ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 8TH
EDITION – TEST BANK
BY OLGA A. C. IBSEN RDH MS (AUTHOR), SCOTT PETERS DDS (AUTHOR)
,TABLE OF CONTENTS
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
,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
ANSWER; 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.
ANSWER; D
SESSILE DESCRIBES THE BASE OF A LESION THAT IS FLAT AND BROAD. AN ULCER IS A
BREAK IN THE SURFACE
EPITHELIUM. A STEMLIKE LESIO NNISURREFSEI
R RN
E DGTK
O IA SNPGE.
D UCNOC UML 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
ANSWER; 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
, a. MEDIAN RHOMBOID GLOSSITIS.
b. BENIGN MIGRATORY GLOSSITIS.
c. FISSURED TONGUE.
d. BLACK HAIRY TONGUE.
ANSWER; B
BENIGN MIGRATORY GLOSSITIS IS ANOTHER NAME FOR GEOGRAPHIC TONGUE.
RESEARCH SUGGESTS THAT MEDIAN RHOMBOID GLOSSITIS IS ASSOCIATED WITH A
CHRONIC FUNGAL INFECTION FROM CANDIDA ALBICANS. SOMETIMES THE CONDITION
RESOLVES WITH ANTIFUNGAL THERAPY. FISSURED TONGUE IS SEEN IN 5% OF THE
POPULATION. IT IS A VARIANT OF NORMAL. GENETIC FACTORS ARE TYPICALLY
ASSOCIATED WITH THE CONDITION. BLACK HAIRY TONGUE IS CAUSED BY A
REACTION TO CHEMICALS, TOBACCO, HYDROGEN PEROXIDE, OR ANTACIDS. THE
FILIFORM PAPILLAE ON THE DORSAL TONGUE BECOME ELONGATED AND ARE DARK
BROWN TO BLACK.
REF: GEOGRAPHIC TONGUE, PAGE 24 OBJ: 7
5. THIS BONY HARD STRUCTURE IN THE MIDLINE OF THE HARD PALATE IS GENETIC IN
ORIGIN AND INHERITED IN AN AUTOSOMAL DOMINANT MANNER. THE DIAGNOSIS
IS MADE THROUGH CLINICAL APPEARANCE. WHICH CONDITION IS SUSPECTED?
STUDYBYTE
a. PALATAL CYST
b. TORUS PALATINUS
c. MIXED TUMOR
d. RANULA
ANSWER; B
A TORUS PALATINUS IS DEVELOPMENTAL AND BONY HARD AND IS FOUND ON THE
MIDLINE OF THE PALATE. DIAGNOSIS IS MADE ON THE BASIS OF CLINICAL
APPEARANCE. A PALATAL CYST APPEARS RADIOLUCENT ON A RADIOGRAPHIC
EXAMINATION AND IS NOT DIAGNOSED THROUGH CLINICAL APPEARANCE. A MIXED
TUMOR OR PLEOMORPHIC ADENOMA IS A BENIGN TUMOR OF SALIVARY GLAND
ORIGIN, FOUND UNILATERALLY OFF THE MIDLINE OF THE HARD PALATE. IT IS
COMPOSED OF TUMOR TISSUE THAT IS NOT BONY HARD TO PALPATION.
RANULA IS A TERM USED FOR A MUCOCELE-LIKE LESION THAT FORMS
UNILATERALLY ON THE FLOOR OF THE MOUTH.
REF: TORUS PALATINUS, PAGE 21 OBJ: 4
EDITION – TEST BANK
BY OLGA A. C. IBSEN RDH MS (AUTHOR), SCOTT PETERS DDS (AUTHOR)
,TABLE OF CONTENTS
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
,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
ANSWER; 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.
ANSWER; D
SESSILE DESCRIBES THE BASE OF A LESION THAT IS FLAT AND BROAD. AN ULCER IS A
BREAK IN THE SURFACE
EPITHELIUM. A STEMLIKE LESIO NNISURREFSEI
R RN
E DGTK
O IA SNPGE.
D UCNOC UML 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
ANSWER; 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
, a. MEDIAN RHOMBOID GLOSSITIS.
b. BENIGN MIGRATORY GLOSSITIS.
c. FISSURED TONGUE.
d. BLACK HAIRY TONGUE.
ANSWER; B
BENIGN MIGRATORY GLOSSITIS IS ANOTHER NAME FOR GEOGRAPHIC TONGUE.
RESEARCH SUGGESTS THAT MEDIAN RHOMBOID GLOSSITIS IS ASSOCIATED WITH A
CHRONIC FUNGAL INFECTION FROM CANDIDA ALBICANS. SOMETIMES THE CONDITION
RESOLVES WITH ANTIFUNGAL THERAPY. FISSURED TONGUE IS SEEN IN 5% OF THE
POPULATION. IT IS A VARIANT OF NORMAL. GENETIC FACTORS ARE TYPICALLY
ASSOCIATED WITH THE CONDITION. BLACK HAIRY TONGUE IS CAUSED BY A
REACTION TO CHEMICALS, TOBACCO, HYDROGEN PEROXIDE, OR ANTACIDS. THE
FILIFORM PAPILLAE ON THE DORSAL TONGUE BECOME ELONGATED AND ARE DARK
BROWN TO BLACK.
REF: GEOGRAPHIC TONGUE, PAGE 24 OBJ: 7
5. THIS BONY HARD STRUCTURE IN THE MIDLINE OF THE HARD PALATE IS GENETIC IN
ORIGIN AND INHERITED IN AN AUTOSOMAL DOMINANT MANNER. THE DIAGNOSIS
IS MADE THROUGH CLINICAL APPEARANCE. WHICH CONDITION IS SUSPECTED?
STUDYBYTE
a. PALATAL CYST
b. TORUS PALATINUS
c. MIXED TUMOR
d. RANULA
ANSWER; B
A TORUS PALATINUS IS DEVELOPMENTAL AND BONY HARD AND IS FOUND ON THE
MIDLINE OF THE PALATE. DIAGNOSIS IS MADE ON THE BASIS OF CLINICAL
APPEARANCE. A PALATAL CYST APPEARS RADIOLUCENT ON A RADIOGRAPHIC
EXAMINATION AND IS NOT DIAGNOSED THROUGH CLINICAL APPEARANCE. A MIXED
TUMOR OR PLEOMORPHIC ADENOMA IS A BENIGN TUMOR OF SALIVARY GLAND
ORIGIN, FOUND UNILATERALLY OFF THE MIDLINE OF THE HARD PALATE. IT IS
COMPOSED OF TUMOR TISSUE THAT IS NOT BONY HARD TO PALPATION.
RANULA IS A TERM USED FOR A MUCOCELE-LIKE LESION THAT FORMS
UNILATERALLY ON THE FLOOR OF THE MOUTH.
REF: TORUS PALATINUS, PAGE 21 OBJ: 4