Oral Pathology II

Bank Questions

First & second experimental exams.

 1st experimental exam

1- One of the most common oral forms of keratosis associated with pipe
smoking & characterized by red dots may be noted on posterior portion
of the hard palate is diagnosed as :

a- frictional keratosis
b- white lesions associated with smokeless tobacco
c- Nicotina stomatitis
d- Actinic chelitis

2- Dysplastic alternation limited principally to the basal & parabasal layers

of epithelium is considered :

a-mild epithelial dysplasia

b-carcinoma in situ
c-sever epithelial dysplasia
d-moderate epithelial dysplasia

3-which of the following is true about squamous cell carcinoma:

a-Arise from stratified squamous epithelium

b- does not contain signs of dysplasia
c-contain mucous secrating cells
d-has incomplete capsule
 3- A 40 years old patient presented to your clinic with an ulcerating nodule
on the left side of his nose which revealed epithelial nests having
columnar outer layer on microscopical examination, the diagnosis of this
case is:
a-Fibroma
b-basal cell carcinoma
c-oral sumucous fibrosis
d-squamous cell carcinoma

4- A benign endophytic epithelial growth Appearing as a well-circumscribed

keratin-filled crater on sun-exposed skin; clinically resembles carcinoma
called:
a- Self-healing carcinoma
b- Squamous cell carcinoma
c- Adenoid cystic carcinoma
d- Mucoepidermoid carcinoma

6-benign neoplasm of smooth muscle is called:

a- Hemangioma
b- Leiomyoma
c- Lymphangioma
d- Rhabdomyoma

7- Lymphocytic band is the most characteristic histo-pathological features of:

a- Lichen planus
b- Leukoedema
c- Follicular keratosis
d- Hairy leukoplakia
8- Fibrolipoma is masses of mature fat cells with obvious connective tissue
element in between. Which this element is?
a- Endothelial connective tissue
b- Chondroid connective tissue
c- Fibrous connective tissue
d- Myxoid connective tissue

9- which of the following is true about squamous cell carcinoma :

a- Has incomplete capsule
b- Contain mucous secreting cells
c- Arise from stratified squamous cell epithelium
d- Does not contain signs of dysplasia

10 – Etiology of keratocanthoma is due to:

a- HPV 16 & 27
b- HPV 26 & 27
c- HPV 6 & 11
d- HPV 16 & 18

11- Target cell in lichen planus is:

a- Basal cell
b- Langerhans cell
c- Squamous cell
d- Granular cell
12- Which of the following is an odontogenic epithelial tumor:
a- Ameloblastic fibroma
b- Adenomatoid odontogenic tumor
c- Cementoblastoma
d- Clear cell odontogenic tumor

13- Female born with flat bluish in color lesions in tongue, histopathological
biopsy showed proliferation of small vascular channels. This case is diagnosed as:
a- Capillary haemangioma
b- Cavernous lymphangioma
c- Cavernous haemangioma
d- Capillary lymphangioma

14- Histopathologically, marked hydropic degeneration os stratum spinosum, this

oedematous cells giving basket wavy appearance in:
a- Darrier’s disease
b- White spongy nevus
c- Leukoedema
d- Hereditary benign intraepithelial lesion

15- Lesigang’s rings are seen in:

a- Pindborg tumor
b- AOT
c- Giganiform cementoma
d- Complex odontoma
16- Histopathology of spindle cell carcinoma looks similar to which of the
following lesions?
a- Fibrosarcoma
b- Nasopharyngeal carcinoma
c- Basal cell carcinoma
d- Verrucous carcinoma

17- Etiology of oral thrush is:

a- Epistein barr virus
b- Herpes simplex virus
c- Human papilloma virus
d- Candida albicans

18- radiographic features of odontogenic myxoma is characterized by:

a- Radiolucency contain calcified structure
b- Soap-bubble appearance may be associated with an un-erupted tooth
c- Radiopaque areas of a nodular nature surrounded by a radiolucent rim
d- Well circumscribed monocular; radiolucency

19- A sub-mucosal mass consisting of diffuse sheets of large granular cell

commonly found on the dorsal surface of the tongue with pseudoepitheliomatous
hyperplasia is called:
a- Congenital epulis of newborn
b- Hemangioma
c- Granular cell tumor of adult
d- Lymhangioma
20-psudoepitheliomatous hyperplasia is the most histopathological features of:
a- Squamous cell papilloma
b- Granular cell tumor of adult
c- Congenital epuils
d- Fibroma

21- T4N0M0 squamous cell carcinoma is stage:

a- IV
b- I
c- III
d- II

22- odontogenic myxoma is considered an aggressive odontogenic tumor with

rapid growth. Explain why?
a- Pennural invasion
b- Presence of mucoid material
c- Local metastasis
d- Distant metastasis

23- Lesigang’s rings are seen in:

a- Pindborg tumor
b- Comlex odontoma
c- Giganiform cementoma
d- AOT
24- Sun damage plays an important role in pathogenesis of:
a- Actinic chelitis
b- Leukoplakia
c- Follicular keratosis
d- Frictional keratosis

25- The most important cells play role in pathogenesis of lichen planus are:
a- Neutrophils
b- Lymphocytes
c- Plasma cells
d- Eosinophilic cells

26- Which type of leukoplakia shows low malignant transformation potential?

a- Homogenous leukoplakia
b- Verrucous leukoplakia
c- Specided leukoplakia
d- Nodular leukoplakia

27- T1N0M1 sqamous cell carcinoma is stage:

a- II
b- IV
c- III
d- I
28- Finger like projections tumor that arise from surface epithelium is called:
a- Keratoacanthoma
b- Verrucous leukoplakia
c- Nasopharyngeal carcinoma
d- Squamous cell papilloma
29- Male patient, 21 years old complains from sever burning sensation of buccal
mucosa retromolar area, trismus of the mouth, xerostomia, progressive stiffness
of sub-epithelial tissues, diffuse firm whitish areas of sub-mucosal scarring. This
case is diagnosed as:
a- Chemical burn
b- Oral submucous fibrosis
c- Candidiasis
d- Oral lichen planus
30- Drop-shaped rete pegs of epithelium as one of signs of dysplasia means:
a- The rete pegs are wide at their deeper part & superficially
b- The rete pegs are wider at their deeper part than they are more
superficially
c- The rete pegs are normal at their deeper part & superficially
d- The rete pegs are wider superficially more than at their deeper part
 2nd experimental exam

1-which of the following is not seen in Gardner’s syndrome:

a- Multiple osteomas
b- Multiple odontogenic keratocyts
c- Multiple polyposis of large intestine
d- Impacted supernumerary & permanent teeth

2- carefully read the following pathological report and choose the right diagnosis
from the options below. The admitted biopsy specimen revealed numerous
rounded and ovoid shaped collections of basaloid cells with perneural invasion
around these structure no capsule is seen:
a- Pleomorphic adenoma
b- Adenoid cystic carcinoma
c- Mucoepidermoid carcinoma
d- Acinic cell carcinoma

3- The most characteristic radiological sign in osteogenic osteosarcoma is:

a- Presence of radiopaque areas
b- Sun ray appearance
c- Presence of mixed radiopaque and radiolucent areas
d- Ill-defined borders
4-Which of the following is NOT a bone tumor:
a- Mandibular exostosis
b- Osteoid osteoma
c- Osteoma
d- Osteosarcoma

5- the most common type of salivary gland tumor is:

a- Mucoepidermoid carcinoma
b- Adenoid cystic carcinoma
c- Pleomorphic adenoma
d- Oncocytoma

6-which of the following is not an origin of intraosseous mucoepidermoid

carcinoma:
a- Entaped retromolar glands
b- Odontogenic cysts
c- Salivary tissue entrapped within the mandible
d- Endothelial cells of blood vessels

7-Ollier’s syndrome is characterized by:

a- Numerous impacted and un-erupted teeth
b- Multiple enchondromatosis and hemagiomas
c- Multiple hemagiomas
d- Multiple enchondromatosis
8-The high recurrence rate of pleomorphic adenoma is due to:
a- Incomplete capsule
b- Actively proliferating cells
c- Absence of encapsulation
d- High vascularity

9- The most characteristic pattern microscopically for adenoid cystic carcinoma is:
a- cyncetial
b- cystic
c- cribriform
d- fasicular

10-Which of the following is not a type of osteosarcoma:

a- telagiectatic
b- cystic
c- fibroblastic
d- osteoblastic

11- Entrapped lymph nodes within salivary glands may give rise to benign tumor
called:
a- warthins tumor
b- lymphoma
c- lymphoepithelial lesion
d- lymphangioma
12- A patient presented with a history of long standing swelling in his left side of
the face which suddenly after about four years becomes rapidly growing with
surface ulceration, on microscopically examination it revealed areas fo
myxomatous tissue, sheets of myoepithelial cells with cellular atypia in some
areas. The diagnosis of this case is:
a- carcinoma ex-pleomorphic adenoma
b- spindle cell carcinoma
c- squamous cell carcinoma
d- adenoid cystic carcinoma

13-carefully read the following pathological report and choose the right diagnosis
from the options below. The admitted biopsy specimen revealed multiple duct
and duct like structure, areas of myxomatous tissue, chondroid tissue around
these structures incomplete capsule is seen:
a- oncocytoma
b- acinic cell carcinoma
c- adenolymphoma
d- pleomorphic adenoma

DONE