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WorksheetsDH 228 Quiz #2 Review
Total questions: 50
Worksheet time: 25mins
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?
Begin treatment immediately with isoniazid
Expose a chest radiograph
Send the patient to the physician for blood and urine samples
Confine the patient to bed for 7–10 days
Another name for verruca vulgaris is
the common wart.
condyloma acuminatum.
Heck disease.
focal epithelial hyperplasia.
Conditions associated with overgrowth of Candida albicans include the following except one. Which is the exception?
Denture wearer
Xerostomia
Diabetic patient
Patients with NUG
HIV infects cells of the immune system. What is the most important cell that HIV infects?
Neutrophil
Macrophage
Polymorphonuclear leukocytes
CD4 T-helper lymphocyte
Histoplasmosis, coccidioidomycosis, blastomycosis, and cryptococcosis are examples of what type of infection?
Viral
Fungal
Developmental
Bacterial
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?
Impetigo
Tuberculosis
Syphilis
Actinomycosis
The varicella-zoster virus causes a highly contagious disease in children termed
Shingles
Mumps
Chickenpox
Measles
Which is a condition that involves a deficiency in number, function, or interrelationships of the involved white blood cells and their products?
Autoimmune disease
Leukocytosis
Immunodeficiency
Anaphylaxis
This lesion is more than 1cm, painful and has lasted for several weeks?
Minor aphthous ulcers
Major aphthous ulcer
Herpetiform
Urticaria
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
aphthous ulcers
recurrent herpes
pemphigus
mucous membrane pemphigoid
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
epidermolysis bullosa
herpangina
pemphigus
lichen planus
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
primary herpes
recurrent herpes
herpangina
infectious mononucleosis
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.
Pemphigus
Mucous membrane pemphigoid
Recurrent herpes
Lichen planus
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
pemphigus
erythema multiforme
lichen planus
toxic epidermal necrolysis
Tuberculosis is caused by
virus
bacteria
parasite
mosquitoes
The acute disseminated form of Langerhans cell disease is termed
eosinophilic granuloma.
Hand–Schüller–Christian disease.
Letterer–Siwe disease.
Reiter syndrome.
What three cellular components, derived from stem cells in the bone marrow, are classified as lymphocytes involved in the immune response?
B-cell lymphocytes, Macrophages, and T-cell lymphocytes
B-cell lymphocytes, T-cell lymphocytes, and Natural killer cells
Dendritic cells, Natural killer cells, and Cytokines
Plasma cells, Memory cells, and T-helper cells
Wickham striae is a term used to describe the oral mucosal lesions of
linea alba
frictional keratosis
lichen planus
erythema multiforme
Anaphylaxis occurs as a result of what type of hypersensitivity?
I
II
III
IV
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?
Strawberry tongue
Rheumatic fever
Geographic tongue
Scarlet fever
Which disease is caused by the spirochete Treponema pallidum?
Necrotizing ulcerative gingivitis (NUG)
Syphilis
Tuberculosis
Actinomycosis
The acquired immune response has several characteristics. Which two characteristics specifically distinguish it from the inflammatory response?
Defends the body against injury and involves white blood cells
Involves cytokines and macrophages
Responds quicker than the inflammatory response and has memory capability
May result in increased tissue damage and disease as it fights
What are the primary cells involved in Humoral Immunity (Antibody-mediated immunity) and what are their products, which provide protection against bacteria and viruses?
T cells; Cytokines
Natural Killer (NK) cells; Interferons
Macrophages; Lysosomal enzymes
B cells; Antibodies (Immunoglobulins)
Another name for verruca vulgaris is
condyloma acuminatum.
the common wart.
Heck disease.
focal epithelial hyperplasia.
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?
