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Table of content
1. Introduction to Preliminary Diagnosis of Oral Lesions
2. Inflammation and Repair
3. Immunity and Immunologic Oral Lesions
4. Infectious Diseases
5. Developmental Disorders
6. Genetics
7. Neoplasia
8. Nonneoplastic Diseases of Bone
9. Oral Manifestations of Systemic Diseases
10. Orofacial Pain and Temporomandibular Disorders
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Test Bank For Oral Pathology for the Dental Hygienist, 8th Edition
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
MULTIPLE CHOICE
1. Which vocabulary word is used to describe a segment that is part of the whole?
a. Bulla
b. Pedunculated
c. Lobule
d. Macule
ANS: C
A lobule is described as a segment or lobe that is part of a whole. Bulla is a circumscribed,
elevated lesion, more than 5 mm in diameter, containing serous fluid and looks like a blister.
Pedunculated describes a lesion that is attached by a stemlike or stalklike base, similar to that
of a mushroom. Macule is a flat area usually distinguished by a color different from that of
surrounding tissue. A freckle is an example of a macule.
REF: Vocabulary, Clinical of Soft Tissue Lesions, page 1 OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ANS: D
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
epithelium. A stemlike lesion is referred to as pedunculated. A pedunculated lesion is stemlike
or stalk-based (similar to a mushroom).
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ANS: D
1
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, TheNursingnotes
Test Bank For Oral Pathology for the Dental Hygienist, 8th Edition
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
The compound odontoma is initially identified radiographically as a radiopaque area in which
tooth structure can be identified. No clinical component exists. Mandibular tori are identified
clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce
granules are yellow clusters of ectopic sebaceous glands diagnosed through clinical
appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal
tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
peroxide, chemical rinses, antibiotics, and antacids.
REF: Radiographic Diagnosis, page 9 OBJ: 3
4. Another name for erythema migrans is
a. median rhomboid glossitis.
b. geographic tongue.
c. cobblestone tongue.
d. scrotal tongue.
ANS: B
Geographic tongue is another name for erythema migrans. Median rhomboid glossitis, once
thought to be developmental but currently research indicates it is associated with a chronic
fungal infection from Candida albicans. Cobblestone tongue is observed in a patient with
Sjogrens syndrome, an autoimmune condition. Scrotal tongue is another name for fissured
tongue.
REF: Geographic Tongue, page 24 OBJ: 4
5. This bony hard, radiopaque structure in the midline of the hard palate is diagnosed through
clinical diagnosis. It is genetic in origin and inherited in an autosomal dominant manner. You
suspect:
a. median palatal cyst.
b. torus palatinus.
c. pleomorphic adenoma.
d. incisal canal cyst.
ANS: B
2
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Table of content
1. Introduction to Preliminary Diagnosis of Oral Lesions
2. Inflammation and Repair
3. Immunity and Immunologic Oral Lesions
4. Infectious Diseases
5. Developmental Disorders
6. Genetics
7. Neoplasia
8. Nonneoplastic Diseases of Bone
9. Oral Manifestations of Systemic Diseases
10. Orofacial Pain and Temporomandibular Disorders
TheNursingnotes
, TheNursingnotes
Test Bank For Oral Pathology for the Dental Hygienist, 8th Edition
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
MULTIPLE CHOICE
1. Which vocabulary word is used to describe a segment that is part of the whole?
a. Bulla
b. Pedunculated
c. Lobule
d. Macule
ANS: C
A lobule is described as a segment or lobe that is part of a whole. Bulla is a circumscribed,
elevated lesion, more than 5 mm in diameter, containing serous fluid and looks like a blister.
Pedunculated describes a lesion that is attached by a stemlike or stalklike base, similar to that
of a mushroom. Macule is a flat area usually distinguished by a color different from that of
surrounding tissue. A freckle is an example of a macule.
REF: Vocabulary, Clinical of Soft Tissue Lesions, page 1 OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ANS: D
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
epithelium. A stemlike lesion is referred to as pedunculated. A pedunculated lesion is stemlike
or stalk-based (similar to a mushroom).
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ANS: D
1
TheNursingnotes
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, TheNursingnotes
Test Bank For Oral Pathology for the Dental Hygienist, 8th Edition
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
The compound odontoma is initially identified radiographically as a radiopaque area in which
tooth structure can be identified. No clinical component exists. Mandibular tori are identified
clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce
granules are yellow clusters of ectopic sebaceous glands diagnosed through clinical
appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal
tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
peroxide, chemical rinses, antibiotics, and antacids.
REF: Radiographic Diagnosis, page 9 OBJ: 3
4. Another name for erythema migrans is
a. median rhomboid glossitis.
b. geographic tongue.
c. cobblestone tongue.
d. scrotal tongue.
ANS: B
Geographic tongue is another name for erythema migrans. Median rhomboid glossitis, once
thought to be developmental but currently research indicates it is associated with a chronic
fungal infection from Candida albicans. Cobblestone tongue is observed in a patient with
Sjogrens syndrome, an autoimmune condition. Scrotal tongue is another name for fissured
tongue.
REF: Geographic Tongue, page 24 OBJ: 4
5. This bony hard, radiopaque structure in the midline of the hard palate is diagnosed through
clinical diagnosis. It is genetic in origin and inherited in an autosomal dominant manner. You
suspect:
a. median palatal cyst.
b. torus palatinus.
c. pleomorphic adenoma.
d. incisal canal cyst.
ANS: B
2
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