Deck 1: Introduction to Preliminary Diagnosis of Oral Lesions

Question 1

Which one of the following is not considered a variant of normal?

A)Fordyce granules
B)Leukoedema
C)Linea alba
D)Pyogenic granuloma

Answer 1

Pyogenic granuloma

Question 2

Which papillae are elongated in the condition called black hairy tongue?

A)Circumvallate
B)Foliate
C)Filiform
D)Fungiform

Answer 2

Filiform

Question 3

Which one of the following is diagnosed through clinical appearance?

A)Fordyce granules
B)Unerupted mesiodens
C)Periapical cemento-osseous dysplasia
D)Traumatic bone cyst

Answer 3

Fordyce granules

Question 4

Radiographic features, including the cotton-wool effect and hypercementosis, are especially helpful in the diagnosis of:

A)Paget disease.
B)dentinogenesis imperfecta.
C)anemia.
D)diabetes.

Question 5

Retrocuspid papillae are located on the:

A)palate.
B)floor of the mouth.
C)gingival margin of the lingual aspect of mandibular cuspids.
D)canine eminence.

Question 6

Which one of the following conditions would most likely respond to therapeutic diagnosis?

A)Angular cheilitis
B)Amelogenesis imperfecta
C)Paget disease
D)Stafne bone cyst

Question 7

This bony hard radiopaque 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. You suspect a:

A)palatal cyst.
B)torus palatinus.
C)mixed tumor.
D)ranula.

Question 8

Which one of the following is not diagnosed through clinical appearance?

A)Mandibular tori
B)Fordyce granules
C)Black hairy tongue
D)Compound odontoma

Question 9

Another name for geographic tongue is:

A)median rhomboid glossitis.
B)benign migratory glossitis.
C)fissured tongue.
D)black hairy tongue.

Question 10

Which one of the following is considered a genetic/inherited disorder?

A)Linea alba
B)Amelogenesis imperfecta
C)Necrotizing ulcerative gingivitis
D)Internal resorption

Question 11

The gingival enlargement in this patient was caused by a calcium channel blocker. Which one of the following would likely be the cause?

A)Dilantin
B)Nifedipine
C)Quinidine
D)Clozapine

Question 12

A lesion with a sessile base is described as:

A)an ulcer.
B)stemlike.
C)pedunculated.
D)flat and broad.

Question 13

In internal resorption, the radiolucency seen radiographically is usually:

A)well circumscribed.
B)diffuse.
C)multilocular.
D)unilocular.

Question 14

A Stafne bone cyst contains:

A)salivary gland tissue.
B)an empty void.
C)inflammatory cells.
D)an epithelium-lined cyst containing serous fluid.

Question 15

A lesion with a stemlike base is described as:

A)sessile.
B)macular.
C)pedunculated.
D)lobulated.

Question 16

Which of the following would be described as a segment that is part of the whole?

A)Bulla
B)Vesicle
C)Lobule
D)Pustule

Question 17

Ectopic geographic tongue can be found:

A)on the lateral border of the tongue.
B)within bone.
C)on mucosal surfaces other than the tongue.
D)on the dorsal tongue.

Question 18

When antifungal therapy is used to treat angular cheilitis, which diagnostic process is being applied?

A)Microscopic
B)Laboratory
C)Surgical
D)Therapeutic

Question 19

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 called:

A)linea alba.
B)leukoedema.
C)leukoplakia.
D)white sponge nevus.

Question 20

A small, circumscribed lesion, usually less than 1 cm in diameter, that is elevated or protrudes above the surface of normal surrounding tissue is a:

A)papule.
B)macule.
C)vesicle.
D)bulla.

Question 21

Which of the following best describes an elevated, 5-mm soft tissue lesion containing serous fluid?

A)Macule
B)Vesicle
C)Lobule
D)Pustule

Question 22

An elevated serum alkaline phosphate level, significant in the diagnosis of Paget disease, is determined from which of the following diagnostic categories?

A)Laboratory
B)Therapeutic
C)Clinical
D)Surgical

Question 23

The radiographic appearance of a simple radicular cyst is best described as:

A)coalescence.
B)diffuse.
C)multilocular.
D)unilocular.

Question 24

A clinical term for a white lesion that cannot be rubbed off and cannot be diagnosed on the basis of clinical characteristics alone is:

A)leukoplakia.
B)dentinogenesis imperfecta.
C)erythroplakia.
D)squamous cell carcinoma.

Question 25

It has been suggested that Candida albicans is associated with which one of the following?

A)Median rhomboid glossitis
B)Linea alba
C)Leukoedema
D)Retrocuspid papillae

Question 26

This torus palatinus would be described as:

A)bullous.
B)papular.
C)lobulated.
D)nodular.

