Oral Pathology for the Dental Hygienist
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?
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\ le si o nNisUrRe fSeI
rr N
e dGtKo I
\ a sNpGe.
d uCnOc uMla 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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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
a. median\ rhomboid\ glossitis.
b. benign\ migratory\ glossitis.
c. fissured\ tongue.
d. black\ hairy\ tongue.
ANS:\ 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?
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a. Palatal\ cyst
b. Torus\ palatinus
c. Mixed\ tumor
d. Ranula
ANS:\ 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
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6. The\ gray-white\ opalescent\ film\ seen\ on\ the\ buccal\ mucosa\ of\ 85%\ of\ black\ adults\ is\ a\ variant\
of\ normal\ that\ requires\ no\ treatment\ and\ is\ termed
a. linea\ alba.
b. leukoedema.
c. leukoplakia.
d. white\ sponge\ nevus.
ANS:\ B
Leukoedema\ is\ a\ diffuse\ opalescence\ most\ commonly\ seen\ on\ the\ buccal\ mucosa\ in\ black
individuals.\ Linea\ alba\ is\ a\ “white\ line”\ that\ extends\ anteroposteriorly\ on\ the\ buccal\ mucosa\
along\ the\ occlusal\ plane.\ It\ is\ most\ prominent\ in\ patients\ who\ have\ a\ clenching\ or\ grinding\
habit.\ Leukoplakia\ is\ a\ clinical\ term\ for\ a\ white\ lesion,\ the\ cause\ of\ which\ is\ unknown.\ White\
sponge\ nevus\ is\ a\ genetic\ (autosomal\ dominant)\ trait.\ Clinically,\ it\ is\ characterized\ by\ a\ soft\
white,\ folded\ (or\ corrugated)\ oral\ mucosa.\ A\ thick\ layer\ of\ keratin\ produces\ the\ whitening.
REF:\ Leukoedema,\ page\ 23 OBJ:\ 8
7. Which\ condition\ most\ likely\ responds\ to\ therapeutic\ diagnosis?
a. Angular\ cheilitis
b. Amelogenesis\ imperfecta
c. Paget\ disease
d. Stafne\ bone\ cyst
ANS:\ A
Angular\ cheilitis\ most\ commonly\ responds\ to\ antifungal\ therapy\ once\ nutritional\ deficiencies\
have\ been\ ruled\ out.\ Amelogenesis\ imperfecta\ is\ a\ genetic\ condition\ associated\ with\ abnormal\
development\ of\ the\ enamel.\ Paget\ disease\ is\ a\ chronic\ metabolic\ bone\ disease.\ A\ highly\
elevated\ serum\ alkaline\ phos pNhUa tRa S
s eIl eNvGelKcIo N
n tG
ri .
b uCt eOs Ms i gni fica ntl y \ to\ the\ diagnosis.\ A\
Stafne
bone\ cyst\ is\ determined\ through\ surgical\ diagnosis\ in\ which\ entrapped\ salivary\ gland\ tissue\ is\
identified.
REF:\ Therapeutic\ Diagnosis,\ page\ 18 OBJ:\ 3
8. The\ gingival\ enlargement\ in\ this\ patient\ was\ caused\ by\ a\ calcium\ channel\ blocker.\ Which\
medication\ is\ the\ likely\ cause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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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?
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\ le si o nNisUrRe fSeI
rr N
e dGtKo I
\ a sNpGe.
d uCnOc uMla 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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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
a. median\ rhomboid\ glossitis.
b. benign\ migratory\ glossitis.
c. fissured\ tongue.
d. black\ hairy\ tongue.
ANS:\ 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?
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a. Palatal\ cyst
b. Torus\ palatinus
c. Mixed\ tumor
d. Ranula
ANS:\ 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
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, TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
6. The\ gray-white\ opalescent\ film\ seen\ on\ the\ buccal\ mucosa\ of\ 85%\ of\ black\ adults\ is\ a\ variant\
of\ normal\ that\ requires\ no\ treatment\ and\ is\ termed
a. linea\ alba.
b. leukoedema.
c. leukoplakia.
d. white\ sponge\ nevus.
ANS:\ B
Leukoedema\ is\ a\ diffuse\ opalescence\ most\ commonly\ seen\ on\ the\ buccal\ mucosa\ in\ black
individuals.\ Linea\ alba\ is\ a\ “white\ line”\ that\ extends\ anteroposteriorly\ on\ the\ buccal\ mucosa\
along\ the\ occlusal\ plane.\ It\ is\ most\ prominent\ in\ patients\ who\ have\ a\ clenching\ or\ grinding\
habit.\ Leukoplakia\ is\ a\ clinical\ term\ for\ a\ white\ lesion,\ the\ cause\ of\ which\ is\ unknown.\ White\
sponge\ nevus\ is\ a\ genetic\ (autosomal\ dominant)\ trait.\ Clinically,\ it\ is\ characterized\ by\ a\ soft\
white,\ folded\ (or\ corrugated)\ oral\ mucosa.\ A\ thick\ layer\ of\ keratin\ produces\ the\ whitening.
REF:\ Leukoedema,\ page\ 23 OBJ:\ 8
7. Which\ condition\ most\ likely\ responds\ to\ therapeutic\ diagnosis?
a. Angular\ cheilitis
b. Amelogenesis\ imperfecta
c. Paget\ disease
d. Stafne\ bone\ cyst
ANS:\ A
Angular\ cheilitis\ most\ commonly\ responds\ to\ antifungal\ therapy\ once\ nutritional\ deficiencies\
have\ been\ ruled\ out.\ Amelogenesis\ imperfecta\ is\ a\ genetic\ condition\ associated\ with\ abnormal\
development\ of\ the\ enamel.\ Paget\ disease\ is\ a\ chronic\ metabolic\ bone\ disease.\ A\ highly\
elevated\ serum\ alkaline\ phos pNhUa tRa S
s eIl eNvGelKcIo N
n tG
ri .
b uCt eOs Ms i gni fica ntl y \ to\ the\ diagnosis.\ A\
Stafne
bone\ cyst\ is\ determined\ through\ surgical\ diagnosis\ in\ which\ entrapped\ salivary\ gland\ tissue\ is\
identified.
REF:\ Therapeutic\ Diagnosis,\ page\ 18 OBJ:\ 3
8. The\ gingival\ enlargement\ in\ this\ patient\ was\ caused\ by\ a\ calcium\ channel\ blocker.\ Which\
medication\ is\ the\ likely\ cause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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