ORAL PATHOLOGY FOR THE DENTAL HYGIENIST 8TH
EDITION IBSEN TEST BANK /COMPLETE GUIDE 2024-2025
,CH 01: Introduction to Preliminary Diagnosis of Oral Lesions
Ibsen: Oral Pathology for the Dental Hygienist, 8th Edition
MULTIPLE CHOICE
1. Which descriptive term is described as a segment that is part of the whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ACCURATE
ANSWER:-C
Reasoning :->>>A lobule is described as a segment or lobe that is part of a whole. A bulla
is a large, elevatedlesion that contains serous fluid and may look like a blister. A vesicle is a
small, elevated lesion that contains serous fluid. Pustules are circumscribed elevations
containing pus.
REFERENCE: Vocabulary, Clinical of Soft Tissue Lesions, page no. 1 OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ACCURATE
ANSWER:-D
Reasoning:->>>Sessile describes the base of a lesion that is flat and broad. An ulcer is a
break in the surface epithelium. A stemlike lesionNisUrRefSeI
rrN
edGtK
oIasNpagenoe. .
duCnO
cuMlated. A
pedunculated lesion is stemlike or stalk-based (similar to a mushroom).
REFERENCE: Vocabulary, Clinical Appearance of Soft Tissue
Lesions, page no. 1OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ACCURATE ANSWER:-D
Reasoning:->>>The compound odontoma is initially identified radiographically as a
radiopaque area in whichtooth structure can be identified. No clinical component exists.
Mandibular tori are identified clinically as areas of exostosis on the lingual aspects of
mandibular premolars. Fordyce granules are yellow clusters of ectopic sebaceous glands
diagnosed through clinical appearance. Black hairy tongue is diagnosed clinically. The
filiform papillae on the dorsal tongue elongate and become brown or black. Causes include
tobacco, alcohol, hydrogen peroxide, chemical rinses, antibiotics, and antacids.
REFERENCE: Radiographic Diagnosis, page no. 9 OBJ: 3
4. Another name for geographic tongue is
, a. median rhomboid glossitis.
b. benign migratory glossitis.
c. fissured tongue.
d. black hairy tongue.
ACCURATE ANSWER:-B
Reasoning:->>>Benign migratory glossitis is another name for geographic tongue. Research
suggests that median rhomboid glossitis is associated with a chronic fungal infection from
Candida albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue
is seen in5% of the population. It is a variant of normal. Genetic factors are typically
associated with the condition. Black hairy tongue is caused by a reaction to chemicals,
tobacco, hydrogen peroxide, or antacids. The filiform papillae on the dorsal tongue become
elongated and are dark brown to black.
REFERENCE: Geographic Tongue, page no. 24 OBJ: 7
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in
an autosomal dominant manner. The diagnosis is made through clinical appearance. Which
condition is suspected?
a. Palatal cyst
b. Torus palatinus
c. Mixed tumor
d. Ranula
ACCURATE ANSWER:-B
Reasoning:->>>A torus palatinus is developmental and bony hard and is found on the
midline of the palate. Diagnosis is made on the basis of clinical appearance. A palatal cyst
appears radiolucent on a radiographic examination and is not diagnosed through clinical
appearance. A mixed tumor orpleomorphic adenoma is a benign tumor of salivary gland
origin, found unilaterally off the midline of the hard palate. It is composed of tumor tissue
that is not bony hard to palpation.
Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of the
mouth.
REFERENCE: Torus Palatinus, page no. 21 OBJ: 4
, 6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
of normal that requires no treatment and is termed
a. linea alba.
b. leukoedema.
c. leukoplakia.
d. white sponge nevus.
ACCURATE ANSWER:-B
Reasoning:->>>Leukoedema is a diffuse opalescence most commonly seen on the buccal
mucosa in black
individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
along the occlusal plane. It is most prominent in hospital patient s who have a clenching or
grinding habit. Leukoplakia is a clinical term for a white lesion, the cause of which is
unknown. Whitesponge nevus is a genetic (autosomal dominant) trait. Clinically, it is
characterized by a soft white, folded (or corrugated) oral mucosa. A thick layer of keratin
produces the whitening.
REFERENCE: Leukoedema, page no. 23 OBJ: 8
7. Which condition most likely responds to therapeutic diagnosis?
a. Angular cheilitis
b. Amelogenesis imperfecta
c. Page no.t sickness
d. Stafne bone cyst
ACCURATE ANSWER:-A
Reasoning:->>>Angular cheilitis most commonly responds to antifungal therapy once
nutritional deficiencies have been ruled out. Amelogenesis imperfecta is a genetic condition
associated with abnormaldevelopment of the enamel. Page no.t sickness is a chronic
metabolic bone sickness . A highly elevated serum alkaline
phospNhUatRaS
seIleNvGelKcIoN
ntG
ri.
buCteOsMsignificantly to the diagnosis. A Stafne
bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
identified.
