ameloblastoma
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- Dentigerous cyst
- Central giant cell granuloma - Ameloblastoma - Odontogenic keratocyst |
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A 33 year old patient has a well-defined unilocular radiolucency above the apices of #10 and #11. There is slight expansion of the alveolus. Both teeth are vital. What is the most likely diagnosis?
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Odontogenic Keratocyst
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- Dentigerous cyst
- Globulomaxillary cyst - Odontogenic Keratocyst - Nasolabial cyst - Radicular cyst - Thyroglossal duct cyst |
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Marcelle is 22 years old. She is a beautiful girl, but she has a number of missing teeth, and her teeth are what she considers an unattractive pointed shape. She wishes to have implants and porcelain veneers. She has a relatively low salivary flow. When you question her closely, you discover that she overheats in hot weather. What is the most likely diagnosis?
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Ectodermal dysplasia
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- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
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Juan and Natalie are 7 and 5 years old. When they come for their pediatric dental examinations, you discover that they both have gelatinous white plaques on their buccal mucosa and lateral tongues. Their mother tells you that she and her father also have similar mucosa. What is the most likely diagnosis?
|
White sponge nevus
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Scott is a 54 year old male. He has a lot of pigmented spots on his face and inside his mouth. He was hospitalized 10 years ago for surgery when he developed a GI obstruction and he was told that the cause was a harmartomatous polyp. What is the most likely diagnosis?
|
Peutz Jeghers Syndrome
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Suzanne is a 52 year old female with a 0.5 x 0.5cm mid-palatal lesion that has been present for 3 months. It looks like a white papule with a central depression. No other lesions are present. What is the most likely diagnosis?
|
Warty dyskeratoma
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Ricky is an 18 year old male. He is being treate for iron deficiency anemia. He has been having a lot of nosebleeds. On his intraoral examination, you find that he has numerous spidery-looking vascular malformations. What is the most likely diagnosis?
|
Hereditary hemorrhagic telangiectasia
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Jane is a 47 year old female. When you extracted teeth for her in the past, you discovered that the sutures ripped out very easily because her tissues were very fragile. Her skin is unusually stretchy, she bruises easily, and she has had several episodes of TMJ dislocation. What is the most likely diagnosis?
|
Ehlers Danlos Syndrome
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Joey is a 38 year old male who is intellectually impaired. His medical history includes a benign cardiac muscle tumor, and an unusual kidney tumor that was benign and his guardian cannot pronounce. Orally, you notice pitted enamel and gingival overgrowth. What is the most likely diagnosis?
|
Tuberous sclerosis
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Natalie is a 46 year old female who is a breast cancer survivor. She describes her family as prone to cancers of various sorts. On her oral examination you find multiple mucosal papules and papillomas, and a high arched palate. What is the most likely diagnosis?
|
Cowden syndrome
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Doug is 19 years old. He has multiple missing teeth, and the teeth that are present have been restored by his pediatric dentist with stainless steel crowns. He has scarring all over his skin from the blisters that have plaques all his life; his oral mucosa also blisters easily. What is the most likely diagnosis?
|
Epidermolysis bullosa
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
Steven is a 42 year old intellectually challenged blind man. He has multiple firm nodules on his skin; he has some coffee-colored pigmented patches; and his irises have unusual brown flecks in them. He had a benign brain tumor 10 years ago, and an adrenal tumor 18 years ago. His father and grandfather had a similar condition, but were not as severely affected. What is the most likely diagnosis?
|
Neurofibromatosis
|
- Peutz Jeghers Syndrome
- Encephalotrigeminal angiomatosis - Pachyonychia congenita - Ectodermal dysplasia - Warty dyskeratoma - Hereditary hemorrhagic telangiectasia - Tuberous sclerosis - Ehlers Danlos Syndrome - White sponge nevus - Cowden syndrome - Neurofibromatosis - Epidermolysis bullosa |
|
|
True or False: Patients often hold ice chips in their mouth during chemotherapy, but it has NOT been shown to significantly reduce the prevalence and severity of oral mucositis.
|
False
|
- True
- False |
|
|
True or False: Osteoradionecrosis of the jaw can occur spontaneously in patients with a past history of radiation therapy involving the jaws.
