Oral Pathology for the Dental Hygienist, 8th Edition by Olga A. C.
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FULL TEST BANK!!!
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,Chapterj01:jIntroductionjtojPreliminaryjDiagnosisjofjOraljLesionsjIbsen
:jOraljPathologyjforjthejDentaljHygienist,j8thjEdition
MULTIPLEjCHOICE
1. Whichjdescriptivejtermjisjdescribedjasjajsegmentjthatjisjpartjofjthejwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:j C
Ajlobulejisjdescribedjasjajsegmentjorjlobejthatjisjpartjofjajwhole.jAjbullajisjajlarge,jelevatedjlesionj
thatjcontainsjserousjfluidjandjmayjlookjlikejajblister.jAjvesiclejisjajsmall,jelevatedjlesionjthatjcon
tainsjserousjfluid.jPustulesjarejcircumscribedjelevationsjcontainingjpus.
REF:j Vocabulary,jClinicaljofjSoftjTissuejLesions,jpagej1 OBJ:j 1
2. Ajlesionjwithjajsessilejbasejisjdescribedjas
a. anjulcer.
b. stemlike.
c. pedunculated.
d. flatjandjbroad.
ANS:j D
Sessilejdescribesjthejbasejofjajlesionjthatjisjflatjandjbroad.jAnjulcerjisjajbreakjinjthejsurfacejepitheli
um.jAjstemlikejlesionNi sUrRefSeI
rr N
edGtK
o jIa sNpGe.
d uCnOcuMl a t ed . jAjpedunculatedjlesionjisjstemlikejorjstalk
-basedj(similarjtojajmushroom).
REF:jVocabulary,jClinicaljAppearancejofjSoftjTissuejLesions,jpagej1jO
BJ:j1
3. Whichjconditionjisjnotjdiagnosedjthroughjclinicaljappearance?
a. Mandibularjtori
b. Fordycejgranules
c. Blackjhairyjtongue
d. Compoundjodontoma
ANS:j D
Thejcompoundjodontomajisjinitiallyjidentifiedjradiographicallyjasjajradiopaquejareajinjwhichjtoo
thjstructurejcanjbejidentified.jNojclinicaljcomponentjexists.jMandibularjtorijarejidentifiedjclinic
allyjasjareasjofjexostosisjonjthejlingualjaspectsjofjmandibularjpremolars.jFordycejgranulesjarejye
llowjclustersjofjectopicjsebaceousjglandsjdiagnosedjthroughjclinicaljappearance.jBlackjhairyjton
guejisjdiagnosedjclinically.jThejfiliformjpapillaejonjthejdorsaljtonguejelongatejandjbecomejbrow
njorjblack.jCausesjincludejtobacco,jalcohol,jhydrogenjperoxide,jchemicaljrinses,jantibiotics,jand
jantacids.
REF:j RadiographicjDiagnosis,jpagej9 OBJ:j 3
4. Anotherjnamejforjgeographicjtonguejis
, a. medianjrhomboidjglossitis.
b. benignjmigratoryjglossitis.
c. fissuredjtongue.
d. blackjhairyjtongue.
ANS:j B
Benignjmigratoryjglossitisjisjanotherjnamejforjgeographicjtongue.jResearchjsuggestsjthatjmedia
njrhomboidjglossitisjisjassociatedjwithjajchronicjfungaljinfectionjfromjCandidajalbicans.jSomet
imesjthejconditionjresolvesjwithjantifungaljtherapy.jFissuredjtonguejisjseenjinj5%jofjthejpopulati
on.jItjisjajvariantjofjnormal.jGeneticjfactorsjarejtypicallyjassociatedjwithjthejcondition.jBlackjhai
ryjtonguejisjcausedjbyjajreactionjtojchemicals,jtobacco,jhydrogenjperoxide,jorjantacids.jThejfilif
ormjpapillaejonjthejdorsaljtonguejbecomejelongatedjandjarejdarkjbrownjtojblack.
