Path Test Ch 7 and 8

c

"Ground glass" is the classic radiographic description of _________________. a. Osteomalacia b. Paget disease of bone c. Fibrous dysplasia d. Florid cemento-osseous dysplasia

c

A "sunburst" pattern is associated with a. Kaposi sarcoma. b. osteoma. c. osteosarcoma. d. multiple myeloma

b

A _____ both invades and destroys surrounding tissue and has the ability to spread throughout the body. a. benign tumor b. malignant tumor c. hypertrophy d. hyperplasia

a

A benign tumor of bone is called a(n) a. osteoma. b. osteogenic sarcoma. c. chondroma. d. carcinoma.

c

A benign tumor of cartilage is termed a(n) a. osteoma. b. lipoma. c. chondroma. d. carcinoma

c

A benign tumor of salivary gland origin is termed a(n) a. leiomyoma. b. lipoma. c. adenoma. d. papilloma.

c

A compound odontoma a. consists of a mass of enamel, dentin, cementum, and pulp that does not resemble a normal tooth. b. usually occurs in the posterior mandible. c. appears on radiographs as a cluster of miniature teeth surrounded by a radiolucent halo. d. appears as a radiolucent mass surrounded by a thin radiopaque halo.

b

A lipoma a. is a tumor of peripheral nerve tissue. b. appears clinically as a yellowish mass surfaced by a thin layer of epithelium. c. is found most commonly intraorally on the tongue. d. occurs most often in men over 60.

c

A papilloma is a _____ tumor derived from _____ epithelium. a. benign; salivary gland b. malignant; squamous c. benign; squamous d. malignant; odontogenic

a

Acute leukemia is characterized by a proliferation of _____ cells. a. immature white blood b. mature white blood c. immature plasma d. mature plasma

b

All are common warning signs of malignant neoplasms except one. Which is the exception? a. Leukoplakia b. Bleeding c. Erythroplakia d. Pigmentation

b

All terms are associated with malignancy except one. Which is the exception? a. Invasive b. Encapsulated c. Cancer d. Metastasis

c

An intraoral mucosal lesion that shows a mixture of red and white areas is termed a. erythroplakia. b. speckled erythroplakia. c. speckled leukoplakia. d. leukoplakia.

b

Approximately _____% of leukoplakias examined microscopically demonstrate epithelial dysplasia. a. 1 to 2 b. 5 to 25 c. 50 to 60 d. 90

b

As a general rule, a patient should be referred to an oral and maxillofacial surgeon or dermatologist to have a biopsy performed on any non healing ulcer of the skin or lips that has been present for more than a. 24 hours. b. 2 weeks. c. 3 months. d. 1 year.

d

Basal cell carcinoma is a _____ tumor that _____ in the oral cavity. a. benign; occurs b. malignant; occurs c. benign; does not occur d. malignant; does not occur

a

Because the origin of these tumors is glandular epithelium, benign tumors of salivary gland origin are termed a. adenomas b. nevi c. chondromas d. lipomas

b

Benign or Malignant? Cells are poorly differentiated. a. Benign b. Malignant

a

Benign or Malignant? Cells closely resemble their cells of origin. a. Benign b. Malignant

b

Benign or Malignant? Growth expands by invasion and replaces normal tissue. a. Benign b. Malignant

b

Benign or Malignant? In naming the neoplasm, the word sarcoma or carcinoma is used. a. Benign b. Malignant

b

Benign or Malignant? Mitosis is uncontrolled with rapid division. a. Benign b. Malignant

a

Benign or Malignant? Recurrence of the tumor is not common a. Benign b. Malignant

a

Benign or Malignant? The majority of these neoplasms are encapsulated. a. Benign b. Malignant

b

Café au lait skin macules are associated with a. monostotic fibrous dysplasia. b. polyostotic fibrous dysplasia. c. Paget disease of bone. d. osteomalacia

c

Carcinoma is defined as: a. A malignant tumor of the connective tissue b. A benign tumor of connective tissue c. A malignant tumor of the epithelium d. A benign tumor of the epithelium

a

Ghost cells are characteristic of which lesion? a. Calcifying odontogenic cyst b. Adenomatoid odontogenic tumor c. Calcifying epithelial odontogenic tumor d. Ameloblastoma

b

Giant cell granulomas located in the gingiva or alveolar mucosa are referred to as central. Giant cell granulomas located within the maxilla or mandible are referred to as peripheral. a. Both statements are true. b. Both statements are false. c. The first statement is true; the second is false. d. The first statement is false; the second is true.

