Head and Neck Pathology
Chapter Exam Questions
Course Introduction
Head and Neck Pathology is a comprehensive course focused on the study of diseases affecting the head and neck region, including the oral cavity, pharynx, larynx, nasal cavities, paranasal sinuses, salivary glands, thyroid and parathyroid glands, and related structures. The course covers the etiology, clinical presentation, histopathological features, and management of a wide range of benign and malignant conditions. Emphasis is placed on correlating clinical findings with microscopic and molecular diagnostic techniques, integrating principles of anatomy and embryology to understand disease processes, and discussing relevant advances in imaging and therapeutic options. This course is essential for students pursuing careers in pathology, otolaryngology, oral and maxillofacial surgery, and related fields.
Recommended Textbook
Oral Pathology for the Dental Hygienist 6th Edition by Olga A. C. Ibsen
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Chapter 1: Introduction to Preliminary Diagnosis of Oral
Lesions
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Sample Questions
Q1) Retrocuspid papillae are located on the:
A)palate.
B)floor of the mouth.
C)gingival margin of the lingual aspect of mandibular cuspids.
D)canine eminence.
Answer: C
Q2) Diagnosis of anemia is best accomplished through:
A)laboratory tests.
B)evaluation of the color of the gingiva.
C)bleeding on probing.
D)the patient's medical history.
Answer: A
Q3) Radiographic features, including the cotton-wool effect and hypercementosis, are especially helpful in the diagnosis of:
A)Paget disease.
B)dentinogenesis imperfecta.
C)anemia.
D)diabetes.
Answer: A
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Chapter 2: Inflammation and Repair
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Sample Questions
Q1) 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
Answer: A
Q2) During the acute inflammatory process, the second type of white blood cell to emigrate from the blood vessel into the injured tissue is the:
A)macrophage.
B)neutrophil.
C)plasma cell.
D)lymphocyte.
Answer: A
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Chapter 3: Immunity and Immunologic Oral Lesions
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Sample Questions
Q1) Which one of the following is not a component of Reiter syndrome?
A)Arthritis
B)Geographic tongue-like lesions
C)Urethritis
D)Wickham striae
Answer: D
Q2) The various types of T-cell lymphocytes include the T-helper cell, the T-suppressor cell, the cytotoxic cell, and what other type of cell?
A)T-enhancement cell
B)Virulence cell
C)Memory cell
D)Oral cell
Answer: C
Q3) Which one of the following is an example of type I hypersensitivity?
A)Immune complexes formed between microorganisms and antibody in the circulating blood
B)Asthma
C)Autoimmune hemolytic anemia
D)Serum sickness
Answer: B
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Chapter 4: Infectious Diseases
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Sample Questions
Q1) In HIV infection, which of the following tests identifies the viral titer rather than circulating antibody?
A)VDRL
B)ELISA
C)Western blot
D)PCR
Q2) Verruca vulgaris closely resembles a papillary benign tumor of squamous epithelium called:
A)fibroma.
B)papilloma.
C)lipoma.
D)Heck disease.
Q3) Primary (chancre), secondary (mucous patch), tertiary (gumma)
A)Impetigo
B)Tuberculosis
C)Actinomycosis
D)Syphilis
E)Primary herpetic gingivostomatitis
F)Verrucous vulgaris
G)Condyloma acuminatum
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Chapter 5: Developmental Disorders
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Sample Questions
Q1) Enamel hypoplasia is the result of a disturbance of or damage to ameloblasts during enamel matrix formation. Which one of the following would not be a factor?
A)Genetics
B)Ingestion of high concentrations of fluoride during tooth development
C)Vitamin deficiency during tooth development
D)Shingles
Q2) Total anodontia is often associated with a hereditary disturbance called: A)taurodontism.
B)amelogenesis imperfecta.
C)ectodermal dysplasia.
D)cleidocranial dysplasia.
Q3) The _____ is characterized by its unique histologic appearance and its frequent recurrence rate.
