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DH 228 Quiz #2 Review

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

A PPD test has been administered to check if your patient has been exposed and infected with the Mycobacterium tuberculosis infection. The results of the skin test were positive. What is the next step? 

a)

Begin treatment immediately with isoniazid 

b)

Expose a chest radiograph 

c)

Send the patient to the physician for blood and urine samples 

d)

Confine the patient to bed for 7–10 days 

2.

Another name for verruca vulgaris is 

a)

the common wart. 

b)

condyloma acuminatum. 

c)

Heck disease. 

d)

focal epithelial hyperplasia. 

3.

Conditions associated with overgrowth of Candida albicans include the following except one. Which is the exception? 

a)

Denture wearer 

b)

Xerostomia 

c)

Diabetic patient 

d)

Patients with NUG 

4.

HIV infects cells of the immune system. What is the most important cell that HIV infects? 

a)

Neutrophil 

b)

Macrophage 

c)

Polymorphonuclear leukocytes 

d)

CD4 T-helper lymphocyte 

5.

Histoplasmosis, coccidioidomycosis, blastomycosis, and cryptococcosis are examples of what type of infection? 

a)

Viral 

b)

Fungal 

c)

Developmental 

d)

Bacterial 

6.

The most characteristic form of which disease is the formation of abscesses that tend to drain from the mandible to the skin by the formation of sinus tracts, with sulfur granules in the pus draining from the sinus tracts? 

a)

Impetigo 

b)

Tuberculosis 

c)

Syphilis 

d)

Actinomycosis 

7.

The varicella-zoster virus causes a highly contagious disease in children termed 

a)

Shingles 

b)

Mumps 

c)

Chickenpox 

d)

Measles 

8.

Which is a condition that involves a deficiency in number, function, or interrelationships of the involved white blood cells and their products? 

a)

Autoimmune disease 

b)

Leukocytosis 

c)

Immunodeficiency 

d)

Anaphylaxis 

9.

This lesion is more than 1cm, painful and has lasted for several weeks?

a)

Minor aphthous ulcers

b)

Major aphthous ulcer

c)

Herpetiform

d)

Urticaria

10.


A 19-year-old woman has painful ulcers on the labial mucosa and buccal mucosa of 4 days duration. She has had similar ulcers on previous occasions, and each time the lesions healed in approximately 7 days. The best diagnosis is

a)

aphthous ulcers

b)

recurrent herpes

c)

pemphigus

d)

mucous membrane pemphigoid

11.

A 67-year-old woman has a chronic sore mouth of 2 years duration. The lesions consist of multiple persistent ulcers adjacent to white rough thickened areas which do not rub off and are arranged in a striated pattern. The lesions are bilateral and involve the buccal mucosa, lateral borders of the tongue, and gingiva. Of the following, the best diagnosis is

a)

epidermolysis bullosa

b)

herpangina

c)

pemphigus

d)


lichen planus

12.

A 13-year-old female patient has mild fever, lymphadenopathy and vesicles and ulcers of the soft palate and tonsillar pillars bilaterally, of 5 days duration. No other oral lesions are present. The best diagnosis is

a)

primary herpes

b)

recurrent herpes

c)

herpangina

d)

infectious mononucleosis

13.

lesions have/has an abrupt or sudden onset of fever, malaise, tender lymphadenopathy of the head and neck, and vesicles and ulcers anywhere on oral mucosa, the pharynx, lips and perioral skin. The gingiva is typically enlarged and erythematous. The lesions are painful, making it difficult to eat and drink. The lesions resolve spontaneously, usually within 10-14 days.

a)


Pemphigus

b)

Mucous membrane pemphigoid

c)

Recurrent herpes

d)

Lichen planus

14.

A 46-year-old man has painful ulcers on the lips and buccal mucosal and asymptomatic macules and vesicles on the face, hands, and trunk. He has a mild fever but no lymphadenopathy. The lesions had an acute onset 3 days ago. The best diagnosis is

a)


pemphigus

b)


erythema multiforme

c)

lichen planus

d)

toxic epidermal necrolysis

15.

Tuberculosis is caused by

a)

virus

b)

bacteria

c)

parasite

d)

mosquitoes

16.

