RAWAL INSTITUTE OF HEALTH SCIENCES

Oral medicine module II

Total MCQ’s-50 Time 90 mints
4. A 16 years old female attends your dental
1. A 29 year old female patient of Japanese practice for an appointment. She presents to
origin reports to your clinic with a history you with a swelling of midline of neck.
of recurrent oral and genital ulceration. On Which one is the best possible reason/cause
general clinical examination, it was noted of this swelling.
that there were pustules on the skin of her a) Pharyngeal Pouch
arms and feet. What is the most likely b) Cystic Hygroma
diagnosis? c) Actinomycosis
a) Recurrent Apthous Stomatitis d) Carotid Body Tumors
b) Chicken Pox e) Dermoid Cyst
c) Shingles
d) Behcet’s Disease 5. minor RAS, the ulcers are usually;
e) Herpangina a) less then 2mm in diameter.
b) more then 1 cm in diameter
2. patient presented with the most common c) c. 2 to 3 cm in diameter
oral mucosal disease affecting humans. The d) less then 1 cm in diameter
disease consisted of recurrant bouts of e) 0.5 mm in diameter
shallow,ovoid,painful ulcers occurring at
intervals of few days or upto 2-3 months. It 6. A male patient attends your dental
was diagnosed as recurrent aphthous practice. His main complaint is swelling of
stomatitis. One of the following factors is lymph nodes in head and neck region.
not responsible for causing RAS Which of the following lymph nodes is not
a) Age a part of head and neck region
b) Microbe a) Deep Jugular Chain of nodes
c) Smoking Cessation b) Jugulo-omohyoid
d) Tooth Brushing c) Jugulo-digastric
e) Genetic d) Inguinal lymph nodes
e) posterior triangle group of lymph nodes
3. Which of the following is topical
Antiseptic. 7. A female patient attends your dental
a) Triamcolone practice. She is complaining of facial
b) Prednisolone swelling. She is suffering from an endocrine
c) Chlorhexdine and prednisolone and metabolic disorder. Which of the
d) Chlorhexdine HCL following is not the cause of her facial
e) Betamethasone swelling?
a) Cushing Syndrome b) Antifungal drugs
b) Acromegaly c) Antimotility drugs
c) Myxoedema d) Decongestants
d) Nephrotic Syndrome e) Antifibrinolytic drugs and haemostatics
e) Corticosteroid Therapy
12. A female patient of 55 years of age
8. A female patient attends your dental complaining of dryness of mouth, bad taste,
practice. Her main complaint is diffuse abnormal sensations in the mouth and
swelling of lip. Which one of the following Burning Mouth Syndrome.To reach a
diseases cannot cause diffuse swelling of diagnosis, you request for unstimulated
lip? flow rate over 16 hours.Which one of the
a) Allergic Angioedema following is the correct value
b) Keratoacanthoma a) 330 ml
c) Non Allergic Angioedema b) 340 ml
d) Lymphangioma c) 350 ml
e) Hemangioma d) 360 ml
e) 370 ml
9. A patient present to you who excessive
amount of keratin on lips. This forms brown 13. Daily salivary flow rate is 500-600
scales that may shed spontaneously or may ml/day which is divided in three parts.
be removed by patient and it effects only Which one of the following statements is
vermillion border of lower lip. What is your correct?
most likely diagnosis? a) Sleep 50 ml, awake unstimulated 250 ml,
a) Exfoliative Cheilitis awake stimulated 250 ml
b) Solar Keratosis b) Sleep 40 ml, awake unstimulated 300 ml,
c) Actinic Cheilitis awake stimulated 200 ml
d) Allergic Cheilitis c) Sleep 30 ml, awake unstimulated 200 ml,
e) Angular Cheilitis awake stimulated 300 ml
d) Sleep 20 ml, awake unstimulated 300 ml,
10. The salivary flow rate over a period of awake stimulated 400 ml
