[Test10] The intraoral and extraoral exam

As you examine the TM joint you notice an altered opening pathway which has its greatest distance from the midline at maximum opening. This defines which one of the following terms?

A. Crepitus

B. Deviation

C. Deflection

D. Subluxation

E. Derangement

C. Deflection

Which one of the following is usually associated with arthritis of the TM joint?

A. Pop

B. Click

C. Crepitus

D. Bruxism

E. Missing teeth

C. Crepitus

All of the following structures would be noted when examining the oropharynx except one. Which one is the EXCEPTION?

A. Tonsils

B. Adenoids

C. Tonsillar crypt

D. Anterior/posterior pillars E. Posterior pharyngeal wall

B. Adenoids

Which one of the following best describes an acute infection of the tonsils?

A. Post nasal drip

B. Enlarged tonsils

C. Cratered tonsils

D. Purulent exudate

E. Non-tender erythema

D. Purulent exudate

Compromised swallowing capabilities are associated with a higher risk of which one of the following?

A. Bifid uvula

B. Loss of function

C. Aspiration of food

D. Candida infections

E. Excessively long uvula

C. Aspiration of food

Which one of the following techniques should be used to palpate the hard palate?

A. Digital

B. Bidigital

C. Bilateral

D. Bimanual

E. Auscultation

A. Digital

Which one of the following is a common atypical structural finding in the area of the hard palate?

A. Thermal burn

B. Torus palatinus

C. Mucosal abrasion

D. Nicotine stomatitis

E. Papillary hyperplasia

B. Torus palatinus

Stensen's duct is associated with which of the following glands?

A. Buccal

B. Parotid

C. Sublingual

D. Submandibular

E. Sublingual caruncle

B. Parotid

Which one of the following conditions would be considered pathologic?

A. Linea alba

B. Varicosities

C. Leukoedema

D. Erythroplakia

E. Fordyce's granules

D. Erythroplakia

Which one of the techniques listed below would be appropriate for palpating the buccal and labial mucosa?

A. Digital

B. Bidigital

C. Bilateral

D. Bimanual

E. Unilateral

B. Bidigital

When examining the body of the mandible you would use the mouth mirror to stretch the mucosal tissues away from the inferior border, BECAUSE you might miss a lesion which is obscured by a fold of tissue.

A. Both the statement and the reason are correct and related.

B. Both the statement and the reason are correct but NOT related.

C. The statement is correct but the reason is not.

D. The statement is NOT correct, but the reason is correct.

E. NEITHER the statement NOR the reason is correct.

A. Both the statement and the reason are correct and related.

All of the following are common atypical findings in the body of the mandible and the retromolar area except one. Which one is the EXCEPTION?

A. Tori

B. Scarring

C. Pericoronitis

D. HyperkeratosisE. Partially erupted third molars

C. Pericoronitis

Which one of the techniques listed below should be used when palpating the structures of the floor of the mouth?

A. Digital

B. Bidigital

C. Bilateral

D. Bimanual

E. Finger and thumb of the same hand

D. Bimanual

The _______________ is the most common intraoral site for oral cancer development.

A. uvula

B. tongue

C. hard palate

D. buccal mucosa

E. floor of the mouth

B. tongue

Which of the following findings associated with the tongue is caused by an error in development?

A. Fissuring

B. Scalloping

C. Hairy tongue

D. Plica fimbriata

E. Lingual thyroid

E. Lingual thyroid

Which one of the following adjunct devices might be used to help determine surgical margins when removing or biopsying a suspicious lesion?

A. Identafi 3000 Ultra

B. OralDx® Brush Test

C. ViziLite

D. VELscope

E. Liquid-Based Cytology

D. VELscope

The perception of oral dryness may depend upon all of the following except one. Which one is the EXCEPTION?

A. Amount of saliva actually present

B. Amount of serous saliva

C. Amount of mucous saliva

D. Salt/calcium composition of the saliva

E. Consistency of the saliva

D. Salt/calcium composition of the saliva

Which of the following examination findings would be considered atypical?

A. Stippled gingiva

B. Fordyce granules

C. Leukoedema

D. Two mms of attached gingiva

E. Both B and C

E. Both B and C

Nutritional deficiencies, Candida albicans, human herpes virus and lesions associated with loss of dimension are common to which one of the following structures/areas?

A. Tongue

B. Hard palate

C. Commissures

D. Floor of the mouth

E. Pharyngeal pillars

C. Commissures

A symblepharon discovered during an extraoral exam would be found in or on which one of the following?

A. Ear

B. Nose

C. Neck

D. Eye

E. Lip

D. Eye

The patient with a symblepharon would be referred to which one of the following specialists?

A. Oral surgeon

B. Oral pathologist

C. Immunology specialist

D. Ophthalmologist

E. Dermatologist

D. Ophthalmologist

Which one of the following known cancer risk factors cannot be lowered or modified by a change in lifestyle or behavior?

A. Alcohol

B. Tobacco

C. Diet

D. Age

E. Sunlight

D. Age

Patients with known risk factors for cancer should be screened at _______________.

A. normal maintenance visits

B. more frequent intervals

C. any time that an abnormality is noticed by the patient

D. yearly visits

E. every visit and encouraged to perform self-exams and report any abnormality

E. every visit and encouraged to perform self-exams and report any abnormality

Which one of the following viruses is associated with a significant increase in oropharyngeal cancers?

A. HIV

B. HPV

C. HCV

D. HBV

E. CMV

B. HPV

What percentage of oropharyngeal cancers are squamous cell carcinomas?

A. 10%

B. 30%

C. 60%

D. 80%

E. 90%

E. 90%

Which of the following most closely describes the appearance of oral cancer?

A. White lesion

B. Red and white lesion

C. Pigmented lesion

D. Ulcer-like lesion

E. Any of the above.

E. Any of the above.

Salivary gland tumors, lymphoma, and sarcoma-related cancers comprise what percentage of oropharyngeal cancers?

A. 10%

B. 20%

C. 30%

D. 40%

E. 50%

A. 10%

Which of the following is a common reason for failing to detect oral cancer in a young person?

A. Oral tissues appear more suspicious in the older person.

B. Young people do not seek treatment as readily as older populations.

C. Clinicians do not suspect cancerous changes in young individuals.

D. Cancer does not progress as rapidly with young individuals.

E. Younger individuals usually develop cancer in the tonsil region making it virtually

undetectable.

C. Clinicians do not suspect cancerous changes in young individuals.

Debris tends to collect in tonsils affected by which one of the following conditions?

A. Erythema

B. Tonsillitis

C. Streptococcal infection

D. Cratered and cryptic tissue

E. Cancer

D. Cratered and cryptic tissue

Which one of the following is the most common site for cancer to develop on the tongue?

A. Dorsal surface

B. Circumvallate papillae

C. Lateral border

D. Tip of the tongue

E. Ventral surface

C. Lateral border