08.Connective_Tissue_Lesions_Tests Flashcards
(23 cards)
A 45-year-old patient has a firm, painless fibrous nodule on the buccal mucosa corresponding to chronic cheek biting.
Which of the following diagnoses best fits this presentation?
A. Fibroma / Irritation Fibroma / Traumatic Fibroma
B. Epulis Fissuratum / Denture Epulis
C. Peripheral Fibroma
D. Peripheral Ossifying Fibroma
A - Fibroma / Irritation Fibroma / Traumatic Fibroma: reactive fibrous nodule
An elderly denture wearer presents with fibrous folds along the alveolar ridge under the ill-fitting denture.
Which of the following diagnoses best fits this presentation?
A. Peripheral Fibroma
B. Epulis Fissuratum / Denture Epulis
C. Peripheral Ossifying Fibroma
D. Peripheral Odontogenic Fibroma
B - Epulis Fissuratum / Denture Epulis: denture-induced fibrous folds
A patient has a sessile gingival nodule composed of fibrous connective tissue without calcifications.
Which of the following diagnoses best fits this presentation?
A. Peripheral Ossifying Fibroma
B. Peripheral Odontogenic Fibroma
C. Peripheral Fibroma
D. Leiomyoma
C - Peripheral Fibroma: gingival fibrous proliferation
A young woman presents with a gingival mass containing bone-like islands on histology.
Which of the following diagnoses best fits this presentation?
A. Peripheral Odontogenic Fibroma
B. Leiomyoma
C. Leiomyosarcoma
D. Peripheral Ossifying Fibroma
D - Peripheral Ossifying Fibroma: fibrous gingival nodule with calcifications
A patient has a gingival fibrous lesion with odontogenic epithelium on biopsy.
Which of the following diagnoses best fits this presentation?
A. Peripheral Odontogenic Fibroma
B. Leiomyoma
C. Leiomyosarcoma
D. Rhabdomyoma
A - Peripheral Odontogenic Fibroma: odontogenic epithelial fibrous lesion
A middle-aged patient reports a slow-growing, painless submucosal smooth muscle tumor in the oral cavity.
Which of the following diagnoses best fits this presentation?
A. Leiomyosarcoma
B. Leiomyoma
C. Rhabdomyoma
D. Rhabdomyosarcoma
B - Leiomyoma: benign smooth muscle tumor
A patient has a malignant spindle cell tumor with interlacing smooth muscle bundles in the tongue.
Which of the following diagnoses best fits this presentation?
A. Rhabdomyoma
B. Rhabdomyosarcoma
C. Leiomyosarcoma
D. Granular Cell Tumor / Granular Cell Myoblastoma
C - Leiomyosarcoma: malignant smooth muscle tumor
A patient presents with a painless mass of striated muscle cells in the floor of the mouth.
Which of the following diagnoses best fits this presentation?
A. Rhabdomyosarcoma
B. Granular Cell Tumor / Granular Cell Myoblastoma
C. Congenital Epulis of the Newborn
D. Rhabdomyoma
D - Rhabdomyoma: benign skeletal muscle tumor
A child has a rapidly growing malignant tumor of skeletal muscle origin in the cheek.
Which of the following diagnoses best fits this presentation?
A. Rhabdomyosarcoma
B. Granular Cell Tumor / Granular Cell Myoblastoma
C. Congenital Epulis of the Newborn
D. Systemic Sclerosis / Scleroderma (Limited Morphea)
A - Rhabdomyosarcoma: malignant skeletal muscle tumor
A patient exhibits a submucosal lesion with large eosinophilic granular cells on histology.
Which of the following diagnoses best fits this presentation?
A. Congenital Epulis of the Newborn
B. Granular Cell Tumor / Granular Cell Myoblastoma
C. Systemic Sclerosis / Scleroderma (Limited Morphea)
D. Systemic Sclerosis / Scleroderma (Diffuse)
B - Granular Cell Tumor / Granular Cell Myoblastoma: granular cytoplasm tumor
A newborn infant has a pedunculated gingival mass diagnosed at birth.
Which of the following diagnoses best fits this presentation?
A. Systemic Sclerosis / Scleroderma (Limited Morphea)
B. Systemic Sclerosis / Scleroderma (Diffuse)
C. Congenital Epulis of the Newborn
D. Lipoma
C - Congenital Epulis of the Newborn: newborn gingival tumor
A patient shows sclerotic skin changes limited to the face and hands.
Which of the following diagnoses best fits this presentation?
A. Systemic Sclerosis / Scleroderma (Diffuse)
B. Lipoma
C. Traumatic Neuroma
D. Systemic Sclerosis / Scleroderma (Limited Morphea)
D - Systemic Sclerosis / Scleroderma (Limited Morphea): localized skin fibrosis
A patient has diffuse skin tightening and oral mucosal fibrosis with restricted mouth opening.
