Oral Pathology for the Dental Hygienist, 8th Edition by Olga A.
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,Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
Ibsen: Oral Pathology for the Dental Hygienist, 8th Edition
MULTIPLE CHOICE
1. Which descriptive term is described as a segment that is part of the whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
lesion that contains serous fluid and may look like a blister. A vesicle is a small, elevated
lesion that contains serous fluid. Pustules are circumscribed elevations containing pus.
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 lesionNi sUrRefSeI
rr N
edGtK
o Ia sNpGe.
d uCnOcuMl a t e d. 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
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 geographic tongue is
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, a. median $xfrhomboid $xfglossitis.
b. benign $xfmigratory $xfglossitis.
c. fissured $xftongue.
d. black $xfhairy $xftongue.
ANS: $ x f B
Benign $xfmigratory $xfglossitis $xfis $xfanother $xfname $xffor $xfgeographic $xftongue. $xfResearch
$xfsuggests $xfthat $xfmedian $xfrhomboid $xfglossitis $xfis $xfassociated $xfwith $xfa $xfchronic $xffungal
$xfinfection $xffrom $xfCandida $xfalbicans. $xfSometimes $xfthe $xfcondition $xfresolves $xfwith $xfantifungal
$xftherapy. $xfFissured $xftongue $xfis $xfseen $xfin $xf5% $xfof $xfthe $xfpopulation. $xfIt $xfis $xfa $xfvariant $xfof
$xfnormal. $xfGenetic $xffactors $xfare $xftypically $xfassociated $xfwith $xfthe $xfcondition. $xfBlack $xfhairy
$xftongue $xfis $xfcaused $xfby $xfa $xfreaction $xfto $xfchemicals, $xftobacco, $xfhydrogen $xfperoxide, $xfor
$xfantacids. $xfThe $xffiliform $xfpapillae $xfon $xfthe $xfdorsal $xftongue $xfbecome $xfelongated $xfand $xfare
$xfdark $xfbrown $xfto $xfblack.
REF: $ x f Geographic $xfTongue, $xfpage $xf24 OBJ: $ x f 7
5. This $xfbony $xfhard $xfstructure $xfin $xfthe $xfmidline $xfof $xfthe $xfhard $xfpalate $xfis $xfgenetic $xfin $xforigin
and $xfinherited $xfin $xfan $xfautosomal $xfdominant $xfmanner. $xfThe $xfdiagnosis $xfis $xfmade $xfthrough
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clinical $xfappearance. $xfWhich $xfcondition $xfis $xfsuspected?
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a. Palatal $xfcyst
b. Torus $xfpalatinus
c. Mixed $xftumor
d. Ranula
ANS: $ x f B
A $xftorus $xfpalatinus $xfis $xfdevelopmental $xfand $xfbony $xfhard $xfand $xfis $xffound $xfon $xfthe $xfmidline
$xfof $xfthe $xfpalate. $xfDiagnosis $xfis $xfmade $xfon $xfthe $xfbasis $xfof $xfclinical $xfappearance. $xfA $xfpalatal
$xfcyst $xfappears $xfradiolucent $xfon $xfa $xfradiographic $xfexamination $xfand $xfis $xfnot $xfdiagnosed
$xfthrough $xfclinical $xfappearance. $xfA $xfmixed $xftumor $xfor $xfpleomorphic $xfadenoma $xfis $xfa $xfbenign
$xftumor $xfof $xfsalivary $xfgland $xforigin, $xffound $xfunilaterally $xfoff $xfthe $xfmidline $xfof $xfthe $xfhard
$xfpalate. $xfIt $xfis $xfcomposed $xfof $xftumor $xftissue $xfthat $xfis $xfnot $xfbony $xfhard $xfto $xfpalpation.
Ranula $xfis $xfa $xfterm $xfused $xffor $xfa $xfmucocele-like $xflesion $xfthat $xfforms $xfunilaterally $xfon $xfthe
$xffloor $xfof $xfthe $xfmouth.
REF: $ x f Torus $xfPalatinus, $xfpage $xf21 OBJ: $ x f 4
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, 6. The $xfgray-white $xfopalescent $xffilm $xfseen $xfon $xfthe $xfbuccal $xfmucosa $xfof $xf85% $xfof $xfblack $xfadults
is $xfa $xfvariant $xfof $xfnormal $xfthat $xfrequires $xfno $xftreatment $xfand $xfis $xftermed
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a. linea $xfalba.
b. leukoedema.
c. leukoplakia.
d. white $xfsponge $xfnevus.
ANS: $ x f B
Leukoedema $xfis $xfa $xfdiffuse $xfopalescence $xfmost $xfcommonly $xfseen $xfon $xfthe $xfbuccal $xfmucosa $xfin
$xfblack
individuals. $xfLinea $xfalba $xfis $xfa $xf“white $xfline” $xfthat $xfextends $xfanteroposteriorly $xfon $xfthe
$xfbuccal $xfmucosa $xfalong $xfthe $xfocclusal $xfplane. $xfIt $xfis $xfmost $xfprominent $xfin $xfpatients $xfwho
$xfhave $xfa $xfclenching $xfor $xfgrinding $xfhabit. $xfLeukoplakia $xfis $xfa $xfclinical $xfterm $xffor $xfa $xfwhite
$xflesion, $xfthe $xfcause $xfof $xfwhich $xfis $xfunknown. $xfWhite $xfsponge $xfnevus $xfis $xfa $xfgenetic
$xf(autosomal $xfdominant) $xftrait. $xfClinically, $xfit $xfis $xfcharacterized $xfby $xfa $xfsoft $xfwhite, $xffolded
$xf(or $xfcorrugated) $xforal $xfmucosa. $xfA $xfthick $xflayer $xfof $xfkeratin $xfproduces $xfthe $xfwhitening.
REF: $ x f Leukoedema, $xfpage $xf23 OBJ: $ x f 8
7. Which $xfcondition $xfmost $xflikely $xfresponds $xfto $xftherapeutic $xfdiagnosis?
a. Angular $xfcheilitis
b. Amelogenesis $xfimperfecta
c. Paget $xfdisease
d. Stafne $xfbone $xfcyst
ANS: $ x f A
Angular $xfcheilitis $xfmost $xfcommonly $xfresponds $xfto $xfantifungal $xftherapy $xfonce $xfnutritional
$xfdeficiencies $xfhave $xfbeen $xfruled $xfout. $xfAmelogenesis $xfimperfecta $xfis $xfa $xfgenetic $xfcondition
$xfassociated $xfwith $xfabnormal $xfdevelopment $xfof $xfthe $xfenamel. $xfPaget $xfdisease $xfis $xfa $xfchronic
$xfmetabolic $xfbone $xfdisease. $xfA $xfhighly
elevated$xfserum$xfalkaline$xfphospNhUatRaS s eIleNvGelKcIo N
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b uCteOs Msignificantly $xfto$xfthe$xfdiagnosis.$xfA
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bone $xfcyst $xfis $xfdetermined $xfthrough $xfsurgical $xfdiagnosis $xfin $xfwhich $xfentrapped $xfsalivary $xfgland
$xftissue $xfis $xfidentified.
REF: $ x f Therapeutic $xfDiagnosis, $xfpage $xf18 OBJ: $ x f 3
8. The $xfgingival $xfenlargement $xfin $xfthis $xfpatient $xfwas $xfcaused $xfby $xfa $xfcalcium $xfchannel
blocker. $xfWhich $xfmedication $xfis $xfthe $xflikely $xfcause?
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a. Dilantin
b. Nifedipine
c. Quinidine
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