White and Red lesions

1- It is a flat lesion (change in color) and it may be due to vascular

lesion, inflammation or pigmentation like melanin, hemosiderin
or any foreign body?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
2- Freckles is an example of?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
3- Solid lesion and it is smaller than 1 cm?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
4- Solid lesion and it is Larger than 1 cm, and raised above skin?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
5- Solid lesion and it is raised above and deep into oral mucosa
and can be easily moved over them?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
6- Lymph nodes are examples of?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
7- They are elevated blister containing clear fluid, and they are
less than ½ cm?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
8- They are elevated blister containing clear fluid, and they are
more than ½ cm?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
9- They are elevated blister containing pus, and they are more
than ½ cm?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
10- When there is partial loss of epithelium, it is called?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
11- When there is complete loss of epithelium, it is called?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
12- When vesicle or bullae rapture due to trauma, they turn to?
A- Macule.
B- Papule.
C- Plaque.
D- Nodule.
E- Vesicle.
F- Bullae.
G- Pustule.
H- Erosion.
I- Ulcer.
13- Which of the following factors don’t contribute in the color
of the oral mucosa:
A- Quantity and quality of blood.
B-Thickness of oral mucosa.
C-Presence of melanin.
D-Degree of keratinization.
E- They all contribute
14- All of the following are causes of White color of the oral
mucosa except?
A-hyperkeratosis.
B-Acanthosis.
C-Spongiosis.
D-Fibrosis.
E-none of the above.
15- Which of the following is not a hereditary white lesion?
A-leukoedema.
B-Linea alba.
C-White spongy nevus.
D-Hereditary benign intraepithelial Dyskeratosis.
E-Dyskeratosis congenita
16- Which of the following is not a reactive lesion:
A-White line.
B-Traumatic keratosis.
C-cheek chewing.
D-Chemical burn.
E- Candidiasis
F- Cheilitis.
G-smokeless tobacco.
H- nicotine stomatitis.
17- Which of the following is an infectious lesion:
A-Lichenoid.
B-lupus Erythematosus.
C-Koplik’s spots.
D-Lichen planus.
18- Which of the following can be rubbed off?
A-White line.
B-Traumatic keratosis.
C- Candidiasis
D- Cheilitis.
F-smokeless tobacco.
G- nicotine stomatitis.
19- Regarding Leukoedema, which of the following is not true?
A-it is variation of the normal condition.
B-it is hereditary white lesion.
C-most common site is buccal mucosa bilateral.
D-no race difference.
20- Cannon’s Disease can be seen in any mucosa, not just oral
mucosa?
A-t.
B-f.
21- Cannon’s Disease occur due to replacement of proline with
leucine within keratin gene:
A-t.
B-f.
22- Regarding Cannon’s Disease, which is wrong:
A-Bilateral symmetric white plaques on buccal mucosa.
B-Since birth and exaggerate at puberty.
C-can turn to malignant tumor if long stands.
D-patients may require palliative treatment if it is symptomatic.
23- All of the following are true about Witkop’s disease except:
A-Autosomal dominant disorder, oral lesions and bilateral limbal
conjunctival plaques.
B-involves the palpebral conjunctiva, which make ocular lesion.
C-the ocular lesion manifests very early in life.
D-it is associated with photophobia and potential blindness.
24- All of the following are false about Dyskeratosis conginta
except:
A- dominant Inherited genodermatosis.
B-It leads eventually to atrophic erythroplakia, tongue and cheek mostly
affected.
C-it is associated with dystrophic nails, hyperpigmentation of skin.
