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1. True generalized microdontia may occur in with of the following condition?
A. Hypothyrodism
B. Pituitary dwarfism
C. Hypoparathyroidism
D. Town syndrome
Answer B
!icrodontia is a de"elopmental condition of a#normal small teeth. $f all teeth are in"ol"ed% it is called
generalized microdontia. &enerally% there are three categories
'1( True generalized microdontia% such as in pituitary dwarfism condition
')( *elati"e generalized microdontia% such as large +aw #one with normal sized teeth
',( -ocalized microdontia.
The cause of microdontia includes growth condition% musculos.eletal condition% oral/dental condition% etc.
). 0hich tooth is most fre1uently affected #y microdontia?
A. !a2illary lateral incisors
B. !a2illary third molar
C. !a2illary second premolar
D. !andi#ular second premolar
Answer A
*eginal/localized microdontia commonly affects the ma2illary teeth% the most commonly affected teeth are
ma2illary lateral incisors 'peg shaped( and third molar% followed #y secondary premolars
,. True generalized macrodontia may occur in with of the following condition?
A. Hyperthyrodism
B. Hyperparathyroidism
C. Pituitary gigantism
D. Cushings syndrome
Answer C
!acrodontia is a condition of ha"ing one tooth or teeth a#normally larger than that particular type of
tooth/teeth
True generalized macrodontia is rare% which affects the entire dentition
*egional macrodontia is more common% which is usually caused #y the distur#ance of
morphodifferentiation stage during tooth de"elopment
3. *hizomegaly is most common affecting the roots of
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A. !a2illary cuspid
B. !andi#ular cuspid
C. !a2illary centre incisor
D. !adi#ular centre incisor
Answer B
*hizomegaly% also called radiculomegaly% is an uncommon condition of teeth with e2tremely long roots. The
type of macrodontia in which the root or roots of a tooth are considera#ly longer than normal. The most
commonly affected teeth are mandi#ular canines
4. All of the followings are characters of hypohidrotic ectodermal dysplasia% 56C5PT
A. $t is an 67lin.ed recessi"e disorder affecting essentially males
B. Patients lac. the a#ility to regulate #ody temperature
C. Hypodontia
D. There is defects in the de"elopment of sali"ary gland
Answer D
5ctodermal dysplasias are herita#le conditions with a#normalities of ectodermal structures% such as s.in%
hair% nails% sweat glands% teeth
Hypohidrotic ectodermal dysplasia is an 67lin.ed recessi"e disorder% which affects only male. People suffer
hypohidrotic ectodermal dysplasia lac. sweat glands or ha"e functionally impaired sweat glands
8. 0hich of the following is the correct order of congenital missing teeth from most common to less
common?
A. !a2illary lateral incisor% third molar% second premolar
B. Third molar% ma2illary lateral incisor% second premolar
C. 9econd premolar% third molar% ma2illary lateral incisor
D. Third molar% second premolar% ma2illary lateral incisor
Answer B
The most common type of anodontia is hypodontia or oligodontia
The most common congenital missing teeth are the third molars% followed #y the ma2illary lateral incisor
and the second premolar
:. 0hich of the following is the correct order of supernumerary teeth from most common to less
common?
A. Paramolars% mesiodens% ma2illary lateral incisor
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B. !a2illary lateral incisor% paramolars% mesiodens
C. !esiodens% paramolars% ma2illary lateral incisor
D. !esiodens% ma2illary lateral incisor% paramolars
Answer C
!esiodens% a supernumerary tooth located #etween the ma2illary central incisors% is the most common
supernumerary tooth% followed #y ma2illary fourth molars 'paramolars( and ma2illary lateral incisor
;. 0hich of the following is the correct order of impacted teeth from most common to less common?
A. !a2illary canines% third molars% mandi#ular second premolar
B. Third molars% ma2illary canines% mandi#ular second premolar
C. Third molars% mandi#ular second premolar% ma2illary canines
D. !a2illary canines% mandi#ular second premolar% third molars
Answer B
The most common teeth to #ecome impacted are the wisdom teeth 'third molars(% followed #y ma2illary
canines and mandi#ular second premolar
<. All of the followings are characters of Taurodontism% 56C5PT
A. $t is the result of late in"agination of Hertwig=s root sheath
B. $t primary affects premolars
C. Affected tooth presents with elongated crown and minimal constriction of cer"ical region
D. Affected tooth has e2tremely large pulp cham#er
Answer B
Taurodontism is a de"elopmental distur#ance% which primarily affect molars
The #ifurcation or trifurcation of the affected teeth is "ery close to the ape2% resulting in an a#normally large
and long pulp cham#er and e2ceedingly short pulp canals
1>. Den $n"aginatus most commonly affects
A. !a2illary central incisors
B. !a2illary lateral incisors
C. !a2illary premolars
D. !andi#ular premolars
Answer B
Den $n"aginatus is a de"elopmental pathologic condition of teeth. $ts etiology is unclear% pro#a#ly resulting
from infolding of the dental papilla during tooth de"elopment
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The affected tooth is usually characterized #y the appearance of an in"aginated pit e2tending into the tooth
structure with "arious distances
This condition most commonly presents in ma2illary lateral incisors% followed #y ma2illary central incisors%
premolars
11. 0hich of the followings are e2amples of supernumerary cusps?
'1( Cara#elli cusp
')( Dens e"aginatus
',( Talon cusps
'3( Den $n"aginatus
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
?ccasionally% teeth may present with supernumerary cusps. Cara#elli cusp is the most common
presentation of this condition% which has an accessory cusp found on the mesiolingual cusp of a ma2illary
permanent first molar
Dens e"aginatus is a de"elopmental a#erration of a tooth resulting in formation of an accessory cusp
Talon cusps% also .nown as an @eagleAs talon@% is an e2tra cusp typically seen on the lingual aspect of
ma2illary incisors
1). 0hich of the following statement regarding teeth germination is $BC?**5CT?
