Test Bank For Oral Pathology for the Dental Hygienist 8th Edition by Olga A.
C. Ibsen||ISBN 978-0323764032||All Chapters||Complete Guide A+ Latest
updated version-2025
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,Chapter 01: Introduction to Preliminary Diagnosis of Oral
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LesionsIbsen: Oral Pathology for the Dental Hygienist, 8th
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Edition
m
MULTIPLE CHOICE m
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 m
A lobule is described as a segment or lobe that is part of a whole. A bulla is a large,
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elevatedlesion that contains serous fluid and may look like a blister. A vesicle is a
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small, elevated lesion that contains serous fluid. Pustules are circumscribed elevations
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containing pus.
m m
REF: m Vocabulary, Clinical of Soft Tissue Lesions, page 1
m m m m m m m OBJ: 1 m
2. A lesion with a sessile base is described as
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a. an ulcer. m
b. stemlike.
c. pedunculated.
d. flat and broad. m m
ANS: D m
Sessile describes the base of a lesion that is flat and broad. An ulcer is a break in the
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msurface epithelium. A stemlike lesionNisUrRefSeI
m rrN
edGtK
oIasNpGe.
duCnO
cuMlated. A pedunculated lesion
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mis stemlike or stalk-based (similar to a mushroom).
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REF: Vocabulary, Clinical Appearance of Soft Tissue Lesions,
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page 1 OBJ: 1
m m m m
3. Which condition is not diagnosed through clinical appearance?
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a. Mandibular tori m
b. Fordyce granules m
c. Black hairy tongue m m
d. Compound odontoma m
ANS: D m
The compound odontoma is initially identified radiographically as a radiopaque area in
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whichtooth structure can be identified. No clinical component exists. Mandibular tori are
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identified clinically as areas of exostosis on the lingual aspects of mandibular premolars.
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Fordyce granules are yellow clusters of ectopic sebaceous glands diagnosed through
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clinical appearance. Black hairy tongue is diagnosed clinically. The filiform papillae on
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the dorsal tongue elongate and become brown or black. Causes include tobacco, alcohol,
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hydrogen peroxide, chemical rinses, antibiotics, and antacids.
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REF: mmm Radiographic Diagnosis, page 9 m m m OBJ: m 3
4. Another name for geographic tongue is
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, a. median rhomboid glossitis. m m
b. benign migratory glossitis. m m
c. fissured tongue. m
d. black hairy tongue. m m
ANS: B m
Benign migratory glossitis is another name for geographic tongue. Research suggests that
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median rhomboid glossitis is associated with a chronic fungal infection from Candida
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albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue is
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seen in5% of the population. It is a variant of normal. Genetic factors are typically
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associated with the condition. Black hairy tongue is caused by a reaction to chemicals,
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tobacco, hydrogen peroxide, or antacids. The filiform papillae on the dorsal tongue
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become elongated and are dark brown to black.
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REF: mmm Geographic Tongue, page 24 m m m OBJ: 7 m
5. This bony hard structure in the midline of the hard palate is genetic in origin and
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m inherited inan autosomal dominant manner. The diagnosis is made through clinical
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m appearance. Which condition is suspected? m m m m
NURSINGKING.COM
a. Palatal cyst m
b. Torus palatinus m
c. Mixed tumor m
d. Ranula
ANS: B m
A torus palatinus is developmental and bony hard and is found on the midline of the
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palate. Diagnosis is made on the basis of clinical appearance. A palatal cyst appears
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radiolucent on a radiographic examination and is not diagnosed through clinical
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appearance. A mixed tumor orpleomorphic adenoma is a benign tumor of salivary gland
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origin, found unilaterally off the midline of the hard palate. It is composed of tumor tissue
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that is not bony hard to palpation.
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Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of
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themouth.
m m
REF: m Torus Palatinus, page 21 m m m OBJ: 4 m
, 6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a
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mvariantof normal that requires no treatment and is termed
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a. linea alba. m
b. leukoedema.
c. leukoplakia.
d. white sponge nevus. m m
ANS: B m
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
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mmucosa along the occlusal plane. It is most prominent in patients who have a clenching
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mor grinding habit. Leukoplakia is a clinical term for a white lesion, the cause of which is
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munknown. Whitesponge nevus is a genetic (autosomal dominant) trait. Clinically, it is
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mcharacterized by a soft white, folded (or corrugated) oral mucosa. A thick layer of keratin
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mproduces the whitening. m m
REF: mmm Leukoedema, page 23 m m OBJ: 8 m
7. Which condition most likely responds to therapeutic diagnosis?
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a. Angular cheilitis m
b. Amelogenesis imperfecta m
c. Paget disease m
d. Stafne bone cyst m m
ANS: A m
Angular cheilitis most commonly responds to antifungal therapy once nutritional
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mdeficiencies have been ruled out. Amelogenesis imperfecta is a genetic condition
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massociated with abnormaldevelopment of the enamel. Paget disease is a chronic metabolic
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mbone disease. A highly elevated serum alkaline phospNhUatRaS
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m ntG
ri.
buCteOsMsignificantly m m m m
to the diagnosis. A Stafne
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bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue
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misidentified.
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REF: m Therapeutic Diagnosis, page 18 m m m OBJ: 3 m
8. The gingival enlargement in this patient was caused by a calcium channel blocker.
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mWhichmedication is the likely cause?
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a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine