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Oral pathology > MCQ questions > Flashcards

MCQ questions Flashcards

1
Q

Merkellson-Rosenthal syndrome is expressed by the triad:

A

fissured tongue, granulomatous cheilitis, unilateral facial paralysis

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2
Q

Granulomatous cheilitis:

A

is a rare disease characterized by chronic recurrent painless swelling of the oral
mucosa, lips, and perioral

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3
Q

Glandular cheilitis:

A

is an inflammatory hyperplasia of ectopic salivary glands due to infection

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4
Q

What do we use as the treatment of granulomatous cheilitis?

A

corticosteroids, NSAIDs and surgical reduction

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5
Q

Which taste disorder is expressed with taste distortion?

A

dysgeusia

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6
Q

Which taste disorder is expressed with complete loss of taste?

A

ageusia

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7
Q

Treatment of Moller’s glossitis includes:

A

vitamins supplementation (vitamin B12 and folic acid)

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8
Q

Treatment of Plummer-Vinson syndrome includes:

A

iron supplementation

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9
Q

In microglossia

A

the tongue is with smaller size, but its elasticity, mobility and shape are preserved

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10
Q

Biopsy is a method of:

A

removal and examination of a sample of tissue from a living body for diagnostic
purposes

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11
Q

Sialography is:

A

used to identify obstructive and degenerative changes as radiopaque medium is injected into the salivary ducts

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12
Q

Immunohistochemical methods are used

A

for both purposes (in the diagnostics of diseases of the immune response + in
tumor diagnostics)

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13
Q

History of the present illness has the following purpose:

A

all are true

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14
Q

Geographic tongue is characterized by:

A

circumferential migration and formation of erythematous areas due to atrophy of
the filiform papilla

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15
Q

Treatment of pernicious anemia includes:

A

vitamin B12 supplementation - generally parenteral and on a monthly basis

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16
Q

Strawberry tongue is characterized by:

A

diffusely reddened, swollen, and with elevated papillae tongue, which is covered
with white-gum

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17
Q

Allergic contact cheilitis occurs:

A

due to hypersensitivity reaction

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18
Q

Angioedema of the lips is characterized by

A

swollen, painful lips with smooth surface

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19
Q

Angular cheilitis:

A

is presented by infected fissures of the commissures of the mouth, often
surrounded by erythema

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20
Q

What is medical history?

A

medical history is the realized and analyzed by the physician description of the patient his/her general

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21
Q

Social history doesn’t include

A

determination of the features of main symptoms

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22
Q

Microbial culturing is used:

A

to confirm (or rule out) the presence of an infection, to identify specific pathogens,
and to determine

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23
Q

Coated tongue is characterised by:

A

Lengthening of the filiform papillae, no more than 3-4mm and accumulation of
debris, food particles and bacteria in cases with poor oral hygiene

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24
Q

Cheilitis is:

A

An abnormal condition of the lips characterized by inflammation and cracking of the skin

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25
Q

Fissured tongue occurs due to

A

Hereditary formation of multiple fissures or grooves on the tongue dorsum

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26
Q

Intraoral physical examination includes:

A

all of the listed

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27
Q

Hairy tongue

A

Hypertrophy and elongation of the filiform papillae of the dorsum of the tongue, which facilitates colonization of Candida.spp and pigment producing bacteria

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28
Q

When assessing a person’s general health status, attention should be paid to:
a) skin complexion, mucosa’s colour and gums health
b) internal organs state and pulp vitality
c) all of the listed
d) Individual habit, heart functioning and breathing

A

all of the listed

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29
Q

Which of the following specialized test and studies can be used in the diagnostic process of patients with maxillo-facial complaints?

A

all of the listed

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30
Q

Physical examination compromises of the following components:

A

General and local health status

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31
Q

Macroglossia is:

A

Congenital or acquired enlargement of the tongue due to accumulation of various substances, edema, ectopic tissue, tumors

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32
Q

The mandatory oral manifestations of scarlet fever include:

A

Sore throat, strawberry tongue and red rash

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33
Q

Which of the statements about freckles is false?

