Oral Medecine, Prof.Tuy Thel(151-215)

151.          The most likely complication following surgery for a patient with thrombocytopenic purpura would be
angina
hemorrhage
"dry socket"
delayed healing
infection
152.          A child on antibiotic therapy would be more likely to develop which of the following diseases?
Herpangina
Pemphigus
Moniliasis
Herpetic gingivostomatitis
Lichen planus
153.          A positive Nikolsky's sign is a diagnostic feature of
lichen planus
erythema multiforme
pemphigus
chronic marginal gingivitis
lupus erythematosus
154.          Which of the muscles of mastication is associated with the condylar head and the articular disc?
Masseter
Temporalis
Internal pterygoid
External pterygoid
155.          A patient complains of dull, constant pain in his jaws upon awakening You would suspect
acute pulpitis
sinusitis
bruxism
chronic gingivitis
156.          Geographic tongue is characterized by
congenital deformity of tissue
atrophic filiform papillae
association with scrotal tongue
predominance in elderly patients
atrophic foliate papillae
157.          Occlusal (night) guards are used to
treat bruxism
reduce pocket formation
prevent pulpitis
permit eruption or elongation of teeth
prevent tooth erosion
158.          A patient with bruxism is likely to demonstrate
radiographic evidence of the widening of the periodontal ligament
increased mobility of teeth
premature wear of occlusal surfaces
TMJ discomfort
All of the above
159.          Abrasion is most commonly seen on the
lingual surface of posterior teeth
occlusal surface of posterior teeth
incisal edges
facial surfaces of teeth
160.          The prolonged use of antibacterial lozenges or mouthwashes contributes to the development of
oral candidiasis
geographic tongue
fissured tongue
Koplik's spots
aphthous ulcers
161.          A lowering of serum calcium is the stimulus for the endogenous release of
thyroid hormone
adrenocortical hormone
insulin
parathyroid hormone
adrenalin
162.          Enlargement of the thyroid gland can be caused by
insufficient fluoride
excess iodine
insufficient iodine
excess calcium
excess sodium
163.          Which of the following has the highest rate of recurrence?
Odontogenic keratocyst
Nasoalveolar cyst
Median palatal cyst
Incisive canal cyst
Radicular cyst
164.          Which of the following lesions has a tendency to bleed easily?
Pyogenic granuloma
Osteoma
Fibroma
Papilloma
Lipoma
165.          The cell concerned with antibody production is called
polymorphonuclear leukocyte
mast cell
plasma cell
macrophage
megakaryocyte
166.          Which of the following is a complication of prolonged systemic corticosteroid treatment?
Oral candidiasis
Xerostomia
Aphthous stomatitis
Anorexia
Gingival hyperplasia
167.          Acanthosis is a thickening of the following layer
granular layer
stratum corneum
basal cell layer
prickle cell layer
168.          Koilonychia is
bifid uvula
auricular tags
ankyloglossia
mulberry molars
spoon-shaped (concave) nails
169.          Oral leukoplakia has the most favorable prognosis when it is
present in a non-smoker
accompanied by pain
infected with Candida albicans
speckled in appearance
on the hard palate
170.          Which muscle defines the floor of the mouth?
Stylohyoid
Digastric
Geniohyoid
Mylohyoid
Platysma
171.          Soft, white, elevated plaques of the oral mucosa are characteristic of
angioma
candidosis (candidiasis)
actinomycosis
herpes simplex
submucous fibrosis
172.          Which of the following mucosae is normally keratinized?
Soft palate
Hard palate
Lateral tongue
Ventral tongue
Free gingiva
173.          Which of the following is the most powerful jaw-closing muscle?
Temporalis
Lateral pterygoid
Masseter
Medial pterygoid
174.          Which of the following is NOT suggestive of a diagnosis of necrotizing ulcerative gingivitis (NUG)?
Bleeding from the gingiva
“Punched-out” papillae with necrotic slough
Bad breath
Metallic taste
Periodontal pocketing
175.          Adrenal corticosteroids
increase heart rate
cause vasodilation
increase protein synthesis
reduce inflammation
176.          The characteristic oral lesion(s) of pemphigus isare
vesicles and bullae
Fordyce's granules
white plaques
hairy tongue
candidiasis (candidosis)
