TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
TESTmBANKmORALmPATHOLOGYmDENTALmHYGIENISTm7THmEdm2023 mUPDATEDm
EXAMmRATEDm100%mPASSmHIGHSCOREmEXAM!!!m{CHAPTERm1-mCHAPTERm10}
Chapter m01:mIntroductionmtomPreliminary mDiagnosis mofmOralmLesionsmI
bsen:mOralmPathology mformthemDentalmHygienist,m7thmEdition
MULTIPLEmCHOICE
1. Whichmdescriptivemtermmismdescribed masmamsegment mthat mismpart mof mthemwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:mC
A mlobulemismdescribed masmamsegment mormlobemthat mismpart mof mamwhole.mAmbullamismamlarge,melevate
d mlesionmthat mcontainsmserousmfluid mand mmaymlookmlikemamblister.mAmvesicle mism amsmall, melevated
mlesionmthat mcontainsmserousmfluid.mPustulesmaremcircumscribed melevationsmcontainingmpus.
REF:mVocabulary,mClinicalmof mSoftmTissue mLesions,mpagem1 OBJ:m1
2. A mlesionmwithmamsessilembasemismdescribed mas
a. anmulcer.
b. stemlike.
c. pedunculated.
d. flat mand mbroad.
ANS:mD
Sessilemdescribesmthembasemof mamlesionmthat mismflat mand mbroad.mAnmulcermismambreakminmthemsurfac
emepithelium.mA mstemlikemlesionmism referred mtomasmNURSINGKING.COMpedunculated.mAmp
edunculated mlesionmismstemlikemormstalk-based m(similarmtomammushroom).
REF:mVocabulary, mClinicalmAppearancemofmSoftmTissuemLesions,mpagem1
mOBJ:m1
3. Whichmconditionmismnotmdiagnosed mthroughmclinicalmappearance?
a. Mandibularmtori
b. Fordycemgranules
c. Blackmhairymtongue
d. Compound modontoma
NURSINGKING.COM
,TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
ANS:mD
Themcompound modontomamisminitiallymidentified mradiographicallymasmamradiopaquemareaminmwhic
hmtoothmstructuremcanmbemidentified.mNomclinicalmcomponent mexists.mMandibularmtorimaremidentif
ied mclinicallymasmareasmof mexostosismonmthemlingualmaspectsmof mmandibularmpremolars.mFordycem
granulesmaremyellow mclustersmof mectopicmsebaceousmglandsmdiagnosed mthroughmclinicalmappeara
nce.mBlackmhairymtonguemismdiagnosed mclinically.mThe mfiliform mpapillaemon mthemdorsalmtongueme
longatemand mbecomembrownmormblack.mCausesmincludemtobacco,malcohol,mhydrogenmperoxide,mc
hemicalmrinses,mantibiotics,mand mantacids.
REF:mRadiographic mDiagnosis,mpagem9 OBJ:m3
4. Anothermnamemformgeographicmtonguemis
a. medianmrhomboid mglossitis.
b. benignmmigratorymglossitis.
c. fissured mtongue.
d. blackmhairymtongue.
ANS:mB
Benignmmigratorymglossitismismanothermnamemformgeographicmtongue.mResearchmsuggestsmthat mm
edianmrhomboid mglossitismismassociated mwithmamchronicmfungalminfectionmfrommCandidamalbican
s.mSometimesmthemconditionmresolvesmwithmantifungalmtherapy.mFissured mtonguemismseenminm5%m
of mthempopulation.mIt mismamvariant mof mnormal.mGeneticmfactorsmaremtypicallymassociated mwithmthe
mcondition.mBlackmhairymtonguemismcaused mbymamreactionmtomchemicals,mtobacco,mhydrogenmpero
xide,mormantacids.mThemfiliformmpapillaemonmthemdorsalmtonguembecomemelongated mand maremdark
mbrownmtomblack.
REF:mGeographic mTongue,mpagem24 OBJ:m7
5. Thismbonymhard mstructureminmthemmidlinemof mthemhard mpalatemismgeneticminmoriginmand minherited min
manmautosomalmdominant mmanner.mThemdiagnosismismmademthroughmclinicalmappearance.mWhich
conditionmismsuspected?
NURSINGKING.COM
NURSINGKING.COM
,TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
a. Palatalmcyst
b. Torusmpalatinus
c. Mixed mtumor
d. Ranula
ANS:mB
A mtorusmpalatinusmismdevelopmentalmand mbonymhard mand mismfound monmthemmidlinemof mthempalate.
mDiagnosismismmademonmthembasismof mclinicalmappearance.mA mpalatalmcyst mappearsmradiolucent mo
nmamradiographicmexaminationmand mismnot mdiagnosed mthroughmclinicalmappearance.mA mmixed mtu
mormormpleomorphicmadenomamismambenignmtumor mof msalivarymgland morigin,mfound munilaterallym
off mthemmidlinemof mthemhard mpalate.mIt mismcomposed mof mtumormtissuemthat mismnot mbonymhard mtompa
lpation.
Ranulamismamtermmused mformammucocele-
likemlesionmthat mformsmunilaterallymonmthemfloormof mthemmouth.
REF:mTorusmPalatinus,mpagem21 OBJ:m4
6. Themgray-
whitemopalescent mfilmmseenmonmthembuccalmmucosamof m85%mof mblackmadultsmismamvariant mof mnor
malmthat mrequiresmnomtreatment mand mismtermed ma.mlineamalba.
b. leukoedema.
c. leukoplakia.
d. whitemspongemnevus.
ANS:mB
Leukoedemamismamdiffusemopalescencemmost mcommonlymseenmonmthembuccalmmucosam inmblack
individuals.mLineamalbamismam“whitemline”mthat mextendsmanteroposteriorlymonmthembuccalmmucosa
malongmthemocclusalmplane.mIt mismmost mprominent minmpatientsmwhomhavemamclenchingmormgrinding
mhabit.mLeukoplakiamismamclinicalmtermmformamwhitemlesion,mthemcausemof mwhichmismunknown.mWh
itemspongemnevusmismamgeneticm(autosomalmdominant)mtrait.mClinically,m it mismcharacterized mbymam
soft mwhite,mfolded m(ormcorrugated)moralmmucosa.mAmthickmlayermof mkeratinmproducesmthemwhiten
ing.
REF:mLeukoedema, mpagem23 OBJ:m8
7. Whichmconditionmmost mlikelymrespondsmtomtherapeuticmdiagnosis?
a. Angularmcheilitis
b. Amelogenesismimperfecta
c. Paget mdisease
d. Stafnembonemcyst
ANS:mA
Angularmcheilitismmost mcommonlymrespondsmtomantifungalmtherapymoncemnutritionalmdeficiencie
smhavembeenmruled mout.mAmelogenesismimperfectamismamgeneticmconditionmassociated mwithmabnor
malmdevelopment mof mthemenamel.mPaget mdiseasemismamchronicmmetabolic mbonemdisease.mAmhighl
y
NURSINGKING.COM
, TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
elevated mserummalkalinemphosphatasemlevelmcontributesmsignificaNURSINGKING.COMmn
tlymtomthemdiagnosis.mAmStafnembonemcyst mismdetermined mthroughmsurgicalmdiagnosisminmwhich
mentrapped msalivarymgland mtissuemismidentified.
REF:mTherapeutic mDiagnosis,mpagem18 OBJ:m3
8. Themgingivalmenlargement minmthismpatient mwasmcaused mbymamcalciummchannelmblocker.mWhi
chmmedicationmismthemlikelymcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
ANS:mB
Nifedipinemismamcalciummchannelmblocker.mDilantinmismanmanticonvulsant mused mtomprevent mormc
ontrolmseizures.mQuinidinemismanmantiarrhythmicmagent mused mtomtreat mcardiacmarrhythmias. mCl
ozapinemismanmantipsychoticmused minmthemmanagement mof mpsychoticmsymptomsminmschizophre
nia.
REF:mHistoricalmDiagnosis,mFig.m1.38,mpagem17 OBJ:m3
9. Radiographicmfeatures,mincludingmcotton-
woolmradiopacitiesmand mhypercementosis,maremespeciallymhelpfulminmthemdiagnosismof m
a.mPaget mdisease.
b. dentinogenesismimperfecta.
c. anemia.
d. diabetes.
ANS:mA
Paget mdiseasemismamchronicmmetabolicmbonemdisease.mRadiographically,mcotton-
woolmradiopacitiesmand mhypercementosismaremcharacteristicmfeatures.mDentinogenesismimperfect
amismamgeneticmconditionminvolvingmamdefect minmthemdevelopment mof mdentin.mAnemia,mamdecrease
minmred mblood mcells,mrequiresmblood mtestsmtomdeterminemthemetiologicmfactors.mDiabetesmismamchro
nicmdisordermof mcarbohydratemmetabolismmcharacterized mbymabnormallymhighmblood mglucose mle
vels.
NURSINGKING.COM
TESTmBANKmORALmPATHOLOGYmDENTALmHYGIENISTm7THmEdm2023 mUPDATEDm
EXAMmRATEDm100%mPASSmHIGHSCOREmEXAM!!!m{CHAPTERm1-mCHAPTERm10}
Chapter m01:mIntroductionmtomPreliminary mDiagnosis mofmOralmLesionsmI
bsen:mOralmPathology mformthemDentalmHygienist,m7thmEdition
MULTIPLEmCHOICE
1. Whichmdescriptivemtermmismdescribed masmamsegment mthat mismpart mof mthemwhole?
a. Bulla
b. Vesicle
c. Lobule
d. Pustule
ANS:mC
A mlobulemismdescribed masmamsegment mormlobemthat mismpart mof mamwhole.mAmbullamismamlarge,melevate
d mlesionmthat mcontainsmserousmfluid mand mmaymlookmlikemamblister.mAmvesicle mism amsmall, melevated
mlesionmthat mcontainsmserousmfluid.mPustulesmaremcircumscribed melevationsmcontainingmpus.
REF:mVocabulary,mClinicalmof mSoftmTissue mLesions,mpagem1 OBJ:m1
2. A mlesionmwithmamsessilembasemismdescribed mas
a. anmulcer.
b. stemlike.
c. pedunculated.
d. flat mand mbroad.
ANS:mD
Sessilemdescribesmthembasemof mamlesionmthat mismflat mand mbroad.mAnmulcermismambreakminmthemsurfac
emepithelium.mA mstemlikemlesionmism referred mtomasmNURSINGKING.COMpedunculated.mAmp
edunculated mlesionmismstemlikemormstalk-based m(similarmtomammushroom).
REF:mVocabulary, mClinicalmAppearancemofmSoftmTissuemLesions,mpagem1
mOBJ:m1
3. Whichmconditionmismnotmdiagnosed mthroughmclinicalmappearance?
a. Mandibularmtori
b. Fordycemgranules
c. Blackmhairymtongue
d. Compound modontoma
NURSINGKING.COM
,TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
ANS:mD
Themcompound modontomamisminitiallymidentified mradiographicallymasmamradiopaquemareaminmwhic
hmtoothmstructuremcanmbemidentified.mNomclinicalmcomponent mexists.mMandibularmtorimaremidentif
ied mclinicallymasmareasmof mexostosismonmthemlingualmaspectsmof mmandibularmpremolars.mFordycem
granulesmaremyellow mclustersmof mectopicmsebaceousmglandsmdiagnosed mthroughmclinicalmappeara
nce.mBlackmhairymtonguemismdiagnosed mclinically.mThe mfiliform mpapillaemon mthemdorsalmtongueme
longatemand mbecomembrownmormblack.mCausesmincludemtobacco,malcohol,mhydrogenmperoxide,mc
hemicalmrinses,mantibiotics,mand mantacids.
REF:mRadiographic mDiagnosis,mpagem9 OBJ:m3
4. Anothermnamemformgeographicmtonguemis
a. medianmrhomboid mglossitis.
b. benignmmigratorymglossitis.
c. fissured mtongue.
d. blackmhairymtongue.
ANS:mB
Benignmmigratorymglossitismismanothermnamemformgeographicmtongue.mResearchmsuggestsmthat mm
edianmrhomboid mglossitismismassociated mwithmamchronicmfungalminfectionmfrommCandidamalbican
s.mSometimesmthemconditionmresolvesmwithmantifungalmtherapy.mFissured mtonguemismseenminm5%m
of mthempopulation.mIt mismamvariant mof mnormal.mGeneticmfactorsmaremtypicallymassociated mwithmthe
mcondition.mBlackmhairymtonguemismcaused mbymamreactionmtomchemicals,mtobacco,mhydrogenmpero
xide,mormantacids.mThemfiliformmpapillaemonmthemdorsalmtonguembecomemelongated mand maremdark
mbrownmtomblack.
REF:mGeographic mTongue,mpagem24 OBJ:m7
5. Thismbonymhard mstructureminmthemmidlinemof mthemhard mpalatemismgeneticminmoriginmand minherited min
manmautosomalmdominant mmanner.mThemdiagnosismismmademthroughmclinicalmappearance.mWhich
conditionmismsuspected?
NURSINGKING.COM
NURSINGKING.COM
,TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
a. Palatalmcyst
b. Torusmpalatinus
c. Mixed mtumor
d. Ranula
ANS:mB
A mtorusmpalatinusmismdevelopmentalmand mbonymhard mand mismfound monmthemmidlinemof mthempalate.
mDiagnosismismmademonmthembasismof mclinicalmappearance.mA mpalatalmcyst mappearsmradiolucent mo
nmamradiographicmexaminationmand mismnot mdiagnosed mthroughmclinicalmappearance.mA mmixed mtu
mormormpleomorphicmadenomamismambenignmtumor mof msalivarymgland morigin,mfound munilaterallym
off mthemmidlinemof mthemhard mpalate.mIt mismcomposed mof mtumormtissuemthat mismnot mbonymhard mtompa
lpation.
