Oral path ch 4 (end of ch questions)

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60 Terms

1
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The most specific of the body's defense mechanisms against infection is:

Intact skin

The immune response

Skin secretions

The inflammatory response

The immune response

2
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Which statement is false?

The primary lesion of syphilis is called a chancre.

The secondary lesion of syphilis occurs at the site of inoculation with the organism.

The tertiary lesion of syphilis is called a gumma.

Syphilis is caused by the spirochete Treponema pallidum.

The secondary lesion of syphilis occurs at the site of inoculation with the organism.

3
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Perioral lesions of impetigo may resemble:

Syphilis

Herpes labialis

Herpes zoster

Actinomycosis

Herpes labialis

4
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Which of the following is not associated with group A, B-hemolytic streptococcal infection?

Tonsillitis

Syphilis

Scarlet fever

Rheumatic fever

Syphilis

5
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5. Oral candidiasis is caused by a:

Bacterium

Yeastlike fungus

Spirochete

protozoan

Yeastlike fungus

6
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Which statement is false?

Angular cheilitis may be caused by Candida albicans.

White lesions resulting from candidiasis may not rub off the mucosal surface.

Erythematous candidiasis is usually completely asymptomatic.

Denture stomatitis may be a form of oral candidiasis.

Erythematous candidiasis is usually completely asymptomatic.

7
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Which type of infection is involved when normal components of the oral microflora can cause disease?

Chronic inflammatory

Opportunistic

Hyperplastic

Granulomatous

Opportunistic

8
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The most characteristic clinical feature of herpes zoster is:

Ulcer formation

Pain

Unilateral distribution of lesions Abscesses that drain through fistulas

Unilateral distribution of lesions

9
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A cytologic smear may be helpful in the diagnosis of:

Coxsackievirus infection

Human papillomavirus infection

Tuberculosis

Candidiasis

Candidiasis

10
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Which condition is not associated with the Epstein-Barr virus?

Hairy leukoplakia

Herpangina

Nasopharyngeal carcinoma

Infectious mononucleosis

Herpangina

11
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Which of the following stages of syphilis is not infectious?

Primary

Secondary

Tertiary

All stages are equally infectious

Tertiary

12
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Which of the following is not associated with syphilis?

Mucous patch

Venereal Disease Research Laboratories and Auorescent treponemal antibody

Dark-field microscopy

Hypodontia

Hypodontia

13
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Which of the following microorganisms causes tuberculosis?

Mycobacterium israelit

Actinomycosis israelit

Mycobacterium tuberculosis

Treponema pallidum

Mycobacterium tuberculosis

14
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A positive skin reaction to PPD indicates:

Active tuberculosis

Contagious tuberculosis

Whether a person has ever been infected with the tuberculosis bacteria

Need for antibiotic therapy

Whether a person has ever been infected with the tuberculosis bacteria

15
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"Sulfur granules" are a feature of which of the following?

Syphilis

Tuberculosis

Candida

Actinomycosis

Actinomycosis

16
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Which of the following is not a clinical characteristic of necrotizing ulcerative gingivitis?

Painful gingiva

Xerostomia

Fetid odor

Metallic taste

Xerostomia

17
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Which of the following is associated with chronic osteomyelitis?

Sickle cell anemia

Paget disease of bone

Radiation treatment involving bone

All of the above

All of the above

18
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Which of the following is not associated with the development of oral candidiasis?

Antibiotic therapy

HIV infection

Xerostomia

Herpangina

Herpangina

19
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Verruca vulgaris:

Clinically resembles an irritative fibroma

Is caused by a human papillomavirus

Is most commonly seen on the buccal mucosa

Clinically resembles a pyogenic granuloma

Is caused by a human papillomavirus

20
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Another name for a common wart is:

Papilloma

Verruca vulgaris

Condyloma acuminatum

Aspergillosis

Verruca vulgaris

21
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Which of the following is caused by a papillomavirus and is considered a sexually transmitted disease?

Actinomycosis

Syphilis

Condyloma acuminatum

Infectious mononucleosis

Condyloma acuminatum

22
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Painful oral ulcers, gingivitis, fever, malaise, and cervical lymphadenopathy in a child younger than 6 years old would daysph-dental professional to suspect which of the following diseases?

