Deck 10: Extraoral and Intraoral Examination

Question 1

If a lesion is indurated,what does this finding indicate about the lesion?

A) It is definitely a malignancy.
B) It may be a malignancy.
C) It is definitely an infection.
D) It is definitely of neural origin.

Answer 1

It may be a malignancy.

Question 2

The staging system currently used in North America is the TNM system,in which the tumor is assigned a number (0 to 4)based on its tumor size (T),whether lymph nodes are involved (N),and whether metastases have occurred (M).A stage of T4 has the best prognosis.

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.

Answer 2

The first statement is true; the second is false.

Question 3

Which of the following is NOT a name for geographic tongue?

A) Benign migratory glossitis
B) Erythemia migrans
C) Drifting glossitis
D) Wandering rash of the tongue

Answer 3

Drifting glossitis

Question 4

When palpating the buccal mucosa for abnormalities,which technique should be used?

A) Digital
B) Bidigital
C) Bimanual
D) Bilateral

Question 5

Red areas may clinically appear in a leukoplakia called speckled leukoplakia.Speckled leukoplakia has a high risk of malignancy.

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 6

A healthy 36-year-old African-American male with no significant findings in his medical history and currently not taking any medications has developed a focal enlargement of his gingiva in the area of his left mandibular lateral incisor.It has slowly developed over the past 2 years in an area with significant subgingival calculus.Which of the following is LEAST likely to be the diagnosis?

A) Medication-induced gingival enlargement
B) Fibroma
C) Pyogenic granuloma
D) Peripheral giant cell granuloma

Question 7

Which of the following drugs is strongly associated with drug-related gingival overgrowth?

A) Digitalis
B) Amoxicillin
C) Calcium channel blockers
D) Neurontin

Question 8

What is the most common site of oral cancer?

A) Dorsal surface of tongue
B) Lateral and ventral surfaces of tongue
C) Palate
D) Buccal mucosa

Question 9

Which biopsy would best be used for pemphigoid?

A) Incisional biopsy
B) Excisional biopsy
C) Punch biopsy
D) Brush biopsy

Question 10

Jodi is 33 weeks pregnant and concerned with a bump on her gum that has been there for 2 weeks.Upon examination,there is a 4- by 5-mm lesion on the gingiva near tooth 12 and 13 that bleeds easily.What lesion is Jodi likely presenting with at her appointment?

A) Epulis fissuratum
B) Pyogenic granuloma
C) Peripheral ossifying fibroma
D) Gingival fibromatosis

Question 11

Mary is a new patient to the office and has a chief complaint of extra tissue in her mouth.The health history indicates no medications and her dental history indicates she has had a maxillary denture for 15 years.What oral condition would you likely see upon intraoral examination?

A) Epulis fissuratum
B) Fibroma
C) Ginigival fibromatosis
D) Pyogenic granuloma

Question 12

Which is the recommended procedure for a standard oral cancer screening examination?

A) Go through the oral cancer screening examination and then spend time on the chief complaint.
B) Perform the oral cancer screening examination once on every patient.
C) Make the oral cancer screening examination part of every dental examination for every patient.
D) Make a special appointment for oral cancer screening for high-risk patients.

Question 13

When conducting the extraoral and intraoral examination,the hygienist asks Johnny to place his tongue on the roof of his mouth,but he has difficulty doing so.What condition does Johnny likely have?

A) Benign migratory glossitis
B) Ankyloglossia
C) Macroglossia
D) Microglossia

Question 14

When assessing temporomandibular joint function,which palpation method is used?

A) Digital
B) Bidigital
C) Bimanual
D) Bilateral

Question 15

In terms of potential cancerous lesions,leukoplakia is more common to find in the oral cavity than erythroplakia.However,erythroplakia is more dangerous,with biopsy revealing severe dysplasia or malignancy in 60% to 90% of cases.

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 16

The most common type of oral cancer is

A) Basil cell carcinoma
B) Lymphoma
C) Verrucous carcinoma
D) Squamous cell carcinoma

Question 17

Which of the following conditions appears as a bilateral grayish-white opalescence on the buccal mucosa?

A) Leukocyte
B) Leukoplakia
C) Leukopenia
D) Leukoedema

Question 18

Phenytoin and cyclosporin are associated with which reactive lesion?

A) Epulis fissuratum
B) Pyogenic granuloma
C) Peripheral ossifying fibroma
D) Gingival fibromatosis

Question 19

Which of the following techniques is capable of resulting in a diagnosis rather than being a screening tool?

A) Tissue autofluorescence
B) Toluidine blue
C) Exfoliative cytology brush test
D) Incisional biopsy