,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
n n n n n n n n n n n n
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
n n n n n n n n
Ibsen: Oral Pathology for the Dental Hygienist, 8th Edition
n n n n n n n n n
MULTIPLE CHOICE n
1. Which descriptive term is described as a segment that is part of the whole?
n n n n n n n n n n n n n
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C n
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
n n n n n n n n n n n n n n n n n n n n
lesion that contains serous fluid and may look like a blister. A vesicle is a small, elevated
n n n n n n n n n n n n n n n n n
lesion that contains serous fluid. Pustules are circumscribed elevations containing pus.
n n n n n n n n n n n
REF: n Vocabulary, Clinical of Soft Tissue Lesions, page 1 n n n n n n n OBJ: 1 n
2. A lesion with a sessile base is described as
n n n n n n n n
a. an ulcer. n
b. stemlike.
c. pedunculated.
d. flat and broad. n n
ANS: D n
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
n n n n n n n n n n n n n n n n n n n
epithelium. A stemlike lesionNi sUrRefSeI
n rr N
edGtK
o Ia sNpGe.
n d uCnOcuMl a t e d. A pedunculated lesion is
n n n n n n n
stemlike or stalk-based (similar to a mushroom).
n n n n n n n
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
n n n n n n n n n
OBJ: 1
n n
3. Which condition is not diagnosed through clinical appearance?
n n n n n n n
a. Mandibular tori n
b. Fordyce granules n
c. Black hairy tongue n n
d. Compound odontoma n
ANS: D n
The compound odontoma is initially identified radiographically as a radiopaque area in which
n n n n n n n n n n n n
tooth structure can be identified. No clinical component exists. Mandibular tori are identified
n n n n n n n n n n n n n
clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce
n n n n n n n n n n n n n
granules are yellow clusters of ectopic sebaceous glands diagnosed through clinical
n n n n n n n n n n n
appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal
n n n n n n n n n n n n n
tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
n n n n n n n n n n n n
peroxide, chemical rinses, antibiotics, and antacids.
n n n n n n
REF: n Radiographic Diagnosis, page 9 n n n OBJ: 3 n
4. Another name for geographic tongue is n n n n n
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,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
n n n n n n n n n n n n
a. median rhomboid glossitis. n n
b. benign migratory glossitis. n n
c. fissured tongue. n
d. black hairy tongue. n n
ANS: B n
Benign migratory glossitis is another name for geographic tongue. Research suggests that
n n n n n n n n n n n
median rhomboid glossitis is associated with a chronic fungal infection from Candida
n n n n n n n n n n n n
albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in
n n n n n n n n n n n n n
5% of the population. It is a variant of normal. Genetic factors are typically associated with
n n n n n n n n n n n n n n n n
the condition. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen
n n n n n n n n n n n n n n
peroxide, or antacids. The filiform papillae on the dorsal tongue become elongated and are
n n n n n n n n n n n n n n
dark brown to black.
n n n n
REF: n Geographic Tongue, page 24 n n n OBJ: 7 n
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in
n n n n n n n n n n n n n n n n n
an autosomal dominant manner. The diagnosis is made through clinical appearance. Which
n n n n n n n n n n n n
condition is suspected?
n n n
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a. Palatal cyst n
b. Torus palatinus n
c. Mixed tumor n
d. Ranula
ANS: B n
A torus palatinus is developmental and bony hard and is found on the midline of the palate.
n n n n n n n n n n n n n n n n
Diagnosis is made on the basis of clinical appearance. A palatal cyst appears radiolucent on a
n n n n n n n n n n n n n n n n
radiographic examination and is not diagnosed through clinical appearance. A mixed tumor or
n n n n n n n n n n n n n
pleomorphic adenoma is a benign tumor of salivary gland origin, found unilaterally off the
n n n n n n n n n n n n n n
midline of the hard palate. It is composed of tumor tissue that is not bony hard to palpation.
n n n n n n n n n n n n n n n n n n
Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of the
n n n n n n n n n n n n n n n n
mouth.
n
REF: n Torus Palatinus, page 21 n n n OBJ: 4 n
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, TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
n n n n n n n n n n n n
6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
n n n n n n n n n n n n n n n n
of normal that requires no treatment and is termed
n n n n n n n n n
a. linea alba. n
b. leukoedema.