Herpangina

Heck disease

Primary herpes simplex infection

Herpetic whitlow

Primary herpes simplex infection

23
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The most common form of recurrent herpes simplex infection is:

Herpes zoster

Herpetic whitlow

Herpangina

Herpes labialis

Herpes labialis

24
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The primary infection with the varicella-zoster virus is called.

Primary heretic gingivostomatitis

Chickenpox

Shingles

Measles

Chickenpox

25
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Herpangina is caused by:

Coxsackievirus

Herpes simplex virus

Varicella-zoster virus

Epstein-Barr virus

Coxsackievirus

26
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Antibody testing to determine whether a person has been infected with human immunodeficiency virus (HIV) includes which of the following tests?

Schilling

Schirmer

Prothrombin time and partial thromboplastin time

Enzyme-linked immunosorbent assay and Western blot

Enzyme-linked immunosorbent assay and Western blot

27
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Which one of the following oral conditions is an early sign of a deficiency in the immune system and is commonly found in patients with HIV infection?

Erythema migrans

Advanced periodontitis

Candidiasis

Histoplasmosis

Candidiasis

28
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Hairy leukoplakia most commonly occurs on the:

Buccal mucosa

Dorsal tongue

Lateral tongue

Soft palate

Lateral tongue

29
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Which one of the following oral conditions is not a lesion associated with HIV or AIDS?

Candidiasis

Hairy leukoplakia

Kaposi sarcoma

Leukoedema

Leukoedema

30
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Linear gingival erythema has specific characteristics that include spontaneous bleeding, petechiae on the attached gingiva and alveolar mucosa, and a band of erythema at the gingival margin. Which one of the following statements is true?

These tissues respond well to scaling and root planing.

Excellent oral hygiene and home care techniques wit eliminate these gingival conditions.

This condition will automatically develop into advanced periodontal disease in all patients infected with HIV.

Patients with linear gingival erythema do not respond to scaling or oral hygiene techniques; the gingival condition exists independently of the patient's oral hygiene status.

Patients with linear gingival erythema do not respond to scaling or oral hygiene techniques; the gingival condition exists independently of the patient's oral hygiene status.

31
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Which of the following statements is false concerning primary herpetic gingivostomatitis?

After primary herpes simplex infection, the latent infection is usually in the trigeminal ganglion.

The virus is able to survive outside the body and is therefore easily transmitted by fomites.

The initial oral infection is usually caused by herpes simplex virus type 1.

The herpes simplex virus altered epithelial cell is called a Tzanck cell.

The virus is able to survive outside the body and is therefore easily transmitted by fomites.

32
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Which of the following clinical features would help differentiate between recurrent oral mucosal simplex infection and recurrent aphthous stomatitis?

The location of the ulcers; herpes simplex ulceration occurs on keratinized epithelium and aphthous ulcers occur on nonkeratinized epithelium.

Systemic signs and symptoms accompany recurrent herpes simplex infection but do not accompany recurrent aphthous ulcers.

Recurrent herpes simplex ulceration is painful; recurrent aphthous ulcers are usually asymptomatic.

Recurrent aphthous ulcers take much longer to heal than recurrent herpes simplex ulceration.

The location of the ulcers; herpes simplex ulceration occurs on keratinized epithelium and aphthous ulcers occur on nonkeratinized epithelium.

33
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Which of the following statements is false concerning oral human papilloma virus (HPV) infection?

HPV may be present in the oral mucosa without any signs or symptoms.

HPV causes papillary oral mucosal lesions.

HPV is transmitted by droplet infection.

Microscopically, HPV-infected epithelial cells are called koilocytes.

HPV is transmitted by droplet infection.

34
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Which of the following is the best diagnostic test for oral candidiasis?

A mucosal smear (cytologic preparation) showing fungal hyphae

A mucosal smear (cytologic preparation) showing Tzanck cells

A positive culture for Candida albicans

A blood test for Candida antibodies

A mucosal smear (cytologic preparation) showing fungal hyphae

35
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Which of the following is the name of the oral lesions of primary syphilis?

Gumma

Mucous patch

Chancre

Verruca vulgaris

Chancre

36
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All of the following statements are correct statements concerning HIV infection except one. Which one is the excep-tion?

Two positive ELISA tests followed by a positive Western blot test confirms HIV infection.

