TESTgBANKgFORgORALgPATHOLOGYg
FORgTHEgDENTALgHYGIENISTg7THgE
DITIONgIBSEN|gALLgCHAPTERSgINCL
UDEDgALREADYgGRADEDgA+
,TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
Chapterg01:gIntroductiongtogPreliminarygDiagnosisgofgOralgLesion
sgIbsen:gOralgPathologygforgthegDentalgHygienist,g7thgEdition
MULTIPLEgCHOICE
1. Whichgdescriptivegtermgisgdescribedgasgagsegmentgthatgisgpartgofgthegwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:gC
Aglobulegisgdescribedgasgagsegmentgorglobegthatgisgpartgofgagwhole.gAgbullagisgaglarg
e,gelevatedglesiongthatgcontainsgserousgfluidgandgmayglookglikegagblister.gAgvesiclegisg
agsmall,gelevatedglesiongthatgcontainsgserousgfluid.gPustulesgaregcircumscribedgelevation
sgcontaininggpus.
REF:g Vocabulary,gClinicalgofgSoftgTissuegLesions,gpageg1 OBJ:g1
2. Aglesiongwithgagsessilegbasegisgdescribedgas
a. angulcer.
b. stemlike.
c. pedunculated.
d. flatgandgbroad.
ANS:gD
Sessilegdescribesgthegbasegofgaglesiongthatgisgflatgandgbroad.gAngulcergisgagbreakgingt
hegsurfacegepithelium.gAgstemlikeglesio nNisUrRefSeI
r rN
e dGtK
ogIasNpGe.
duCnOcuMl at ed .gAgpedunculate
dg lesiongisgstemlikegorgstalk-basedg(similargtogagmushroom).
REF:gVocabulary,gClinicalgAppearancegofgSoftgTissuegLesions,gpa
geg1gOBJ:g1
3. Whichgconditiongisgnotgdiagnosedgthroughgclinicalgappearance?
a. Mandibulargtori
b. Fordyceggranules
c. Blackghairygtongue
d. Compoundgodontoma
ANS:gD
Thegcompoundgodontomagisginitiallygidentifiedgradiographicallygasgagradiopaquegareagin
gwhichgtoothgstructuregcangbegidentified.gNogclinicalgcomponentgexists.gMandibulargtori
garegidentifiedgclinicallygasgareasgofgexostosisgongtheglingualgaspectsgofgmandibulargpr
emolars.gFordyceggranulesgaregyellowgclustersgofgectopicgsebaceousgglandsgdiagnosedgt
hroughgclinicalgappearance.gBlackghairygtonguegisgdiagnosedgclinically.gThegfiliformgpa
pillaegongthegdorsalgtonguegelongategandgbecomegbrowngorgblack.gCausesgincludegtoba
cco,galcohol,ghydrogengperoxide,gchemicalgrinses,gantibiotics,gandgantacids.
REF:g RadiographicgDiagnosis,gpageg9 OBJ:g 3
4. Anothergnamegforggeographicgtonguegis
NURSINGKING.COM
,TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
a. mediangrhomboidgglossitis.
b. benigngmigratorygglossitis.
c. fissuredgtongue.
d. blackghairygtongue.
ANS:gB
Benigngmigratorygglossitisgisganothergnamegforggeographicgtongue.gResearchgsuggestsgt
hatgmediangrhomboidgglossitisgisgassociatedgwithgagchronicgfungalginfectiongfromgCand
idagalbicans.gSometimesgthegconditiongresolvesgwithgantifungalgtherapy.gFissuredgtongue
gisgseenging5%gofgthegpopulation.gItgisgagvariantgofgnormal.gGeneticgfactorsgaregtypica
llygassociatedgwithgthegcondition.gBlackghairygtonguegisgcausedgbygagreactiongtogchemi
cals,gtobacco,ghydrogengperoxide,gorgantacids.gThegfiliformgpapillaegongthegdorsalgtong
uegbecomegelongatedgandgaregdarkgbrowngtogblack.
REF:g GeographicgTongue,gpageg24 OBJ:g7
5. Thisgbonyghardgstructuregingthegmidlinegofgtheghardgpalategisggeneticgingorigingandgin
heritedgingangautosomalgdominantgmanner.gThegdiagnosisgisgmadegthroughgclinicalgap
pearance.gWhichgconditiongisgsuspected?
NURSINGKING.COM
a. Palatalgcyst
b. Torusgpalatinus
c. Mixedgtumor
d. Ranula
ANS:gB
Agtorusgpalatinusgisgdevelopmentalgandgbonyghardgandgisgfoundgongthegmidlinegofgthe
gpalate.gDiagnosisgisgmadegongthegbasisgofgclinicalgappearance.gAgpalatalgcystgappears
gradiolucentgongagradiographicgexaminationgandgisgnotgdiagnosedgthroughgclinicalgappea
rance.gAgmixedgtumorgorgpleomorphicgadenomagisgagbenigngtumorgofgsalivarygglandgo
rigin,gfoundgunilaterallygoffgthegmidlinegofgtheghardgpalate.gItgisgcomposedgofgtumorgti
ssuegthatgisgnotgbonyghardgtogpalpation.
Ranulagisgagtermgusedgforgagmucocele-
likeglesiongthatgformsgunilaterallygongthegfloorgofgthegmouth.
REF:g TorusgPalatinus,gpageg21 OBJ:g4
NURSINGKING.COM
, TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
6. Theggray-
whitegopalescentgfilmgseengongthegbuccalgmucosagofg85%gofgblackgadultsgisgagvariant
gofgnormalgthatgrequiresgnogtreatmentgandgisgtermed
a. lineagalba.
b. leukoedema.
c. leukoplakia.
d. whitegspongegnevus.
ANS:gB
Leukoedemagisgagdiffusegopalescencegmostgcommonlygseengongthegbuccalgmucosagingb
lackgindividuals.gLineagalbagisgag“whitegline”gthatgextendsganteroposteriorlygongthegbuc
calgmucosagalonggthegocclusalgplane.gItgisgmostgprominentgingpatientsgwhoghavegagcle
nchinggorggrindingghabit.gLeukoplakiagisgagclinicalgtermgforgagwhiteglesion,gthegcauseg
ofgwhichgisgunknown.gWhitegspongegnevusgisgaggeneticg(autosomalgdominant)gtrait.gCli
nically,gitgisgcharacterizedgbygagsoftgwhite,gfoldedg(orgcorrugated)goralgmucosa.gAgthic
kglayergofgkeratingproducesgthegwhitening.
REF:g Leukoedema,gpageg23 OBJ:g8
7. Whichgconditiongmostglikelygrespondsgtogtherapeuticgdiagnosis?
a. Angulargcheilitis
b. Amelogenesisgimperfecta
c. Pagetgdisease
d. Stafnegbonegcyst
ANS:gA
Angulargcheilitisgmostgcommonlygrespondsgtogantifungalgtherapygoncegnutritionalgdefici
enciesghavegbeengruledgout.gAmelogenesisgimperfectagisgaggeneticgconditiongassociatedg
withgabnormal
developmentgofgthegenamel.gPagetgdiseasegisgagchronicgmetabolicgbonegdisease.gAghig
hlygelevatedgserumgalkalinegpho spNhUatRaS
s eIleNvGelKcIo N
n tGri .
buCt eOs Msignificant lygtogthegdiagnosis.
gAgStafne
bonegcystgisgdeterminedgthroughgsurgicalgdiagnosisgingwhichgentrappedgsalivarygglandgtissue
gisgidentified.