A)radicular cyst
B)residual cyst
C)dentigerous cyst
D)odontogenic keratocyst
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Chapter 6: Genetics
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Sample Questions
Q1) White sponge nevus is characterized by a white, corrugated, soft, folding oral mucosa always affecting _____ mucosa.
A)attached
B)lingual
C)buccal
D)tonsillar
Q2) Hard, dense, cortical bone on the buccal aspect of the alveolar ridge by tooth number 14 would be termed a:
A)radiolucent torus palatinus.
B)radiopaque torus mandibularis.
C)radiopaque exostosis.
D)radiolucent exostosis.
Q3) Which of the following syndromes is characterized by multiple melanotic macular pigmentations of the skin and mucosa, which are associated with gastrointestinal polyposis?
A)Osler-Rendu-Parkes Weber syndrome
B)Van der Woude syndrome
C)Gorlin syndrome
D)Peutz-Jeghers syndrome
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Chapter 7: Neoplasia
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Sample Questions
Q1) The most common intraoral location for a neurofibroma is the:
A)floor of the mouth.
B)vestibule.
C)tongue.
D)tonsillar pillar.
Q2) The multiple myeloma is a benign proliferation of plasma cells that produce large amounts of immunoglobulin. Patients usually experience bone pain and swelling.
A)Both statements are true.
B)Both statements are false.
C)The first statement is true; the second is false.
D)The first statement is false; the second is true.
Q3) The majority of adenomatoid odontogenic tumors occur in _____ years of age.
A)females over 40
B)males over 40
C)females under 20
D)males under 20
Q4) Mitosis is uncontrolled with rapid division.
A)Benign
B)Malignant
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Chapter 8: Nonneoplastic Diseases of Bone
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Sample Questions
Q1) All of the following are benign fibrous-osseous lesions that affect the maxilla and mandible except one. Which one is the exception?
A)Periapical cemento-osseous dysplasia
B)Fibrous dysplasia
C)Florid cemento-osseous dysplasia
D)Gingival fibromatosis
Q2) An aneurysmal bone cyst contains all of the following except one. Which one is the exception?
A)Fibrous connective tissue
B)Epithelial lining
C)Multinucleated giant cells
D)Blood-filled spaces
Q3) Mosaic bone may be observed in a patient with Paget disease as a result of:
A)lack of trabeculae.
B)prominent reversal lines resulting from resorption and deposition of bone.
C)the presence of "giant cells."
D)a "ground glass" appearance.
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Chapter 9: Oral Manifestations of Systemic Diseases
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Sample Questions
Q1) The recommended treatment for folic acid and vitamin B<sub>12</sub> deficiency anemias is:
A)surgery.
B)dietary supplements.
C)medications.
D)radiation therapy.
Q2) The production of adrenal steroids is normally stimulated by release of _____ hormone from the pituitary gland.
A)follicle-stimulating
B)luteinizing
C)adrenocorticotropic
D)growth
Q3) Mediterranean or Cooley anemia:
A)is caused by a deficiency of vitamin B<sub>12</sub>.
B)has a sex-linked inheritance pattern and occurs predominantly in males.
C)is called thalassemia major in the homozygous form.
D)is caused by a dietary deficiency of folic acid.
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Chapter 10: Diseases Affecting the Temporomandibular Joint
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Sample Questions
Q1) The temporomandibular joint (TMJ) is the articulation between the condyle of the mandible and the:
A)zygomatic process of the temporal bone.
B)glenoid fossa of the temporal bone.
C)external acoustic meatus.
D)spine of the sphenoid bone.
Q2) Which type of dental radiography is best for identifying bone abnormalities such as osteophytes, condylar erosion, fractures, ankylosis, and condylar hyperplasia?
A)Panoramic imaging
B)Transcranial imaging
C)Computerized tomography (CT)
D)Magnetic resonance imaging (MRI)
Q3) The purpose of the synovial fluid is to:
A)provide nourishment and lubrication.
B)divide the space into upper and lower compartments.
C)govern mandibular movement.
D)separate forces resulting from movement.
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