ORAL PATHOLOGY (Answer Sheet)

Name: Year Level/Section: Date:

Clinical Instructor:

TEST I. Multiple Choice. Choose and BOLD the correct answer.

1. A lesion less than 5 mm and contains serum or mucin.

a. Vesicle
b. A bulla
c. Pustule
d. Papule

Answer: A

2. A lesion that may be greater or less than 5mm and contains yellow pus.
a. Vesicle
b. A bulla
c. Pustule
d. Papule

Answer: C

3. Larger than 5 mm and contains serum or mucin.

a. Vesicle
b. A bulla
c. Pustule
d. Papule

Answer: B

4. Less than 5mm and contains tissue.

a. Vesicle
b. A bulla
c. Pustule
d. Papule

Answer: D

5. Flattened skin patch that is altered in colour.

a. Nodule
b. Macule
c. Plaque
d. Sessile lesion

Answer: B
6. Greater than 5mm and contains tissue.
a. Nodule
b. Macule
c. Plaque
d. Sessile lesion

Answer: A

7. Lesion’s attachment is larger than the top.

a. Nodule
b. Macule
c. Plaque
d. Sessile Lesion

Answer: D

8. A slightly raised, non-blister form lesion with a broad flat top.

a. Nodule
b. Macule
c. Plaque
d. Sessile Lesion

Answer: C

9. Has a smaller attachment than the top of the lesion. Mushroom shaped
a. Pedunculated
b. Fordyce granules
c. Sessile lesion
d. Vesicle

Answer: A

10. A variant of normal where a patient has a cluster of ectopic oil glands. Clinically appears as tiny
yellow lobules.
a. Pedunculated
b. Fordyce granules
c. Sessile lesion
d. Vesicle

Answer: B

11. What portion of the mouth should usually be inspected first during oral examination?
a. Soft tissues
b. Saliva
c. Sinus
d. Ventral portion of the tongue
 Answer: A

12. What anatomical variants and normal structure often misdiagnosed as lesions has firm pink
nodule 0.5–4 mm diameter on the attached gingiva lingual to the lower canine and lateral
sometimes unilateral? It is also prominent in children but regresses with age.
a. Lingual tonsils
b. Retrocuspid papilla
c. Fordyce’s spots
d. Circumvallate papilla

Answer: B

13. What site of Useful diagnostic information from examination of the hands where it is associated
with several syndromes including Papillon–Lefèvre syndrome (including juvenile periodontitis)?
a. Palmar-plantar keratosis
b. Skin of fingers
c. Abnormal nails
d. Finger morphology
Answer: A

14. It is the removal and examination of a part or the whole of a lesion

a. Surgery
b. Tooth extraction
c. Biopsy
d. Operation
Answer: C

15. What type of blood test useful in oral diagnosis is used for Folic acid deficiency?
a. Vitamin B12 level
b. Blood film
c. Serum ferritin
d. Red cell folate level
Answer: D

16. What is the main use of Paul–Bunnell or monospot test?

a. Syphilis serology
b. Infectious mononucleosis
c. Viral antibody titres
d. Serum iron

Answer: B

17. Normal haemoglobin (adults).

 a. Male- 130 – 170 g/L Female- 115 – 165 g/L
b. Male- 140 – 190 g/L Female- 105 – 165 g/L
c. Male- 120 – 160 g/L Female- 125 – 165 g/L
d. Male- 110 – 150 g/L Female- 135 – 165 g/L

Answer: A

18. What abnormalities in the number of teeth where there is a total failure of development of a
complete dentition?
a. Anodontia
b. Isolated oligodontia
c. Odontomes
d. Hypodontia

Answer: A

19. The following are major features of Anhidrotic ectodermal dysplasia, except;
a. Hypotrichosis (scanty hair)
b. Usually a sex-linked recessive trait
c. Hypodontia
d. Intrinsic pigmentation