A. $t is primarily affects anterior teeth
B. Clinically it resem#les teeth fusion
C. $t is caused #y partial di"ision of a single tooth germ
D. There is one missing tooth present in the arch
Answer D
Tooth &ermination 'twin( is a de"elopmental dental anomaly% which is characterized #y incomplete splitting
of a single tooth germ
$t happens during the #ell stage of tooth de"elopment and can affect #oth primary and permanent teeth
$t appearances li.e a fusion tooth% #ut the difference is there is no missing tooth in the dental arch
1,. 0hich of the following statements regarding hypercementosis are $BC?**5CT?
'1( $t is may seen in patient with Paget disease or hyperpituitarrism.
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')( Affected tooth is usually non"ital
',( The lamina dura is intact
'3( Treatment is e2tracting the in"ol"ed tooth.
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer C
Tooth affected #y hypercementosis appears enlarged and #ul#ous root. $n spite of a#normal amounts of
cementum% the affected roots are separated from periapical #one #y #oth a normal7appearing periodontal
ligament space and intact lamina dura
Hypercementosis does not affect the "itality of teeth and not re1uire treatment
13. 0hich of the following statement regarding Concrescence is $BC?**5CT?
'1(. $t is a type of fusion that occurs #efore root formation is complete
')( $t may occur #efore or after tooth eruption
',( The affected teeth e2hi#it confluent dentin
'3( $t is primarily in"ol"es the permanent ma2illary molars
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer B
Concrescence is a type of fusion that occurs after root formation is complete
The affected teeth e2hi#it confluent cementum
Concrescence can occur #efore or after tooth eruption and primarily in"ol"es the permanent ma2illary
molars
14. 0hich of the following is the most significant clinical concern of cer"ical enamel pro+ections?
A. De"elopment of paradental cyst
B. Periodontal poc.et formation
C. *oot caries
D. *oot sorption
Answer B
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Cer"ical enamel pro+ections are focal apical e2tensions of the coronal enamel #eyond the cementoenamel
+unction and onto the root of tooth
They could contri#ute the periodontal poc.et formation and play a role in the de"elopment of paradental
cyst
18. All of the followings are characters of Turner tooth% e2cept
A. $t is a common form of focal enamel hypoplasia
B. $t usually affects only one tooth in the dentition
C. $t may result from localized inflammation or trauma during teeth de"elopment
D. $t may in"ol"e #oth primary and permanent teeth
Answer D
Turner tooth is enamel hypoplasia in"ol"ing a single permanent tooth
$t is usually related to infection in the primary tooth that preceded it or to trauma during odontogenesis
$t is usually presented as a portion of missing or diminished enamel on permanent teeth
1:. $f generalized en"ironmental enamel hypoplasia of teeth are formed during the first year of life%
which teeth are often in"ol"ed?
'1( Permanent incisors
')( Permanent cuspids
',( Permanent first molars
'3( Permanent premolars
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
The formation of permeation premolars% second molars and third molars does not #egin until a child is , years
old
1;. Beonatal line of teeth can #e seen in which of the following teeth?
'1( Primary teeth
')( Permanent incisors
',( Permanent first molars
'3( Permanent cuspids
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A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer B
The neonatal lines are formed in 5namel and dentine at the point of #irth
$t can #e considered as a mild form of enamel hypoplasia
?nly teeth that are de"eloping at #irth can e2hi#it neonatal lines
All the primary teeth are forming at #irth. The first permanent molar is +ust #eginning calcification at or near
#irth
1<. All of the followings are characters of dental fluorosis% e2cept
A. The ris. of fluoride o"ere2posure occurs #etween the ages of , months and , years
B. Tooth is no longer at ris. of fluorosis after eruption into the oral ca"ity
C. *egardless of the degree of floride mottling% affected teeth are largely resistance to dental caries
D. The differential diagnosis for dental fluorosis may include Turner=s hypoplasia and some mild
forms of amelogenesis imperfecta
Answer A
Dental fluorosis is a de"elopmental distur#ance of dental enamel caused #y e2cessi"e e2posure to high
concentrations of fluride during tooth de"elopment
The ris. of fluoride o"ere2posure occurs #etween the ages of , months and ; years. Cluorapatite is more
resistant to dissolution #y acids 'demineralization(
Permanent
tooth
Hard tissue
formation
#egins
5namel
completed
'yrs after #irth(
5ruption
'yrs after #irth(
*oot Completed
'yrs after #irth(
!a2illary
Central incisors
-ateral incisors
Cuspid
1
st
premolar
)
nd
premolar
1
st
molar
)
nd
molar
,
rd
molar
,73 month
1>71) month
374 month
1.47) yrs
)7).4yrs
At #irth
).47, yrs
:7<yrs
374
374
87:
478
87:
).47,
:7;
1)714
:7;
;7<
1171)
1>711
1>71)
87:
1)71,
1:7)1
1>
11
1,714
1)71,
1)713
<71>
13718
1;7)4
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!andi#ular
Central incisors
-ateral incisors
Cuspid
1
st
premolar
)
nd
premolar
1
st
molar
)
nd
molar
,
rd
molar
,73 month
,73month
374 month
1.47) yrs
)7).4 yrs
At #irth
).47, yrs
;71>yrs
374
374
87:
478
87:
).47,
:7;
1)718
87:
:7;
<71>
1>71)
1171)
87:
1171,
1:7)1
<
1>
1)713
1)71,
1,713
<71>
13714
1;7)4
)>. All of the followings are characters of amelogenesis imperfecta% e2cept
A. !ost cases are inherited in an autosomal dominant pattern
B. $t may affect #oth primary teeth and permanent teeth
C. There are three #asic types of amelogenesis imperfecta
D. Hypoplastic type of amelogenesis imperfecta% the enamel is less radiodense than dentin
Answer D
Type 5namel Duantity 5namel Density
Hypoplastic Thinner than normal *adiodensity greater than dentin
Hypocacified Bormal thic.ness *adiodensity less than dentin
Hypomaturation Bormal thic.ness *adiodensity a#out the same as dentin
)1. 0hich of the followings are characters of Dentinogenesis $mperfecta type $?
'1( This condition is inherited in an autosomal dominant pattern
')( Patients may ha"e #lue sclera of the eyes
',( The affected teeth are opalescent with the color ranging from #luish7gray to #rown to yellow
'3( Esually the affected teeth e2hi#it e2tremely large pulp cham#ers #y a thin shell of dentin
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
Dentinogenesis $mperfecta 'D$( is an autosomal dominant hereditary defect
This disorder has #een classified into three types
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77 Type $ is associated osteogenesis imperfecta '?$(% patients often e2hi#it other feature of ?$% such as #lue
sclera of the eyes
77 Type $$ is the most common type and does not associated osteogenesis imperfecta. The infected teeth ha"e
similar clinical appearance in #oth Type $ and type $$ of D$. The teeth may #e gray to yellowish #rown and
e2hi#it translucent or opalescent hue
77 Type $$$% which is also called Brandywine type% is rare% clinically it is similar appearance as Type $ and Type
$$% #ut teeth may e2hi#it e2tremely large pulp cham#ers #y a thin shell of dentin
)). 0hich of the followings are characters of Dentin Dysplasia type $?
'1( $t is an autosomal dominant inherited disorder
')( The affected teeth are opalescent with the color ranging from #luish7gray to #rown to yellow
',( The roots of affected teeth are short% #lunt or conical
'3( Esually the affected teeth e2hi#it e2tremely large pulp cham#ers #y a thin shell of dentin
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer B
Dentin Dysplasia is an autosomal dominant inherited disorder characterized #y a#normal dentin formation
and a#normal pulp morphology
Type $ '*adicular DD( Both dentition may #e affected
77 The color of teeth is usually within normal range
77 The roots of teeth are short% #lunt or conical
77 $n deciduous teeth% teeth often e2hi#it complete o#literation of the pulp cham#ers and root canals
77 $n permanent% there=s also pulp o#literation% #ut may #e crescent shaped
Type ) 'Coronal DD(
77 $n deciduous teeth% teeth often e2hi#it complete o#literation of the pulp cham#ers and root canals are
similar to type $
77 $n permanent teeth% large pulp cham#er is seen in coronal portion of the tooth% pulp calcification may also
present
77 The roots of deciduous and permanent dentition are of normal shape and length
),. All of the followings are characters of *egional ?dontodysplasia% e2cept
A. $t is most commonly seen in permanent dentition
B. Affected teeth present with e2tremely large pulp cham#er
C. The thin enamel and dentin ha"e normal radiodensity
D. Pulp stone may occasionally #e "isi#le
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Answer C
*egional odontodysplasia is an unusual de"elopmental anomaly in which ectodermal and mesodermal
tooth components are affected
$t is most commonly seen in permanent dentition
The affected teeth e2hi#it e2tremely large pulp cham#er with thin dentin and enamel% which e2hi#it mar.ed
decrease in radiodensity
?n radiographs the teeth are descri#ed as @ghost teeth@
)3. All of the following conditions are autosomal dominant inherited disorder% 56C5PT
'1( Dentinogenesis imperfecta
')( Amelogenesis imperfecta
',( Dentin Dysplasia
'3( *egional ?dontodysplasia
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer B
Amelogenesis imperfecta is inherited in an autosomal recessi"e pattern
*egional ?dontodysplasia is a sporadically occurring nonhereditary distur#ance of tooth de"elopment
)4. 0hich of the following tooth de"elopmental distur#ance is'are( not inherited disorder?
'1( Dentin Dysplasia
')( Turner=s tooth
',( Taurodontism
'3( *egional ?dontodysplasia
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. ?nly '3(
Answer C
*egional ?dontodysplasia% also termed ghost teeth% is a sporadically occurring nonhereditary distur#ance
of tooth de"elopment
Tuner=s tooth is a form of focal enamel hypoplasia% which usually caused #y localized inflammation or
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trauma during teeth de"elopment
Dentin Dysplasia is an autosomal dominant genetic disorder of teeth. $n some cases taurodontism seems
to follow an autosomal dominant type of inheritance
)8. 0hich of the following is'are( dental manifestation of Hypophosphatasia?
'1( Delayed formation and eruption of dentition
')( Premature loss of primary teeth
',( A#sence of dental cementum
'3( o#literation of the pulp cham#ers and root canals
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. ?nly '3(
Answer A
Hypophosphatasia is a meta#olic #one disease caused #y al.aline phosphatase deficiency in serum and
tissues
$t may cause delayed formation and eruption of dentition% premature loss of primary teeth% which may #e
related to the a#sence of dental cementum
There is also spontaneous loss of permanent teeth. *adiographic image re"eal that the infected teeth
e2hi#it enlarged pulp cham#er and canals
):. 0hich of the following conditions may associated with macroglossia?