REF:j GeographicjTongue,jpagej24 OBJ:j 7
5. Thisjbonyjhardjstructurejinjthejmidlinejofjthejhardjpalatejisjgeneticjinjoriginjandjinheritedjinjanj
autosomaljdominantjmanner.jThejdiagnosisjisjmadejthroughjclinicaljappearance.jWhichjcondi
tionjisjsuspected?
NURSINGKING.COM
a. Palataljcyst
b. Torusjpalatinus
c. Mixedjtumor
d. Ranula
ANS:j B
Ajtorusjpalatinusjisjdevelopmentaljandjbonyjhardjandjisjfoundjonjthejmidlinejofjthejpalate.jDiag
nosisjisjmadejonjthejbasisjofjclinicaljappearance.jAjpalataljcystjappearsjradiolucentjonjajradiogra
phicjexaminationjandjisjnotjdiagnosedjthroughjclinicaljappearance.jAjmixedjtumorjorjpleomorph
icjadenomajisjajbenignjtumorjofjsalivaryjglandjorigin,jfoundjunilaterallyjoffjthejmidlinejofjthejha
rdjpalate.jItjisjcomposedjofjtumorjtissuejthatjisjnotjbonyjhardjtojpalpation.
Ranulajisjajtermjusedjforjajmucocele-likejlesionjthatjformsjunilaterallyjonjthejfloorjofjthejmouth.
REF:j TorusjPalatinus,jpagej21 OBJ:j 4
, 6. Thejgray-
whitejopalescentjfilmjseenjonjthejbuccaljmucosajofj85%jofjblackjadultsjisjajvariantjofjnormaljtha
tjrequiresjnojtreatmentjandjisjtermed
a. lineajalba.
b. leukoedema.
c. leukoplakia.
d. whitejspongejnevus.
ANS:j B
Leukoedemajisjajdiffusejopalescencejmostjcommonlyjseenjonjthejbuccaljmucosajinjblack
individuals.jLineajalbajisjaj“whitejline”jthatjextendsjanteroposteriorlyjonjthejbuccaljmucosajalon
gjthejocclusaljplane.jItjisjmostjprominentjinjpatientsjwhojhavejajclenchingjorjgrindingjhabit.jLeu
koplakiajisjajclinicaljtermjforjajwhitejlesion,jthejcausejofjwhichjisjunknown.jWhitejspongejnevusj
isjajgeneticj(autosomaljdominant)jtrait.jClinically,jitjisjcharacterizedjbyjajsoftjwhite,jfoldedj(orjc
orrugated)joraljmucosa.jAjthickjlayerjofjkeratinjproducesjthejwhitening.
REF:j Leukoedema,jpagej23 OBJ:j 8
7. Whichjconditionjmostjlikelyjrespondsjtojtherapeuticjdiagnosis?
a. Angularjcheilitis
b. Amelogenesisjimperfecta
c. Pagetjdisease
d. Stafnejbonejcyst
ANS:j A
Angularjcheilitisjmostjcommonlyjrespondsjtojantifungaljtherapyjoncejnutritionaljdeficienciesjha
vejbeenjruledjout.jAmelogenesisjimperfectajisjajgeneticjconditionjassociatedjwithjabnormaljdeve
lopmentjofjthejenamel.jPagetjdiseasejisjajchronicjmetabolicjbonejdisease.jAjhighly
elevatedjserumjalkalinejphospNhUatRaS
s eIleNvGelKcIoN
n tG
ri .
b uCteOs Msignificantly jtojthejdiagnosis.jAjStafne
bonejcystjisjdeterminedjthroughjsurgicaljdiagnosisjinjwhichjentrappedjsalivaryjglandjtissuejisjidentifi
ed.
REF:j TherapeuticjDiagnosis,jpagej18 OBJ:j 3
8. Thejgingivaljenlargementjinjthisjpatientjwasjcausedjbyjajcalciumjchanneljblocker.jWhichjm
edicationjisjthejlikelyjcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine