بسملة
13th June 2008, 05:04 PM
السلام عليكم ورحمة الله وبركاته
لطلاب طب الاسنان نقدم لكم هنا بعض امتحانات د فهد حبش لسنوات سابقة والتي ارجو ان تكون ذات فائدة في مسيرتكم الدراسية.
ORAL MEDICINE SECOND EXAM FOURTH YEAR
NAME: STUDENT NUMBER:
Choose the most appropriate answer of the following:
1. Which of these test used in diagnosis of giant cell arteritis:
A. Full blood picture.
B. Antinuclear factor.
C. Rheumatoid factor.
D. Erythrocyte sedimentation rate.
E. None of the above.
2. Which of these is not true about angular cheilitis:
a. A multifactorial disease of infectious origin.
b. It occurs predominantly in denture wearer.
c. Nutritional deficiency is predisposing factors in some cases.
d. In patient with no evidence of candidal infection streptococci and to less frequently staphyloccus may be involved.
e. In some cases, combination of candidal bacterial organism is implicated.
3. Blood film test can be usefull in diagnosis of all of these diseases except:
a. Leukemia.
b. Infections mononucleosis.
c. Anemia.
d. Autoimmune diseases.
e. None of the above.
4. Level of serum alkaline phosphates raised in all of these conditions except:
A. Paget’s disease.
B. Bone malignancy.
C. Fibrous dysphasia.
D. Hypothyrodism.
E. None of the above
5. Immuno fluorescence studies are indicated in patients who are suspected of having:
A. Pemphigus.
B. Pemphigiod.
C. Linear Ig A disease.
D. Suspected lymphoma.
E. All of above.
F. A + B only.
6. Which one of these statements is incorrect in relation to the procedure that used for mucosal biopsy?
a. Choose most suspicious area such as red area when premalignancy is suspected.
b. Give regional or local anaesthetic –not into the lesion.
c. Biopsy should not include normal tissue margin.
d. Placement of tissue on filter paper.
e. None of above.
7. All of these are true about the measurement of cortisol level except:
a. Measurement of cortisol levels is useful in the detection of addison’s disease or adrenal suppression following corticosteroid therapy.
b. Adrenal response is assessed by monitoring levels of cortisol before and 30 minutes after intravenous or intramuscular administration of 0.25 gram of tetracosactrin.
c. Tetracosactrin considered as analogue of ACTH.
d. The measurement of cortisol level is called synacthen test.
e. Non of above
8. All of these could be used as instruments and supplies for mucosal biopsy except:
a. scalpel holder
b. toothed tissue tweezers
c. artery forceps
d. needle holder
e. bone files
f. dental probe
g. none of above
9. 28 year old woman presents to the dental clinic with the chief symptom of a “burning sensation in my mouth and throat”. She does not report dryness. Review of her medical history reveals a recent upper respiratory infection that was treated with a 14-day course of amoxicillin. Intraorally one finds multiple red patches on buccal mucosa, dorsal surface of tongue, soft palate.
This condition is most likely:
A. Herpangina.
B. Recurrent herpetic ulcer.
C. Recurrent amphtous ulcer.
D. Acute atrophic candidiasis.
E. Chronic atrophic candidiasis.
10. Bleeding time is increased in:
A. Platelet dysfunction.
B. Thrombocytopenia.
C. High dose of nonsteriodal anti-inflammatony agents.
D. All of above.
E. None of above.
11. Which of these is the most sensitive indicator of body stores of iron?
A. Serum iron.
B. Serum ferritin.
C. Total iron binding capacity.
D. Blood film
12. All of these are true about the diagnosis of tuberculosis except:
a. mucosal biopsy should be undertaken and examined for tubercle follicles.
b. ziehl-neelsen staing may show tubercle bacilli.
c. It is important to inform the laboratory that tuberculosis is suspected because specialized media is required which called stewart’s medium.
d. prolonged incubation is required for isolation of the organsism.
e. none of above.
