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?
TESTBANK ORAL PATHOLOGY FOR a. Bulla
b. Vesicle
THE DENTAL HYGIENIST7TH c. Lobule
d. Pustule
EDITION IBSEN UPDATED 2025: ANS: C
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
CORRECT QUESTIONS AND 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.
ANSWERS 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 lesionNiUs rRefSeI
rrN
edGtK
oIasNpGe.
duCnO
cuMlated. 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 TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
a. median rhomboid glossitis. 6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
b. benign migratory glossitis. of normal that requires no treatment and is termed
c. fissured tongue. a. linea alba.
d. black hairy tongue. b. leukoedema.
c. leukoplakia.
ANS: B
d. white sponge nevus.
Benign migratory glossitis is another name for geographic tongue. Research suggests that
median rhomboid glossitis is associated with a chronic fungal infection from Candida ANS: B
albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
5% of the population. It is a variant of normal. Genetic factors are typically associated with individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
the condition. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen along the occlusal plane. It is most prominent in patients who have a clenching or grinding
peroxide, or antacids. The filiform papillae on the dorsal tongue become elongated and are habit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White
dark brown to black. 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: Geographic Tongue, page 24 OBJ: 7
REF: Leukoedema, page 23 OBJ: 8
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 7. Which condition most likely responds to therapeutic diagnosis?
condition is suspected? 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
NURSINGKING.COM elevated serum alkaline phospNhUatRaS
seIleNvGelKcIoN
ntG
ri.
buCteOsMsignificantly 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
a. Palatal cyst medication is the likely cause?
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.
a. Dilantin
REF: Torus Palatinus, page 21 OBJ: 4
b. Nifedipine
c. Quinidine
d. Clozapine
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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
Fordyce granules are diagnosed on the basis of their clinical appearance. They are ectopic
ANS: B
Nifedipine is a calcium channel blocker. Dilantin is an anticonvulsant used to prevent or sebaceous glands seen on the lips and buccal mucosa. Clinically, they appear as yellow
control seizures. Quinidine is an antiarrhythmic agent used to treat cardiac arrhythmias. lobules in clusters and are considered a variant of normal. Unerupted mesiodens requires a
Clozapine is an antipsychotic used in the management of psychotic symptoms in radiographic image for diagnosis. Periapical cemento-osseous dysplasia requires a
schizophrenia. radiographic image, specific patient history, and a pulp test to evaluate tooth vitality.
Traumatic bone cyst requires a radiographic image and surgical intervention to establish a
REF: Historical Diagnosis, Fig. 1.38, page 17 OBJ: 3 diagnosis.
9. Radiographic features, including cotton-wool radiopacities and hypercementosis, are REF: Clinical Diagnosis, page 7 | Fordyce Granules, page 20 OBJ: 3
especially helpful in the diagnosis of
a. Paget disease. 12. Retrocuspid papillae are located on the
a. palate.
b. dentinogenesis imperfecta.
b. floor of the mouth.
c. anemia.
c. gingival margin of the lingual aspect of mandibular cuspids.
d. diabetes.
d. canine eminence.
ANS: A
Paget disease is a chronic metabolic bone disease. Radiographically, cotton-wool radiopacities ANS: C
and hypercementosis are characteristic features. Dentinogenesis imperfecta is a genetic Retrocuspid papillae are located on the gingival margin of the lingual aspect of mandibular
condition involving a defect in the development of dentin. Anemia, a decrease in red blood cuspids. Retrocuspid papillae are not located on the palate. Retrocuspid papillae are not
cells, requires blood tests to determine the etiologic factors. Diabetes is a chronic disorder of located on the floor of the mouth. Retrocuspid papillae are not located on the canine
carbohydrate metabolism characterized by abnormally high blood glucose levels. eminence.
