Oral Pathology for the Dental Hygienist, 8th Edition by Olga A. C.
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Ibsen
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FULL TEST BANK!!!l l
,Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions Ibsen:
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Oral Pathology for the Dental Hygienist, 8th Edition
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MULTIPLElCHOICE
1. Whichldescriptiveltermlisldescribedlaslalsegmentlthatlislpartloflthelwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:l C
Allobulelisldescribedlaslalsegmentlorllobelthatlislpartloflalwhole.lAlbullalislallarge,lelevatedllesionlth
atlcontainslserouslfluidlandlmayllookllikelalblister.lAlvesiclelislalsmall,lelevatedllesionlthatlcontain
slserouslfluid.lPustuleslarelcircumscribedlelevationslcontaininglpus.
REF:l Vocabulary,lClinicalloflSoftlTissuelLesions,lpagel1 OBJ:l 1
2. Allesionlwithlalsessilelbaselisldescribedlas
a. anlulcer.
b. stemlike.
c. pedunculated.
d. flatlandlbroad.
ANS:l D
Sessileldescribeslthelbaseloflallesionlthatlislflatlandlbroad.lAnlulcerlislalbreaklinlthelsurfacelepithelium
.l AlstemlikellesionNi sUrRefSeI
rr N
edGtK
o lIa sNpGe.
d uCnOcuMl a t ed . l Alpedunculatedl lesionl islstemlikelorlstalk-
basedl(similarltolalmushroom).
REF:lVocabulary,lClinicallAppearanceloflSoftlTissuelLesions,lpagel1lOB
J:l1
3. Whichlconditionlislnotldiagnosedlthroughlclinicallappearance?
a. Mandibularltori
b. Fordycelgranules
c. Blacklhairyltongue
d. Compoundlodontoma
ANS:l D
Thelcompoundlodontomalislinitiallylidentifiedlradiographicallylaslalradiopaquelarealinlwhichltoot
hlstructurelcanlbelidentified.lNolclinicallcomponentlexists.lMandibularltorilarelidentifiedlclinicall
ylaslareasloflexostosislonlthellinguallaspectsloflmandibularlpremolars.lFordycelgranuleslarelyello
wlclustersloflectopiclsebaceouslglandsldiagnosedlthroughlclinicallappearance.lBlacklhairyltonguel
isldiagnosedlclinically.lThelfiliformlpapillaelonltheldorsalltonguelelongatelandlbecomelbrownlorlb
lack.lCauseslincludeltobacco,lalcohol,lhydrogenlperoxide,lchemicallrinses,lantibiotics,landlantaci
ds.
REF:l RadiographiclDiagnosis,lpagel9 OBJ:l 3
4. Anotherlnamelforlgeographicltonguelis
, a. medianlrhomboidlglossitis.
b. benignlmigratorylglossitis.
c. fissuredltongue.
d. blacklhairyltongue.
ANS:l B
Benignlmigratorylglossitislislanotherlnamelforlgeographicltongue.lResearchlsuggestslthatlmedianl
rhomboidlglossitislislassociatedlwithlalchroniclfungallinfectionlfromlCandidalalbicans.lSometim
eslthelconditionlresolveslwithlantifungalltherapy.lFissuredltonguelislseenlinl5%loflthelpopulation.lIt
lislalvariantloflnormal.lGeneticlfactorslareltypicallylassociatedlwithlthelcondition.lBlacklhairyltong
uelislcausedlbylalreactionltolchemicals,ltobacco,lhydrogenlperoxide,lorlantacids.lThelfiliformlpapil
laelonltheldorsalltonguelbecomelelongatedlandlareldarklbrownltolblack.
REF:l GeographiclTongue,lpagel24 OBJ:l 7
5. Thislbonylhardlstructurelinlthelmidlineloflthelhardlpalatelislgeneticlinloriginlandlinheritedlinlanlaut
osomalldominantlmanner.lTheldiagnosislislmadelthroughlclinicallappearance.lWhichlconditionli
slsuspected?
NURSINGKING.COM
a. Palatallcyst
b. Toruslpalatinus
c. Mixedltumor
d. Ranula
ANS:l B
Altoruslpalatinuslisldevelopmentallandlbonylhardlandlislfoundlonlthelmidlineloflthelpalate.lDiagno
sislislmadelonlthelbasisloflclinicallappearance.lAlpalatallcystlappearslradiolucentlonlalradiographicl
examinationlandlislnotldiagnosedlthroughlclinicallappearance.lAlmixedltumorlorlpleomorphiclade
nomalislalbenignltumorloflsalivarylglandlorigin,lfoundlunilaterallylofflthelmidlineloflthelhardlpalat
e.lItlislcomposedlofltumorltissuelthatlislnotlbonylhardltolpalpation.
Ranulalislaltermlusedlforlalmucocele-likellesionlthatlformslunilaterallylonlthelfloorloflthelmouth.
REF:l ToruslPalatinus,lpagel21 OBJ:l 4
, 6. Thelgray-
whitelopalescentlfilmlseenlonlthelbuccallmucosalofl85%loflblackladultslislalvariantloflnormallthatlr
equireslnoltreatmentlandlisltermed
a. linealalba.
b. leukoedema.
c. leukoplakia.
d. whitelspongelnevus.
ANS:l B
Leukoedemalislaldiffuselopalescencelmostlcommonlylseenlonlthelbuccallmucosalinlblack
individuals.lLinealalbalislal“whitelline”lthatlextendslanteroposteriorlylonlthelbuccallmucosalalongl
thelocclusallplane.lItlislmostlprominentlinlpatientslwholhavelalclenchinglorlgrindinglhabit.lLeukopl
akialislalclinicalltermlforlalwhitellesion,lthelcauseloflwhichlislunknown.lWhitelspongelnevuslislalge
neticl(autosomalldominant)ltrait.lClinically,litlislcharacterizedlbylalsoftlwhite,lfoldedl(orlcorrugat
ed)lorallmucosa.lAlthickllayerloflkeratinlproduceslthelwhitening.
REF:l Leukoedema,lpagel23 OBJ:l 8
7. Whichlconditionlmostllikelylrespondsltoltherapeuticldiagnosis?
a. Angularlcheilitis
b. Amelogenesislimperfecta
c. Pagetldisease
d. Stafnelbonelcyst
ANS:l A
Angularlcheilitislmostlcommonlylrespondsltolantifungalltherapyloncelnutritionalldeficiencieslhav
elbeenlruledlout.lAmelogenesislimperfectalislalgeneticlconditionlassociatedlwithlabnormalldevelo
pmentloflthelenamel.lPagetldiseaselislalchroniclmetaboliclboneldisease.lAlhighly
elevatedlserumlalkalinelphospNhUatRaS
s eIleNvGelKcIoN
n tG
ri .
b uCteOs Msignificantl y ltoltheldiagnosis.lAlStafne
bonelcystlisldeterminedlthroughlsurgicalldiagnosislinlwhichlentrappedlsalivarylglandltissuelislidentifie
d.
REF:l TherapeuticlDiagnosis,lpagel18 OBJ:l 3
8. Thelgingivallenlargementlinlthislpatientlwaslcausedlbylalcalciumlchannellblocker.lWhichlmed
icationlislthellikelylcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine