Chapter 10: Cysts Of The Jaws And Neck

Test Bank
MULTIPLE CHOICE
1. A submucosal mass developed in the midline of the floor of the mouth of a 34-yearold man. It was asymptomatic and had a solid, doughy consistency. This would most
likely be which of the following?
a. Odontogenic keratocyst
b. Branchial cyst
c. Dermoid cyst
d. Squamous cell carcinoma
e. Squamous papilloma
ANS: C

REF: Chap 10 (Dermoid cyst/Box 10-16), pp 266-267

2. The lesion that may present anywhere from the foramen caecum to the middle of the
neck is known as:
a. Globulomaxillary cyst
b. Thyroglossal tract cyst
c. Acute lymphadenitis
d. Branchial cyst
e. Lymphoepithelial cyst
ANS: B

REF: Chap 10 (Thyroglossal tract cyst), pp 267-268

3. A clinical differential diagnosis of an asymptomatic submucosal lump or nodule in the

dorsum of the tongue would include all the following except:
a. Traumatic fibroma
b. Neurofibroma
c. Granular cell tumor
d. Salivary gland tumor
e. Dermoid cyst
ANS: E

REF: Chap 10 (Dermoid cyst), pp 266-267

4. An asymptomatic 2 3 cm mass in the lateral neck of a 25-year-old man was biopsied.

Microscopically, it was a cyst surrounded by lymphoid tissue. The diagnosis would
be:
a. Epidermal inclusion cyst
b. Ectopic lymphoid tissue
c. Branchial cyst
d. Thyroglossal tract cyst
e. Dermoid cyst
ANS: C
REF: Chap 10 (Branchial cyst/cervical lymphoepithelial cyst), pp 265-266
5. Which of the following would most likely present as an asymptomatic midline
swelling of the neck?
a. Branchial cyst
Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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b.
c.
d.
e.

Dermoid cyst
Acute lymphadenitis
Globulomaxillary cyst
None of the above

ANS: B

REF: Chap 10 (Dermoid cyst), pp 266-267

6. The static bone cyst, if biopsied, exhibits which of the following microscopic
features?
a. Virtually nothing, as it represents a dead space
b. Hematopoietic tissue
c. Fibrous tissue lined by respiratory-type epithelium
d. Salivary gland and other soft tissues that normally reside in the area
e. Granulation tissue and giant cells
ANS: D
264-265

REF: Chap 10 (Static bone cyst [Stafnes bone defect]), pp

7. The nevoid basal cell carcinoma syndrome includes multiple basal cell carcinomas,
bone abnormalities, and multiple:
a. Traumatic bone cysts
b. Calcifying odontogenic cysts
c. Oral squamous carcinomas
d. Oral mucosal hamartomas
e. None of the above
ANS: E

REF: Chap 10 (Box 10-8), p 258

8. A cystic lesion at the apex of tooth no. 10 was described microscopically as an

inflamed fibrous sac lined by nonkeratinized stratified squamous epithelium. The
tooth was nonvital. This is a(n):
a. Odontogenic keratocyst
b. Periapical cyst
c. Periapical granuloma
d. Traumatic bone cyst
e. Globulomaxillary cyst
ANS: B
REF: Chap 10 (Periapical [radicular] cyst/Clinical features), pp 247-248
9. A 16-year-old patient was found to have a unicystic radiolucency in the body of the
mandible between the roots of vital teeth nos. 28 and 29. Thin parakeratinized
epithelium was found lining the cystic space on biopsy. This is a(n):
a. Lateral root cyst
b. Traumatic bone cyst
c. Odontogenic keratocyst
d. Laterally positioned periapical cyst
e. Cyst of dental lamina
ANS: C

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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REF: Chap 10 (Odontogenic keratocyst/Keratocystic odontogenic tumor/Clinical

features), pp 255-256
10. The periapical cyst lining develops because of inflammatory stimulation of which of
the following types of epithelium?
a. Junctional epithelium
b. Crevicular epithelium
c. Surface epithelium
d. Reduced enamel epithelium
e. Rests of Malassez
ANS: E
REF: Chap 10 (Periapical [radicular] cyst/Etiology and pathogenesis), p 246
11. The traumatic bone cyst:
a. Is a pseudocyst
b. Is a developmental defect
c. Requires surgical excision
d. Is found inferior to the mandibular canal
e. All the above
ANS: A

REF: Chap 10 (Traumatic [simple] bone cyst), pp 263-264

12. The odontogenic keratocyst:

a. Is a premalignant lesion
b. Is associated with nonvital teeth
c. Has a significant recurrence rate
d. Typically causes pain or numb lip
e. None of the above
ANS: C
REF: Chap 10 (Odontogenic keratocyst/Keratocystic odontogenic tumor), pp 255259
13. The dentigerous cyst:
a. Is most often seen in the third molar area
b. May undergo neoplastic transformation to ameloblastoma
c. Is always radiolucent
d. May be multilocular
e. All the above
ANS: E

