=) ORAL PATHO Q's

Set 1 1.Which infection cant be ruled out by Acid Fast stain? A.Tubercolosis B.Tuberculoid Leprosy C.Lepromatous leprosy D.Candidiosis

2.Which one is symptomless? A.thrush B.Acute erythematous candidosis C.Candida associated denture stomatitis D.Shingles

3.Which virus doesnt cause atypical peripheral lymphocyte in serology test? A.EBV B.Cytomegalovirus C.Meales

4.Which one is false A.filiform papilla-ant 2/3 of dorsum of tongue B.fungiform papilla-ant 2/3 of dorsum of tongue C. circumvallete papilla-Just anterior to the V-shaped sulcus between the body and the base of the tongue D. foliate papilla-Lateral posterior part of the tongue E.none of the above

5.Which one is false A.cytomegalovirus is one of herpes family B.paramyxovirus causes koplik spot as oral manifestation of its infection C.cytomegalovirus causes xerostamia D.HSV type 2 affect upper part of body

6. Snail-track ulcers is a characteristic of which infection? A. Primary Syphilis B. Secondary Syphilis C. Tertiary Syphilis D. Congenital Syphilis 7. Which of the following is not a factors predisposing to oral candidal infection? A. Broad-spectrum antibiotics B. Xerostomia C. Mucosal trauma D. Adolescent E. Diabetic patient 8. All of this are subepithelial vesiculobullous disease, except A. Erythema multiforme B. Epidermolysis bullosa C. Bullous Lichen Planus D. Pemphigus Vulgaris

9. Linear Gingival Erythema is related to A- poor oral hygiene B-inflammatory response to bacteria C-also called as necrotizing gingivitis D- vasoactive ingredients

10. complication of ANUG is/are? i. ii. iii. iv. Noma Measles Syphilis Shingles A B C I,ii I,ii,iii All above

11. HIV prefer to bind on certain cell.What is/are the cell(s)? i. ii. iii. iv. Macrophage Neural cell CD4+ T cell Neutrofil A B C D I,ii I,ii,iii Ii,iii All above

12. neural manifestation are due to direct effect HIV on neural system.Damage facial nerve will induce facial nerve palsy. A 1st statement are true,2nd statement false B All are true C 1st statement are false,2nd statement true D All are false

13. All of the followings are associated with Actinomycosis Israelli EXCEPT ? A B C D Gram negative usually live in healthy person anaerobes no answer

14

Which of the followings are related to the lesion shown above?

i.may heal about 10 days without scarring ii.number of ulcers varies from one to ten iii. may occur in keratinized and nonkeratinized parts of oral mucosa iv-tends to recur at 1-4 month intervals

A i,ii B i,iii C ii,iii D i,iv

15.Most distressing complication of Zoster is A Post herpatic paraesthesia B Post herpatic neuralgia C Post healing syndrome D Ramsay-Hund syndrome 16.Lymph node is relatively enlarged in? A Recurrent Herpes Gingivostomatitis B Shingles C Herpangina D Infectious Mononucleosis 17.primary infection of EBV is infectious monolucleosis.What is secondary infection of EBV? A herpangina B Recurrent Herpes Gingivostomatitis C Hairy leukoplakia D recurrent apthous stomatitis

18. the elderly have the high risk to get angular chelitis.which of the following is true.

a.poor diet b.low vertical dimension c.immunodefficiency d.all of the above 19 .necrosis will occur in the patient suffer with ANUG especially in gingival margin andinterdental papilla.there will be tissue loss and replacement of greyish membrane.which

of the following not contained in this membrane? a.fissiform complexes b.neutrophils c.epithelial cells d.giant cell 20. infection in ANUG may spread only to para-oral tissue. noma is caused by viral and bacterial infection. a.only 1st statement is true b.only 2nd statement is true c.both statement is true d.both statement is false

21.

In AIDS, hairy Leukoplakia is found in which location a. Hard palate b. Buccal mucosa c. Lateral border of tongue d. Soft palate

22. Target lesion are seen in a. Pemphigoid b. Lichen planus c. Erythema multiforme d. All of the above

23.Most frequent infected areas in verruciform xanthoma and recurrent intraoral herpes are : a. buccal and labial mucosa b. hard palate and gingiva c. hard and soft palate d. tongue and lips

24.