D-it may be associated with pancytopenia, hypersplenism, anaplastic
anemia.
E- it is not a premalignant lesion.
25- 5mg valium and night guard is a recommended treatment for:
A-Linea alba.
B-Frictional keratosis.
C-cheek chewing.
D-Dyskeratosis conginta.
26- Which of the following is not a caustic agent for chemical
burns:
A-Aspirin.
B-hydrogen peroxide.
C-Cinnamon flavored dentifrice.
D-all are caustic agents.
27- The unattached non keratinized tissues is more affected with
chemical burn than attached tissues?:
A-t.
B-f.
28- Which of the following is wrong, Regarding Chemical burns:
A-Uremic stomatitis is considered as a type of chemical burns.
B-Uremic stomatitis is usually companied with acute or chronic renal
failure.
C- Uremic stomatitis usually appears when blood concentration of urea
exceeds 60 mmol/1.
D- Uremic stomatitis usually appears when blood concentration of urea
exceeds 30 mmol/1.
29- Uremic stomatitis is a deferential diagnosis for all of the
following except:
A-Candidiasis.
B-leukoedema.
C-hairy leukoplakia.
D-White spongy nevus.
E- Drug reactions.
F- Cinnamon contact stomatitis
30- Which of the following is used to treat Actinic keratosis
(cheilitis) biopsied with dysplasia:
A-Para aminobenzoic acid, Zink oxide.
B- Laser or crayo Surgery.
C-topical 5% fluorouracil.
D-B&C.
31- Smokeless tobacco lesions are significantly different from
leukoplakia and have a much lower risk of malignant
transformation:
A-t.
B-f.
32- Most common site for smokeless tobacco induced keratosis
is:
A-Ant max.
B-Ant man.
C-post max.
D-post man.
33- smokeless tobacco induced keratosis must be removed
surgically :
A-t.
B-f.
34- which of the following is not a premalignant lesion:
A-Dyskeratosis conginta.
B-Actinic keratosis.
C-lupus.
D-nicotine stomatitis.
E- reverse smoking
F- Erosive lichen planus
G- leukoplakia
H- Erythroplakia
I- oral submucous fibrosis
J- smokeless tobacco
35- nicotine stomatitis is a white lesion that develops a white
papules with centered red dot representing the inflamed minor
salivary gland duct on the hard and soft palate,, while reverse
smoking is an erythroplakia lesion that develop in the same sites:
A-bt.
B-bf.
C-1t2f.
D-1f2t.
36- which of the following causative organisms is responsible for
oral hairy leukoplakia:
A-EBV.
B-paramyxovirus.
C-Human papilloma virus.
D-it is not a virus infection.
37- Most common site for Oral Hairy Leukoplakia is:
A-buccal mucosa.
B-hard palate.
C-lateral or ventral surface of tongue.
D-soft palate.
38- Which of the following is a treatment in case of hairy
leukoplakia:
A-Zovirax 1g 5times per day for a week.
B-Zovirax 400mg 5times per day for a week.
C- Zovirax 1g 3times per day for a week.
D- Zovirax 400mg 3times per day for a month.
39- which of the following causative organisms is responsible for
Koplik’s spots:
A-EBV.
B-paramyxovirus.
C-Human papilloma virus.
D-it is not a virus infection.
40- Which of the following appears first in case of Koplik’s spots:
A-Oral lesion.
B-Prodromal symptoms.
C-skin lesions.
D-they all appear at the same time.
41- Measles can lead to encephalitis ‫الدماغ‬ ‫التهاب‬and
thrombocytopenia purpura?
A-t.
B-f.
42- Regarding Candida albicans, which is false:
A-it is the causative organism of Candidiasis.
B-it is a normal inerrant of the oral flora.
C-both true.
D-both false.
43- Which of the following is not a predisposing factor of
candidiasis:
A-Long term antibiotics.
B-Smoking.
C-Xerostomia.
D-infancy or elderly.
E- Pregnancy.
F- long term corticosteroids
G- long term NSAIDs.
H-Diabetic pt
44- In the previous question, which of the following alter epi
helping colonization and act as nutrient for organism?
45- In the previous question, which of the following leads to loss
of IgA that help in suppression of organism adhesion?

