Path Exam 2

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TRUE

All images must be carefully reviewed and interpreted.

FALSE

The terms interpretation and diagnosis can be used synonymously.

FALSE

Dental images should not be interpreted in the presence of the patient.

FALSE

Any dental professional can provide a diagnosis.

FALSE

The term radiograph and X-ray are synonymous.

TRUE

A digital image is diagnostically equivalent to film-based imaging.

TRUE

Condensing osteitis appears radiopaque on a radiograph.

FALSE

A sialolith is an example of a soft tissue radiolucency.

FALSE

A periapical abscess can appear as a unilocular radiopacity

TRUE

A gold crown can appear radiopaque on a dental image

Ground glass

radiopaque lesion that resembles an orange peel or has a Granular appearance

Pericoronal

Location of a lesion surrounding crown of an impacted tooth

Inter-radicular

Location of a lesion between the roots of adjacent teeth

Target lesion

radiopaque lesion that has a surrounding radiolucent ring

Radiopaque

structures that are dense and resist passage of the x-ray beam

Incipient interprox.

caries that extends less than halfway through enamel

Severe interprox.

caries that extends through enamel, dentin and more than half the distance to pulp

Moderate interprox

caries that extends more than halfway through the enamel but does not involve DEJ

Severe occlusal

caries seen as a large radiolucency in dentin under enamel of chewing surfaces of teeth.

Advanced interprox.

caries that extends through enamel, dentin, but does not extend more than half the distance to pulp

D

Which one of the following oral conditions is not a lesion associated with HIV or AIDS?
A. Candidiasis
B. Hairy Leukoplakia
C. Kaposi Sarcoma
D. Leukoedema

C

What is the etiology of acute/chronic osteomyelitis?
A. viral
B. fungal
C. Inflammation/infection
D. hormonal

C

What term refers to an erythematous, painful swollen tissue around the crown of a partially erupted tooth?
A. periodontitis
B. abscess
C. pericoronitis
D. ankylosis

D

Desquamative gingivitis may be seen in:
A. cicatricial pemphigoid
B. Pemphigus vulgaris
C. Lichen planus
D. All of the above

A

Tzank cells are seen in which of these conditions?
A. Pemphigus vulgaris
B. Erythema multiforme
C. Systemic lupus erythematous
D. Behcet syndrome

D

The most common site for mucous membrane pemphigoid is the:
A: lips
B. buccal mucosa
C. tongue
D. gingiva

False

Men are more predisposed to SLE than women.

A

What is the most common type of lichen planus?
A. reticular
B. erosive
C. bullous

False

Mucous membrane pemphigoid is characterized by an intraepithelial blister formation.

C

The non-infectious stage of syphilis is the:
A. primary stage
B. secondary stage
C. tertiary stage

C

Primary herpes is the most common in:
A. middle aged adults
B. elderly people
C. children and young adults
D. infants

B

Mandibular tori most often appear:
A. in the retromolar pad region
B. on the lingual surface of the mandible, most often in the premolar region
C. on the lingual surface of the mandible, inferior to the mylohyoid ridge
D. along the midline of the hard palate

A

All of the following are forms or classifications of recurrent aphthous ulcers except:
A. Initial
B. minor
C. major
D. Herpetiform

B

Which of the following is a condition in which small accumulations of saliva gather in the skin folds at the commissural angles and are subsequently colonized by yeast organisms causing fissured, erythematous alterations of the skin?
A. squamous cell carcinoma
B. angular cheilitis
C. verruva vulgaris
D. stomatitis nicotina

C

solar cheilitis is caused by:
A. a virus
B. stress
C. chronic and excessive exposure to the UV radiation in sunlight
D. certain medications

A

Hairy tongue is a condition characterized by hypertrophy of the:
A. filiform papillae
B. fungiform papillae
C. circumvallate papillae
D. foliate papillae

D

Lace-like white striae present on the buccal mucosa bilaterally may represent:
A. lupus erythematosus
B. erythema multiforme
C. pemphigus vulgaris
D. lichen planus

C

A white patch, which when scraped or removed from the oral mucosa, leaves a raw, bleeding surface most likely is:
A. leukoplakia
B. white spongy nevus
C. candidiasis
D. lichen planus

C

Which of the following is characterized by irregularly shaped red, map like smooth swollen patches on the tongue which changes daily in size and shape?
A. fissured tongue
B. macroglossia
C. geographic tongue
D. hairy tongue

D

Significant diagnostic findings in exudates from cases of human actinomycosis include:
A. black granules
B. small encapsulated gram- rods
C. strongly acid-fast slender rods
D. sulfur granules

D

The treatment of choice for actinomycosis includes:
A. long term systemic steroids
B. antifungal therapy
C. Anti-viral therapy
D. long term high dose of antibiotics

False

The treatment of choice of acute osteomyelitis includes the use of hyperbaric oxygen.