Question 27

A radiolucency that "scallops around the roots of teeth" is often used to describe a:

A)traumatic bone cyst.
B)Stafne bone cyst.
C)lingual mandibular bone concavity.
D)median palatine cyst.

Question 28

These reddish-purple clusters observed on the ventral surface of the tongue and diagnosed through clinical observation are referred to as which of the following variants of normal conditions?

A)Palatal cyst
B)Mandibular tori
C)Lingual varicosities
D)Ranula

Question 29

The base of this lesion would be described as:

A)pedunculated.
B)lobule.
C)bulla.
D)sessile.

Question 30

A lesion with a pedunculated base is best described as:

A)an ulcer.
B)stemlike.
C)pallor.
D)broad and flat.

Question 31

Another name for an amalgam tattoo is a:

A)melanoma.
B)focal argyrosis.
C)nevus.
D)multiple myeloma.

Question 32

All of the following conditions would most likely respond to therapeutic diagnosis except one. Which one is the exception?

A)Angular cheilitis
B)Necrotizing ulcerative gingivitis
C)Nutritional deficiencies
D)Stafne bone cyst

Question 33

Which one of the following is not apparent in leukoedema?

A)Intracellular edema in the spinous cells
B)Acanthosis of the epithelium
C)Generalized opalescence of the buccal mucosa
D)A white diffuse material on the buccal mucosa that can be wiped off

Question 34

All of the following lesions are identified radiographically except one. Which one is the exception?

A)Root resorption
B)Fordyce granules
C)Interproximal dental caries
D)Compound odontoma

Question 35

When geographic tongue occurs on the dorsal tongue, the erythematous areas may be appropriately described as:

A)inflamed.
B)depapillated.
C)allergic.
D)fungal.

Question 36

Which term is used to describe a lesion with borders that are specifically defined and in which one can see the exact margins and extent of the lesion?

A)Unilocular
B)Well circumscribed
C)Diffuse
D)Multilocular

Question 37

A pathological lesion found frequently in black women in the third decade of life and requiring a radiograph and historical data for diagnosis is:

A)verrucous vulgaris.
B)necrotizing ulcerative gingivitis.
C)periapical cemento-osseous dysplasia.
D)amalgam tattoo.

Question 38

Diagnosis of anemia is best accomplished through:

A)laboratory tests.
B)evaluation of the color of the gingiva.
C)bleeding on probing.
D)the patient's medical history.

Question 39

The variant of normal coloration seen on the mandibular gingival surface of this patient is referred to as:

A)lingual varicosities.
B)leukoedema.
C)melanin pigmentation.
D)linea alba.

Question 40

Fordyce granules:

A)are ectopic sebaceous glands.
B)are seen on the dorsal tongue.
C)require antibiotic treatment.
D)are lesions that require biopsy for diagnosis.

Question 41

This pathological lesion seen on the dorsal surface of the tongue is characteristic of:

A)fissured tongue.
B)hairy tongue.
C)median rhomboid glossitis.
D)migratory glossitis.

Question 42

Leukoedema is a generalized opalescence appearing on the buccal mucosa; linea alba is a dark pigmented line appearing on the buccal mucosa.

A)Both statements are true.
B)Both statements are false.
C)The first statement is true, and the second statement is false.
D)The first statement is false, and the second statement is true.

Question 43

While obtaining diagnostic information from a patient, the dental hygienist learns that the appearance of this patient's teeth is familial. The correct diagnosis is:

A)tetracycline staining.
B)pulpal dysplasia.
C)extrinsic staining.
D)dentinogenesis imperfecta.

Question 44

A drug history of a patient taking a calcium channel blocker may reveal which of the following conditions?

A)Gingival enlargement
B)Cementoma
C)Paget disease
D)Ulcerative colitis

Question 45

The term erythroplakia is best used in which of the following contexts?

A)Microscopic
B)Laboratory
C)Surgical
D)Clinical

Question 46

Each of the following is considered a variant of normal except one. Which one is the exception?

A)Melanin pigmentation
B)Linea alba
C)Geographic tongue
D)Retrocuspid papilla

Question 47

The eight categories that provide information leading to a definitive diagnosis are as follows: microscopic, clinical, laboratory, surgical, differential findings, radiographic, therapeutic, and:

A)etiology.
B)historical.
C)chief complaint.
D)treatment.

Question 48

Which term is used to describe a lesion in which parts of a whole are joined together, or fused, to make one?

A)Fissured
B)Coalescence
C)Diffuse
D)Multilocular

Question 49

Urticaria is an example of a(n):

A)genetic disorder.
B)developmental disturbance.
C)immediate response to an allergen.
D)immunodeficiency response.

Question 50

Each of the following conditions is considered benign and of unknown cause except one. Which one is the exception?

A)Hairy tongue
B)Amelogenesis imperfecta
C)Migratory glossitis
D)Fissured tongue