

Introduction to Oral Pathology
Final Exam Questions

Course Introduction
Introduction to Oral Pathology provides students with a foundational understanding of the nature, causes, and effects of diseases affecting the oral and maxillofacial regions. The course explores the basic mechanisms of disease processes, the clinical and microscopic features of common oral lesions, and the correlation between oral manifestations and systemic health. Through lectures and case studies, students learn to recognize and describe a variety of developmental, inflammatory, neoplastic, and infectious conditions in the oral cavity, laying the groundwork for accurate diagnosis and patient management in dental practice.
Recommended Textbook
Oral Pathology for the Dental Hygienist 7th Edition by Olga A. C. Ibsen
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10 Chapters
758 Verified Questions
758 Flashcards
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Chapter 1: Introduction to Preliminary Diagnosis of Oral
Lesions
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65 Verified Questions
65 Flashcards
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Sample Questions
Q1) The following conditions most likely respond to therapeutic diagnosis except one. Which one is the exception?
A) Angular cheilitis
B) Necrotizing ulcerative gingivitis
C) Nutritional deficiencies
D) Stafne bone cyst
Answer: D
Q2) These reddish-purple clusters observed on the ventral surface of the tongue and diagnosed through clinical observation are referred to as which variants of normal conditions?
A) Palatal cyst
B) Mandibular tori
C) Lingual varicosities
D) Ranula
Answer: C
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Page 3

Chapter 2: Inflammation and Repair
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Sample Questions
Q1) The wearing away of tooth structure during mastication is termed A) attrition.
B) erosion.
C) abrasion.
D) abfraction.
Answer: A
Q2) A wedge-shaped defect at the cervical area of a tooth, the cause of which is related to microfracture of the tooth structure in areas of concentration of stress, is termed A) attrition.
B) erosion.
C) abrasion.
D) abfraction.
Answer: D
Q3) All statements 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.
Answer: C
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Page 4

Chapter 3: Immunity and Immunologic Oral Lesions
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73 Flashcards
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Sample Questions
Q1) What is the most common precipitating factor seen in the development of aphthous ulcers?
A) Tobacco use
B) Trauma
C) Emotional stress
D) Infection
Answer: B
Q2) Which is not a specific component of immunity?
A) A humoral response
B) A cell-mediated response
C) Memory
D) Pavementing
Answer: D
Q3) Decreased salivary flow that results in xerostomia is also known as A) hyposalivation.
B) mucositis.
C) pruritus.
D) anaphylaxis.
Answer: A
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Page 5

Chapter 4: Infectious Diseases
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Sample Questions
Q1) Draining abscesses, "sulfur granules"
A)Impetigo
B)Tuberculosis
C)Actinomycosis
D)Syphilis
E)Primary herpetic gingivostomatitis
F)Verrucous vulgaris
G)Condyloma acuminatum
Q2) What is an oral manifestation of a patient with scarlet fever?
A) Strawberry tongue
B) Formation of draining abscesses
C) White, curdlike material present on the mucosa
D) Intraoral ulcers
Q3) The lesions seen in this illustration are not commonly found in HIV-infected patients. Which is the likely diagnosis?
A) Candidiasis
B) Hairy leukoplakia
C) Herpes simplex
D) Heck disease
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Page 6

Chapter 5: Developmental Disorders
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Sample Questions
Q1) This patient is healthy with no history of local or systemic infection or disease. The patient's teeth are caries free, as are all of the teeth of all of the patients who exhibit this defect. This is characteristic of A) fluorosis.
B) Hutchinson incisors.
C) a Turner tooth.
D) attrition.
Q2) What is the pseudocyst filled with salivary gland tissue that may be an extension of the sublingual gland?
A) Ranula
B) Static bone cyst
C) Lymphoepithelial cyst
D) Traumatic bone cyst
Q3) Another name for dens invaginatus is A) taurodontism.
B) dens in dente.
C) dens evaginatus.
D) enamel pearl.
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Chapter 6: Genetics
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Sample Questions
Q1) Turner
A)Characterized by multiple abnormalities in various organs
B)Down syndrome as a result of nondisjunction
C)Nondisjunction of the X chromosome in the paternal gamete
D)Deletion on the short arm of chromosome 5
E)Fertilized ovum has two X chromosomes plus a Y chromosome
Q2) Which statement is true concerning hemophilia A?
A) It is inherited as an X-linked dominant condition.
B) It is inherited as a Y-linked recessive condition.
C) All X chromosomes are abnormal in the female carrier.
D) Female carriers tend to bleed more than usual after extraction of teeth or scaling and curettage.
Q3) Your patient presents with hypodontia, hypohidrosis, and nearly complete lack of sweat and sebaceous glands. Also noticeable is a lack of eyelashes and eyebrows. Which hereditary condition is present?
A) Amelogenesis imperfecta
B) Osteogenesis imperfecta
C) Hypohidrotic ectodermal dysplasia
D) Dentin dysplasia
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Page 8

