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Final Exam Review
Final Exam Review
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You made it to the final stretch! Lets review for our final!!!!!!!
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Questions
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Answers
1
Pt comes in with cleidocranial dysplasia. She has absent clavicles and most likely has:
large pulp chambers
pegged lateral incisors
taurodontism
supernumerary teeth
2
Which disease is classically comprised of three features-arthritis, urethritis, conjunctivitis?
Reactive Arthritis/Reiter Syndrome
Sjogren Syndrome
Langerhans Cell Histiocytosis
Systemic Lupus Erythematosus
3
Which term describes a tooth that has not erupted because of a lack of eruptive forces?
Ankylosed
Embedded
Impacted
Fused
4
What is least associated with squamous cell carcinoma?
tobacco use
increasing age
alcohol consumption
removable dental appliance
5
Which of the following terms best describes leukoplakia:
clinical
histologic
microscopic
historical
6
A target lesion on the skin is associated with which of the following diseases?
Systemic Lupus Erythematosus
Behcet Syndrome
Lichen Planus
Erythema Multiforme
7
Ameloblastoma is:
malignant and fast growing (destructive)
benign and slow growing (destructive)
benign and fast growing (destructive)
malignant and slow growing (destructive)
8
Which diagnostic category would the dental hygienist most easily apply to eval of oral lesions:
Differential
Clinical
Therapeutic
Microscopic
9
Which of the following is associated with cyclic neutropenia?
exfoliating teeth because of short roots
premature loss of primary teeth
chipping away of enamel
diminished number of circulating neutrophils
10
The most specific of the body's defense mechanisms against infection is:
Intact skin
The immune response
Skin secretions
The inflammatory response
11
The first clinical manifestation of cherubism is:
Displacement of the eyes
psuedoanodontia
bilateral facial swelling by 1.5-4 years of age
bilateral facial swelling by age of 6 months
12
The pleomorphic adenoma accounts for what percent of salivary gland neoplasms?
20%
90%
60%
80%
13
Hairy leukoplakia most commonly occurs on the:
Dorsal Tongue
Soft Palate
Lateral Tongue
Buccal Mucosa
14
The most appropriate treatment for epithelial dysplasia is:
radiation therapy
observation
surgical excision
chemotherapy
15
Immunization with a vaccine works by:
Passing antibodies from the mother to the fetus
Using antibodies produced by another person
Increasing the risk of an antigen-causing disease
Producing active acquired immunity
16
Which of the following drugs does not cause gingival enlargement?
Tetracycline
Nifedipine (Procardia)
Cyclosporine (immunosuppressant)
Phenytoin (Dilantin)
17
A slow growing, bony, hard exophytic growth on midline of hard palate (hereditary in origin):
Mixed Tumor
Torus Palatinus
Palatal Cyst
Nasopalatine Cyst
18
Radiographically, ameloblastoma appears:
does not appear radiographically
Unilocular
As a dens en dente
multi-locular, soap bubble appearance (honeycomb)
19
Which of the following is characteristic of benign tumors?
metastasis likely
abnormal mitotic figures
slow growth
anaplastic cells
20
Periapical cemento-osseous dysplasia is located in the:
Posterior mandible
Anterior mandible
Craniofacial bones
Posterior maxilla
21
With which condition do we not give epinephrine in an injection to our patients:
Controlled hyperthyroidism
We always give epinephrine, it lasts longer!
Uncontrolled hyperthyroidism
Uncontrolled Hypothyroidism
22
Which of following is body's initial response to injury?
Hyperplasia
Immune Response
Inflammatory Response
Repair
23
The descriptive term best used to describe a freckle is:
Vesicle
Macule
Lobule
Bulla
24
Inflammatory Papillary Hyperplasia:
is generally considered an allergic response
is considered to be precancerous
is generally considered not to be premalignant
becomes cancerous when covered by a denture
25
Trisomy is defined as:
One extra chromosome in each pair
A pair of chromosomes w/an identical extra chromosome
Presence of 2 extra chromosomes in a male
Three extra chromosomes
26
Which tooth is the most common supernumerary tooth?
