MMCP Exam 2 – 2024 | Questions and Answers
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
1. WBCs: are the primary defense against microbial infections and are critical for
mounting an immune response
2. WBCs: Defects in can manifest as delayed healing, infection, or mucosal
ulceration and, in some cases, may be fatal.
3. leukocytosis: Increased number of circulating WBCs
4. leukopenia: decreased number of circulating WBCs
5. physiologic leukocytosis: leukocytosis resulting from exercise, pregnancy, and emotional
stress
6. pathologic leukocytosis: leukocytosis resulting from infection, neoplasia, or necrosis
7. acute myeloid leukemia
chronic myeloid leukemia: what leukemias come from myeloblasts?
8. acute lymphoblastic leukemia
chronic lymphocytic leukemia hodgkin
lymphoma
non-hodgkin lymphoma
multiple myeloma: what diseases/leukemias come from lymphoblasts?
9. leukemia: is cancer of the WBCs that affects the bone marrow and circu- lating
blood
10.acute leukemia: This group of leukemia is rapidly progressive, and results from accumulation
of immature, nonfunctional WBCs in the marrow and blood
11.chronic leukemia: This group of leukemia is slower onset and allows production of larger
numbers of more mature, functional cells
12.acute lymphoid leukemia (ALL): This leukemia results from uncontrolled mon- oclonal
proliferation of immature lymphoid cells in the bone marrow and peripheral blood, and typically
occurs in children. It also leads to the suppression of normal hematopoiesis--leading to
susceptibility to excessive bleeding, anemia, poor heal- ing, and infection.
13.acute lymphoid leukemia (or lymphocytic) (ALL): This leukemia presents with CNS
manifestations and the CBC shows >30% of the cells are lymphoblasts. This leukemia also has a
stormy onset and symptoms are also related to depressed marrow function and bone pain.
14.acute lymphoid leukemia (ALL): This leukemia has a higher rate of CNS involvement
than acute myeloid leukemia does.
15.acute leukemia: This group of leukemia presents with oral manifestations of gingival
enlargement, bleeding, and ulcers. It also presents with oral infection, inflam- mation and
infiltration of atypical and immature WBCs, and bleeding is exacerbated by thrombocytopenia.
Plaque control measures, chlorhexidine, and chemotherapy promote resolution.
Contact For assistance with revision materials, Assignments,
discussions, essays , exam and other classroom activities.
, MMCP Exam 2 – 2024 | Questions and Answers
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
16.acute myelogenous leukemia (or myeloid) (AML): This leukemia is a neo- plasm of myeloid
(immature) WBCs, and occurs in adults with a mean age of 65 years.
17.acute myelogenous leukemia (or myeloid) (AML): This leukemia contains auer rods in its
morphology, in the CBC >30% are myeloblasts, and it occurs primarily in adults.
18.> 50,000 µL: Local hemostatic options are generally effective with patients during
procedures if their platelet counts are . Platelet transfusion may be
needed.
19.neutropenia: This WBC malignancy results in the following:
- Decreased immune response
- Increased infection, inflammation, and ulceration
- Antimicrobial therapy
- May lead to increased opportunistic infections (i.e. candidiasis, HSV)
- Focus for these patients should be on hygiene and scaling if needed
20. MRONJ / ORN
Medication-related osteonecrosis of the jaw + Osteoradionecrosis: Both chemotherapy and
radiation therapy must be considered in Tx planning and com- plete procedures should occur
prior to chemo and radiation therapy in order to prevent what?
21.Chronic Myelogenous Leukemia (CML): This leukemia is a neoplasm of ma- ture myeloid
WBCs and progresses slowly through two phases:
- Chronic phase for 3-5 years
- Blastic phase (crisis)
22.chronic phase: Leukemia cells are still functional and infection is not a major problem in
this phase of CML
23.blastic phase: Leukemia cells are immature and nonfunctional leading to ane- mia,
thrombocytopenia, and infection in this phase of CML.
24.Chronic Myelogenous Leukemia (CML): This leukemia results in fewer oral manifestations
compared to acute leukemia, and often results in generalized lym- phadenopathy, pallor of the
oral mucosa, and soft tissue infection.
25.Chronic Myelogenous Leukemia (CML): This leukemia results in a WBC > 200,000-
1,000,000 with increased eosinophils and basophils.
26.Chronic Lymphocytic Leukemia (CLL): This leukemia results in a neoplasm of mature clonal
CD5+ B lymphocytes, and fatigue, anorexia, and weight loss are the most common complaints.
