Final Oral Medicine Exam

4th year/2011Batch Abeer Khasawneh

Part #1: Theory questions

1. One of the following drugs doesn't lead to xerostomia (

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- Somac.

2. The incidence of which one of the following conditions was

not reduced by the highly active antiretroviral therapy

(HAART): (Book question)

- Herpes zoster and HPV-induced warts.

3. The most malignant tumors are seen in which salivary gland:

- Sublingual salivary glands.

4. One of the followings is correct about localized gingival

overgrowths:

- They are reactive in nature.

5. One of the followings is not a predisposing factor for

candidosis:

- Antivirals.

6. One of the followings is correct regarding salivary gland

hypofunction?

- Unstimulated amount of saliva is

8. One of the followings is correct about erythema multiformi:

- Delayed hypersensitivity condition (Type IV).

9. One of the following conditions leads to enamel hypoplasia:

- Celiac disease.

10. One of the followings is incorrect about inflammatory

bowel diseases:

- More common in adults.

11. One of the followings is a rare disease:

- Erythema multiformi.

12. One of the followings is correct about diagnosis of mucous

membrane pemphigoid:

- Niclosky sign.

13. Angina bullosa haemorrhagica is: (Book question)

- This disease was not explained or even mentioned by the

doctor neither in the lectures nor in the seminars.

However, this topic is present in the book page 232. So

please go back to it.

14. One of the followings is correct about chronic sialadenitis:

- Present with unilateral parotid swelling.

15. One of the followings is incorrect about sialography (

(:

- Can't remember anything from the choices >

16. One of the followings is correct about dental European

classifications for Sjogren's disease:

- Subjective oral dryness, objective ocular dryness and anti

SS-A and SS-B are enough to diagnose Sjogren's

syndrome.

17. One of the followings is incorrect about TMD:

- Mild soreness in mastication muscles upon palpation.

18. One of the followings is not a complication of local

corticosteroids ( ) :

- Don't know the answer; but the choices were (secondary

candidosis, atrophy of foliate papillae and bad taste I

guess).

19. One of the following diseases is most responsive to

corticosteroids therapy ( ) :

- Don't know the answer; but the choices were (lichen

planus, mucous membrane pemphigoid, and heck's

disease).

20. One of the followings is seen in case of morbillivirus

infection:

- Bilateral parotid swelling.

21. One of the followings is not implicated with red patches:

- Don't know the answer; but the choices were (Erythema

multiformi, Erythematous candidosis, Erythroplakia).

22. Incorrect about HIV-infection? (Book question)

- Can't remember the answer, but other correct choices were

(homosexuals are more affected, lymphadenopathy is seen

after 2-3 weeks, seroconversion indicates an established

infection).

23. Multifocal epithelial hyperplasia is caused by:

- Human papilloma virus.

24. One of the followings is correct about pathogenesis of

Sjogren's syndrome:

- Disruption in the innervation of salivary glands.

25. One of the followings is incorrect about peripheral fibroma:

(Book question)

- It spreads to the interdental space.

26. One of the followings is included in the differential diagnosis

of Sjogren's syndrome:

- Diabetes.

Part #2: Clinical questions

This patient came to the dental clinic complaining of a swelling

in his floor of the mouth. He said that the swelling gets larger

while eating. So,

1. What would be the type of image you order from the patient?

- CT image.

2. What is your diagnosis?

- Ranula.

A pregnant lady came to the dental clinic complaining of the

above condition, blab bla bla. So, what would be your

management?

- Scaling and polishing.

One of the followings is not included in the differential

diagnosis of the above lesion:

- Don't know the answer; but the choices were (pleomorphic

adenoma, Mucoepidermoid carcinoma, and torus).

1. What would be included in the deferential diagnosis of this

condition?

- All of the above (MMP, PV, etc...).

2. This histopathology belongs to the same patient above, so

what is your diagnosis:

- PV.

This patient came to dental clinic complaining of the appearance

of her tongue. Sometimes, it might be associated with burning

sensation. And she is concerned of it being a malignant

condition.

1. What would be your management?

- Topical corticosteroids.

2. What should you do regarding the patient's concern?

- Reassurance.