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Oral Pathology Dental Hygiene Exam with Questions and Answers Hairy tongue is characterized by hypertrophy of which of the following papillac? A, Foliate B. Filiform C. Fungiform D. Circumvallate ANS WERV ¥ B. Filiform Desquamation of which of the following papillac occurs in benign migratory glossitis? A. Foliate B. Filiform C. Fungiform D. Cireumvallate ANSWERV ¥ B. Filiform A specific presentation of oral candidiasis, sometimes seen in otherwise healthy patients is? A. Fissured tongue B. Geographic tongue C. Benign migratory glossitis D. Median rhomboid glossitis ANS WERV V D. Median rhomboid glossitis A patient with acromegaly may demonstrate? A. Enamel hypoplasia B. Periodontal discase C. Macroglossia D. Candidiasis ANSWERV V C. Macroglossia Identify the most common site for oral cancer? A. The sofi palate B. The hard palate C. The buccal mucosa D. The tongue ANSWERV ¥ D. The tongue A grayish-white, thickened, multinodular popular appearance of the palate with a small red spot in the center of cach nodule, found only in smokers, describes? A. Leukoplakia B. Papillary hyperplasia C. Candidiasis D. Nicotine stomatitis ANS WERV V D. Nicotine stomatitis A grayish-white area with a coarsely wrinkled appearance found bilaterally on the buccal mucosa of a dark-skinned patient is most likely’? A. Aphthous ulcers B. Candidiasis C. Papilloma D. Papillary hyperplasia ANS WERV ¥ B. Candidiasis Patients with removable dental prosthesis are more likely to develop candidiasis. Treatment of the candidiasis must include the oral cavity as well as the denture to prevent recurrence. A. True/Truce B. True/False C. False/True D. False/False ANSWERV V A. True/True Fordyce granules can be classified as? A. Sebaceous glands B. Salivary glands C. Granulation lissue D. Lymph nodes ANSWERV V A. Sebaccous glands Identify an oral manifestation of Addison's Disease. A. Inflamed gingiva B. Pigmentation C. Hypoplastic enamel D. Hyperplastic gingiva ANSWER V B. Pigmentation Which of the following conditions is frequently seen in pregnant patients? A. Peripheral girant cell granuloma B. Gingival fibrous hyperplasia C. Epulis fissuratum D. Pyogenic granuloma ANSWERV ¥ D. Pyogenie granuloma Clinically and microscopically, the epulis fissuratum is most similar to? A. Papilloma B. Irritation fibroma C. Condyloma D. Giant cell granuloma ANSWERY ¥ B. Irritation fibroma Which drug does not cause gingival hyperplasia? A. Phenytoin B. Cyclosporine C. Nifedipine D. Inderal ANSWERY ¥ D. Inderal Your patient is a 6-year-old child who presents with swollen lymph noes, red, painful oral lesions and a high fever. Identify the condition associated with theses symptoms? A. Primary herpetic gingivostomatitis B. Herpetic whitlow C. Herpes simplex 2 D. Hiv ANSWERV V A. Primary herpetic gingivostomatitis Herpetic whitlow may be prevented by the use of? A. Protective eyewear B. Masks C. Gloves D. Sterile instruments ANSWERV V C. Gloves Identify the virus that causes infectious mononucleosis: A. Coxsackie virus B. Herpes simplex virus C. Epstein-Barr virus D. Cytomegalovirus ANSWERV ¥ C. Epstein-Barr virus After infection with primary herpetic gingivostomatitis, the herpes virus may remain dormant in the: A. Epithelium B. Blood C. Sensory ganglia D. Connective tissue ANSWERV Vv C. Sensory ganglia Identify the cyst that forms around the crown of an impacted tooth: A. Follicular B. Residual C. Primordial D. Radicular ANSWERV V A. Follicular Identify the soft tissue cyst: A. Nasolacrimal cyst B. Nasopalatine duct cyst C. Incisive canal cyst D. Primordial cyst ANSWERV V A. Nasolacrimal cyst Identify a characteristic of a primordial cyst: A. Develops in place of a tooth B. Attaches to the apex of a tooth Oral tongue piercing is not associated with: A. Intraoral pigmentation B. Choking C. Gingival recession D. Chipped teeth ANSWERV V A. Intraoral pigmentation Identify the difference between a nodule and a papule. A papule: A. Is smaller than a nodule B. Contains pus and a nodule is solid C. Is pedunculated and a nodule is sessile D. is more irregular in shape than a nodule ANSWERV V A. Is smaller than a nodule Each of the following characteristics is typical of a benign neoplasm except: A. Normal mitoses B. Slow growth C. Encapsulated D. Metastasis ANS WERV V D. Metastasis Identify the condition where the tooth root is fused to alveolar bone: A. Fusion B. Gemination C. Ankylosis co ANSWERV ¥ C. Ankylosis D. Concresce Clinically, fuison most closely resembles which other oral pathologic condition: A. Dilaceration B. Gemination C. Taurodontism D. Enamel pearl ANSWERV ¥ B. Gemination If collections of ameloblasts cease functioning during the apposition stage of tooth development, then a tooth could be formed that exhibits: A. Erosion B. Anodontia