Oral Medicine Test Questions
Course Introduction
Oral Medicine is a specialized field within dentistry that focuses on the diagnosis, management, and prevention of diseases affecting the oral and maxillofacial region that are not directly related to teeth. This course covers a broad spectrum of topics including oral mucosal diseases, orofacial pain disorders, salivary gland dysfunction, and oral manifestations of systemic conditions. Students will gain a comprehensive understanding of clinical evaluation, diagnostic techniques, and treatment planning for medically complex patients, emphasizing interdisciplinary collaboration with other healthcare professionals. The course integrates foundational medical knowledge with practical approaches to patient care, preparing students to address the growing needs of patients with diverse oral health concerns.
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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Page 2
Chapter 1: Vesiculobullous Diseases
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Sample Questions
Q1) Systemic corticosteroids can affect many metabolic processes. Which of the following effects of prednisone is regarded as therapeutic when prescribed for patients with pemphigus vulgaris and mucous membrane pemphigoid?
A)Gluconeogenesis
B)Potentiation of vasopressors
C)Suppression of pituitary-adrenal axis
D)Sodium resorption
E)Immunosuppression
Answer: E
Q2) Which of the following vesiculobullous diseases occurs because of attachment of autoantibodies to antigens (desmoglein 3) in keratinocyte desmosomes?
A)Primary herpes simplex infection
B)Herpes zoster
C)Pemphigus vulgaris
D)Mucous membrane pemphigoid
E)Epidermolysis bullosa
Answer: C
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Chapter 2: Ulcerative Conditions
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Sample Questions
Q1) Vesicles or bullae are not evident clinically in which of the following?
A)Major aphthae
B)Primary herpes
C)Secondary herpes
D)Cicatricial pemphigoid
E)Epidermolysis bullosa
Answer: A
Q2) The bullous eruption of attached gingiva mediated by autoantibodies directed against basement membrane antigens is known as:
A)Pemphigus vulgaris
B)Lupus erythematosus
C)Erythema multiforme
D)Behçet's syndrome
E)None of the above
Answer: E
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Chapter 3: White Lesions
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Sample Questions
Q1) A 21-year-old African American man presents for a routine examination. Both sides of his buccal mucosa exhibit a filmy white opacity. There is no pain, and the tissue feels normal to palpation. This could be which of the following?
A)Squamous cell carcinoma
B)Hairy leukoplakia
C)Nicotine stomatitis
D)Leukoedema
E)Geographic stomatitis
Answer: D
Q2) Lesions of immunologic origin are seen in the heart, kidney, and joints in which of the following diseases?
A)Behçet's syndrome
B)Wegener's granulomatosis
C)Systemic lupus erythematosus
D)Pemphigus
E)Epidermolysis bullosa
Answer: C
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Page 5
Chapter 4: Red-Blue Lesions
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Sample Questions
Q1) A 32-year-old woman presents with a soft, nonpainful mass (1 ´ 2 cm) between teeth nos. 24 and 25. Differential diagnosis should include at least pyogenic granuloma and:
A)Mucous membrane pemphigoid
B)Mucous patch (secondary syphilis)
C)Plasma cell gingivitis
D)Peripheral giant cell granuloma
E)None of the above
Q2) A 68-year-old man presents with a 1 ´ 2 cm macular red lesion of his hard palate. This is asymptomatic, has been present for an unknown duration, and does not blanch with compression. The best clinical designation for this lesion would be:
A)Vascular malformation
B)Erythroplakia
C)Leukoplakia
D)Chronic ulcer
E)Verrucal-papillary lesion
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Chapter 5: Pigmented Lesions
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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) Which of the following pigmented lesions of oral mucosa is most commonly encountered in dental patients?
A)Freckles (ephelides)
B)Intramucosal nevus
C)Melanoma
D)Amalgam tattoo
E)Bismuth line
Q3) Oral melanomas are classified into microscopic subtypes based primarily on which of the following feature?
A)Evidence of invasion of lymphatic vascular spaces
B)Microscopic growth pattern
C)Number of mitotic figures
D)Nuclear pleomorphism
E)Evidence of lymph node metastasis
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Chapter 6: Verrucal-Papillary Lesions
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Sample Questions
Q1) A firm asymptomatic submucosal lump, measuring 1 ´ 1 cm, appeared in the posterior hard palate of a 27-year-old man. The duration of the lesion was believed to be approximately 1 month. Clinical differential diagnosis should include all of the following except:
A)Lymphoma
B)Mucocele
C)Malignant salivary gland tumor
D)Benign salivary gland tumor
E)Squamous papilloma
Q2) Which of the following lesions is composed predominantly of benign epithelium?
A)Denture-induced hyperplasia
B)Squamous papilloma
C)Granular cell tumor
D)Mucosal neuroma
E)None of the above
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Chapter 7: Connective Tissue Lesions
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Sample Questions
Q1) Conservative surgical excision would be appropriate treatment, and probably curative, for which of the following?
A)Nodular fasciitis
B)Fibromatosis
C)Fibrosarcoma
D)Rhabdomyosarcoma
E)Adenoid cystic carcinoma
Q2) Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is characteristically seen in what location?