'1( Down syndrome
')( Bec.with7wiedemann syndrome
',( Hyperpituitarism
'3( Cretinism
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer D
There are two main causes of macroglossia congenital and ac1uired
!acroglossia is often seen in cases of DownAs 9yndrome
Hyperpituitarism and hypothyroidism'cretinism( are ac1uired meta#olic disorders which can lead to
e2cessi"e tongue growth
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Bec.with70iedemann 9yndrome is an o"ergrowth disorder characterized #y a group of congenital
anomalies. The most common manifestations are omphalocele% macroglossia% gigantism% and "isceromegaly
);. A patient present with #ilateral yellowlish maculopapules ranging from 1mm to , mm in diameters
on #uccal mucosa% the lesions are painless. And the patient can not tell how long they are last.
0hich of the following is the most proper diagnosis?
A. -euopla.ia
B. Cordyce granules
C. -ipoma
D. Candida al#icans
Answer B
9e#aceous glands present in "arious locations within the oral ca"ity are called Cordyce granules
They are most commonly seen #ilaterally on the #uccal mucosa and the "ermilion of the lip
Cordyce granules appear as rice7li.e% white or yellow7white% asymptomatic papules% ranging from 17, mm in
width. Bo treatment is re1uired for Cordyce granules% e2cept for cosmetic remo"al of la#ial lesions
)<. A eight year old #oy presents with an asymptomatic% #ilateral% whitish gray% semitransparent
macule on the #uccal mucosa% 0hen the chee.s are stretched outward% the lesions disappear% which
of the following is the most proper diagnosis?
A. -eu.oedema
B. 0hite sponge ne"us
C. -ichen Planus
D. Candida al#icans
Answer A
-eu.oedema and white sponge ne"us #oth ha"e onset of lesions in the childhood
-eu.oedema is characterized #y a mild degree of para.eratosis and "aria#le intracellular edema of the
epithelium
-eu.oedema usually presents as an asymptomatic% #ilateral% whitish gray% semitransparent macule of the
#uccal mucosa. 0hen the chee.s are stretched outward% the leu.oedema typically disappears. But white
sponge ne"us will remain "isi#le when the affected mucosa is stretched
,>. A 1> year old #oy presents with an asymptomatic% well demarcated%whitish corrugated lesions on
the #uccal mucosa% his elder #rother also has the same lesion. 0hen the chee. is stretched outward%
the lesion does not change% which of the following is the most proper diagnosis?
A. -eu.oedema
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B. 0hite sponge ne"us
C. -ichen Planus
D. Candida al#icans
Answer B
0hite sponge ne"us is an autosomal dominant hereditary disorder% which almost always presents during
childhood
The microscopic feature of 0hite sponge ne"us includes hyperpara.eratosis% acanthosis and intracellular
edema of the superficial epithelial cells% predominantly within the spinous layer. -esions are usually well
demarcated from the surrounding normal mucosa% 'leu.oedema and smo.eless to#acco .eratosis are poor
demarcated(
The white lesion of leu.oedema tends to diminish or disappear when the mucosa is stretched% while no
change is seen in white sponge ne"us or other similar lesions
,1. 0hich of the following oral lesions ha"e character of intracellular edema?
'1( 9mo.eless to#acco .eratosis
')( Crictional .eratosis 'chronic chee. #ite .eratosis(
',( white sponge ne"us
'3( leu.opla.ia
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
$ntracellular edema is characteristic of se"eral oral lesions -eu.oedema% 0hite sponge ne"us% 9mo.eless
to#acco Feratosis% frictional .eratosis 'chronic chee. #ite .eratosis(% and 0it.opAs disease
9mo.eless to#acco .eratosis is characterized #y surface para.eratosis and may demonstrate pronounced
intracellular edema of superficial cells
Crictional .eratosis% especially chronic chee. #ite .eratosis is characterized #y e2tensi"e surface
.eratosis%%may also present with intracellular edema of superficial epithelial cells
leu.opla.ia is lac. of intracellular edema
,). 0hich of the following is the most common cleft deformity?
A. Enilateral cleft upper lip
B. Bilateral cleft upper lip
C. Cleft palate
D. Com#ined cleft lip and cleft palate
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Answer D
Com#ined cleft lip and cleft palate is the most common cleft deformity% accounting for appro2imately 4>G of all
cleft cases
,,. -ip cleft is due to the failure of fusion of the HHHHand HHHHHH.
A. ma2illary process% medial nasal process
B. ma2illary process% lateral nasal process
C. medial nasal process% lateral nasal process
D. Bone of the a#o"e
Answer A
-ip cleft can #e unilateral or #ilateral. $t is due to the failure of fusion of the ma2illary and medial nasal
processes
The cause of cleft lip in"ol"es #oth hereditary and en"ironmental factors
,3. 9urgical repair of Cleft lip is usually performed during HHHHH of patient=s life% while cleft palate is
repaired appro2imately HHH of age.
A. 8month% 1)month
B. )7, month% 1) month
C. 1)month% 1; month
D. 1; month% )3month
Answer B
?ften the preferred age to repair cleft lip is at appro2imately 1> wee.s of age% following the @rule of 1>s@
suggested #y surgeons 0ilhelmmesen and !usgra"e in 1<8< 'the child is at least 1> wee.s of age% weighs at
least 1> pounds% and has at least 1>g hemoglo#in(. Cleft palate repair is usually performed #etween 8 and 1;
months
,4. All of the followings are characters of 9tafne cyst are true% e2cept
A. $t is located #elow mandi#ular canal
B. *adiographic image re"eals a well7defined radiolucent area
C. $t is a true cyst with epithelium line
D. Bo treatment is re1uired
Answer C
9tafne cyst is a de"elopmental conca"ity of the lingual corte2 of mandi#le
$t is usually located in the ,
rd
molar area% #etween the mandi#ular canal and inferior #order of the mandi#le
$t is a pseudo Cyst% which is not lined #y epithelium
*adiographically% it is a well7defined% o"al7shaped radiolucent image
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,8. 0hich of the followings are oral manifestations of Cleidocranial dysplasia?