REF: Retrocuspid Papilla, page 22 OBJ: 3
REF: Laboratory Diagnosis, Fig. 1.40, pages 16, 18 OBJ: 3
13. Which condition is not considered a variant of normal?
10. In internal resorption, the radiolucency seen on radiographic examination is usually
a. Fordyce granules
a. well circumscribed.
b. Leukoedema
b. diffuse. NURSINGKING.COM NURSINGKING.COM
c. Linea alba
c. multilocular.
d. Pyogenic granuloma
d. unilocular.
ANS: D
ANS: B
Diffuse borders are ill defined, making it impossible to detect the exact parameters of the Pyogenic granuloma is a reactive inflammatory response to injury. It is not a variant of
lesion. Therefore treatment is more difficult. Well circumscribed describes borders that are normal. Fordyce granules are seen in more than 80% of adults over 20 years of age and are
specifically defined. Exact margins of the lesion are identified. Multilocular has also been considered a variant of normal. Leukoedema is observed in about 85% of black individuals
described as resembling “soap bubbles”; lobes seem to fuse together to make up the lesion. and is considered a variant of normal. Linea alba is located on the buccal mucosa along the
This term has been used to describe the odontogenic keratocyst. Unilocular means having one occlusal plane of the teeth. It is most prominent in patients who have a clenching or bruxism
compartment or unit that is well defined. This term is often used to describe the radicular cyst. habit. It is so common that it is considered a variant of normal.
REF: Box 1-1, Case Study, page 20 | Variants of Normal, pages 21-23
REF: Vocabulary, Radiographic Terms Used to Describe Lesions in Bone, page 5
OBJ: 6
OBJ: 1
14. When antifungal therapy is used to treat angular cheilitis, which diagnostic process is being
11. Which condition is diagnosed through clinical appearance?
a. Fordyce granules applied?
a. Microscopic
b. Unerupted mesiodens
b. Laboratory
c. Periapical cemento-osseous dysplasia
c. Surgical
d. Traumatic bone cyst
d. Therapeutic
ANS: A
ANS: D
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Therapeutic diagnosis is used here in the treatment and management of angular cheilitis, REF: Historical Diagnosis, page 15 OBJ: 3
which is most commonly a fungal condition. A careful patient history should be obtained to
rule out a contributory nutritional deficiency. Microscopic diagnosis requires a biopsy. 18. Ectopic geographic tongue can be found in which location?
Laboratory diagnosis involves the use of clinical laboratory tests, including blood chemistries a. On the lateral border of the tongue
and urinalysis. Surgical diagnosis requires surgical intervention. b. Within bone
c. On mucosal surfaces other than the tongue
REF: Therapeutic Diagnosis, page 18 OBJ: 3 d. The dorsal surface of the tongue
ANS: C
15. A lesion with a stemlike base is described as
a. sessile. Ectopic geographic tongue is also called stomatitis areata migrans and is found on mucosal
b. macular. surfaces other than the tongue. Geographic tongue may be seen on any surface of the tongue,
c. pedunculated. including the lateral borders. Ectopic geographic tongue is a mucosal condition and is
d. lobulated. unrelated to the bone. Geographic tongue may be seen on any mucosal surface and is
commonly seen on the dorsal surface of the tongue.
ANS: C
Pedunculated means the lesion has a stemlike or stalklike base similar to that of a mushroom. REF: Geographic Tongue, page 24 OBJ: 7
A sessile base is broad and flat. A macular lesion is flat, does not protrude, and is
distinguished by its color. A freckle is an example of a macule. Lobulated means the lesion 19. A Stafne bone cyst contains
consists of lobules making up the whole. a. salivary gland tissue.
b. an empty void.
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1 c. inflammatory cells.
OBJ: 8 d. an epithelium-lined cyst containing serous fluid.
16. A small, circumscribed lesion, usually less than 1 cm in diameter, that is elevated or protrudes ANS: A
above the surface of normal surrounding tissue is termed a Stafne bone cyst is a developmental invagination in the lingual aspect of the mandible that is
a. papule. filled with salivary gland tissue. An empty void describes the contents of a traumatic bone
b. macule. cyst. A Stafne bone cyst has no inflammatory response. It is developmental and requires no
c. vesicle. NURSINGKING.COM treatment. A Stafne bone cystNiUsRnoSt I
aNtrG
ueKcIyN
stGa.
ndCdOoM
es not have an epithelial lining. It
d. bulla. contains normal salivary gland tissue.
