Deck 13: Inflammatory Jaw Lesions

Question 1

A periosteal reaction consisting of concentric layering of expanding cortical bone known as "onion skin" is most often associated with which of the following?

A) Hyperparathyroidism
B) Burkitt's lymphoma
C) Garré's osteomyelitis
D) Ameloblastoma
E) Odontogenic keratocyst

Answer 1

Garré's osteomyelitis

Question 2

Jaw pain is a feature most often associated with:

A) Periapical granuloma
B) Periapical cemento-osseous dysplasia
C) Periapical abscess
D) Odontogenic keratocyst
E) Dentigerous cyst

Answer 2

Periapical abscess

Question 3

A patient has severe tooth-associated pain. The tooth is sensitive to percussion. A radiograph shows only slight thickening of the apical periodontal membrane space. The tooth shows no response to electric pulp testing. This is most likely which of the following?

A) Chronic pulpitis
B) Periapical granuloma
C) Periapical abscess
D) Periapical cyst
E) Osteosarcoma

Answer 3

Periapical abscess

Question 4

Low-grade intrabony inflammation is a primary factor in the stimulation of which of the following lesions?

A) Focal sclerosing osteitis
B) Lateral root cyst
C) Dentigerous cyst
D) Acromegaly
E) Fibrous dysplasia

Question 5

A 10-year-old boy was seen because of a bony hard swelling of his left jaw. A panographic radiograph showed a mottled lucency associated with grossly carious tooth no. 19. He also had low-grade, intermittent pain associated with the tooth for the past year. This description best fits which of the following?

A) Acute osteomyelitis
B) Garré's osteomyelitis
C) Focal sclerosing osteomyelitis
D) Diffuse sclerosing osteomyelitis
E) Malignancy

Question 6

Garré's osteomyelitis is usually associated with which of the following?

A) Trauma to the jaws
B) Immune dysfunction
C) Gingivitis
D) Actinomycotic infection
E) Decayed mandibular molar

Question 7

Bisphosphonates have been shown to be effective in the treatment of all the following except:

A) Hypercalcemia of malignancy
B) Osteoporosis
C) Salivary gland malignancies
D) Metastatic cancers to bone
E) Multiple myeloma

Question 8

When an inflammatory process of the jaws results in reduplication of the periosteum, as well as medullary bone inflammation, the condition is known as:

A) Acute osteomyelitis
B) Diffuse sclerosing osteomyelitis
C) Condensing osteitis
D) Garré's osteomyelitis
E) Focal sclerosing osteomyelitis