Oral Medicine 4

150. Difficulty in mouth opening, dysphagia, tongue stiffness and generalized induration of the skin are characteristic of
σ½ lupus erythematosus
σ¾ scleroderma
σ½ erythema multiforme
σ½ lichen planus
σ½ malignant disease
151. The most likely complication following surgery for a patient with thrombocytopenic purpura would be
σ½ angina
σ¾ hemorrhage
σ½ "dry socket"
σ½ delayed healing
σ½ infection
152. A child on antibiotic therapy would be more likely to develop which of the following diseases?
σ½ Herpangina
σ½ Pemphigus
σ¾ Moniliasis
σ½ Herpetic gingivostomatitis
σ½ Lichen planus
153. A positive Nikolsky's sign is a diagnostic feature of
σ½ lichen planus
σ½ erythema multiforme
σ¾ pemphigus
σ½ chronic marginal gingivitis
σ½ lupus erythematosus
154. Which of the muscles of mastication is associated with the condylar head and the articular disc?
Masseter
σ½ Temporalis
σ½ Internal pterygoid
σ¾ External pterygoid
155. A patient complains of dull, constant pain in his jaws upon awakening You would suspect
σ½ acute pulpitis
σ½ sinusitis
Bruxism
σ½ chronic gingivitis
156. Geographic tongue is characterized by
σ½ congenital deformity of tissue
σ¾ atrophic filiform papillae
σ½ association with scrotal tongue
σ½ predominance in elderly patients
σ½ atrophic foliate papillae
157. Occlusal (night) guards are used to
σ¾ treat bruxism
σ½ reduce pocket formation
σ½ prevent pulpitis
σ½ permit eruption or elongation of teeth
σ½ prevent tooth erosion
158. A patient with bruxism is likely to demonstrate
σ½ radiographic evidence of the widening of the periodontal ligament
σ½ increased mobility of teeth
σ½ premature wear of occlusal surfaces
σ½ TMJ discomfort
σ¾ All of the above
159. Abrasion is most commonly seen on the
σ½ lingual surface of posterior teeth
σ½ occlusal surface of posterior teeth
σ½ incisal edges
σ¾ facial surfaces of teeth
160. The prolonged use of antibacterial lozenges or mouthwashes contributes to the development of
σ¾ oral candidiasis
σ½ geographic tongue
σ½ fissured tongue
σ½ Koplik's spots
σ½ aphthous ulcers
161. A lowering of serum calcium is the stimulus for the endogenous release of
σ½ thyroid hormone
σ½ adrenocortical hormone
σ½ insulin
σ¾ parathyroid hormone
σ½ adrenalin
162. Enlargement of the thyroid gland can be caused by
σ½ insufficient fluoride
σ½ excess iodine
σ¾ insufficient iodine
σ½ excess calcium
σ½ excess sodium
163. Which of the following has the highest rate of recurrence?
σ¾ Odontogenic keratocyst
σ½ Nasoalveolar cyst
σ½ Median palatal cyst
σ½ Incisive canal cyst
σ½ Radicular cyst
164. Which of the following lesions has a tendency to bleed easily?
σ¾ Pyogenic granuloma
σ½ Osteoma
σ½ Fibroma
σ½ Papilloma
σ½ Lipoma
165. The cell concerned with antibody production is called
σ½ polymorphonuclear leukocyte
σ½ mast cell
σ¾ plasma cell
σ½ macrophage
σ½ megakaryocyte
166. Which of the following is a complication of prolonged systemic corticosteroid treatment?
σ¾ Oral candidiasis
σ½ Xerostomia
σ½ Aphthous stomatitis
σ½ Anorexia
σ½ Gingival hyperplasia
167. Acanthosis is a thickening of the following layer
σ½ granular layer
σ½ stratum corneum
σ½ basal cell layer
σ¾ prickle cell layer
