Choose the correct answer

1- Extraoral examination of TMJ done by gentle pressure with finger tips

a. 1.5 cm lateral to the tragus of the ear
b. 1.5 cm superior to the tragus of the ear
c. 2.5 cm lateral to the tragus of the ear
d. 1,5 cm medial to the tragus of the ear

2- Enlarged (palpable) lymph nodes

a. Always are tender
b. If non- tender may be cancer
c. If non-tender means inflammation
d. None of the above

3- Vesicles are
a. elevated blisters containing clear fluid that are greater than 1 cm in diameter
b. Blisters containing pus
c. Elevated blisters containing clear fluid that are less than 1 cm in diameter
d. None of the above

4- Minor aphthous ulcers

a. have irregular margin
b. oval and well circumscribed
c. heals within 2 weeks
d. are more than 1 cm in diameter

5- Major aphthous ulcers

a. May heal with scar
b. Recur after 1-3 months
c. Treated by presolone 10-20 mg/day
d. All the above

6- Behcet’s syndrome
a. Affects mainly males between 20-30 years old
b. May be characterized by recurrent genital ulcers
c. May be characterized by arthritis
d. All the above

7- Primary herpetic gingivostomatitis is Characterized by

a. unilateral lymph nodes enlargement
b. bilateral lymph nodes enlargement
c. local gingivitis
d. vesicles which appear at the first day of the disease

8- herpes zoster (shingle) is

a. characterized by bilateral enlargement of lymph nodes
b. characterized by unilateral enlargement of lymph nodes
 c. treated by Valacyclovir (1,000 mg three times a day) or famciclovir (500 mg three times a day) for 3
days
d. none of the above

9- pemphigus vulgaris
a. is self limited hypersensitivity disease
b. is characterized by presence of target lesion
c. is characterized by destruction of intercellular desmosomes and loss of cell to cell adhesion
d. always skin lesions start before oral lesions
10-oral lichen planus
a. is acute mucocutaneous disease
b. is recurrent unilateral lesion affect mainly labial mucosa and tongue
c. erosive type is characterized by Wickham's striae
d. may be asymptomatic but erosive type is painful
11- discoid lupus erythromatosis is characterized by
a. nikolsky sign
b. peeling of oral mucosa
c. butterfly pattern
d. all the above
12- oral manifestations in Sjögren’s syndrome are
a. angular cheilitis
b. painful and sensitive mucosa
c. swelling of parotid gland
d. all the above
13-patient with Sjögren’s syndrome may complain of
a. high caries index
b. gingivitis
c. oral candidiasis
d. all the above
14-oral candidiasis may be due to
a. AIDS
b. Steroid inhaler
c. Broad spectrum antibiotic
d. All the above
15- oral leukoplakia
a. Homogenous type is more susceptible for malignant transformation than other types
b. Non-homogenous type has cracked mud appearance
c. Proliferative verrocus type has the highest potential of malignant transformation
d. None of the above
16- filiform papillae of the tongue are
 a. Desequamated in hairy tongue
b. Elongateded in geographic tongue
c. Desquamated in median rhomboid glossitis
d. None of the above
17- malignant melanoma
a. May be painful or asymptomatic
b. It arises from melanocytes
c. Has poor prognosis
d. All the above
18- Addison’s Disease
a. Causes bilateral dark brown pigmentation of the oral mucosa
b. Is autoimmune disease cause destruction of adrenal medulla
c. Oral pigmentations are due to proliferation of melanocytes
d. None of the above
19- pain of maxillary sinusitis is
a. usually contiuous
b. always unilateral
c. Radiating to TMJ
d. None of the above
20- typical trigeminal neuralgia
a. Is bilateral sudden, sever, electric- like pain
b. Mainly has trigger zone area about 3 cm above corner of the mouth bilaterally
c. results in disability to shave or wash the area, eat and talk
d. all the above
21- Burning mouth syndrome may be due to
a. xerostomia
b. Emotional stress
c. Nutritional deficiency
d. All the above

22- continuous type of facial pain may occur in

a. Maxillary sinusitis
b. Atypical facial pain
c. Atypical odontalgia
d. All the above

23- AIDS may lead to

a. Hairy leukoplakia
b. Acute ulcerative gingivostomatitis
c. Kaposi sarcoma
d. All the above
24- Verruca vulgaris
a. Is mobile exophytic growth
b. May be single or multiple
c. affects mainly labial mucosa
d. all the above
25- herpangina is characterized by
a. sudden fever
b. dysphagia
c. absence from lips, gingiva and floor of the mouth
d. all the above

Q.2 – Write (T) for true statement and (F) for false one

1- Plaque is a solid raised lesion that is less than 1 cm in diameter F

2- The most common sites of minor recurrent aphthous are buccal mucosa, lips, tongue and hard palate F

3- major aphthous ulcers are deep, extremely painful and persist for 3-6 months F
4- intralesional steroid injection may be required for treatment of minor aphthous ulcers F

5- recurrent oral ulcers accompanied with positive pathergy test confirm diagnosis of Behcet’s disease F

6- HSV-1 may cause Bells palsy T

7- emotional stress may lead to reactivation of latent HSV-1 T
8-The most common site of intraoral lesion of recurrent labial herpes is the labial mucosa F
9-in measles Koplik's spots may appear on the buccal mucosa at the level of the first and second premolars 1 to
2 days before onset of the rash F

10-erythema multiforme is autoimmune disease that is treated by systemic steroids F

11-oral lesions of systemic lupus erythromatosis is characterized by talengictasia F

12-pseudomembranous and erythematous candidiasis are treated by nystatin and miconazole cream F
13-median rhomboid glossitis is characterized by atrophy of the fungiform papillae of the tongue F

14-oral erythroplakia is red lesion that has distinct demarcation against the normal-appearing F
15-leukoedema occurs bilaterally and disappears if the mucosa is distended by stretching of the cheek T
16-melanotic macule is caused by diffuse hyperpigmentation of melanin while melanotic nevus is caused by
proliferation of melanocytes T
17- melanosis in grave’s disease affects dark skinned people more than white T
18-amalgam tattoo disappears after removal of amalgam filling F
19-minocyclin causes melanin- associated oral pigmentation F

20-trigeminal neuralgia results from loss of the myelin of the trigeminal nerve due to compression from a blood
vessel T

21- glossopharyngeal neuralgia in patient below 50 years old may be a sign of multiple sclerosis F

22- cluster headache is recurrent pain involve the eye region on both sides of the head F

23-migrain headache is recurrent pulsating pain affects one side of the head T
24- herpetic whitlow is caused by herpes zoster virus F

25- hairy leukoplakia is caused by Epstein-Barr virus (EBV) T