Page 1 of 447
PATHOLOGY FOR THE DENTAL
HYGIENIST (7TH EDITION SAUNDERS) BY
IBSEN & PHELAN TEST BANK
(CHAPTER 1-10) 9780323400626 … PDF
Chapter 01: Introduction to Preliminary Diagnosis of
Oral Lesions Ibsen: Oral Pathology for the Dental
Hygienist, 7th Edition
MULTIPLE
CHOICE
1. Which descriptive term is described as a segment that is part of
the whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C
A lobule is described as a segment or lobe that is part of a
whole. A bulla is a large, elevated lesion that contains serous
fluid and may look like a blister. A vesicle is a small, elevated
lesion that contains serous fluid. Pustules are circumscribed
elevations containing pus.
REF: Vocabulary, Clinical of Soft Tissue Lesions, page 1OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ANS: D
Sessile describes the base of a lesion that is flat and broad. An
ulcer is a break in the surface epithelium. A stemlike lesion is
referred to as pedunculated. A pedunculated lesion is stemlike
or stalk-based (similar to a mushroom).
,Page 2 of 447
REF: Vocabulary, Clinical Appearance of
Soft Tissue Lesions, page 1 OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ANS: D
The compound odontoma is initially identified radiographically
as a radiopaque area in which tooth structure can be identified.
No clinical component exists. Mandibular tori are identified
clinically as areas of exostosis on the lingual aspects of
mandibular premolars. Fordyce granules are yellow clusters
of ectopic sebaceous glands diagnosed through clinical
appearance. Black hairy tongue is diagnosed clinically. The
filiform papillae on the dorsal tongue elongate and become
brown or black. Causes include tobacco, alcohol, hydrogen
peroxide, chemical rinses, antibiotics, and antacids.
REF: Radiographic Diagnosis, page 9 OBJ: 3
4. Another name for geographic tongue is
,Page 3 of 447
a. median rhomboid glossitis.
b. benign migratory glossitis.
c. fissured tongue.
d. black hairy tongue.
ANS: B
Benign migratory glossitis is another name for geographic
tongue. Research suggests that median rhomboid glossitis is
associated with a chronic fungal infection from Candida
albicans. Sometimes the condition resolves with antifungal
therapy. Fissured tongue is seen in 5% of the population. It is a
variant of normal. Genetic factors are typically associated with
the condition. Black hairy tongue is caused by a reaction to
chemicals, tobacco, hydrogen peroxide, or antacids. The
filiform papillae on the dorsal tongue become elongated and
are dark brown to black.
REF: Geographic Tongue, page 24 OBJ: 7
5. This bony hard 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.
Which condition is suspected?
a. Palatal cyst
b. Torus palatinus
c. Mixed tumor
d. Ranula
ANS: B
A torus palatinus is developmental and bony hard and is found
on the midline of the palate. Diagnosis is made on the basis of
clinical appearance. A palatal cyst appears radiolucent on a
radiographic examination and is not diagnosed through clinical
appearance. A mixed tumor or pleomorphic adenoma is a
benign tumor of salivary gland origin, found unilaterally off the
midline of the hard palate. It is composed of tumor tissue that
is not bony hard to palpation.
Ranula is a term used for a mucocele-like lesion that forms
unilaterally on the floor of the mouth.
REF: Torus Palatinus, page 21 OBJ: 4
, Page 4 of 447
6. 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 termed
a. linea alba.
b. leukoedema.
c. leukoplakia.
d. white sponge nevus.
ANS: B
Leukoedema is a diffuse opalescence most commonly seen on
the buccal mucosa in black
individuals. Linea alba is a “white line” that extends
anteroposteriorly on the buccal mucosa along the occlusal
plane. It is most prominent in patients who have a clenching or
grinding habit. Leukoplakia is a clinical term for a white lesion,
the cause of which is unknown. White sponge nevus is a
genetic (autosomal dominant) trait. Clinically, it is
characterized by a soft white, folded (or corrugated) oral
mucosa. A thick layer of keratin produces the whitening.
