Oral Medecine, Prof.Tuy Thel(100-151)

101.          A swelling or growth with broad base is referred to as :
Papillomatous lesion
Pedunculated lesion
Pleomorphic lesion
Sessile lesion
Nodular lesion
102.          Gingival swelling in leukemia is due to :
Inflammatory edema
Poor oral hygiene
Proliferation of blood vessels
Infiltration of leukemic cells into gingival tissues
Infiltration of microorganisms into gingival tissues
103.          Multiple white nodular elevation with a central red dot on the posterior part of palate represent :
Trush
Focal keratosis
papillary hyperplasia
Nicotine stomatitis
Multiple warts
104.          Leukoedema can be differentiated clinically from leukoplakia when it :
Disappears while stretching the mucosa
Is bilateral in nature
Is milky white in appearance
All of the above
105.          The most common cause of keratosis is:
Physical trauma
Tobacco use
Genetic abnormalities
Mucocutaneous disease
Inflammatory reaction
106.          differential diagnosis of leukoedema includes the following except :
Leukoplakia
Cheek biting
White sponge nevus
Aspirine burn
Linea alba buccalis
107.          Which of the following is true regarding sublingual keratosis:
It has a high rate of malignant transformation
The homogenous type is not considered as a high risk lesion
The homogenous type mixed with red component is only considered as high risk lesion
Small lesion can be left alone and managed by periodic check up
108.          Erythroplakic lesion ,on histological examination may show:
Moderate to severe dysplasia
Severe dyplasia
Carcinoma in situ
Squamous cell carcinoma
Any of the above
109.          Histologically carcinoma in situ may show:
Mild to moderate dysplasia
Mild to severe dysplasia
Presence of a few epithelial change in the connective tissue
Top to bottom change in the epithelium
None of the above
110.          Topical steroid is a drug of choice in the management of the following conditions except :
Mucous membrane pemphigoid
Major aphthous ulcer
Cold sore
Pemphigus vulgaris
Erosive lichen planus
111.          The following condition may be associated with iron deficiency anemia except :
Burning mouth syndrome
Angular cheilitis
Xerostomia
Multiple myeloma
Atrophic glossitis
112.          Nikolsky sign is seen in :
Pemphigus
Lichen planus
Erytheme multiform
Discoid lupus erythematosus
Nicotine stomatitis
113.          The patient presents with a white lesion on the floor of the mouth of 6 months duration
The next procedure is :
