Chapter Two Oral Pathology For Dental Hygienist

Front 1

What is the body's initial response to injury?

Back 1

Inflammatory response

Front 2

What type of inflammation occurs if the injury is minimal and brief and the source is removed from the tissue?

Back 2

acute

Front 3

In the inflammatory response, the first microscopic event is"

Back 3

constriction of the microcirculation

Front 4

What is a chronic inflammatory lesion?
A. Necrotizing sialometaplasia
B. Periapical granuloma
C. Aphthous ulcer
D. Aspirin burn

Back 4

Periapical granuloma

Front 5

The directed movement of WBCs to the area of injury is called

Back 5

chemotaxis

Front 6

Which cells are most common in chronic inflammation?

Back 6

Lymphocytes and plasma cells

Front 7

What is not a function of macrophages?
A. Phagocytosis
B. Removal of large foreign matter
C. Removal of inhaled particles
D. Formation of antibodies

Back 7

Formation of antibodies

Front 8

What term is used to describe blood plasma and proteins that leave the blood vessels and enter the surrounding tissues during inflammation?

Back 8

Exudate

Front 9

The process of phagocytosis directly involves

Back 9

Ingestion of foreign substances by WBCs

Front 10

Which of the following statements is INCORRECT concerning the neutrophil?
A. Makes up 30% of WBCs
B. contains lysosomal enzymes
C. Is a cell whose main function is phagocytosis
D. Has a multilobed nucleus

Back 10

Makes up 30% of WBCs

Front 11

During the process of inflammation, the second type of WBC to emigrate from the blood vessel to the injured tissue is the

Back 11

monocyte

Front 12

Components of the complement system mediate the inflammatory process by

Back 12

causing cytolysis of cells

Front 13

2 days after injury, granulation tissue can be described as

Back 13

Immature vascular connective tissue

Front 14

The enlargement of superficial lymph nodes that occurs as a systemic sign of inflammation is

Back 14

Caused by changes in their lymphocytes

Front 15

Which statement concerning repair in the body is true?
A. repair can be completed with the injurious agents present
B. functioning cells and tissue components are always replaced by functioning scar tissue
C. Repair always results in regeneration
D. The process of repair is initiated by the inflammatory response

Back 15

The process of repair is initiated by the inflammatory response

Front 16

The clot that forms during repair

Back 16

Serves as a guide for migrating epithelial cells

Front 17

Healing by secondary intention refers to healing of an injury when

Back 17

The patient has increased formation of granulation tissue

Front 18

An increase in the size of an organ or tissue resulting from an increase in the number of cells is termed

Back 18

hyperplasia

Front 19

Normal bone tissue repair can be delayed by

Back 19

Inadequate movement of bone tissue

Front 20

What would appear as a pigmented lesion?

Back 20

Amalgam tatoo

Front 21

Which of the following statements is false?
A. Attrition is the wearing away of tooth structure during mastication
B. Bruxism is the same as mastication
C. Erosion is the loss of tooth structure resulting from chemical action
D. Abrasion is caused by mechanical repetitive habits

Back 21

Bruxism is the same as mastication

Front 22

Loss of tooth structure associated with bulimia is caused by

Back 22

Erosion

Front 23

An aspirin burn

Back 23

results from the misuse of aspirin

Front 24

A patient has generalized white appearance of the palate. Tine erythematous dots can be seen, surrounded by a thickened raised white-to-gray area. Overall the palate appears wrinkled. This is most likely

Back 24

Nicotine stomatitis

Front 25

The primary and most common cause of a mucocele is

Back 25

Severing trauma to a minor salivary gland duct

Front 26

A ranula is located on the

Back 26

Floor of the mouth

Front 27

Which of the following would not occur of the gingiva?
A. Irritation fibroma
B. Pyogenic granuloma
C. Giant cell granuloma
D. Epulis fissuratum

Back 27

Epulis fissuratum

Front 28

Generalized loss of tooth structure primarily on the lingual surfaces of maxillary teeth is associated with

Back 28

Erosion

Front 29

External tooth resorption occurs as a result of

Back 29

Caries

Front 30

What is a most likely cause of necrotizing sialometaplasia?

Back 30

loss of blood supply

Front 31

The most common place for a mucocele to occur is

Back 31

Lower lip

Front 32

The peripheral giant cell granuloma only occurs on the

Back 32

gingiva or alveolar mucosa

Front 33

A sialolith is

Back 33

A salivary gland stone

Front 34

Which of the following is false?
A. A periapical cyst develops from a periapical granuloma
B. A periapical abscess always causes radiographic periapical changes
C. A periapical granuloma is a circumscribed area of chronically infected tissue
D. A periapical cyst is also called a radicular cyst

Back 34

A periapical abscess always causes radiographic periapical changes

Front 35

Epulis fissuratum results from irritation caused by

Back 35

a denture flange

Front 36

Which of the following statements is true?
A. a traumatic neuroma is never painful
B. Necrotizing sialometaplasia is considered a denture related lesion
C. Chronic hyperplastic pulpitis is the same as gingival hyperplasia
D. Gingival enlargement may be caused by medication

Back 36

Gingival enlargement may be caused by medication

Front 37

Loss of tooth structure by chemical action

Back 37

Erosion

Front 38

What cyst is characteristically associated with a tooth that is nonvital on pulp testing?

Back 38

Radicular cyst

Front 39

Which cyst results when a tooth is extracted without removing the periapical cystic sac?

Back 39

residual

Front 40

The most common cause of a radicular cyst is

Back 40

caries

Front 41

the wearing away of tooth structure through an abnormal mechanical action defines

Back 41

abrasion

Front 42

Which one of the following is not associated with attrition?
A. Toothpaste
B. Bruxism
C. Mastication
D. Age

Back 42

Toothpaste

Front 43

Heavy plaque and mouth breathing, ortho appliances, and overhanging restorations best describes some of the causative factors for

Back 43

Irritation fibroma

Front 44

The central giant cell granuloma

Back 44

May present as a multilocular radiolucency

Front 45

During examination, the dental hygienist notes the presence of active wear facets, This indicates the patient is

Back 45

A bruxer

Front 46

Loss of structure on labial surface with a high intake of citrus fruit juices is

Back 46

Erosion

Front 47

The amalgam tattoo represents amalgam particles in the tissue and is most commonly observed in the oral cavity on the

Back 47

Posterior gingiva and edentulous ridge

Front 48

A pink protruding mass in the occlusal surface of a mandibular first or second molar is most likely

Back 48

Caused by caries
A pulp polyp
(A pulpal granuloma?)

Front 49

Which of the following drugs does not cause gingival enlargement
A. Dilantin
B. Cyclosporine
C. Procardia
D. Tetracycline

Back 49

Tetracycline

Front 50

Traumatic ulcers are usually diagnosed on the basis of:

Back 50

The clinical appearance and history of the ulcer