m m m m m
R THE DENTAL HYGIENIST 7TH EDITIO
m m m m m
N IBSEN| ALL CHAPTERS INCLUDED AL
m m m m m
READY GRADED A+
m m
,TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
Chapter m01:mIntroductionmtomPreliminary mDiagnosis mofmOralmLesionsmIb
sen:mOralmPathology mformthemDentalmHygienist,m7thmEdition
MULTIPLEmCHOICE
1. Whichmdescriptivemtermmismdescribed masmamsegment mthat mismpart mof mthemwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:m C
A mlobulemismdescribed masmamsegment mormlobemthat mismpart mof mamwhole.mAmbullamismamlarge,melevat
ed mlesionmthat mcontainsmserousmfluid mand mmaymlookmlikemamblister.mA mvesiclemis mamsmall,melevate
d mlesionmthat mcontainsmserousmfluid.mPustulesmaremcircumscribed melevationsmcontainingmpus.
REF:m Vocabulary, mClinicalmof mSoftmTissue mLesions,mpagem1 OBJ:m 1
2. A mlesionmwithmamsessilembasemismdescribed mas
a. anmulcer.
b. stemlike.
c. pedunculated.
d. flat mand mbroad.
ANS:m D
Sessilemdescribesmthembasemof mamlesionmthat mismflat mand mbroad.mAnmulcermismambreakmin mthemsurfa
cemepithelium.m Am stemlikem le s io nNisU rRefSeI
r rN
edGt K
o mIa sNpGe .
d uCnOc uMla te d . m Ampedunculatedm lesionm ism ste
mlikemormstalk-based m(similar mtomammushroom).
REF:mVocabulary,mClinicalmAppearancemofmSoftmTissuemLesions,mpagem
1 mOBJ:m1
3. Whichmconditionmismnotmdiagnosed mthroughmclinicalmappearance?
a. Mandibularmtori
b. Fordycemgranules
c. Blackmhairymtongue
d. Compound modontoma
ANS:m D
Themcompound modontomamisminitiallymidentified mradiographicallymasmamradiopaquemaream in mwhi
chmtoothmstructuremcanmbemidentified.mNomclinicalmcomponent mexists.mMandibularmtorimaremident
ified mclinicallymasmareasmof mexostosismonmthemlingualmaspectsmof mmandibularmpremolars.mFordyc
emgranulesmaremyellow mclustersmof mectopicmsebaceousmglandsmdiagnosed mthroughmclinical mappea
rance.mBlackmhairymtonguemismdiagnosed mclinically.m Themfiliformmpapillaemonmthemdorsalmtongu
emelongatemand mbecomembrownmormblack.mCausesmincludemtobacco,malcohol,mhydrogenmperoxid
e,mchemicalmrinses,mantibiotics,mand mantacids.
REF:m Radiographic mDiagnosis,mpagem9 OBJ:m 3
4. Anothermnamemformgeographicmtonguemis
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a. medianmrhomboid mglossitis.
b. benignmmigratorymglossitis.
c. fissured mtongue.
d. blackmhairymtongue.
ANS:m B
Benignmmigratorymglossitismismanothermnamemformgeographicmtongue.mResearchmsuggestsmthat m
medianmrhomboid mglossitismismassociated mwithmamchronicmfungalminfectionmfrommCandidamalbic
ans.mSometimesmthemconditionmresolvesmwithmantifungalmtherapy.mFissured mtonguemismseenminm5
%mof mthempopulation.mIt mismamvariant mof mnormal.mGeneticmfactorsmaremtypicallymassociated mwithm
themcondition.mBlackmhairymtonguemismcaused mbymamreactionmtomchemicals,mtobacco,mhydrogenmp
eroxide,mormantacids.mThemfiliformmpapillaemonmthemdorsalmtonguembecomemelongated mand maremd
arkmbrownmtomblack.
REF:m Geographic mTongue,mpagem24 OBJ:m 7
5. Thismbonymhard mstructureminmthemmidlinemof mthemhard mpalatemismgeneticminmoriginmand minherited
inmanmautosomalmdominant mmanner.mThemdiagnosismis mmademthroughmclinicalmappearance.m
m
Whichmconditionmismsuspected?
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a. Palatalmcyst
b. Torusmpalatinus
c. Mixed mtumor
d. Ranula
ANS:m B
A mtorusmpalatinusmismdevelopmentalmand mbonymhard mand mismfound monmthemmidlinemof mthempalate
.mDiagnosismismmademonmthembasismof mclinicalmappearance. mA mpalatalmcyst mappearsmradiolucent m
onmamradiographicmexaminationmand mismnot mdiagnosed mthroughmclinicalmappearance.mA mmixed mt
umormormpleomorphicmadenomamismambenignmtumor mof msalivarymgland morigin,mfound munilaterall
ymoff mthemmidlinemof mthemhard mpalate.mIt mismcomposed mof mtumormtissuemthat mismnot mbonymhard mto
mpalpation.
Ranulamismamtermmused mformammucocele-
likemlesionmthat mformsmunilaterallymonmthemfloormof mthemmouth.
REF:m TorusmPalatinus,mpagem21 OBJ:m 4
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6. Themgray-
whitemopalescent mfilmmseenmonmthembuccalmmucosamof m85%mof mblackmadultsmismamvariant mof mnor
malmthat mrequiresmnomtreatment mand mismtermed
a. lineamalba.
b. leukoedema.
c. leukoplakia.
d. whitemspongemnevus.
ANS:m B
Leukoedemamismamdiffusemopalescencemmost mcommonlymseenmonmthembuccalmmucosaminmblackm i
ndividuals.mLineamalbamismam“whitemline”mthat mextendsmanteroposteriorlymonmthembuccalmmucosa
malongmthemocclusalmplane.mIt mismmost mprominent minmpatientsmwhomhavemamclenching mormgrindin
gmhabit.mLeukoplakiamismamclinicalmtermmformamwhitemlesion,mthemcause mof mwhichmismunknown.mW
hitemspongemnevusmismamgeneticm(autosomalmdominant)mtrait.mClinically,m it mismcharacterized mbym
amsoft mwhite,mfolded m(ormcorrugated)moralmmucosa.mAmthickmlayermof mkeratinmproducesmthemwhit
ening.
REF:m Leukoedema, mpagem23 OBJ:m 8
7. Whichmconditionmmost mlikelymrespondsmtomtherapeuticmdiagnosis?
a. Angularmcheilitis
b. Amelogenesismimperfecta
c. Paget mdisease
d. Stafnembonemcyst
ANS:m A
Angularmcheilitismmost mcommonlymrespondsmtomantifungalmtherapymoncemnutritionalmdeficienci
esmhavembeenmruled mout.mAmelogenesismimperfectamismamgeneticmconditionmassociated mwithmabn
ormal
development mof mthemenamel.mPaget mdiseasemismamchronicmmetabolicmbonemdisease.mAmhighlymele
vatedm serummalkalinem p h o spNhUatRaS
seIleNvGe lKcIo N
n tG
ri.
buCt eOs Ms ignif icant ly mtomthemdiagnosis.m Am Stafne
bonemcyst mismdetermined mthroughmsurgicalmdiagnosisminmwhichmentrapped msalivarymgland mtissuemismid
entified.
REF:m Therapeutic mDiagnosis,mpagem18 OBJ:m 3
8. Themgingivalmenlargement minmthis mpatient mwasmcaused mbymamcalciummchannel mblocker.mWhi
chmmedicationmismthemlikelymcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
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