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 !|o f !|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 !|lesion !|is !|referred !|t o !|as !|pedunculated. !|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
, 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 !|t he !|condition !|resolves !|with !|a ntifungal !|t herapy. !|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?
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 !|e xamination !|a nd !|is !|not !|d iagnosed !|t hrough !|c linical !|appearance. !|A !|mixed
!|t umor !|o r !|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 !|t hat !|forms !|unilaterally !|o n !|the !|floor !|o f !|the
!|mouth.
REF: ! | Torus !|Palatinus, !|page !|21 OBJ: ! | 4
6. The !|gray-white !|opalescent !|film !|seen !|on !|t he !|buccal !|mucosa !|of !|85% !|o f !|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 !|c linical !|t erm !|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 !|o ut. !|Amelogenesis !|imperfecta !|is !|a !|genetic !|condition !|associated
!|w ith !|abnormal !|development !|of !|the !|enamel. !|Paget !|disease !|is !|a !|chronic !|metabolic !|bone
!|disease. !|A !|highly !|elevated !|serum !|alkaline !|phosphatase !|level !|contributes !|significantly !|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
ANS: ! | B
Nifedipine !|is !|a !|calcium !|channel !|blocker. !|Dilantin !|is !|an !|anticonvulsant !|used !|to !|prevent !|or
!|control !|seizures. !|Quinidine !|is !|an !|antiarrhythmic !|agent !|used !|to !|treat !|cardiac !|arrhythmias.
!|Clozapine !|is !|an !|antipsychotic !|used !|in !|the !| management !|of !|psychotic !|symptoms !|in
!|schizophrenia.
REF: ! | Historical !|Diagnosis, !|Fig. !|1.38, !|page !|17 OBJ: ! | 3
9. Radiographic !|features, !|including !|cotton-wool !|radiopacities !|and !|hypercementosis, !|are
!|especially !|helpful !|in !|the !|diagnosis !|of
a. Paget !|disease.
b. dentinogenesis !|imperfecta.
c. anemia.
d. diabetes.
ANS: ! | A
Paget !|disease !|is !|a !|chronic !|metabolic !|bone !|disease. !|Radiographically, !|cotton-wool !|radiopacities
!|and !|hypercementosis !|are !|characteristic !|features. !|Dentinogenesis !|imperfecta !|is !|a !|genetic
!|condition !|involving !|a !|defect !|in !|the !|development !|of !|dentin. !|Anemia, !|a !|decrease !|in !|red !|blood
!|cells, !|requires !|blood !|tests !|to !|determine !|the !|etiologic !|factors. !|Diabetes !|is !|a !|chronic !|disorder
!|of !|carbohydrate !|metabolism !|characterized !|by !|abnormally !|high !|blood !|glucose !|levels.
REF: ! | Laboratory !|Diagnosis, !|Fig. !|1.40, !|pages !|16, !|18 OBJ: ! | 3
10. In !|internal !|resorption, !|t he !|radiolucency !|seen !|o n !|radiographic !|examination !|is !|usually
a. well !|circumscribed.
b. diffuse.
!| !| !| !| !| !| !| !| !| !| !| !|
,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 !|o f !|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 !|lesion !|is !|referred !|t o !|as !|pedunculated. !|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
, 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 !|t he !|condition !|resolves !|with !|a ntifungal !|t herapy. !|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?
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 !|e xamination !|a nd !|is !|not !|d iagnosed !|t hrough !|c linical !|appearance. !|A !|mixed
!|t umor !|o r !|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 !|t hat !|forms !|unilaterally !|o n !|the !|floor !|o f !|the
!|mouth.
REF: ! | Torus !|Palatinus, !|page !|21 OBJ: ! | 4
6. The !|gray-white !|opalescent !|film !|seen !|on !|t he !|buccal !|mucosa !|of !|85% !|o f !|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 !|c linical !|t erm !|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 !|o ut. !|Amelogenesis !|imperfecta !|is !|a !|genetic !|condition !|associated
!|w ith !|abnormal !|development !|of !|the !|enamel. !|Paget !|disease !|is !|a !|chronic !|metabolic !|bone
!|disease. !|A !|highly !|elevated !|serum !|alkaline !|phosphatase !|level !|contributes !|significantly !|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
ANS: ! | B
Nifedipine !|is !|a !|calcium !|channel !|blocker. !|Dilantin !|is !|an !|anticonvulsant !|used !|to !|prevent !|or
!|control !|seizures. !|Quinidine !|is !|an !|antiarrhythmic !|agent !|used !|to !|treat !|cardiac !|arrhythmias.
!|Clozapine !|is !|an !|antipsychotic !|used !|in !|the !| management !|of !|psychotic !|symptoms !|in
!|schizophrenia.
REF: ! | Historical !|Diagnosis, !|Fig. !|1.38, !|page !|17 OBJ: ! | 3
9. Radiographic !|features, !|including !|cotton-wool !|radiopacities !|and !|hypercementosis, !|are
!|especially !|helpful !|in !|the !|diagnosis !|of
a. Paget !|disease.
b. dentinogenesis !|imperfecta.
c. anemia.
d. diabetes.
ANS: ! | A
Paget !|disease !|is !|a !|chronic !|metabolic !|bone !|disease. !|Radiographically, !|cotton-wool !|radiopacities
!|and !|hypercementosis !|are !|characteristic !|features. !|Dentinogenesis !|imperfecta !|is !|a !|genetic
!|condition !|involving !|a !|defect !|in !|the !|development !|of !|dentin. !|Anemia, !|a !|decrease !|in !|red !|blood
!|cells, !|requires !|blood !|tests !|to !|determine !|the !|etiologic !|factors. !|Diabetes !|is !|a !|chronic !|disorder
!|of !|carbohydrate !|metabolism !|characterized !|by !|abnormally !|high !|blood !|glucose !|levels.
REF: ! | Laboratory !|Diagnosis, !|Fig. !|1.40, !|pages !|16, !|18 OBJ: ! | 3
10. In !|internal !|resorption, !|t he !|radiolucency !|seen !|o n !|radiographic !|examination !|is !|usually
a. well !|circumscribed.
b. diffuse.