|
True
|
- True
- False |
|
|
A 56 year old female has been battling metastatic breast cancer. She has had chemotherapy, radiation and surgery, and now is being maintained on zoledronic acid and Herceptin. What is the most likely diagnosis?
|
Bisphosphonate-associate osteonecrosis
|
- Actinomycosis
- Bisphosphonate-associate osteonecrosis - Hyperparathyroidism |
|
|
A 48 year old female has florid cement-osseous dysplasia. She develops a bony sequestrum and pus with small yellow particles. Biopsy showa a very specific finding. What is the most likely diagnosis?
|
Actinomycosis
|
- Actinomycosis
- Bisphosphonate-associate osteonecrosis - Hyperparathyroidism |
|
|
A 42 year old female has Type 1 diabetes and renal failure. She is on renal dialysis and awaiting transplant. She has developed multiple radiolucencies and other features on her dental radiographs including loss of lamina dura and rarefaction of bone. What is the most likely diagnosis?
|
Hyperparathyroidism
|
- Actinomycosis
- Bisphosphonate-associate osteonecrosis - Hyperparathyroidism |
|
|
What is a false statement regarding bisphosphonate associated osteonecrosis of bone?
|
If the patient stops taking the bisphosphonate one week before the procedure, it is currently regarded as relatively safe.
|
- With time, the bone density rises and allows microfractures to accumulate, raising the risk of osteonecrosis.
- If the patient stops taking the bisphosphonate one week before the procedure, it is currently regarded as relatively safe. - IV bisphosphonates are considered to be at much higher risk than oral bisphosphonates. - The jaws appear to be at relatively greater risk of osteonecrosis than the hip. |
|
|
A 23 year old blonde Scottish-American female has developed pigmentation of her anterior gingival. She is a 1-pack-per-day smoker. What is the most likely diagnosis?
|
Smokers melanosis
|
- Anesthetic necrosis
- Exfoliative chelitis - Oral trauma from sexual practices - Smokers melanosis |
|
|
15 year old Asian-Canadian female has chapped lips. They do not seem to be getting better, although she has been using Chap-Stick 6 to 8 times a day on them. What is the most likely diagnosis?
|
Exfoliative chelitis
|
- Anesthetic necrosis
- Exfoliative chelitis - Oral trauma from sexual practices - Smokers melanosis |
|
|
28 year old female has petechiae on posterior soft palate. She has no cough, vomiting, or blood abnormalities. What is the most likely diagnosis?
|
Oral trauma from sexual practices
|
- Anesthetic necrosis
- Exfoliative chelitis - Oral trauma from sexual practices - Smokers melanosis |
|
|
24 year old male patient develops an ulceration on his hard palate three days after you gave him a palatal injection in that area for a filling. What is the most likely diagnosis?
|
Anesthetic necrosis
|
- Anesthetic necrosis
- Exfoliative chelitis - Oral trauma from sexual practices - Smokers melanosis |
|
|
True or False: A systemic method of cancer treatment, such as chemotherapy, is likely to be recommended for a localized cancer?
|
False
|
- True
- False |
|
|
True or False: All chemical agents of chemotherapy drugs attack cancer cells in the same way.
|
False
|
- True
- False |
|
|
True or False: Each patient reacts to chemotherapy in a unique way. Some people have very few side effects, while others may experience more.
|
True
|
- True
- False |
|
|
True or False: The patient with oral mucositis secondary to radiation or chemotherapy needs to “tough it out” as there are no effective prescription medications to help them alleviate their discomfort.
|
False
|
- True
- False |
|
|
Please arrange the oral sites in order of how commonly oral cancer occurs in this site: (Most common to least common).
|
1. Lateral border of tongue
2. Floor of the mouth 3. Tonsillar pillar 4. Dorsal tongue |
- Floor of the mouth
- Lateral border of tongue - Tonsillar pillar - Dorsal tongue |
|
|
A 48-year-old African-Haitian male has multiple soft small pigmented nodules across his cheeks in the malar region. He says that they have been present all his life, and his mother has similar lesions. What is the most likely diagnosis?