'1( Hyperplastic ma2illa
')( 9upernumerary teeth
',( Clat palate
'3( Cailure of tooth eruption
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer C
Cleidocranial dysplasia is an autosomal dominant hereditary disorder
$t has the characters of #ilateral partially present or a#sent cla"icles% enlarged frontal and occipital s.ull
plates% under7de"eloped midface% hypoplasitic ma2illa% highly arched and narrow palate% supernumerary teeth
and failure of tooth eruption
,:. 0hich of the following manifestations may associated with Crouzon 9yndrome?
'1( !a2illary hypoplasia
')( 9hort upper lip
',( 0idely spaced eyes
'3( 9upernumerary teeth
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
Crouzon 9yndrome is a autosomal dominant genetic disorder characterized #y the premature fusion of certain
s.ull #ones. $t has characters of
'1( 0ide7set% #ulging eyes and "ision pro#lems
')( #ea.ed nose
',( Poor "ision% hearing deficits
'3( !a2illary hypoplasia% teeth crowding
'4( 9hort head% short upper lip
'8( Esually of normal intelligence
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,;. 0hich of the following are oral7facial manifestations of Treacher collin syndrome?
'1( Depressed chee.s
')( *etruded chin
',( Downward slanting eye
'3( 5nlarged tongue
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
Treacher collin syndrome is a rare autosomal dominant congenital disorder characterized #y craniofacial
deformities
Affected patients e2hi#it a characteristic physical features including downward slanting eyes% micrognathis
'a small lower +aw(% conducti"e hearing loss%underde"eloped zygoma% drooping part of the lateral lower
eyelids% and malformed or a#sent ears
,<. 0hich of the following are common oral findings of Down syndrome?
'1( !acroglossia
')( Iu"enile periodontitis
',( Delayed eruption of #oth primary and permanent teeth
'3( 9upernumerary teeth
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
Down syndrome has a set of mental and physical symptoms that result from ha"ing an e2tra copy of
Chromosome )1. Common oral findings of down syndromes include
'1( Broad lip% fissured lip
')( !acroglossia% fissured tongue
',( ?pen mouth with protruding tongue
'3( Barrow palate
'4( !alocclusion
'8( Congenitally missing teeth
':( Delayed eruption of #oth primary and permanent teeth
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';( Predisposition of periodontal disease
3>. ?steogenesis imperfecta has all of the following manifestations e2cept
A. Bone deformity
B. Blue sclera
C. Amelogenesis imperfecta
D. Dentiogenesis imperfecta often present
Answer C
?steogenesis imperfecta '?$( is a genetic disorder. $ts typical characteristic includes #one fragility. $t may
ha"e the following characteristics
Bormal or short stature
Bone fragility
Bone deformity
-oose and muscle wea.ness
Blue sclera
Dentiogenesis imperfecta
Possi#le hearing loss
Duantity and 1uality change of collagen structure
31. All of the followings are characters of dentinogenesis imperfecta% e2cept
A. ?#literation of the pulp cham#er
B. Teeth are opalescent with the color ranging from #luish to gray
C. 9oft enamel tissue
D. Bul#7shaped crowns with constricted cemental7enamel +unctions and thin roots
Answer C
Dentinogenesis imperfecta
Autosomal dominant genetic disorder of
Affects #oth primary and permanent teeth
Clinical feature
77 Teeth present #lue or am#er #rown and opalescent
77 5namel% which is with normal hardness% may split readily from dentin when su#+ected to occlusal stress
77 9e"ere attrition of teeth
77 9oft and easily penetra#le dentin
77 Pulp cham#er o#literation
Histologically
77 Bormal enamel
77 Bormal mantle dentin
77 9e"erly dysplastic dentin structure 'e2cept mantle dentin(
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77 Dentinal tu#ules irregular and reduced in num#ers
77 A#sence of odonto#lastic processes and e2isting of degenerating cellular de#ris
77 D5I #ecomes smooth 'flat( instead of scalloped
3). 0hich type of dentinogenesis imperfecta is associated with osteogenesis imperfecta?
A. Type $
B. Type $$
C. Type $$$
D. Both Type $ and Type $$
Answer A
Dentinogenesis imperfecta is an inherited defect of dentin formation
This disorder is classified into three types
77 Type $ is associated with associated osteogenesis imperfecta
77 Type $$ is the most common type and not associated with associated osteogenesis imperfecta
77 Type $ and type $$ are similar and present with #ul#7shaped crowns with constricted cemental7enamel
+unctions and thin roots
77 Type $$$ '#randywine type( is rare and may present e2tremely large pulp cham#er surrounded #y a thin shell
of dentin
3,. 0hich of the following cysts are odontogenic?
'1( Dentigenous cyst
')( *adicular cyst
',( ?dontogenic .eratocyst
'3( Basoplatine cyst
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
C-A99$C$CAT$?B ?C CJ9T9
?dontogenic Cysts
$nflammatory *adicular cyst
*esidual cyst
De"elopmental
Dentigenous cyst
5ruption cyst
-aterial periodontal
?dontogenic .eratocyst '?FC(
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Calcifying odontogenic cyst 'C?C(
Bon7odontogenic Cysts
Basoplatine cyst
Basola#ial cyst
Dermoid cyst
Thyroglossal duct cyst
-ymphoepithelial cyst
Pseudo Cysts 9tafne #one cyst
9olitary #one cyst
Aneurysmal #one cyst
33. 0hich of the followings are #asic structures of a true cyst?
'1( -umen
')( 5pithelial lining
',( Capsule
'3( Cluid or semisolid content
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
The elements of a cyst include 0all or capsule% epithelium lining and lumen
34. 0hich of the followings are pseudocysts?
'1( 9tatic #one cyst
')( Traumatic #one cyst
',( Aneurysmal #one cyst
'3( *esidual cyst
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
A pseudocyst is a cystic lesion% #ut lac.s epithelial lining
9tatic #one cyst% traumatic #one cyst% mucocele7e2tra"asation cyst and aneurysmal #one cyst are all
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pseudocysts
*esidual cyst is an odontogenic cyst that remains in the +aw after the remo"al of a tooth% it is a true cyst
with non7.eratinized stratified s1uamous epithelium
38. 0hich of the followings are epithelium source of odontogenic cysts?
'1( *ests of !alassez
')( *educed enamel epithelium
',( *emnants of the dental lamina
'3( 5pithelium of "estigial ducts% such as nasopalatine duct% nasolacrimal duct
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer A
?dontogenic cysts are deri"ed from three epithelium structure
'1( *ests of !alassez777remain of Hertwig=s epithelial root sheath 'H5*9( that didnAt completely disappear
')( *educed enamel epithelium777 layers of enamel organ remaining on the tooth surface after completion of
enamel formation
',( *emnants of the dental laminaKpresent as epithelial pearls or islands within the +aw
3:. 0hich one of the following is the most common type of odontogenic cyst?
A. Dentigenous cyst
B. *adicular cyst
C. Basopalatine cyst
D. -ateral periodontal cyst
Answer B
Periapical cyst '*adicular cyst( is the most common odontogenic cyst% which is caused #y pulpal necrosis
3;. 0hich of the following is the epithelium source of periapical cyst?
A. *ests of !alassez
B. *educed enamel epithelium
C. *emnants of the dental lamina
D. Bone of the a#o"e
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Answer A
Periapical Cyst is the most common odontogenic cyst of inflammatory origin
$t is caused #y pulp necrosis following dental caries or trauma
The epithelium cyst lining is deri"ed from the *ests of !alassez
3<. 0hich of the following cysts deri"ed from *educed 5namel 5pithelium?
'1( *idicular cyst
')( Dentigerous cyst
',( ?dontogenic .eratocyst
'3( Paradental cyst
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer C
Cysts deri"ed from *est of !alassez *adicular cyst ' periapical cyst(% residual cyst
Cysts deri"ed from *educed enamel epithelium Dentigerous cyst% 5ruption cyst% Bifurcation cyst
'Paradental cyst(
Cysts deri"ed from Dental lamina ?dontogenic .eratocyst% -ateral periodontal cyst% gingi"al cyst of adult%
gingi"al cyst of new #one
4>. *adicular cysts most commonly de"elop from?
A. $nflammation pulp tissue
B. Pre7e2isting periapical granulomas
C. Periodontal a#scess
D. Acute periapical inflammation
Answer B
*adicular cyst is the most common odontogenic cyst 'attri#utes to a#out 8>G of all +aw cysts(
The first periapical defense reaction to pulp necrosis is the formation of a granuloma. Then chronic
inflammatory response stimulates the proliferation of epithelium from rests of !alassez and induces the
formation of cyst
41. 0hich of the following statements regarding dentigenous cyst are correct?
'1( $t is the outcome of dental inflammation
')( The most common site is at the mandi#ular posterior region
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',( $t is usually "ery painful
'3( $t usually associated with an impacted tooth
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer C
Characteristics of dentigenous cyst
'1( $t is most commonly found in posterior mandi#le and around the crown of an unerupted tooth 'attached to
C5I(
')( Clinically% it is usually asymptomatic% 'may present pain or swelling(
',( *adiographic image shows a well defined unilocular radiolucency lesion
'3( Cyst line is non7.eratinized stratified s1uamous epithelium
4). The size of normal follicular space is
A. 17)mm
B. )7,mm
C. ,73mm
D. 374mm
Answer B
$t is difficult to differentiate #etween a small dentigerous cyst and a hyperplastic follicle. 0ith dentigerous
cyst% patient typically has no pain or any discomfort. $f there is e"idence of tooth displacement or considera#le
e2pansion of the in"ol"ed #one% cyst is suspected
Esually% the size of normal follicular space is )7,mm. $f the size of follicular space is more than 4mm% cyst is
suspected. Collow up e2am is most important
4,. 0hich of the following is not a character of #asal cell ne"us syndrome?