a

Hyperplasia is defined as: a. Abnormal increase in the number of cells in an organ or tissue b. New growth c. Tending to produce death, able to metastasize d. Disordered growth

d

Idiopathic leukoplakia a. is a malignant lesion of the oral mucosa. b. can be rubbed off with gauze squares. c. is caused by direct irritation, as in tobacco pouch keratosis. d. does not have a specific known cause.

a

Kaposi sarcoma is a. caused by a human herpesvirus. b. seen only in association with HIV infection. c. most often seen intraorally on the tongue. d. a malignant striated muscle tumor

b

Malignant melanoma usually presents as a(n) a. slowly enlarging white mass. b. rapidly enlarging blue-to-black mass. c. slowly enlarging papule. d. exophytic, wartlike lesion.

d

Most ameloblastomas are located in the a. anterior maxilla. b. posterior maxilla. c. anterior mandible. d. posterior mandible.

c

Most cases of verrucous carcinoma occur in the _____ years old. a. posterior lateral border of the tongue of women over 40 b. floor of the mouth of women over 70 c. vestibule and buccal mucosa of men over 55 d. bone of the mandible of men over 20

c

Osteosarcoma occurs more often in the _____ and more often in _____. a. maxilla; males b. maxilla; females c. mandible; males d. mandible; females

c

Paget disease of bone a. typically occurs in children under the age of 18. b. is painless. c. may reveal a "cotton-wool" appearance on radiographs. d. results in shrinkage of affected bone.

a

Sarcoma is defined as: a. A malignant tumor of the connective tissue b. A benign tumor of connective tissue c. A malignant tumor of the epithelium d. A benign tumor of the epithelium

c

Severe epithelial dysplasia involving the full thickness of the epithelium is termed a. anaplasia. b. squamous cell carcinoma. c. carcinoma in situ. d. metastasis.

b

Squamous cell carcinoma of the oral epithelium usually metastasizes first to the lymph nodes of the neck. Common distant sites include a. kidneys and spleen. b. lungs and liver. c. breast and lungs. d. liver and spleen.

d

Squamous cell carcinoma of the oral epithelium usually metastasizes first to which site? a. Spleen b. Lungs c. Liver d. Lymph nodes

d

Squamous cell carcinomas on the vermilion border of the lips and skin of the face are a. associated with lack of exposure to the sun and vitamin D deficiency. b. more common in individuals with dark skin. c. associated with a poorer prognosis than that for squamous cell carcinoma of the oral mucosa. d. associated with color changes of the vermilion border from dark pink and uniform to mottled grayish pink.

a

The 'A' in the ABCDEs Stands For: a. Asymmetry b. Boarders c. Color d. Diameter e. Evolving

b

The 'B' in the ABCDEs Stands For: a. Asymmetry b. Boarders c. Color d. Diameter e. Evolving

c

The 'C' in the ABCDEs Stands For: a. Asymmetry b. Boarders c. Color d. Diameter e. Evolving

d

The 'D' in the ABCDEs stands For: a. Asymmetry b. Boarders c. Color d. Diameter e. Evolving

e

The 'E' in the ABCDEs Stands For: a. Asymmetry b. Boarders c. Color d. Diameter e. Evolving

d

The ameloblastoma a. occurs exclusively in the mandible. b. is a benign, encapsulated tumor. c. is commonly known as a Pindborg tumor. d. may cause expansion of bone.