|
Dematitis Papulosa Nigrans
|
- Nevus
- Melanoma - Melanoacanthoma - Actinic Lentigo - Dermatitis Papulosa Nigrans - Ephelis |
|
|
A 2-cm irregular darkly-pigmented macule has been rapidly spreading across the buccal mucosa of a 27-year-old African-American female for the past month. Biopsy shows spindle-shaped pigmented cells within the epithelium with no mitotic figures. What is the most likely diagnosis?
|
Melanoacanthoma
|
- Nevus
- Melanoma - Melanoacanthoma - Actinic Lentigo - Dermatitis Papulosa Nigrans - Ephelis |
|
|
A 3-mm tan macule is one of many on the dorsal hands of a 58-year-old Scottish-Canadian woman. They have gradually increased in number over the years, and they do not get darker or lighter with sun exposure. There is no increase in melanocytes but there is an increase in production of melanin visible in the basal regions of the epithelium. What is the most likely diagnosis?
|
Ephelis
|
- Nevus
- Melanoma - Melanoacanthoma - Actinic Lentigo - Dermatitis Papulosa Nigrans - Ephelis |
|
|
A 3-mm symmetric darkly pigmented area is slightly raised and has a hair growing from it. It is present on the arm of a 28-year-old Swedish-American male. It has been stable in size since he first noticed it 10 years ago. Biopsy shows clusters of nevus cells near the junction of the epithelium and dermis, and also deeper in the dermis. No mitoses or atypical nuclei are seen. What is the most likely diagnosis?
|
Nevus
|
- Nevus
- Melanoma - Melanoacanthoma - Actinic Lentigo - Dermatitis Papulosa Nigrans - Ephelis |
|
|
An 8-mm asymmetric pigmented area on the hard palate has been slowly enlarging in a 57-year-old Japanese-Candian male. It has jagged borders and is a mixture of dark and reddish-brown. Biopsy shows clusters of atypical nevus cells with mitoses within the deep submucosa, and also spreading radially across the epithelium. What is the most likely diagnosis?
|
Melanoma
|
- Nevus
- Melanoma - Melanoacanthoma - Actinic Lentigo - Dermatitis Papulosa Nigrans - Ephelis |
|
|
An exophytic mass on the lateral tongue has been growing for about 10 months since the patient first noticed it. It is red and white. He has spontaneous stabbing pain. He is a 48-year-old African-American male who has smoked less than half a pack of Kool brand cigarettes a day, since he was 12 years old. What is the most likely diagnosis?
|
Squamous Cell Carcinoma
|
- Basal Cell Carcinoma
- Leukoplakia - Keratoacanthoma - Squamous Cell Carcinoma - Oral Submucous Fibrosis - Proliferative Verrucous Leukoplakia |
|
|
A 64-year-old Greek woman has never smoked or drank. She has multiple warty-looking white lesions on the dorsal and ventral tongue, the buccal mucosa, and the palate. They have been enlarging there more than 10 years. A surgeon stripped the lesions from her tongue 5 years ago, but they grew back. What is the most likely diagnosis?
|
Proliferative Verrucous Leukoplakia
|
- Basal Cell Carcinoma
- Leukoplakia - Keratoacanthoma - Squamous Cell Carcinoma - Oral Submucous Fibrosis - Proliferative Verrucous Leukoplakia |
|
|
A 42-year-old Indian man has never touched alcohol or smoked tobacco. Until three months ago, he had a habit of chewing paan, a mixture of betel nuts and tobacco. His oral mucosa is pale and splotchy, and his maximum oral opening, with difficulty, is only 20 mm (much less than it should be). What is the most likely diagnosis?
|
Oral Submucous Fibrosis
|
- Basal Cell Carcinoma
- Leukoplakia - Keratoacanthoma - Squamous Cell Carcinoma - Oral Submucous Fibrosis - Proliferative Verrucous Leukoplakia |
|
|
A 16 year old female has several corticated radiolucencies in her jaws, diagnosed as odontogenic keratocyst. She had an ovarian fibroma removed two years ago. She has small pits on the palms and soles. Her falx cerebri is calcified. She has multiple pearly-looking lesions on her face, with spidery blood vessels in the border, and a small ulcer in the middle of larger lesions. What are the skin lesions?