24 hours under unstimulated conditions is as
follows: 14. In total salivary flow amount over 24
a) 340 ml hours which of the following statement is
b) 350 ml correct
c) 330 ml a) Sublingual glands 10-20%,
d) 360 ml Submandibular 20-30%, Parotid 50-60%
e) 370 ml b) Sublingual glands 1-5%, Parotid 65%,
Submandibular 30%
11. Commonly used drugs that causes c) Sublingual glands 10-20%,
xerostomia. Submandibular 20-30%, Parotid 50-60%
a) Antimalarial drugs
d) Submandibular 65%, Parotid 15-20%, d) Inflammatory Markers
Sublingual glands 7-8% e) Biochemical Profile
e) Submandibular 40%, Parotid 50%,
Sublingual glands 10% 19. There is considerable interest in the
possible role of viral interactions in the
15. Which one of the following investigation carcinogenesis by deactivating p53 gene. In
is best to see space occupying lesions of the this respect,which one of the following
salivary glands factor is not involved?
a) Sialography a) Viral protein SV40
b) Scintigraphy b) HPV type 16 E16 protein
c) Ultrasound c) Large T antigen
d) CT Scan d) Cellular Proteins such as MDM-2
e) MRI (Murine Double minute-2)
e) Presence of DNA
16. Behcet’s disease is;
a. recurrent oral ulceration and skin lesions 20. Following are the early oral
b. recurrent oral and genital ulceration and complications of radiotherapy except?
skin and eye lesions a) Mucositis and xerostomia.
c. recurrent skin and eye lesions only b) Radiation caries and xerostomia.
d. vascular, cardiac and neurological c) Mucositis, dysgeusia and xerostomia.
disturbances. d) Xerostomia and dysgeusia.
e) Secondary infection causing teeth
17. A patient has been diagnosed with demineralization.
bacterial sialadenitis with associated
lymphadenopathy of cervical nodes. The 21. The role of oncogenes,TSG’s and DNA
patient has a history of non sensitivity to repair mechanism are currently very
peniciliin. Which of the following is the active area of research in Oral
antimicrobial of choice in this case? Cancer.Which one of the following is not an
a. Cephalexin oncogene?
b. Ciprofloxacin a. Growth Factor
c. Chloramphenicol b. Growth Factor receptors
d. Flucloxacillin c. Signal Transducers
e. Minocycline d. Nuclear Proteins
e. P53 gene which is located on
18. Following blood investigations can be chromosome 17P
carried out while suspecting a case of
Sjogren’s Syndrome. 22. All of the following are ‘premalignant
a) Full blood count lesions/premalignant conditions affecting
b) Serum Folate, serum B12 and Red Cell the oral cavity except?
folate a. Oral submucous fibrosis and candida
c) Immunology leukoplakia
b. Lichen planus and smokers keratosis 25. Which one of the following is
c. Epidermolysis bullosa and acute characterized by white lesions of the oral
hyperplastic candidiasis mucosa and the conjunctiva.
d. Sideropenic dysphagia and dyskeratosis a. Tylosis KEY D
congenita b. Dyskeratosis congenita.
e. Leukoplakia, erythroplakia and c. Hereditary benign intraepithelial
xerodermapigmentosum. dyskeratosis
d. Chronic Mucocutaneous Candidiasis
23. All of the following are ‘premalignant e. Pachyonchia congenita.
lesions/premalignant conditions affecting
the oral cavity except? 26. A patient presents to you with abdominal
a. Oral submucous fibrosis and candida pain, diarrhea, malaise, GIT disturbances,
leukoplakia inflammation of the gut, mucosal tags or
b. Lichen planus and smokers keratosis cobble stoning in oral mucosa, oral
c. Epidermolysis bullosa and acute ulceration, angular cheilitis, lip fissures,
hyperplastic candidiasis persistent lymphadenopathy,
d. Sideropenic dysphagia and perioralerythema and scaling of skin. What
dyskeratosiscongenital is your most likely diagnosis?
e. Leukoplakia, erythroplakia and a. Coeliac Disease
xerodermapigmentosum. Key: C b. Stomatitis and inflammatory bowel
disease
c. Gastro-esophageal reflux disorder
24. A patient is diagnosed with Parotid d. Ulcerative Colitis
Squamous Cell Carcinoma, on examination e. Crohn’s Disease
it is found that the tumor is more than 2 cm
in diameter but not more than 4 cm in 27. A young female presents to you with
greatest dimension without oral superficial erosions and erythematous
extraparenchymal extension. There is patches on the mucosa. There are
Metastasis in multiple ipsilateral lymph widespread changes in connective tissue
nodes, but none more than 6 cm in greatest with secondary effects in cardiovascular,
dimension. On scanning for distant musculoskeletal, and other systems as well
metastases,there were none found. Which of as the skin. Photosensitivity of the facial
the following is best description of the skin and eruptions of the face and
tumor according to the TNM system hands.What is your most likely diagnosis?
a) T2 N1 M0 a. Angina Bullosa Haemorrhagica
b) T1 N2 M0 b. Systemic Lupus Erythematosus
c) T1 N2 M1 c. Linear IgA Disease
d) T2 N2 M0 d. Epidermolysis Bullosa
e) T2 N1 M1 e. Erythema Multiforme
28. A male patient of middle age attends from few days to few weeks. What is your
your dental practice. He has been diagnosed most likely diagnosis?
with PEMPHIGUS. Which of the a. Skin Lichen Planus
following are the target antigens? b. Pemphigus
a. BP 180 c. Lupus Erythmatosus
b. Laminins d. Epidermolysis Bullosa
c. BP 230 e. Bullous Pemphigoid
d. Type VII Collagen
e. Desmoglein I and III 33. You have diagnosed a patient with oral
erosive lichen planus.Which of the
29. In which of the autoimmune diseases following medications are used except:
the mucocutaneousbullas are not formed? a. Prednisolone 20-40 mg/day
a. Pemphigus b. Systemic Retinoids
b. Mucous membrane pemphigoid c. Systemic Aminoglycosides
c. Linear IgA disease d. Vitamin A derivatives
d. Dermatitis herpetiformis e. Dapsone
e. Angina bullosa haemorragica
34. one of the following does not precipitate
30. A male patient of middle age attends erythmemamultiforme;
your dental practice. He has been diagnosed a. sulphonamides
with Bullous Pemphigoid. Which one of the b. viral infections
following are the target antigens? c. bacterial infections
a. BP 180 and BP 230 d. fungal infections
b. Laminins and Type VII collagen e. pregnancy
c. BP 180 and BP 240
d. Type VII collagen and Laminin 5 35. In bullous pemphigoid the blisters are;
e. Desmoglein I and III a. intraepithelial
b. subepithelial
31. Which one of the following is not the c. suprabasal KEY B
precipitating factor of Erythema Multiforme d. supraepithelial
a. Herpes Simplex virus infection e. sub-basal
b. Epstein Barr Virus
c. Mycoplasma Pneumonia 36. junctional epidermolysis bullosa is;
d. Pregnancy a. Autosomal dominant
e. Anticonvulsants b. Autosomal recessive
c. Both dominant and recessive
32. A sixty year old female from western d. not a genetic disorder
European origin with the complaint of e. mostly autosomal dominant.
pruritic rash on urticarial areas; limbs, and
trunk. Within these erythematous areas 37. Hailey- hailey disease is a rare
develop tense bulla at an interval varying hereditary form of;
a. Mucous membrane pemphigoid
b. Pemphigus 41. Cushing’s syndrome, which is due to
c. Linear IgA disease adrenal cortex hyperfunction has all of the
d. Lichen planus following orofacial features, except;
