Oral Path: Chapter 7 EOC Questions

Which of the following salivary gland tumors often occurs in adult men with a history of smoking? a. Pleomorphic adenoma b. Adenoid cystic carcinoma C. Warthin tumor d. Monomorphic adenoma

C. Warthin tumor

Which of the following neoplasms is most likely to occur in the mandible? a. Ameloblastoma b. Melanocytic nevus c. Pleomorphic adenoma d. Basal cell carcinoma

a. Ameloblastoma

Which of the following has the best long-term prognosis? a. Basal cell carcinoma b. Squamous cell carcinoma c. Multiple myeloma d. Melanoma

a. Basal cell carcinoma

Which of the following salivary gland tumors has as strong predilection for the upper lip? a. Canalicular adenoma b. Pleomorphic adenoma c. Warthin tumor d. Adenoid cystic carcinoma

a. Canalicular adenoma

Which of the following represents an early clinical example of squamous cell carcinoma? a. Erythroplakia b. Exophytic mass c. Brown macule d. Destructive radiolucency

a. Erythroplakia

A compound odontoma differs from a complex odontoma in that a compound odontoma: a. Is composed of several toothlike structures b. Has unlimited growth potential c. Presents as a radiopaque mass d. Is located in the posterior mandible

a. Is composed of several toothlike structures

Which of the following neoplasms may present as diffuse gingival enlargement with persistent bleeding? a. Leukemia b. Multiple myeloma c. Lymphoma d. Congenital epulis

a. Leukemia

Which of the following neoplasms often occurs in the buccal mucosa or vestibule? a. Lipoma b. Congenital epulis c. Hemangioma d. Granular cell tumor

a. Lipoma

Syndrome involvement may occur with a: a. Neurofibroma b. Verrucous carcinoma c. Pleomorphic adenoma d. Granular cell tumor

a. Neurofibroma

Which of the following are cells that produce melanin? a. Nevus cells b. Squamous cells c. Granular cells d. Mesenchymal cells

a. Nevus cells

Neoplasia involves all of the following except one. Which one is the exception? a. Normal arrangement of cells b. Irreversible cellular changes c. Abnormal process d. Uncontrolled cell multiplication

a. Normal arrangement of cells

Which of the following is the most common odontogenic tumor? a. Odontoma b. Ameloblastoma c. Ameloblastic fibroma d. Cementoblastoma

a. Odontoma

A benign tumor of bone is called a(n): a. Osteoma b. Neurofibroma c. Hemangioma d. Chondroma

a. Osteoma

All of the following are examples of malignant salivary glad tumors except one. Which one is the exception? a. Pleomorphic adenoma b. Mucoepidermoid c. Cylindroma d. Adenoid cystic carcinoma

a. Pleomorphic adenoma

The most common benign salivary gland tumor is the: a. Pleomorphic adenoma b. Warthin tumor c. Monomorphic adenoma d. Canalicular adenoma

a. Pleomorphic adenoma

What benign salivary gland neoplasm is known to undergo malignant transformation? a. Pleomorphic adenoma b. Trabecular adenoma c. Canalicular adenoma d. Warthin tumor

a. Pleomorphic adenoma

All of the following are correct concerning solar cheilitis except one. Which is the exception? a. There is a distinct demarcation between the vermillion border and skin b. It appears as a mottled greyish-pink discoloration of the lips c. Linear fissures are seen at right angles to the vermillion border d. It is caused by excessive exposure to sunlight

a. There is a distinct demarcation between the vermillion border and skin

Which of the following best describes the radiographic features of a cementoblastoma? a. Well-circumscribed radiopaque lesion with a radiolucent halo fused to the root of a vital tooth b. Multilocular radiolucency in the posterior mandible c. Unilocular radiolucent lesion around the crown of an impacted tooth d. Numerous toothlike structures in the anterior maxilla

a. Well-circumscribed radiopaque lesion with a radiolucent halo fused to the root of a vital tooth