|
Basal Cell Carcinoma
|
- Basal Cell Carcinoma
- Leukoplakia - Keratoacanthoma - Squamous Cell Carcinoma - Oral Submucous Fibrosis - Proliferative Verrucous Leukoplakia |
|
|
An 82 year old Caucasian female has an irregular red gingival lesion associated with tooth #30. She has excellent periodontal conditions elsewhere, but around this tooth there is a ragged radiolucency. It has been present for several months. What is the most likely diagnosis?
|
Keratoacanthoma
|
- Basal Cell Carcinoma
- Leukoplakia - Keratoacanthoma - Squamous Cell Carcinoma - Oral Submucous Fibrosis - Proliferative Verrucous Leukoplakia |
|
|
What key feature of Lichenoid Mucositis is seen in photomicrographs?
|
T lymphocyte inflammatory infiltration
|
- Nuclear pleomorphism and hyperchromasia
- Bulbous rete pegs and dissolution of basement membrane - T lymphocyte inflammatory infiltrate - Antibody-antigen deposition in the basement membrane zone - Prominent plasma cell infiltrate |
|
|
An ulcer appeared after a period of painful joints, problems breathing, and a red rash across the bridge of the nose and cheeks. The rash worsens on exposure to sunshine. What is the most likely diagnosis?
|
Systemic lupus erythematosus
|
- Bullous pemphigoid
- Erythema multiforme - Systemic lupus erythematosus - Lichenoid drug reaction - Mucous membrane pemphigoid |
|
|
A 58 year old male is generally very healthy. He has orthodontic brackets placed three months ago and since that time his mouth has been quite sore. Lesions are present on buccal mucosa and lateral tongue. No other lesions are present. The lesions immediately go away when the brackets are removed. Nikolsky sign is negative. What is the MOST likely diagnosis?
|
Metal induced lichenois mucositis
|
- Pemphigus vulgaris
- Idiopathic lichen planus - Fixed drug eruption - Lupus erythematosus - Metal induced lichenoid mucositis - Mucous membrane pemphigoid |
|
|
A child comes to your office and is very uncomfortable with pain, fever, headache, and malaise. The parent informs you that these symptoms began about 7 days before their visit. On the child’s arm you notice an erythematous patch that contains a peripheral zone of pallor surrounded by concentric erythematous rings. The diagnosis is Erythema Multiforme. True or false: The key microscopic feature is IgG accumulation along the basement membrane zone.
|
False
|
- True
- False |
|
|
A patient has multifocal blood-filled bullae, particularly on her gingival, and exhibits a positive Nikolsky sign. Her eyes exhibit symblepharon formations. What is the most likely diagnosis?
|
Pemphigoid
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A patient developed fragile intraoral bullae in multiple locations, and they quickly ruptured to large painful ulcers. Immunofluorescence shows a fish-net pattern of IgG in the epithelium. What is the most likely diagnosis?
|
Pemphigus vulgaris
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A hypertensive patient was hospitalized with a bowel infarct, and underwent extensive investigations. She reported increasing stiffness, limited oral opening, and that her fingers get blue and cold sometimes. She has calcified nodules on her skin. What is the most likely diagnosis?
|
Scleroderma
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A patient has been suffering from a bloody cough and epistaxis. Blood tests are positive for c-ANCA. What is the most likely diagnosis?
|
Wegener granulomatosis
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
An elderly lady has been suffering from severe unilateral facial pain. Biopsy shows granulomatous inflammation featuring giant cells in the artery wall. What is the most likely diagnosis?
|
Temporal arteritis
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A 21 year old female is feeling poorly with gut pain and bloody diarrhea. Her oral lesions have been described as “snail tracks.” What is the most likely diagnosis?
|
Ulcerative colitis
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A 48 year old male has multiple painful oral ulcers that have been coming and going for several months. His shin has a painful red lump and his eyes are inflamed. His eyes are inflamed and his vision is somewhat impaired. He is also suffering from arthritis. What is the most likely diagnosis?