13. Monospot test is used in diagnosis of:
A. Infectious monoculeosis.
B. Pemphigus.
C. Pemphigiod.
D. Herpangina.
14. All of these are true about thrush except:
A. Thrush is an acute candidosis.
B. Common in HIV infection.
C. Creamy soft white patches, readily wipped off the mucosa.
D. Histology shows hyphae invading deeply the epithelium with proliferative inflammatory response.
E. Respond to topical antifungal.
F. None of the above
15. Multiple punched out ulcers on gingival papilla is suggestive of:
a. squamous cell carcinoma.
b. Herpetiform ulceration.
c. Acute necrotizing ulcerative gingivitis.
d. Recurrent aphtous ulcers.
16. A lesion which described as localized flat area of oral mucaoa distinguishes from the surrounding by its color. The size of this lesion is usually less than 1 cm.
This lesion is described as:
a. patch
b. vesicule
c. erosion
d. macule
e. papule
17. A 12-year old boy presents with multiple vesiculating oral ulcers, severve pain lymphoadenopathy and fever. The most probable diagnosis is:
A. Herpes zoster.
B. Recurrent aphtous ulcers.
C. Recurrent herpetic ulcers.
D. Acute herpetic gingivostomatits.
E. None of the above.
18. Macrocytosis is found in:
A. Iron deficirncey anemia.
B. Polycythemia.
C. Thrombocytopenia.
D. Vit B12 deficiency.
E. None of the above.
19. All of these are oral bacterial infection except:
A. Gonorrhea.
B. Tuberculosis
C. Syphilis.
D. Acute necrotizing gingivitis.
E. Herpangina.
F. D + E .
20. Which of these statements is true about hand- foot and mouth disease?”
A. Caused mainly by coxasckie B virus
B. The clinical appearance of this disease is highly severe.
C. Highly infectious.
D. Active treatment is needed.
E. None of the above.
21. All the following conditions could increase the mean cell volume except:
A. Vitamin B12 deficiency.
B. Alcoholism.
C. Thalassaemia.
D. Folate deficiency.
E. Liver disease.
F. A+D.
22. Acyclovir will not be used in the treatment of:
A. Herpes zoster.
B. Herpes stomatits.
C. Herpetiform ulceration.
D. Herpes labialis.
E. None of the above.
23. Many patients suffering from recurrent herpes labialis and rarely give a past history of acute herpetic gingivostomatitis. The reason for that is:
A. The infections agents of these two diseases are different.
B. The primary infection (acute herpetic gingivostomatitis) was subclinical.
C. The acute form occurs only in severely ill patient.
D. Passively transferred maternal antibodies persist into adult hood.
E. None of the above.
24. 30-year old man complains of large ulcers on his lower lip. This ulcer appeared after a vacation in the Caribbean 4 weeks ago, he claims that this lesion appeared initially as a firm nodule about a centimeter across.
The surface breaks down after a few days, leaving a rounded ulcer with raised indurated edges. This ulcer is painless and regional lymph nodes are enlarged.
This lesion is most likely a:
A. Traumatic ulcer.
B. Syphilitic ulcer.
C. Tuberculoid ulcer.
D. Recurrent aphtous ulcer.
E. Recurrent herpetic ulcer.
25. Which of these is not true about immunofluorescence:
a. The majority of diagnoses of vesiculobullous disorder rely on immunofluorescence .
b. Immunofluorecent staining of antibody is achieved in two ways: direct & indirect technique.
c. Immunofluorenscence is usually performed on H & E stained section of tissue.
d. In pemphigoid, immunofluorescence reaction will be against basement membrane.
e. None of above.
26. Which one of these disease cause increasing of mean cell haemoglobin (MCH):
a. Iron deficiency.
b. Thalassaemia.
c. Pernicious anaemia.
d. Infectious mononucleosise.
e. None of above.
27. Primary syphilis usually resolves within:
a. 2-3 weeks.
b. 8-9 weeks.
c. 4-5 months.
d. 8-9 months.
e. None of above
28. The usual cause of infectious mononucleosise:
a. Cytomegaly virus.
b. Epstein – Barr virus.
c. Coxsackie virus.
d. Human papilloma virus.
29. All of the information can be obtained from full blood count test except:
a. Total differential white blood cell count.
b. Haematocrit.
c. Mean corpuscular volume.
d. Erythrocyte sedimentation rate.
e. Platelet count.
30. A large, greater than 5 mm in diameter, circumscribed fluid
accumulation. May be intraepithelial or subepithelial and single or
multiple. This lesions best described as:
a. vesicle
b. erosion
c. bulla
d. plaque.