A. !ultiple #asal cell carcinomas of the s.in
B. !ultiple ?dontogenic .eratocyst
C. !ultiple supernumerary teeth
D. Dearly calcification of fal2 cere#ri
Answer C
Basal cell ne"us syndrome Also .nown as Be"oid Basal Cell Carcinoma 9yndrome or &orlin 9yndrome
$t is an inherited autosomal dominant condition defecting multiple #ody systems such as the s.in% #ones%
ner"ous system% endocrine system
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Common clinical findings
'1( !ultiple ne"oid #asal cell carcinomas of the s.in
')( !ultiple odontogenic .eratocysts
',( Congenital s.eletal a#normalities such as early calcification of fal2 cere#ri% #ifid ri#s% "erte#rae anomalies%
frontal #ossing
'3( Hypertelorism
'4( !andi#ular prognathism
'8( ?cular defects Cataracts% &laucoma
43. A cyst may #e associated with all of the following conditions% e2cept
A. A necrotic tooth
B. Basal cell ne"us syndrome
C. ?dontogenic my2oma
D. Amelo#lastoma
Answer C
The periapical cyst 'radicular cyst( is associated with pulp necrosis
?ne of the clinical manifestation of Basal cell ne"us syndrome is multiple odontogenic .eratocyst '?FC(
Amelo#lastoma can de"elop from the epithelial lining of a dentigerous cyst. $n this condition% it is hard to
differentiate amelo#lastoma from dentigerous cyst if there=s no septa present
44. All of the following cysts are deri"ed from reduced enamel epithelium% 56C5PT
A. *adicular cyst
B. Dentigerous cyst
C. Paradental cyst
D. 5ruption cyst
Answer A
Cysts deri"ed from *ests of !alassez *adicular cyst
*esidual cyst
Cysts deri"ed from *educed 5namel
5pithelium
5ruption cyst
Dentigerous cyst
Paradental cyst
Cysts deri"ed from Dental -amina ?dontogenic .eratocyst '?FC(
-ateral periodontal cyst
&ingi"al cyst
48. All of the followings are characters of dentigerous cyst% e2cept
A. $t is commonly associated with an unerupted tooth
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B. The cyst is attached to the C5I of the unerupted toth
C. $t is usually lined with non7.eratinized stratified s1uamous epithelium
D. Histologically% the cyst presents with irregular #ul#ous rete ridges
Answer D
The lumen of dentigerous cyst is lined with non7.eratinized stratified s1uamous epithelium
The epithelium and connecti"e tissue interface is flat
*adiographically% the cyst appears as a well7defined radiolucency surrounding the crown of an unerupted
tooth
4:. 0hich of the following lesion needs most aggressi"e treatment?
A. *adicular cyst
B. Dentigerous cyst
C. ?dintogenic .eratocyst
D. Paradental cyst
Answer C
?dontogenic .eratocyst has a remar.a#le growth potential% greater than the other odontogenic cysts. And it
e2ists a recurrent rate of appro2imately ,>G
4;. 0hich of the following condition is not an inflammatory lesion?
A. A#scess
B. *adicular cyst
C. Ci#rous epulis
D. -aternal periodontal cyst
Answer D
The lateral periodontal cyst is a de"elopmental cyst degenerating from cells of the dental lamina
The most common location of the cyst is in mandi#ular premolar region
$t is usually asymptomatic and is found accidentally #y radiographic images
*adiographic image shows a well defined unilocular or multilocular radiolucency lesion
Cyst line is non7.eratinized stratified s1uamous epithelium with Cocal epithelial thic.en KLpla1uesM
4<. ?dintogenic .eratocyst may #e seen together with all of the following clinical manifestations%
e2cept
A. !ultiple #asal cell carcinomas of the s.in
B. Bifid ri#s
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C. 9upernumeray teeth
D. Hypertelorism
Answer C
Be"oid #asal cell carcinoma syndrome '&orlinN&oltz syndrome( is an autosomal dominant syndrome
$t in"ol"es defects of multiple #ody systems such as the s.in% ner"ous system% eyes% endocrine system%
and #one
The Components of this syndrome include
'1( multiple #asal cell carcinomas of the s.in
')( multiple ?dintogenic .eratocyst
',( ri# and "erte#rae anomalies
'3( intracranial calcification
'4( s.eletal a#normalities% such as #ifid ri#s% fal2 cere#ri calcification
'8( frontal and temporopariental #ossing% hypertelorism% and mandi#ular prognathism
8>. 0hich of the following are histologic findings of odintogenic .eratocyst?
'1( non7.eratinized stratified s1uamous epithelium
')( Corrugated para.eratin on the luminal surface
',( Bul#ous rete ridges
'3( Daughter cysts
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. All of the a#o"e
Answer C
Histologic features of odontogenic .eratocysts
'1( Para.eratinized / .eratinized stratified s1uamous epithelium
')( Corrugated para.eratin
',( Thin connecti"e wall
'3( 5pithelium and CT interface is flatKlac. rete peg
'4( Des1uamated .eratin in lumen
'8( 9atellite cysts in wall
81. 0hich of the following lesion's( has 'ha"e( a tendency to growth along the long a2is of #one?
'1( Dentigous cyst
')( ?dongenic .eratocyst
',( Aneurysmal #one cyst
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'3( 9imple #one cyst
A. '1( ')( ',(
B. '1( ',(
C. ')( '3(
D. ?nly '3(
Answer C
Almost all 9imple #one cysts are found in the mandi#le and their #oundary is #etter defined in the al"eolar
process% gi"ing a scalloped #order appearance #etween the roots of teeth on a radiographic image
9imple #one cyst has a tendency to grow along the long a2is of the #one% causing minimal #one e2pansion
?dongenic .eratocyst also has a tendency to grow along the internal aspect of +aw% causing minimal #one
e2pansion
!ost of the cysts% such as dentigous cyst are thought to growth solely #y osmotic pressure and e2pansion
at all direction from the epicenter
Benign lesions grow #y displacing ad+acent tissues% their growing in #one tend to #e round or o"al
Aneurysmal #one cyst cause diffuse swellings which result in facilal deformity and may perforate the corte2
8). Cocal epithelium thic.en 'pla1ue( is usually seen in which one of the following condition? 'D (
A. *adicular cyst
B. Dentigerous cyst
C. ?dintogenic .eratocyst
D. -ateral periodontal cyst
Answer D
Histologic features of lateral periodontal cyst
'1( non7.eratinized stratified s1uamous epithelium
')( Cocal epithelial thic.en KLpla1uesM
',( Botryoid "ariant 777polycystic
8,. 0hich of the following lesions ha"e the similar histological findings?