REF:g TherapeuticgDiagnosis,gpageg18 OBJ:g3
8. Theggingivalgenlargementgingthisgpatientgwasgcausedgbygagcalciumgchannelgblocker.
gWhichgmedicationgisgtheglikelygcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
NURSINGKING.COM
FORgTHEgDENTALgHYGIENISTg7THgE
DITIONgIBSEN|gALLgCHAPTERSgINCL
UDEDgALREADYgGRADEDgA+
,TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
Chapterg01:gIntroductiongtogPreliminarygDiagnosisgofgOralgLesion
sgIbsen:gOralgPathologygforgthegDentalgHygienist,g7thgEdition
MULTIPLEgCHOICE
1. Whichgdescriptivegtermgisgdescribedgasgagsegmentgthatgisgpartgofgthegwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:gC
Aglobulegisgdescribedgasgagsegmentgorglobegthatgisgpartgofgagwhole.gAgbullagisgaglarg
e,gelevatedglesiongthatgcontainsgserousgfluidgandgmayglookglikegagblister.gAgvesiclegisg
agsmall,gelevatedglesiongthatgcontainsgserousgfluid.gPustulesgaregcircumscribedgelevation
sgcontaininggpus.
REF:g Vocabulary,gClinicalgofgSoftgTissuegLesions,gpageg1 OBJ:g1
2. Aglesiongwithgagsessilegbasegisgdescribedgas
a. angulcer.
b. stemlike.
c. pedunculated.
d. flatgandgbroad.
ANS:gD
Sessilegdescribesgthegbasegofgaglesiongthatgisgflatgandgbroad.gAngulcergisgagbreakgingt
hegsurfacegepithelium.gAgstemlikeglesio nNisUrRefSeI
r rN
e dGtK
ogIasNpGe.
duCnOcuMl at ed .gAgpedunculate
dg lesiongisgstemlikegorgstalk-basedg(similargtogagmushroom).
REF:gVocabulary,gClinicalgAppearancegofgSoftgTissuegLesions,gpa
geg1gOBJ:g1
3. Whichgconditiongisgnotgdiagnosedgthroughgclinicalgappearance?
a. Mandibulargtori
b. Fordyceggranules
c. Blackghairygtongue
d. Compoundgodontoma
ANS:gD
Thegcompoundgodontomagisginitiallygidentifiedgradiographicallygasgagradiopaquegareagin
gwhichgtoothgstructuregcangbegidentified.gNogclinicalgcomponentgexists.gMandibulargtori
garegidentifiedgclinicallygasgareasgofgexostosisgongtheglingualgaspectsgofgmandibulargpr
emolars.gFordyceggranulesgaregyellowgclustersgofgectopicgsebaceousgglandsgdiagnosedgt
hroughgclinicalgappearance.gBlackghairygtonguegisgdiagnosedgclinically.gThegfiliformgpa
pillaegongthegdorsalgtonguegelongategandgbecomegbrowngorgblack.gCausesgincludegtoba
cco,galcohol,ghydrogengperoxide,gchemicalgrinses,gantibiotics,gandgantacids.
REF:g RadiographicgDiagnosis,gpageg9 OBJ:g 3
4. Anothergnamegforggeographicgtonguegis
NURSINGKING.COM
,TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
a. mediangrhomboidgglossitis.
b. benigngmigratorygglossitis.
c. fissuredgtongue.
d. blackghairygtongue.
ANS:gB
Benigngmigratorygglossitisgisganothergnamegforggeographicgtongue.gResearchgsuggestsgt
hatgmediangrhomboidgglossitisgisgassociatedgwithgagchronicgfungalginfectiongfromgCand
idagalbicans.gSometimesgthegconditiongresolvesgwithgantifungalgtherapy.gFissuredgtongue
gisgseenging5%gofgthegpopulation.gItgisgagvariantgofgnormal.gGeneticgfactorsgaregtypica
llygassociatedgwithgthegcondition.gBlackghairygtonguegisgcausedgbygagreactiongtogchemi
cals,gtobacco,ghydrogengperoxide,gorgantacids.gThegfiliformgpapillaegongthegdorsalgtong
uegbecomegelongatedgandgaregdarkgbrowngtogblack.
