Deck 25: Oral Conditions and Their Treatment

Question 1

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.

Answer 1

Neither the statement nor the reason is correct.

Question 2

Pericoronitis most commonly applies to partially erupted

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

Answer 2

third molars.

Question 3

Glossopyrosis is another term for

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

Answer 3

burning tongue.

Question 4

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 5

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 6

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.

Question 7

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 8

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 9

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 10

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 11

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

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

Question 12

Cheilosis can result from deficiencies of vitamins

A)B₁ and β₂ .
B)β₂ and B₆.
C)B₆ and B₁₂.
D)B₉ and B₁₂.

Question 13

Each of the following is a method of treatment for xerostomia except one.Which is the exception?

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 14

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

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

Question 15

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

A)Striated
B)Plaque-like
C)Erosive
D)Hypertrophic
E)Idiopathic

Question 16

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 17

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

Question 18

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 19

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 20

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 21

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

Question 22

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

Question 23

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 is false.
D)The first statement is false,the second is true.

Question 24

Which is the most potent topical corticosteroid?

A)Hydrocortisone
B)Triamcinolone acetonide (TAC)
C)Fluocinonide (Lidex)
D)Clobetasol (Temovate)

Question 25

According to the Centers for Disease Control,a patient with active herpetic lesions should receive which type of dental care?

A)Any dental restorative work or periodontal care is fine.
B)Periodontal care but not restorative work.
C)Direct restorative work (amalgam,composite)and routine prophylaxis.
D)Routine prophylaxis only.
E)Emergency dental care or treatment for the lesions only.

Question 26

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

Question 27

Which antiviral agent is available without a prescription?

A)Acyclovir
B)Valacyclovir
C)Penciclovir
D)Docosanol
E)Famciclovir

Question 28

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

Question 29

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

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

Question 30

Which is the most common drug associated with lichenoid-like eruptions?

A)Allopurinol
B)Hydrochlorothiazide (HCTZ)
C)Nifedipine
D)Captopril
E)Procainamide

Question 31

Which of the following agents is associated with gingival enlargement?

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

Question 32

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 33

HSV-1 is involved in most _____ lesions and transmission is usually ________.

A)oral;not sexual
B)oral;sexual
C)genital;not sexual
D)genital;sexual

Question 34

Candida albicans is a part of the normal oral flora.A decrease in occlusal vertical dimension (OVD)will often lead to angular cheilitis.

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

Question 35

The ulcerated area of ANUG begins at the marginal gingiva.