'1( -ateral periodontal cyst
')( -ateral periapical cyst
',( &ingi"al cyst of adult
'3( 5ruption cyst
A. '1( ')(
B. '1( ',(
C. ')( '3(
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D. ',( '3(
Answer B
-ateral periodontal cyst% Dental lamina cyst of new #orn and &ingi"al cyst of adult are all deri"ed from
*emnants of the dental lamina
Histologic features of the gingi"al cyst of adult are similar to those of lateral periodontal cyst
9ome studies conclude that they are the same entity with e2traosseous and intraosseous manifestation
83. The epithelium source of nasola#ial cyst is
A. *ests of !alassez
B. *educed enamel epithelium
C. *emnants of the dental lamina
D. 5pithelium remain of nasolacrimal duct
Answer D
This nasola#ial cyst is located superficially in the soft tissues of the upper lip% #elow the ala of the nose. $t is
an e2traosseous cyst
$t is considered to originate from remnants of the inferior and anterior portions of nasolacrimal duct
84. 0hich of the following cyst may not #e detected on a radiographic image?
A. *esidual cyst
B. Basopalatine cyst
C. Basola#ial cyst
D. &lo#uloma2illary cyst
Answer C
Characteristics of Basola#ial cyst
'1( $t is classified as a soft tissue cyst
')( $t is now thought to arise from the remnants of the em#ryonic nasolacrimal duct or the lower anterior
portion of the duct
',( $t is presented outside the #one in the nasola#ial folds #elow the ala nasi
'3( The most common symptom is unilateral swelling% #ig lesion may cause difficulty in nasal #reathing
'4( $t usually can not #e detected #y radiographic image unless opacifier is in+ected
88. A middle7aged woman presents with a mo"a#le symptomatic% yellowish superfacial su#mucosal
mass less tha 1 cm in diameter at the floor of the mouth% which of the following would #e the most
possi#le diagnosis?
A. -ymphoma
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B. -ymphoepithelial cyst
C. -ipoma
D. *anula
Answer B
Common
intra7oral site
Clinical findings Histologic faetures Treatment
-ymphoma Buccal
"esti#ule%
posterior
hard palate%
gingi"a
9oft tissue lesions
Bon7tender% diffuse
erythematous swelling
0ith/without ulceration
Bone lesions
Oague pain
0ith/without
paresthesia
Diffused infiltration of
sheets of malignant
lymphoid cells
!alignant cells with
large "esicular nucleus
and small amount of
cytoplasm
Chemotherapy
*adiation therapy
9urgical
management not
usually indicated
-ymphoepithelial
cyst
Cloor of
mouth

Post/lateral
of tongue
Asymptomatic
yellow soft superficial
mass
Esually less than 1cm
in diameter
-ine thin para7
.eratinized 995
surrounded #y normal
lymphoid tissue
-umen
des1uamated
para.eratin epithelium
cells
9urgical e2cision
-ipoma #uccal
mucosa and
#uccal
"esti#ule
Asymptomatic
pedunculated/ sessile
swellings
9uperficial lesion
yellow hue
Deeper lesion normal
in color
Hyper.eratotic
stratified s1uamous
epithelium
!ature fat cells%
adipocytes
Conser"ati"e
surgical e2cision
*anula floor of the
mouth
Blue% dome7shaped
fluctuant swelling
!ay ele"ate tongue
0ell7circumscri#ed
ca"ity containing mucin
surrounded #y wall of
!arsupialization /
surgical e2cision
with or without
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compressed fi#rous
connecti"e tissue
Dilated sali"ary
gland duct with
metaplastic change
remo"al of the
feding su#lingual
gland
8:. The most common location of oral lymphoepithelial cyst isHHHHHHH% and the most common
location of cer"ical lymphoepithelial cyst isHHHHHHH.
A. anterior floor of mouth% lateral aspect of the nec. P posterior to the sternocleidomastoid muscle
B. anterior floor of mouth% lateral aspect of the nec. P anterior to the sternocleidomastoid muscle
C. soft palate% lateral aspect of the nec. P posterior to the sternocleidomastoid muscle
D. soft palate% lateral aspect of the nec. P anterior to the sternocleidomastoid muscle
Answer B
Appro2imately half of all intraoral lymphoepithelial cyst are found on the floor of mouth% cer"ical
lymphoepithelial cyst occurs on lateral aspect of the nec.% usually anterior to the sternocleidomastoid muscle
8;. 0hich of the following non odootogenic cyst needs the most aggressi"e surgical treatment?
A. Basopalatine cyst
B. -ymphoepithelial cyst
C. Thyroglossal cyst
D. Dermoid cyst
Answer C
Thyroglossal cyst is a rare lesion presenting in the mildline of the anterior nec.% usually #elow the hyoid
#one P a#o"e the thyroid gland
The treatment is surgical e2cision% #ecause of the high recurrent tendency% it is recommaned that the
central portion of the hyoid #one and the remnants of the thyroglossal tract #e remo"ed
8<. 0hich of the following are not a common feature of #oth dermoid cyst and epidermid cyst?
A. Cysts are lined #y ortho.eratinized s1uamous epithelium
B. The lumen is generally filled with des1uamated .eratin
C. Dermal appendages% such as hair follicle% se#aceous glands and sweat glands in the capsule
D. Cyst wall consists of fi#rous connecti"e tissue free of inflammation
Answer C
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The epidermid cyst occurs primarily on s.in% occasionally seen intraorally
The epidermid cyst closely resem#le a dermoid cyst e2cept that epidermid cyst has no dermal appendages