1. Which of the following lesions is NOT considered a potentially malignant disorder?
– Oral submucous fibrosis
– Lichen planus
– Leukoplakia
– Actinic cheilitis
2. Which pathology is most commonly associated with smokeless tobacco use?
– Leukoplakia
– Candidiasis
– Squamous cell carcinoma
– Aphtous ulcer
3. All of the following are associated with oral lichen planus EXCEPT:
– Hepatitis C virus
– Painful lesion
– Bilaterally symmetric lesion
– Pruritus
4. Which of the following best describes oral submucous fibrosis?
– Subepithelial fibrous change most common on the palate
– Subepithelial fibrotic change most common on the buccal mucosa
– An infectious condition caused by herpes simplex virus
– An autoimmune condition associated with Sjogren’s syndrome
5. Recurrent aphthous stomatitis is commonly associated with which condition?
– Celiac disease
– Behcet’s disease
– Pemphigus vulgaris
– Dental caries
6. Pigmentation of the oral mucosa is commonly seen in which condition?
– Addison’s disease
– Hemochromatosis
– Acromegaly
– Diabetes mellitus
7. All are common intraoral manifestations of HIV/AIDS infection EXCEPT:
– Oral candidiasis
– Kaposi’s sarcoma
– Necrotizing ulcerative gingivitis
– Desquamative gingivitis
8. Oral submucous fibrosis results from chewing of which substance:
– Betel nuts
– Tobacco
– Alcohol
– Coffee
9. The most common oral pathology seen in patients with plasma cell gammopathy is:
– Multiple myeloma
– Amyloidosis
– Macroglobulinemia
– Osteosclerosis
10. Erosive lichen planus commonly involves which area:
– Buccal mucosa
– Gingiva
– Tongue
– Palate
11. Which pathology has the highest rate of malignant transformation?
– Actinic cheilitis
– Discoid lupus erythematosus
– Leukoplakia
– Oral submucous fibrosis
12. Recurrent aphthous stomatitis is commonly associated with which type of HLA?
– HLA-B27
– HLA-B5
– HLA-B51
– HLA-A29
13. Pigmented lesion associated with Addison’s disease is called:
– Peutz-Jeghers pigmentation
– Melanotic macule
– Oral melanoacanthoma
– Oral cyanosis
14. HPV-associated oral lesions are commonly seen in patients with which disease/condition?
– HIV/AIDS
– Organ transplant
– Leukemia
– Diabetes
15. Symptoms of burning mouth syndrome include:
– Metallic taste
– Pain on eating
– Glossodynia
– All of the above
16. Test your knowledge – Which pathogen causes oral candidiasis?
– Candida albicans
– Herpes simplex virus
– Human papilloma virus
– Actinomyces israelii
17. This intraoral lesion presents as a firm, rubbery nodule or plaque and is commonly associated with iron overload:
– Oral submucous fibrosis
– Burning mouth syndrome
– Pyogenic granuloma
– Hemorrhagic telangiectasia
18. Which jaw bone is more commonly involved in Multiple Myeloma?
– Mandible
– Maxilla
– Both are equally involved
– Myeloma doesn’t involve jaw bones
19. All are potentially malignant disorders of the oral cavity EXCEPT:
– Peutz-Jeghers syndrome
– Erythroplakia
– Oral submucous fibrosis
– Dyskeratosis congenita
20. True statement about burning mouth syndrome:
– More common in females
– Associated with anxiety/depression
– Etiology is not clearly understood
– All of the above
21. Pigmented lesion associated with Peutz-Jeghers syndrome:
– Oral melanoacanthoma
– Melanotic macule
– Addisonian pigmentation
– Amalgam tattoo
22. Common site of Kaposi sarcoma lesions in the oral cavity:
– Hard palate
– Buccal mucosa
– Tongue
– Gingiva
23. Which virus is most commonly associated with oral hairy leukoplakia?
– EBV
– Herpes simplex virus
– Coxsackie virus
– HPV
24. Oral submucous fibrosis involves:
– Submucosal collagen deposits
– Subepithelial collagen deposits
– Subpapillary collagen deposits
– Subperiosteal collagen deposits
25. Common sign/symptom of oral cancer:
– Non-healing ulcer
– Bleeding gums
– Burning or tingling sensation
– All of the above
26. Pemphigus vulgaris presents as:
– Erosive and ulcerative lesions
– Scarring blisters
– Pigmented macules or papules
– Keratotic white lesions
27. Management of oropharyngeal candidiasis involves:
– Antifungal rinses/medications
– Stopping causative medications
– Improving oral hygiene
– All of the above
28. Most common site of oral lichen planus lesions:
– Buccal mucosa
– Posterior part of the tongue
– Gingiva
– Hard palate
29. Autoimmune condition characterized by painful oral ulcerations commonly associated with:
– Behçet’s disease
– Celiac disease
– Pemphigus vulgaris
– Burning mouth syndrome
30. Aphthous ulcers recur at:
– 1-2 months
– 3-6 months
– 6-12 months
– > 12 months
31. Which statement about amyloidosis is false:
– Deposition of an abnormal protein called amyloid in tissues/organs
– Common oral lesion is macroglossia
– Related to chronic infections like tuberculosis
– Strong association with multiple myeloma
32. All are risk factors for oral cancer EXCEPT:
– Smokeless tobacco
– Excessive consumption of spicy food
– Advanced periodontal disease
– Family history of breast cancer
33. Melanotic macule presents as:
– Single, small, brown to black macule
– Multiple macules
– Well demarcated, variable color
– Typically erosive or ulcerative
34. Tongue involvement is common in which condition?:
– Pemphigus vulgaris
– Lichen planus
– Cicatricial pemphigoid
– Burning mouth syndrome
35. Oral Kaposi sarcoma lesions are commonly:
– Red to bluish-black nodules or plaques
– Painful erosions or ulcers
– White, non-removable lesions
– Pigmented macules
36. Tuberculous ulcers are usually:
– Painful
– Firm, indurated borders
– Non-tender
– Associated with constitutional symptoms
37. Aphthous ulcers are painful and commonly:
– Associated with celiac disease
– Associated with Crohn’s disease
– Caused by herpes simplex virus
– Associated with Behçet’s disease
38. Benign mucous membrane pemphigoid (cicatricial pemphigoid) presents as:
– Chronic ulcerations and scarring
– Multiple blisters and erosions
– Symmetric keratotic white lesions
– Non-healing solitary ulcer
39. Oral submucous fibrosis is associated with:
– Plummer-Vinson syndrome
– Sideropenic dysphagia
– Esophageal webs
– Gastritis
40. Typical clinical findings in erythroplakia include:
– Red lesion that cannot be characterized
– Non-removable whitish lesion
– Pigmented or mixed pigmented/leukoplakic lesion
– Erosive/ulcerative lesion
41. Leukoplakia has the greatest potential for malignant transformation if:
– Veraeform or speckled type
– Non-homogenous or nodular type
– Homogenous type
– Involves palate or floor of mouth
42. Oral hairy leukoplakia presents as:
– White keratotic lesions on the side of the tongue
– Multiple erythematous areas on the palate
– Symmetric lesions on buccal mucosa
– Erosive/ulcerative lesions of the gingiva
43. Common characteristics of recurrent aphthous stomatitis:
– Recurrent ulcers 1-2 cm in diameter
– Family history of similar lesions
– Ulcers located on non-keratinized mucosa
– Painful lesions heal in 10
some additional questions
1. A 45-year-old male presents with a painless, non-healing ulcer on the tongue for 2 weeks. The ulcer has a white base and a red border. What is the most likely diagnosis?
A) Oral cancer
B) Herpes simplex virus infection
C) Aphthous ulcer
D) Candidiasis
1. A 35-year-old female has a history of smoking and complains of pain and swelling in the mandible. A panoramic radiograph reveals a multilocular radiolucency. What is the most likely diagnosis?
A) Osteoid osteoma
B) Osteomyelitis
C) Ewing’s sarcoma
D) Benign bone cyst
1. A 60-year-old male presents with a complaint of bleeding from the gums for 6 months. On examination, there are areas of attached gingiva that are bright red and bleed easily. What is the most likely diagnosis?
A) Periodontitis
B) Gingivitis
C) Pyogenic granuloma
D) Hereditary gingival fibromatosis
1. A 40-year-old male presents with a slow-growing, painless swelling on the hard palate. On examination, the swelling is firm and immobile. What is the most likely diagnosis?
A) Palatal tissue necrosis
B) Inverted papilloma
C) Torus palatinus
D) Squamous cell carcinoma
1. A 55-year-old male presents with a painful, red-colored lesion on the lower lip. The lesion has a crusted surface and has been present for 2 weeks. What is the most likely diagnosis?
A) Herpes zoster
B) Impetigo
C) Cold sore
D) Folliculitis
1. A 25-year-old female has a history of poor oral hygiene and presents with generalized, painful, and bleeding gums. On examination, there are areas of calculus deposits and inflammation. What is the most likely diagnosis?
A) Periodontitis
B) Gingivitis
C) Dental caries
D) Acute necrotizing ulcerative gingivitis
1. A 40-year-old male presents with a painless, non-healing ulcer on the floor of the mouth. The ulcer has a white base and a red border. What is the most likely diagnosis?
A) Oral cancer
B) Aphthous ulcer
C) Candidiasis
D) Ranula
1. A 30-year-old female presents with a painful, swollen area on the mandible. On examination, there is a 2 cm x 2 cm area of bone that is tender to palpation. What is the most likely diagnosis?
A) Osteomyelitis
B) Dental abscess
C) Osteoid osteoma
D) Mandibular fracture
1. A 50-year-old male presents with a complaint of pain and difficulty swallowing. On examination, there is a large, exophytic lesion on the tongue. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Papilloma
C) Pyogenic granuloma
D) Fungal infection
1. A 20-year-old female has a history of smoking and presents with a painful, red-colored lesion on the soft palate. On examination, the lesion has a crusted surface and is tender to palpation. What is the most likely diagnosis?
A) Herpes simplex virus infection
B) Candidiasis
C) Necrotizing ulcerative gingivitis
D) Squamous cell carcinoma
11. A 50-year-old male presents with a complaint of pain and swelling in the maxillary sinus. A CT scan reveals a mass in the sinus. What is the most likely diagnosis?
A) Sinusitis
B) Benign tumor
C) Malignant tumor
D) Cyst
01. A 30-year-old female presents with a painful, red-colored lesion on the soft palate. On examination, the lesion has a crusted surface and is tender to palpation. What is the most likely diagnosis?
A) Herpes simplex virus infection
B) Candidiasis
C) Necrotizing ulcerative gingivitis
D) Squamous cell carcinoma
01. A 40-year-old male presents with a complaint of bleeding from the gums for 6 months. On examination, there are areas of attached gingiva that are bright red and bleed easily. What is the most likely diagnosis?
A) Periodontitis
B) Gingivitis
C) Pyogenic granuloma
D) Hereditary gingival fibromatosis
01. A 20-year-old female has a history of poor oral hygiene and presents with generalized, painful, and bleeding gums. On examination, there are areas of calculus deposits and inflammation. What is the most likely diagnosis?
A) Periodontitis
B) Gingivitis
C) Dental caries
D) Acute necrotizing ulcerative gingivitis
01. A 55-year-old male presents with a painful, non-healing ulcer on the tongue. The ulcer has a white base and a red border. What is the most likely diagnosis?
A) Oral cancer
B) Aphthous ulcer
C) Candidiasis
D) Ranula
01. A 40-year-old female presents with a slow-growing, painless swelling on the hard palate. On examination, the swelling is firm and immobile. What is the most likely diagnosis?
A) Palatal tissue necrosis
B) Inverted papilloma
C) Torus palatinus
D) Squamous cell carcinoma
01. A 30-year-old male presents with a complaint of pain and swelling in the mandible. On examination, there is a 2 cm x 2 cm area of bone that is tender to palpation. What is the most likely diagnosis?
A) Osteomyelitis
B) Dental abscess
C) Osteoid osteoma
D) Mandibular fracture
01. A 60-year-old female presents with a complaint of pain and difficulty swallowing. On examination, there is a large, exophytic lesion on the tongue. What is the most likely diagnosis?
A) Squamous cell carcinoma
B) Papilloma
C) Pyogenic granuloma
D) Fungal infection
01. A 45-year-old male presents with a complaint of pain and swelling in the maxillary sinus. A CT scan reveals a mass in the sinus. What is the most likely diagnosis?
A) Sinusitis
B) Benign tumor
C) Malignant tumor
D) Cyst
01. A 35-year-old female has a history of smoking and presents with a painful, red-colored lesion on the soft palate. On examination, the lesion has a crusted surface and is tender to palpation. What is the most likely diagnosis?
A) Herpes simplex virus infection
B) Candidiasis
C) Necrotizing ulcerative gingivitis
D) Squamous cell carcinoma