Erythema Multiforme and Lichen Planus
Pemphigus Vulgaris and Mucous Membrane Pemphigoid
Bullous Pemphigoid and Sjögren Syndrome
Fixed Drug Eruptions and Contact Mucositis
The type of candidiasis that appears as a white lesion that does not wipe off and does not respond to antifungal therapy is
pseudomembranous.
erythematous.
chronic atrophic.
chronic hyperplastic.
A vaccine is available to prevent which infection?
Herpes labialis
Coxsackievirus
Epstein-Barr
Varicella-zoster
Stevens-Johnson syndrome is a severe form of:
Erythema multiforme
Lupus erythematosus
Erosive lichen planus
Herpes Simplex
Operculum is most often found on which tooth?
Mandibular third molar
Deciduous second molar
Maxillary third molar
Distomolar
Which of the following organisms is most commonly associated with impetigo?
Staphylococcus aureus
Candida albicans
Treponema pallidum
Mycobacterium tuberculosis
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?
Infectious mononucleosis
Papilloma
Chickenpox
Shingles
In which type of immune response do B-lymphocytes and antibodies play the predominant role?
Cell-mediated immunity
Passive immunity
Immune complex
Humoral immunity
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:
Sutton Disease
Minor Aphthous Ulcers
Major Aphthous Ulcers
Herpetiform Aphthous Ulcers
Which of the following conditions is very serious and can be life threatening if untreated?
Pemphigus vulgaris
Contact dermatitis
Necrotizing sialometaplasia
Eosinophilic granuloma
Which type of T-cell lymphocyte is responsible for turning off the functioning of B cells?
T-helper cells
T-cytotoxic cells
Memory cells
T-suppressor cells
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?
Pemphigus
Erosive lichen planus
Desquamative gingivitis
Lupus erythematosus
Which is the most distinct and definitive characteristic that distinguishes pemphigus from pemphigoid?
Size of the ulcerations
Age and gender of the patient
The histopathologic findings
Nikolsky sign
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
Reiter syndrome.
aphthous ulcers.
pemphigus vulgaris.
Langerhans cell disease.
The acute disseminated form of Langerhans cell disease is termed
eosinophilic granuloma.
Hand–Schüller–Christian disease.
Letterer–Siwe disease.
Reiter syndrome.
The breakdown of cellular adhesion between epithelial cells is termed
cell-mediated immunity.
anaphylaxis.
Nikolsky sign.
acantholysis.
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.
Both the statement and reason are correct and related.
Both the statement and reason are correct but not related.
The statement is correct but the reason is not.
Neither the statement nor the reason is correct.
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.
The first statement is true; the second is false.
The first statement is false; the second is true.
Both statements are true.
Both statements are false.
Which of the following is caused by a papillomavirus and is considered a sexually transmitted disease?
Actinomycosis
Syphilis
Condyloma acuminatum
Infectious mononucleosis
Which agent is used to treat impetigo?
Corticosteroids
Topical or systemic antibiotics
Antiviral medications
Nonsteroidal antiinflammatory agents
Which of the following oral conditions is not a lesion associated with HIV or AIDS?
Candidiasis
Hairy leukoplakia
Kaposi sarcoma
Leukoedema
Herpangina is caused by which virus?
Herpes simplex virus
Epstein-Barr virus
Coxsackievirus
Varicella-zoster virus
Which statement is false?
The primary lesion of syphilis is a chancre
The secondary lesion of sypilis occurs at the site of inoculation with the organism
The tertiary lesion of syphilis is called a gumma
Syphilis is caused by the spirochete Treponema pallidum
Which statement is false?
Angular cheilitis may be caused by Candida albicans
White lesions resulting from candidiasis may not rub off the mucosal surface
Erythematous candidiasis is usually completely asymptomatic
Denture stomatitis may be a form of oral candidiasis
Which of the following is associated with chronic osteomyelitis?
Sickle cell anemia
Paget disease of the bone
Radiation treatment involving bone
All of the above
The most common form of recurrent herpes simplex infection is:
Herpes zoster
Herpetic whitlow
Herpangina
Herpes labialis
