Oral Pathology Clinical Pathologic Correlations 7th Edition by Regezi – Test Bank

Complete Test Bank With Answers

Sample Questions Posted Below

Chapter 5: Pigmented Lesions

Test Bank

MULTIPLE CHOICE

1. In addition to multiple neurofibromas, what other lesions are seen as part of the syndrome neurofibromatosis?

ANS:   D                     REF:    Chap 5 (Café-au-lait macules), p 138

2. Mucosal neuromas, pheochromocytoma, and medullary carcinoma of the thyroid constitute which of the following syndromes?

ANS:   E

REF:    Chap 5 (Café-au-lait macules), p 138 | Chap 8 (Sjögren’s syndrome), pp 196-199 | also Clinical Overview

3. Amalgam tattoo is a common oral lesion that must be differentiated through clinical history or biopsy from which of the following?

ANS:   C

REF:    Chap 5 (Amalgam tattoo [focal argyrosis]/Differential diagnosis), p 145

4. Lateral or radial spread at the epithelial–connective tissue interface is a characteristic growth feature of which of the following pigmented lesions?

ANS:   C                     REF:    Chap 5 (Oral melanoma), p 142

5. Acquired oral melanin pigmented lesions may be associated with which of the following?

ANS:   E

REF:    Chap 5 (Melanocytic lesions—entire topic/Box 5-3), pp 134-144

6. A 40-year-old woman presents with multiple melanotic macules of her lips and buccal mucosa. If the patient is found to have adrenal insufficiency, which of the following conditions should be considered?

ANS:   C                     REF:    Chap 5 (Oral melanotic macule/Clinical features), pp 136-137

7. Both in situ and invasive oral melanomas exhibit the same distinctive site predilection. This is the:

ANS:   B                     REF:    Chap 5 (Oral melanoma), p 142

8. Oral mucosal lesions may exhibit a red to blue to black color for one of several reasons. These would include all the following except:

ANS:   D                     REF:    Chap 5 (Melanocytic lesions—entire topic), pp 134-144

9. Which of the following can have clinical features that are similar to early superficial or in situ melanoma?

ANS:   E                     REF:    Chap 5 (Melanoma/Differential diagnosis), p 144

10. Pigmented nevi are commonly seen in skin but are relatively rare in the oral mucosa. Intraorally, they are most likely to be found in which of the following locations?

ANS:   E                     REF:    Chap 5 (Nevomelanocytic nevus/Clinical features), p 140

11. A 30-year-old woman presents with recently acquired generalized tanning of the skin and multiple intraoral pigmented macules. Oral biopsy showed excessive melanin pigment in basal keratinocytes. This patient should be suspected of having:

ANS:   A                     REF:    Chap 5 (Oral melanotic macule/Histopathology), p 137

12. Café-au-lait macules (more than five) and multiple neurofibromas are typically seen in which of the following conditions?

ANS:   E                     REF:    Chap 5 (Café-au-lait macules), p 138

13. All of the following are known to have the capacity to cause oral mucosal pigmentation except:

ANS:   D                     REF:    Chap 5 (Nonmelanocytic lesions—entire topic), pp 145-147

14. Which of the following pigmented lesions of oral mucosa is most commonly encountered in dental patients?

ANS:   D                     REF:    Chap 5 (Amalgam tattoo/Clinical features), p 145

15. A 37-year-old man presents with a blue-black macule (1 ´ 1 cm) in his palate. The area is covered with intact epithelium and there was no apparent inflammatory response. Biopsy shows deposits of black foreign material. This suggests which of the following?

ANS:   C                     REF:    Chap 5 (Amalgam tattoo), p 145

16. The characteristic oral manifestation of Peutz-Jeghers syndrome is:

ANS:   D                     REF:    Chap 5 (Oral melanotic macule/Clinical features), pp 136-137

17. All the following suggest the possibility of intraoral melanoma except:

ANS:   D                     REF:    Chap 5 (Oral melanoma—entire topic), pp 142-143

18. A 34-year-old man presents with an asymptomatic 1 ´ 1 cm pigmented lesion in the right side of his palate. It is flat, and it is asymptomatic. Biopsy shows melanin pigment within a collection of benign-appearing spindle-shaped cells in the submucosa. This is consistent with:

ANS:   C                     REF:    Chap 5 (Nevomelanocytic nevus—entire topic), pp 139-141

19. Oral melanomas are classified into microscopic subtypes based primarily on which of the following feature?

ANS:   B                     REF:    Chap 5 (Oral melanoma), pp 142-143

20. All the following drugs are known to have the ability to cause pigmentation of the oral mucosa except:

ANS:   A                     REF:    Chap 5 (Drug-induced pigmentations), pp 145-146

21. Generally, which of the following has the worst prognosis?

ANS:   D                     REF:    Chap 5 (Oral melanoma), p 142