d

The benign oral pathologic lesion that occurs frequently in the head and neck area and is classified as capillary or cavernous is termed a. hematoma. b. lipoma. c. adenoma. d. hemangioma.

c

The most common intraoral location for a neurofibroma is the a. floor of the mouth. b. vestibule. c. tongue. d. tonsillar pillar.

c

The most common intraoral location for the pleomorphic adenoma is the a. parotid gland. b. submandibular gland. c. palate. d. floor of the mouth.

c

The most common location for an intraoral lymphoma is the a. floor of the mouth. b. posterior lateral border of the tongue. c. tonsillar area d. vestibule

c

The most common type of fibrous dysplasia, characterized by involvement of a single bone, is termed a. Paget disease. b. polyostotic fibrous dysplasia. c. monostotic fibrous dysplasia. d. central giant cell granuloma.

b

This 74-year-old patient presents with an enlargement of the maxilla, pain, and a chief complaint that his dentures no longer fit. Radiographic examination reveals a patchy radiolucency and radiopacity that resembles cotton wool. These findings are indicative of what disease of bone? a. Osteomalacia b. Paget disease of bone c. Fibrous dysplasia d. Florid cemento-osseous dysplasia

c

This benign tumor of fat cells that clinically appears as a yellowish mass surfaced by a thin layer of epithelium is referred to as a. chondroma. b. rhabdomyosarcoma. c. lipoma. d. lymphoma.

a

What is the term to describe a malignant tumor in bone? a. Osteosarcoma b. Osteoma c. Lipoma d. Carcinoma

c

Where do most cases of papilloma occur? a. Hard palate b. Buccal mucosa c. Soft palate or tongue d. Retromolar area

c

Where is the most frequent intraoral site for metastatic tumors of the jaws? a. Nares b. Maxilla c. Mandible d. Zygoma

d

Which choice is not regarded as an initiating factor in the development of oral cancer? a. Cigar, pipe, and cigarette smoking b. Snuff dipping and tobacco chewing c. Consumption of alcohol d. Chronic irritation

b

Which choice represents a characteristic of malignant tumors a. Encapsulated b. Ability to spread to distant sites c. Benign d. Cells resemble normal cells

a

Which is a common characteristic of benign neoplasms? a. Inability to spread to distant sites b. Nonencapsulated c. Undifferentiated and pleomorphic d. No resemblance to surrounding cells

b

Which is the most common malignant salivary gland tumor found in children? a. Adenoid cystic carcinoma b. Mucoepidermoid carcinoma c. Monomorphic adenoma d. Pleomorphic adenoma

d

Which lesion most closely resembles a papilloma? a. Benign mixed tumor b. Leukoplakia c. Epithelial dysplasia d. Verruca vulgaris

c

Which statement about erythroplakia is true? a. Most cases of erythroplakia occur on the buccal mucosa and vestibule. b. Erythroplakia is more common than leukoplakia. c. When examined microscopically, 90% of cases of erythroplakia demonstrate epithelial dysplasia or squamous cell carcinoma. d. Erythroplakia is considered a less serious clinical finding than leukoplakia.

c

Which statement about malignant melanoma is true? a. It has a benign counterpart known as the benign melanoma. b. Most malignant melanomas arise on the skin as a result of prolonged exposure to chemicals such as benzene. c. Primary malignant melanoma of the oral cavity is rare. d. The most common intraoral location is the tongue

b

Which tumor is an unencapsulated, infiltrating tumor composed of a combination of mucous cells interspersed with squamous-like epithelial cells? a. Adenoid cystic carcinoma b. Mucoepidermoid carcinoma c. Monomorphic adenoma d. Pleomorphic adenoma

c

Which tumor occurs most frequently in the anterior part of the jaws? a. Ameloblastoma b. Calcifying epithelial odontogenic tumor c. Adenomatoid odontogenic tumor d. Odontogenic myxoma

b

____ means new growth. a. Metastasis b. Neoplasia c. Hypertrophy d. Hyperplasia