Deck 2: Inflammation and Repair

Question 1

This white raised line observed anterior-posterior on the buccal mucosa along the occlusal plane is:

A) cheek biting
B) linea alba.
C) white sponge nevus.
D) frictional keratosis.

Answer 1

linea alba.

Question 2

A decrease in the size and function of a cell, a tissue, an organ, or the whole body is referred to as:

A) emigration.
B) atrophy.
C) hyperplasia.
D) phagocytosis

Answer 2

atrophy.

Question 3

Serous exudate is composed of:

A) tissue debris and many white blood cells.
B) suppuration.
C) plasma fluids and proteins with few white blood cells.
D) plasma fluids and red blood cells.

Answer 3

plasma fluids and proteins with few white blood cells.

Question 4

This patient comes to the office as an emergency. The patient complains of a toothache in the left mandibular posterior area. On clinical examination you notice a gray-to-white patch on the left posterior buccal mucosa. On questioning the patient tells you that this area is also painful. After reviewing the patient's medical history, you question the patient regarding his recent use of:

A) hydrogen peroxide.
B) aspirin.
C) antibiotics.
D) mouthwash.

Question 5

Which one of the following occurs when white blood cells adhere to the walls of a blood vessel during inflammation?

A) Margination
B) Pavementing
C) Leukocytosis
D) Emigration

Question 6

The enlargement of lymph nodes is called:

A) atrophy.
B) lymphadenopathy.
C) hyperplasia.
D) leukocytosis.

Question 7

Which type of inflammation occurs when the injury is minimal and brief and its source is removed from the tissue?

A) Acute
B) Chronic
C) Local
D) Systemic

Question 8

The wearing away of tooth structure during mastication is called:

A) attrition.
B) erosion.
C) abrasion.
D) abfraction.

Question 9

All of the following are true concerning the neutrophil except that the neutrophil is:

A) the first cell at the site of injury.
B) the primary cell in acute inflammation.
C) the primary cell in chronic inflammation.
D) a phagocyte.

Question 10

Which one of the following is a systemic sign of inflammation?

A) Redness
B) Pain
C) Loss of normal tissue function
D) Fever

Question 11

Which one of the following is not a classic local sign of inflammation?

A) Redness
B) Swelling
C) Leukocytosis
D) Loss of normal tissue function

Question 12

Which one of the following is a steroidal antiinflammatory drug?

A) Aspirin
B) Prednisone
C) Ibuprofen
D) Motrin

Question 13

The loss of tooth structure seen in bulimia is caused by:

A) anorexia.
B) Erosion.
C) attrition.
D) bruxism.

Question 14

When formation of exudate is excessive, a drainage tract may develop through the injured tissue. This channel is often called:

A) a fistula.
B) leukocytosis.
C) erythema.
D) emigration.

Question 15

Healing of an injury in which there is little loss of tissue such as in a surgical incision is referred to as healing by:

A) tertiary intention.
B) keloid formation.
C) secondary intention.
D) primary intention.

Question 16

The first response of the body to injury is:

A) anaphylaxis.
B) erythema.
C) fever.
D) inflammation.

Question 17

Which system in the blood mediates inflammation by causing increased dilation of the blood vessels at the site of injury and increases the permeability of local blood vessels?

A) Kinin system
B) Clotting system
C) Complement system
D) Lysosomal enzymes

Question 18

Neutrophils constitute how much of the entire white blood cell population?

A) 5%
B) 20%
C) 65%
D) 90%

Question 19

The first microscopic event in the inflammatory response is:

A) decreased blood flow.
B) constriction of the microcirculation.
C) phagocytosis.
D) dilation of microcirculation.

Question 20

Which cell is the first to arrive at the site of injury and is the primary cell involved in acute inflammation?

A) Macrophage
B) Neutrophil
C) Plasma
D) Mast

Question 21

Aspirin burn on the oral mucosa:

A) is caused by ingestion of too many aspirin tablets.
B) is caused by placing the aspirin on the tooth with the toothache, causing the surrounding mucosa to become necrotic.
C) is painless.
D) requires a biopsy for diagnosis.

Question 22

Which one of the following is not a cause of abrasion?

A) Pipe placement in pipe smokers
B) Musicians who play wind instruments
C) Holding needles or pins with the teeth
D) Frequent sucking on lemons

Question 23

Which of the following is most likely to result in frictional keratosis?

A) High-fiber diet
B) Chewing on an edentulous ridge
C) Malignancy
D) Daily use of mouthwash

Question 24

This type of erosion is classically associated with:

A) anorexia nervosa.
B) bulimia.
C) sucking lemons.
D) abrasive toothpaste.

Question 25

Traumatic neuroma is a lesion caused by injury to:

A) the epithelium.
B) a peripheral nerve.
C) a salivary gland.
D) striated muscle.

Question 26

The diagnosis of a traumatic ulcer is usually based on:

A) history of the lesion.
B) scalpel biopsy.
C) therapeutic procedures.
D) laboratory tests.

Question 27

The most common site for the pulp polyp is:

A) the occlusal surface of a large open carious tooth.
B) the apex of the tooth.
C) the gingival margin of the tooth.
D) deep in the pulp canal.

Question 28

Resorption of tooth structure from outside the tooth is called:

A) internal resorption.
B) external resorption.
C) idiopathic tooth resorption.
D) condensing osteitis.

Question 29

Electric burns in the oral area are usually seen in:

A) electricians.
B) infants and young children.
C) elderly.
D) individuals involved in an electrical fire.

Question 30

Which one of the following does not cause gingival enlargement?

A) Hormonal changes
B) Calcium channel blockers
C) Hereditary factors
D) Nitroglycerine

Question 31

Excessive scarring in skin is called:

A) a keloid.
B) healing by primary intention.
C) a hematoma.
D) healing by tertiary intention.

Question 32

Which of the following is defined as an increase in the number of cells in a tissue or organ?

A) Hypertrophy
B) Atrophy
C) Hyperplasia
D) Repair

Question 33

Necrotizing sialometaplasia is thought to result from:

A) lack of blood supply to the area.
B) a sialolith.
C) trauma to the floor of the mouth.
D) pleomorphic adenoma.

Question 34

The first sign of attrition is:

A) open contacts.
B) disappearance of mamelons on incisors.
C) temporomandibular joint dysfunction.
D) biomechanical forces on the teeth.

Question 35

Epulis fissuratum is caused by:

A) denture adhesive products.
B) poor suction in the palatal vault.
C) poor denture hygiene.
D) an ill-fitting denture flange.

Question 36

This lesion on the palate typically is associated with heavy pipe and cigar smoking.

A) Tobacco pouch keratosis
B) Necrotizing sialometaplasia
C) Nicotine stomatitis
D) Frictional keratosis

Question 37

Which one of the following inflammatory periapical lesions is most painful?

A) Periapical abscess
B) Periapical granuloma
C) Radicular cyst
D) Residual cyst

Question 38

Which of the following is a lesion that occurs on the gingiva or alveolar process and contains many multinucleated giant cells, red blood cells, and chronic inflammatory cells?

A) Ranula
B) Central giant cell granuloma
C) Fibroma
D) Peripheral giant cell granuloma

Question 39

This granular, erythematous papillary surface of the palatal vault was caused by:

A) poor oral hygiene.
B) an ill-fitting suction area of the denture.
C) the denture flange.
D) soaking the denture in caustic rinses.

Question 40

The major cause of a mucocele is:

A) a sialolith.
B) salivary duct obstruction.
C) trauma to a minor duct.
D) allergic reaction.