REF: Leukoedema, page 23 OBJ: 8
PATHOLOGY FOR THE DENTAL
HYGIENIST (7TH EDITION SAUNDERS) BY
IBSEN & PHELAN TEST BANK
(CHAPTER 1-10) 9780323400626 … PDF
Chapter 01: Introduction to Preliminary Diagnosis of
Oral Lesions Ibsen: Oral Pathology for the Dental
Hygienist, 7th Edition
MULTIPLE
CHOICE
1. Which descriptive term is described as a segment that is part of
the whole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS: C
A lobule is described as a segment or lobe that is part of a
whole. A bulla is a large, elevated lesion that contains serous
fluid and may look like a blister. A vesicle is a small, elevated
lesion that contains serous fluid. Pustules are circumscribed
elevations containing pus.
REF: Vocabulary, Clinical of Soft Tissue Lesions, page 1OBJ: 1
2. A lesion with a sessile base is described as
a. an ulcer.
b. stemlike.
c. pedunculated.
d. flat and broad.
ANS: D
Sessile describes the base of a lesion that is flat and broad. An
ulcer is a break in the surface epithelium. A stemlike lesion is
referred to as pedunculated. A pedunculated lesion is stemlike
or stalk-based (similar to a mushroom).
,Page 2 of 447
REF: Vocabulary, Clinical Appearance of
Soft Tissue Lesions, page 1 OBJ: 1
3. Which condition is not diagnosed through clinical appearance?
a. Mandibular tori
b. Fordyce granules
c. Black hairy tongue
d. Compound odontoma
ANS: D
The compound odontoma is initially identified radiographically
as a radiopaque area in which tooth structure can be identified.
No clinical component exists. Mandibular tori are identified
clinically as areas of exostosis on the lingual aspects of
mandibular premolars. Fordyce granules are yellow clusters
of ectopic sebaceous glands diagnosed through clinical
appearance. Black hairy tongue is diagnosed clinically. The
filiform papillae on the dorsal tongue elongate and become
brown or black. Causes include tobacco, alcohol, hydrogen
peroxide, chemical rinses, antibiotics, and antacids.
REF: Radiographic Diagnosis, page 9 OBJ: 3
4. Another name for geographic tongue is
,Page 3 of 447
a. median rhomboid glossitis.
b. benign migratory glossitis.
c. fissured tongue.
d. black hairy tongue.
ANS: B
Benign migratory glossitis is another name for geographic
tongue. Research suggests that median rhomboid glossitis is
associated with a chronic fungal infection from Candida
albicans. Sometimes the condition resolves with antifungal
therapy. Fissured tongue is seen in 5% of the population. It is a
variant of normal. Genetic factors are typically associated with
the condition. Black hairy tongue is caused by a reaction to
chemicals, tobacco, hydrogen peroxide, or antacids. The
filiform papillae on the dorsal tongue become elongated and
are dark brown to black.
REF: Geographic Tongue, page 24 OBJ: 7
5. This bony hard 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.
Which condition is suspected?
a. Palatal cyst
b. Torus palatinus
c. Mixed tumor
d. Ranula
ANS: B
A torus palatinus is developmental and bony hard and is found
on the midline of the palate. Diagnosis is made on the basis of
clinical appearance. A palatal cyst appears radiolucent on a
radiographic examination and is not diagnosed through clinical
appearance. A mixed tumor or pleomorphic adenoma is a
benign tumor of salivary gland origin, found unilaterally off the
midline of the hard palate. It is composed of tumor tissue that
is not bony hard to palpation.
Ranula is a term used for a mucocele-like lesion that forms
unilaterally on the floor of the mouth.
REF: Torus Palatinus, page 21 OBJ: 4
, Page 4 of 447
6. 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 termed
a. linea alba.
b. leukoedema.
c. leukoplakia.
d. white sponge nevus.
ANS: B
Leukoedema is a diffuse opalescence most commonly seen on
the buccal mucosa in black
individuals. Linea alba is a “white line” that extends
anteroposteriorly on the buccal mucosa along the occlusal
plane. It is most prominent in patients who have a clenching or
grinding habit. Leukoplakia is a clinical term for a white lesion,
the cause of which is unknown. White sponge nevus is a
genetic (autosomal dominant) trait. Clinically, it is
characterized by a soft white, folded (or corrugated) oral
mucosa. A thick layer of keratin produces the whitening.
REF: Leukoedema, page 23 OBJ: 8
