Case Test Study

A variety of topics were presented in the 2001 Case Study columns. Use the following 33 questions to review and test your knowledge concerning this year's 11 columns.

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A variety of topics were presented in the 2001 Case Study columns. Use the following 33 questions to review and test your knowledge concerning this year's 11 columns. After completing the Case Study test, turn to page 44 to check your answers.


Case 1.
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Case 1

Hereditary hemorrhagic telangiectasia (HHT)
1.) Identify the likely location(s) for HHT:
a.) Skin
b.) Mucous membranes
c.) Skin and mucous membranes
d.) Internal organs

2.) Identify the treatment for mild HHT:
a.) No treatment is necessary
b.) Cryosurgery
c.) Electrocautery
d.) None of the above

3.) Identify the most common presenting symptom of HHT:
a.) Anemia
b.) Brain abscess
c.) Gastrointestinal bleeding
d.) Epistaxis


Case 2.
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Case 2

Torus mandibularis
1.) Identify the radiographic appearance of a torus:
a.) Radiolucent
b.) Radiopaque
c.) Mixed lucent-opaque
d.) Any of the above

2.) Identify the percentage of madibular tori that appear bilaterally:
a.) Less than 10 percent
b.) Less than 50 percent
c.) Greater than 90 percent
d.) 100 percent

3.) Identify the cause of torus mandibularis:
a.) Multifactorial
b.) Hereditary
c.) Masticatory stress
d.) All of the above


Case 3.
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Case 3

Cheilitis granulomatosa
1.) Identify the most common oral location for cheilitis granulomatosa:
a.) Lips
b.) Buccal mucosa
c.) Labial mucosa
d.) Soft palate

2.) Identify the precipitating factors(s) associated with cheilitis granulomatosa:
a.) Genetic predisposition
b.) Infections
c.) Allergic reaction
d.) Any of the above

3.) Identify the most effective treatment for cheilitis granulomatosa:
a.) Intralesional corticosteroid injection
b.) Systemic corticosteroid medication
c.) Surgical recontouring
d.) All treatments are disappointing


Case 4.
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Case 4

Cat-scratch disease
1.) Identify the cause of cat-scratch disease:
a.) Bacterial
b.) Viral
c.) Fungal
d.) None of the above

2.) Identify the age group most affected by cat-scratch disease:
a.) Under 21
b.) 22 to 30
c.) 30 to 40
d.) Over 40

3.) Identify the typical duration of lymph node enlargement associated with cat-scratch disease:
a.) Four to six days
b.) Four to six weeks
c.) Four to six months
d.) None of the above


Case 5.
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Case 5

Pyogenic granuloma
1.) Identify the common location for the pyogenic granuloma:
a.) Gingiva
b.) Buccal mucosa
c.) Soft palate
d.) Floor of the mouth

2.) Identify the most common age group of a person with a pyogenic granuloma:
a.) Children
b.) Children and adolescents
c.) Adults 20 to 30
d.) Adults over 30

3.) Identify the recommended treatment(s) for the pyogenic granuloma:
a.) Surgical excision
b.) Removal of irritants
c.) Both a and b
d.) No treatment required


Case 6.
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Case 6

Median rhomboid glossitis
1.) Identify the common location(s) for median rhomboid glossitis:
a.) Buccal mucosa
b.) Tongue
c.) Palate
d.) Both b and c

2.) Identify the cause of median rhomboid glossitis:
a.) Candida albicans
b.) Varicella zoster virus
c.) Herpes simplex virus
d.) Developmental anomaly

3.) Identify the recommended treatment for median rhomboid glossitis:
a.) Antibiotic medication
b.) Antifungal medication
c.) Antiviral medication
d.) No treatment necessary


Case 7.
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Case 7

Traumatic ulcer
1.) Identify the likely location(s) for the traumatic ulcer:
a.) Tongue
b.) Lower lip
c.) Buccal mucosa
d.) Any of the above

2.) Identify the source(s) of trauma that may result in a traumatic ulcer:
a.) Accidental biting
b.) Toothbrush injury
c.) Denture irritation
d.) Any of the above

3.) Identify the recommended treatment for the traumatic ulcer:
a.) Palliative medication
b.) Corticosteroid medication
c.) Antibiotic medication
d.) None of the above


Case 8.
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Case 8

Squamous papilloma
1.) Identify the likely location(s) for the squamous papilloma:
a.) Tongue
b.) Soft palate
c.) Hard palate
d.) Any of the above

2.) Identify the cause of the squamous papilloma:
a.) Viral infection
b.) Fungal infection
c.) Developmental anomaly
d.) Unknown cause

3.) Identify the typical age of a person with a squamous papilloma:
a.) Under 10
b.) 10 to 15
c.) 15 to 25
d.) 30 to 50


Case 9.
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Case 9

Nicotine stomatitis
1.) Identify the most common location for nicotine stomatitis:
a.) Tongue
b.) Palate
c.) Labial mucosa
d.) Buccal mucosa

2.) Identify the cause(s) of nicotine stomatitis:
a.) Heat from smoking
b.) