Test Bank – Oral Pathology for the Dental Hygienist, 7th Edition (Ibsen)

Test Bank – Oral Pathology
for the Dental Hygienist, 7th
Edition (Ibsen)
Diagnosis of Oral Lesions

 Methods of diagnosis (clinical, radiographic, microscopic, historical, laboratory, surgical)
 Variants of normal (Fordyce granules, torus palatinus, mandibular tori, linea alba)
 Benign conditions (leukoedema, lingual thyroid nodule, median rhomboid glossitis)
 Role of the hygienist in oral lesion recognition

Chapter 2 – Inflammation and Repair

 Acute vs. chronic inflammation
 Local and systemic signs of inflammation
 Healing by primary, secondary, tertiary intention
 Oral manifestations (attrition, abrasion, burns, ulcers, keratosis, amalgam tattoo)
 Pulpal and periapical lesions

Chapter 3 – Immunity and Immunologic Oral Lesions

 Immune response: innate vs. acquired
 Types of hypersensitivity reactions (I–IV)
 Autoimmune diseases (pemphigus vulgaris, lupus erythematosus, Sjögren syndrome)
 Oral manifestations of immunologic diseases

Chapter 4 – Infectious Diseases

 Bacterial infections (syphilis, actinomycosis, tuberculosis)
 Viral infections (HPV, herpes simplex, varicella-zoster, Epstein-Barr virus)
 Fungal infections (candidiasis, histoplasmosis)
 Oral manifestations and diagnostic features


Unit II: Developmental Disorders

Chapter 5 – Developmental Disorders

 Inherited vs. developmental anomalies
 Cleft lip/palate, ankyloglossia, macroglossia, microglossia
 Odontogenic cysts (dentigerous, eruption, keratocystic)
 Nonodontogenic cysts (nasopalatine canal, globulomaxillary, median palatine)


Unit III: Neoplasia and Disorders of Oral Tissues

Chapter 6 – Neoplasia

,  Benign vs. malignant tumors
 Squamous cell carcinoma, basal cell carcinoma
 Salivary gland tumors (pleomorphic adenoma, mucoepidermoid carcinoma)
 Odontogenic tumors (ameloblastoma, odontoma)
 TNM staging system

Chapter 7 – Nonneoplastic Diseases of Bone

 Periapical cemento-osseous dysplasia
 Florid cemento-osseous dysplasia
 Fibrous dysplasia
 Paget disease of bone
 Osteogenesis imperfecta

Chapter 8 – Nonneoplastic Diseases of the Periodontium

 Gingival enlargement
 Gingival hyperplasia from drugs
 Periodontal abscess, pericoronitis
 Localized juvenile spongiotic gingival hyperplasia

Chapter 9 – Reactive, Connective Tissue, and Immune Diseases

 Aphthous ulcers
 Urticaria, angioedema
 Lichen planus
 Erythema multiforme
 Stevens-Johnson syndrome


Unit IV: Genetic and Hereditary Disorders

Chapter 10 – Genetic Disorders

 Syndromes with craniofacial/oral involvement
 Cyclic neutropenia, Papillon-Lefèvre syndrome
 Cherubism
 Gardner syndrome
 Amelogenesis imperfecta
 Dentinogenesis imperfecta
 Hypodontia, hyperdontia


Unit V: Systemic Diseases and Oral Manifestations

Chapter 11 – Oral Manifestations of Systemic Diseases

 Endocrine disorders (diabetes, hyperthyroidism, Addison disease)
 Blood disorders (iron-deficiency anemia, pernicious anemia, sickle cell anemia, polycythemia)
 Hemophilia
 Leukemia, agranulocytosis, cyclic neutropenia
 Gastrointestinal diseases with oral lesions

,Chapter 12 – Drugs, Allergies, and Oral Manifestations

 Drug-induced oral lesions
 Medication-related osteonecrosis of the jaw (MRONJ)
 Allergic reactions (contact stomatitis, latex hypersensitivity)


Unit VI: Forensic, Diagnostic, and Clinical Practice

Chapter 13 – Laboratory Diagnosis

 Histologic and cytologic evaluation
 Brush biopsy, aspiration biopsy
 Immunofluorescence
 Polymerase chain reaction (PCR)

Chapter 14 – Forensic Dentistry and Oral Pathology

 Identification through dental records
 Bite-mark analysis
 Role of oral pathology in forensic cases


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 1 OBJ: 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).


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