MCQs in Oral pathology

Chapter 7: Connective Tissue Lesions

 

 

1-Features of familial multiple neurofibroma with café-au-lait spots of the skin are typical of:

  1. Von Recklinghausen’s disease of skin
  2. Peget’s disease of skin
  3. Hereditary ectodermal dysplasia
  4. Familial fibrous dysplasia
  5. Papillion Lefevre Syndrome

 

 

 

 

 

 

The answer is: A

 

2-A middle-aged female patient presents to your clinic with a firm asymptomatic lump measuring 1 cm in the mandibular gingiva. The mass was well defined, firm, and the same color as the surrounding tissue. This condition is most likely to be:

  1. Granular cell tumor
  2. Peripheral fibroma
  3. Necrotizing sialometaplasia
  4. Salivary gland tumor
  5. Pyogenic granuloma

 

 

 

 

 

 

The answer is: B

 

3-An oral biopsy was taken from the tongue of a middle-aged female patient and was interpreted as a leiomyoma. This is:

  1. A benign neoplasm of smooth muscle
  2. A malignant neoplasm of skeletal muscle
  3. A reactive hyperplasia
  4. A benign tumor of salivary gland origin
  5. A congenital lesion of lymphatic vessels

 

 

 

 

 

 

The answer is: A

 

4-Which of the following conditions does not present in the gingiva:

  1. Peripheral giant cell granuloma
  2. Peripheral fibroma
  3. Congenital epulis of the newborn
  4. Pyogenic granuloma
  5. Neurofibroma

 

 

 

 

 

 

The answer is: E

 

5-Which of following can NOT be considered an oral reactive fibrous hyperplasia:

  1. Traumatic fibroma
  2. Peripheral fibroma
  3. Fibromatosis
  4. Generalized gingival hyperplasia
  5. Denture-induced hyperplasia

               

 

 

 

 

 

The answer is: C

 

6-The epithelial condition that represents an unusual form of epithelial hyperplasia and mimics squamous cell carcinoma is:

  1. Pseudoepitheliomatous hyperplasia
  2. Reactive hyperplasia
  3. Myxomatous change
  4. Basophilic degeneration
  5. Acanthosis

 

 

 

 

 

 

The answer is: A

 

7-Congenital epulis of the newborn is identical microscopically to which of the following conditions:

  1. Neurilemmoma
  2. Neurofibroma
  3. Peripheral ossifying fibroma
  4. Rhabdomyoma
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

8-A middle-aged male patient comes to your clinic with an indurated, ulcerated lesion in his tongue. You decide to take a biopsy  and you find proliferation of malignant mesenchymal cells, and immunohistochemistry showed that the tumor cells contained actin, myogenin and desmin. This condition is most likely to be:

  1. Nodular fasciitis
  2. Hodgkin's disease
  3. Leiomyoma
  4. Rhabdomyosarcoma
  5. Squamous cell carcinoma

 

 

 

 

 

 

The answer is: D

 

9-Which of the following site does peripheral ossifying fibromas usually presents on:

  1. Ramus of the mandible
  2. Lips
  3. Tongue
  4. Palate
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

10-A patient presents to your clinic complaining of a painful nodule on the soft tissue in the lower premolar area. You decided to take a biopsy and you found mixture of both hyperplastic nerve tissue and scar. The condition is most likely to be:

  1. Nodular fasciitis
  2. Traumatic neuroma
  3. Peripheral fibroma
  4. Granular cell tumor
  5. Neurofibroma

 

 

 

 

 

 

The answer is: B

 

11-Denture-induced fibrous hyperplasia that is associated with the flanges of poorly fitting dentures is usually seen in:

  1. Retromolar pad
  2. Buccal mucosa
  3. Lateral border of the tongue
  4. Anterior vestibular mucosa
  5. Hard palate

 

 

 

 

 

 

The answer is: D

 

12-Which of the following is not considered a connective tissue reactions to injury:

  1. Pyogenic granuloma
  2. Traumatic neuroma
  3. Peripheral ossifying fibroma
  4. Lymphangioma
  5. Peripheral fibroma

 

 

 

 

 

 

 

The answer is: D

 

11-Which of the following conditions have risk of malignant transformation when occurring as multiple lesions, in conjunction with pigmented patches of the skin:

