NEET QUESTIONS

M.NAMARRATHAA SRE
CRI
 ORAL MEDICINE :

1 . Teratoma is best described as :

a) Hamartous developemental manifestation consisting of three different layers

b) Occurs most commonly in stomach and lungs
c) Originates from mesodermal tissues
d) Associated with very painfull condition
 ANS: a) Hamartous developemental manifestation consisting of three different layers

* A teratoma is a tumor made up of several different types of tissue, such as hair, muscle, teeth, or
bone.

* Oral teratomas are extranodal germ cell tumors that occur very rarely during infancy and childhood.

* Children with oral teratomas have less severe symptoms when compared with those with
oropharyngeal, naso-pharyngeal, and cervical teratomas.
2. The fastest growing human cancer which doubles in size every 1-3 days
occuring in young children manifesting as rapidly growing extra nodal
jaw tumour is :

a) Solitary myeloma
b) Multiple sclerosis
c) Multiple myeloma
d) Burkitts’s lymphoma
 ANS: d) Burkitt’s Lymphoma

* Burkitt’s lymphoma ,also known as African jaw lymphoma ,is a high grade B cell
lymphoma ,occuring in endemic or non endemic forms ,closely associated with Epstein Barr
virus.
* It is one of the fatsest growing malignancies in humans ,with very high growth fraction.
3. Chocolate-coloured Fluid is seen in the cystic space of :

a) Dentigerous cyst
b) Odontogenic keratocyst
c) Unicystic ameloblastoma
d) Papillary cystadenoma lymphamatosum
 ANS : d) Papillary cystadenoma lymphamatosum

* There is frequently an eosinophilic coagulum present within cystic spaces, which

appears as a chocolate-coloured fluid in the gross specimen

* Dentigerous cyst - Straw coloured fluid

* Odontogenic keratocyst - Cheese coloured fluid

* Unicystic Ameloblastoma - Purulent brown fluid

4. Formation of multiple pinpoint bleeding spots on scratching of
the skin is characteristic of :

a) Pemphigus vulgaris
b) Lupus erythematosus
c) Psoriasis
d) Herpangina
 ANS : c) Psoriasis

* Psoriasis is a chronic skin disorder that most commonly appears as inflamed, oedematous skin
lesions covered with a silvery white scale.

* If the deep scales are removed , one or more tiny bleeding spots are disclosed , a characteristic
features termed as “AUSPITZ’S SIGN”.
5. Leutic Glossitis is an intra-oral manifestation caused by :

a) Mycobacterium tuberculosis
b) Actinomycosis
c) Treponema pallidium
d) Streptococcus
 ANS: c) Treponema pallidium

*Leutic glossitis or Syphilitic glossitis is atrophic or interstitial glossitis due to tongue involvement
by treponema.

*The importance of Leutic glossitis is the chance of undergoing malignant tranformation.

*This type of glossitis is the most characteristic and is due to endarteritis obliterans.It is seen in tertiary
syphilis
6. Identify the clinical picture :
* Giant cell fibroma is a bening non neoplastic tumour of connective tissue origin.

* It appers as asymptomatic, sessile or pedunculated lesion often having a bosselated

or papillary surface.

* It is a type of fibroma not associated with trauma or irritation. It is a localised reactive

proliferation of the fibrous connective tissue.
7. Identify the clinical picture :
* Herpangina is a specific viral infection caused by Coxsackie group A viruses .

* The patients exhibit small vesicles ,which rupture to form crops of ulcers , each
showing a grey base and an inflamed periphery on anterior faucial pillars and
also on the hard and soft palates ,posterior phrayngeal walls ,buccal mucosa
and tongue.
8. Identify the clinical picture :
* Verrucous carcinoma or Ackerman’s Tumour is a neoplasm chiefly exophytic and appears
papillary in nature, with a pebbly surface, which is sometimes covered by a white leucoplakic
film.

* Lesions on the mandibular ridge grow into the overlying soft tissue and rapidly become fixed
to the periosteum gradually invading and destroying the mandible.
9. Identify the clinical picture :
* Amelogenesis Imperfecta is a group of hereditary defects of the enamel unassociated
with any other generalised defects.

* It is related to the alteration of genes involved in the process of formation and maturation
of the enamel.

* It is caused by mutations in the AMELX, ENAM, and MMP20 genes .

10. Identify the syndrome triad :

Urethritis

Conjunctivitis Arthritis
* Reiter’s Syndrome ( Reactive arthritis ) is associated with urethritis, balanitis, conjunctivitis,
arthritis and mucocutaneous lesions.

*Oral lesions appear painless, red, slightly elevated areas with white circinate border on the
buccal mucosa,tongue , lips and gingiva.
 RADIOLOGY :

11 . Radiation induced caries occurs in?

a) 1 month
b) 3 months
c) 6 months
d) 9 months
ANS : b) 3 months

*Radiation caries is the rapidly advancing caries which characteristically

occurs at the incisal and cervical aspect of the teeth, especially incisor
and canine.

*It may become evident as a early as 3 months following the start of

radiotherapy and may occur inspite of meticulous oral hygiene and is
seldom associated with pain.
12. The sialographic appearance of a normal salivary gland is :

a) Branching with bloom

b) Branchless with leaves
c) Branchless with fruit laden
d) Branching with leaves
 ANS : a) Branching with bloom

*In normal sialography there is filling of ducts and parenchyma

producing image like “TREE LIMBS WITH BLOOM” or
“LEAFLESS TREE” .

*The parotid and submandibular glands are more readily studied

with this techniques when compared to sublingual glands .

*In Sjogren’s syndrome , sialographs shows “CHERRY

BLOSSOM” or “BRANCH LESS FRUIT - LADEN TREE” effect.
THANK YOU
13. Radiographic technique used to identify the spatial relation of an object is called the :

a) Cone technique
b) Spire technique
c) Ball technique
d) Lamellar technique
 ANS: A) Cone technique

* The spatial resolution of an object might be determined by 2 methods.

1. LONG CONE TECHNIQUE

2. TUBE SHIFT / CLARKE’S RULE

14. Ankylosis of TMJ can be best viewed in :

a) Lateral oblique view

b) Lateral view
c) Transcranial view
d) PA view
 ANS: c) Transcranial view

* Bony ankylosis of TMJ is best viewed in CT scan whereas Fibrous ankylosis is best viewed
in MRI.

* Transcranial view - Taken in closed and open mouth positions and depicts
the lateral aspect of the TMJ
15. Moth eaten appearnce is seen in all except ?

a) Osteomyelitis
b) Haemorrhagic cyst
c) Osteosarcoma
d) OKC
ANS: d) OKC

Moth eaten apperance is seen in :

* Osteomyelitis

* Haemorrhagic cyst

* Osteosarcoma

* Osteoradionecrosis

* Ewings sarcoma
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