Which of the following salivary gland tumors has a cribriform appearance microscopically and a propensity for perineural involvement? a. Mucoepidermoid carcinoma b. Adenoid cystic carcinoma c. Warthin tumor d. Canalicular adenoma

b. Adenoid cystic carcinoma

The odontogenic tumor that characteristically appears as a well-circumscribed radiolucency located in the anterior maxilla of an adolescent girl is a(n): a. Ameloblastic fibro-odontoma b. Adenomatoid odontogenic tumor c. Ameloblastoma d. Odontogenic myxoma

b. Adenomatoid odontogenic tumor

All of the following tumors may contain a radiopaque component. Which one is the exception? a. Adenomatoid odontogenic tumor b. Ameloblastic fibroma c. Benign cementoblastoma d. Complex odontoma

b. Ameloblastic fibroma

Which of the following is derived from both odontogenic epithelium and ectomesenchymoma? a. Ameloblastoma b. Ameloblastic fibroma c. Odontogenic myxoma d. Adenoid odontogenic tumor

b. Ameloblastic fibroma

All of the following neoplasms occur in young individuals except one. Which one is the exception? a. Ameloblastic fibroma b. Basal cell carcinoma c. Congenital epulis d. Hemangioma

b. Basal cell carcinoma

Liesgang ring calcification are a defining microscopic feature of: a. Adenoid odontogenic tumor b. Calcifying epithelial odontogenic tumor c. Complex odontoma d. Ameloblastoma

b. Calcifying epithelial odontogenic tumor

Pain is most often a symptom of a: b. Cementoblastoma a. Complex odontoma c. Neurofibroma d. Fibroma

b. Cementoblastoma

All of the following are traditional categories of Langerhans cell histiocytosis except one. Which is the exception? a. Hand-Schuller-Christian disease b. Chronic disseminated reticulosis c. Letterer-Siwe disease d. Eosinophilic granuloma

b. Chronic disseminated reticulosis

Which of the following lesions characteristically occurs on the alveolar mucosa in newborn girls? a. Granular cell tumor b. Congenital epulis c. Lymphangioma d. Plasmacytoma

b. Congenital epulis

Which one of the following is the name of the solitary bone lesion of Langerhans cell histiocytosis that may occur in the mandible? a. Pyogenic granuloma b. Eosinophilic granuloma c. Periapical granuloma d. Traumatic granuloma

b. Eosinophilic granuloma

A benign tumor composed of a proliferation of capillaries is called a: a. Neurofibroma b. Hemangioma c. Schwannoma d. Lymphangioma

b. Hemangioma

The term vascular malformation is used in association with which condition? a. Kaposi sarcoma b. Hemangioma c. Leukemia d. Lymphangioma

b. Hemangioma

The presence of Birbeck granules on electron microscopy is a feature of which of the following? a. Leukemia b. Langerhans cell histiocytosis c. Lymphoma d. Squamous cell carcinoma

b. Langerhans cell histiocytosis

An overproduction of atypical lymphocytes in the bone marrow that results in an increase in lymphocytes in the circulating blood is called a : a. Lymphoma b. Leukemia c. Melanoma d. Plasmacytoma

b. Leukemia

Which of the following is a malignant tumor of lymphocytes? a. Multiple myeloma b. Lymphoma c. Melanoma d. Plasmacytoma

b. Lymphoma

The most frequent intraoral site for metastatic tumors is the: a. Buccal mucosa b. Mandible c. Hard palate d. Lateral tongue

b. Mandible

Which term describes a unique feature of the adenoid cystic carcinoma? a. Honeycombed radiolucency b. Microscopic pattern described as resembling "swiss cheese" c. Most common salivary gland tumor d. Radiolucency that scallops around tooth roots

b. Microscopic pattern described as resembling "swiss cheese"

Which of the following may undergo malignant transformation? a. Granular cell tumor b. Neurofibroma c. Papilloma d. Hemangiomaterm-43

b. Neurofibroma

Which odontogenic tumor most closely resembles the mesenchyme of the dental follicle? a. Cementoblastoma b. Odontogenic myxoma c. Compound odontoma d. Ameloblastoma

b. Odontogenic myxoma

The most common overall location for salivary gland tumors is: a. Submandibular gland b. Parotid gland c. Soft palate d. Buccal mucosa

b. Parotid gland

What is the most common benign salivary gland tumor? a. Trabecular adenoma b. Pleomorphic adenoma c. Canalicular adenoma d. Warthin tumor

b. Pleomorphic adenoma

All of the following are common microscopic characteristics of squamous cell carcinoma except one. Which one is the exception? a. Cells vary in size b. Rare mitotic figures c. Cells with atypical nuclei d. Keratin pearls formation

