D.D. of Oral & Paraoral Tissues

Name:
1-Mildest form of cleft palate is..........
A) Bifid uvula
B) Cleft soft palate
C) Cleft of soft palate & hard palate
D) Cleft palate & lip
2-Macrostomia is a feature of.....
A) Treacher collins syndrome
B) Pierre robin syndrome
C) Peutz jeghers syndrome
D) Both A & B
3-Airway obstruction is a clinical significance of.....
A) Treacher collins syndrome
B) Pierre robin syndrome
C) Cleft palate
D) Lateral facial cleft
4-Lingual thyroid nodule is considered as......
A) Normal anatomic variation
B) Ectopic Lesion
C) Hamartoma
D) Both A & B
5- A child has marked difference of crown, root size, eruption pattern of left and right side of jaw. The condition is :
A) Crouzon Syndrome
B) Hemifacial hypertrophy
C) Cherubism
D) Achondroplasia
6-Which of the following conditions has a potential of malignant transformation?
A) Lingual thyroid nodule
B) Median rhomboid glossitis
C) chelitis glandularis
D) Both A & C
7-Treacher collins syndrome is characterized by all the following except.....
A) Antimongoloid eyes
B) Micrognathia
C) Hypoplasia of zygomatic bone
D) Microstomia
8-Decrease in normal keratin desquamation of filiform papillae leads to.....
A) Lingual thyroid nodule
B) Median rhomboid glossitis
C) Fissured tongue
D) Hairy tongue
9-Among the features of Melkerson Rosenthal syndrome ....
A) Chelitis granulomatosa & hemifacial hyperplasia
B) Chelitis glandularis & fissured tongue
C) Chelitis glandularis & facial paralysis
D) None of the above
10-Which of the following conditions disappears on stretching the buccal mucosa ?
A) White spongy nevus
B) Fordyce's granules
C) Leukoedema
D) None of the above
11-All of the followings considerd as hamartoma except....
A) Lingual thyroid nodule
B) Torus Mandibularis
C) Intestinal polyps in Peutz Jegher syndrome
D) Torus Palatinus
12-Absence of a major salivary gland duct is called.........
A) Aplasia
B) Aberrancy
C) Atresia
D) None of the above
13-In Erythema migrans , which papilla of the tongue are absent ?
A) Fungiform
B) Foliate
C) Filiform
D) Circumvallate
14-Facial Paresis , Cheilitis granulomatosa and fissured tongue characterize which of the following syndromes ?
A) Frey's Syndrome
B) Melkerson-Rosenthal syndrome
C) Treacher Collins syndrome
D) Down's Syndrome
15-The syndrome which consists of cleft palate, micrognathia and glossoptosis is known as :
A) Marfan's syndrome
B) Crouzon's syndrome
C) Paget's disease
D) Pierre Robin syndrome
16-A patient notices a well demarcated area of depapillation on his tongue which has been there for as long as he can remember. The most probable diagnosis:
A) Geographic tongue
B) Median rhomboid glossitis
C) Black hairy tongue
D) Moeller's glossitis
17-Fordyce's spots are:
A) fat tissue embedded in buccal mucosa
B) Red spots
C) Present on the cheek mucosa lateral to the angle of the mouth
D) All of the above
18-Hairy tongue is characterized by :
A) Hypertrophy of fungiform papillae
B) Hypertrophy of filiform papillae
C) Hypertrophy of foliate papillae
D) Hypertrophy of circumvallate papillae
19-Bifid tongue, a congenital anomaly occurs due to non-fusion of :
A) Tuberculum impar and lateral lingual swellings
B) Hypobranchial eminence and tuberculum impar
C) The two lateral lingual swellings
D) Any of the above
20-About geographic tongue, all are true except :
A) Lesions may be bilaterally symmetrical on tongue
B) No treatment is required
C) Is a precancerous condition
D) May be related to emotional stress
21-Median rhomboid glossitis is asssociated with :
A) Oral cancer
B) Fungal infection
C) Leukoplakia
D) Burning sensation of tongue
22-In Treacher's collins syndrome, there is :
A) Upward sloping of the palpebral fissure
B) Poorly developed zygomatic bone
C) Mandibular prognathism
D) No loss of hearing
23-Pierre Robin syndrome is associated with :
A) Micrognathia
B) Cleft of the lip and palate
C) Ventricular septal defect
D) Syndactyly
24-Puetz - Jegher Syndrome is characterized by :
A) Deafness
B) Multiple supernumerary teeth
C) Multiple intestinal polyposis
D) Scleroderma
25-About geographic tongue, Which of the following isn't true:
A) It's due to emotional stress.
B) It's a symptom of psoriasis.
C) Lesions may appear on the palate or gingiva.
D) Lesions may appear on the undersurface of the tongue.
26-Syndactyl is a common feature of……….
A)Crouzon Syndrome.
B)Treacher Collin's Syndrome.
C)Apert Syndrome.
D)Pierre Robin Syndrome.
27. Cleft of the primary palate occurs
(a) Anterior to incisive foramen
(b) Posterior to incisive foramen
(c) Between lateral incisor and canine
(d) Between canine and 1st premolar
28. Minimal form of clefting of palate is seen in
(a) Soft palate
(b) Uvula
(c) Hard palate and soft palate
(d) Posterior to incisive foramen
29. Increased risk of development of squamous cell carcinoma is associated with which of the following developmental conditions?
