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Edition IbsenTes Bank 2023-2024:
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CORREC QUESTIONSANDANSWERS
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,TES BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIS 7TH EDITION BY IBSEN
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Chapter01: Introduction toPreliminary Diagnosis of Oral Lesions Ibsen:
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Oral Pathology for the Dental Hygienist, 7th Edition
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MULTIPLE CHOICE Y1
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 J Y 1
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated lesion
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that contains serous fluid and may look like a blister. A vesicle is a small, elevated lesion that
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contains serous fluid. Pustules are circumscribed elevations containing pus.
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REF: J Y 1 Vocabulary, Clinical of Soft Tissue Lesions, page 1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 OBJ: J Y 1 1
2. A lesion with a sessile base is described as
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a. an ulcer. JY1
b. stemlike.
c. pedunculated.
d. flat and broad. JY1 JY1
ANS: D J Y 1
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
rr N
edGtK
o IasNpGe.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 JY 1
3. Which condition is not diagnosed through clinical appearance?
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a. Mandibular tori JY1
b. Fordyce granules JY1
c. Black hairy tongue JY1 JY1
d. Compound odontoma JY 1
ANS: D J Y 1
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 JY1 J Y1 J Y1 JY1 JY1 JY1 JY1 JY1 JY 1 JY1 JY 1 JY1 JY 1
tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
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peroxide, chemical rinses, antibiotics, and antacids. JY1 JY 1 JY1 JY1 JY1
REF: J Y 1 Radiographic Diagnosis, page 9 JY1 JY1 JY1 OBJ: J Y 1 3
4. Another name for geographic tongue is JY1 J Y1 JY1 JY1 JY1
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a. median rhomboid glossitis. JY1 JY1
b. benign migratory glossitis. JY1 JY1
c. fissured tongue. JY1
d. black hairy tongue. JY1 JY1
ANS: B J Y 1
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 albicans.
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Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in 5% of the
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population. It is a variant of normal. Genetic factors are typically associated with the condition.
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Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen peroxide, or
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antacids. The filiform papillae on the dorsal tongue become elongated and are dark brown to
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black.
REF: J Y 1 Geographic Tongue, page 24 JY1 JY1 JY1 OBJ: J Y 1 7
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in an
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autosomal dominant manner. The diagnosis is made through clinical appearance. Which
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condition is suspected? JY1 JY1
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a. Palatal cyst JY1
b. Torus palatinus JY1
c. Mixed tumor JY1
d. Ranula
ANS: B J Y 1
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 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
pleomorphic adenoma is a benign tumor of salivary gland origin, found unilaterally off the JY1 JY1 JY 1 JY1 JY 1 JY1 JY1 JY1 JY1 JY1 JY1 J Y1 JY1 JY1
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 mouth.
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REF: J Y 1 Torus Palatinus, page 21 JY1 JY1 JY1 OBJ: J Y 1 4
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6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant of
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normal that requires no treatment and is termed
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a. linea alba. JY1
b. leukoedema.
c. leukoplakia.
d. white sponge nevus. JY1 JY1
ANS: B J Y 1
Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black JY1 JY 1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
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: J Y 1 Leukoedema, page 23 JY1 JY1 OBJ: J Y 1 8
7. Which condition most likely responds to therapeutic diagnosis?
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a. Angular cheilitis JY1
b. Amelogenesis imperfecta JY1
c. Paget disease JY1
d. Stafne bone cyst JY1 JY1
ANS: A J Y 1
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 JY1 JY 1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1
serum alkaline pho spNhUatRa S
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n tGri.
b uCt 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: J Y 1 Therapeutic Diagnosis, page 18 JY1 JY1 JY1 OBJ: J Y 1 3
8. The gingival enlargement in this patient was caused by a calcium channel blocker. Which
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medication is the likely cause? JY1 JY1 JY1 JY1
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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