MCQs in Oral Pathology

Chapter 9: Lymphoid Lesions

 

1-Therapeutic radiation for lymphoma of the palatine tonsil may cause or result in which of the following:

  1. Cervical caries
  2. Scarring of salivary glands
  3. Xerostomia
  4. Mucositis
  5. All the above

 

 

 

 

 

The answer is: E

 

2-Which of the following is true about oral extranodal lymphomas:

  1. May be expression of systemic disease
  2. May represent the primary site of the disease
  3. Are rarely of the Hodgkin's type
  4. Present as masses or ulcerated masses
  5. All the above

 

 

 

 

 

The answer is: E

 

3-In which of the following lesions, oral extranodal lymphomas are most commonly seen:

  1. Buccal mucosa
  2. Tongue
  3. Palate
  4. Floor of the mouth
  5. None of the above

 

 

 

 

 

The answer is: C

 

4-which of the following is true about Hodgkin's disease:

  1. Rarely affects the tissues of the oral cavity
  2. Continues to have a poor prognosis despite new therapeutic regimens
  3. Is a neoplasm of salivary gland origin
  4. Has been linked etiologically to a mycobacterium
  5. None of the above

 

 

 

 

 

 

The answer is: A

 

5-Which of the following sites does ectopic lymphoid tissue usually presents on:

  1. Posterior lateral tongue
  2. Floor of mouth
  3. Soft palate
  4. Tonsillar pillar
  5. All the above

 

 

 

 

 

 

The answer is: E

 

6-A 25-year-old woman developed a recurrent mass in her buccal mucosa. On biopsy, the lesion was described as a benign spindle cell proliferation. All of the following are consistent with this description EXCEPT:

  1. Fibromatosis
  2. Low-grade fibrosarcoma
  3. Nodular fasciitis
  4. Fibrous histiocytoma
  5. Lymphoma

 

 

 

 

 

 

The answer is: E

 

7-Mucosal neuromas, pheochromocytoma, and medullary carcinoma of the thyroid comprise which of the following syndromes:

  1. Albright's syndrome
  2. Sjögren's syndrome
  3. von Recklinghausen's disease of skin
  4. Peutz-Jeghers syndrome
  5. None of the above

 

 

 

 

 

 

The answer is: E

 

8-A 33-year-old patient presents with an asymptomatic swelling of her right submandibular space. Which of the following should be considered in a clinical differential diagnosis:

  1. Chronic lymphadenitis
  2. Salivary gland tumor
  3. Lymphoepithelial cyst
  4. Lymphoma
  5. All the above

 

 

 

 

 

The answer is: E

 

9-Which of the following is seen with increased frequency in AIDS patients:

  1. Lymphangioma
  2. Salivary gland tumors
  3. Lymphoma
  4. Verrucous carcinoma
  5. Odontogenic keratocysts

 

 

 

 

 

 

The answer is: C

 

10-Three small (2 mm) nodular, nonulcerated, and asymptomatic lesions were found in the floor of the mouth of a 21-year-old man. Microscopically, the lesions were composed of a collection of normal mature lymphocytes with germinal centers. This patient has:

  1. Lymphoma
  2. Mucous extravasation phenomenon
  3. Fordyce granules
  4. Dermoid cysts
  5. Ectopic lymphoid tissue

 

 

 

 

 

 

The answer is: E

 

11-A 16-year-old girl had an asymptomatic 2 × 3 cm crepitant mass in her tongue. It was slightly lighter in color than the surrounding tissue. Biopsy showed numerous endothelial-lined channels. This is a:

  1. Granular cell tumor
  2. Ranula
  3. Mucocele
  4. Lymphangioma
  5. Lymphoma

 

 

 

 

 

 

The answer is: D

 

12-A 0.5 cm lump in the posterior lateral border of the tongue of a 21-year-old man was biopsied. Microscopically, there was normal-appearing lymphoid tissue in the wall of a benign cystic lesion. This would be consistent with:

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

 

 

 

 

 

 

The answer is: E

 

13-A 32-year-old HIV-positive patient developed an ulcerated gingival mass that was biopsied and diagnosed as high-grade lymphoma. A staging workup showed that he had stage IV disease. His prognosis relative to his lymphoma would be:

  1. Excellent
  2. Good
  3. Fair
  4. Poor

 

 

 

 

 

 

The answer is: D

 

14-Oral extranodal lymphomas are most likely to present as ulcerated or nonulcerated masses in which of the following sites:

  1. Buccal mucosa
  2. Tongue
  3. Palate
  4. Floor of the mouth
  5. Lower lip

 

 

 

 

 

 

The answer is: C

 

15-Staging of a lymphoma refers to which of the following:

  1. Patient symptoms
  2. Histologic subtype
  3. Clinical extent of disease
  4. Inflammatory component in the biopsy specimen
  5. Five-year survival rate

 

 

 

 

 

The answer is: C

 

16-The palate is the site of predilection for all of the following EXCEPT:

  1. Squamous cell carcinoma
  2. Polymorphous low-grade adenocarcinoma
  3. Lymphoma
  4. Adenoid cystic carcinoma
  5. Necrotizing sialometaplasia

 

 

 

 

 

 

The answer is: A

 

17-Which of the following malignancies would most likely be seen in children:

  1. Burkitt's lymphoma
  2. Osteosarcoma arising in Paget's disease
  3. Multiple myeloma
  4. Metastatic colon cancer
  5. None of the above

 

 

 

 

 

 

The answer is: A

 

18-The Epstein Barr virus may be associated with the etiology and pathogenesis of which of the following jaw lesions:

  1. Garre's disease
  2. Ewing's tumor
  3. Burkitt's lymphoma
  4. Central giant cell granuloma
  5. Osteogenesis imperfecta

 

 

 

 

 

 

The answer is: C