Paramolar
Hutchinson incisor
Mesiodens
Distomolar
27
Basal cell carcinoma presents as a:
ulcer that never occurs in the oral cavity
non-healing ulcer that rarely occurs in oral cavity
healed ulcer occurring in oral cavity
non-healing ulcer that always occurs in oral cavity
28
Sickle cell anemia is of hereditary origin and occurs primarily in:
Whites
Blacks
Native Americans
Infants
29
A compound odontoma differs from a complex odontoma in that a compound odontoma:
is composed of several toothlike structures
has unlimited growth potential
is located in the posterior mandible
presents as a radiopaque mass
30
Refers to developmental anomaly where teeth exhibit elongated pulp chambers and short roots?
Dens in dente
Fusion
Dilaceration
Taurodontism
31
Nutritional anemia's are most commonly caused from deficiencies of:
Iron, Folic Acid, or Vitamin B12
Vitamin C, Iron, and Vitamin B12
Iron, Calcium, or Vitamin D
Potassium, Phosphorus, Vitamin B12
32
Type 2 diabetes, usually seen in overweight adults:
Both B and C
(C) The majority of diabetic patients have this form
(A) Is present at birth
(B) Is increased in insulin resistance, not deficiency
33
The 2 cell types that microscopically characterize Langerhans cell histiocytosis are:
Eosinophil's + mononuclear cells
Neutrophils + lymphocytes
Lymphocytes + plasma cells
Fibroblasts + lymphocytes
34
What is the most common location for Whickham striae in the intraoral region?
Buccal Mucosa
Dorsal surface of the tongue
Vermillion border
Floor of mouth
35
Adenomatoid odontogenic tumor(AOT) tumor differs from other tumors in that:
it does not recur
it is painful
it is painless
it recurs frequently
36
Hyperpituitarism results from excessive growth hormone. Which most often causes it:
Ameloblastoma
Pituitary sarcoma
Carcinoma in situ
Pituitary adenoma
37
Most common oral manifestation of Sjogren's syndrome is:
Xerostomia
Acute Disseminated Reticulosis
Geographic Tongue
Erythema Multiforme
38
Which term refers to the adhesion of the tongue to the floor of the mouth?
Anodontia
Amelogenesis
Ankloglossia
Ankylosis
39
Osteomalacia in children is called:
Osteogenesis imperfecta
Rickets
Albright syndrome
Florid cemento-osseous dysplasia
40
In which of the following conditions do we NOT use iodine for subgingival irrigation:
Leukemia
Hyperthyroidism
Diabetes
Pagets Disease
41
I am a small, white, lesion on palate and have papillary projections. I am a:
peripheral ossifying fibroma
granular cell tumor
neurofibroma
papilloma
42
Excessive numbers of abnormal white blood cells are characteristic of:
Leukemia
Cyclic neutropenia
Leukopenia
Agranulocytosis
43
A positive skin reaction to PPD indicates:
Active tuberculosis
Infection with tuberculosis bacteria
Need for antibiotic therapy
Contagious Tuberculosis
44
Multiple osteomas, intestinal polyps, and multiple odontomas describe:
cleidocranial dysplasia
osteogenesis imperfecta
gardner syndrome
cherubism
45
Which of the following has the best longterm prognosis?
rhabdomyosarcoma
intraoral squamous cell carcinoma
basal cell carcinoma
malignant melanoma
46
Presents as a butterfly shaped lesion on face and oral ulcers, most likely this is:
Lupus Erythematosus
Desquamative gingivitis
Pemphigus
Erosive Lichen Planus
47
A malignant melanoma:
can arise on skin and metastasize into oral cavity
is not aggressive
primary malignant melanoma of oral cavity is very common
is a slowly enlarging blue/black mass
48
Hutchinson incisors and mulberry molars are associated with:
Neonatal liver disease
Odontodysplasia
Febrile illness
Congenital syphilis
49
Osteonecrosis of the jaw is associated with:
Bisphosphonates
Tetracycline
Antipsychotic medications
Phenytoin
50
A pink protruding mass on occlusal surface of a carious 1st or 2nd molar is most likely a:
pulp polyp
pulpal granuloma
irritation fibroma
pyogenic granuloma
51
Which term refers to an ectopic mass of thyroid tissue located on the dorsal tongue?
