Dental Hygiene Pathology
Final Test Solutions
Course Introduction
Dental Hygiene Pathology explores the fundamental principles of general and oral pathology as they relate to dental hygiene practice. This course examines the etiology, pathogenesis, clinical features, and implications of common diseases affecting the oral cavity, including both soft and hard tissues. Students will learn to recognize pathological conditions, understand their impact on overall and oral health, and apply this knowledge to patient assessment, care planning, and education. Emphasis is placed on the role of the dental hygienist in early detection, risk assessment, and collaboration with other healthcare professionals in the management of oral diseases.
Recommended Textbook
Oral pathology clinical pathologic correlations 6th edition by joseph a. regezi
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16 Chapters
556 Verified Questions
556 Flashcards
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Chapter 1: Vesiculobullous Diseases
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80 Verified Questions
80 Flashcards
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Sample Questions
Q1) Keratinocyte dysadhesion, also known as acantholysis, due to desmosome weakening by autoantibodies is the disease mechanism attributed to which of the following?
A)Epidermolysis bullosa
B)Mucous membrane pemphigoid
C)Pemphigus vulgaris
D)Herpes simplex infections
E)None of the above
Answer: C
Q2) A positive Nikolsky sign may be seen in which of the following conditions?
A)Histoplasmosis
B)Major aphthae
C)Minor aphthae
D)Mucous membrane pemphigoid
E)None of the above
Answer: D
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3
Chapter 2: Ulcerative Conditions
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104 Verified Questions
104 Flashcards
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Sample Questions
Q1) Most oral cancers appear to be linked to which of the following?
A)Tobacco
B)Herpes simplex virus
C)Cytomegalovirus
D)Trauma
E)X-radiation
Answer: A
Q2) The symptom of pain is a consistent feature of all the following except:
A)Squamous cell carcinoma
B)Secondary herpes
C)Zoster
D)Minor aphthae
E)Acute traumatic mucosal ulcer
Answer: A
Q3) A patient with stage I oral squamous cell carcinoma of the lower lip would be expected to have a _____ prognosis.
A)Good
B)Fair
C)Poor
Answer: A
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Chapter 3: White Lesions
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82 Verified Questions
82 Flashcards
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Sample Questions
Q1) Lupus erythematosus is caused by which of the following?
A)Coxsackie virus
B)Herpes simplex virus
C)Immunodeficiency
D)Vitamin A deficiency
E)Autoimmunity
Answer: E
Q2) Circulating antibodies directed against nuclear and cytoplasmic proteins are seen in which of the following conditions?
A)Discoid lupus erythematosus
B)Systemic lupus erythematosus
C)Primary syphilis
D)Mucous membrane pemphigoid
E)Hereditary epidermolysis bullosa
Answer: B
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5
Chapter 4: Red-Blue Lesions
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34 Flashcards
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Sample Questions
Q1) A 52-year-old woman presents to her dentist with a painful tongue. The tongue appears normal clinically. Her CBC and diet are also normal. Her problem suggests which of the following?
A)Acute candidiasis
B)Vitamin B deficiency
C)Burning tongue syndrome
D)Median rhomboid glossitis
E)Pernicious anemia
Q2) Burning mouth or burning tongue syndrome:
A)May result from excessive cigarette smoking
B)Occurs more commonly in men than in women
C)May occur in association with xerostomia
D)Is cured with estrogen therapy
E)Is one of the oral manifestations of HIV-infected patients
Q3) Vascular malformations of the oral cavity:
A)Do not blanch when compressed
B)Should be biopsied to confirm clinical impression
C)Do not occur in the mandible or maxilla
D)Involute during adulthood
E)None of the above
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Chapter 5: Pigmented Lesions
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The characteristic oral manifestation of Peutz-Jeghers syndrome is:
A)Bilateral reticular white lesions in the buccal mucosa
B)Red patch in the palate
C)Nodular yellow-white lesions in the buccal mucosa
D)Perioral pigmented macules
E)Red patch on midline dorsum of the tongue
Q2) A 30-year-old woman presents with recently acquired generalized tanning of the skin and multiple intraoral pigmented macules. Oral biopsy showed excessive melanin pigment in basal keratinocytes. This patient should be suspected of having:
A)Addison's disease
B)Sunburn
C)Kaposi's sarcoma
D)Leukemia
E)Melanoma
Q3) Generally, which of the following has the worst prognosis?
