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Examen

Oral Pathology for the Dental Hygienist 7th Edition Ibsen Test Bank

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Oral Pathology for the Dental Hygienist 7th Edition Ibsen Test Bank

Institución
Oral Pathology For The Dental Hygienist
Grado
Oral Pathology for the Dental Hygienist

Vista previa del contenido

,Chapter 01: Introduction to Preliminary Diagnosis of Oral Lesions Ibse
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n: Oral Pathology for the Dental Hygienist, 7th Edition
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MULTIPLE CHOICE WQ




1. Which descriptive term is described as a segment that is part of the whole?
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a. Bulla
b. Vesicle
c. Lobule
d. Pustule

ANS: C W Q




A lobule is described as a segment or lobe that is part of a whole. A bulla is a large, elevated le
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sion that contains serous fluid and may look like a blister. A vesicle is a small, elevated lesio
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n that contains serous fluid. Pustules are circumscribed elevations containing pus.
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REF: Vocabulary, Clinical of Soft Tissue Lesions, page 1
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2. A lesion with a sessile base is described as
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a. an ulcer. WQ




b. stemlike.
c. pedunculated.
d. flat and broad. WQ WQ




ANS: D W Q




Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the surface
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epithelium. A stemlike lesion is referred to as pedunculated. A pedunculated lesion is stemlike
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or stalk-based (similar to a mushroom).
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REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions, page 1
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OBJ: 1 WQ




3. Which condition is not diagnosed through clinical appearance?
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a. Mandibular tori WQ




b. Fordyce granules WQ




c. Black hairy tongue WQ WQ




d. Compound odontoma WQ




ANS: D W Q




The compound odontoma is initially identified radiographically as a radiopaque area in which
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tooth structure can be identified. No clinical component exists. Mandibular tori are identifie
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d clinically as areas of exostosis on the lingual aspects of mandibular premolars. Fordyce gra
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nules are yellow clusters of ectopic sebaceous glands diagnosed through clinical appearance.
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Black hairy tongue is diagnosed clinically. The filiform papillae on the dorsal tongue elonga
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te and become brown or black. Causes include tobacco, alcohol, hydrogen peroxide, chemica
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l rinses, antibiotics, and antacids.
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REF: W Q Radiographic Diagnosis, page 9 WQ WQ WQ OBJ: 3 W Q




4. Another name for geographic tongue is WQ WQ WQ WQ WQ

, a. median rhomboid glossitis. WQ WQ




b. benign migratory glossitis. WQ WQ




c. fissured tongue. WQ




d. black hairy tongue. WQ WQ




ANS: B W Q




Benign migratory glossitis is another name for geographic tongue. Research suggests that me
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dian rhomboid glossitis is associated with a chronic fungal infection from Candida albicans.
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Sometimes the condition resolves with antifungal therapy. Fissured tongue is seen in 5% of th
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e population. It is a variant of normal. Genetic factors are typically associated with the condi
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tion. Black hairy tongue is caused by a reaction to chemicals, tobacco, hydrogen peroxide, or
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antacids. The filiform papillae on the dorsal tongue become elongated and are dark brown t
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o black.
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REF: W Q Geographic Tongue, page 24 WQ WQ WQ OBJ: 7 W Q




5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited i
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n an autosomal dominant manner. The diagnosis is made through clinical appearance. Whic
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h condition is suspected?
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a. Palatal cyst WQ




b. Torus palatinus WQ




c. Mixed tumor WQ




d. Ranula
ANS: B W Q




A torus palatinus is developmental and bony hard and is found on the midline of the palate.
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Diagnosis is made on the basis of clinical appearance. A palatal cyst appears radiolucent on
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a radiographic examination and is not diagnosed through clinical appearance. A mixed tumor o
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r pleomorphic adenoma is a benign tumor of salivary gland origin, found unilaterally off the
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midline of the hard palate. It is composed of tumor tissue that is not bony hard to palpation.
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Ranula is a term used for a mucocele-
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like lesion that forms unilaterally on the floor of the mouth.
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REF: W Q Torus Palatinus, page 21 WQ WQ WQ OBJ: 4 W Q




6. The gray- WQ




white opalescent film seen on the buccal mucosa of 85% of black adults is a variant of norm
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al that requires no treatment and is termed
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a. linea alba. WQ




b. leukoedema.
c. leukoplakia.
d. white sponge nevus. WQ WQ




ANS: B W Q




Leukoedema is a diffuse opalescence most commonly seen on the buccal mucosa in black
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individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
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along the occlusal plane. It is most prominent in patients who have a clenching or grinding h
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abit. Leukoplakia is a clinical term for a white lesion, the cause of which is unknown. White s
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ponge nevus is a genetic (autosomal dominant) trait. Clinically, it is characterized by a soft
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white, folded (or corrugated) oral mucosa. A thick layer of keratin produces the whitening.
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REF: W Q W Q Leukoedema, page 23 WQ WQ OBJ: 8 W Q

, 7. Which condition most likely responds to therapeutic diagnosis?
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a. Angular cheilitis WQ




b. Amelogenesis imperfecta WQ




c. Paget disease WQ




d. Stafne bone cyst WQ WQ




ANS: A W Q




Angular cheilitis most commonly responds to antifungal therapy once nutritional deficiencie
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s have been ruled out. Amelogenesis imperfecta is a genetic condition associated with abnorm
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al development of the enamel. Paget disease is a chronic metabolic bone disease. A highly el
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evated serum alkaline phosphatase level contributes significantly to the diagnosis. A Stafne b
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one cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
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identified.

REF: W Q Therapeutic Diagnosis, page 18 WQ WQ WQ OBJ: 3 W Q




8. The gingival enlargement in this patient was caused by a calcium channel blocker. Which
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Qmedication is the likely cause? WQ WQ WQ WQ




a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
ANS: B W Q




Nifedipine is a calcium channel blocker. Dilantin is an anticonvulsant used to prevent or contr
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ol seizures. Quinidine is an antiarrhythmic agent used to treat cardiac arrhythmias. Clozapine
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is an antipsychotic used in the management of psychotic symptoms in schizophrenia.
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REF: W Q Historical Diagnosis, Fig. 1.38, page 17 WQ WQ WQ WQ WQ OBJ: 3 W Q




9. Radiographic features, including cotton- WQ WQ WQ




wool radiopacities and hypercementosis, are especially helpful in the diagnosis of
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a. Paget disease. WQ




b. dentinogenesis imperfecta. WQ




c. anemia.
d. diabetes.

ANS: A W Q




Paget disease is a chronic metabolic bone disease. Radiographically, cotton-
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wool radiopacities and hypercementosis are characteristic features. Dentinogenesis imperfect
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a is a genetic condition involving a defect in the development of dentin. Anemia, a decrease
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in red blood cells, requires blood tests to determine the etiologic factors. Diabetes is a chroni
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c disorder of carbohydrate metabolism characterized by abnormally high blood glucose level
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s.

REF: W Q Laboratory Diagnosis, Fig. 1.40, pages 16, 18 WQ WQ WQ WQ WQ WQ OBJ: 3 W Q




10. In internal resorption, the radiolucency seen on radiographic examination is usually
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a. well circumscribed. WQ




b. diffuse.

Escuela, estudio y materia

Institución
Oral Pathology for the Dental Hygienist
Grado
Oral Pathology for the Dental Hygienist

Información del documento

Subido en
29 de enero de 2026
Número de páginas
230
Escrito en
2025/2026
Tipo
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