thyroid tumor
thyroid cyst
lingual tonsil
lingual thyroid
52
In the immune system, antibodies are proteins that:
Directly produced from mast cells
Also called immunoglobulin's
Also called cytokines
Directly produced by lymphocytes
53
Another term for geographic tongue is:
Median rhomboid glossitis
Migratory glossitis
White hairy tongue
Allergic tongue
54
Shingles, otherwise known as Herpes Zoster, is caused by:
Papillomavirus
Herpes Simplex Virus Type 1
Epstein-Barr Virus
None of the above
55
Which term refers to teeth that cannot erupt because of physical obstruction?
Embedded
Impacted
Ankylosed
Fused
56
Salivary gland tumors are most commonly located:
junction of hard and soft palate
floor of the mouth
labial mucosa
buccal mucosa
57
Adenomatoid odontogenic tumor has a distinctive age sex and site distribution which is:
females less than 20 yrs of age, anterior portion of the jaw
females less than 20 yrs of age, posterior portion of jaw
males less than 20 years of age, anterior portion of the jaw
males less than 20 yrs of age, anterior portion of the jaw
58
Memory is an important function of the immune system because it:
Weakens future immune responses
Allows faster immune responses
Allows faster inflammatory responses
Retains the memory of the antibody
59
In Klinefelter Syndrome affected people have a:
female phenotype; not detected until after puberty
male phenotype; not detected until after puberty
male phenotype; detected prior to puberty
female phenotype; detected prior to puberty
60
Symptoms of leukemia can be similar to those found in:
Hepatitis
Amelogenesis imperfecta
Nonthrombocytopenic purpura
Mononucleosis
61
Which of the following clinical features describes a hemangioma?
benign tumor composed of bone
benign tumor composed of cartilage
benign tumor composed of teeth
benign tumor composed of capillaries
62
Which cyst develops in place of a tooth?
Primordial cyst
Dentigerous cyst
Follicular cyst
Odontogenic keratocyst
63
Which cyst is characterized by its unique microscopic appearance and frequent recurrence?
Eruption cyst
Residual cyst
Odontogenic keratocyst
Stafne bone cyst
64
Oral candidiasis is caused by:
Yeastlike fungus
Bacterium
Spirochete
Protozoan
65
Ameloblastoma may arise anywhere in the jaw but the most common place for it arise is:
maxilla (80% of the time)
floor of mouth (80% of the time)
mandible (80% of the time)
the nasal cavity (80% of the time)
66
Polydipsia, polyuria and polyphagia are all characteristic of which of the following?
Type 1 diabetes mellitus
Hyperparathyroidism
Hyperthyroidism
Addison disease
67
The white line observed clinically on buccal mucosa along occlusal plane is:
linea alba
leukoplakia
leukoedema
lichen planus
68
The most severe result of infection with HIV is called:
Recurrent Herpes Simplex Virus
Herpes Zoster
Major aphthous ulcer
Acquired Immunodeficiency Syndrome
69
What is a mixed lesion of white and red called?
speckled erythroplakia
speckled leukoplakia
leukoplakia
erythroplakia
70
The oral lesion in Reiter Syndrome may resemble:
Pemphigus Vulgaris
Angioedema
Lichen Planus
Geographic Tongue
71
2 characteristic clinical components of mandibulofacial dysostosis are:
hypoplastic mandible and deafness
hypodontia and dysplastic nails
cleft lip and fistulas of lower lip
lack of clavicles and delayed teeth eruption
72
Verrucous carcinoma is differentiated from squamous cell carcinoma because it:
has a better prognosis
often metastasizes
responds to chemotherapy
occurs in the nasal passages
73
Minor salivary gland tumors are most common:
on the parotid gland
on upper lip
on floor of mouth
on palate
74
Which of the following diseases is associated with cafe au lait spots?