A)Oral verrucous carcinoma
B)Cutaneous basal cell carcinoma
C)Cutaneous melanoma
D)Oral melanoma
E)Oral erythroplasia
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Chapter 6: Verrucal-Papillary Lesions
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15 Flashcards
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Sample Questions
Q1) The lesion that may spontaneously involute that mimics squamous cell carcinoma both clinically and microscopically is known as:
A)Papilloma
B)Keratoacanthoma
C)Peripheral giant cell granuloma
D)Condyloma acuminatum
E)Verruca vulgaris
Q2) Verrucous carcinoma can be a sequela of which of the following?
A)Secondary syphilis
B)Proliferative verrucous leukoplakia
C)Neurofibromatosis
D)Nevoid basal cell carcinoma syndrome
E)Verruca vulgaris
Q3) All the following statements relative to oral verrucous carcinoma are correct except:
A)May develop from proliferative verrucous leukoplakia
B)Typically metastasizes early to submandibular lymph nodes
C)Usually treated with surgery
D)Microscopically well differentiated
E)Is both exophytic and endophytic
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Page 8
Chapter 7: Connective Tissue Lesions
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) All the following occur predominantly in the gingiva except:
A)Peripheral giant cell granuloma
B)Peripheral fibroma
C)Congenital epulis of the newborn
D)Pyogenic granuloma
E)Neurofibroma
Q2) Cells found in the congenital epulis of the newborn are identical or nearly identical to cells making up which of the following tumors?
A)Neurilemmoma
B)Peripheral giant cell granuloma
C)Mixed tumor
D)Granular cell tumor
E)None of the above
Q3) Pain is often a characteristic clinical feature of which of the following lesions?
A)Squamous papilloma
B)Pyogenic granuloma
C)Palatal papillomatosis
D)Traumatic fibroma
E)Traumatic neuroma
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Chapter 8: Salivary Gland Diseases
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Minor salivary gland malignancies are most commonly seen in which of the following sites?
A)Lower lip
B)Upper lip
C)Palate
D)Tongue
E)Gingiva
Q2) A 33-year-old patient presents with an asymptomatic swelling of her right submandibular space. Which of the following should be considered in a clinical differential diagnosis?
A)Chronic lymphadenitis
B)Salivary gland tumor
C)Lymphoepithelial cyst
D)Lymphoma
E)All the above
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10
Chapter 9: Lymphoid Lesions
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9 Flashcards
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Sample Questions
Q1) Oral extranodal lymphomas that are HIV related are most commonly of which of the following types?
A)Low-grade, B-cell lymphomas
B)Low-grade, T-cell lymphomas
C)High-grade, T-cell lymphomas
D)High-grade, B-cell lymphomas
E)None of the above
Q2) Which of the following is seen with increased frequency in AIDS patients?
A)Lymphangioma
B)Salivary gland tumors
C)Lymphoma
D)Verrucous carcinoma
E)Odontogenic keratocysts
Q3) Oral extranodal lymphomas:
A)May be expression of systemic disease
B)May represent the primary site of the disease
C)Are rarely of the Hodgkin's type
D)Present as masses or ulcerated masses
E)All the above
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Chapter 10: Cysts of the Jaws and Neck
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Lung metastasis is a well-documented complication after surgical treatment of which of the following?
A)Calcifying epithelial odontogenic tumor
B)Odontogenic keratocyst
C)Odontogenic myxoma
D)Cementoblastoma
E)None of the above
Q2) Which of the following odontogenic lesions always appears radiographically as a radiolucent lesion?
A)Periapical granuloma
B)Odontogenic myxoma
C)Odontogenic keratocyst
D)Ameloblastoma
E)All the above
Q3) Which of the following mandibular conditions is least likely to cause numb lip?
