Chapter 9: Lymphoid Lesions

Test Bank
MULTIPLE CHOICE
1. Oral extranodal lymphomas that are HIV related are most commonly of which of the
following types?
a. Low-grade, B-cell lymphomas
b. Low-grade, T-cell lymphomas
c. High-grade, T-cell lymphomas
d. High-grade, B-cell lymphomas
e. None of the above
ANS: D
237

REF: Chap 9 (Lymphomas associated with HIV infection), p

2. A 25-year-old woman developed a recurrent mass in her buccal mucosa. On biopsy,

the lesion was described as a benign spindle cell proliferation. All the following are
consistent with this description except:
a. Fibromatosis
b. Low-grade fibrosarcoma
c. Nodular fasciitis
d. Fibrous histiocytoma
e. Lymphoma
ANS: E

REF: Chap 9 (Lymphoma), p 229

3. A 33-year-old patient presents with an asymptomatic swelling of her right

submandibular space. Which of the following should be considered in a clinical
differential diagnosis?
a. Chronic lymphadenitis
b. Salivary gland tumor
c. Lymphoepithelial cyst
d. Lymphoma
e. All the above
ANS: E
REF: Chap 8 (Benign neoplasms), pp 203-211 | Chap 9 (Hodgkins
lymphoma/Lymphoma/Lymphoepithelial cyst), pp 228-239
4. Which of the following is seen with increased frequency in AIDS patients?
a. Lymphangioma
b. Salivary gland tumors
c. Lymphoma
d. Verrucous carcinoma
e. Odontogenic keratocysts
ANS: C

REF: Chap 9 (Lymphoma), p 228

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

Test bank

5. A 0.5 0.5 cm lump in the posterior lateral border of the tongue of a 21-year-old man
was biopsied. Microscopically, normal-appearing lymphoid tissue was noted in the
wall of a benign cystic lesion. This would be consistent with:
a. Dermoid cyst
b. Thyroglossal tract cyst
c. Squamous cell carcinoma
d. Lymphoma
e. Lymphoepithelial cyst
ANS: E

REF: Chap 9 (Lymphoepithelial cyst/Histopathology), p 228

6. A 32-year-old HIV-positive patient developed an ulcerated gingival mass that was

biopsied and diagnosed as high-grade lymphoma. A staging workup showed that he
had stage IV disease. His prognosis relative to his lymphoma would be:
a. Excellent
b. Good
c. Fair
d. Poor
ANS: D
237

REF: Chap 9 (Lymphomas associated with HIV infection), p

7. Oral extranodal lymphomas are most likely to present as ulcerated or nonulcerated

masses in which of the following sites?
a. Buccal mucosa
b. Tongue
c. Palate
d. Floor of the mouth
e. Lower lip
ANS: C
REF: Chap 9 (Lymphoma/Lymphomas associated with HIV infection), pp 229, 237
8. Oral extranodal lymphomas:
a. May be expression of systemic disease
b. May represent the primary site of the disease
c. Are rarely of the Hodgkins type
d. Present as masses or ulcerated masses
e. All the above
ANS: E

REF: Chap 9 (Neoplasms), pp 229-243

9. Excluding tonsil, oral extranodal lymphomas are most commonly seen in which of the
following sites?
a. Buccal mucosa
b. Tongue
c. Palate
d. Floor of mouth
e. None of the above

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

Test bank
ANS: C
REF: Chap 9 (Lymphoma/Lymphomas associated with HIV infection), pp 229, 237

Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.