Test Bank for Oral Pathology for the Dental Hygienist 7th Edition – Ibsen | Complete Chapters | Verified Exam Questions & Answers

,Chapter301:3Introduction3to3Preliminary3Diagnosis3of3Oral3Lesions3Ibse
n:3Oral3Pathology3for3the3Dental3Hygienist,37th3Edition


MULTIPLE3CHOICE

1. Which3descriptive3term3is3described3as3a3segment3that3is3part3of3the3whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:3 C
A3lobule3is3described3as3a3segment3or3lobe3that3is3part3of3a3whole.3A3bulla3is3a3large,3elevated
3lesion3that3contains3serous3fluid3and3may3look3like3a3blister.3A3vesicle 3is3a3small,3elevated3le
sion3that3contains3serous3fluid.3Pustules3are3circumscribed3elevations3containing3pus.

REF:3 Vocabulary, 3Clinical3of3Soft3Tissue3Lesions,3page31 OBJ:3 1

2. A3lesion3with3a3sessile3base3is3described3as
a. an3ulcer.
b. stemlike.
c. pedunculated.
d. flat3and3broad.
ANS:3 D
Sessile3describes3the3base3of3a3lesion3that3is3flat3and3broad.3An3ulcer3is3a3break3in3the3surface3
epithelium.3A3stemlike3lesion3is3referred3to3as3pedunculated.3A3pedunculated3lesion3is3stemlik
e3or3stalk-based3(similar3to3a3mushroom).

REF:3Vocabulary,3Clinical3Appearance3of3Soft3Tissue3Lesions,3page313
OBJ:31

3. Which3condition3is3not3diagnosed3through3clinical3appearance?
a. Mandibular3tori
b. Fordyce3granules
c. Black3hairy3tongue
d. Compound3odontoma
ANS:3 D
The3compound3odontoma3is3initially3identified3radiographically3as3a3radiopaque3area3in3whic
h3tooth3structure3can3be3identified.3No3clinical3component3exists.3Mandibular3tori3are3identifi
ed3clinically3as3areas3of3exostosis3on3the3lingual3aspects3of3mandibular3premolars.3Fordyce3g
ranules3are3yellow3clusters3of3ectopic3sebaceous3glands3diagnosed3through3clinical3appearanc
e.3Black3hairy3tongue3is3diagnosed3clinically.3The3filiform3papillae3on3the3dorsal3tongue3elon
gate3and3become3brown3or3black.3Causes3include3tobacco,3alcohol,3hydrogen3peroxide,3chem
ical3rinses,3antibiotics,3and3antacids.

REF:3 Radiographic3Diagnosis,3page39 OBJ:3 3

4. Another3name3for3geographic3tongue3is

, a. median3rhomboid3glossitis.
b. benign3migratory3glossitis.
c. fissured3tongue.
d. black3hairy3tongue.
ANS:3 B
Benign3migratory3glossitis3is3another3name3for3geographic3tongue.3Research3suggests3that3m
edian3rhomboid3glossitis3is3associated3with3a3chronic3fungal3infection3from3Candida3albican
s.3Sometimes3the3condition3resolves3with3antifungal3therapy.3Fissured3tongue3is3seen3in35%3o
f3the3population.3It3is3a3variant3of3normal.3Genetic3factors3are3typically3associated3with3the3c
ondition.3Black3hairy3tongue3is3caused3by3a3reaction3to3chemicals,3tobacco,3hydrogen3peroxi
de,3or3antacids.3The3filiform3papillae3on3the3dorsal3tongue3become3elongated3and3are3dark3br
own3to3black.

REF:3 Geographic3Tongue,3page324 OBJ:3 7

5. This3bony3hard3structure3in3the3midline3of3the3hard3palate3is3genetic3in3origin3and3inherited3
in3an3autosomal3dominant3manner.3The3diagnosis3is3made3through3clinical3appearance.3Whi
ch3condition3is3suspected?
a. Palatal3cyst
b. Torus3palatinus
c. Mixed3tumor
d. Ranula
ANS:3 B
A3torus3palatinus3is3developmental3and3bony3hard3and3is3found3on3the3midline3of3the3palate.3
Diagnosis3is3made3on3the3basis3of3clinical3appearance.3A3palatal3cyst3appears3radiolucent3on3
a3radiographic3examination3and3is3not3diagnosed3through3clinical3appearance.3A3mixed3tumor
3or3pleomorphic 3adenoma 3is3a3benign3tumor3of3salivary3gland3origin,3found3unilaterally3off3t

he3midline3of3the3hard3palate.3It3is3composed3of3tumor3tissue3that3is3not3bony3hard3to3palpati
on.
Ranula3is3a3term3used3for3a3mucocele-
like3lesion3that3forms3unilaterally3on3the3floor3of3the3mouth.

