Question 1

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

Accepted Answer

A)  Ibuprofen 
B)  Aspirin 
C)  Nifedipine 
D)  Penicillin 
E)  Tetracycline 
A)  Ibuprofen 
B)  Aspirin 
C)  Nifedipine 
D)  Penicillin 
E)  Tetracycline C

Question 2

All the following occur predominantly in the gingiva except:

Accepted Answer

A)  Peripheral giant cell granuloma 
B)  Peripheral fibroma 
C)  Congenital epulis of the newborn 
D)  Pyogenic granuloma 
E)  Neurofibroma 
A)  Peripheral giant cell granuloma 
B)  Peripheral fibroma 
C)  Congenital epulis of the newborn 
D)  Pyogenic granuloma 
E)  Neurofibroma E

Question 3

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

Accepted Answer

A)  Primary Sjögren's syndrome 
B)  Proliferative verrucous leukoplakia 
C)  Neurofibromatosis 
D)  MEN III 
E)  All the above 
A)  Primary Sjögren's syndrome 
B)  Proliferative verrucous leukoplakia 
C)  Neurofibromatosis 
D)  MEN III 
E)  All the above E

Question 4

The granular cell tumor is often surfaced by epithelium showing:

Accepted Answer

A)  Pseudoepitheliomatous hyperplasia 
B)  Atrophy 
C)  Acantholysis 
D)  Ulceration 
E)  None of the above 
A)  Pseudoepitheliomatous hyperplasia 
B)  Atrophy 
C)  Acantholysis 
D)  Ulceration 
E)  None of the above

Question 5

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

Accepted Answer

A)  Ramus of the mandible 
B)  Lips 
C)  Tongue 
D)  Palate 
E)  None of the above 
A)  Ramus of the mandible 
B)  Lips 
C)  Tongue 
D)  Palate 
E)  None of the above

Question 6

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

Accepted Answer

A)  Peripheral giant cell granuloma 
B)  Peripheral fibroma 
C)  Congenital epulis of the newborn 
D)  Pyogenic granuloma 
E)  Granular cell tumor 
A)  Peripheral giant cell granuloma 
B)  Peripheral fibroma 
C)  Congenital epulis of the newborn 
D)  Pyogenic granuloma 
E)  Granular cell tumor

Question 7

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

Accepted Answer

A)  Benign neoplasm of smooth muscle 
B)  Malignant neoplasm of skeletal muscle 
C)  Reactive hyperplasia 
D)  Benign tumor of salivary gland origin 
E)  Congenital lesion of lymphatic vessels 
A)  Benign neoplasm of smooth muscle 
B)  Malignant neoplasm of skeletal muscle 
C)  Reactive hyperplasia 
D)  Benign tumor of salivary gland origin 
E)  Congenital lesion of lymphatic vessels

Question 8

All the following represent connective tissue reactions to injury except:

Accepted Answer

A)  Pyogenic granuloma 
B)  Traumatic neuroma 
C)  Peripheral ossifying fibroma 
D)  Lymphangioma 
E)  Peripheral fibroma 
A)  Pyogenic granuloma 
B)  Traumatic neuroma 
C)  Peripheral ossifying fibroma 
D)  Lymphangioma 
E)  Peripheral fibroma

Question 9

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

Accepted Answer

A)  Fibromatosis 
B)  Traumatic fibroma 
C)  Reactive hyperplasia 
D)  Pyogenic granuloma 
E)  Hyperplastic scar 
A)  Fibromatosis 
B)  Traumatic fibroma 
C)  Reactive hyperplasia 
D)  Pyogenic granuloma 
E)  Hyperplastic scar

Question 10

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Accepted Answer

A)  Epithelial hyperplasia 
B)  Generalized gingival hyperplasia 
C)  Malignant leukocytes 
D)  Abundant nerve tissue 
E)  Sebaceous hyperplasia 
A)  Epithelial hyperplasia 
B)  Generalized gingival hyperplasia 
C)  Malignant leukocytes 
D)  Abundant nerve tissue 
E)  Sebaceous hyperplasia

Question 11

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

Accepted Answer

A)  Traumatic neuroma 
B)  Neurofibroma 
C)  Neurilemmoma 
D)  Leiomyoma 
E)  None of the above 
A)  Traumatic neuroma 
B)  Neurofibroma 
C)  Neurilemmoma 
D)  Leiomyoma 
E)  None of the above

Question 12

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Accepted Answer

A)  Gorlin's syndrome 
B)  MEN III 
C)  Neurofibromatosis 
D)  Melanoma 
E)  None of the above 
A)  Gorlin's syndrome 
B)  MEN III 
C)  Neurofibromatosis 
D)  Melanoma 
E)  None of the above

Question 13

Trauma or irritation is believed to be the cause of all the following except:

Accepted Answer

A)  Papillary hyperplasia 
B)  Mucous extravasation phenomenon 
C)  Peripheral fibroma 
D)  Pyogenic granuloma 
E)  Neurofibroma 
A)  Papillary hyperplasia 
B)  Mucous extravasation phenomenon 
C)  Peripheral fibroma 
D)  Pyogenic granuloma 
E)  Neurofibroma

Question 14

Reactive hyperplasias:

Accepted Answer

A)  Are relatively rare in dental patients 
B)  Are etiologically associated with immunodeficiency 
C)  Represent an overexuberant repair process 
D)  Are caused by Candida albicans 
E)  All the above 
A)  Are relatively rare in dental patients 
B)  Are etiologically associated with immunodeficiency 
C)  Represent an overexuberant repair process 
D)  Are caused by Candida albicans 
E)  All the above

Question 15

A significant risk of malignant transformation is associated with which of the following?