REF:g GeographicgTongue,gpageg24 OBJ:g7
5. Thisgbonyghardgstructuregingthegmidlinegofgtheghardgpalategisggeneticgingorigingandgin
heritedgingangautosomalgdominantgmanner.gThegdiagnosisgisgmadegthroughgclinicalgap
pearance.gWhichgconditiongisgsuspected?
NURSINGKING.COM
a. Palatalgcyst
b. Torusgpalatinus
c. Mixedgtumor
d. Ranula
ANS:gB
Agtorusgpalatinusgisgdevelopmentalgandgbonyghardgandgisgfoundgongthegmidlinegofgthe
gpalate.gDiagnosisgisgmadegongthegbasisgofgclinicalgappearance.gAgpalatalgcystgappears
gradiolucentgongagradiographicgexaminationgandgisgnotgdiagnosedgthroughgclinicalgappea
rance.gAgmixedgtumorgorgpleomorphicgadenomagisgagbenigngtumorgofgsalivarygglandgo
rigin,gfoundgunilaterallygoffgthegmidlinegofgtheghardgpalate.gItgisgcomposedgofgtumorgti
ssuegthatgisgnotgbonyghardgtogpalpation.
Ranulagisgagtermgusedgforgagmucocele-
likeglesiongthatgformsgunilaterallygongthegfloorgofgthegmouth.
REF:g TorusgPalatinus,gpageg21 OBJ:g4
NURSINGKING.COM
, TESTgBANKgFORgORALgPATHOLOGYgFORgTHEgDENTALgHYGIENISTg7THgEDITIONgBYgIBSEN
6. Theggray-
whitegopalescentgfilmgseengongthegbuccalgmucosagofg85%gofgblackgadultsgisgagvariant
gofgnormalgthatgrequiresgnogtreatmentgandgisgtermed
a. lineagalba.
b. leukoedema.
c. leukoplakia.
d. whitegspongegnevus.
ANS:gB
Leukoedemagisgagdiffusegopalescencegmostgcommonlygseengongthegbuccalgmucosagingb
lackgindividuals.gLineagalbagisgag“whitegline”gthatgextendsganteroposteriorlygongthegbuc
calgmucosagalonggthegocclusalgplane.gItgisgmostgprominentgingpatientsgwhoghavegagcle
nchinggorggrindingghabit.gLeukoplakiagisgagclinicalgtermgforgagwhiteglesion,gthegcauseg
ofgwhichgisgunknown.gWhitegspongegnevusgisgaggeneticg(autosomalgdominant)gtrait.gCli
nically,gitgisgcharacterizedgbygagsoftgwhite,gfoldedg(orgcorrugated)goralgmucosa.gAgthic
kglayergofgkeratingproducesgthegwhitening.
REF:g Leukoedema,gpageg23 OBJ:g8
7. Whichgconditiongmostglikelygrespondsgtogtherapeuticgdiagnosis?
a. Angulargcheilitis
b. Amelogenesisgimperfecta
c. Pagetgdisease
d. Stafnegbonegcyst
ANS:gA
Angulargcheilitisgmostgcommonlygrespondsgtogantifungalgtherapygoncegnutritionalgdefici
enciesghavegbeengruledgout.gAmelogenesisgimperfectagisgaggeneticgconditiongassociatedg
withgabnormal
developmentgofgthegenamel.gPagetgdiseasegisgagchronicgmetabolicgbonegdisease.gAghig
hlygelevatedgserumgalkalinegpho spNhUatRaS
s eIleNvGelKcIo N
n tGri .
buCt eOs Msignificant lygtogthegdiagnosis.
gAgStafne
bonegcystgisgdeterminedgthroughgsurgicalgdiagnosisgingwhichgentrappedgsalivarygglandgtissue
gisgidentified.
REF:g TherapeuticgDiagnosis,gpageg18 OBJ:g3
8. Theggingivalgenlargementgingthisgpatientgwasgcausedgbygagcalciumgchannelgblocker.
gWhichgmedicationgisgtheglikelygcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
NURSINGKING.COM