b. Rare mitotic figures

Which of the following represents a slow-growing, exophytic malignant neoplasm composed of numerous papillary surface projections? a. Basal cell carcinoma b. Verrucous carcinoma c. Squamous cell carcinoma d. Mucoepidermoid carcinoma

b. Verrucous carcinoma

Which of the following malignant tumors has been reported to show a characteristic sunburst pattern on radiographic examination? a. Multiple myeloma b. Östeosarcoma c. Lymphoma d. Chondrosarcoma

b. Östeosarcoma

Which of the following statements concerning leukoplakia is true? a. Most cases are associated with a previous history of radiation therapy. b. Common sites for leukoplakia are the buccal mucosa and gingiva. c. A biopsy should be performed to establish a diagnosis. d. Leukoplakia is less common than erythroplakia.

c. A biopsy should be performed to establish a diagnosis.

All of the following neoplasms arise from squamous epithelium except one. Which is the exception? a. Squamous cell carcinoma b. Verrucous carcinoma c. Adenoid cystic carcinoma d. Papilloma

c. Adenoid cystic carcinoma

All of the following arise in the oral cavity except one. Which is the exception? a. Squamous cell carcinoma b. Malignant melanoma c. Basal cell carcinoma d. Verrucous carcinoma

c. Basal cell carcinoma

A hemangionma is a: a. Malignant tumor of melanocytes b. Benign tumor of fat cells c. Benign tumor of blood vessels d. Malignant tumor of bone

c. Benign tumor of blood vessels

Which of the following is a characteristic of a benign tumor? a. Invasive and unencapsulated b. Often grows rapidly c. Composed of well-differentiated cells d. Numerous abnormal mitotic figures

c. Composed of well-differentiated cells

Which of the following odontogenic tumors is also considered to be a hamartoma? a. Ameloblastoma b. Odontogenic myxoma c. Compound odontoma d. Adenomatoid odontogenic tumor

c. Compound odontoma

The two cells that microscopically characterize Langerhans cell histiocytosis are: a. Lymphocytes and plasma cells b. Fibroblasts and lymphocytes c. Eosinophils and mononuclear cells d. Neutrophils and lymphocytes

c. Eosinophils and mononuclear cells

Which of the following are the most common locations for intraoral squamous cell carcinoma? a. Upper labial mucosa, frenum, and lingual gingiva b. Lower labial mucosa, maxillary gingiva, and buccal mucosa c. Floor of mouth, ventrolateral tongue, and soft palate d. Anterior tongue, mandibular gingiva, and retromolar area

c. Floor of mouth, ventrolateral tongue, and soft palate

What are the most common intraoral locations for malignant melanoma? a. Dorsal and lateral tongue b. Floor of mouth and anterior buccal mucosa c. Hard palate and maxillary gingiva d. Retromolar pad and soft palate

c. Hard palate and maxillary gingiva

The most common intraoral location for salivary gland tumors is the: a. Gingival mucosa b. Anterior buccal mucosa c. Junction of the hard and soft palate d. Posterior lateral tongue

c. Junction of the hard and soft palate

Human herpesvirus 8 is associated with: a. Herpangina b. Melanoma c. Kaposi sarcoma d. Schwannoma

c. Kaposi sarcoma

A white plaquelike lesion that cannot be rubbed off or diagnosed clinically as a specific disease is called: a. Squamous cell carcinoma b. Erythroplakia c. Leukoplakia d. Erythroleukoplakia

c. Leukoplakia

What is the predominant type of tissue found in Waldeyer rings? a. Epithelial cells b. Skeletal muscle c. Lymphoid tissue d. Adipose tissue

c. Lymphoid tissue

The most common malignant salivary gland tumor is the: a. Adenoid cystic carcinoma b. Carcinoma ex pleomorphic adenoma c. Mucoepidermal carcinoma d. Warthin tumor

c. Mucoepidermal carcinoma

Which salivary gland neoplasm may arise as a multilocular radiolucency in the posterior mandible? a. Monomorphic adenoma b. Adenoid cystic carcinoma c. Mucoepidermoid carcinoma d. Pleomorphic adenoma