e. Bullous pemphigoid. a. Excessive hair growth called ‘hirsutism’.
b. Exophthalmos
38. Coalescent white lesions on the buccal c. Moon face.
mucosae or palate, pitting of the skin of d. Cushingoid appearance.
palms of hands and greasy brown papules on e. Melanotic pigmentation
the chest and shoulders. These are all the
features of; 42. Gingival hyperplasia is seen in all of the
a. Traumatic keratosis. following except;
b. Squamous cell papilloma. a. Use of ciclosporins, anticonvulsants and
c. Darier’s disease. calcium channel blockers.
d. Hecks disease. b. Scurvy.
e. Laugier-Hunziker syndrome. c. Acute leukaemia and chronic leukaemia.
d. Diabetes.
39. A patient presents to you with abdominal e. Pregnancy.
pain, diarrhea, malaise, GIT disturbances,
inflammation of the gut, mucosal tags or 43. the most common acute leukaemia seen
cobblestoning in oral mucosa,oral in children is;
ulceration,angularcheilitis,lip a. acute lymphoblastic leukaemia.
fissures,persistent b. acute myeloid leukaemia.
lymphadenopathy,perioralerythema and c. acute myeloblastic leaukaemia.
scaling of skin. What is your most likely d. acute cytotoxic leukaemia.
diagnosis? e. chronic lymhocytic leukaemia.
a. Coeliac Disease
b. Stomatitis and inflammatory bowel 44.What is the definition of carcinoma in
disease situ?
c. Gastro-esophageal reflux disorder A) A type of cancer that has spread to
d. Ulcerative Colitis distant parts of the body.
e. Crohn’s Disease B) A type of cancer that has invaded
surrounding tissues but not yet spread to
40. One of the causes of diffuse swelling of distant parts of the body.
lips is orofacialgranulomatosis. OFG is not a C) A type of cancer that is confined to the
feature in one of the following conditions? place where it started and has not spread to
a. Crohn’s Disease surrounding tissues.
b. Oral Sarcoidosis D) A type of benign tumor that does not
c. Melkersson-Rosenthal Syndrome invade surrounding tissues or spread to other
d. Steven Johnson’s Syndrome parts of the body.
e. Mieschner Cheilitis
45.0What is a classical sign of a malignant A) Triamcinolone acetonide 0.01percent
condition such as oral cancer? B) Triamcinolone acetonide 10 percent
A) Persistent white or red patches in the C) Triamcinolone acetonide 0.1 percent
mouth that do not heal for more than 10 D) Triamcinolone acetonide 1 percent
days
B) Occasional gum bleeding that resolves on
its own. 50.Which of the following investigations is
C) Mild pain in the teeth after eating hot or NOT typically performed in the initial
cold food. workup of patients with persistent Recurrent
D) Temporary swelling in the mouth that Aphthous Stomatitis (RAS)?
goes away after a few days. A) Complete blood count (CBC) with
differential
B) Serum ferritin, vitamin B12, and folate
46.What is a common symptom of acute levels
sialadenitis? C) Biopsy of the ulcer
A) Persistent dry mouth without swelling. D) anti gladin autoantibodies
B) Sudden onset of pain and swelling in the
affected gland, often exacerbated by eating.
C) Chronic nasal congestion and postnasal
drip.
D) Painless enlargement of the lymph nodes.

47.Which imaging modality is most

commonly used to diagnose sialadenitis?
A) Magnetic Resonance Imaging (MRI)
B) Ultrasound
C) Positron Emission Tomography (PET)
scan
D) Computed Tomography (CT) scan

48.What is the primary treatment for

bacterial sialadenitis?
A) Antifungal medication
B) Antiviral therapy
C) Antibiotics and supportive care
D) Surgical removal of the affected gland

49.Which of the following drugs is most

commonly used to treat Recurrent Aphthous
Stomatitis (RAS)?