A)Retromolar pad
B)Buccal mucosa
C)Lateral border of the tongue
D)Anterior vestibular mucosa
E)Hard palate
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Chapter 8: Salivary Gland Diseases
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Sample Questions
Q1) 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
Q2) Cells with bright pink cytoplasm that contain abundant mitochondria that are seen in aging salivary glands and in some salivary gland tumors are known as:
A)Myoepithelial cells
B)Acinar cells
C)Macrophages
D)Oncocytes
E)Basal keratinocytes
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10
Chapter 9: Lymphoid Lesions
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Sample Questions
Q1) Excluding tonsil, oral extranodal lymphomas are most commonly seen in which of the following sites?
A)Buccal mucosa
B)Tongue
C)Palate
D)Floor of mouth
E)None of the above
Q2) 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
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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Sample Questions
Q1) A 16-year-old patient was found to have a unicystic radiolucency in the body of the mandible between the roots of vital teeth nos. 28 and 29. Thin parakeratinized epithelium was found lining the cystic space on biopsy. This is a(n):
A)Lateral root cyst
B)Traumatic bone cyst
C)Odontogenic keratocyst
D)Laterally positioned periapical cyst
E)Cyst of dental lamina
Q2) 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
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Chapter 11: Odontogenic Tumors
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Sample Questions
Q1) Opaque foci may be seen on radiograms of all the following lesions except:
A)Calcifying epithelial odontogenic tumor
B)Calcifying odontogenic cyst
C)Adenomatoid odontogenic tumor
D)Ameloblastoma
E)Cementifying fibroma
Q2) A radiolucent odontogenic tumor was composed completely of loose connective tissue. It had an appearance that had some resemblance to dental pulp. This is a(n):
A)Ameloblastoma
B)Ameloblastic fibroma
C)Odontogenic myxoma
D)Complex odontoma
E)Adenomatoid odontogenic tumor
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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Page 13
Chapter 12: Benign Nonodontogenic Tumors
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Sample Questions
Q1) A 22-year-old woman has "spontaneous" loss of teeth nos. 28, 29, and 30. She has no periodontal pockets associated with the remainder of her teeth. Panoramic radiograph shows a sharply defined radiolucency in the area of tooth loss as well as another lucency in the body of her left mandible. She may have which of the following?
A)Cherubism
B)Cleidocranial dysplasia
C)Paget's disease
D)Hyperthyroidism
E)Langerhans cell disease
Q2) A 17-year-old patient had asymptomatic sharply defined "punched out" radiolucencies of the body of the mandible subjacent to vital molar teeth. She also had related lucencies in the cranium. Microscopically, the lesions consisted predominantly of round cells with scattered eosinophils. This is descriptive of:
A)Cherubism
B)Multiple myeloma
C)Langerhans cell disease
D)Hyperthyroidism
E)Osteosarcoma
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Chapter 13: Inflammatory Jaw Lesions
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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) 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
Q3) 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
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Chapter 14: Malignancies of the Jaws
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Sample Questions
Q1) The Epstein-Barr virus may be associated with the etiology and pathogenesis of which of the following jaw lesions?
A)Garré's disease
B)Ewing's tumor
C)Burkitt's lymphoma
D)Central giant cell granuloma
E)Osteogenesis imperfecta
Q2) A 15-year-old patient has a numb lower lip and pain in the right posterior mandible. A radiograph shows slight thickening of the periodontal membrane space of tooth no.
30. The tooth shows slightly reduced vitality to electric pulp testing. Which of the following should be included in a differential diagnosis?
A)Periapical cyst
B)Periapical granuloma
C)Traumatic bone cyst
D)Benign odontogenic neoplasm
E)Malignancy
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16
Chapter 15: Metabolic and Genetic Diseases
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Sample Questions
Q1) Paget's disease:
A)Typically occurs in teenagers
B)Is caused by excessive production of growth hormone
C)Results in premature loss of teeth
D)Predisposes the patient to bone fracture and infection
E)All the above
Q2) Impacted and supernumerary teeth are characteristically seen in which of the following?
A)McCune-Albright syndrome
B)Cleidocranial dysplasia
C)Gardner's syndrome
D)Ectodermal dysplasia
E)Regional odontodysplasia
Q3) Determination of serum alkaline phosphatase would be significantly elevated in which of the following?
A)Ameloblastoma
B)Cherubism
C)Paget's disease
D)Ossifying fibroma
E)Central giant cell granuloma
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Chapter 16: Abnormalities of Teeth
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Sample Questions
Q1) A 7-year-old patient presents with a quadrant of teeth showing abnormal formation of both enamel and dentin. All his other teeth appear clinically normal. Radiographically, the affected teeth can be described as "ghost teeth." He has:
A)Regional odontodysplasia
B)Dens evaginatus
C)Dentin dysplasia
D)Ectodermal dysplasia
E)Cleidocranial dysplasia
Q2) Aplasia of secondary skin structures, partial anodontia, and xerostomia are features of:
A)Cleidocranial dysplasia
B)Ectodermal dysplasia
C)Amelogenesis imperfecta
D)Nevoid basal cell carcinoma syndrome
E)Osteogenesis imperfecta
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