TEST BANK
Oral Pathology for the Dental Hygienist:
With General Pathology Introductions, 8th Edition
by Ibsen and Peters, Chapters 1 - 10, Complete
TEST BANK
,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 LesionsIbsen: 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, elevatedlesion 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 lesion is referred to as pedunculated. A pedunculated lesion is stemlikeor stalk-
based (similar to a mushroom).
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1OBJ: 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 whichtooth
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.
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 in5% 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 inan
autosomal dominant manner. The diagnosis is made through clinical appearance. Which condition is
suspected?
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 orpleomorphic 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 themouth.
REF: Torus Palatinus, page 21 OBJ: 4
6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variantof 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. Whitesponge 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
Oral Pathology for the Dental Hygienist:
With General Pathology Introductions, 8th Edition
by Ibsen and Peters, Chapters 1 - 10, Complete
TEST BANK
,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 LesionsIbsen: 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, elevatedlesion 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 lesion is referred to as pedunculated. A pedunculated lesion is stemlikeor stalk-
based (similar to a mushroom).
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1OBJ: 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 whichtooth
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.
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 in5% 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 inan
autosomal dominant manner. The diagnosis is made through clinical appearance. Which condition is
suspected?
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 orpleomorphic 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 themouth.
REF: Torus Palatinus, page 21 OBJ: 4
6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variantof 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. Whitesponge 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