|
Behcet Syndrome
|
- Wegener granulomatosis
- Sjogren syndrome - Crohn disease - Pemphigus vulgaris - Pemphigoid - Behcet Syndrome - Scleroderma - Temporal arteritis - Amalgam allergy - Ulcerative colitis |
|
|
A 68 year old man complains of a painful mass in his anterior tongue that arose shortly after he bit it three weeks ago. Biopsy reveals a mucin-filled space lined with mucin-laden macrophages. An epithelial lining is not identified. What is the best diagnosis?
|
Mucocele
|
- Mucocele
- Recurrent HHV1 - Sialolith - Pleomorphic adenoma - Ranula - Mucoepidermoid carcinoma |
|
|
Two weeks ago, Homer Simpson had an endo performed on #3, with local anesthesia on his hard palate. He now has a deep ulcer on his hard palate near #3, surrounded by a raised rim. It does not hurt. He says it happened shortly after the local anesthesia. What is the most likely diagnosis?
|
Necrotizing sialometaplasia
|
- Squamous cell carcinoma
- Mucocele - Mucoepidermoid carcinoma - Necrotizing sialometaplasia |
|
|
Bart Simpson bumps his lip hard while tobogganing. About a week later he has a dome-shaped bluish lesion on the mucosa of his lower lip, where he hit his tooth against his lip. On biopsy, there is a central space lined with macrophages that are full of mucin, and a severed salivary duct. No epithelial lining is present. What is the diagnosis?
|
Mucocele
|
- Herpes simplex
- Mucocele - Ranula - Mucous retention cyst |
|
|
What is the most common salivary gland malignancy?
|
Mucoepidermoid carcinoma
|
- Polymorphous low-grade adenocarcinoma
- Adenoid cystic carcinoma - Mucoepidermoid carcinoma - Acinic cell adenocarcinoma |
|
|
What is the most correct statement about Pleomorphic Adenoma's characteristic appearance?
|
It shows a benign proliferation of ductal and myoepithelial cells, that may form connective tissue stroma
|
- Its histologic appearance is the same as any other benign salivary gland tumor
- It always shows extensive amounts of hyaline and chondroid material - It shows extensive amounts of lymphoid tissue - It shows a benign proliferation of ductal and myoepithelial cells, that may form connective tissue stroma |
|
|
A biopsy is taken of a mass of the submandibular gland in a 28 year old female. It is composed of well-differentiated mucous cells that infiltrate the adjacent stroma. They form cystic structures in some areas, and in other areas they form solid clumps of cells. No capsule is present. What is the diagnosis?
|
Mucoepidermoid carcinoma
|
- Glandular odontogenic cyst
- Mucoepidermoid carcinoma - Pleomorphic adenoma - Epidermoid cyst |
|
|
True or False: The most common cause of xerostomia is medications.
|
True
|
- True
- False |
|
|
By definition, where does a Ranula occur?
|
Floor of the mouth
|
- Hard palate
- Soft palate - Lip - Floor of the mouth |
|
|
A 73 year old female presents with a diffuse dome shaped 2 x 1 cm enlargement on the slope of the left hard palate. It was not present 6 weeks ago. All teeth are vital. She has been feeling a painful tingling sensation in the area. What is the most likely diagnosis?
|
Adenoid cystic carcinoma
|
- Warthin tumor
- Ranula - Necrotizing sialometaplasia - Adenoid cystic carcinoma - Granular cell tumor - Palatal papillomatosis |
|
|
A lady has a huge multinodular lesion of the parotid gland. It first appeared 10 years ago. It was removed 6 years ago but recurred. It is freely-moveable. It has not spread to any other sites. What is the most likely diagnosis?
|
Pleomorphic Adenoma
|
- Pleomorphic Adenoma
- Squamous cell carcinoma - Canalicular adenoma - Non Hodgkins Lymphoma |
|
|
Susan Tree is a 42 year old woman who presents with rampant caries and severe gingivitis. Your gloves stick to her mucosa. She reports that she frequently chokes on food unless she washed it down with water. All her salivary glands are enlarged. She has no fever and no enlarged lymph nodes. Her eyes are so dry that she can no longer wear contact lenses. Biopsy reveals a dense lymphocytic infiltration of her salivary glands and no granulomas are seen. SS-A and SS-B tests are positive. What is the most likely diagnosis?