لطلاب طب الاسنان نقدم لكم هنا بعض امتحانات د فهد حبش لسنوات سابقة والتي ارجو ان تكون ذات فائدة في مسيرتكم الدراسية.
ORAL MEDICINE SECOND EXAM FOURTH YEAR
NAME: STUDENT NUMBER:
Choose the most appropriate answer of the following:
1. Which of these test used in diagnosis of giant cell arteritis:
A. Full blood picture.
B. Antinuclear factor.
C. Rheumatoid factor.
D. Erythrocyte sedimentation rate.
E. None of the above.
2. Which of these is not true about angular cheilitis:
a. A multifactorial disease of infectious origin.
b. It occurs predominantly in denture wearer.
c. Nutritional deficiency is predisposing factors in some cases.
d. In patient with no evidence of candidal infection streptococci and to less frequently staphyloccus may be involved.
e. In some cases, combination of candidal bacterial organism is implicated.
3. Blood film test can be usefull in diagnosis of all of these diseases except:
a. Leukemia.
b. Infections mononucleosis.
c. Anemia.
d. Autoimmune diseases.
e. None of the above.
4. Level of serum alkaline phosphates raised in all of these conditions except:
A. Paget’s disease.
B. Bone malignancy.
C. Fibrous dysphasia.
D. Hypothyrodism.
E. None of the above
5. Immuno fluorescence studies are indicated in patients who are suspected of having:
A. Pemphigus.
B. Pemphigiod.
C. Linear Ig A disease.
D. Suspected lymphoma.
E. All of above.
F. A + B only.
6. Which one of these statements is incorrect in relation to the procedure that used for mucosal biopsy?
a. Choose most suspicious area such as red area when premalignancy is suspected.
b. Give regional or local anaesthetic –not into the lesion.
c. Biopsy should not include normal tissue margin.
d. Placement of tissue on filter paper.
e. None of above.
7. All of these are true about the measurement of cortisol level except:
a. Measurement of cortisol levels is useful in the detection of addison’s disease or adrenal suppression following corticosteroid therapy.
b. Adrenal response is assessed by monitoring levels of cortisol before and 30 minutes after intravenous or intramuscular administration of 0.25 gram of tetracosactrin.
c. Tetracosactrin considered as analogue of ACTH.
d. The measurement of cortisol level is called synacthen test.
e. Non of above
8. All of these could be used as instruments and supplies for mucosal biopsy except:
a. scalpel holder
b. toothed tissue tweezers
c. artery forceps
d. needle holder
e. bone files
f. dental probe
g. none of above
9. 28 year old woman presents to the dental clinic with the chief symptom of a “burning sensation in my mouth and throat”. She does not report dryness. Review of her medical history reveals a recent upper respiratory infection that was treated with a 14-day course of amoxicillin. Intraorally one finds multiple red patches on buccal mucosa, dorsal surface of tongue, soft palate.
This condition is most likely:
A. Herpangina.
B. Recurrent herpetic ulcer.
C. Recurrent amphtous ulcer.
D. Acute atrophic candidiasis.
E. Chronic atrophic candidiasis.
10. Bleeding time is increased in:
A. Platelet dysfunction.
B. Thrombocytopenia.
C. High dose of nonsteriodal anti-inflammatony agents.
D. All of above.
E. None of above.
11. Which of these is the most sensitive indicator of body stores of iron?
A. Serum iron.
B. Serum ferritin.
C. Total iron binding capacity.
D. Blood film
12. All of these are true about the diagnosis of tuberculosis except:
a. mucosal biopsy should be undertaken and examined for tubercle follicles.
b. ziehl-neelsen staing may show tubercle bacilli.
c. It is important to inform the laboratory that tuberculosis is suspected because specialized media is required which called stewart’s medium.
d. prolonged incubation is required for isolation of the organsism.
e. none of above.
13. Monospot test is used in diagnosis of:
A. Infectious monoculeosis.
B. Pemphigus.
C. Pemphigiod.
D. Herpangina.
14. All of these are true about thrush except:
A. Thrush is an acute candidosis.
B. Common in HIV infection.
C. Creamy soft white patches, readily wipped off the mucosa.
D. Histology shows hyphae invading deeply the epithelium with proliferative inflammatory response.
E. Respond to topical antifungal.
F. None of the above
15. Multiple punched out ulcers on gingival papilla is suggestive of:
a. squamous cell carcinoma.
b. Herpetiform ulceration.
c. Acute necrotizing ulcerative gingivitis.
d. Recurrent aphtous ulcers.