The acute disseminated form of Langerhans cell disease is termed

a)

eosinophilic granuloma.

b)

Hand–Schüller–Christian disease.

c)

Letterer–Siwe disease.

d)

Reiter syndrome.

17.

What three cellular components, derived from stem cells in the bone marrow, are classified as lymphocytes involved in the immune response?

a)

B-cell lymphocytes, Macrophages, and T-cell lymphocytes

b)

B-cell lymphocytes, T-cell lymphocytes, and Natural killer cells

c)

Dendritic cells, Natural killer cells, and Cytokines

d)

Plasma cells, Memory cells, and T-helper cells

18.

Wickham striae is a term used to describe the oral mucosal lesions of

a)

linea alba

b)

frictional keratosis

c)

lichen planus

d)

erythema multiforme

19.

Anaphylaxis occurs as a result of what type of hypersensitivity?

a)

I

b)

II

c)

III

d)

IV

20.

Tonsillitis and pharyngitis are caused by group A β-hemolytic streptococci. These conditions are significant because of their relationship to scarlet fever and rheumatic fever. Which condition may be related to heart valve damage?

a)

Strawberry tongue

b)

Rheumatic fever

c)

Geographic tongue

d)

Scarlet fever

21.

Which disease is caused by the spirochete Treponema pallidum?

a)

Necrotizing ulcerative gingivitis (NUG)

b)

Syphilis

c)

Tuberculosis

d)

Actinomycosis

22.

The acquired immune response has several characteristics. Which two characteristics specifically distinguish it from the inflammatory response?

a)

Defends the body against injury and involves white blood cells

b)

Involves cytokines and macrophages

c)

Responds quicker than the inflammatory response and has memory capability

d)

May result in increased tissue damage and disease as it fights

23.

What are the primary cells involved in Humoral Immunity (Antibody-mediated immunity) and what are their products, which provide protection against bacteria and viruses?

a)

T cells; Cytokines

b)

Natural Killer (NK) cells; Interferons

c)

Macrophages; Lysosomal enzymes

d)

B cells; Antibodies (Immunoglobulins)

24.

Another name for verruca vulgaris is

a)

condyloma acuminatum.

b)

the common wart.

c)

Heck disease.

d)

focal epithelial hyperplasia.

25.

A positive Nikolsky sign, where rubbing with a finger can produce a bulla, is characteristic of which two autoimmune blistering diseases of the oral cavity?

a)

Erythema Multiforme and Lichen Planus

b)

Pemphigus Vulgaris and Mucous Membrane Pemphigoid

c)

Bullous Pemphigoid and Sjögren Syndrome

d)

Fixed Drug Eruptions and Contact Mucositis

26.

The type of candidiasis that appears as a white lesion that does not wipe off and does not respond to antifungal therapy is

a)

pseudomembranous.

b)

erythematous.

c)

chronic atrophic.

d)

chronic hyperplastic.

27.

A vaccine is available to prevent which infection?

a)

Herpes labialis

b)

Coxsackievirus

c)

Epstein-Barr

d)

Varicella-zoster

28.

Stevens-Johnson syndrome is a severe form of:

a)

Erythema multiforme

b)

Lupus erythematosus

c)

Erosive lichen planus

d)

Herpes Simplex

29.

Operculum is most often found on which tooth?

a)

Mandibular third molar

b)

Deciduous second molar

c)

Maxillary third molar

d)

Distomolar

30.

Which of the following organisms is most commonly associated with impetigo?

a)

Staphylococcus aureus

b)

Candida albicans

c)

Treponema pallidum

d)

Mycobacterium tuberculosis

31.

Emma is studying for her medical exams and comes across a list of diseases. She wants to know which of the following lesions is not caused by a human herpesvirus. Can you help her choose the correct answer?

a)

Infectious mononucleosis

b)

Papilloma

c)

Chickenpox

d)

Shingles

32.

In which type of immune response do B-lymphocytes and antibodies play the predominant role?

a)

Cell-mediated immunity

b)

Passive immunity

c)

Immune complex

d)

Humoral immunity

33.

Certain recurrent ulcers appear on movable mucosa. These ulcers are discrete, round-to-oval, 3 to 5 mm in diameter and exhibit a yellowish-white fibrin center surrounded by an erythematous halo. These ulcers are termed:

a)

Sutton Disease

b)

Minor Aphthous Ulcers

c)

Major Aphthous Ulcers

d)

Herpetiform Aphthous Ulcers

34.