46- Which of the following is not a Deferential Diagnosis of Acute

pseudomembranous candidiasis?
A-leukoplakia.
B-White spongy nevus.
C-food debris.
D-cheek biting.
47- Antibiotic sore mouth and chronic iron deficiency anemia can
lead to:
A-Acute pseudomembranous candidiasis.
B-Acute atrophic candidiasis.
C-Chronic atrophic candidiasis.
D-Chronic hyperplasic candidiasis.
48- Which of the following is usually associated with HIV positive
and AIDS:
A-oral thrust.
B-Antibiotic sore mouth.
C-Denture sore mouth.
D-Chronic iron deficiency anemia.
49- HIV infection is the most common disease associated with:
A-Lichen planus.
B-Erythroplakia.
C-Oral hairy leukoplakia.
D-lupus Erythematosus.
50- “Grain of Rice on an erythematous base” or small bluish
white specks surrounded by a bright red margin are seen in
which of the following diseases :
A-Lichen planus.
B-Erythroplakia.
C- Koplik’s spots
D-Oral hairy leukoplakia.
E-lupus Erythematosus.
F- Candidiasis
51- Consists of numerous palatal petechiae, is the --- stage of
denture sore mouth:
A-first.
B-second.
C-third.
D-fourth.
52- Consists of diffuse erythema involving most of the denture
covered mucosa, is the --- stage of denture sore mouth:
A-first.
B-second.
C-third.
D-fourth.
53- Regarding contact stomatitis, which is false:
A-after a long time wearing denture.
B-negative patch test.
C-it is mainly at the upper arch.
D-require Antifungal as a treatment.
E- all false.
54- Cobble stone appearance is found in which disease:
A-WSN.
B-Kolpiks spots.
C-Papillary hyperplasia.
D-Darier’s disease.
55- Regarding Follicular keratosis, which of the following is false:
A-hyperpigmentation in skin, palmer, planter.
B-Dystrophic nails.
C-Whitish papules in gingiva and hard palate.
D-rough surface in palate.
56- Nodular median rhomboid glossitis, is a type of:
A-Acute pseudomembranous candidiasis.
B-Acute atrophic candidiasis.
C-Chronic atrophic candidiasis.
D-Chronic hyperplasic candidiasis.
57- Candidal leukoplakia is a type of:
A-Acute pseudomembranous candidiasis.
B-Acute atrophic candidiasis.
C-Chronic atrophic candidiasis.
D-Chronic hyperplasic candidiasis.
58- The difference between candida leukoplakia and
conventional leukoplakia is:
A-the clinical diagnosis.
B-radiographic diagnosis.
C-PAS test.
D-PCR.
59- In patient with HIV infection who develops oral candida,
which is true?
A-Ig G increases Ig A decreases.
B- Ig G decreases Ig A increases.
C- they both increase.
D- they both decrease.
60- Regarding oral candida, which of the following treatments is
not true (you can chose multiple choices):
A-topical nystatin 4 times daily for 3 weeks.
B- topical Amphotericin B 4 times daily for 3 weeks.
C- systemic nystatin once daily for 3 weeks.
D-consumption of yogurt 3 times per week.
E- ketoconazole 100 mg once a day for 2 weeks.
F- itraconazole 100 - 200 mg once a day for 2 weeks.
G- Fluconazole 200 mg once a day for 2 weeks.
H- metronidazole 200 mg once a day.
61- It is a superficial area of mucosal necrosis and seen in the
secondary syphilis and develop in 6 months after the primary
lesion:
A-lichen planus.
B-lupus.
C-Mucous patches.
D-Parulis.
62- Which of the following lesions is associated with Treponema
pallidum?
A-Oral hairy leukoplakia.
B-Candida leukoplakia.
C-Oral thrush.
D-Mucous patches.
63- Which one of true leukoplakia forms is the least to turn to
malignant:
A-thick.
B-nodular.
C-Verrucous.
D-they all have the same ratio.
64- Lichen planus whenever spotted as skin lesion only, it is
considered as self-limiting lesion:
A-t.
B-f.
65- Regarding Grinspan syndrome, which is not related to it:
A-Lichen planus.
B-Diabetes mellites.
C-Hypertension.
D-hypotension.
66- Liquefaction degeneration of basal cell layer in lichen planus
can be found with which mechanism:
A-t cells releasing perforin.
B-apoptosis.
C-in both.
D-none of the above.
67- Colloid bodies are dead basal cells that were extruded to
connective tissue and coated with Ig G:
A-t.
B-f.
68- Regarding lichen planus, which is false:
A-occur at any oral mucosa most common buccal mucosa bilateral.
B-it is associated with remissions and exacerbations.
C-causes pain and discomfort to pt.
D-don’t cause fixation of mucosa but loss of flexibility.
69- Which type of lichen planus is associated with, Lace-like
pattern or annular lesion & with stretching it becomes mor
accentuated:
A-Reticular from.
B-Papular.
C-Plaque.
D-Atrophic.
E- Erosive
F- Bullous
70- Which type of lichen planus which may resemble leukoplakia:
A-Reticular from.
B-Papular.
C-Plaque.
D-Atrophic.
E- Erosive
F- Bullous
71- Which type of lichen planus is associated with, Desquamative
gingivitis (bright red edematous patches involving full width of
the attached gingiva):
A-Reticular from.
B-Papular.
C-Plaque.
D-Atrophic.
E- Erosive
F- Bullous
72- Which type of lichen planus, appears as n ulcerated area with
irregular borders and covered with pseudo membrane:
A-Reticular from.
B-Papular.
C-Plaque.
D-Atrophic.
E- Erosive
F- Bullous
73- Which type of lichen planus is the worst prognosis:
A-Reticular from.
B-Papular.
C-Plaque.
D-Atrophic.
E- Erosive
F- Bullous
74- Regarding lichen planus histopathology, which of the
following is not related:
A-liquefaction degeneration.
B-isolated eosinophilis.
C-Bands of T cells.
D-hyphae of candida.
75- Which of the following is not associated with, Desquamative
gingivitis:
A-Lichen planus.
B-Pemphigus vulgaris.
C-Mucous membrane pemphigoid.
D-systemic lupus.
76- Kobner’s phenomena is associated with:
A-Discoid lupus.
B-Systemic lupus.
C-Lichen planus.
D-Submucous fibrosis.
 Answers

1-A 2-A 3-B 4-C 5-D

6-D 7-E 8-F 9-G 10-H
11-I 12-H 13-E 14-E 15-B
16-E 17-C 18-C 19-D 20-A
21-B 22-C 23-B 24-C&D 25-C
26-D 27-A 28-C 29-B 30-D
31-A 32-B 33-B 34-D 35-A
36-A 37-C 38-B 39-B 40-B
41-A 42-C 43-G 44-B 45-C
46-A 47-B 48-C 49-C 50-C
51-A 52-B 53-E 54-D 55-D
56-D 57-D 58-C 59-A 60-CEGH
61-C 62-D 63-A 64-A 65-D
66-A 67-B 68-D 69-A 70-C
71-D 72-E 73-F 74-D 75-D
76-C

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