177.          Which of the following is NOT characteristic of acute leukemia?
Gingival enlargement
Decreased bleeding time
Elevated leukocyte count
Anemia
Thrombocytopenia
178.          Which one of the following types of pain is most likely to be
associated with TMJ disorders
Exacerbated pain by hot or cold food
Keeps patient awake at night
Associated with muscle tenderness
Associated with trigger spots related to the trigeminal nerve
179.          What controls the occlusion**
Teeth
Receptors in periodontal membrane
Neuromuscular receptors
TMJ
All of the above
180.          What is the typical feature of Lichen planus**
Smooth rete pegs
Band of lymphocytes inflammation and hyper parakeratosis
Immunofluorescence of liquefied layer
White line on the occlusion plane
Red and white granulations
181.          The following are sign and symptom in Ehlers-Danlos syndrome Except for:
Fragility of the skin and blood vessels,
Hyperlaxity of the joints,
Xerostomia
Hyperelasticity of the skin,
Delay wound healing
182.          Radiography is used to detect the following conditions EXCEPT for:
impacted teeth
Retained root tips
Benign migratory glossitis
Rarefying osteitis
Cystsradiolucentradiopaque lesions
183.          The following are the indications for biopsy EXCEPT for :
Any lesion that persists for more than 2 weeks with no apparent etiology
Any inflammatory lesion that does not respond to local treatment after 10-14 days
Persistent hyperkeratotic changes in surface tissues
Any lesion that regress after removal its cause
Lesions that interfere with local function (egfibroma)
184.          The diagnosis of a 15cm white patch after incisional biopsy is severe epithelial dysplasia The most appropriate management is :
Radiotherapy
Repeat biopsy
Complete excision
Observation
All of the above
185.          A 2cm discrete, white lesion of the buccal mucosa has not result after elimination of all local irritations The most appropriate management would be to:
Cauterize it
Apply toluidine blue staining
Perform an incisional biopsy
Refer patient to family physician
Re-examine at 6 month interval
186.          The redness of inflamed gingiva is due to:
The degree of keratinization
Subgingiva deposit
Increase vasodilatation
Increase collagen fiber density
All of the above
187.          Tooth grinding ( bruxism)is due to :
Premature contact in the retruded centric position
Balancing prematurities in non working
Stress
All of the above
188.          An increased heart rate may be associated with
prolonged corticosteroid therapy
hyperthyroidism
hypothyroidism
Down syndrome
189.          Hypochromic anemia is associated with
vitamin B12 deficiency
iron deficiency
aminopyrine therapy
folic acid deficiency
190.          A patient with multiple small bruises (purpura) most likely has a low count of T-cells
platelets
lymphocytes
eosinophils
erythrocyte
191.          A clenching habit may be a factor in
suprabony periodontal pocket formation
marginal gingivitis
increased tooth mobility
generalized recession
192.          Exophthalmia may be a sign of
yperadrenalism
hyperthyroidism
hypoadrenalism
hypoparathoidism
hypothyroidism
193.          A horizontal streak on the buccal mucosa at the level of the occlusal plane extending from the commissure to the posterior teeth IS CALLED
lichen planus
leukoplakia
linea alba buccalis
Verruca Vulgaris
Nicotine Stomatitis
194.          Odontogenic cyst develop from the following structures except
Reduced enamel epithelium of tooth crown
remnants of dental lamina epithelium entrapped within the gingiva
Epithelium trapped after sutures of maxillary processes
Hertwig’s root sheath
195.          Granulation tissue which extends coronally from the pulp of a carious tooth is known as
epulis granulomatosum
a pulp polyp
a pyogenic granuloma
a fibroma
a papilloma
196.          Which of the following is the most common form of internal temporomandibular joint (TMJ) derangement?
Osteoarthritis of the TMJ
Anterior misalignment
Secondary degenerative arthritis
Capsulitis
197.          If at some point in the joint’s excursion, the disk returns to the head of the condyle, the derangement is said to be with reduction In what proportion of the population does TMJ derangement with reduction occur?