C. Hypoplasia D. Dens-in-dente ANSWERV V C. Hypoplasia Bruxism is a pathologic manifestation of which of the following conditions? A. Erosion B. Attrition Which of the following conditions is frequently seen in pregnant patients? A. Epulis fissuratum B. Pyogenic granuloma C. Gingival fibrous hyperplasia D. Peripheral giant cell granuloma ANSWERV V B. Pyogenic granuloma A 50-year-old woman is examined in a dental office. She smokes, is sensilive to sunlight, and has had basal cell carcinoma of the lower lip. She has a medical history of intestinal polyps and has had a hysterectomy. Upon dental clinical examination, she is found to have yellow elevated areas on the mucoas of her lower lip and on her buccal mucosa, bilaterally. She is not aware of the presence of these yellow clevated arcas. This paticnt most probably has, from a dental point of view: A. Candidiasis B. Fordyce granules C. Nicotine stomatitis D. Lupus erthematosis ANSWERV Vv B. Fordyce granules Inflammatory fibrous hyperplasia in the oral cavity is most commonly caused by: A. Smoking B. Candidiasis C. Poor oral hygiene D. Ill-fitting dentures ANSWERY ¥ D. Ill-fitting dentures The state of teeth joined together only by cementum is diagnosed as: A, Fusion B. Budding C. Gemination D. Concrescence ANS WERV V D. Concrescence Two tooth buds are joined together during development and may appear clinically as a macrodont. The probably diagnosis is: A. Fusion. B. Budding C. Gemination D. Concrescence ANSWER Vv A. Fusion A radiograph shows that the roots of a lower molar are severely curve to almost 90 degrees. This is diagnosed as: A. Hypoplasia B. Dilaceration C. Turner's tooth D. Hutchinson's tooth ANSWERV ¥ B. Dilaceration A grayish-white area with a coarsely wrinkled appearance, found bilaterally on the buccal mucosa of a black patient, is probably: A. Leukoplakia B. Leukoedema C. Lichen planus D. Lupus erythematosus ANSWER V B. Leukoedema Oral squamous cell carcinoma is most commonly found at the following sites: A. Lip and soft palate B. Gingiva and alveolar ridge C. Buccal mucosa and mucobuccal fold D. Lateral tongue and floor of the mouth ANS WERV ¥ D. Lateral tongue and floor of the mouth Which of the following is characteristic of a primordial cyst? A. Develops in place of a tooth B. Attaches to the apex of a tooth C. Attaches to the crown of a tooth D. Remains after the tooth is extracted ANSWERV V A. Develops in place of a tooth For each of the herpes viruses listed below, select its associated disease process. Virus 1. Epstein-Barr virus Nv . Varicella zoster virus 3. [Juman herpes virus-8 4. Herpes simplex virus-1 Disease A. Shingles B. Herpes labialis C. Kaposi's sarcoma D. Burkitt's lymphoma ANS WERV V 1. Epstein-Barr virus/D. Burkitt's lymphoma 2. Varicella zoster virus/A. Shingles 3. Human herpes virus-8/C. Kaposi's sarcoma 4. Herpes simplex virus-1/B. Herpes labialis A 50-year-old man who smokes a pipe is found to have lesions on his palate. underneath his denture. He says he removes the denture only to clean it. The lesions on his papate are erythematous, papillary projections. His cheif complaint is an ill-fitting set of dentures that is 10 years old. This patient most probably has: A. Candidiasis B. Traumatic ulcers C. Stomatilis nicotina The most common malignancy in the oral cavity is: A. Ostcogenic sarcoma B. Basal cell carcinoma C. Metastatic carcinoma D. Epidermoid carcinoma ANSWERV V D. Epidermoid carcinoma Dental fluorosis occurs in the permanent dentition only. It can be prevented by restricting children's intake of fluoride during the cnamcel's calcification period. A. True/True B. Falsc/False C. True/False D. False/True ANSWER ¥ D. False/True Identify the three medications from the following list that can be associated with gingival hyperplasia. A. Inderal B. Phenytoin C. Nifedipine D. Cyclosporine ANSWERYV ¥ B. Phenytoin, C. Nifedipine, and D. Cyclosporine A herpetic whitlow refers to a herpes infection of the: A. Lip B. Finger C. Cervix D. Gingival ANSWERV ¥ B. Finger A patient complaining of moderately severe pain, particularly just before, during, and after meals and with evidence of swelling in a salivary gland would be suspected of having: A. Xerostomia B. Antrolithiasis C. Rhinolithiasis D. Sialalolithiasis ANSWERV ¥ D. Sialalolithiasis Recurrent aphthous ulcers: A. Are caused by a coxsackievirus B. Appear to be associated with stress C. Are caused by herpes simplex virus D. Can produce an associated rise in antibody titer against herpes virus ANSWERV V B. Appear to be associated with stress A 40-year-old man has routine dental films exposed. Upon examination of the radiographs, an oval radiolucent area is discovered above the maxillary central incisors. The teeth are vital, and the roots are not resorbed. This patient most probably has a: 