ANS: A REF: Surgical Diagnosis, page 18 OBJ: 3
A papule is defined as a small circumscribed lesion, usually less than 1 cm in diameter, that is
elevated or protrudes above the surface of normal surrounding tissue. A macule is flat and 20. Which papillae are elongated in the condition black hairy tongue?
does not protrude above the surface of normal tissue. A vesicle is elevated and contains serous a. Circumvallate
fluid. A bulla is elevated, contains serous fluid, and looks like a blister. b. Foliate
c. Filiform
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1 d. Fungiform
OBJ: 1
ANS: C
17. Which condition is considered a genetic/inherited disorder? The filiform papillae are composed primarily of keratin and are the papillae that elongate in
a. Linea alba black hairy tongue. Circumvallate papillae on the posterior dorsal tongue do not elongate.
b. Amelogenesis imperfecta Foliate papillae are located on the posterior lateral borders of the tongue. They are vertical,
c. Necrotizing ulcerative gingivitis slightly exophytic folds of tissue located in the same area as the lingual lymphoid tissue
d. Internal resorption (lingual tonsils) and do not elongate. Fungiform papillae on the dorsal areas do not elongate.
ANS: B REF: Hairy Tongue, page 24 OBJ: 3
Amelogenesis imperfecta represents a group of inherited conditions affecting the enamel of
teeth. Linea alba is a variant of normal characterized by the white line that extends 21. Diagnosis of anemia is best accomplished through which examination?
anteroposteriorly on the buccal mucosa, along the occlusal plane. Necrotizing ulcerative a. Laboratory tests
gingivitis is an ulcerating gingival condition caused by anaerobic bacteria. Internal resorption b. Evaluation of the color of the gingiva
is usually associated with an inflammatory response in the pulp. c. Bleeding on probing
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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?
TESTBANK ORAL PATHOLOGY FOR a. Bulla
b. Vesicle
THE DENTAL HYGIENIST7TH c. Lobule
d. Pustule
EDITION IBSEN UPDATED 2025: ANS: C
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
CORRECT QUESTIONS AND 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.
ANSWERS 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 lesionNiUs rRefSeI
rrN
edGtK
oIasNpGe.
duCnO
cuMlated. 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 TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
a. median rhomboid glossitis. 6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
b. benign migratory glossitis. of normal that requires no treatment and is termed
c. fissured tongue. a. linea alba.
d. black hairy tongue. b. leukoedema.
c. leukoplakia.
ANS: B
d. white sponge nevus.
Benign migratory glossitis is another name for geographic tongue. Research suggests that
median rhomboid glossitis is associated with a chronic fungal infection from Candida ANS: B
albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
5% of the population. It is a variant of normal. Genetic factors are typically associated with individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
the condition. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen along the occlusal plane. It is most prominent in patients who have a clenching or grinding
peroxide, or antacids. The filiform papillae on the dorsal tongue become elongated and are habit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White
dark brown to black. 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: Geographic Tongue, page 24 OBJ: 7
REF: Leukoedema, page 23 OBJ: 8
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 7. Which condition most likely responds to therapeutic diagnosis?
condition is suspected? 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
NURSINGKING.COM elevated serum alkaline phospNhUatRaS
seIleNvGelKcIoN
ntG
ri.
buCteOsMsignificantly 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
a. Palatal cyst medication is the likely cause?
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.
a. Dilantin
REF: Torus Palatinus, page 21 OBJ: 4
b. Nifedipine
c. Quinidine
d. Clozapine
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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
Fordyce granules are diagnosed on the basis of their clinical appearance. They are ectopic
ANS: B
Nifedipine is a calcium channel blocker. Dilantin is an anticonvulsant used to prevent or sebaceous glands seen on the lips and buccal mucosa. Clinically, they appear as yellow
control seizures. Quinidine is an antiarrhythmic agent used to treat cardiac arrhythmias. lobules in clusters and are considered a variant of normal. Unerupted mesiodens requires a
Clozapine is an antipsychotic used in the management of psychotic symptoms in radiographic image for diagnosis. Periapical cemento-osseous dysplasia requires a
schizophrenia. radiographic image, specific patient history, and a pulp test to evaluate tooth vitality.