168. Koilonychia is
σ½ bifid uvula
σ½ auricular tags
σ½ ankyloglossia
σ½ mulberry molars
σ¾ spoon-shaped (concave) nails
169. Oral leukoplakia has the most favorable prognosis when it is
σ¾ present in a non-smoker
σ½ accompanied by pain
σ½ infected with Candida albicans
σ½ speckled in appearance
σ½ on the hard palate
170. Which muscle defines the floor of the mouth?
σ½ Stylohyoid
σ½ Digastric
σ½ Geniohyoid
σ¾ Mylohyoid
Platysma
171. Soft, white, elevated plaques of the oral mucosa are characteristic of
Angioma
σ¾ candidosis (candidiasis)
σ½ actinomycosis
σ½ herpes simplex
σ½ submucous fibrosis
172. Which of the following mucosae is normally keratinized?
σ½ Soft palate
σ¾ Hard palate
σ½ Lateral tongue
σ½ Ventral tongue
σ½ Free gingiva
173. Which of the following is the most powerful jaw-closing muscle?
σ½ Temporalis
σ½ Lateral pterygoid
σ¾ Masseter
σ½ Medial pterygoid
174. Which of the following is NOT suggestive of a diagnosis of necrotizing ulcerative gingivitis (NUG)?
σ½ Bleeding from the gingiva
σ½ “Punched-outâ€� papillae with necrotic slough
σ½ Bad breath
σ½ Metallic taste
σ¾ Periodontal pocketing
175. Adrenal corticosteroids
σ½ increase heart rate
σ½ cause vasodilation
σ½ increase protein synthesis
σ¾ reduce inflammation
176. The characteristic oral lesion(s) of pemphigus isare
σ¾ vesicles and bullae
σ½ Fordyce's granules
σ½ white plaques
σ½ hairy tongue
σ½ candidiasis (candidosis)
177. Which of the following is NOT characteristic of acute leukemia?
σ½ Gingival enlargement
σ¾ Decreased bleeding time
σ½ Elevated leukocyte count
σ½ Anemia
σ½ Thrombocytopenia
178. Which one of the following types of pain is most likely to be
σ½ associated with TMJ disorders
σ½ Exacerbated pain by hot or cold food
σ½ Keeps patient awake at night
σ¾ Associated with muscle tenderness
σ½ Associated with trigger spots related to the trigeminal nerve
179. What controls the occlusion**
σ½ Teeth
σ½ Receptors in periodontal membrane
σ½ Neuromuscular receptors
σ½ TMJ
σ¾ All of the above
180. What is the typical feature of Lichen planus**
σ½ Smooth rete pegs
σ¾ Band of lymphocytes inflammation and hyper parakeratosis
σ½ Immunofluorescence of liquefied layer
σ½ White line on the occlusion plane
σ½ Red and white granulations
181. The following are sign and symptom in Ehlers-Danlos syndrome Except for:
σ½ Fragility of the skin and blood vessels,
σ½ Hyperlaxity of the joints,
σ¾ Xerostomia
σ½ Hyperelasticity of the skin,
σ½ Delay wound healing
182. Radiography is used to detect the following conditions EXCEPT for:
σ½ impacted teeth
σ½ Retained root tips
σ¾ Benign migratory glossitis
σ½ Rarefying osteitis
σ½ Cystsradiolucentradiopaque lesions
183. The following are the indications for biopsy EXCEPT for :
σ½ Any lesion that persists for more than 2 weeks with no apparent etiology
σ½ Any inflammatory lesion that does not respond to local treatment after 10-14 days
σ½ Persistent hyperkeratotic changes in surface tissues
σ¾ Any lesion that regress after removal its cause
σ½ 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 :
σ½ Radiotherapy
σ½ Repeat biopsy
σ¾ Complete excision
σ½ Observation
σ½ 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:
σ½ Cauterize it
σ½ Apply toluidine blue staining
σ¾ Perform an incisional biopsy
σ½ Refer patient to family physician
σ½ Re-examine at 6 month interval
186. The redness of inflamed gingiva is due to:
σ½ The degree of keratinization
σ½ Subgingiva deposit
σ¾ Increase vasodilatation
σ½ Increase collagen fiber density
σ½ All of the above
187. Tooth grinding ( bruxism)is due to :
σ½ Premature contact in the retruded centric position
σ½ Balancing prematurities in non working
Stress
σ¾ All of the above
188. An increased heart rate may be associated with
σ½ prolonged corticosteroid therapy
σ¾ hyperthyroidism
σ½ hypothyroidism
σ½ Down syndrome
189. Hypochromic anemia is associated with
σ½ vitamin B12 deficiency
σ¾ iron deficiency
σ½ aminopyrine therapy
σ½ folic acid deficiency
190. A patient with multiple small bruises (purpura) most likely has a low count of T-cells
σ¾ platelets
σ½ lymphocytes
σ½ eosinophils
σ½ erythrocyte
191. A clenching habit may be a factor in
σ½ suprabony periodontal pocket formation
σ½ marginal gingivitis
σ¾ increased tooth mobility
σ½ generalized recession
192. Exophthalmia may be a sign of
σ½ yperadrenalism
σ¾ hyperthyroidism
σ½ hypoadrenalism
σ½ 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
σ½ lichen planus
σ½ leukoplakia
σ¾ linea alba buccalis
σ½ Verruca Vulgaris
σ½ Nicotine Stomatitis
194. Odontogenic cyst develop from the following structures except
σ½ Reduced enamel epithelium of tooth crown
σ½ remnants of dental lamina epithelium entrapped within the gingiva
σ¾ Epithelium trapped after sutures of maxillary processes
σ½ Hertwig’s root sheath
195. Granulation tissue which extends coronally from the pulp of a carious tooth is known as
σ½ epulis granulomatosum
σ¾ a pulp polyp
σ½ a pyogenic granuloma
σ½ a fibroma
σ½ a papilloma
196. Which of the following is the most common form of internal temporomandibular joint (TMJ) derangement?
σ½ Osteoarthritis of the TMJ
σ¾ Anterior misalignment
σ½ 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?
σ½ One tenth
σ½ One fourth
σ¾ One third
σ½ 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)?
σ½ Numbness
σ½ Severe pain
σ¾ click or pop
σ½ Tinnitus
199. When initial treatments of capsulitis due to disk derangement are unsuccessful, which of the following treatments is used?
σ¾ Corticosteroids injected into the TMJ
Splinting
σ½ Muscle relaxation
σ½ 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:
σ½ Koplik’s spot
σ¾ Fordyce’s granules
σ½ Melanotic macule
σ½ 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:
σ½ geographic tongue
σ½ hairy tongue
σ¾ median rhomboid glossitis
σ½ lingual thyroid
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:
σ½ Koplik’s spot
σ¾ Fordyce’s granules
σ½ Melanotic macule
σ½ White sponge nevus
202. In hairy tongue, there is hypertrophy of:
σ½ fungiform papillae
σ¾ filiform papillae
σ½ foliate papillae
σ½ 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:
σ¾ Leukoplasia
σ½ Candidiasis
σ½ Erythroplakia
σ½ White sponge nevus
204. Skin lesions of the hereditary hemorrhagic telangiectasia are most common on:
Arms
σ½ abdomen
Legs
Face
205. Characteristic hemorrhagic lesions of the hereditary hemorrhagic telangiectasia occurs most often on
Tongue
Lips
Gingival
σ½ Palate
206. Primary Sjogren’s syndrome consists of keratoconjunctivitis sicca and:
σ¾ Xerostomia
σ½ Rheumatoid arthritis
σ½ SLE
σ½ Scleroderma
207. Triad of Sjogren’ syndrome consists of:
σ½ conjunctivitis, stomatitis, rheumatoid arthritis
σ¾ keratoconjunctivitis, xerostomia, rherumatoid arthritis
σ½ keratoconjunctivitis, xerostomia, osteoarthritis
σ½ 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:
σ½ Actinomycosis
σ¾ Candidiasis
σ½ Lichen planus
σ½ Leukoplakia
209. Sialoliths are mainly composed of:
σ¾ calcium phosphate
σ½ calcium oxide
σ½ calcium carbonate
σ½ calcium sulphate
210. Which of the following groups of lymph nodes is first to exhibit lymphadenopathy in cases of infection mononucleosis?
Axillary
σ¾ cervical
σ½ inguinal
σ½ mediastinal
211. An early oral manifestation of infectious mononucleosis is;
σ¾ palatal petechiae
σ½ oral ulceration
σ½ inflammation of mucous membrane
σ½ edema of soft palate and uvula
212. Most common form of leukaemia in children is:
σ¾ acute lymphocytic leukaemia
σ½ chronic myeloid leukaemia
σ½ acute monocytic leukaemia
σ½ chronic lymphocytic leukaemia
213. In thrombocytopenic purpura:
σ½ bleeding time is normal, clotting time is prolonged
σ½ Both bleeding and clotting time are prolonged
σ¾ Bleeding time is prolonged, clotting time is normal
σ½ 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:
σ½ infectious mononucleosis
σ¾ agranulocytosis
σ½ cyclic neutropenia
σ½ 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
σ½ infectious mononucleosis
σ¾ thrombocytopenic purpura
σ½ 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
σ½ Leukoedema
Candidiasis
σ¾ White sponge nevus
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