Accepted Answer

A)  Papillary hyperplasia 
B)  Peripheral ossifying fibroma 
C)  Squamous papilloma 
D)  Focal epithelial hyperplasia (Heck's disease) 
E)  None of the above 
A)  Papillary hyperplasia 
B)  Peripheral ossifying fibroma 
C)  Squamous papilloma 
D)  Focal epithelial hyperplasia (Heck's disease) 
E)  None of the above

Question 16

A 16-year-old girl had an asymptomatic 2 *3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

Accepted Answer

A)  Granular cell tumor 
B)  Ranula 
C)  Mucocele 
D)  Lymphangioma 
E)  Lymphoma 
A)  Granular cell tumor 
B)  Ranula 
C)  Mucocele 
D)  Lymphangioma 
E)  Lymphoma

Question 17

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Accepted Answer

A)  Nodular fasciitis 
B)  Fibromatosis 
C)  Fibrosarcoma 
D)  Rhabdomyosarcoma 
E)  Adenoid cystic carcinoma 
A)  Nodular fasciitis 
B)  Fibromatosis 
C)  Fibrosarcoma 
D)  Rhabdomyosarcoma 
E)  Adenoid cystic carcinoma

Question 18

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Accepted Answer

A)  Retromolar pad 
B)  Buccal mucosa 
C)  Lateral border of the tongue 
D)  Anterior vestibular mucosa 
E)  Hard palate 
A)  Retromolar pad 
B)  Buccal mucosa 
C)  Lateral border of the tongue 
D)  Anterior vestibular mucosa 
E)  Hard palate

Question 19

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

Accepted Answer

A)  Schwannoma 
B)  Granular cell tumor 
C)  Neurofibroma 
D)  Fibromatosis 
E)  Monomorphic adenoma 
A)  Schwannoma 
B)  Granular cell tumor 
C)  Neurofibroma 
D)  Fibromatosis 
E)  Monomorphic adenoma

Question 20

A 1 * 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

Accepted Answer

A)  Peripheral fibroma 
B)  Dysplastic oral wart 
C)  Gingival cyst 
D)  Neuroectodermal tumor of infancy 
E)  Congenital granular cell tumor 
A)  Peripheral fibroma 
B)  Dysplastic oral wart 
C)  Gingival cyst 
D)  Neuroectodermal tumor of infancy 
E)  Congenital granular cell tumor

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

All the following occur predominantly in the gingiva except:

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

The granular cell tumor is often surfaced by epithelium showing:

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

All the following represent connective tissue reactions to injury except:

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Trauma or irritation is believed to be the cause of all the following except:

Reactive hyperplasias:

A significant risk of malignant transformation is associated with which of the following?

A 16-year-old girl had an asymptomatic 2 *3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

A 1 * 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

Vesiculobullous Diseases

Ul-cerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters

Exam 7: Connective Tissue Lesions

Generalized gingival hyperplasia may be associated with ingestion of which of the following drugs?

All the following occur predominantly in the gingiva except:

Which of the following disorders places the patient at risk for the appearance or development of a malignancy?

The granular cell tumor is often surfaced by epithelium showing:

Peripheral ossifying fibromas are lesions that occur exclusively in which of the following sites?

Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following?

An oral biopsy was taken from the tongue of a 36-year-old woman and was interpreted as a leiomyoma. This is a:

All the following represent connective tissue reactions to injury except:

A 24-year-old man presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This lesion suggests which of the following?

A 20-year-old patient, who has been taking sodium dilantin for seizure control, develops a marked increase in the bulk of his attached gingiva. If the change is, in fact, drug related, which of the following features would dominate the microscopic picture?

Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

The condition in which a patient may develop café-au-lait macule patches on skin and mucocutaneous neurofibromas is known as:

Trauma or irritation is believed to be the cause of all the following except:

Reactive hyperplasias:

A significant risk of malignant transformation is associated with which of the following?

A 16-year-old girl had an asymptomatic 2 *3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?

Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?

Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate?

A 1 * 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following?

Vesiculobullous Diseases

Ul-cerative Conditions

White Lesions

Red-Blue Lesions

Pigmented Lesions

Verrucal-Papillary Lesions

Salivary Gland Diseases

Lymphoid Lesions

Cysts of the Jaws and Neck

Odontogenic Tumors

Benign Nonodontogenic Tumors

Inflammatory Jaw Lesions

Malignancies of the Jaws

Metabolic and Genetic Diseases

Abnormalities of Teeth

Filters