Initial infection with HIV can be asymptomatic.

Antibodies to HIV are usually detectable in the blood by 2 weeks after infection.

PCR is a test that measures viral load.

Antibodies to HIV are usually detectable in the blood by 2 weeks after infection.

37
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All of the following are characteristic features of hand-foot-and-mouth disease except one. Which one is the exception?

Occurs in epidemics in children younger than 5 years

Is caused by Epstein-Barr virus

Is characterized by painful oral vesicles

Is characterized by multiple papules on the skin

Is caused by Epstein-Barr virus

38
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"Strawberry tongue" is associated with which condition?

Herpangina

Scarlet fever

Rheumatic fever

Tuberculosis

Scarlet fever

39
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Which one of the following is considered a deep fungal infection?

Median rhomboid glossitis

Angular cheilitis

Histoplasmosis

Herpangina

Histoplasmosis

40
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Pastia lines are associated with which of the following?

Impetigo

Syphilis

Scarlet fever

Candidiasis

Scarlet fever

41
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Which of the following organisms is most commonly associ ated with impetigo?

Staphylococcus aureus

Candida albicans

Treponema pallidum

Mycobacterium tuberculosis

Staphylococcus aureus

42
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Which of the following is a feature of secondary syphilis?

Chancre

Gumma

Mucous patch

Mulberry molar

Mucous patch

43
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A fungal ball involving the sinuses may be a clinic-radio-graphic presentation of which of the following?

Aspergillosis

Syphilis

Actinomycosis

Candida

Aspergillosis

44
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Which of the following lesions is not caused by a human herpesvirus?

Infectious mononucleosis

Papilloma

Chickenpox

Shingles

Papilloma

45
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The virus responsible for Kaposi sarcoma is:

HIV

EBV

VZV

HHV-8

HHV-8

46
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Which one of the following is not a characteristic of mucor-mycosis?

Rare fungal infection

Organism found in soil

Occurs in young children

Involves nasal cavity and maxillary sinus

Occurs in young children

47
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A classic skin rash referred to as "sunburn with goose pimples" is seen in:

Impetigo

Rheumatic fever

Scarlet fever

Tuberculosis

Scarlet fever

48
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Although the lung is the primary site for this condition, most common extrapulmonary sites include head, neck, cervical lymph nodes, larynx and middle ear. It is:

Impetigo

Tuberculosis

Tonsillitis

Mucormycosis

Tuberculosis

49
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Which one of the following is caused by a fungus that is considered a common mold?

Histoplasmosis

Aspergillosis

Verruca vulgaris

Actinomycosis

Aspergillosis

50
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All of the following are characteristics of impetigo except one. Which one is the exception?

Lesions are infectious

Pruritis

High fever

Direct contact for transmission

High fever

51
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Which condition of the tongue is associated with scarlet fever?

Erythema migrans

Cobblestone

Median rhomboid

Strawberry

Strawberry

52
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What virus is most commonly associated with verruca vul-garis?

HPV 2

HPV 8

CMV

HPV 6

HPV 2

53
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Operculum is most often found on which tooth?

Mandibular third molar

Deciduous second molar

Maxillary third molar

Distomolar

Mandibular third molar

54
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Which one of the following conditions is not associated with HPV?

Verruca vulgaris

Cervical cancer

Herpes labialis

Heck disease

Herpes labialis

55
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Which one of the following is false concerning herpes zoster?

VZV

Unilateral vesicles

Not contagious

Patients may be immunocompromised

Not contagious

56
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Recurrent intraoral herpes simplex occurs most often on the:

Buccal mucosa

Hard palate

Lateral tongue

Floor of the mouth

Hard palate

57
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Which of the following strains of HPV are associated with multifocal epithelial hyperplasia (Heck disease)?

6 and 11

13 and 32

16 and 18

31 and 33

13 and 32

58
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All of the following are characteristic features of mumps except one. Which one is the exception?

Highly contagious

Central nervous system can be involved

Two MMR doses provide immunity

Mumps has been eradicated in the United States

Mumps has been eradicated in the United States

59
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Mumps is transmitted by all of the following except one.Which one is the exception?

Respiratory droplet spread

Bacterial infection

Fomites

Direct contact

Bacterial infection

60
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COVID-19 was first reported in:

California

India

Brazil

China

China