|
Sjogren syndrome
|
- Lead poisoning
- Sjogren syndrome - Sarcoidosis - Sialosis |
|
|
What is the most common site for Pleomorphic Adenoma?
|
Parotid
|
- Minor
- Sublingual - Submandibular - Parotid |
|
|
What characteristically exhibits perineural invasion, which causes pain or numbness and can make tumor removal difficult?
|
Adenoid cystic carcinoma
|
- Acinic cell acenocarcinoma
- Epithelial Myoepithelial carcinoma - Mucoepidermoid carcinoma - Adenoid cystic carcinoma |
|
|
A biopsy is taken from a mass in the parotid gland of a 55 year old lawyer. It appeared encapsulated. It had eosinophilic cells that formed papillary structures around a cystic space, and the underlying stroma contained lymphocytes that form germinal centers. What is the most likely diagnosis?
|
Warthin tumor
|
(choices not available for this question)
|
|
|
All of the following diseases could be categorized as different examples of one particular hypersensitivity reaction. What hypersensitivity reaction do they represent?
Diseases: Lichen planus, Sarcoidosis, Crohn Disease, Lichenoid Drug Reaction, Tertiary Syphilis, Sjogren Syndrome |
Type IV
|
- Type I
- Type IV - Type III - Type II |
|
|
A patient during the winter developed a slight fever and lesions that formed blisters and eventually ruptured to produce coalesced ulcers. Such lesions are an example of what?
|
Herpetic gingivostomatitis
|
- Pemphigus vulgaris
- Benign mucous membrane pemphigoid - Lichenoid drug reaction - Herpetic gingivostomatitis |
|
|
A 5 year old patient presents with lesions on the skin. The patient has been experiencing a slight fever. The lesions have lasted for 7 days and began to form an amber crust after 4 days. What is the most likely diagnosis?
|
Impetigo
|
- Erythema multiforme
- Herpangina - Impetigo - Primary herpes - Discoid lupus erythematosus |
|
|
This lesion is slow growing, but can recur. Its radiolucency has no radiopaque foci. On biopsy, there is reverse polarization of the solumnar basal cells. What is it?
|
Unicystic ameloblastoma
|
- Dentigerous cyst
- Ameloblastoma carcinoma - Calcifying odontogenic cyst - Calcifying epithelial odontogenic tumor - Unicystic ameloblastoma |
|
|
White gelatinous lesions are present in your teenage patient's mouth every time he visits your office. They are asymptomatic. They developed when he was in his early teens and they never change. They are on the buccal mucosa bilaterally, the lateral/ventral tongue and in his throat. His brother and mother have similar lesions. What would be a reasonable working diagnosis?
|
White sponge nevus
|
- Squamous cell carcinoma
- Leukoedema - Geographic tongue - White sponge nevus |
|
|
A patient is a 9-year old boy whose parents are undergoing a bitter divorce and custody battle. He has had 9 episodes of very painful oral ulceration. Episodes begin with a blister on the vermillion of the lower lip, and then proceed to widespread oral ulceration, bleeding lips, and sometime skin lesions. What is the most likely diagnosis?
|
Erythema multiforme
|
- Acute Lymphocytic Leukemia
- Erythema multiforme - Pemphigus vulgaris - Mucous Membrane Pemphigoid - Lichen Planus |
|
|
A 36 year old female reports sudden enlargement of her parotid glands and submandibular glands. She is afebrile. She also reports the simultaneous onset of xerostomia. What blood test would be most useful in establishing her diagnosis?
|
SS-A and SS-B
|
- RF and Sedimentation rate
- Hepatitis C testing - SS A and SS B - Double stranded DNA - HIV testing - CBC and Diff |
|
|
AN HIV patient has been treated with HAART. He has lesions on his arms, and he had night sweats and a mild fever. His viral load is high and his CD4 count is 125. What is the most likely diagnosis of these lesions?