  1. Lipoma
  2. Neurofibroma
  3. Granular cell tumor
  4. Traumatic fibroma
  5. Traumatic neuroma

 

 

 

 

 

 

 

The answer is: B

 

12-Which of the following conditions originate from Schwann cell:

  1. Leiomyoma
  2. Rhabdomyoma
  3. Neurilemmoma
  4. Mixed tumor
  5. None of the above

 

 

 

 

 

 

 

The answer is: C

 

13-Granular cell tumors of the adult is commonly seen on:

  1. Gingiva
  2. Upper lip
  3. Lower lip
  4. Tongue
  5. Buccal mucosa

 

 

 

 

 

 

The answer is: D

 

14-A young adult male patient presented with the second recurrence of a buccal mucosa mass. The lesion was composed of fibrous connective tissue and was cytologically benign. However, it was nonencapsulated and freely infiltrated surrounding soft tissue. This condition is most likely to be:

  1. Fibromatosis
  2. Traumatic fibroma
  3. Reactive hyperplasia
  4. Pyogenic granuloma
  5. Hyperplastic scar

 

 

 

 

 

 

The answer is: A

 

15-Surgical excision is the treatment of choice for which of the following:

  1. Traumatic fibroma
  2. Traumatic neuroma
  3. Granular cell tumor
  4. Neurofibroma
  5. All the above

 

 

 

 

 

 

 

The answer is: E

 

16-Pseudoepitheliomatous hyperplasia is a frequent microscopic finding of a neural-derived benign tumor in which granular cells expand submucosa. This lesion is known as:

  1. Traumatic neuroma
  2. Neurofibroma
  3. Neurilemmoma
  4. Leiomyoma
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

17-A reactive hyperplasia with cobblestone architecture that is seen in the palate of patients with ill-fitting maxillary dentures is known as:

  1. Verruciform xanthoma
  2. Condyloma acuminatum
  3. Papillary hyperplasia
  4. Keratoacanthoma
  5. None of the above

 

 

 

 

 

 

The answer is: C

 

18-In addition to multiple neurofibromas, what other lesions are seen as part of the syndrome neurofibromatosis:

  1. Traumatic neuromas
  2. Mucosal vascular malformations
  3. Intestinal polyps
  4. Pigmented cutaneous patches
  5. Odontogenic keratocysts

 

 

 

 

 

 

 

The answer is: D

 

19-Nifedipine-induced gingival hyperplasia may be confused clinically with all of the following EXCEPT:

  1. Dilantin-induced hyperplasia
  2. MEN III
  3. Idiopathic gingival hyperplasia
  4. Leukemic infiltrates of gingiva
  5. Generalized gingival hyperplasia associated with "local factors"

 

 

 

 

 

 

 

The answer is: B

 

20-Which of the following is known to behave in a clinically aggressive fashion and have a significant recurrence rate:

  1. Schwannoma
  2. Granular cell tumor
  3. Neurofibroma
  4. Fibromatosis
  5. Monomorphic adenoma

 

 

 

 

 

 

The answer is: D

 

21-The cells found in the congenital epulis of the newborn are identical or nearly identical to the cells making up which of the following tumors:

  1. Neurilemmoma
  2. Peripheral giant cell granuloma
  3. Mixed tumor
  4. Granular cell tumor
  5. None of the above

 

 

 

 

 

 

 

The answer is: D

 

22- A 54-year-old woman developed an asymptomatic 1 cm nodule in her buccal mucosa. An excisional biopsy was done and was described microscopically as a circumscribed mass of dense collagen and fibroblasts. This would be a:

  1. Pyogenic granuloma
  2. Peripheral fibroma
  3. Focal fibrous hyperplasia
  4. Neurofibroma
  5. Papilloma

 

 

 

 

 

 

The answer is: C

 

23-Trauma or irritation is believed to be the cause of all the following EXCEPT:

  1. Papillary hyperplasia
  2. Mucous extravasation phenomenon
  3. Peripheral fibroma
  4. Pyogenic granuloma
  5. Neurofibroma

 

 

 

 

 

 

The answer is: E

 

24-A 1 cm pedunculated lesion of the gingiva of a 3-month-old girl was described microscopically as being composed of granular cells covered by thin epithelium. This describes which of the following:

  1. Peripheral fibroma
  2. Dysplastic oral wart
  3. Gingival cyst
  4. Neuroectodermal tumor of infancy
  5. Congenital granular cell tumor

 

 

 

 

 

 

 

The answer is: E

 

25-A significant risk of malignant transformation is associated with which of the following:

  1. Papillary hyperplasia
  2. Peripheral ossifying fibroma
  3. Squamous papilloma
  4. Focal epithelial hyperplasia (Heck's disease)
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

26-Which of the following verrucal-papillary lesions is associated with the wearing of ill-fitting dentures and frequently Candida albicans overgrowth:

  1. Papillary hyperplasia
  2. Verrucous carcinoma
  3. Keratoacanthoma
  4. Condyloma acuminatum
  5. Oral wart

 

 

 

 

 

 

The answer is: A

 

27-Pain is often a characteristic clinical feature of which of the following lesions:

  1. Squamous papilloma
  2. Pyogenic granuloma
  3. Palatal papillomatosis
  4. Traumatic fibroma
  5. Traumatic neuroma

 

 

 

 

 

 

 

The answer is: E

 

28-A submucosal mass developed in the midline of the floor of the mouth of a 34-year-old man. It was asymptomatic and had a solid, doughy consistency. This would most likely be which of the following:

  1. Odontogenic keratocyst
  2. Branchial cyst
  3. Dermoid cyst
  4. Squamous cell carcinoma
  5. Squamous papilloma

 

 

 

 

 

 

The answer is: C

 

29-Acute leukemias, especially monocytic leukemias, may cause oral manifestations of bleeding and:

  1. Generalized gingival hyperplasia
  2. Mucous extravasation
  3. Focal lymphoid hyperplasia
  4. Melanosis
  5. All the above

 

 

 

 

 

 

The answer is: A

 

30-The condition in which a patient may develop cafe-au-lait macules patches on skin and mucocutaneous neurofibromas is known as:

  1. Gorlin's syndrome
  2. MEN III
  3. Neurofibromatosis
  4. Melanoma
  5. None of the above

 

 

 

 

 

 

The answer is: C

 

31-Which of the following is true about oral reactive hyperplasias:

  1. Are relatively rare in dental patients
  2. Are etiologically associated with immunodeficiency
  3. Represent over an overexuberant repair process
  4. Are caused by Candida albicans
  5. All the above

 

 

 

 

 

 

 

The answer is: C

 

32-Which of the following is true about oral reactive hyperplasias:

  1. Represent premalignant processes
  2. Are caused by overgrowth of oral bacterial flora
  3. Represent preneoplastic processes
  4. Are relatively common in dental patients
  5. All the above

 

 

 

 

 

 

The answer is: D

 

33-Mucosal plexiform neuromas, pheochromocytomas, and thyroid medullary carcinoma are components of which of the following syndromes:

  1. Peutz-Jeghers syndrome
  2. MEN III
  3. Addison's disease
  4. von Recklinghausen's disease of skin
  5. Sjögren's syndrome

 

 

 

 

 

 

 

The answer is: B

 

34-Pseudoepitheliomatous hyperplasia is a microscopic phenomenon that mimics squamous cell carcinoma microscopically and is frequently associated with which of the following:

  1. Peripheral giant cell granuloma
  2. Peripheral fibroma
  3. Congenital epulis of the newborn
  4. Pyogenic granuloma
  5. Granular cell tumor

 

 

 

 

 

 

The answer is: E

 

35-A clinical differential diagnosis of an asymptomatic submucosal lump or nodule in the dorsum of the tongue would include all of the following EXCEPT:

  1. Traumatic fibroma
  2. Neurofibroma
  3. Granular cell tumor
  4. Salivary gland tumor
  5. Dermoid cyst

 

 

 

 

 

 

The answer is: E

 

36-Focal fibrous hyperplasia is a synonym for which of the following:

  1. Traumatic fibroma
  2. Peripheral fibroma
  3. Hyperplastic scar
  4. Denture-induced hyperplasia
  5. All the above

 

 

 

 

 

 

 

The answer is: E

 

37-Which of the following disorders has a significant potential for developing into a malignancy:

  1. Papilloma
  2. Denture-induced hyperplasia
  3. Peripheral giant cell granuloma
  4. Granular cell tumor
  5. None of the above

 

 

 

 

 

 

 

The answer is: E