ORAL PATHOLOGY EXAM TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Physiologic Pigmentation - ✔✔racial or normal pigmentation; variable in dark
skinned individuals
✔✔Melanotic Macule - ✔✔"Oral Freckle"; flat brown lesion... Not dependent on sun
exposure
✔✔Amalgam Tattoo - ✔✔Most common pigmented lesion*
✔✔Fordyce's Granules - ✔✔Intraoral sebaceous glands, small yellow nodules on
buccal mucosa & vermillion
✔✔Addison's Disease - ✔✔Primary adrenal cortical insufficiency, diffuse pigmentation
of skin, melanotic macule, bronzing-tinted skin
✔✔Irritation Fibroma - ✔✔Most common tumor of oral cavity*, chronic cheek biting
✔✔Papilloma - ✔✔caused by HPV, pedunculated, cauliflower-like, Verruca Vulgaris is
usually a white, papillary exophytic lesion
✔✔Hemangioma - ✔✔Common vascular lesion, developmental (not tumor), tongue is
most common intraoral location
✔✔Epulis Fissuratum - ✔✔Ill-fitting denture, dense-fibrous CT, ulcerated surface
✔✔Papillary Hyperplasia of the Palate - ✔✔Form of denture stomatitis; assoc with
removable appliance, multiple red papillary projections on palate
✔✔Pyogenic Granuloma - ✔✔Injury, "Pregnancy Tumor"=hormonal, ulcerated, soft to
touch, vascular
✔✔Peripheral Giant Cell Granuloma - ✔✔Seen on Gingiva or alveolar process, dark
red, vascula, does not recur
✔✔Gingival Hyperplasia - ✔✔Increase in bulk of free & attached gingiva, especially
involving the interdental papilla; Medications involved: phenytoin, calcium channel
blockers, cyclosporine
✔✔Chronic Hyperplastic Pulpitis - ✔✔"Pulp Polyp", excessive prolipferation of
chronically inflamed dental pulp tissue, Red/pink nodule of tissue is seen protruding
from pulp chamber
, ✔✔Erythema Multiforme - ✔✔Acute, ulcerative; Characteristic skin lesion is bull's eye
lesion which demonstrates circles of erythema & normal skin tones; Orally: ulcers on
lateral borders of tongue or crusted & bleeding lips
✔✔Stevens-Johnson Syndrome - ✔✔The most severe form of erythema multiforme;
genital & eye mucosa may also be involved
✔✔Lichen Planus - ✔✔Benign, chronic; lace-like white lines commonly seen on buccal
mucosa. Wickham's Straie
✔✔Traumatic Ulcer - ✔✔Ulcerative lesion due to trauma- Healing usually lasts 7-14
days
✔✔Apthous Ulcer - ✔✔Painful, recurring ulcers seen only on moveable mucosa.
Causes may be: trauma, stress, or foods
✔✔Herpes Simples Virus 1 - ✔✔HSV that causes oral infections
✔✔Herpes Simplex Virus 2 - ✔✔HSV that causes genital infections
✔✔Primary Herpetic Gingivostomatitis - ✔✔The initial HSV infection- painful, red,
swollen gingiva, heals in 1-2 weeks
✔✔Trigeminal Ganglion - ✔✔HSV can persist in a latent state, found in the __________
& can recur
✔✔Herpes Labialis - ✔✔The most common type of recurrent oral herpes
✔✔Acyclovir - ✔✔HSV treatment includes antiviral drugs, such as _____
✔✔Herpetic Whitlow - ✔✔HSV; painful infection of the finger
✔✔Herpangina - ✔✔Caused by Coxsackie Virus, vesicles on soft palate
✔✔Hand Foot and Mouth Disease - ✔✔Caused by Coxsackie Virus, epidemics of
young children, painful-ulcerative lesions
✔✔Infectious Mononucleosis - ✔✔Epstein Barr Virus; sore throat, fever, malaise,
fatigue; Palatal petechiae
✔✔Torus (Tori) - ✔✔Bony mass on midline of hard palate -or- on lingual surfaces of
mandible, bilateral
✔✔Females - ✔✔Tori are more common in Males or Females?
