Advanced Pathology Quiz

The “ground glass” radiographic appearance seen in this image is most characteristic of

 

Paget's disease

 

Fibrous dysplasia

 

Osteosarcoma

 

PCOD

fibrous dysplasia

The “cotton wool” appearance seen in this image is associated with

 

Paget's disease

 

Condensing osteitis

 

Osteomyelitis

 

Ameloblastoma

paget’s disease

The radiograph shows radiating bony spicules (“sunburst”). This suggests

 

Fibrous dysplasia

 

Osteosarcoma

 

Periapical cemental dysplasia

 

Cementoblastoma

osteosarcoma

A “moth-eaten” destructive radiolucency is MOST indicative of

 

cementoblastoma

 

malignancy/osteomyelitis

 

condensing osteitis

 

ameloblastoma

malignancy/osteomyelitis

A “moth-eaten” destructive radiolucency is MOST indicative of

 

cementoblastoma

 

malignancy/osteomyelitis

 

condensing osteitis

 

ameloblastoma

ameloblastoma

Based on the radiograph shown, what is the MOST likely diagnosis?

 

 

lateral periodontal cyst

 

odontogenic keratocyst

 

dentigerous cyst

 

simple bone cyst

dentigerous cyst

Appropriate management of the lesion in the image above includes 

 

no treatment; monitor

 

surgical removal + biopsy

 

root canal therapy

 

antibiotics

surgical removal + biopsy 

The radiograph shows a radiolucency that scallops between the roots of vital teeth. What is the BEST interpretation?

 

simple bone cyst

 

odontogenic keratocyst (OKC)

 

radicular cyst

 

periapical granuloma

simple bone cyst

What is the MOST likely diagnosis for the radiolucency shown in this radiograph?

 

simple bone cyst

 

radicular cyst

 

odontogenic keratocyst (OKC))

 

cementoblastoma

OKC

Based on the radiograph, which interpretation is MOST appropriate?

 

periapical granuloma

 

radicular cyst

 

mental foramen superimposition

 

PCOD

mental foramen superimposition

The radiograph shows a periapical radiolucency at the apex of these non-vital teeth. Which statement is TRUE?

 

It is radiographically possible to confirm it is a cyst

 

It is radiographically possible to confirm it is a granuloma

 

It is radiographically possible to confirm it is an abscess

 

These lesions cannot be distinguished radiographically

These lesions cannot be distinguished radiographically

The target lesion fused to the root of #19 indicates

 

condensing osteitis

 

cementoblastoma

 

hypercementosis

 

complex odontoma

cementoblastoma

Given the intact lamina dura and vital tooth status, the radiopacity at the apex of #20 is MOST likely

 

condensing osteitis

 

idiopathic osteosclerosis

 

cementoblastoma

 

complex odontoma

idiopathic osteosclerosis

A mixed radiolucent-radiopaque lesion in the mandibular anterior region surrounding VITAL teeth suggests

 

condensing osteitis

 

PCOD

 

Osteosarcoma

 

OKC

PCOD 

Which mixed lesion is typically composed of enamel and dentin-like structures ("denticles")?

 

compound odontoma

 

complex odontoma

 

PCOD

 

ameloblastoma

compound odontoma

“Ground glass” lesions are typically

 

Well-defined and corticated

 

Poorly defined with uniform granular density

 

Highly radiopaque with cotton-wool texture

 

Multilocular and expansile

poorly defined with uniform granular density 

wWhich radiographic feature MOST strongly suggests a benign lesion?

 

irregular, non-corticated borders

 

rapid destruction of trabeculae

 

well-defined, corticated border

 

moth-eaten pattern

well defined corticated boder

Which finding is MOST concerning and requires prompt referral?

 

Uniform ground-glass density

 

Well-defined unilocular RL

 

Moth-eaten bone destruction

 

Odontoma

moth eaten bone destruction

Based on the radiograph shown, what is the MOST appropriate interpretation?

 

sclerotic bone

 

condensing osteitis

 

mandibular tori

 

cementoblastoma

mandibular tori

Clinically, tooth #9 tests as non-vital. What would be the LEAST likely diagnosis for the radiolucency seen at the apex?

 

periapical abscess

 

periapical granuloma

 

radicular cyst

 

periapical cemento-osseous dysplasia (PCOD)

 

PCOD

Radiographically, abscesses, granulomas, and cysts can be differentiated by size alone.

 

True

 

False

false

What is the primary cause of periapical abscesses, granulomas, or radicular cysts?

 

periodontal disease

 

neoplastic growth

 

pulpal necrosis

 

pulpal sclerosis

pulpal necrosis