(a) Cheilitis granulomatosa
(b) Heck’s disease
(c) Cheilitis glandularis
(d) Fibromatosis gingivae
30. If a patient has multiple intestinal polyps, cutaneous melanocytic macules, rectal prolapse and gynecomastia, he/she is probably suffering from
(a) Gardner syndrome
(b) Goltz-Gorlin syndrome
(c) Peutz-Jeghers syndrome
(d) Grinspan syndrome
31. Fordyce’s granules is heterotopic collection of _______ in oral cavity
(a) Sweat glands
(b) Salivary glands
(c) Hair follicles
(d) Sebaceous glands
32. Which amongst the following is not a cause of macroglossia?
(a) Hemangioma
(b) Lymphangioma
(c) Down’s syndrome
(d) Leukemia
33. Which one of the following is a synonym of fissured tongue?
(a) Lingua nigra
(b) Scrotal tongue
(c) Geographic tongue
(d) Lingual varix
34. Median rhomboid glossitis occurs
(a) Anterior to circumvallate papillae
(b) Posterior to circumvallate papillae
(c) Tip of tongue
(d) Lateral border of tongue
35. Histopathological features of benign migratory glossitis closely resemble that of
(a) Lichen planus
(b) Psoriasis
(c) Systemic lupus erythematosus
(d) Erythema multiforme
36. Amongst the following causes, the least probable cause of hairy tongue is
(a) Smoking
(b) Poor oral hygiene
(c) Epstein-Barr virus
(d) Radiation therapy
37. A nodular mass near base of tongue with presenting complaints of dyspnea and dysphagia and without a demonstrable main thyroid gland could most probably be
(a) Reactive lymphoid aggregate
(b) Lymphoid hamartoma
(c) Lingual thyroid nodule
(d) Lymphoepithelial cyst
38. Stafne cyst/Stafne defect is an aberrant collection of _____ gland tissue within a deep depression in the mandible
(a) Sweat glands
(b) Sebaceous glands
(c) Mucous glands
(d) Salivary glands
39- Prolonged administration of broad spectrum antibiotics results in the formation of:
A) Black hairy tongue
B) Median rhomboid glossitis
C) Geographic tongue
D) Fissured tongue
40- A bony hard asymptomatic swelling found on the midline of the hard palate, that appears radiopaque on radiograph is most likely:
A) Odontoma
B) Myxoma
C) Bony cyst
D) Torus palatinus
41- Static bone cyst is a cyst developing from:
A) Infection of salivary gland in the mandible
B) Tissue of the odontogenic apparatus
C) Tissue of the oral mucosa
D) None of the above
42- Failure of descend of thyroid analage can be seen in the tongue:
A) In anterior 2/3 of dorsal aspect
B) In posterior 1/3 of dorsal aspect
C) Near the base of tongue close to foramen caecum
D) In anterior 2/3 of inferior surface
43- Geographic tongue is of red color because of:
A) Infiltration of eosinophils
B) Infiltration of neutrophils
C) Both of the above
D) None of the above
44- Most characteristic feature of mandibulofacial dysostosis is:
A) Normal hearing
B) Normal vision with colobomata
C) Mandibular prognathism
D) Vertical maxillary excess
45- Lateral facial cleft may be associated with:
A) Pierre robin syndrome
B) Crouzon syndrome
C) Mandibulofacial dysostosis
D) Cleidocranial dysplasia
46. Trisomy 21 syndrome is better known as _______ syndrome.
(a) Down
(b) Apert
(c) Klinefelter
(d) Ehlers-Danlos
47. Slanting eyes, decrease of the sexual development, macroglossia and enamel hypoplasia are seen in:
A) Craniofacial dysostosis
B) Down's syndrome
C) Treacher collin's syndrome
D) Marfan's syndrome
48. Coppor beaten appearance in skull radiographs is seen in patients affected with:
A) Pierre robin syndrome
B) Treacher collins syndrome
C) Carpenter syndrome
D) Melkerson Rosenthal syndrome
49. Cheilitis glandularis typically occurs on the:
A) upper lip
B) Lower lip
C) Soft palate
D) Gingiva
50. Red macular appearance of oral mucosa is seen in patients affected with:
A) Cheilitis granulomatosa
B) Cheilitis glandularis
C) Erythema migrans
D) Fordyce's granules
51. Among the environmental factors involved in the etiology of facial clefts is:
A) Corticosteroid use
B) Viral infection
C) Tetracycline administration
D) Excess water fluoridation
52-Effect of lymphangioma on the tongue
A_ macroglossia
B_microglossia
C- fissured tongue
D- exfoliation of filiform papillae
53) Nevi are ectopic conditions occurring in skin and mucous membrane
A) true
B) false
54) Recent researches proved that Median Rhomoboid Glossitis is
A) Viral infection
B) Developmental condition
C) Fungal infection
D) Precancerous lesion
55. Indicate the incorrect statement regarding macrognathia
(a) It is commonly associated with Paget’s disease
(b) Patients tend to have a short ramus
(c) Excessive condylar growth predisposes to macrognathia
(d) Patients have a prominent chin button
56-Cleft lip must be associated with alveolar cleft.
A) True
B) False
57-Zona pellucida is clinically identifying :
A) Alveolar cleft
B) Cleft lip
Cleft Palate
Submucosal palatal cleft
58-Congenital lip pits can be seen in:
A) Gardner syndrome
B) Down syndrome
C) Vacterl syndrome
D) Vender Waude syndrome
59-Macrophages involved in histopathological picture of Chelitis granulomatosa are considered:
A) Langerhan's cells
B) Epithelloid cells
C) Schwann cells
D) A & B
60-The Predictible inheritance percentage in the next generation of Down syndrome is:
A) 30 %
B) 75 %
C) 50 %
D) 100 %
62-Regarding to Down syndrome the decrease in caries incidence is due to the excessive salivation. The increased potential of periodontal diseases is owing to the compromised immunity.
A) Both statements are true
B) Both statements are false
C) First sentence is true and the second one is false
D) First sentence is false and the second one is true
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