Periapical cemento-osseous dysplasia
Polyostotic fibrous dysplasia
Monostotic fibrous dysplasia
Pagets disease
75
Yellow clusters of ectopic sebaceous glands observed in mouth are most likely:
Fibromas
Fordyce Granules
Lipomas
Linea Alba
76
The most common salivary gland neoplasm is:
adenoid cystic carcinoma
Pleomorphic adenoma
mucoepidermoid carcinoma
monomorphic adenoma
77
Which is the distinct + definitive characteristic that distinguishes pemphigus from pemphigoid?
Size of ulcerations
Nikolsky Sign
Age and gender of the patient
Microscopic Findings
78
Verucca Vulgaris:
is caused by the human papillomavirus
clnically resembles and irritative fibroma
is most commonly seen on the buccal mucosa
Clinically resembles a pyogenic granuloma
79
Which of the following stages of syphilis is not infectious?
Secondary
All stages are equally infectious
Primary
Tertiary
80
Papillon-Lefevre Syndrome is marked by:
destruction of periodontal tissues of both dentitions
only affects the primary dentition
does not cause a loss of teeth
All permanent teeth are lost by age 25
81
epithelial dysplasia is a microscopic diagnosis that indicates:
organized growth: pre-malignant condition
disordered growth; pre-malignant condition
organized growth; malignant condition
disordered growth; malignant condition
82
Adenomatoid odontogenic tumor (AOT) is often mistaken for what radiographically?
eruption cyst
radicular cyst
dentigerous cyst
primordial cyst
83
Odontogenic Keratocysts are a clinical component of:
Cherubism
Nevoid basal cell carcinoma syndrome
Men 2B syndrome
Neurofibromatosis of von Recklinghausen
84
A macrophage is a cell of the immune system that:
Produces antibodies
Retains a memory of an encountered antigen
Can be activated by lymphokines
Undergoes B-cell phagocytosis initially during inflammation
85
The Lyon hypothesis is demonstrated by:
x-linked recessive traits
x-linked dominant traits
Autosomal recessive traits
Autosomal dominant traits
86
Which of the following represents the earliest clinical example of squamous cell carcinoma?
destructive radiolucency
exophytic lesion
nonhealing ulceration
pigmented area
87
When hypothyroidism is present in infancy and childhood it is referred to as:
myxedema
Cretinism
Hyperparathyroidism
Graves Disease
88
clinical evaluation includes a possible leukoplakia. The first course of action is to:
give nutritional counseling to the patient
reappoint pt in four weeks to see if it gets larger
biopsy it
observe for healing
89
Which cyst is an odontogenic cyst that forms around the crown of a developing tooth?
lateral periodontal cyst
dentigerous cyst
primordial cyst
coronal cyst
90
Hypersecretion of the growth hormone in an adult results in:
acromegaly
hypercalcemia
pituitary adenoma
gigantism
91
Nevoid basal cell carcinoma syndrome is also known as:
Gorlin Syndrome
Gardner Syndrome
Ellis-van Crevald Syndrome
Cherubism
92
Gingival fibromatosis involves:
only the posterior teeth
gingival enlargement where teeth are eventually covered
gingival enlargement teeth are sometimes covered
only the anterior teeth
93
Kostmann syndrome is another name for:
cyclic neutropenia
Papillon- Lefevre Syndrome
Laband syndrome
chronic neutropenia
94
Osteomalacia is usually caused by a nutritional deficiency of:
Vitamin D
Alkaline phosphatase
Vitamin B12
Potassium
95
In a diabetic patient in our clinic with a high A1C, we do not treat them when blood sugar is:
over 250
over 200
180
140
96
Which of the following is a component of Peutz-Jeghers syndrome?
multiple pigmented macules in the lower lip
multiple jaw cysts
multiple supernumerary teeth
multiple nodules on the tip of the tongue
97
Neoplastic transformation of cells are caused by all of these except:
viruses
chemicals
sunlight
repeated trauma
98
The teeth are vital with all the following cysts except:
Dentigerous cyst
Periapical cyst
Cyst of the palatine papilla
Nasopalatine canal cyst
99
The base of a sessile lesion is:
corrugated
stemlike
lobulated
broad and flat
100
The most common cause of intraoral mucosal pigmentation due to the presence of melanin is:
subepithelial amalgam deposition
ethnic/physiologic origin
lead poisoning
nevus