Deck 15: Extraoral and Intraoral Clinical Assessment

Question 1

After a lymphadenopathy, which of the following is the specific reason that a head and neck lymph node feels tender to the client when palpated by the clinician?

A) Change in consistency
B) Mobility in tissue
C) Attachment to underlying tissues
D) Pressure on area nerves

Answer 1

Pressure on area nerves

Question 2

Regarding oral lesions, which of the following is usually true?

A) Unilateral structures are most likely a normal anatomic structure.
B) The majority of lesions occur as multiple lesions.
C) Benign lesions have well-defined borders.
D) Fixed lesions on both overlying and underlying tissues are benign.

Answer 2

Benign lesions have well-defined borders.

Question 3

The tonsillar tissue located in the oral cavity and pharynx consists of _____ tissue.

A) layers of connective
B) masses of lymphoid
C) layers of muscular
D) masses of nerve

Answer 3

masses of lymphoid

Question 4

Which of the following nodes serve as secondary lymph nodes for the occipital lymph nodes in the head?

A) Deep cervical lymph nodes
B) Submandibular lymph nodes
C) Auricular lymph nodes
D) Submental lymph nodes

Question 5

What term is used to best describe structures on the same side of the body?

A) Medial
B) Ipsilateral
C) Lateral
D) Contralateral

Question 6

If a lesion is considered a macule with the oral cavity, it is usually due to:

A) hyperplasia.
B) hypertrophy.
C) pigmentation.
D) unchanged vascularity.

Question 7

The auricular region of the head is known for:

A) only large areas of the scalp.
B) presence of the external ear.
C) location of the glabella.
D) placement of the facial sinuses.

Question 8

Oral cancer when detected early usually has a 5-year survival rate of:

A) less than 20%.
B) at 90%.
C) less than 30%.
D) more than 90%.

Question 9

Which of the following tissue types is limited to the dorsum of the tongue?

A) Epidermis
B) Dermis
C) Masticatory mucosa
D) Specialized mucosa

Question 10

In a healthy client, the regional lymph nodes in the head and neck:

A) cannot be visualized.
B) can be visualized.
C) can vary in size; are never small.
D) are soft and attached to underlying tissues.

Question 11

How should the client best move his or her head to allow for the increased prominence of the large strap muscle that divides the neck into regions?

A) Moving head up and down
B) Laying supine in the chair
C) Moving head side to side
D) Pointing the chin down

Question 12

Which of the following terms is best used to describe an area that faces away from the head and toward the feet?

A) Anterior
B) Posterior
C) Superior
D) Inferior

Question 13

The outer corner where the upper and lower eyelid meet is called the outer or lateral:

A) commissure.
B) canthus.
C) supraorbital ridge.
D) nasion.

Question 14

Digital palpation is used to:

A) to palpate the floor of the mouth and the lingual border of the mandible
B) to palpate the lymph nodes or thyroid gland
C) to palpate suspected lesion for more information
D) to palpate the lips, labial and buccal mucosa, and tongue

Question 15

Which of the following conditions is necessary for an effective extraoral assessment by a dental hygienist of a client in a dental office setting?

A) Subdued lighting
B) Supine patient
C) Upright patient
D) Tight tie

Question 16

Which of the following tissue types listed lines the oral cavity?

A) Epidermis
B) Dermis
C) Oral mucosa
D) Connective tissue

Question 17

Where in the oral cavity is the tissue with a softer, moist, nonkeratinized surface, with the ability to stretch and be compressed, and acting as a cushion for the underlying structures in the oral cavity?

A) Dorsal surface of tongue
B) Hard palate
C) Floor of the mouth
D) Attached gingiva

Question 18

Which of the following can be noted of a client during initial appraisal that gives an indication of deafness or stroke history?

A) Wearing long pants
B) Increased weight gain
C) Slurred speech
D) Wearing clear glasses

Question 19

What structure in the head do the maxillary sinuses drain into?

A) Nasal cavity
B) Facial sinuses
C) Lacrimal gland
D) Occipital lymph node

Question 20

The small bulge of tissue at the most anterior part of the hard palate, located lingual to the anterior teeth is the:

A) palatine rugae.
B) median palatine raphe.
C) incisive papilla.
D) greater palatine foramen.

Question 21

Which is the most common malignant neoplasm of the oral cavity?

A) Verrucous carcinoma
B) Basal cell carcinoma
C) Squamous cell carcinoma
D) Malignant melanoma

Question 22

Which of the following tests can be used in the dental office setting for early evaluation of oral cancer and consists of spreading sample cells on a slide?

A) Oral cytology
B) Transepithelial test
C) Toluidine blue dye
D) Tissue reflectance and autofluorescence tests

Question 23

Which of the following category of oral lesions is considered an irregularly shaped elevated area of superficial localized edema?

A) Bulla
B) Wheal
C) Nodule
D) Plaque

Question 24

The staging of oral cancer for the most effective evidence-based treatment is based on the:

A) TNM (tumor, node, and metastasis) system.
B) keratinization level of the overlying tissue, whether orthokeratinized or parakeratinized.
C) nearness to the sternocleidomastoid (SCM) muscle of the neck.
D) chronicity and induration of the original presenting lesion.

Question 25

Toluidine blue dye stains cells differentially depending on their nuclear configuration; it is used to confirm a clinical impression of abnormal cellular changes and is used:

A) during palpation to define borders of regions.
B) during biopsy to define margins of lesions.
C) to help discern the superficial vascularity of the tissue.
D) to help to detect changes in inflammatory cells.

Question 26

Which of the following is the most common site in the oral cavity for squamous cell carcinoma?

A) Attached gingiva
B) Hard palate
C) Lateral border of the tongue
D) Lower lip

Question 27

The earliest form of oral squamous cell carcinoma (OSCC) is termed:

A) invasive squamous cell carcinoma.
B) dysplastic tissue.
C) carcinoma in situ.
D) basal cell carcinoma.

Question 28

Which of the following can be accomplished after receiving results of a test, such as from a biopsy, done to find out if a certain disease or condition is present?

A) Dental hygiene diagnosis
B) Species diagnosis
C) Differential diagnosis
D) Definitive diagnosis

Question 29

An oral cancer associated with infection by HPV is known for:

A) favoring the posterior part of the oral cavity.
B) favoring the anterior part of the oral cavity.
C) having symptoms involving the oral mucosa.
D) having regional soft, painful, mobile lymph nodes.

Question 30

A typical high-risk profile in America for oral cancer is:

A) chewing betel nut.
B) female.
C) under age 40.
D) excessive sun exposure.