A

Freckles due to increased melanin production, whereas the number of epidermal melanocytes is usually normal

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34
Q

Solar cheilitis occurs:

A

On the lower lip and is directly related to long-term sun exposure

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35
Q

Median lip fissure is characterized by

A

Deep, persistent vertical fissure at the middle of the lip/lips

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36
Q

In 40% cases, fissured tongue may coexist with:

A

Geographic tongue

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37
Q

Oral Manifestations of folic acid deficiency are:

A

Painful, depapillated, sore tongue, glandular cheilitis and recurrent aphthous stomatitis

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38
Q

Which one is a possible cause for anaemia

A

vit. b12 deficiency

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39
Q

Glossitis is:

A

soreness of the tongue or more commonly inflammation with depapillation of the dorsal surface of the tongue, leaving a smooth and erythematous
surface

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40
Q

Positron emission tomography scanning is:

A

used for diagnosis and surveillance of certain malignancies

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41
Q

Scintigraphy is

A

used to assess salivary gland function via radioisotope uptake

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42
Q

Median lip fissure is characterized by

A

Deep, persistent vertical fissure at the middle of the lip/lips

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43
Q

Fordyce granules are:

A

Ectopic sebaceous glands

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44
Q

The examination of a patient includes the following parts:

A

Medical history, objective clinical examination and diagnostic tests and studies

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45
Q

We define symptom as:

A

Objective, subjective and pathognomonic ones

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46
Q

Which are the basic tastes?

A

Sweetness, saltiness, sourness, bitterness, umami

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47
Q

Median rhomboid glossitis is characterized by:

A

A chronic, atrophic, erythematous, depapillated patch in the posterior midline of the tongue dorsum

48
Q

Ultrasonography is:

A

Utilised for imaging of the salivary glands, thyroid and cervical lymph nodes

49
Q

Oral manifestation of iron deficiency anemia are:

A

Pallor of the oral mucosa, atrophic glossitis, and occasionally candidiasis and angular cheilitis

50
Q

What is the share of simultaneous skin and mucosal involvement in cases with lichen planus?

A
  • 50%
51
Q

White lesions appear on the oral mucosa of because of:

A

trauma, infection, immune mediated diseases or neoplasm

52
Q

Rarely painful white lesions are:

A

dyskeratosis congenita, leukoplakia, nicotine stomatitis, pyostomatitis vegetans

53
Q

Oral cancer affect

A

more commonly in males

54
Q

Which mucosal sites are at high- risk for malignant transformation?

A

floor of the mouth and lateral borders of the tongue

55
Q

The worldwide incidence of oral and oropharyngeal cancer in approximately:

A

350 ,000 cases per year

56
Q

What should be the treatment of symptomatic cases of lichen planus?

A

high potency topical corticosteroids

57
Q

Usually painful white lesions are

A

chemical burn, lichen planus, lichenoid reactions, lupus erythematosus

58
Q

Contact allergic stomatitis develops as a result of

A

hypersensitivity reaction type IV

59
Q

The incidence severe dysplasia or carcinoma in histopathological study of erythroplakia is

A

90%

60
Q

. Red lesions - slightly painful with ulcerations

A

infectious mononucleosis, squamous cell carcinoma

61
Q

Diagnosis of infectious mononucleosis is based on test results, not including:

A

Positive EBV serology (IgE)

62
Q

How does EBV spread?

A

How does EBV spread?

63
Q

The prevalence of oral leukoplakia is?

A

2.6 - 4.0%

64
Q

Lesions of erythroplakia and leukoplakia are with:

A

distinct demarcation against the normal mucosa

65
Q

The most common lesion of oral squamous cell carcinoma are:

A

Tongue, floor of mouth, retro molar area

66
Q

Nicotinic stomatitis lesion is:

A

Sometimes reversible with smoking cessation

67
Q

The thickening of the epithelium in white lesions can be caused by

A

epithelial hypertrophy or hyperplasia, swelling and hyperkeratosis

68
Q

The specific oral manifestations of infectious mononucleosis are:

A
  • palatal petechiae, mucosal ulcers and swollen tonsils covered with exudate
69
Q

Erythroplakia is located most frequently on:

A

soft palate, floor of the mouth and buccal mucosa

70
Q

White sponge nevus appears on oral mucosa as:

A

white asymptomatic plaque which is corrugated or folde

71
Q

Lichen planus is diagnosed through

A

clinical examination and biopsy for routine histopathology and direct immunofluorescence

72
Q

What is Lichen planus:

A

chronic mucocutaneous T- Cell mediated inflammatory condition

73
Q

Etiology of squamous cell carcinoma include:

A

oral galvanism, viruses, immunosuppression, reticular lichen planus

74
Q

The oral lesion of lupus erythematosus do not include:

A

erythroplakia

75
Q

Treatment of contact allergic stomatitis consists of

A

removal of triggering allergen and administrations of antihistamines and corticosteroids

76
Q

Which one is the main allergen, including type 1 hypersensitivity reaction in dental practice:

A

Latex protein

77
Q

What is the etiology of denture stomatitis?

A

traumatic, infectious, allergic, toxic, irritating

78
Q

What is the cause of oral radiation mucositis?