c. leukoplakia.
d. white sponge nevus. n n
ANS: B n
Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
n n n n n n n n n n n n n
individuals. Linea alba is a ―white line‖ that extends anteroposteriorly on the buccal mucosa
n n n n n n n n n n n n n
nalong the occlusal plane. It is most prominent in patients who have a clenching or grinding
n n n n n n n n n n n n n n n
nhabit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White
n n n n n n n n n n n n n n n n
nsponge nevus is a genetic (autosomal dominant) trait. Clinically, it is characterized by a soft
n n n n n n n n n n n n n n
nwhite, folded (or corrugated) oral mucosa. A thick layer of keratin produces the whitening.
n n n n n n n n n n n n n
REF: n Leukoedema, page 23 n n OBJ: 8 n
7. Which condition most likely responds to therapeutic diagnosis?
n n n n n n n
a. Angular cheilitis n
b. Amelogenesis imperfecta n
c. Paget disease n
d. Stafne bone cyst n n
ANS: A n
Angular cheilitis most commonly responds to antifungal therapy once nutritional deficiencies
n n n n n n n n n n
have been ruled out. Amelogenesis imperfecta is a genetic condition associated with abnormal
n n n n n n n n n n n n n
development of the enamel. Paget disease is a chronic metabolic bone disease. A highly
n n n n n n n n n n n n n n
elevated serum alkaline phospNhUatRa S
n n s eIleNvGelKcIo N
n tG
n ri .
b uCteOs Msignificantl y to the diagnosis. A
n n n n n
Stafne
n
bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
n n n n n n n n n n n n n
identified.
n
REF: n Therapeutic Diagnosis, page 18 n n n OBJ: 3 n
8. The gingival enlargement in this patient was caused by a calcium channel blocker. Which
n n n n n n n n n n n n n
medication is the likely cause?
n n n n n
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
NURSINGKING.COM
n n n n n n n n n n n n
Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions
n n n n n n n n
Ibsen: Oral Pathology for the Dental Hygienist, 8th Edition
n n n n n n n n n
MULTIPLE CHOICE n
1. Which descriptive term is described as a segment that is part of the whole?
n n n n n n n n n n n n n
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C n
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated
n n n n n n n n n n n n n n n n n n n n
lesion that contains serous fluid and may look like a blister. A vesicle is a small, elevated
n n n n n n n n n n n n n n n n n
lesion that contains serous fluid. Pustules are circumscribed elevations containing pus.
n n n n n n n n n n n
REF: n Vocabulary, Clinical of Soft Tissue Lesions, page 1 n n n n n n n OBJ: 1 n
2. A lesion with a sessile base is described as
n n n n n n n n
a. an ulcer. n
b. stemlike.
c. pedunculated.
d. flat and broad. n n
ANS: D n
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
n n n n n n n n n n n n n n n n n n n
epithelium. A stemlike lesionNi sUrRefSeI
n rr N
edGtK
o Ia sNpGe.
n d uCnOcuMl a t e d. A pedunculated lesion is
n n n n n n n
stemlike or stalk-based (similar to a mushroom).
n n n n n n n
REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
n n n n n n n n n
OBJ: 1
n n
3. Which condition is not diagnosed through clinical appearance?
n n n n n n n
a. Mandibular tori n
b. Fordyce granules n
c. Black hairy tongue n n
d. Compound odontoma n
ANS: D n
The compound odontoma is initially identified radiographically as a radiopaque area in which
n n n n n n n n n n n n
tooth structure can be identified. No clinical component exists. Mandibular tori are identified
n n n n n n n n n n n n n
clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce
n n n n n n n n n n n n n
granules are yellow clusters of ectopic sebaceous glands diagnosed through clinical
n n n n n n n n n n n
appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal
n n n n n n n n n n n n n
tongue elongate and become brown or black. Causes include tobacco, alcohol, hydrogen
n n n n n n n n n n n n
peroxide, chemical rinses, antibiotics, and antacids.