REF: Chap 10 (Dentigerous cyst/Box 10-3), pp 251-253

14. A 43-year-old man presents with an asymptomatic anterior palatal swelling. A

radiograph shows a 1 1 cm lucency and divergence of roots of teeth nos. 8 and 9. All
teeth in the area are vital. This is most likely a(n):
a. Periapical granuloma
b. Aneurysmal bone cyst
c. Nasopalatine canal cyst
d. Globulomaxillary cyst

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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e. Dermoid cyst
ANS: C
REF: Chap 10 (Nasopalatine canal cyst/Clinical features), pp 261-262
15. A submucosal mass developed in the midline of the floor of the mouth of a 34-yearold man. It was asymptomatic and had a solid, doughy consistency. This would most
likely be which of the following?
a. Odontogenic keratocyst
b. Branchial cyst
c. Dermoid cyst
d. Squamous cell carcinoma
e. Squamous papilloma
ANS: C

REF: Chap 10 (Dermoid cyst/Box 10-16), pp 266-267

16. Two cystic radiolucencies in the mandible of a 16-year-old boy were lined by thin
parakeratinized epithelium showing palisading of basal cells. All teeth were vital and
the patient had no symptoms. This patient has which of the following?
a. Odontogenic keratocysts
b. Periapical granulomas
c. Periapical cysts
d. Traumatic bone cysts
e. Central mucoepidermoid carcinomas
ANS: A
REF: Chap 10 (Odontogenic keratocyst/Histopathology/Box 10-6/Box 10-7), pp
255-257
17. A periapical cyst:
a. Is of developmental origin
b. Is histologically keratinized
c. Is always painful
d. Causes death of the dental pulp
e. Is associated with a nonvital tooth
ANS: E
REF: Chap 10 (Periapical [radicular] cyst/Clinical features), pp 247-248
18. All the following are associated with vital teeth except _____ cyst.
a. Nasopalatine canal
b. Gingival
c. Periapical
d. Lateral periodontal
e. Dentigerous
ANS: C
REF: Chap 10 (Periapical [radicular] cyst/Clinical features), pp 247-248

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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19. When a diagnosis of odontogenic keratocyst is made, the patient should be advised
about the:
a. Need for full mouth extractions
b. Association with colonic polyps
c. Associated recurrence rate
d. Likelihood of malignant transformation
e. None of the above
ANS: C

REF: Chap 10 (Odontogenic keratocyst), pp 255-259

20. An inflammatory process in the area of epithelial rests of Malassez is regarded as the
stimulus for the development of which of the following?
a. Odontogenic keratocyst
b. Radicular cyst
c. Traumatic bone cyst
d. Dentigerous cyst
e. Lateral periodontal cyst
ANS: B
REF: Chap 10 (Periapical [radicular] cyst/Etiology and pathogenesis), p 246
21. On routine radiographic examination, an 18-year-old patient was found to have a 2 3
cm radiolucency in the body of the mandible that extended between the roots of teeth
nos. 19, 20, and 21. All his teeth were vital, he had no impactions, and he had no
symptoms. Which of the following should be included in the differential diagnosis?
a. Dentigerous cyst
b. Traumatic bone cyst
c. Periapical granuloma
d. Lymphoepithelial cyst
e. Stafnes bone cyst
ANS: B
REF: Chap 10 (Traumatic [simple] bone cyst/Clinical features), p 264
22. Ameloblastomatous transformation is a potential risk that has been associated with
which of the following?
a. Dentigerous cyst
b. Thyroglossal tract cyst
c. Stafnes bone cyst
d. Aneurysmal bone cyst
e. None of the above
ANS: A
REF: Chap 10 (Dentigerous cyst/Differential diagnosis/Box 10-3), pp 251-253
23. Which of the following is a true nonodontogenic cyst of the jaws?
a. Traumatic bone cyst
b. Nasopalatine canal cyst
c. Globulomaxillary cyst
d. Dentigerous cyst

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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e. Lateral root cyst

ANS: B
REF: Chap 10 (Nasopalatine canal cyst/Table 10-1), pp 247, 261-262
24. Traumatic bone cysts are characteristically seen in which of the following age groups?
a. Children younger than 10 years
b. Teenagers
c. Adults between the ages of 30 and 50 years
d. Adults over the age of 60 years
e. There is no age predilection for this pseudocyst.
ANS: B
REF: Chap 10 (Traumatic [simple] bone cyst/Clinical features), p 264
25. What is the most likely diagnosis for a lesion in a patient with an asymptomatic
midline radiolucency (1 cm in diameter.) between the apices of teeth nos. 8 and 9?
Both teeth are carious and they test nonvital with thermal and electric stimuli.
a. Globulomaxillary cyst
b. Calcifying odontogenic cyst
c. Nasopalatine canal cyst
d. Dentigerous cyst
e. Radicular (periapical) cyst
ANS: E
REF: Chap 10 (Periapical [radicular] cyst/Clinical features), pp 247-248
26. An adult patient presents with chronic low-grade pain associated with tooth no. 9 in
which there is a root canal filling. A biopsy of a periapical radiolucency associated
with the tooth shows granulation tissue and scar lined by nonkeratinized epithelium.
This patient has:
a. Granulomatous infection
b. Periapical granuloma
c. Periapical cyst
d. Periapical cemento-osseous dysplasia
e. Odontogenic keratocyst
ANS: C
REF: Chap 10 (Periapical [radicular] cyst/Histopathology), pp 248-249
27. All the following are considered to be relatively common except:
a. Dentigerous cyst
b. Odontoma
c. Calcifying odontogenic cyst
d. Periapical granuloma
e. Periapical cyst
ANS: C

