MCQs on Oral Manifestations of Systemic Diseases

# Delayed eruption of at least part of the dentition is a recognized feature of all of the following EXCEPT:
A. Rickets
B. Congenital Hyperthyroidism
C. Cleidocranial Dysplasia
D. Cherubism

# A five year old child presents with chronic bed wetting and bilateral loose deciduous first molars. His mother says that he wants to drink water several times during each night. Which of the following is the most likely diagnosis?
A. Hand-Schuller-Christian Disease
B. Marble bone Disease
C. Niemann Pick Disease
D. Polyostotic Fibrous Dysplasia

Oral Pathology MCQs - Viral Infections

# The feature that distinguishes Herpes Zoster from other Vesiculobullous eruptions is :
A. Unilateral occurence
B. Severe burning pain
C. Prominent crusting vesicles
D. Subepidermal bullous formation

# A 3 year old child has a fever of 102 degrees F ; and following upper respiratory tract infection discrete vesicles and ulcers on the soft palate and pharynx are noted. The most probable diagnosis is :
A. Herpangina
B. Scarlet fever
C.Rubella
D. Herpetic gingivostomatitis

# Intra nuclear inclusions detected during the course of Herpes simplex virus infection are called:
A. Bacteriophages
B. Lipschutz bodies
C. Negri bodies
D. Donovan bodies

# Coxsackie virus causes:
A. Infectious mononucleosis
B. Lymphoma
C. Herpangina
D. Herpes

# Koplik spots :
A. first manifestation of measles
B. rarely seen in measles
C. are seen 2-3 days after cutaneous rashes
D. is first manifestation but seldom seen

# Recurrent ulcers occuring on gingiva and palate are most probably:
A. Aphthous ulcers
B. Herpes simplex
C. Koplik spots
D. Lesions of Behcet's syndrome

# Which of the following is associated with HIV infection ?
A. Hairy Leukoplakia
B. Erythroplakia
C. Oral Lichen Planus
D. Bullous Pemphigoid

# Primary herpetic lesions involving the gingiva are most likely to occur during ages:
A. 1-5 years
B. 6-12 years
C. 13-16 years
D. They are likely to occur at any ages

# Inflammation of the dorsal root ganglion and vesicular eruption of the skin and mucous membrane in area supplied by a sensory nerve that is affected is characteristic of :
A. Herpes Zoster
B. Herpes Simplex
C. Uveoparotid fever
D. Aphthous stomatitis


# Mumps is caused by :
A. Orthomyxo virus
B. Paramyxo virus
C. Rheno virus
D. EB virus

# The reason why most patients suffering from recurrent Herpes labialis rarely give a history of having acute form of the Herpetic gingivostomatitis is because:
A. Etiological agents differ
B. The acute form occurs only in severely immunocompromised individuals
C. The primary infection was subclinical
D. The patient has received antibodies during intrauterine life and the antibodies have persisted

# In Herpes, primary lesion is:
A. Ulcer
B. Papule
C. vesicle
D. Bullae

# Which of the following medications shortens the recovery period of primary herpetic gingivostomatitis?
A. Acyclovir
B. Zidovudine
C. Kenalog in Orabase
D. All of the above

# The cranial nerve involved in Ramsay Hunt Syndrome is :
A. Trigeminal
B. Facial
C. Glossopharyngeal
D. Occulomotor

# All about Herpangina are false EXCEPT:
A. May lead to high grade fever
B. May cause dysphagia
C. May lead to vesicles formation in anterior part of mouth around 20-30 in number
D. Anterior portion of mouthhave only minor vesicles

# Herpetiformis vesicles, which rupture and leave areas of superficial intraoral ulcers are caused by:
A. Varicella Zoster Virus
B. Herpes Zoster Virus
C. Coxsackie Virus
D. None of the above

MCQs on Odontogenic cysts and Tumors - Oral Pathology Part 2

# Ghost (Shadow) cells are seen in:
A. Ameloblastic fibroodontoma
B. Calcifying odontogenic cyst
C. Compound Odontoma
D. All of the above

# A 25 year old male patient reports with a bony expansile swelling of the right body of the mandible & mild paraesthesia of the IDN. OPG shows a multilocular  radiolucency without root resorption.
i) What would be your choice of next investigation?
A. Excision biopsy
B. Aspiration cytology
C. CT scan
D. PET bone scan

ii) A dirty white aspirate with a protein estimation of <4gm% is suggestive of:
A. Ossifying fibroma
B. Dentigerous cyst
C. Mucoepidermoid carcinoma
D. Odontogenic keratocyst

iii) Odontogenic keratocyst is noted for its:
A. Malignant transformation
B. Daughter cysts and high rate of recurrence
C. Impacted teeth
D. Nodal metastasis

iv) Management of odontogenic keratocyst involves :
A. Marsupialization
B. Enucleation
C. Enucleation with peripheral ostectomy
D. Resection and radiation