A)Periapical abscess
B)Metastatic carcinoma of the lung
C)Osteosarcoma
D)Periapical granuloma
E)Multiple myeloma
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Chapter 11: Odontogenic Tumors
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) All the following characteristically occur in patients younger than 20 years except:
A)Traumatic bone cyst
B)Adenomatoid odontogenic tumor
C)Ameloblastic fibroma
D)Compound odontoma
E)Ameloblastoma
Q2) Which of the following lesions is typically seen at the apices of vital anterior mandibular teeth in middle-aged females?
A)Multiple myeloma
B)Periapical granuloma
C)Traumatic bone cyst
D)Cementoblastoma
E)Periapical cemento-osseous dysplasia
Q3) Recurrences are least likely seen in association with which of the following?
A)Ameloblastic fibroma
B)Ameloblastoma
C)Chondrosarcoma
D)Odontogenic keratocyst
E)Odontogenic myxoma
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Chapter 12: Benign Nonodontogenic Tumors
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Sample Questions
Q1) A 20-year-old patient presents with increased mobility of only anterior mandibular teeth. Extensive loss of alveolar bone is noted radiographically without evidence of significant periodontal disease. The lesion is lucent with sharp margins. This would suggest which of the following?
A)Cherubism
B)Gardner's syndrome
C)Langerhans cell disease
D)Fibrous dysplasia
E)Paget's disease
Q2) Which of the following conditions significantly increases a patient's risk for development of adenocarcinoma of the colon?
A)Albright's syndrome
B)Neurofibromatosis
C)Cleidocranial dysplasia
D)Gardner's syndrome
E)None of the above
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14
Chapter 13: Inflammatory Jaw Lesions
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8 Flashcards
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Sample Questions
Q1) 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
Q2) 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
Q3) 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
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Chapter 14: Malignancies of the Jaws
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10 Flashcards
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Sample Questions
Q1) A radiolucent and radiopaque lesion in the maxilla of a 35-year-old woman was biopsied. It was a neoplasm composed of malignant cells making osteoid. This most likely represents:
A)Odontogenic myxoma
B)Ameloblastoma
C)Fibrous dysplasia
D)Odontoma
E)Osteosarcoma
Q2) Which of the following signs/symptoms would be unlikely for a malignant neoplasm within the mandible?
A)Paresthesia
B)Pain
C)Vertical tooth mobility
D)Uniformly widened periodontal membrane space
E)Sclerotic bony margins
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16
Chapter 15: Metabolic and Genetic Diseases
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) A facial developmental cleft occurring to the right of the philtrum of soft tissue of the lip that extends through the alveolar bone to the nasopalatine canal could be classified as _____ cleft of the _____.
A)Incomplete; palate
B)Incomplete; lip
C)Complete; palate
D)Complete; lip
E)Combined; lip and palate
Q2) Hyperparathyroidism causes which of the following changes in serum chemistry?
A)Decreased calcium
B)Increased calcium
C)Increased phosphorus
D)Decreased alkaline phosphatase
E)None of the above
Q3) Infection and jaw fracture would most likely complicate which of the following?
A)Adenomatoid odontogenic tumor
B)Osteopetrosis
C)Lateral root cyst
D)Compound odontoma
E)Fibrous dysplasia
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Chapter 16: Abnormalities of Teeth
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18 Flashcards
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Sample Questions
Q1) Enamel hypoplasia can result from which of the following?
A)Congenital syphilis
B)Nutritional deficiencies in utero or in childhood
C)Exanthematous diseases of childhood such as varicella
D)Fluoride in drinking water at levels greater than 1 ppm
E)All the above
Q2) Serum calcium would be significantly elevated in which of the following?
A)Central giant cell granuloma
B)Cherubism
C)Ameloblastoma
D)Langerhans cell disease (idiopathic histiocytosis) of the mandible E)None of the above
Q3) Premature deciduous tooth loss may occur in association with all the following except:
A)Amelogenesis imperfecta
B)Hyperthyroidism
C)Burkitt's lymphoma
D)Langerhans cell disease
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