Deck 12: Oral Conditions and Their Treatment

Question 1

Antibiotics should be considered for the treatment of ANUG:

A) for all patients.
B) for all adult patients but not for children.
C) only if the patient is running a fever.
D) only if the patient is immunocompromised or if evidence of systemic involvement exists.

Answer 1

only if the patient is immunocompromised or if evidence of systemic involvement exists.

Question 2

Cheilosis can result from deficiencies of vitamins:

A) B₁ and B₂.
B) B₂ and B₆.
C) B₆ and B₁₂.
D) B₉ and B₁₂.

Answer 2

B₂ and B₆.

Question 3

The treatment of recurrent aphthous stomatitis (RAS)may include any of the following except which one?

A) Corticosteroids
B) Topical lauryl sulfate
C) Diphenhydramine
D) Amlexanox

Answer 3

Topical lauryl sulfate

Question 4

Acyclovir ointment is the treatment of choice for primary and recurrent herpes labialis in immunocompetent patients. It is more effective than acyclovir cream in recurrent herpes.

A) Both the statement and the reason are correct and related.
B) The statements and the reason are both correct but not related.
C) The statement is correct, but the reason is not.
D) The statement is not correct, but the reason is accurate.
E) Neither the statement nor the reason is correct.

Question 5

Glossopyrosis is another term for:

A) geographic tongue.
B) pericoronitis.
C) Vincent infection.
D) bald tongue.
E) burning tongue.

Question 6

Recurrent aphthous stomatitis (RAS), which is sometimes referred to as a canker sore, is a common oral lesion occurring in approximately _____% of the population

A) 10
B) 20
C) 30
D) 40

Question 7

A patient presents with an oral ulcer that begins at an interdental papillae. The condition most likely is:

A) herpetic gingivostomatitis.
B) acute necrotizing ulcerative gingivitis (ANUG).
C) aphthous stomatitis.
D) pericoronitis.

Question 8

Treatment of xerostomia consists of all of the following actions except which one?

A) Change the medication or reduce the dose.
B) Prescribe an anticholinergic agent to stimulate an increase in saliva.
C) Prescribe artificial saliva.
D) Use fluoride trays and gels to counteract the formation of caries.
E) Use water or sugarless gum instead of gums, hard candies, and beverages containing sugar.

Question 9

Actinic lip changes, if keratotic, are best treated with:

A) sunscreen with a sun protection factor of 15 or greater.
B) acyclovir.
C) 5-fluorouracil (5-FU).
D) topical steroids.
E) diphenhydramine.

Question 10

Alveolar osteitis, or "dry socket," occurs in 2% to 3% of all tooth extractions, most commonly in the _____ region.

A) mandibular incisor
B) mandibular molar
C) maxillary incisor
D) maxillary molar

Question 11

Which of the following is specifically recommended in the text as a rinse for ANUG?

A) Phenol
B) Essential oil
C) Chlorhexidine gluconate
D) Hydrogen peroxide

Question 12

The etiology of aphthous stomatitis involves an immunologic component in which a significant role is played by:

A) B lymphocytes.
B) T lymphocytes.
C) plasma cells.
D) monocytes.

Question 13

Which subtype of lichen planus is characterized by a white, lacelike pattern intersecting to form a reticular pattern?

A) Striated
B) Plaquelike
C) Erosive
D) Hypertrophic
E) Idiopathic

Question 14

The following statements are true of alveolar osteitis except which one?

A) Alveolar osteitis occurs in 2% to 3% of all extractions.
B) Cigarette smoking increases its likelihood.
C) Alveolar osteitis is attributed to loss or necrosis of the blood clot at the extraction site.
D) Antibiotic prophylaxis is recommended.
E) Diabetes is a predisposing factor.

Question 15

Pericoronitis most commonly applies to partially erupted:

A) incisors.
B) premolars.
C) first molars.
D) third molars.

Question 16

Which of the following conditions involves a focal immune dysfunction in which a decreased ratio of T-helper to T-suppressor/cytotoxic cells can be seen?

A) Alveolar osteitis
B) Angular cheilitis
C) Acute necrotizing ulcerative gingivitis (ANUG)
D) Recurrent aphthous stomatitis (RAS)
E) Geographic tongue

Question 17

Approximately _____% of the adult population has been exposed to herpes simplex virus (HSV).

A) 10
B) 20 to 30
C) 50 to 60
D) 80 to 90

Question 18

Pilocarpine is a(n)_____ agent that produces an increase in saliva.

A) adrenergic
B) antiadrenergic
C) cholinergic
D) anticholinergic

Question 19

The following agents are useful in the treatment of oral herpes lesions except one. Which one is the exception?

A) Diphenhydramine liquid
B) Acyclovir
C) Corticosteroids
D) Viscous lidocaine
E) Sodium carboxymethylcellulose

Question 20

Long-term exposure of the lip to _____ can cause irreversible tissue changes known as actinic cheilitis.

A) lipstick or lip gloss.
B) the sun.
C) alcohol.
D) cold wind.

Question 21

Gingival enlargement is a side effect of some drugs. Corticosteroids are used for the treatment of this condition.

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

Question 22

The most common drug implicated in lichenoid-like eruptions is hydrochlorothiazide.

Question 23

Acyclovir should not be used prophylactically to prevent minor outbreaks of herpes because excessive use may lead to resistant strains of herpes.

Question 24

Chlorhexidine causes intrinsic discoloration of the teeth, whereas stannous fluoride causes extrinsic discoloration.

A) Both parts of the statement are true.
B) Both parts of the statement are false.
C) The first part of the statement is true; the second part is false.
D) The first part of the statement is false; the second part is true.

Question 25

Which of the following agents is associated with gingival enlargement?

A) Chlorhexidine
B) Cyclosporine
C) Angiotensin-receptor blocker
D) Clindamycin
E) Cyclobenzaprine

Question 26

Most cases of osteonecrosis of the jaw (ONJ)are associated with:

A) infection.
B) cancer therapy.
C) bisphosphonate therapy.
D) use of steroids.

Question 27

The ulcerated area of ANUG begins at the marginal gingiva.

Question 28

A decrease in vertical dimension is thought to contribute to angular cheilitis.

Question 29

The majority of cases of osteonecrosis of the jaw (ONJ)are associated with patients taking corticosteroids.