Which of the following conditions is very serious and can be life threatening if untreated?

a)

Pemphigus vulgaris

b)

Contact dermatitis

c)

Necrotizing sialometaplasia

d)

Eosinophilic granuloma

35.

Which type of T-cell lymphocyte is responsible for turning off the functioning of B cells?

a)

T-helper cells

b)

T-cytotoxic cells

c)

Memory cells

d)

T-suppressor cells

36.

Which of the following is a pathologic condition that produces a characteristic butterfly-shaped lesion on the face and oral ulcers, occurs more frequently in females than males, and for which the result of a blood test is important in its diagnosis?

a)

Pemphigus

b)

Erosive lichen planus

c)

Desquamative gingivitis

d)

Lupus erythematosus

37.

Which is the most distinct and definitive characteristic that distinguishes pemphigus from pemphigoid?

a)

Size of the ulcerations

b)

Age and gender of the patient

c)

The histopathologic findings

d)

Nikolsky sign

38.

This patient presents with an intraepithelial bulla from breakdown of the cellular adhesion between epithelial cells. The bulla rupture, resulting in a painful itching ulcer. The correct diagnosis for this progressive autoimmune disease is

a)

Reiter syndrome.

b)

aphthous ulcers.

c)

pemphigus vulgaris.

d)

Langerhans cell disease.

39.

The acute disseminated form of Langerhans cell disease is termed

a)

eosinophilic granuloma.

b)

Hand–Schüller–Christian disease.

c)

Letterer–Siwe disease.

d)

Reiter syndrome.

40.

The breakdown of cellular adhesion between epithelial cells is termed

a)

cell-mediated immunity.

b)

anaphylaxis.

c)

Nikolsky sign.

d)

acantholysis.

41.

The immune response differs from the inflammatory response because it has the capacity for memory and responds more quickly to a foreign substance if encountered again.

a)

Both the statement and reason are correct and related.

b)

Both the statement and reason are correct but not related.

c)

The statement is correct but the reason is not.

d)

Neither the statement nor the reason is correct.

42.

Along with phagocytosis, the macrophage acts to process antigen material and present it on its surface to the T-helper cell. This stimulates both types of lymphocytes to travel from the lymphoid tissue or surrounding blood vessels to the injury site.

a)

The first statement is true; the second is false.

b)

The first statement is false; the second is true.

c)

Both statements are true.

d)

Both statements are false.

43.

Which of the following is caused by a papillomavirus and is considered a sexually transmitted disease?

a)

Actinomycosis

b)

Syphilis

c)

Condyloma acuminatum

d)

Infectious mononucleosis

44.

Which agent is used to treat impetigo?

a)

Corticosteroids

b)

Topical or systemic antibiotics

c)

Antiviral medications

d)

Nonsteroidal antiinflammatory agents

45.

Which of the following oral conditions is not a lesion associated with HIV or AIDS?

a)

Candidiasis

b)

Hairy leukoplakia

c)

Kaposi sarcoma

d)

Leukoedema

46.

Herpangina is caused by which virus?

a)

Herpes simplex virus

b)

Epstein-Barr virus

c)

Coxsackievirus

d)

Varicella-zoster virus

47.

Which statement is false?

a)

The primary lesion of syphilis is a chancre

b)

The secondary lesion of sypilis occurs at the site of inoculation with the organism

c)

The tertiary lesion of syphilis is called a gumma

d)

Syphilis is caused by the spirochete Treponema pallidum

48.

Which statement is false?

a)

Angular cheilitis may be caused by Candida albicans

b)

White lesions resulting from candidiasis may not rub off the mucosal surface

c)

Erythematous candidiasis is usually completely asymptomatic

d)

Denture stomatitis may be a form of oral candidiasis

49.

Which of the following is associated with chronic osteomyelitis?

a)

Sickle cell anemia

b)

Paget disease of the bone

c)

Radiation treatment involving bone

d)

All of the above

50.

The most common form of recurrent herpes simplex infection is:

a)

Herpes zoster

b)

Herpetic whitlow

c)

Herpangina

d)

Herpes labialis