# Treatment for cementoma : (two answers)
A. No treatment
B. Pulpectomy
C. Resection of jaw
D. None of the above

# Lesions associated with vital tooth :
A. Condensing osteitis
B. Cementoma
C. Periapical abscess
D. None of the above

# Destructively invasive, locally malignant with rare metastasis, the lesion is:
A. Fibroma
B. Ameloblastoma
C. Papilloma
D. None of the above

# Compound odontoma shows :
A. Mixed tissue of dental origin with no rsemblance to tooth structure
B. Numerous tooth like structure with denticles commonly found in maxillary lateral incisors
C. Haphazardly arranged calcified mass
D. all of the above

# Dentigerous cyst is suspected if the follicular space is more than:
A. 2-3 mm
B. 3-4 mm
C. 1-2 mm
D. >5 mm

# After entering a radiolucent lesion in a 30 yr old man, hollow cavity without epithelial lining is seen, the most probable diagnosis is :
A. Aneurysmal bone cyst
B. Static bone cavity
C. Hemorrhagic bone cyst
D. Ameloblastoma

# A patient with ameloblastoma of the jaw can best be treated by:
A. Irradiation
B. Excision
C. Enucleation
D. Surgical removal followed by cauterization
# Dentigerous cyst is associated with the following :
A. Impacted third molar
B. Impacted supernumerary tooth
C. Odontome
D. All of the above

# The epithelium of a dentigerous cyst is :
A. 15-20 cell thick
B.  6-10 cell thick
C. 2-4 cell thick
D. 1-2 cell thick

# Clear cells are commonly seen in which of the following lesions ?
A. Pleomorphic
B. Warthin's tumor
C. Mucoepidermoid
D. Adenomatoid odontogenic tumor

# Multiple periapical radiolicencies are seen in:
A. Jaw cyst basal cell nevus syndrome
B. Odontogenic keratocyst
C. Cherubism
D. Thyroid disorders

# A 36 year old male with an asymptomatic swelling in the body of the mandible with radiographic features of radiolucency with radiopaque flecks is suffering from :
A. Odontogenic keratocyst
B. Calcifying epithelial odontogenic tumor (CEOT)
C. Ameloblastoma
D. None of the above

# Pindborg tumor arises from : (two answers correct)
A. Basal layer of cells
B. Stratum intermedium
C. Stratum corneum
D. Dental lamina

# A six year old child patient has blue dome shaped swelling in posterior mandibular region, what will be the treatment plan?
A. reassure the patient without any treatment
B. Excise the lesion
C. Marsupialization
D. Surgical excision

# The pathogenesis of periapical cyst is :
A. Increased pressure within the cyst
B. Immune mediated bone destruction
C. Proliferation of  epithelium
D. None

# Adenomatoid odontogenic tumor is characterized histologically by :
A. Polyhedral epithelial cells
B. Tubular/duct like cells
C. Stellate shaped cells
D. Stratified squamous epithelial cells

# Cyst arising from dental lamina :
A. Radicular cyst
B. Paradental cyst
C. Eruption cyst
D. Glandular odontogenic cyst
# The most common odontogenic cyst is:
A. Primordial cyst
B. Dentigerous cyst
C. Radicular cyst
D. Mucocele

# Standard treatment of ameloblastoma :
A. Segmental resection with 1 cm of normal bone
B. Enbloc resection
C. Enucleation
D. Enucleation with cauterization

# The most aggressive and destructive cyst is :
A. Periapical cyst
B. Dentigerous cyst
C. Globullomaxillary cyst
D. Nasopalatine cysst

# Facial nerve paralysis is common with:(D>B)
A. Pleomorphic adenoma
B. Epidermoid carcinoma
C. Warthin's tumor
D. Lymphoepithelial carcinoma

# COC is now called as:
A. Odontogenic ghost cell tumor
B. Dentinogenic ghost cell tumor
C. Keratocystic Odontogenic tumor
D. A and C

# Multiple bilateral dentigerous cysts are seen in:
A. Down's syndrome
B. Maroteaux Lamy syndrome
C. Treacher Collins Syndrome
D. Gorlin Goltz syndrome

# The cyst that remains behind in the jaws after removal of the tooth is :
A. Lateral periodontal cyst
B. Radicular cyst
C. Residual cyst
D. None of the above

# Corrugated collagenous rings surrounding lymphocytes and plasma cells in the walls of inflammatory cysts are called:
A. Rushton bodies
B. Hyaline bodies
C. Howell-Jolly Bodies
D. Papenheimer bodies

# Potential complications stemming from dentigerous cyst are:
A. Ameloblastoma
B. Epidermoid carcinoma
C. Mucoepidermoid carcinoma
D. All of the above

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MCQs on Developmental Disturbances of Orofacial Region - Oral Pathology Part 1

# A union of the roots of adjacent teeth through the cementum is referred to as :
A. Concrescence
B. Fusion
C. Gemination
D. None of the above

# The term dilaceration refers to :
A. A deformity of a tooth consisting of a sharp bend in the root
B. Abrasions on two surfaces of a single tooth
C. A root or tooth that is split into two
D. A tooth that is fractured at two or more places