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Final Oral Medicine Exam

th

4 year/2011Batch
Abeer Khasawneh


Part #1: Theory questions
1. One of the following drugs doesn't lead to xerostomia (
(:
- 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 <0.1mL/minute.
7. One of the followings doesn't have a role in the pathogenesis
of oral lichen planus:
- Plasma cells.

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 ><. But you
can refer to the book if you want.

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.

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