MCQs in Oral Pathology

Chapter 10: Cysts of the jaw and neck

 

 

1- Which of the following are statements is correct regarding basal cell carcinoma?

  1. Causes absence of clavicles
  2. Presents as calcified falx cerebellum
  3. Presents as frontal and parietal bossing
  4. Is seen as multiple dentigerous cysts
  5. Presents as multiple basal cell haemangiomas

 

 

 

 

 

 

 

The answer is: C

 

2-Which of the following is true about dentigerous cysts:

  1. Is most often seen in the third molar area
  2. May undergo neoplastic transformation to ameloblastoma
  3. Is always radiolucent
  4. May be multilocular
  5. All the above

 

 

 

 

 

 

The answer is: E

 

3-A young adult male patient presents with an asymptomatic anterior palatal swelling. A radiograph shows a 1 cm radiolucency and divergence of roots of teeth #11 and #21. All teeth in the area are vital. The patient most likely has:

  1. Periapical granuloma
  2. Aneurysmal bone cyst
  3. Nasopalatine canal cyst
  4. Globulomaxillary cyst
  5. Dermoid cyst

 

 

 

 

 

 

The answer is: C

 

4-A submucosal mass developed in the midline of the floor of the mouth of a middle-aged male patient. The mass was asymptomatic and had a solid, doughy consistency. He most likely has:

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

 

 

 

 

 

 

 

The answer is: B

 

5-Which of the following conditions is painless:

  1. Osteoblastoma
  2. Chronic osteomyelitis
  3. Odontogenic keratocyst
  4. Chronic periapical abscess
  5. Acute pulpitis

 

 

 

 

 

 

The answer is: C

 

6-Which of the following cells can be seen in a periapical granuloma:

  1. Fibroblasts
  2. Lymphocytes
  3. Plasma cells
  4. Macrophages
  5. All the above

 

 

 

 

 

 

 

The answer is: E

 

7-Which of the following features is true regarding central giant cell granulomas:

  1. Elevated immunoglobulins
  2. Elevated serum alkaline phosphatase
  3. Elevated serum acid phosphatase
  4. Elevated serum calcium
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

8- A pear-shaped radiolucency causing displacement of the roots of vital maxillary lateral and cuspid teeth is characteristics of:

  1. Globulomaxillary cyst.
  2. Apical periodontal cyst.
  3. Primordial cyst.
  4. Nasoalveolar cyst.
  5. Lateral Periodontal Cyst.

 

 

 

 

 

 

The answer is: A

 

9-All the following developmental cysts of the jaws present as radiolucent lesions except:

  1. Median palatal cyst
  2. Nasopalatine duct cyst
  3. Nasoalveolar
  4. Globulomaxillary cyst
  5. Epidermoid cyst

 

 

 

 

 

 

 The answer is: C

 

10- Which of the following is the most common Developmental cyst:

 

  1. Nasopalatine duct cyst / Ant maxillary
  2. Median mandibular
  3. Globulomaxillary cyst
  4. Median palatal cyst

 

 

 

 

 

 

 

The answer is: A

 

11- A Radicular Cyst is associated with:

 

  1. Vital tooth
  2. Non-Vital tooth
  3. Both
  4. None

 

 

 

 

 

 

The answer is: B

 

12- Moth Eaten Appearance is seen in all EXCEPT:

 

  1. Osteomylletis
  2. Haemorrhagic Cyst
  3. OKC
  4. Osteosarcoma

 

 

 

 

 

 

The answer is: B

 

13- Radiographs of a 40 year old female revealed radiolucent areas around several of her mandibular teeth, all teeth which tested vital on the electric pulp tester. These areas represent:

 

  1. Multiple granulomas
  2. Periapical osteofibrosis
  3. Chronic Periapical abscess
  4. Bone hypoplasias associated with opalescent teeth

 

 

 

 

 

 

The answer is: B

 

14- A male patient aged 45 years complains of a firm, painless swelling in the anterior palate and bilaterally symmetrical heart shaped radiolucency in between the central incissors. The teeth are vital. Most probable diagnosis is:

 

  1. Nasoalveolar cyst
  2. Median Palatal cyst
  3. Globulomaxillary cyst
  4. Nasopalatine canal cyst

 

 

 

 

 

 

 

The asnwer is : D

 

15-An old female patient comes to your clinic for a regular check up. While assessing his panoramic xray you notice a bilateral radiolucencies in the mandible. The lesions are well defined and are located below the mandibular canal in the third molar region. The patient has no symptoms. She most likely has:

  1. Dentigerous cysts
  2. Globulomaxillary cysts
  3. Static bone cysts
  4. Traumatic bone cysts
  5. Radicular cysts

 

 

 

 

 

 

The answer is: C

 

16-A young teenage patient comes to your clinic for regular check up. While assessing his panoramic xray, you notice a well-defined radiolucent lesion in the body of the mandible. You decide to remove it surgically but at the time of operation it proved to be an empty cavity. This case is most likely to be:

  1. Osteoporotic bone marrow
  2. Aneurysmal bone cyst
  3. Odontogenic keratocyst
  4. Static bone cyst
  5. Traumatic bone cyst

 

 

 

 

 

 

The answer is: E

 

17-Which of the following is true about the globulomaxillary lesion of bone:

  1. Is associated with the crown of an unerupted tooth
  2. Occurs between maxillary lateral and canine teeth
  3. Typically causes pain
  4. Typically presents as a mixed lucent and opaque lesion with poorly defined margins
  5. All the above

 

 

 

 

 

 

The answer is: B

 

18-A young adult male patient come to your clinic with a 0.5 cm elevated lesion in the posterior lateral border of the. You decide to take a biopsy and you find a normal-appearing lymphoid tissue in the wall of a benign cystic lesion. This case is most likely to be:

  1. Dermoid cyst
  2. Thyroglossal tract cyst
  3. Squamous cell carcinoma
  4. Lymphoma
  5. Lymphoepithelial cyst

 

 

 

 

 

 

 

The answer is: E

 

19-Which of the following is an odontogenic cyst that most commonly occurs in the mandibular premolar area in association with vital teeth is:

  1. Periapical cyst
  2. Lateral periodontal cyst
  3. Static bone cyst
  4. Bohn's nodules
  5. Aneurysmal bone cyst

 

 

 

 

 

 

 

The answer is: B

 

20-Following healing of the extraction of tooth #38, a residual radiolucency was discovered. Biopsy showed tissue containing normal mature and immature blood cells and megakaryocytes. This is most likely to be a:

  1. Aneurysmal bone cyst
  2. Hematopoietic bone marrow defect
  3. Traumatic bone cyst
  4. Static bone cyst
  5. Periapical granuloma

 

 

 

 

 

 

 

The answer is: B

 

21-A young teenage male patient comes to your clinic with a cyst like radiolucency in the maxilla. The lesion contained no epithelium, but rather was composed of numerous sinusoidal spaces that were lined by granulation tissue and multinucleated giant cells. All teeth were vital and the patient had no symptoms. This lesion is most likely to be:

  1. Aneurysmal bone cyst
  2. Odontogenic keratocyst
  3. Traumatic bone cyst
  4. Static bone cyst
  5. Peripheral giant cell granuloma

 

 

 

 

 

 

The answer is: A

 

22-An old female patient comes to your clinic with an asymptomatic radiolucent lesion located apical to nonvital tooth #21. You decide to take a biopsy, and you find an inflamed granulation tissue and scar. This is most likely to be:

  1. Globulomaxillary cyst
  2. Nasopalatine canal cyst
  3. Dentigerous cyst
  4. Periapical granuloma
  5. Periapical cyst

 

 

 

 

 

 

The answer is: D

 

23-Which of the following is true regarding globulomaxillary lesion of bone:

  1. Is a synonym for odontogenic keratocyst
  2. Is a malignancy until proven otherwise
  3. Is associated with the crown of an unerupted tooth
  4. Requires no treatment
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

24-Stimulation and proliferation of the reduced enamel epithelium results in which of the following odontogenic cysts:

  1. Dentigerous cyst
  2. Lateral root cyst
  3. Radicular cyst
  4. Odontogenic keratocyst
  5. Gingival cyst

 

 

 

 

 

 

 

The answer is: A

 

25-Which of the following occurs inferior to the mandibular canal, does not change radiographically over time, and requires no treatment:

  1. Traumatic bone cyst
  2. Globulomaxillary cyst
  3. Calcifying odontogenic cyst
  4. Periapical cyst
  5. None of the above

 

 

 

 

 

 

 

The answer is: E

 

26-A young teenage male patient comes to your clinic and you find 2 cystic radiolucencies in the lower jaw lined by a thin parakeratinized epithelium showing palisading of basal cells. The patient had no complaint or symptoms. You decide to do a vitality test and find that all teeth were vital. This lesion is most likely to be:

  1. Odontogenic keratocysts
  2. Periapical granulomas
  3. Periapical cysts
  4. Traumatic bone cysts
  5. Central mucoepidermoid carcinomas

 

 

 

 

 

 

The answer is: A

 

27-Which of the following is true about periapical cyst:

  1. Is of developmental origin
  2. Is histologically keratinized
  3. Is always painful
  4. Causes death of the dental pulp
  5. Is associated with a nonvital tooth

 

 

 

 

 

 

 

The answer is: E

 

28-A young adult patient comes to your clinic for regular check up. While assessing his panoramic xray, you notice a uniform round opacity measuring 1.5 cm in diameter in the floor of the maxillary sinus. All normal landmarks in the maxilla appeared intact. The patient had no symptoms and no history of sinus problems. This lesion most likely represents which of the following:

  1. Variation of normal
  2. Necrotizing sialometaplasia
  3. Sjögren's syndrome
  4. Maxillary sinus retention cyst
  5. Carcinoma of the maxillary sinus

 

 

 

 

 

 

The answer is: D

 

29-A pathologic tract that connects two body surfaces is defined as a:

  1. Cyst
  2. Sinus
  3. Fistula
  4. Congenital anomaly
  5. GI tract

 

 

 

 

 

 

The answer is: C

 

30-Which of the following is NOT associated with vital teeth:

  1. Nasopalatine canal cyst
  2. Gingival cyst
  3. Periapical cyst
  4. Lateral periodontal cyst
  5. Dentigerous cyst

 

 

 

 

 

 

The answer is: C

 

31-When a diagnosis of odontogenic keratocyst is made, the patient should be informed about:

  1. The need for full mouth extractions
  2. The association with colonic polyps
  3. The associated recurrence rate
  4. The likelihood of malignant transformation
  5. None of the above

 

 

 

 

 

 

 

The answer is: C

 

32-Which of the following cysts is associated with an inflammatory process in the area of epithelial rests of Malassez:

  1. Odontogenic keratocyst
  2. Radicular cyst
  3. Traumatic bone cyst
  4. Dentigerous cyst
  5. Lateral periodontal cyst

 

 

 

 

 

 

The answer is: B

 

33-Which of the following conditions is NOT associated with early loss of deciduous teeth:

  1. Amelogenesis imperfecta
  2. Hyperthyroidism
  3. Burkitt's lymphoma
  4. Langerhans cell disease

 

 

 

 

 

 

 

The answer is: A

 

34-A young adult male patient comes to your clinic for regular check up. While assessing his panoramic xray, you notice a 2 to 3 cm radiolucency in the body of the mandible that extended between the roots of teeth #38, #37, and #36. All his teeth were vital, asymptomatic, and he had no impactions. Which of the following should be included in the differential diagnosis:

  1. Dentigerous cyst
  2. Traumatic bone cyst
  3. Periapical granuloma
  4. Lymphoepithelial cyst
  5. Stafne bone cyst

 

 

 

 

 

 

The answer is: B

 

35-Ameloblastomatous transformation has been associated with:

  1. Dentigerous cyst
  2. Thyroglossal tract cyst
  3. Stafne bone cyst
  4. Aneurysmal bone cyst
  5. None of the above

 

 

 

 

 

 

 