B

Which of the following is the cause of infectious mononucleosis?
A. streptococci
B. Epstein-Barr virus
C. rubella virus
D. paramyxovirus

C

A dental granuloma and a radicular cyst can be differentiated:
A. based on symptoms
B. radiographically
C. histologically
D. electric pulp tester

A

A 25 year old man, who has a history of generalized gingivitis, is seen on a six-month maintenance visit. During his appointment, which of the following clinical signs will likely confirm that this patient's disease has progressed to periodontitis?
A. Loss of attachment
B. Bleeding upon probing
C. Change in gingival color
D. Increased tooth mobility
E. Edematous gingival tissue

B

An elderly patient, who wears a mandibular complete denture, presents with a pink, elongated, firm and raised lesion in the vestibule adjacent to the buccal border of the denture. Which of the following most likely represents this lesion?
A. Papilloma
B. Epulis Fissuratum
C. Pyogenic granuloma
D. Squamous cell carcinoma
E. Inflammatory papillary hyperplasia

E

A widened periodontal ligament space viewed in a radiograph indicates:
A. Ankylosis
B. Hyperplasia
C. Hypertrophy
D. Disuse atrophy
E. Occlusal trauma

D

Contact dermatitis exemplifies which of the following types of hypersensitivity?
A. Type I
B. Type II
C. Type III
D. Type IV

C

Which of the following can best be evaluated when viewing bitewing radiographs?
A. Anklyosis
B. Root pathology
C. Interproximal caries
D. Apical alveolar bone loss
E. Periodontal ligament space

E

Each of the following plays a part in defending the body against invasion except one: Which one is the exception?
A. Lysosyme
B. Cilia
C. complement
D. chemotaxis
E. Hyaluronidase

B

Two regions of the oral mucosa that contain keratinized epithelia are the:
A. cheek and lip mucosa
B. hard palate and gingiva
C. alveolar mucosa and gingiva
D. alveolar mucosa and vestibular mucosa
E. floor of the mouth and hard palate

C

Which of the following cells synthesize antibodies?
A. Mast
B. Stem
C. Plasma
D. Fibroblasts
E. Macrophages

C

A raised circumscribed vesicle, which might exhibit a bluish translucent color, clinically describes which of the following?
A. Lipoma
B. Fibroma
C. Mucocele
D. Epulis Fissuratum
E. Pyogenic granuloma

A

Which of the following hormones is released in response to hyperglycemia?
A. Insulin
B. Estrogen
C. Thyroxine
D. Glucagon
E. Epinepherine

D

The best radiographic projection for visualizing sialoliths in the submandibular duct and gland is the standard:
A. PA
B. Panoramic film
C. CT scan
D.Mandibular occlusal view

Chancre

Primary syphilis lesion

Mucous patches

Secondary syphilis lesion

None

Latent syphilis lesion

Gumma

Tertiary syphilis lesion

False

A herpes simplex ulceration is located on nonkeratinized mucosa.

False

Antiviral drugs have been shown to be consistently effective in treating the intraoral lesions of herpes simplex infection.

False

Impetigo is a bacterial skin infection primarily caused by Staph Aureus. However, the lesions are non-infectious.

C

Which statement is true of NK cells?
A. NK cells do not circulate
B. NK cells secrete antibodies
C. NK cells are a part of the body's innate immunity
D. NK cells are T lymphocytes

C

Which of the following types of immunologic disease involve a decreased number or activity of lymphoid cells?
A. Autoimmunity
B. Hypersensitivity
C. Immunodeficiency
D. Immunization

True

Major Apthous ulcers are painful.

False

The treatment of choice for angioedema is corticosteroids.

False

Hba1c measures a person's blood sugar for that moment in time.

True

A Gleason score can measure if a person has an aggressive prostate cancer.

True

Chronic elevated C-reactive proteins is associated with an increased risk for cardiovascular disease.

E

A dental hygienist can only have a career in:
A. public health
B. law and administration
C. medicine
D. clinical practice
E. All of the above.

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