Traumatic bone cyst requires a radiographic image and surgical intervention to establish a
REF: Historical Diagnosis, Fig. 1.38, page 17 OBJ: 3 diagnosis.
9. Radiographic features, including cotton-wool radiopacities and hypercementosis, are REF: Clinical Diagnosis, page 7 | Fordyce Granules, page 20 OBJ: 3
especially helpful in the diagnosis of
a. Paget disease. 12. Retrocuspid papillae are located on the
a. palate.
b. dentinogenesis imperfecta.
b. floor of the mouth.
c. anemia.
c. gingival margin of the lingual aspect of mandibular cuspids.
d. diabetes.
d. canine eminence.
ANS: A
Paget disease is a chronic metabolic bone disease. Radiographically, cotton-wool radiopacities ANS: C
and hypercementosis are characteristic features. Dentinogenesis imperfecta is a genetic Retrocuspid papillae are located on the gingival margin of the lingual aspect of mandibular
condition involving a defect in the development of dentin. Anemia, a decrease in red blood cuspids. Retrocuspid papillae are not located on the palate. Retrocuspid papillae are not
cells, requires blood tests to determine the etiologic factors. Diabetes is a chronic disorder of located on the floor of the mouth. Retrocuspid papillae are not located on the canine
carbohydrate metabolism characterized by abnormally high blood glucose levels. eminence.
REF: Retrocuspid Papilla, page 22 OBJ: 3
REF: Laboratory Diagnosis, Fig. 1.40, pages 16, 18 OBJ: 3
13. Which condition is not considered a variant of normal?
10. In internal resorption, the radiolucency seen on radiographic examination is usually
a. Fordyce granules
a. well circumscribed.
b. Leukoedema
b. diffuse. NURSINGKING.COM NURSINGKING.COM
c. Linea alba
c. multilocular.
d. Pyogenic granuloma
d. unilocular.
ANS: D
ANS: B
Diffuse borders are ill defined, making it impossible to detect the exact parameters of the Pyogenic granuloma is a reactive inflammatory response to injury. It is not a variant of
lesion. Therefore treatment is more difficult. Well circumscribed describes borders that are normal. Fordyce granules are seen in more than 80% of adults over 20 years of age and are
specifically defined. Exact margins of the lesion are identified. Multilocular has also been considered a variant of normal. Leukoedema is observed in about 85% of black individuals
described as resembling “soap bubbles”; lobes seem to fuse together to make up the lesion. and is considered a variant of normal. Linea alba is located on the buccal mucosa along the
This term has been used to describe the odontogenic keratocyst. Unilocular means having one occlusal plane of the teeth. It is most prominent in patients who have a clenching or bruxism
compartment or unit that is well defined. This term is often used to describe the radicular cyst. habit. It is so common that it is considered a variant of normal.
REF: Box 1-1, Case Study, page 20 | Variants of Normal, pages 21-23
REF: Vocabulary, Radiographic Terms Used to Describe Lesions in Bone, page 5
OBJ: 6
OBJ: 1
14. When antifungal therapy is used to treat angular cheilitis, which diagnostic process is being
11. Which condition is diagnosed through clinical appearance?
a. Fordyce granules applied?
a. Microscopic
b. Unerupted mesiodens
b. Laboratory
c. Periapical cemento-osseous dysplasia
c. Surgical
d. Traumatic bone cyst
d. Therapeutic
ANS: A
ANS: D
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, TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
Therapeutic diagnosis is used here in the treatment and management of angular cheilitis, REF: Historical Diagnosis, page 15 OBJ: 3
which is most commonly a fungal condition. A careful patient history should be obtained to
rule out a contributory nutritional deficiency. Microscopic diagnosis requires a biopsy. 18. Ectopic geographic tongue can be found in which location?