Ranulamismamtermmused mformammucocele-
likemlesionmthat mformsmunilaterallymonmthemfloormof mthemmouth.
REF:mTorusmPalatinus,mpagem21 OBJ:m4
6. Themgray-
whitemopalescent mfilmmseenmonmthembuccalmmucosamof m85%mof mblackmadultsmismamvariant mof mnor
malmthat mrequiresmnomtreatment mand mismtermed ma.mlineamalba.
b. leukoedema.
c. leukoplakia.
d. whitemspongemnevus.
ANS:mB
Leukoedemamismamdiffusemopalescencemmost mcommonlymseenmonmthembuccalmmucosam inmblack
individuals.mLineamalbamismam“whitemline”mthat mextendsmanteroposteriorlymonmthembuccalmmucosa
malongmthemocclusalmplane.mIt mismmost mprominent minmpatientsmwhomhavemamclenchingmormgrinding
mhabit.mLeukoplakiamismamclinicalmtermmformamwhitemlesion,mthemcausemof mwhichmismunknown.mWh
itemspongemnevusmismamgeneticm(autosomalmdominant)mtrait.mClinically,m it mismcharacterized mbymam
soft mwhite,mfolded m(ormcorrugated)moralmmucosa.mAmthickmlayermof mkeratinmproducesmthemwhiten
ing.
REF:mLeukoedema, mpagem23 OBJ:m8
7. Whichmconditionmmost mlikelymrespondsmtomtherapeuticmdiagnosis?
a. Angularmcheilitis
b. Amelogenesismimperfecta
c. Paget mdisease
d. Stafnembonemcyst
ANS:mA
Angularmcheilitismmost mcommonlymrespondsmtomantifungalmtherapymoncemnutritionalmdeficiencie
smhavembeenmruled mout.mAmelogenesismimperfectamismamgeneticmconditionmassociated mwithmabnor
malmdevelopment mof mthemenamel.mPaget mdiseasemismamchronicmmetabolic mbonemdisease.mAmhighl
y
NURSINGKING.COM
, TESTmBANKmFORmORALmPATHOLOGYmFORmTHEmDENTALmHYGIENISTm7THmEDITIONmBYmIBSEN
elevated mserummalkalinemphosphatasemlevelmcontributesmsignificaNURSINGKING.COMmn
tlymtomthemdiagnosis.mAmStafnembonemcyst mismdetermined mthroughmsurgicalmdiagnosisminmwhich
mentrapped msalivarymgland mtissuemismidentified.
REF:mTherapeutic mDiagnosis,mpagem18 OBJ:m3
8. Themgingivalmenlargement minmthismpatient mwasmcaused mbymamcalciummchannelmblocker.mWhi
chmmedicationmismthemlikelymcause?
a. Dilantin
b. Nifedipine
c. Quinidine
d. Clozapine
ANS:mB
Nifedipinemismamcalciummchannelmblocker.mDilantinmismanmanticonvulsant mused mtomprevent mormc
ontrolmseizures.mQuinidinemismanmantiarrhythmicmagent mused mtomtreat mcardiacmarrhythmias. mCl
ozapinemismanmantipsychoticmused minmthemmanagement mof mpsychoticmsymptomsminmschizophre
nia.
REF:mHistoricalmDiagnosis,mFig.m1.38,mpagem17 OBJ:m3
9. Radiographicmfeatures,mincludingmcotton-
woolmradiopacitiesmand mhypercementosis,maremespeciallymhelpfulminmthemdiagnosismof m
a.mPaget mdisease.
b. dentinogenesismimperfecta.
c. anemia.
d. diabetes.
ANS:mA
Paget mdiseasemismamchronicmmetabolicmbonemdisease.mRadiographically,mcotton-
woolmradiopacitiesmand mhypercementosismaremcharacteristicmfeatures.mDentinogenesismimperfect
amismamgeneticmconditionminvolvingmamdefect minmthemdevelopment mof mdentin.mAnemia,mamdecrease
minmred mblood mcells,mrequiresmblood mtestsmtomdeterminemthemetiologicmfactors.mDiabetesmismamchro
nicmdisordermof mcarbohydratemmetabolismmcharacterized mbymabnormallymhighmblood mglucose mle
vels.
NURSINGKING.COM