REF:3 Torus3Palatinus,3page321 OBJ:3 4

6. The3gray-
white3opalescent3film3seen3on3the3buccal3mucosa3of385%3of3black3adults3is3a3variant3of3nor
mal3that3requires3no3treatment3and3is3termed
a. linea3alba.
b. leukoedema.
c. leukoplakia.
d. white3sponge3nevus.
ANS:3 B
Leukoedema3is3a3diffuse3opalescence3most3commonly3seen3on3the3buccal3mucosa3in3black3in
dividuals.3Linea3alba3is3a3“white3line”3that3extends3anteroposteriorly3on3the3buccal3mucosa3al
ong3the3occlusal3plane.3It3is3most3prominent3in3patients3who3have3a3clenching3or3grinding3ha
bit.3Leukoplakia3is3a3clinical3term3for3a3white3lesion,3the3cause3of3which3is3unknown.3White3s
ponge3nevus3is3a3genetic3(autosomal3dominant)3trait.3Clinically,3it3is3characterized3by3a3soft3
white,3folded3(or3corrugated)3oral3mucosa.3A3thick3layer3of3keratin3produces3the3whitening.

REF:3 Leukoedema,3page323 OBJ:3 8

, 7. Which3condition3most3likely3responds3to3therapeutic3diagnosis?
a. Angular3cheilitis
b. Amelogenesis3imperfecta
c. Paget3disease
d. Stafne3bone3cyst
ANS:3 A
Angular3cheilitis3most3commonly3responds3to3antifungal3therapy3once3nutritional3deficiencie
s3have3been3ruled3out.3Amelogenesis3imperfecta3is3a3genetic3condition3associated3with3abnor
mal3development3of3the3enamel.3Paget3disease3is3a3chronic3metabolic3bone3disease.3A3highly3
elevated3serum3alkaline3phosphatase3level3contributes3significantly3to3the3diagnosis.3A3Stafne
3bone3cyst3is3determined3through3surgical 3diagnosis3in3which3entrapped3salivary3gland3tissue 3
is3identified.

REF:3 Therapeutic3Diagnosis, 3page318 OBJ:3 3

8. The3gingival3enlargement3in3this3patient3was3caused3by3a3calcium3channel3blocke
r.3Which3medication3is3the3likely3cause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
ANS:3 B
Nifedipine3is3a3calcium3channel3blocker.3Dilantin3is3an3anticonvulsant3used3to3prevent3or3cont
rol3seizures.3Quinidine3is3an3antiarrhythmic3agent3used3to3treat3cardiac3arrhythmias.3Clozapin
e3is3an3antipsychotic3used3in3the3management3of3psychotic3symptoms3in3schizophrenia.

REF:3 Historical3Diagnosis,3Fig.31.38,3page317 OBJ:3 3

9. Radiographic3features,3including3cotton-
wool3radiopacities3and3hypercementosis,3are3especially3helpful3in3the3diagnosis3of
a. Paget3disease.
b. dentinogenesis3imperfecta.
c. anemia.
d. diabetes.
ANS:3 A
Paget3disease3is3a3chronic3metabolic3bone3disease.3Radiographically,3cotton-
wool3radiopacities3and3hypercementosis3are3characteristic3features.3Dentinogenesis3imperfecta
3is3a3genetic 3condition3involving3a3defect 3in3the3development 3of3dentin.3Anemia,3a3decrease 3in

3red3blood3cells,3requires3blood3tests3to3determine 3the3etiologic 3factors.3Diabetes3is3a3chronic 3d
isorder3of3carbohydrate3metabolism3characterized3by3abnormally3high3blood3glucose3levels.

REF:3 Laboratory3Diagnosis, 3Fig.31.40,3pages316,318 OBJ:3 3

10. In3internal3resorption,3the3radiolucency3seen3on3radiographic3examination3is3usually
a. well3circumscribed.
b. diffuse.