REFERENCE: Therapeutic Diagnosis, page no. 18 OBJ: 3
8. The gingival enlargement in this hospital patient was caused by a calcium channel
blocker. Whichmedication is the likely cause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
EDITION IBSEN TEST BANK /COMPLETE GUIDE 2024-2025
,CH 01: Introduction to Preliminary Diagnosis of Oral Lesions
Ibsen: Oral Pathology for the Dental Hygienist, 8th Edition
MULTIPLE CHOICE
1. Which descriptive term is described as a segment that is part of the whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ACCURATE
ANSWER:-C
Reasoning :->>>A lobule is described as a segment or lobe that is part of a whole. A bulla
is a large, elevatedlesion that contains serous fluid and may look like a blister. A vesicle is a
small, elevated lesion that contains serous fluid. Pustules are circumscribed elevations
containing pus.
REFERENCE: Vocabulary, Clinical of Soft Tissue Lesions, page no. 1 OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ACCURATE
ANSWER:-D
Reasoning:->>>Sessile describes the base of a lesion that is flat and broad. An ulcer is a
break in the surface epithelium. A stemlike lesionNisUrRefSeI
rrN
edGtK
oIasNpagenoe. .
duCnO
cuMlated. A
pedunculated lesion is stemlike or stalk-based (similar to a mushroom).
REFERENCE: Vocabulary, Clinical Appearance of Soft Tissue
Lesions, page no. 1OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ACCURATE ANSWER:-D
Reasoning:->>>The compound odontoma is initially identified radiographically as a
radiopaque area in whichtooth structure can be identified. No clinical component exists.
Mandibular tori are identified clinically as areas of exostosis on the lingual aspects of
mandibular premolars. Fordyce granules are yellow clusters of ectopic sebaceous glands
diagnosed through clinical appearance. Black hairy tongue is diagnosed clinically. The
filiform papillae on the dorsal tongue elongate and become brown or black. Causes include
tobacco, alcohol, hydrogen peroxide, chemical rinses, antibiotics, and antacids.
REFERENCE: Radiographic Diagnosis, page no. 9 OBJ: 3
4. Another name for geographic tongue is
, a. median rhomboid glossitis.
b. benign migratory glossitis.
c. fissured tongue.
d. black hairy tongue.
ACCURATE ANSWER:-B
Reasoning:->>>Benign migratory glossitis is another name for geographic tongue. Research
suggests that median rhomboid glossitis is associated with a chronic fungal infection from
Candida albicans. Sometimes the condition resolves with antifungal therapy. Fissured tongue
is seen in5% of the population. It is a variant of normal. Genetic factors are typically
associated with the condition. Black hairy tongue is caused by a reaction to chemicals,
tobacco, hydrogen peroxide, or antacids. The filiform papillae on the dorsal tongue become
elongated and are dark brown to black.
REFERENCE: Geographic Tongue, page no. 24 OBJ: 7
5. This bony hard structure in the midline of the hard palate is genetic in origin and inherited in
an autosomal dominant manner. The diagnosis is made through clinical appearance. Which
condition is suspected?
a. Palatal cyst
b. Torus palatinus
c. Mixed tumor
d. Ranula
ACCURATE ANSWER:-B
Reasoning:->>>A torus palatinus is developmental and bony hard and is found on the
midline of the palate. Diagnosis is made on the basis of clinical appearance. A palatal cyst
appears radiolucent on a radiographic examination and is not diagnosed through clinical
appearance. A mixed tumor orpleomorphic adenoma is a benign tumor of salivary gland
origin, found unilaterally off the midline of the hard palate. It is composed of tumor tissue
that is not bony hard to palpation.
Ranula is a term used for a mucocele-like lesion that forms unilaterally on the floor of the
mouth.
REFERENCE: Torus Palatinus, page no. 21 OBJ: 4
, 6. The gray-white opalescent film seen on the buccal mucosa of 85% of black adults is a variant
of normal that requires no treatment and is termed
a. linea alba.
b. leukoedema.
c. leukoplakia.
d. white sponge nevus.
ACCURATE ANSWER:-B
Reasoning:->>>Leukoedema is a diffuse opalescence most commonly seen on the buccal
mucosa in black
individuals. Linea alba is a “white line” that extends anteroposteriorly on the buccal mucosa
along the occlusal plane. It is most prominent in hospital patient s who have a clenching or
grinding habit. Leukoplakia is a clinical term for a white lesion, the cause of which is
unknown. Whitesponge nevus is a genetic (autosomal dominant) trait. Clinically, it is
characterized by a soft white, folded (or corrugated) oral mucosa. A thick layer of keratin
produces the whitening.
REFERENCE: Leukoedema, page no. 23 OBJ: 8
7. Which condition most likely responds to therapeutic diagnosis?
a. Angular cheilitis
b. Amelogenesis imperfecta
c. Page no.t sickness
d. Stafne bone cyst
ACCURATE ANSWER:-A
Reasoning:->>>Angular cheilitis most commonly responds to antifungal therapy once
nutritional deficiencies have been ruled out. Amelogenesis imperfecta is a genetic condition
associated with abnormaldevelopment of the enamel. Page no.t sickness is a chronic
metabolic bone sickness . A highly elevated serum alkaline
phospNhUatRaS
seIleNvGelKcIoN
ntG
ri.
buCteOsMsignificantly to the diagnosis. A Stafne
bone cyst is determined through surgical diagnosis in which entrapped salivary gland tissue is
identified.
REFERENCE: Therapeutic Diagnosis, page no. 18 OBJ: 3
8. The gingival enlargement in this hospital patient was caused by a calcium channel
blocker. Whichmedication is the likely cause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