c. Mucoepidermoid carcinoma

A patient with an extramedullary plasmacytoma is at an increased risk of developing what disease? a. Osteosarcoma b. Chronic leukemia c. Multiple myeloma d. Acute leukemia

c. Multiple myeloma

Which of the following malignancies is characterized by a monoclonal spike on immunoelectrophoresis? a. Osteosarcoma b. Rhabdomyosarcoma c. Multiple myeloma d. Leukemia

c. Multiple myeloma

A malignant tumor of bone-forming tissue is called: a. Chondrosarcoma b. Multiple myeloma c. Osteosarcoma d. Rhabdomyosarcoma

c. Osteosarcoma

All of the following are associated with the neoplastic transformation of cells except one. Which one is the exception? a. Chemicals b. Sunlight c. Repeated trauma d. Viruses

c. Repeated trauma

The most common malignant soft tissue tumor of the hcad and neck in children is: a. Granular cell tumor b. Lymphangioma c. Rhabdomyosarcoma d. Schwannoma

c. Rhabdomyosarcoma

The most appropriate treatment for epithelial dysplasia is: a. Radiation therapy b. Chemotherapy c. Surgical excision d. Observation

c. Surgical excision

All of the following statements are correct concerning leukemia except one. Which one is the exception? a. Diffuse hemorrhagic, gingival enlargement may be an oral manifestation. b. It is characterized by overproduction of atypical white blood cells. c. Surgical excision is the treatment of choice. d. It can occur in all age groups.

c. Surgical excision is the treatment of choice.

Verrucous carcinoma is differentiated from squamous cell carcinoma because it: b. Responds to chemotherapy a. Occurs primarily on the hard palate c. Often metastasizes d. Has a better prognosis

d. Has a better prognosis

Which of the following neoplasms has the worst long-term prognosis? a. Basal cell carcinoma b. Verrucous carcinoma c. Mucoepidermoid carcinoma d. Metastatic tumor to the jaws

d. Metastatic tumor to the jaws

Central involvement of the jaws may occur with a: a. Granular cell tumor b. Basal cell carcinoma c. Melanocytic nevus d. Mucoepidermoid carcinoma

d. Mucoepidermoid carcinoma

Which of the following neoplasms occurs most often in males? a. Congenital epulis carcinoma b. Mucoepidermoid c. Pleomorphic adenoma d. Multiple myeloma

d. Multiple myeloma

Which of the following tumors is associated with von Recklinghausen disease? a. Schwannoma b. Granular cell tumor c. Chondroma d. Neurofibroma

d. Neurofibroma

Which of the following neoplasms is derived from odontogenic mesenchyme? a. Ameloblastoma b. Complex odontoma c. Adenomatoid odontogenic tumor d. Odontogenic myxoma

d. Odontogenic myxoma

All of the following are characteristic features of an ameloblastoma except one. Which one is the exception? a. Represents a benign tumor b. Most often occurs in the mandible c. May be radiographically multilocular d. Often encapsulated

d. Often encapsulated

A small white exophytic lesion on the palate is a benign lesion composed of squamous epithelium. Papillary projections are arranged in a cauliflower-like appearance. It is most likely a: a. Congenital epulis b. Neurofibroma c. Granular cell tumor d. Papilloma

d. Papilloma

The cell type responsible for the development of multiple myeloma is a: a. Lymphocyte b. Масrophage c. Basophil d. Plasma cell

d. Plasma cell

All of the following statements concerning an ameloblastoma are true except one. Which one is the exception? a. Presents as a small multilocular radiolucency b. Represents a benign and locally aggressive lesion c. Often occurs in the mandibular molar in Ramus area d. Should be treated with radiation therapy

d. Should be treated with radiation therapy

A patient with squamous cell carcinoma of the lateral tongue exhibits metastatic disease in the liver, What clinical srage correlates with these findings? a.Stage I b. Stage II c. Stage III d. Stage IV

d. Stage IV

What is the most common intraoral location for a neurofibroma and a schwannoma? a. Buccal mucosa b. Soft palate c. Gingiva d. Tongue

d. Tongue

All of the following are characteristic of a malignant tumor except one. Which one is the exception? a. Usually unencapsulated b. Contains abnormal mitotic figures c. Composed of pleomorphic cells d. Usually grows very slowly

d. Usually grows very slowly