Autoantibody against C-ANCA (antineutrophil cytoplasmic antibody type C ) results in :

a. Wegeners Granulomatosis b. Sarcoidosis

c. Progressive systemic sclerosis d. Oral submucous fibrosis

25 All of the statements below are true except; a. Angular cheilitis may be associated with denture stomatitis or candidal luekoplakia b. Oral manifestation of leprosy and TB includes ulcer and granulating gingival lesion c. chronic pseudomambranous candidosis should be include in diagnosis if we encounter white lesion that leave a raw bleading base with scraping d.diagnosis of red patches on oral mucosa include erythematous candidosis and denture stomatitis 26 Which is true regarding Erythema multiform A. it is a abrupt onset disease involve skin and oral mucosa that common in middle age male b. the milder form of the disease involve visual impairment and the severe form cause blindness c. the diagnosis based on clicnical appearance because the histological finding of this disease is non specific d. the pathology of this disease is due to hypersensitivity reaction type II

27. The following is associated with black hairy tounge except: a. the black/brown pigment of the hairy tongue characterize the accumulation of exogenous bacteria b. overgrowth of filiform papilla up to 1cm c. associated with disturbance of normal flora during antibiotic treatment d. may cause gagging and nausea 28. The difference between denture stomatitis and other fungal infection include a. Appear as red lesion b. Mycelia invade parakeratinez layer of denture stomatitis c. No neutrophil and microabcess formed on parakratinized layer of denture stomatitis d. two of the above 29. Traumatic Granuloma ulcer: a. has the histiocytes component of inflammatory infiltrate b. most common in keratinized layer of oral mucosa like tonge and gingival c. appear as soggy white area of plaque d. is cause by anesthesia of hard palate
30. All answers are true except.. A.hyphae invade epithelium through middle prickle cell layer. B.Candida mostly at dorsum of the tongue.

C.in late onset chronic mucocutaneous candidosis(cmc) genetically sporadic in patient with thymoma. D.candidal leukoplakia happen often bilaterally E. A and C 31. 1.acute erythematous candidosis(atropic) aka antibiotic sore tongue. 2.chronic atropic candidosis have symptom and maximum colonization of fungi on denture. A. both are true B. 1 is true,2 is false C. 1 is false,2 is true D. both are false

32. which of the virus rarely causes disease in immunocompetent patient? a- HSV b- VZV c- EBV d- PM e- CMV

33. what is the similarity among herpangina, hand, foot & mouth disease and measles? a- lesion including gingival b- lesion commonly affect buccal mucosa c-children is the most affected group d- caused by the same virus

34. All these are false about Koplik's spot, except: a-the worst manifestation of PMV in oral cavity b-range from hundred to thousand c-can be removed by scraping d- buccal mucosa opposite to molar is the common site

35. A patient has an ulcer developed for 4 weeks, appear as deep crater-like lesions with rolled edges and indurated on palpation> What are DD for that? A- chronic traumatic ulcer B- neoplastic ulcer

C- minor Aphthous Stomatitis D- A+B E- all the above

36- Which is/are false: A- RAS can be divided into minor, intermediate and major B- Caustic agent of Aspirin is dose-time related C- Factitious ulcer is self-inflicted ulcers D- There should be signs of healing within 10 hours after smoothening the sharp cusps E- A+D

37. Which one cannot be the cause of ulcers? A- RAS B- lichen planus C- OSCC D- factitious injury E- all the answers can cause ulceration

38. which one is the most frequent oral manifestation of HIV infxn? A. karposi's sarcoma B.oral candidiosis C. Hairy leukoplakia D. Atypical ulcer

39. those are true about hairy leukoplakia EXCEPT A. absence of inflammatory cell B. it's a malignant lesion C. marked by reduction of Langerhan cell

D. it's a secondary lesion

40. those are the characteristic of Lepramatous leprosy EXCEPT A. localized infxn B. wide spread infxn C. attack low immune patient D. heal with scar

41. which are caused by RNA viruses? A. median rhomboid glossitis B. herpangina C. glandular fever D. chicken pox E. actinomycosis

42. linear erythema is due to? A. poor oral hygiene B. inflam due to bac C. it's called necrotizing gingivitis D. present as gingival hyperaemia

43. the followings are white patches and can be removed by scraping EXCEPT: a)keratosis b)acanthosis c)hyperplasia d)pseudomembranous

44. the followings are associated with desquamative gingivitis EXCEPT: a)erethyma multiforme b)pemphigus c)pemphigoid d)lichen planus

45. bullous pemphigus means: a)those involving skin alone b)those involving oral mucosa alone c) those involving skin alone with minimal mucosal involvement d)those involving mucosa alone with minimal skin involvement

Set 2

1-all false about ulcer xcept= a-slough off surface epithelium (epi) b-not associated with SCC at all c-behcet syndrome is idiopathic causes d-chemical ulcer by aspirin can be slough off

2-RAS in elderly is most commonly is herpetiform RAS True or false

3-behcet syndrome is: a-rapid inflammation and vasculities can lead to necrosis b-genetic predisposed by HLA-B51 c-vasculities by PMN(polymononucleur) d-all the above

4-pemphigus can be treated by steroid (acetenoid) True or false

5-pemphigus is except: a-fragile bullae b-associated with NUG c-desmoglein 3 involve in oral ulcer d-not onset/sudden condition

6-erythema multiform is:

a-attack anterior part of oral mucosa b-multiform coz appear clinically in differ shape c-due to hypersentivity ag ab type 3 d-can be treated by topical corticosteroid e-all the above 7-bullous pemphigoid commonly occur in oral mucosa True or false

8-pemphigoid and pemphigus have irregular and wide ulcer . They have high infiltrated inflammation even still not ruptured. a-both T b-both F c-1 T and 2 F d- 1F and 2 T

9-dermatitis herpetifom will have ve result in indirect imunoflouresence test; True or false

10-epidermalysisi bullosa and erythema multiform can be detected in intra-epi or sub epi True or false

11-D/D of desqumative gingivitis xcept

a-pemphigus b-bullos pemphigoid c-lichen planus d-allergy and drug induced.

