AFK Quiz – Patho

1. A 45-year old female patient presents with diffuse enlargement of the tongue, generalized edema and a lethargic appearance. The most likely diagnosis is

2. The most appropriate management of a recurrent fluctuant, painless submucosal swelling of the lower labial mucosa is

3. A 70-year-old smoker patient presents with a rhomboid lesion on dorsal surface of the tongue and an erythematous lesion on hard palate. The most likely diagnosis is

4. All the following are among the histopathological features of pemphigus, except

5. All the following conditions are considered as an autoimmune disease, except

6. Glossitis and angular cheilitis are oral manifestations of what type of nutrient deficiency?

7. Acanthosis is seen in which of the following conditions?

8. Which of the following vesiculoulcerative diseases can result in intraepithelial clefting?

9. A 3-year old boy is brought to the office with fever and pharyngitis. Intraoral examination shows evidence of petechiae on the soft palate. What is the most likely cause?

10. A 25-year-old patient presents with un-erupted tooth 2.4. The x-ray shows a mixed lesion with a radiolucent rim and corticated border around causing impaction of tooth 2.4. The most likely diagnosis is a/an

11. A patient complains from a painful swelling of the mandible on the right side. Examination reveals an abscess producing a hard-purple lump on the jaw with draining sinus tracts contain yellow granules. The patient reports a history of trauma to his jaw two weeks ago. The most likely cause of this condition is

12. An immunocompetent 25-year-old female is given a broad-spectrum for management of a respiratory infection. After a few days of taking the antibiotic, she develops several erythematous patches on her posterior hard palate that burn. What is the best management?

13. A 51-year-old healthy female patient complains of slight burning sensation of the tongue. Intraoral examination reveals atrophic patches surrounded by elevated keratotic margins on the dorsal surface of the tongue. The desquamated areas appear red and are slightly tender. What is the most appropriate management?

14. A 30-year-old patient presents as a new patient for general assessment. His recent serologic test is as follow: HBS Ag positive, Anti-HBS negative, Anti-HBC(IgG) positive. Which of the following should be included in the treatment plan for the management of this patient?

15. Which of the following is wrong about tooth gemination?

16. A 65-year-old smoker patient presents with an Erythroplakia (size: 18mm) under tongue. The most appropriate initial management is

17. A 17-year-old male presents for routine dental examination. A panoramic radiograph reveals a well-defined unilocular radiolucent lesion with smooth corticated borders extending along the body and ramus of the mandible, causing minimal buccolingual expansion. The mandibular right second molar is displaced, and there is scalloping between the roots of adjacent teeth. The patient is asymptomatic. What is the most likely diagnosis?

18. Which of the following lesions has a higher risk of malignant transformation?

19. Which of the following cannot result in root resorption?

20. A 49-year-old female patient presents with an abrupt loss of muscular control on the left side of her face, imparting a rigid masklike appearance and resulting in the inability to smile, to close the eye, and to wink. Her Speech became slurred, and some tastes are a bit abnormal. She also complains of vertigo and tinnitus. What is the most likely

21. An incisional biopsy of a palatal swelling in a 25-year-old male patient reveals necrosis of salivary gland acini with preservation of overall lobular architecture, squamous metaplasia of the salivary ducts, and overlying pseudoepitheliomatous hyperplasia. The appropriate management is

22. Which of the following lesions may contain calcification?

23. Which subtype of HPV has been related to oropharyngeal squamous cell carcinoma?

24. Antral pseudocysts

25. A 9-year-old child is brought to the dental clinic for evaluation. The teeth appear clinically normal in color and shape, with no history of trauma or caries. However, radiographic examination reveals short, blunted roots, near-complete obliteration of the pulp chambers and root canals, and multiple periapical radiolucencies affecting several teeth. The teeth show increased mobility. Which of the following is a characteristic feature of this condition?

26. Which of the following manifestations of Gardner’s syndrome has a risk of malignant transformation?

27. A 12-year-old patient presents with bilateral double teeth in the place of the mandibular lateral incisors and cuspids. The most likely diagnosis is

28. A 22-year-old patient presents with intermittent dull pain and mild buccal expansion in the posterior mandible. The associated molar tests vital. Radiographic examination shows a well-defined radiopaque mass fused to the root apex, surrounded by a radiolucent rim. What is the most appropriate management of this lesion?

29. An 8-year-old patient presents with macroglossia, unilateral premature eruption of teeth, and moderated scoliosis. The most likely diagnosis is

30. A 4-year-old girl has frequent broken bones and exhibits blue sclera. Which of the following conditions also usually occurs?

31. A 34-year-old patient presents with fatigue, recurrent infections, and easy bruising. Laboratory investigations reveal pancytopenia with a normal mean corpuscular volume (MCV). Bone marrow biopsy shows hypocellular marrow with fatty replacement. What is the most likely diagnosis?