Answer: D

20. It is a group of conditions caused by defects in the genes that encode enamel matrix proteins or
other proteins or enzymes required to process or mineralize the matrix.
a. Amelogenesis imperfecta
b. Hyperdontia
c. Oligodintia
d. Dysplasia
Answer: A
21. Occurs as a result of fusion between the tongue and the floor of the mouth.
a. Ankyglossia
b. Macroglossia
c. Microglossia
d. None of the above
22. This condition consists usually of multiple areas of desquamation of the filiform papillae of the
tongue in an irregular circinate pattern.
a. Hairy tongue
b. Libgual varices
c. Benign migratory glossitis
d. Median rhomboid glossitis
23. It is one of the largest oral lymphoid aggregates, is located on the posterior portion of the
tongue on the dorsolateral aspect.
 a. Reactive lymphoid hyperplasia
b. Lymphoid hamartoma
c. Angiolymphoid hyperplasia with eosinophils
d. Lymphoepithelial cyst
24. Congenital occlusion or absence of one or more of the major salivary gland ducts is an
exceedingly rare condition. When it does occur, it may result in the formation of a retention cyst
or produce a relatively severe xerostomia.
a. Aberrancy
b. Hyperplasia of Palatal Glands
c. Aplasia
d. Atresia
25. A form of fusion which occurs after root formation has been completed. In this condition, the
teeth are united by cementum only.
a. Gemination
b. Fusion
c. Concrescence
d. Dilaceration
26. Dens Evaginatus is also known as:
a. Occlusal tuberculated premolar
b. Leong’s premolar
c. Evaginated Odontome
d. All of the above
27. A type of hypoplasia occasionally seen is unusual in that only a ingle tooth is involved, most
commonly one of the permanent maxillary incisors or a maxillary or mandibular premolar.
a. Enamel hypoplasia due to local infection or trauma
b. Hypoplasia due to birth injuries
c. Enamel hypoplasia due to hypocalcemia
d. Enamel hypoplasia due to congenital syphilis
28. It is also known as “rootless teeth”.
a. Dentin dysplasia
b. Regional odontodysplasia
c. Premature eruption
d. Dentin hypocalcification
29. It is not found within the bone, but is usually described as a rare fissural cyst that may involve
bone secondarily.
a. Thyroglossal tract cyst
b. Palatal cyst of the neonate
c. Nasoalveolar cyst
d. Median mandibular cyst
30. It is generally described as a small flat or elevated, white, sessile or pedunculated lesion on the
mucosa.
a. Squamous canthoma
 b. Keratoacanthoma
c. Pigmented cellular nevus
d. Papilloma

TEST II. True or False. Write True if the statement is correct, then False if it’s not.

1. A torus palatinus is an exophytic growth of normal compact bone or midline of the hard palate.
Answer: True
2. A Leukoedema is a purple/blue enlarged vessel observed on the ventral and lateral surfaces of
the tongue. Answer: False
3. A neoplasia is the most common pigmentation in the oral cavity.
Answer: False
4. An adenoma is a benign tumor of salivary glands
Answer: True
5. An osteoma is a benign of the bones
Answer: True
6. Prenatal syphilis, the result of maternal infection, can cause a characteristic dental deformity,
described by Hutchinson in 1858.
Answer: True
7. Gardner’s syndrome is also called familial adenomatous monoposis.
Answer: False
8. Vitamin D-resistant rickets, term is given to familial hypophosphataemia, a common Y-linked
dominant disease-causing phosphate loss in the kidneys.
Answer: False
9. Drugs are considered extrinsic agents affecting teeth.
Answer: True
10. Tetracycline is taken up by calcifying tissues, and the band of tetracycline-stained bone or tooth
substance fluoresces bright yellow under ultraviolet light.
Answer: True
11. Micrognathia is an extremely rare congenital defect characterized by absence of the maxilla or
mandible.
ANSWER: FALSE
12. Facial hemiatrophy is a progressive atrophy of some or all of the tissues on one side of the face,
occasionally extending to the other parts of the body.
ANSWER: TRUE
13. Fissured tongue is also known as “scrotal tongue”.
ANSWER: TRUE
14. The globulomaxillay cyst is not found within the bone at the junction of the globular portion of
the medial nasal process and the maxillary process.
ANSWER: FALSE
15. Leukoedema is an abnormality of the buccal mucosa which clinically resembles early
leukoplakia, but not appears to differ from it in certain respects.
 ANSWER: FALSE

TEST III. Essay. Answer the following questions

1. What is a Verrucous Carcinoma?

Answer: is a type of low-grade squamous cell carcinoma

2. What is a basal cell carcinoma?

Answer: it is the malignancy of the deepest layer of skin associated with excessive sun
exposure.
3. What is an osteosarcoma?

Answer: It is a tumor of bone forming tissue.

4. What is an Ameloblastoma?
Answer: It is a benign, slow-growing and aggressive odontogenic tumor.

5. What is a neurofibroma (schwannoma)?

Answer: it is a benign tumor that is derived from the nerve.

6. What is Dental Fluorosis? Give its clinical features.

Answer: Mottled enamel is the most frequently seen and most reliable sign of excess
fluoride in the drinking water. It has distinctive features. The highest fluoride levels completely
disrupt amelogenesis, producing hypoplastic patches. Lower levels inhibit mineralization and
prevent enamel maturation. Mottling ranges from paper-white matte patches to opaque,
brown, pitted and brittle enamel. Clinically, it may be difficult to distinguish fluorotic defects
from amelogenesis imperfecta when the degree of exposure to fluoride is unknown.

7. Give one example of developmental disturbances of the lips and palate and describe it.

Answer: Double lip is an anomaly characterized by a fold of excess tissue on the inner
mucosal aspect of the lip. It may be congenital or acquired as a result of trauma to the lip.Cleft
lip and cleft palate is facial clefts occur along many planes of the face as a result of faults or
defects in development or maturation of embryonic processes. We may recognize such
anomalies as the oblique and transverse facial clefts, which extend from the upper lip or ala of
the nose to the eye and from the angle of the mouth to the ear, respectively.