|
Kaposi's sarcoma
|
- Kaposi's sarcoma
- Mucoepidermoid Carcinoma - Nodular lymphoma - Polymorphus low grade adenocarcinoma |
|
|
A 50 yr old male presents with a little pain and a persistent (3 months) ulcer on the lateral border of the tongue. What is the best clinical diagnosis?
|
Oral Squamous Carcinoma
|
- Aphthous stomatitis
- Oral Squamous Carcinoma - Hyperplastic candidiasis - Erosive lichen planus |
|
|
Which lesion may exhibit granular cells of neural origin?
|
Granular cell tumor of adult
|
- Granular cell tumor of adult
- Granular cell ameloblastic fibroma - Granular cell tumor of infancy - Rhabdomyoma |
|
|
A 65 year old lady presented in February with burning pain and numbness in her tongue. It had been present since December. She was not sure how long the tongue mass had been present. Her last medical visit was 8 years ago because she is uninsured. She takes no medications and is not aware of systemic disease. She has smoked about 6 menthol cigarettes a day since age 16. What is the most likely diagnosis of the painful tongue mass?
|
Squamous cell carcinoma
|
- Verrucous carcinoma
- Granular cell tumor - Focal fibrous hyperplasia - Pyogenic granuloma - Squamous cell carcinoma - Speckled leukoplakia |
|
|
What malignancy has the best prognosis?
|
Basal cell carcinoma
|
- Melanoma
- Basal cell carcinoma - Oral Squamous Cell Carcinoma, Stage 2 - Adenoid cystic carcinoma |
|
|
Approximately how many Americans die of oral cancer anually?
|
8,000
|
- 80
- 800 - 1,800 - 8,000 |
|
|
There is a solitary freely-movable lump in the upper lip of a middle-aged female. It has been slowly growing for at least a year. What is the most likely diagnosis?
|
Canclicular adenoma
|
- Canalicular adenoma
- Pleomorphic adenoma - Basal cell adenoma - Warthin tumor - Mucoepidermoid carcinoma - Polymorphous low grade adenocarcinoma |
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A 28 year old female presents with a red mass on the maxillary gingiva. Her oral hygiene is fair and there is some calculus in the area. She has a 28 pack-year history of smoking although she quit earlier this year. She is 7 months pregnant. What is the most likely diagnosis when this mass is biopsied?
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Pyogenic granuloma
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- Central giant cell granuloma
- Focal fibrous hyperplasia - Peripheral ossifying fibroma - Pyogenic granuloma - Squamous cell carcinoma - Peripheral giant cell granuloma |
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A 34 year old male presents with a red raised mass in the buccal mucosa. What is the best clinical tool to use in order to determine a working diagnosis for this case?
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Diascopy
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- Diascopy
- Toluidine Blue - Scalpel biopsy - Tissue luminescence - Nikolsky test - Exfoliative brush cytology |
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An 18-month baby has had multiple bone fractures throughout her life, including a fractured arm from a normal blood pressure cuff. She has blue sclerae. She requires a general anaesthetic for dental work because her teeth have many carious lesions. What is her diagnosis?
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Osteogenesis Imperfecta
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- Cleidocranial Dysplasia
- Ectodermal dysplasia - Crouzon Syndrome - Ven Der Woude Syndrome - Apert Syndrome - Osteogenesis Imperfecta - Marfan Syndrome |
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An 82 year old woman has an ill-fitting denture. Nevertheless, she leaves it in all day and all night because she cannot bear the thought of her husband seeing her without teeth. You see a long fissured lesion in the vestibule; the flange of the denture fits neatly into it. It is asymptomatic. What is the best clinical diagnosis?
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Epulis Fissuratum
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- Epulis Fissuratum
- Denture sore mouth - Palatal Papillomatosis - Chronic hyperplastic candidiasis - Fibroma - Squamous cell carcinoma |
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A 45 year old patient with Sjogren Syndrome appears in your office for treatment. What is not typical of Sjogren Syndrome?
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Non caseating granulomas
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- Dry eyes and mouth
- Positive SS a and SS B - Severe caries - Non caseating granulomas - T cell infiltration |
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Roughly how many cases of oral squamous cell carcinoma occur annually in the USA?
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30,000
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- 300
- 3,000 - 30,000 - 300,000 |