SOLUTIONS GRADED A+
✔✔Physiologic Pigmentation - ✔✔racial or normal pigmentation; variable in dark
skinned individuals
✔✔Melanotic Macule - ✔✔"Oral Freckle"; flat brown lesion... Not dependent on sun
exposure
✔✔Amalgam Tattoo - ✔✔Most common pigmented lesion*
✔✔Fordyce's Granules - ✔✔Intraoral sebaceous glands, small yellow nodules on
buccal mucosa & vermillion
✔✔Addison's Disease - ✔✔Primary adrenal cortical insufficiency, diffuse pigmentation
of skin, melanotic macule, bronzing-tinted skin
✔✔Irritation Fibroma - ✔✔Most common tumor of oral cavity*, chronic cheek biting
✔✔Papilloma - ✔✔caused by HPV, pedunculated, cauliflower-like, Verruca Vulgaris is
usually a white, papillary exophytic lesion
✔✔Hemangioma - ✔✔Common vascular lesion, developmental (not tumor), tongue is
most common intraoral location
✔✔Epulis Fissuratum - ✔✔Ill-fitting denture, dense-fibrous CT, ulcerated surface
✔✔Papillary Hyperplasia of the Palate - ✔✔Form of denture stomatitis; assoc with
removable appliance, multiple red papillary projections on palate
✔✔Pyogenic Granuloma - ✔✔Injury, "Pregnancy Tumor"=hormonal, ulcerated, soft to
touch, vascular
✔✔Peripheral Giant Cell Granuloma - ✔✔Seen on Gingiva or alveolar process, dark
red, vascula, does not recur
✔✔Gingival Hyperplasia - ✔✔Increase in bulk of free & attached gingiva, especially
involving the interdental papilla; Medications involved: phenytoin, calcium channel
blockers, cyclosporine
✔✔Chronic Hyperplastic Pulpitis - ✔✔"Pulp Polyp", excessive prolipferation of
chronically inflamed dental pulp tissue, Red/pink nodule of tissue is seen protruding
from pulp chamber
, ✔✔Erythema Multiforme - ✔✔Acute, ulcerative; Characteristic skin lesion is bull's eye
lesion which demonstrates circles of erythema & normal skin tones; Orally: ulcers on
lateral borders of tongue or crusted & bleeding lips
✔✔Stevens-Johnson Syndrome - ✔✔The most severe form of erythema multiforme;
genital & eye mucosa may also be involved
✔✔Lichen Planus - ✔✔Benign, chronic; lace-like white lines commonly seen on buccal
mucosa. Wickham's Straie
✔✔Traumatic Ulcer - ✔✔Ulcerative lesion due to trauma- Healing usually lasts 7-14
days
✔✔Apthous Ulcer - ✔✔Painful, recurring ulcers seen only on moveable mucosa.
Causes may be: trauma, stress, or foods
✔✔Herpes Simples Virus 1 - ✔✔HSV that causes oral infections
✔✔Herpes Simplex Virus 2 - ✔✔HSV that causes genital infections
✔✔Primary Herpetic Gingivostomatitis - ✔✔The initial HSV infection- painful, red,
swollen gingiva, heals in 1-2 weeks
✔✔Trigeminal Ganglion - ✔✔HSV can persist in a latent state, found in the __________
& can recur
✔✔Herpes Labialis - ✔✔The most common type of recurrent oral herpes
✔✔Acyclovir - ✔✔HSV treatment includes antiviral drugs, such as _____
✔✔Herpetic Whitlow - ✔✔HSV; painful infection of the finger
✔✔Herpangina - ✔✔Caused by Coxsackie Virus, vesicles on soft palate
✔✔Hand Foot and Mouth Disease - ✔✔Caused by Coxsackie Virus, epidemics of
young children, painful-ulcerative lesions
✔✔Infectious Mononucleosis - ✔✔Epstein Barr Virus; sore throat, fever, malaise,
fatigue; Palatal petechiae
✔✔Torus (Tori) - ✔✔Bony mass on midline of hard palate -or- on lingual surfaces of
mandible, bilateral
✔✔Females - ✔✔Tori are more common in Males or Females?