Laboratory diagnosis involves the use of clinical laboratory tests, including blood chemistries a. On the lateral border of the tongue
and urinalysis. Surgical diagnosis requires surgical intervention. b. Within bone
c. On mucosal surfaces other than the tongue
REF: Therapeutic Diagnosis, page 18 OBJ: 3 d. The dorsal surface of the tongue
ANS: C
15. A lesion with a stemlike base is described as
a. sessile. Ectopic geographic tongue is also called stomatitis areata migrans and is found on mucosal
b. macular. surfaces other than the tongue. Geographic tongue may be seen on any surface of the tongue,
c. pedunculated. including the lateral borders. Ectopic geographic tongue is a mucosal condition and is
d. lobulated. unrelated to the bone. Geographic tongue may be seen on any mucosal surface and is
commonly seen on the dorsal surface of the tongue.
ANS: C
Pedunculated means the lesion has a stemlike or stalklike base similar to that of a mushroom. REF: Geographic Tongue, page 24 OBJ: 7
A sessile base is broad and flat. A macular lesion is flat, does not protrude, and is
distinguished by its color. A freckle is an example of a macule. Lobulated means the lesion 19. A Stafne bone cyst contains
consists of lobules making up the whole. a. salivary gland tissue.
b. an empty void.
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1 c. inflammatory cells.
OBJ: 8 d. an epithelium-lined cyst containing serous fluid.
16. A small, circumscribed lesion, usually less than 1 cm in diameter, that is elevated or protrudes ANS: A
above the surface of normal surrounding tissue is termed a Stafne bone cyst is a developmental invagination in the lingual aspect of the mandible that is
a. papule. filled with salivary gland tissue. An empty void describes the contents of a traumatic bone
b. macule. cyst. A Stafne bone cyst has no inflammatory response. It is developmental and requires no
c. vesicle. NURSINGKING.COM treatment. A Stafne bone cystNiUsRnoSt I
aNtrG
ueKcIyN
stGa.
ndCdOoM
es not have an epithelial lining. It
d. bulla. contains normal salivary gland tissue.
ANS: A REF: Surgical Diagnosis, page 18 OBJ: 3
A papule is defined as a small circumscribed lesion, usually less than 1 cm in diameter, that is
elevated or protrudes above the surface of normal surrounding tissue. A macule is flat and 20. Which papillae are elongated in the condition black hairy tongue?
does not protrude above the surface of normal tissue. A vesicle is elevated and contains serous a. Circumvallate
fluid. A bulla is elevated, contains serous fluid, and looks like a blister. b. Foliate
c. Filiform
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1 d. Fungiform
OBJ: 1
ANS: C
17. Which condition is considered a genetic/inherited disorder? The filiform papillae are composed primarily of keratin and are the papillae that elongate in
a. Linea alba black hairy tongue. Circumvallate papillae on the posterior dorsal tongue do not elongate.
b. Amelogenesis imperfecta Foliate papillae are located on the posterior lateral borders of the tongue. They are vertical,
c. Necrotizing ulcerative gingivitis slightly exophytic folds of tissue located in the same area as the lingual lymphoid tissue
d. Internal resorption (lingual tonsils) and do not elongate. Fungiform papillae on the dorsal areas do not elongate.
ANS: B REF: Hairy Tongue, page 24 OBJ: 3
Amelogenesis imperfecta represents a group of inherited conditions affecting the enamel of
teeth. Linea alba is a variant of normal characterized by the white line that extends 21. Diagnosis of anemia is best accomplished through which examination?
anteroposteriorly on the buccal mucosa, along the occlusal plane. Necrotizing ulcerative a. Laboratory tests
gingivitis is an ulcerating gingival condition caused by anaerobic bacteria. Internal resorption b. Evaluation of the color of the gingiva
is usually associated with an inflammatory response in the pulp. c. Bleeding on probing
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