n n n n n n
REF: n Radiographic Diagnosis, page 9 n n n OBJ: 3 n
4. Another name for geographic tongue is n n n n n
NURSINGKING.COM
,TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
n n n n n n n n n n n n
a. median rhomboid glossitis. n n
b. benign migratory glossitis. n n
c. fissured tongue. n
d. black hairy tongue. n n
ANS: B n
Benign migratory glossitis is another name for geographic tongue. Research suggests that
n n n n n n n n n n n
median rhomboid glossitis is associated with a chronic fungal infection from Candida
n n n n n n n n n n n n
albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in
n n n n n n n n n n n n n
5% of the population. It is a variant of normal. Genetic factors are typically associated with
n n n n n n n n n n n n n n n n
the condition. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen
n n n n n n n n n n n n n n
peroxide, or antacids. The filiform papillae on the dorsal tongue become elongated and are
n n n n n n n n n n n n n n
dark brown to black.
n n n n
REF: n Geographic Tongue, page 24 n n n OBJ: 7 n
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in
n n n n n n n n n n n n n n n n n
an autosomal dominant manner. The diagnosis is made through clinical appearance. Which
n n n n n n n n n n n n
condition is suspected?
n n n
NURSINGKING.COM
a. Palatal cyst n
b. Torus palatinus n
c. Mixed tumor n
d. Ranula
ANS: B n
A torus palatinus is developmental and bony hard and is found on the midline of the palate.
n n n n n n n n n n n n n n n n
Diagnosis is made on the basis of clinical appearance. A palatal cyst appears radiolucent on a
n n n n n n n n n n n n n n n n
radiographic examination and is not diagnosed through clinical appearance. A mixed tumor or
n n n n n n n n n n n n n
pleomorphic adenoma is a benign tumor of salivary gland origin, found unilaterally off the
n n n n n n n n n n n n n n
midline of the hard palate. It is composed of tumor tissue that is not bony hard to palpation.
n n n n n n n n n n n n n n n n n n
Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of the
n n n n n n n n n n n n n n n n
mouth.
n
REF: n Torus Palatinus, page 21 n n n OBJ: 4 n
NURSINGKING.COM
, TEST BANK FOR ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 7TH EDITION BY IBSEN
n n n n n n n n n n n n
6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
n n n n n n n n n n n n n n n n
of normal that requires no treatment and is termed
n n n n n n n n n
a. linea alba. n
b. leukoedema.
c. leukoplakia.
d. white sponge nevus. n n
ANS: B n
Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
n n n n n n n n n n n n n
individuals. Linea alba is a ―white line‖ that extends anteroposteriorly on the buccal mucosa
n n n n n n n n n n n n n
nalong the occlusal plane. It is most prominent in patients who have a clenching or grinding
n n n n n n n n n n n n n n n
nhabit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White
n n n n n n n n n n n n n n n n
nsponge nevus is a genetic (autosomal dominant) trait. Clinically, it is characterized by a soft
n n n n n n n n n n n n n n
nwhite, folded (or corrugated) oral mucosa. A thick layer of keratin produces the whitening.
n n n n n n n n n n n n n
REF: n Leukoedema, page 23 n n OBJ: 8 n
7. Which condition most likely responds to therapeutic diagnosis?
n n n n n n n
a. Angular cheilitis n
b. Amelogenesis imperfecta n
c. Paget disease n
d. Stafne bone cyst n n
ANS: A n
Angular cheilitis most commonly responds to antifungal therapy once nutritional deficiencies
n n n n n n n n n n
have been ruled out. Amelogenesis imperfecta is a genetic condition associated with abnormal
n n n n n n n n n n n n n
development of the enamel. Paget disease is a chronic metabolic bone disease. A highly
n n n n n n n n n n n n n n
elevated serum alkaline phospNhUatRa S
n n s eIleNvGelKcIo N
n tG
n ri .
b uCteOs Msignificantl y to the diagnosis. A
n n n n n
Stafne
n
bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
n n n n n n n n n n n n n
identified.
n
REF: n Therapeutic Diagnosis, page 18 n n n OBJ: 3 n
8. The gingival enlargement in this patient was caused by a calcium channel blocker. Which
n n n n n n n n n n n n n
medication is the likely cause?
n n n n n
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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