16. A lesion which described as localized flat area of oral mucaoa distinguishes from the surrounding by its color. The size of this lesion is usually less than 1 cm.
This lesion is described as:
a. patch
b. vesicule
c. erosion
d. macule
e. papule
17. A 12-year old boy presents with multiple vesiculating oral ulcers, severve pain lymphoadenopathy and fever. The most probable diagnosis is:
A. Herpes zoster.
B. Recurrent aphtous ulcers.
C. Recurrent herpetic ulcers.
D. Acute herpetic gingivostomatits.
E. None of the above.
18. Macrocytosis is found in:
A. Iron deficirncey anemia.
B. Polycythemia.
C. Thrombocytopenia.
D. Vit B12 deficiency.
E. None of the above.
19. All of these are oral bacterial infection except:
A. Gonorrhea.
B. Tuberculosis
C. Syphilis.
D. Acute necrotizing gingivitis.
E. Herpangina.
F. D + E .
20. Which of these statements is true about hand- foot and mouth disease?”
A. Caused mainly by coxasckie B virus
B. The clinical appearance of this disease is highly severe.
C. Highly infectious.
D. Active treatment is needed.
E. None of the above.
21. All the following conditions could increase the mean cell volume except:
A. Vitamin B12 deficiency.
B. Alcoholism.
C. Thalassaemia.
D. Folate deficiency.
E. Liver disease.
F. A+D.
22. Acyclovir will not be used in the treatment of:
A. Herpes zoster.
B. Herpes stomatits.
C. Herpetiform ulceration.
D. Herpes labialis.
E. None of the above.
23. Many patients suffering from recurrent herpes labialis and rarely give a past history of acute herpetic gingivostomatitis. The reason for that is:
A. The infections agents of these two diseases are different.
B. The primary infection (acute herpetic gingivostomatitis) was subclinical.
C. The acute form occurs only in severely ill patient.
D. Passively transferred maternal antibodies persist into adult hood.
E. None of the above.
24. 30-year old man complains of large ulcers on his lower lip. This ulcer appeared after a vacation in the Caribbean 4 weeks ago, he claims that this lesion appeared initially as a firm nodule about a centimeter across.
The surface breaks down after a few days, leaving a rounded ulcer with raised indurated edges. This ulcer is painless and regional lymph nodes are enlarged.
This lesion is most likely a:
A. Traumatic ulcer.
B. Syphilitic ulcer.
C. Tuberculoid ulcer.
D. Recurrent aphtous ulcer.
E. Recurrent herpetic ulcer.
25. Which of these is not true about immunofluorescence:
a. The majority of diagnoses of vesiculobullous disorder rely on immunofluorescence .
b. Immunofluorecent staining of antibody is achieved in two ways: direct & indirect technique.
c. Immunofluorenscence is usually performed on H & E stained section of tissue.
d. In pemphigoid, immunofluorescence reaction will be against basement membrane.
e. None of above.
26. Which one of these disease cause increasing of mean cell haemoglobin (MCH):
a. Iron deficiency.
b. Thalassaemia.
c. Pernicious anaemia.
d. Infectious mononucleosise.
e. None of above.
27. Primary syphilis usually resolves within:
a. 2-3 weeks.
b. 8-9 weeks.
c. 4-5 months.
d. 8-9 months.
e. None of above
28. The usual cause of infectious mononucleosise:
a. Cytomegaly virus.
b. Epstein – Barr virus.
c. Coxsackie virus.
d. Human papilloma virus.
29. All of the information can be obtained from full blood count test except:
a. Total differential white blood cell count.
b. Haematocrit.
c. Mean corpuscular volume.
d. Erythrocyte sedimentation rate.
e. Platelet count.
30. A large, greater than 5 mm in diameter, circumscribed fluid
accumulation. May be intraepithelial or subepithelial and single or
multiple. This lesions best described as:
a. vesicle
b. erosion
c. bulla
d. plaque.