32. A dentist was diagnosed with hepatitis B two years ago, and recent blood work indicates a plasma viral load (pVL) of 3500 IU/ml. What would be the most suitable recommendation in this case?

33. Which one is not true regarding the clinical and radiographic features of multiple myeloma?

34. In leukoplakia, the thickening of the prickle cell layer of the epithelium is called

35. Which of the following systemic factors exhibits a strong association with hypercementosis?

36. All the following is true regarding oral hairy leukoplakia, except

37. A 42-year-old man with a history of HIV infection presents with multiple non-painful, purple-red macules and nodules on the hard palate and gingiva. Similar lesions are noted on the skin. The lesions do not blanch on pressure. Which of the following infectious agents is most strongly associated with this condition?

38. A 58-year-old patient presents with fatigue, pallor, and a burning sensation of the tongue. Intraoral examination reveals a smooth, erythematous tongue (atrophic glossitis). Laboratory investigations show macrocytic anemia, and further testing confirms absence of intrinsic factor due to autoimmune gastritis. This condition is caused by deficiency of which of the following?

39. Genetic aberrations commonly identified in oral squamous cell carcinomas include abnormalities of which of the following genes?

40 A 69-year-old female patient presents with mucosal vesicles and ulcerations, desquamative gingivitis, and conjunctival inflammation. What is the most likely systemic disease?

41. Which of the following cysts is considered as an inflammatory odontogenic cyst?

42. Which of the following is positive in a chronically infected hepatitis B patient?

43. The panoramic radiograph of a healthy 50-year-old patient shows a dome-shaped radiopacity with no corticated borders arising from the floor of the maxillary sinus. The most likely diagnosis is a/an

44. A 10-year-old child presents with mild swelling in the buccal aspect of the mandibular first molar region. CBCT imaging is obtained to evaluate a suspected buccal bifurcation cyst. Which CBCT sections are most useful for demonstrating the characteristic features of this lesion?

45. All the following conditions can result in bilateral parotid enlargement, except

46. A 16-year-old boy presents with a painless bone expansion on lower right site. Radiographic evaluation shows a well-circumscribed, unilocular radiolucent area (size 1cm) associated with the crown of unerupted tooth 4.8. There is some evidence of distal root resorption of tooth 4.7. What is the most appropriate management?

47. A 65-year-old patient presents with complaints of progressive change in denture fit and increasing facial asymmetry. Radiographic examination reveals a mixed radiolucent–radiopaque “cotton-wool” appearance of the jaws. Which of the following findings is NOT typically associated with this condition?

48. A newly graduated dental assistant received a three-dose series of hepatitis B vaccine at the recommended intervals 2 months ago. However, a recent testing for HBs-Antibody shows lack of immunity. What is the appropriate recommendation?

49. An x-ray of the maxillary third molars reveals a small, calcified radiopaque mass distal to the third molar. Which is the most likely reason for this mass?

50. Which of the following odontogenic tumors is of odontogenic ectomesenchyme?

51. A 65-year-old heavy smoker patient noticed a 2.0-centimeter ulcerated lesion on the left lateral border of her tongue. The most appropriate initial management is to

52. All the following are among the clinical and radiographic features of the von Recklinghausen disease of bone, except

53. Repeated surgical interventions in which can may result in an increased risk of malignant changes?

54.  A 12-year-old child presents for dental evaluation with symmetrical enamel defects affecting multiple permanent incisors and molars. The medical history reveals chronic diarrhea, poor growth, and iron-deficiency anemia. The child also reports recurrent painful oral ulcers. There is no history of excessive fluoride exposure or childhood illness. What is the most likely diagnosis?

55. Which of the following is true regarding bifid uvula?

56. The process whereby one cell type changes to another cell type usually in response to stress is called

57. The epithelial lining of which of the following has the potential to undergo transformation into an ameloblastoma?

58. A 9-year-old child presents with a long-standing swelling of the mandible that has been present for several months. The swelling is firm, mildly tender, and intermittently painful. There is no fever, but the child has a history of recurrent dental infections. Radiographic examination reveals areas of mixed radiolucency and radiopacity, with irregular bone trabeculation and evidence of new bone formation surrounding the affected area. What is the most likely diagnosis?

59. A 16-year-old female presents with a slow-growing gingival mass that has been present for several months. The lesion arises from the interdental papilla between the maxillary lateral incisor and canine. It is a firm, well-circumscribed nodular swelling, measuring approximately 1.5 cm, and appears pink with an intact surface. There is no associated pain, and the adjacent teeth are vital and stable. Histopathologic examination reveals a fibrous connective tissue proliferation with areas of mineralized material. What is the most likely diagnosis?

60. A 12-year-old patient presents with significant gingival hyperplasia. Which one should be included in the differential diagnosis?