27.Chronic Lymphocytic Leukemia (CLL): This leukemia results in fewer oral manifestations
than acute leukemias, generalized lymphadenopathy and pallor of
, MMCP Exam 2 – 2024 | Questions and Answers
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
the oral mucosa, and oral soft tissue infection may become evident as the patient develops
hypoglobulinemia
28.Chronic Lymphocytic Leukemia (CLL): This leukemia results in smudge cells, and is the most
common leukemia in adults; twice as common in men.
29.lymphoma: is cancer of the lymphoid organs and tissues that presents as
discrete tissue masses
30.Waldeyer's ring: Initial signs of lymphoma often occur in the mouth in the area of
31.Waldeyer's ring: consists of the following:
• Nasopharynx (pseudostratified ciliated epithelum):
• Pharyngeal tonsil (1)
• Tubal tonsils (2)
• Isthmus faucium (stratified squamous epithelium):
• Palatine tonsil (tonsillar crypts!) (1)
• Lingual tonsil (1)
32.Hodgkin's lymphoma: This lymphoma is a neoplasm of B lymphocytes and contains a
characteristic tumor cell called the Reed-sternberg cell. It is the most common lymphoma in
young adults
33.Hodgkin's lymphoma: This lymphoma often presents alongside EBV and pre- sents most
commonly as a painless mass or a group of firm, nontender, enlarged lymph nodes, often
affecting the mediastinal nodes or the neck nodes
34.Hodgkin's lymphoma: This lymphoma has two peaks in life:
- early adulthood
- 5th decade
35.Hodgkin's lymphoma: This lymphoma may do the following
- Progress to include enlarging tumorous nodes
- Cause lung or vascular obstructions
- Enlarge mediastinal nodes to cause cough, shortness of breath, or dysphagia
- Spread predictably over weeks to months
36.Non-Hodgkin's Lymphoma: This lymphoma consists of a large group of lym- phoproliferative
disorders classified as of B- OR T-cell origin. More than 80% are of B-cell origin.
37.Non-Hodgkin's Lymphoma: This lymphoma consists of four major categories:
- Precursor/Peripheral (immature/mature) B-cell neoplasms
- Precursor/Peripheral (immature/mature) T-cell/NK neoplasms
38.Non-Hodgkin's Lymphoma: This lymphoma, when detected, is usually multi- focal
39.Hodgkin's lymphoma: This lymphoma, when detected, is usually single focus
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
1. WBCs: are the primary defense against microbial infections and are critical for
mounting an immune response
2. WBCs: Defects in can manifest as delayed healing, infection, or mucosal
ulceration and, in some cases, may be fatal.
3. leukocytosis: Increased number of circulating WBCs
4. leukopenia: decreased number of circulating WBCs
5. physiologic leukocytosis: leukocytosis resulting from exercise, pregnancy, and emotional
stress
6. pathologic leukocytosis: leukocytosis resulting from infection, neoplasia, or necrosis
7. acute myeloid leukemia
chronic myeloid leukemia: what leukemias come from myeloblasts?
8. acute lymphoblastic leukemia
chronic lymphocytic leukemia hodgkin
lymphoma
non-hodgkin lymphoma
multiple myeloma: what diseases/leukemias come from lymphoblasts?
9. leukemia: is cancer of the WBCs that affects the bone marrow and circu- lating
blood
10.acute leukemia: This group of leukemia is rapidly progressive, and results from accumulation
of immature, nonfunctional WBCs in the marrow and blood
11.chronic leukemia: This group of leukemia is slower onset and allows production of larger
numbers of more mature, functional cells
12.acute lymphoid leukemia (ALL): This leukemia results from uncontrolled mon- oclonal
proliferation of immature lymphoid cells in the bone marrow and peripheral blood, and typically
occurs in children. It also leads to the suppression of normal hematopoiesis--leading to
susceptibility to excessive bleeding, anemia, poor heal- ing, and infection.
13.acute lymphoid leukemia (or lymphocytic) (ALL): This leukemia presents with CNS
manifestations and the CBC shows >30% of the cells are lymphoblasts. This leukemia also has a
stormy onset and symptoms are also related to depressed marrow function and bone pain.
14.acute lymphoid leukemia (ALL): This leukemia has a higher rate of CNS involvement
than acute myeloid leukemia does.
15.acute leukemia: This group of leukemia presents with oral manifestations of gingival
enlargement, bleeding, and ulcers. It also presents with oral infection, inflam- mation and
infiltration of atypical and immature WBCs, and bleeding is exacerbated by thrombocytopenia.
Plaque control measures, chlorhexidine, and chemotherapy promote resolution.
Contact For assistance with revision materials, Assignments,
discussions, essays , exam and other classroom activities.
