7th Edition Ibsen Test Bank 2023-2024:
CORRECT QUESTIONS AND
ANSWERS
,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
Ibsen: Oral Pathology for the Dental Hygienist, 7th Edition
MULTIPLE CHOICE
1. Which descriptive term is described as a segment that is part of the whole?
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a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C T
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
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lesion that contains serous fluid and may look like a blister. A vesicle is a small, elevated
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lesion that contains serous fluid. Pustules are circumscribed elevations containing pus.
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REF: T Vocabulary, Clinical of Soft Tissue Lesions, page 1 T T T T T T T OBJ: 1 T
2. A lesion with a sessile base is described as
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a. an ulcer. T
b. stemlike.
c. pedunculated.
d. flat and broad. T T
ANS: D T
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
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epithelium. A stemlike le sio nNisUrRefSeI
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T edGtK
o Ia sNpGe.d uCnOcuMl a t ed. A pedunculated lesion is stemlike
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or stalk-based (similar to a mushroom).
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REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
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OBJ: 1 T
3. Which condition is not diagnosed through clinical appearance?
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a. Mandibular tori T
b. Fordyce granules T
c. Black hairy tongue T T
d. Compound odontoma T
ANS: D T
The compound odontoma is initially identified radiographically as a radiopaque area in which
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tooth structure can be identified. No clinical component exists. Mandibular tori are identified
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clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce
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granules are yellow clusters of ectopic sebaceous glands diagnosed through clinical
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appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal
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tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
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peroxide, chemical rinses, antibiotics, and antacids.
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REF: T Radiographic Diagnosis, page 9 T T T OBJ: 3 T
4. Another name for geographic tongue is
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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
a. median rhomboid glossitis. T T
b. benign migratory glossitis. T T
c. fissured tongue. T
d. black hairy tongue. T T
ANS: B T
Benign migratory glossitis is another name for geographic tongue. Research suggests that
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median rhomboid glossitis is associated with a chronic fungal infection from Candida
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albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in
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5% of the population. It is a variant of normal. Genetic factors are typically associated with the
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condition. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen
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peroxide, or antacids. The filiform papillae on the dorsal tongue become elongated and are
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dark brown to black.
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REF: T Geographic Tongue, page 24 T T T OBJ: 7 T
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in
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an autosomal dominant manner. The diagnosis is made through clinical appearance. Which
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condition is suspected? T T
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a. Palatal cyst T
b. Torus palatinus T
c. Mixed tumor T
d. Ranula
ANS: B T
A torus palatinus is developmental and bony hard and is found on the midline of the palate.
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Diagnosis is made on the basis of clinical appearance. A palatal cyst appears radiolucent on a
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radiographic examination and is not diagnosed through clinical appearance. A mixed tumor or
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pleomorphic adenoma is a benign tumor of salivary gland origin, found unilaterally off the
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midline of the hard palate. It is composed of tumor tissue that is not bony hard to palpation.
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Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of the
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mouth.
REF: T Torus Palatinus, page 21 T T T OBJ: 4 T
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6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
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of normal that requires no treatment and is termed
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a. linea alba. T
b. leukoedema.
c. leukoplakia.
d. white sponge nevus. T T
ANS: B T
Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
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individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
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along the occlusal plane. It is most prominent in patients who have a clenching or grinding
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habit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White
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sponge nevus is a genetic (autosomal dominant) trait. Clinically, it is characterized by a soft
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white, folded (or corrugated) oral mucosa. A thick layer of keratin produces the whitening.
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REF: T Leukoedema, page 23 T T OBJ: 8 T
7. Which condition most likely responds to therapeutic diagnosis?
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a. Angular cheilitis T
b. Amelogenesis imperfecta T
c. Paget disease T
d. Stafne bone cyst T T
ANS: A T
Angular cheilitis most commonly responds to antifungal therapy once nutritional deficiencies
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have been ruled out. Amelogenesis imperfecta is a genetic condition associated with abnormal
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development of the enamel. Paget disease is a chronic metabolic bone disease. A highly elevated
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serum alkaline pho spNhUatRa S
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n tGri.
buCt eOs Msignificant ly to the diagnosis. A Stafne
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bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
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identified.
REF: T Therapeutic Diagnosis, page 18 T T T OBJ: 3 T
8. The gingival enlargement in this patient was caused by a calcium channel blocker. Which
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medication is the likely cause? T T T T
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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