Chapter 17: Soft Tissue Enlargements

Lymphoid hyperplasia can occur on all of the following oral surfaces EXCEPT one. Which one is the EXCEPTION?

Attached gingiva

The fibrosarcoma is a rare neoplasm that occurs most in children and young adults and is caused by previous radiation therapy.

Both the statement and the reason are correct and related.

The thyroglossal tract cyst develops from the epithelial remnants of the embryologic duct that the tissue traveled within to get back to the neck area from its original position. Where did the thyroid gland tissue originally develop?

Foramen cecum

Traumatic or reactive lesions always involve which one of the following processes?

Inflammatory

Which one of the following is considered the most common soft tissue sarcoma in children?

Rhabdomyosarcoma

Cafe au lait macules are associated with which one of the following genetic disorders?

von Recklinghausen disease of the skin

Which one of the following is a high-grade salivary gland malignancy?

Adenoid cystic carcinoma

Both primary and secondary Sjogren Syndromes have destruction of the lacrimal and salivary glands. With secondary Sjogren Syndrome the patient also has an autoimmune disorder.

Both statements are true

Traumatic neuroma is caused by acute or chronic trauma that severs nerve tissue. It is characterized by pain on palpation.

Both statements are true

Sarcoidosis affects multiple systems in the body. Both the EBV and mycobacterium have been suggested in the etiology of the disease.

Both statements are true.

The peripheral ossifying fibroma is a reactive hyperplastic lesion and appears on the gingiva because it originates from the periodontal ligament.

Both the statement and the reason are correct and related

Patients who have connective tissue disorders such as systemic lupus erythematosus or rheumatoid arthritis should be evaluated for xerostomia BECAUSE secondary Sjogren syndrome occurs in conjunction with a connective tissue disorder.

Both the statement and the reason are correct and related.

Cowden syndrome is associated with which of the following malignancies?

Breast and thyroid cancer

Fluctuant is a term used to describe a:

Fluid-filled lesion that moves fluid from one area to another when the lesion is pressed

Cyclosporine and phenytoin are associated with which of the following oral conditions?

Generalized gingival hyperplasia

All of the following would be included in a differential diagnosis of a peripheral fibroma EXCEPT ONE. Which ONE is the EXCEPTION?

Lymphangioma

Which one of the following may exhibit crepitus when palpated?

Lymphangioma

Which of the following soft tissue enlargements is associated with a reactive response by the immune system to infectious agents or foreign substances?

Lymphoid hyperplasia

Which of the following facts does NOT pertain to the traumatic neuroma?

May be precancerous lesion that needs to be removed

The histology of the sarcoidosis includes a dense infiltrate of mucous cells and multinucleated giant cells. Inflammation increases the destruction of tissue just as Sjogren syndrome causes destruction of the lymph nodes.

NEITHER the statement NOR the reason is correct.

The development of which of the following neoplastic growths has been associated with smoking?

Papillary Cystadenoma Lymphomatosum

Mumps is caused by which one of the following?

Paramyxovirus

The facial nerve can be damaged by the removal of neoplastic growths when they occur in which one of the following areas?

Parotid gland

All of the following soft tissue enlargements are commonly found in the tongue EXCEPT one. Which ONE is the EXCEPTION?

Peripheral fibroma

Trismus is:

Persistent contraction of the masseter muscle

Which one of the following disorders is a multisystem inflammatory disease of unknown origin that produces granulomas in affected organs, may cause parotid enlargement, and may manifest in the mouth as firm or spongy nodular growths on the gingiva, lips, or tongue?

Sarcoidosis

Which one of the following is most commonly associated with a ranula?

Submandibular or sublingual salivary gland obstruction

Ranulas are caused by an inflammatory response from an obstruction in the parotid gland. Ranulas can be caused by trauma or a sialolith.

The first statement is false and the second statement is true

Fibromas are the most common tumors found in the oral cavity. They most commonly occur on the attached gingiva.

The first statement is true and the second statement is false

Cowden disease is an autosomal dominant syndrome characterized by cutaneous papules. The oral lesions are similar to lipomas.

The first statement is true, the second is false.

All of the following are true statements regarding peripheral ossifying fibromas EXCEPT one. Which one is the EXCEPTION?

They appear almost exclusively on the free gingiva

Which of the following lesions is associated with an over exuberant reactive proliferation of neural tissue?

Traumatic neuroma

Mumps is also called:

Viral sialadenitis

Which of the following terms best describes a developmental lesion that occurs as a well-formed growth in the area where this type of tissue would not be expected to be found?

Choristoma

All of the following could be included in a differential diagnosis of a diffuse parotid gland enlargement EXCEPT ONE. Which ONE is the EXCEPTION?

Dermoid cyst

A change in voice quality is called:

Dysphonia