REF: Chap 10 (Calcifying odontogenic cyst), pp 259-261

28. Which of the following mandibular conditions is least likely to cause numb lip?

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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a.
b.
c.
d.
e.

Periapical abscess
Metastatic carcinoma of the lung
Osteosarcoma
Periapical granuloma
Multiple myeloma

ANS: D
REF: Chap 10 (Odontogenic cysts/Periapical [radicular] cyst), pp 246-261
29. Microscopically, abundant multinucleated giant cells are seen in a benign connective
tissue matrix in all the following except:
a. Central giant cell granuloma
b. Cherubism
c. Periapical granuloma
d. Hyperparathyroidism
e. Peripheral giant cell granuloma
ANS: C
REF: Chap 10 (Periapical [radicular] cyst/Histopathology), pp 248-249
30. All the following are associated with vital teeth except _____ cyst.
a. Nasopalatine canal
b. Gingival
c. Periapical
d. Lateral periodontal
e. Dentigerous
ANS: C

REF: Chap 10 (Periapical [radicular] cyst), pp 246-249

31. Lung metastasis is a well-documented complication after surgical treatment of which

of the following?
a. Calcifying epithelial odontogenic tumor
b. Odontogenic keratocyst
c. Odontogenic myxoma
d. Cementoblastoma
e. None of the above
ANS: E
REF: Chaps 10 and 11 (Odontogenic keratocyst/Calcifying epithelial odontogenic
tumor [Pinborg tumor]/Odontogenic myxoma/Cementoblastoma), pp 255-259 and pp
277-279, 282-285
32. Which of the following jaw lesions develops from odontogenic epithelium?
a. Static bone cyst
b. Aneurysmal bone cyst
c. Gingival cyst of the adult
d. Nasopalatine canal cyst
e. All the above
ANS: C

REF: Chap 10 (Lateral periodontal cyst/Histopathology), p

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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250
33. A commonly occurring cyst of the jaws in newborns is _____ cyst.
a. Globulomaxillary
b. Gingival
c. Lateral root
d. Dentigerous
e. Calcifying odontogenic
ANS: B

REF: Chap 10 (Gingival cyst of the newborn), p 251

34. A 14-year-old boy presents with an asymptomatic, well-defined radiolucent lesion in

the posterior aspect of his mandible. The lesion is found in association with an
impacted molar. Which of the following should be included in a differential
diagnosis?
a. Dentigerous cyst
b. Pagets disease
c. Osteoblastoma
d. Odontoma
e. Periapical cemento-osseous dysplasia
ANS: A
252

REF: Chap 10 (Dentigerous cyst/Clinical features), pp 251-

35. Which of the following odontogenic lesions always appears radiographically as a

radiolucent lesion?
a. Periapical granuloma
b. Odontogenic myxoma
c. Odontogenic keratocyst
d. Ameloblastoma
e. All the above
ANS: E
REF: Chaps 10 and 11 (Periapical [radicular] cyst/Odontogenic
keratocyst/Odontogenic myxoma/Ameloblastoma), pp 246-259 and pp 270-277, 282283
36. If an odontogenic cyst goes untreated, which of the following complications may be
seen?
a. Expansion with bone resorption
b. Neoplastic transformation of the epithelial lining
c. Pathologic fracture
d. Movement or resorption of teeth
e. All the above
ANS: E

REF: Chap 10 (Odontogenic cysts), pp 246-261

37. Pain may be associated with all the following except:

a. Osteoblastoma
b. Chronic osteomyelitis

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

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c. Odontogenic keratocyst
d. Chronic periapical abscess
e. Acute pulpitis
ANS: C
REF: Chap 10 (Odontogenic keratocyst/Keratocystic odontogenic tumor), pp 255259
38. Which of the following cells would be seen in a periapical granuloma?
a. Fibroblasts
b. Lymphocytes
c. Plasma cells
d. Macrophages
e. All the above
ANS: E
REF: Chap 10 (Periapical [radicular] cyst/Histopathology), pp 247-248
39. Bifid ribs, calcified falx cerebri, and other skeletal abnormalities are associated with
which of the following?
a. Gardners syndrome
b. Cleidocranial dysplasia
c. Albrights syndrome
d. Nevoid basal cell carcinoma syndrome
e. Osteogenesis imperfecta
ANS: D
REF: Chap 10 (Odontogenic keratocyst/Keratocystic odontogenic tumor/Treatment
and prognosis/Box 10-8), pp 255-259

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.