The answer is: A

 

36-Which of the following is a true nonodontogenic cyst of the jaws:

  1. Traumatic bone cyst
  2. Nasopalatine canal cyst
  3. Globulomaxillary cyst
  4. Dentigerous cyst
  5. Lateral root cyst

 

 

 

 

 

 

The answer is: B

 

37-Traumatic bone cysts are commonly seen in which age group:

  1. Children under the age of 10 years
  2. Teenagers
  3. Adults between the ages of 30 and 50 years
  4. Adults over the age of 60 years
  5. The is no age predilection for this pseudocyst

 

 

 

 

 

 

The answer is: B

 

38-A patient presents with an asymptomatic midline radiolucency (1 cm in diameter) between the apices of teeth #11 and #21. You notice caries on both teeth and both were nonvital with thermal and electric stimuli. This lesion is most likely to be:

  1. Globulomaxillary cyst
  2. Calcifying odontogenic cyst
  3. Nasopalatine canal cyst
  4. Dentigerous cyst
  5. Radicular (periapical) cyst

 

 

 

 

 

 

The answer is: E

 

39-In which of the following dental conditions are periapical cysts and/or granulomas typically seen as part of the natural history:

  1. Dens evaginatus
  2. Dens invaginatus
  3. Dentin dysplasia
  4. All the above
  5. None of the above

 

 

 

 

 

 

 

The answer is: D

 

40-One of the features of adenomatoid odontogenic tumor is:

  1. Slow growth
  2. Well-defined borders
  3. Benign pseudoglandular microscopic appearance
  4. Appearance in young adults
  5. All the above

 

 

 

 

 

 

The answer is: E

 

41-An 25-year old patient presents with a chronic low-grade pain associated with a root canal treated tooth #21. A biopsy of a periapical radiolucency associated with the tooth shows granulation tissue and scar lined by nonkeratinized epithelium. This patient has:

  1. Granulomatous infection
  2. Periapical granuloma
  3. Periapical cyst
  4. Periapical cemento-osseous dysplasia
  5. Odontogenic keratocyst

 

 

 

 

 

 

 

The answer is: C

 

42-A young teenage patient presents to your clinic with an asymptomatic, well-defined radiolucent lesion in the posterior aspect of his mandible. The lesion is found in association with an impacted molar. He most likely has:

  1. Dentigerous cyst
  2. Paget's disease
  3. Osteoblastoma
  4. Odontoma
  5. Periapical cemento-osseous dysplasia

 

 

 

 

 

 

The answer is: A

 

43-Which of the following complications may occur if an odontogenic cyst is left untreated:

  1. Expansion with bone resorption
  2. Neoplastic transformation of the epithelial lining
  3. Pathologic fracture
  4. Movement or resorption of teeth
  5. All the above

 

 

 

 

 

 

 

The answer is: E

 

44-The lesion that may present anywhere from the foramen caecum to the middle of the neck is known as:

  1. Globulomaxillary cyst
  2. Thyroglossal tract cyst
  3. Acute lymphadenitis
  4. Branchial cyst
  5. Lymphoepithelial cyst

 

 

 

 

 

 

 

The answer is: B

 

45-Sebum, found in the lumen of a midline cyst of the neck, is responsible for the doughy consistency that is associated with which of the following:

  1. Thyroglossal tract cyst
  2. Branchial cyst
  3. Dermoid cyst
  4. Cyst of the nasopalatine papilla
  5. None of the above

 

 

 

 

 

 

The answer is: C

 

46-All of the following are considered to be relatively common EXCEPT:

  1. Dentigerous cyst
  2. Odontoma
  3. Calcifying odontogenic cyst
  4. Periapical granuloma
  5. Periapical cyst

 

 

 

 

 

 

 

The answer is: C

 

47-The maxillary midline cyst that arises from proliferation of vestigial ductal rests is known as:

  1. Lateral periodontal cyst
  2. Nasopalatine canal cyst
  3. Dentigerous cyst
  4. Dermoid cyst
  5. Globulomaxillary cyst

 

 

 

 

 

 

 

The answer is: B