Take an exfoliative cytologic smear
Keep the patient under observation
Biopsy the lesion
Treat the lesion with topical steroid
Antibiotherapy
114.          Which of the following is incorrect regarding thrush
Is seen is AIDS patient
Responds to nystatin
Can affect any age group
Is caused by candida albican
Is an opportunistic infection
115.          Chemical burn can generally be differentiated from keratotic lesions by:
The exfoliative cytology
A thorough clinical examination
\An incisional biopsy
\An adequate history
116.          Acute infections are characterized by the following except :
Swelling
Pain
Redness
High fever
Insidious onset
117.          Lichen planus is a common mucocutaneous disease which manifests in the oral cavity as :
Multiple discrete papules
Bullous lesions
White radiating lines
Target like lesion
Milky lesion
118.          Characteristic features of acute bacterial sialadenitis include the following except:
Tenderness and swelling of the affected gland
Pus exuding from the salivary duct
Sialorrhea
Cervical lymph node enlargement and leukocytosis
Xerostomia
119.          The most common white lesion seen in healthy adult male is :
Nicotine stomatitis
Leukolpakia
Linea alba buccalis
Thrush
Frictional keratosis
120.          Human papilloma virus HPV can cause the following except:
Condyloma accuminatum
Verruca vulgaris
Papilloma
Focal epithelial hyperplasia
Erytheme multiform
121.          Which is usually found when a systemic infection is present
Regional lymph node
Fever
Cellulitis
Anorexia
Asthenia
122.          Which is the LEAST likely to cause Xerostomia
Sjogren’s syndrome
Emotional reaction
Antidepressants drugs
Submandibular sialolith
123.          Oral mucosa and skin pigmentation occurs in patient with**
Diabetes mellitus
Addison’s disease
Multiple myeloma
Squamous cell carcinoma
Cushing’s disease
124.          Patient who has WBC count of just over 100,000 is most
likely suffering from**
Leucopoenia
Leukaemia
Polycythemia
Thrombo cytopenic purpura
Anemia
125.          Disorder of steroid will result in
Adrenal suppression
Delayed healing
Osteoporosis
All of the above
126.          Which of the following steroids can product Cushing's syndrome?
Estradiol
Testosterone
Prednisolone
Progesterone
Diethylstilbestrol
127.          Which articular disease most often accompanies Sjögren’s syndrome?
Suppurative arthritis
Rheumatoid arthritis
Degenerative arthrosis
Psoriatic arthritis
Lupus arthritis
128.          Cell rests of Malassez are thought to originate from
stellate reticulum
dental papilla
Hertwig's root sheath
stratum intermedium
129.          Periapical odontogenic cysts are associated with
impacted wisdom teeth
congenitally missing teeth
non-vital teeth
a history of traumatic injury
Impacted maxillary canine
130.          Condensing osteitis in the periapical region is indicative of aan
acute inflammation of the pulp
pulpal abscess
chronic inflammation of the pulp
early apical abscess formation
None of the above
131.          Which of the following is NOT characteristic of periodontitis?
Hypertrophy
Pocket formation without exudation
Destruction of the periodontal ligament
Alveolar bone resorption
Tooth mobility
132.          The lesion most frequently associated with an ill-fitting denture flange is
stomatitis
lichen planus
epulis fissuratum
angular cheilosis
133.          A decrease in the neutrophil count is present in
granulocytopenia (agranulocytosis)
iron deficiency anemia
myeloid leukemia
leukocytosis
thrombocytopenic purpura
134.          The primordial cyst probably results from
cystic degeneration of the stellate reticulum early in the formation of the tooth
epithelial remnants in the periodontal ligament
an extension of pulpal inflammation after death of the pulp
failure of formation of the enamel matrix
the dental lamina
135.          The radiographic image of the incisive foramen is located between the roots of the maxillary
incisors above their apices
central and lateral incisors below their apices
central incisors below their apices
central and lateral incisors above their apices
136.          The term applied to a high white blood cell count is
leukocytosis
leukopenia
thrombocythemia
thrombocytopenia
Leukemia
137.          Postoperative bleeding in thrombocytopenic purpura is due to a deficiency of
vitamin C
vitamin K
prothrombin
platelets
Red blood cells
138.          An abnormal decrease in the flow of saliva is associated with
ptyalism
sialomentaplasia
xerostomia
pyroglossia
None of the above
139.          A patient wearing complete dentures complaints of tingling and numbness in the lower lip bilaterally This is often an indication of
allergy to denture base material
impingement of denture on mandibular nerve
defective occlusal contacts
impingement of denture upon mental nerve
neoplastic invasion of the inferior mandibular nerve
140.          The most serious complication of a therapeutic dose of radiation to the mandible is
skin erythema
osteoradionecrosis
obliterating endarteritis
loss of hair
hyperpigmentation of skin
141.          Occasionally, mucous glands are seen in the epithelial lining of a dental cyst Which of the following terms best designates this state?
Anaplasia
Metaplasia (Abnormal change in the nature of the tissue )
Dysplasia
Neoplasia
Hyperplasia
142.          Fordyce's granules are
ectopic sebaceous glands
ectopic sweat glands
small calcified nodules
aberrant mucous glands
143.          A 50 year old woman has a history of rheumatoid arthritis, bilateral enlargement of one or more salivary glands and lacrimal glands, as well as dryness of the eyes, nose, mouth and throat The diagnosis is
erythema multiforme
Reiter's syndrome
Gardner's syndrome
Sjögren's syndrome
Plummer-Vinson syndrome
144.          A patient has an asymptomatic, white patch on the oral mucosa Which of the following methods of examination is most likely to lead to a diagnosis?
Biopsy
Culture
Exfoliative cytology
Application of methylene blue
Serology
145.          Radiographically, a primordial cyst will show
mixed radiolucency and radiopacity
a radiolucency around the crown of an impacted tooth
a radiolucency containing multiple rudimentary teeth
a radiolucency
None of the above
146.          Papillary hyperplasia under a denture is usually due to (an)
Candida albican
ill fitting denture
allergy to denture material
avitaminosis
Bacterial infection
147.          A hemorrhagic bone cyst (traumatic cyst) is a radiolucency most frequently seen
in the mandibular ramus
posteriorly to the maxillary molars
from the symphysis to the ramus of the mandible
in the maxillary premolar area
None of the above
148.          Ocular lesions are associated with
lichen planus
herpangina
necrotizing ulcerative gingivitis
leukoplakia
cicatricial pemphigoid
149.          Which of the following is caused by a specific microorganism?
Geographic tongue
Candidiasis
Median rhomboid glossitis
Granuloma pyogenicum
None of the above
150.          Difficulty in mouth opening, dysphagia, tongue stiffness and generalized induration of the skin are characteristic of
lupus erythematosus
scleroderma
erythema multiforme
lichen planus
malignant disease
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