, MMCP Exam 2 – 2024 | Questions and Answers
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
16.acute myelogenous leukemia (or myeloid) (AML): This leukemia is a neo- plasm of myeloid
(immature) WBCs, and occurs in adults with a mean age of 65 years.
17.acute myelogenous leukemia (or myeloid) (AML): This leukemia contains auer rods in its
morphology, in the CBC >30% are myeloblasts, and it occurs primarily in adults.
18.> 50,000 µL: Local hemostatic options are generally effective with patients during
procedures if their platelet counts are . Platelet transfusion may be
needed.
19.neutropenia: This WBC malignancy results in the following:
- Decreased immune response
- Increased infection, inflammation, and ulceration
- Antimicrobial therapy
- May lead to increased opportunistic infections (i.e. candidiasis, HSV)
- Focus for these patients should be on hygiene and scaling if needed
20. MRONJ / ORN
Medication-related osteonecrosis of the jaw + Osteoradionecrosis: Both chemotherapy and
radiation therapy must be considered in Tx planning and com- plete procedures should occur
prior to chemo and radiation therapy in order to prevent what?
21.Chronic Myelogenous Leukemia (CML): This leukemia is a neoplasm of ma- ture myeloid
WBCs and progresses slowly through two phases:
- Chronic phase for 3-5 years
- Blastic phase (crisis)
22.chronic phase: Leukemia cells are still functional and infection is not a major problem in
this phase of CML
23.blastic phase: Leukemia cells are immature and nonfunctional leading to ane- mia,
thrombocytopenia, and infection in this phase of CML.
24.Chronic Myelogenous Leukemia (CML): This leukemia results in fewer oral manifestations
compared to acute leukemia, and often results in generalized lym- phadenopathy, pallor of the
oral mucosa, and soft tissue infection.
25.Chronic Myelogenous Leukemia (CML): This leukemia results in a WBC > 200,000-
1,000,000 with increased eosinophils and basophils.
26.Chronic Lymphocytic Leukemia (CLL): This leukemia results in a neoplasm of mature clonal
CD5+ B lymphocytes, and fatigue, anorexia, and weight loss are the most common complaints.
27.Chronic Lymphocytic Leukemia (CLL): This leukemia results in fewer oral manifestations
than acute leukemias, generalized lymphadenopathy and pallor of
, MMCP Exam 2 – 2024 | Questions and Answers
(-59 ---> Leukemias & Lymphomas 60-123 ---> Anemias 124-169 ---> Pregnancy 170-190 --->
Osteoporosis 190-218 ---> Rheumatology)
the oral mucosa, and oral soft tissue infection may become evident as the patient develops
hypoglobulinemia
28.Chronic Lymphocytic Leukemia (CLL): This leukemia results in smudge cells, and is the most
common leukemia in adults; twice as common in men.
29.lymphoma: is cancer of the lymphoid organs and tissues that presents as
discrete tissue masses
30.Waldeyer's ring: Initial signs of lymphoma often occur in the mouth in the area of
31.Waldeyer's ring: consists of the following:
• Nasopharynx (pseudostratified ciliated epithelum):
• Pharyngeal tonsil (1)
• Tubal tonsils (2)
• Isthmus faucium (stratified squamous epithelium):
• Palatine tonsil (tonsillar crypts!) (1)
• Lingual tonsil (1)
32.Hodgkin's lymphoma: This lymphoma is a neoplasm of B lymphocytes and contains a
characteristic tumor cell called the Reed-sternberg cell. It is the most common lymphoma in
young adults
33.Hodgkin's lymphoma: This lymphoma often presents alongside EBV and pre- sents most
commonly as a painless mass or a group of firm, nontender, enlarged lymph nodes, often
affecting the mediastinal nodes or the neck nodes
34.Hodgkin's lymphoma: This lymphoma has two peaks in life:
- early adulthood
- 5th decade
35.Hodgkin's lymphoma: This lymphoma may do the following
- Progress to include enlarging tumorous nodes
- Cause lung or vascular obstructions
- Enlarge mediastinal nodes to cause cough, shortness of breath, or dysphagia
- Spread predictably over weeks to months
36.Non-Hodgkin's Lymphoma: This lymphoma consists of a large group of lym- phoproliferative
disorders classified as of B- OR T-cell origin. More than 80% are of B-cell origin.
37.Non-Hodgkin's Lymphoma: This lymphoma consists of four major categories:
- Precursor/Peripheral (immature/mature) B-cell neoplasms
- Precursor/Peripheral (immature/mature) T-cell/NK neoplasms
38.Non-Hodgkin's Lymphoma: This lymphoma, when detected, is usually multi- focal
39.Hodgkin's lymphoma: This lymphoma, when detected, is usually single focus