12-koloicyte like cell associated with a-kaposi sarcoma b-candida infection c-hairy leukoplakia d-HSV

13-differ AID ptn and non AID ptn a-in Aid respons to medication of antiviral b-Aid ptn wide spread ulcer while non AID pinpointed ulcer c-AID ptn no feel pain but non Aid ptn have severe pain d-AID ptn normally localized while non AID multifocal.

14-hairy leukoplakia except a-due to EBV b-as secondary infection c-high inflammation and langerhans cell d-attack lateral border of tongue and bilaterally

15-linear gingival erythema occur due to allergy True or false

16-AID fully develop is persistent while AID complex is opportunistic True or false

17-disease that perforated palate xcepta-t cell lymphoma b-tertiary syphilis c-zygocomyosis

d-herpangia

18-not correctly matched a-PAS candida b-acid fast stain TB and leprosy c-HMB45-behcet syndrome d-HLA-B51 melanoma e-s-100 neural cell f- C+D

19-all of these cant be scrapped off except a-thrush b-candida leukoplakia c-candida mucotenous candidosis d-scc e-hairy leukoplakia 20-leprosy not well differentiated histopatology than TB. Both can used acid fast stain a-both T b-both F c-1 F n 2 T d- 1T n 2 F

21- in TB these are oral manisfestation except a-lymph node enlargement b-gingiva overgrowth c-indurated ulcer d-scattered rbc and bilirubin

22-in tertiary syphilis if not treated can lead to except a-scc b-gumma c-atropic glossitis d-syphilic leukoplakia

e-chronic atropic candidosis

23-tertiary syphilis the most common to occur True or false

24-true about actinomycosis except a-due to actinomycosis israelli (endogenous bacteria) b-leakage through skin more common than oral c-multi sinus occur and spread by macrophage d involve gram +ve aerobic bacteria

25-infectious mononucleosis is non granulomatous and can lead to hairy leukplakia while measles is due to paramyxovirus and can lead to otitis media a-both true b- both F c-1 T n 2 F d-1F n 2 T 26- d/d if patient have posterior oral disease these can be include xcept a-herpangia b-erythema multiform c-hairy leukoplakia d-primary herpatic gingivitis e-hand foot mouth

27-acute lymphanodular pharynxgitis is due to coxsackie virus True or false

28-true bout VZV xcept a- Primary is shingle and secondary is chicken pox b- Hispatology same as in HSV c- Spread by macrophage d- Associated with post-herpetic neurolagia

29-herpes labialis common occur

a-extra oral and unilateral b-intra oral and bilateral c-everywhere d-extraoral and bilateral

30-virally infected cell in HSV is presented by a-slit like cell b-tzank cell c-koloicyte cell d-macrophage

31-herpetic whitlow is severe pain and spread to finger. This is recurrence infection a-both T b-both F c-1T n 2 F d-1 F and 2 T 32-which one is entero-viraede group? a-EBV b-HHV5 c-COX-virus d-HSV-1

33-lingual tonsil: a-posterior part lateral aspect of tongue b-anterior part lateral aspect of tongue c-overlying fold known as filiform papillae d-overlying fold known as foliate papillae e-a+d f-b+c

34-occasionaly accessory oral tonsil found in elsewhere in oral cavity True or false

35-benign migratory glossitis xcept

a-margin outline white line by filiform papillae b-asymptomatic and sensitv to acid and spicy food c-stay at just one place d-detecable with psiorosis in histopatology

36-orofacial granulamatous xcept a-caseating and acute granulamatous b-non caseating and chronic granulamatous c-acute granulamatous and non caseating d-chronic granulamatous and caseating

37-mekerson rosental syndrome is a group of sign or symptom that occur together and not necessary congenital. True or false

38-sarcodoisis is xcept a-systemic chronic granulamatous disorder b-bilateral hilar lymphadenopathy and pulmonary infiltrate c- incidious onset and sign can disappear in time but leave residual swelling d-oral mucosa and GI rare involve e-may present submucosal and painless f-all the above true

39-parotid enlargement except a-sacodoisis b-mumps (viral) c-sjogren syndrome d-hairy leukoplakia

40-which one associated with respiratory tract a-wegner syndrome b-sjogren syndrome c-peutz-jeghers syndrome

d-addison disease

41-oral submucosal fibrosis is non premalignant True or false

42-which type of amyloid associated with chronic and malignant a-AA b-AL c-AA 2 d-Ag-Ab

43-patient with Crhon disease will has atropic glositis due to vitamin B12 malaobsorption. True or false