One tenth
One fourth
One third
One half
198.          Diagnosis of TMJ disk derangement with reduction requires observation of the jaw when the mouth is opened Which of the following does the patient experience when the jaw is opened > 10 mm (measured between upper and lower incisors)?
Numbness
Severe pain
click or pop
Tinnitus
199.          When initial treatments of capsulitis due to disk derangement are unsuccessful, which of the following treatments is used?
Corticosteroids injected into the TMJ
Splinting
Muscle relaxation
Jaw rest
200.          A patient presents with small yellow spots, present bilaterally on buccal mucosa opposite to posterior teeth without any other associated complaint Most probable diagnosis of the condition is:
Koplik’s spot
Fordyce’s granules
Melanotic macule
White sponge nevus
201.          A patient presented with asymptomatic, smooth, circumscribed red area in midline anterior to circumvallate papillae on the dorsum of tongue with microscopic evidence of epithelial hyperplasia The most probable diagnosis of the condition is:
geographic tongue
hairy tongue
median rhomboid glossitis
lingual thyroid
202.          In hairy tongue, there is hypertrophy of:
fungiform papillae
filiform papillae
foliate papillae
circumvallate papillae
203.          A patient reported with an asymptomatic white patch on buccal mucosa which cannot be rubbed off The patch was present for the last 3 months Patient is a heavy cigarette smoker Most probable diagnosis of the lesion is:
Leukoplasia
Candidiasis
Erythroplakia
White sponge nevus
204.          Skin lesions of the hereditary hemorrhagic telangiectasia are most common on:
arms
abdomen
legs
face
205.          Characteristic hemorrhagic lesions of the hereditary hemorrhagic telangiectasia occurs most often on
Tongue
Lips
Gingival
Palate
206.          Primary Sjogren’s syndrome consists of keratoconjunctivitis sicca and:
Xerostomia
Rheumatoid arthritis
SLE
Scleroderma
207.          Triad of Sjogren’ syndrome consists of:
conjunctivitis, stomatitis, rheumatoid arthritis
keratoconjunctivitis, xerostomia, rherumatoid arthritis
keratoconjunctivitis, xerostomia, osteoarthritis
conjunctivitis, stomatitis, urethritis
208.          A patient presents with slightly painful white lesions of oral mucosa which when wiped off shows the red surface underneath The patient is on penicillin therapy for last 12 weeks The most likely diagnosis of lesion is:
Actinomycosis
Candidiasis
Lichen planus
Leukoplakia
209.          Sialoliths are mainly composed of:
calcium phosphate
calcium oxide
calcium carbonate
calcium sulphate
210.          Which of the following groups of lymph nodes is first to exhibit lymphadenopathy in cases of infection mononucleosis?
axillary
cervical
inguinal
mediastinal
211.          An early oral manifestation of infectious mononucleosis is;
palatal petechiae
oral ulceration
inflammation of mucous membrane
edema of soft palate and uvula
212.          Most common form of leukaemia in children is:
acute lymphocytic leukaemia
chronic myeloid leukaemia
acute monocytic leukaemia
chronic lymphocytic leukaemia
213.          In thrombocytopenic purpura:
bleeding time is normal, clotting time is prolonged
Both bleeding and clotting time are prolonged
Bleeding time is prolonged, clotting time is normal
Both bleeding time and clotting time are norma
214.          A patient presents with spontaneous necrotizing ulcers of oral cavity On laboratory examination, RBC count was normal but WBC count was 2,000 with lymphocytes 65% neutrophils 5%, monocytes 28%, eosinophils 2% and basophils 0% The most likely diagnosis is:
infectious mononucleosis
agranulocytosis
cyclic neutropenia
leukaemia
215.          A patient presents with petechiae on oral mucosa with gingival bleeding Blood examination shows platelet count of 30,000mm3 with increase in bleeding time and clot retraction time, RBC, WBC are normal Most probable diagnosis is:
hemophilia
infectious mononucleosis
thrombocytopenic purpura
anemia
216. A patient presents with an asymptomatic white corrugated patch present bilaterally on his buccal mucosa He also reports the occurrence of same kind of lesion in his mother and younger brother Most likely diagnosis is:
Pemphigus
Leukoedema
Candidiasis
White sponge nevus
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