Which of the following diagnoses best fits this presentation?
A. Systemic Sclerosis / Scleroderma (Diffuse)
B. Lipoma
C. Traumatic Neuroma
D. Schwannoma / Neurilemoma
A - Systemic Sclerosis / Scleroderma (Diffuse): widespread skin and organ fibrosis
A patient presents with a soft, mobile, yellowish submucosal mass in the buccal mucosa.
Which of the following diagnoses best fits this presentation?
A. Traumatic Neuroma
B. Lipoma
C. Schwannoma / Neurilemoma
D. Neurofibroma (Solitary)
B - Lipoma: benign fat tissue tumor
A patient has pain and a small tender nodule at a previous biopsy site on the tongue.
Which of the following diagnoses best fits this presentation?
A. Schwannoma / Neurilemoma
B. Neurofibroma (Solitary)
C. Traumatic Neuroma
D. Neurofibroma (Neurofibromatosis type I)
C - Traumatic Neuroma: nerve proliferation after injury
A patient presents with a well-circumscribed encapsulated tongue mass of spindle cells S-100 positive.
Which of the following diagnoses best fits this presentation?
A. Neurofibroma (Solitary)
B. Neurofibroma (Neurofibromatosis type I)
C. Multiple Endocrine Neoplasia (MEN I)
D. Schwannoma / Neurilemoma
D - Schwannoma / Neurilemoma: benign nerve sheath tumor
A patient has multiple cutaneous nodules and oral lesions diagnosed with neurofibromatosis type I.
Which of the following diagnoses best fits this presentation?
A. Neurofibroma (Solitary)
B. Neurofibroma (Neurofibromatosis type I)
C. Multiple Endocrine Neoplasia (MEN I)
D. Multiple Endocrine Neoplasia (MEN II)
A - Neurofibroma (Solitary): benign peripheral nerve tumor
A patient presents with endocrine tumors including medullary thyroid carcinoma and mucosal neuromas in the mouth.
Which of the following diagnoses best fits this presentation?
A. Multiple Endocrine Neoplasia (MEN I)
B. Neurofibroma (Neurofibromatosis type I)
C. Multiple Endocrine Neoplasia (MEN II)
D. Multiple Endocrine Neoplasia (MEN III)
B - Neurofibroma (Neurofibromatosis type I): genetic multiple nerve tumors
A child has a soft, transilluminating cystic mass in the neck diagnosed as a cystic hygroma.
Which of the following diagnoses best fits this presentation?
A. Multiple Endocrine Neoplasia (MEN II)
B. Multiple Endocrine Neoplasia (MEN III)
C. Multiple Endocrine Neoplasia (MEN I)
D. Lymphangioma (Macrocytic cystic hygroma)
C - Multiple Endocrine Neoplasia (MEN I): pituitary, pancreatic, parathyroid tumors
A patient has superficial lymphatic channels just beneath oral mucosa causing clear vesicles.
Which of the following diagnoses best fits this presentation?
A. Multiple Endocrine Neoplasia (MEN III)
B. Lymphangioma (Macrocytic cystic hygroma)
C. Lymphangioma (Microcytic)
D. Multiple Endocrine Neoplasia (MEN II)
D - Multiple Endocrine Neoplasia (MEN II): medullary thyroid carcinoma, pheochromocytoma
A patient has both large and small lymphatic malformations in the oral submucosa.
Which of the following diagnoses best fits this presentation?
A. Multiple Endocrine Neoplasia (MEN III)
B. Lymphangioma (Macrocytic cystic hygroma)
C. Lymphangioma (Microcytic)
D. Lymphangioma (Mixed)
A - Multiple Endocrine Neoplasia (MEN III): mucosal neuromas, medullary thyroid carcinoma
A patient shows a rapidly growing spindle cell lesion in the cheek that mimics sarcoma but is benign.
Which of the following diagnoses best fits this presentation?
A. Lymphangioma (Microcytic)
B. Lymphangioma (Macrocytic cystic hygroma)
C. Lymphangioma (Mixed)
D. Nodular Fasciitis / Pseudosarcoma Fasciitis
B - Lymphangioma (Macrocytic cystic hygroma): large lymphatic malformations
A patient presents with deep, infiltrative fibrous proliferation in the buccal vestibule.
Which of the following diagnoses best fits this presentation?
A. Lymphangioma (Mixed)
B. Nodular Fasciitis / Pseudosarcoma Fasciitis
C. Lymphangioma (Microcytic)
D. Fibromatosis
C - Lymphangioma (Microcytic): small lymphatic vessels malformation