A

ionizing radiation

79
Q

Erythroplakia is manifested by:

A

eroded red lesion with velvety appearance that is frequently observed with a distinct demarcation against the normal appearing mucosa

80
Q

Risk factors for lichen planus are

A

oral hygiene, age, tobacco and alcohol abuse,
local trauma, path-galvanism, diabetes mellitus, ß- blockers, NSAID, etc..; association
with hepatitis C virus

81
Q

Desquamative gingivitis is a clinical diagnosis with histological features of:

A
  • Mucous membrane pemphigoid
  • Pemphigus
  • Atrophic lichen planus
82
Q

Which of the statements about nicotinic stomatitis is false?

A

NS is an oral keratosis related to tobacco chewing

83
Q

Which one of the statements about oral squamous cell carcinoma is false:?

A

5 year survival for patients diagnosed at early stage of the disease is about 75%

84
Q

Red lesions appear on the oral mucosa because of:

A

trauma, infection, immune mediated diseases or neoplasms

85
Q

Red lesions - painful, without ulcerations include:

A

angular cheilitis, geographic tongue, folate deficiency

86
Q

Hairy leukoplakia is associated with:

A

HIV infection

87
Q

Nicotinic stomatitis lesions are characterized by:

A

hyperkeratosis and inflamed duct orifices of minor salivary glands

88
Q

Leukoplakia is:

A

predominantly white lesion of the oral mucosa that can not be characterized as any other definable lesion

89
Q

What is lupus erythematous?

A

chronic inflammatory autoimmune disease

90
Q

Which one of the statements about oral radiation mucositis is false?

A

oral radiation mucositis manifestations develop predominantly on keratinized mucosal surfaces until the second week of the therapy

91
Q

There is increased risk of malignant transformations in:

A

chronic plaque-type and nodular candidiasis

92
Q

White lesions are usually:

A

painful and causing discomfort

93
Q

Squamous cell carcinoma lesions can be:

A

flat (macular), raised (plaque-like), exophytic or ulcerated

94
Q

Systemic antifungal treatment is applied at least:

A

For 2-4 weeks

95
Q

Which one of the statements about leukoplakia treatment is false:?

A

systemic intake of high dose vitamin A is prescribed

96
Q

Diagnosis of infectious mononucleosis is based on test results, not including:

A

Leukocytosis

97
Q

Etiology of squamous cell carcinoma includes:

A

Poor oral hygiene, tobacco, alcohol, sun exposure

98
Q

The red colour of the lesions may be due to:

A

Thin epithelium, inflammation, dilation or increased number of blood vessels

99
Q

Management of oral radiation mucositis includes:

A

Standardized oral care regime and limitation/treatment of opportunistic infections

100
Q

Diagnosis of infectious mononucleosis is based on test results, not including:

A

Leukocytosis

101
Q

The majority of oral cancer occurs in patients over the age of:

A

40

102
Q

Contact allergic stomatitis develops as a result of:

A

Hypersensitivity reaction type IV

103
Q

Which one of the statements about oral radiation mucositis is false?

A

Oral radiation mucositis manifestations develop predominantly on keratinized mucosal surfaces until the second week of the therapy

104
Q

How does EBV spread?

A

By lympho-hematogenous route

105
Q

Red lesions - slightly painful, with ulcerations include:

A

Infectious mononucleosis, squamous-cell carcinoma

106
Q

The specific oral manifestations of infectious mononucleosis are:

A

Palatal petechiae , mucosal ulcers, and swollen tonsils covered with exudate

107
Q

Treatment of contact allergic stomatitis consists of:

A

Removal of the triggering allergen and administration of antihistamines and/or corticosteroids

108
Q

Etiology of squamous-cell carcinoma includes:

A

Poor oral hygiene, tobacco, alcohol, sun exposure

109
Q

Hairy leukoplakia is associated with:

A

HIV-infection

110
Q

White lesions are usually:

A

Painful and causing discomfort

111
Q

Systemic antifungal treatment is applied at least:

A

For 2 - 4 weeks

112
Q

Which one of the statements about hairy leukoplakia (BL) is true?

A

HL is asymptomatic lesion which occurs most commonly on the lateral borders of the tongue

113
Q

Which one of the statements about leukoplakia treatment is false?

A

Verrucous form is treated locally with vitamin A and steroids

114
Q

Thickening of the epithelium in white lesions can be caused by:

A

Epithelial hypertrophy or hyperplasia, swelling and hyperkeratosis

115
Q

Management of oral radiation mucositis includes:

A

Standardized oral care regime and limitation/treatment of opportunistic infections

Oral pathology (65 decks)

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