Chapter 7: Neoplasia
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Sample Questions
Q1) The most common intraoral location for the pleomorphic adenoma is the
A) parotid gland.
B) submandibular gland.
C) palate.
D) floor of the mouth.
Q2) The adenoid cystic carcinoma is
A) a benign tumor of salivary gland origin.
B) well encapsulated and does not infiltrate surrounding tissue.
C) most commonly seen intraorally on the palate.
D) painless.
Q3) Surgery, chemotherapy, radiation therapy, or a combination of all three may be used to treat which lesion?
A) Papilloma
B) Fibroma
C) Adenoma
D) rhabdomyosarcoma
Q4) Recurrence of the tumor is not common.
A)Benign
B)Malignant
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Chapter 8: Nonneoplastic Diseases of Bone
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Sample Questions
Q1) The most severe form of polyostotic fibrous dysplasia is termed Albright syndrome. This condition is characterized by endocrine abnormalities such as precocious puberty that may begin at which age?
A) 2 years
B) 4 years
C) 6 years
D) 8 years
Q2) Cementoma is a term once used for periapical cemento-osseous dysplasia. Because the disease does not represent a neoplasm, cementoma has been replaced with periapical cemento-osseous dysplasia.
A) Both statements are true.
B) Both statements are false.
C) The first statement is true, and the second is false.
D) The first statement is false, and the second is true.
Q3) All statements are characteristic of osteomalacia except one. Which is the exception?
A) It is the result of a deficiency in calcium.
B) In adults it may be related to the chronic use of antacids.
C) It is treated with vitamin D and calcium nutritional supplements.
D) The pattern of diseased bone is best described as mosaic bone.
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Chapter 9: Oral Manifestations of Systemic Diseases
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Sample Questions
Q1) Skin and mucosal pallor, angular cheilitis, and loss of filiform and fungiform papilla on the tongue are characteristics of what condition?
A) Type 1 diabetes
B) Cretinism
C) Graves' disease
D) Anemia
Q2) The most common cause of hyperthyroidism is
A) hyperplasia of the gland.
B) benign and malignant tumors of the gland.
C) pituitary gland disease.
D) an autoimmune disorder.
Q3) Which statement about type 1 diabetes is true?
A) It is called non-insulin-dependent diabetes mellitus.
B) About 30% of all patients with diabetes have type 1 diabetes.
C) The onset of this type of diabetes is gradual and usually occurs in patients who are 35 to 40 years of age or older.
D) It can be complicated by polydipsia, polyuria, and polyphagia.
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Chapter 10: Orofacial Pain and Diseases Affecting the
Temporomandibular Joint
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Sample Questions
Q1) Sign
A)Method for evaluating and manipulating a joint via the insertion of a camera and instruments
B)Dry, crackling sound
C)Surgical puncture of a joint followed by lavage of joint space
D)Physical examination using pressure of the hand or fingers
E)Inability to fully open the mouth
F)Radiography of a joint after injection of opaque contrast material
G)Noninvasive diagnostic technique that uses radio waves to produce computerized images of internal body tissues
H)Listening to sounds within the body, using a stethoscope
I)Subjective evidence of disease or a physical disorder that is observed by the patient
J)Objective evidence of disease that can be observed by a health care provider rather than by the patient
K)Joint
L)Induced inadvertently by a medical or dental care provider or by medical treatment or a diagnostic procedure
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