MCQs in Oral Pathology

Chapter 13: Inflammatory jaw lesions

 

 

1- Which of the following presents as radiopaque area found at the root apex of young permanent teeth involved in chronic pulpitis:

 

  1. Apical Cyst
  2. Apical Condensing Osteitis
  3. Chronic Apical Periodontitis
  4. Stage one Apical Osteofibrosis

 

 

 

 

 

 

 

The answer is: B

 

2-Jaw pain is a feature most often associated with:

  1. Periapical granuloma
  2. Periapical cemento-osseous dysplasia
  3. Periapical abscess
  4. Odontogenic keratocyst
  5. Dentigerous cyst

 

 

 

 

 

 

The answer is: C

 

3-Which of the following is defined as an inflammatory process of the jaws that results in reduplication of the periosteum, as well as medullary bone inflammation:

  1. Acute osteomyelitis
  2. Diffuse sclerosing osteomyelitis
  3. Condensing osteitis
  4. Garre's osteomyelitis
  5. Focal sclerosing osteomyelitis

 

 

 

 

 

 

The answer is: D

 

4-Which of the following is can result from an acute periapical abscess:

  1. Acute osteomyelitis
  2. Parulis
  3. Sinus tract to skin
  4. Periapical granuloma
  5. All the above

 

 

 

 

 

 

The answer is: E

 

5-A patient presents to your clinic with severe tooth pain. The tooth is tender to percussion. A radiograph shows only slight thickening of the apical periodontal membrane space. The tooth shows no response to electric pulp testing. He most likely has:

  1. Chronic pulpitis
  2. Periapical granuloma
  3. Periapical abscess
  4. Periapical cyst
  5. Osteosarcoma

 

 

 

 

 

The answer is: C

 

6-Which of the following mandibular conditions is least likely to cause numb lip:

  1. Periapical abscess
  2. Metastatic carcinoma of the lung
  3. Osteosarcoma
  4. Periapical granuloma
  5. Multiple myeloma

 

 

 

 

 

 

The answer is: D

 

7-Microscopically, abundant multinucleated giant cells are seen in a benign connective tissue matrix in all the following EXCEPT:

  1. Central giant cell granuloma
  2. Cherubism
  3. Periapical granuloma
  4. Hyperparathyroidism
  5. Peripheral giant cell granuloma

 

 

 

 

 

 

The answer is: C

 

8-Serum calcium would be significantly elevated in which of the following:

  1. Central giant cell granuloma
  2. Cherubism
  3. Ameloblastoma
  4. Langerhans cell disease (idiopathic histiocytosis) of the mandible
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

9-A periosteal reaction in which there is concentric layering of expanding cortical bone known as onion skinis most often associated with which of the following:

  1. Hyperparathyroidism
  2. Burkitt's lymphoma
  3. Garre's osteomyelitis
  4. Ameloblastoma
  5. Odontogenic keratocyst

 

 

 

 

 

 

The answer is: C

 

10-On routine radiographic exam, an asymptomatic, well-circumscribed 0.5 cm diameter radiopaque lesion was found at the apex of tooth no. 19 in a 46-year-old woman. The pulp tested weakly vital. This low-grade bone reaction to chronic pulpitis is known as:

  1. Focal reactive periostitis
  2. Periapical granuloma
  3. Cementoblastoma
  4. Focal sclerosing osteitis
  5. Periapical cemento-osseous dysplasia

 

 

 

 

 

 

The answer is: D

 

11-A 23-year-old man presents with an asymptomatic lesion in his anterior maxilla. It is in the midline, measures 1.5 cm, and is located near the apex of tooth #11. The tooth is carious and tests nonvital with thermal and electric stimuli. He probably has:

  1. Periapical granuloma
  2. Odontogenic myxoma
  3. Nasopalatine canal cyst
  4. Odontogenic keratocyst
  5. Central giant cell granuloma

 

 

 

 

 

 

The answer is: A

 

12-All the following are associated with vital teeth EXCEPT:

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

 

 

 

 

 

 

The answer is: C

 

13-Garre's osteomyelitis is usually associated with which of the following:

  1. Trauma to the jaws
  2. Immune dysfunction
  3. Gingivitis
  4. Actinomycotic infection
  5. Decayed mandibular molar

 

 

 

 

 

 

 

The answer is: E

 

14-Low grade intrabony inflammation is a primary factor in the stimulation of which of the following lesions:

  1. Focal sclerosing osteitis
  2. Lateral root cyst
  3. Dentigerous cyst
  4. Acromegaly
  5. Fibrous dysplasia

 

 

 

 

 

 

 

The answer is: A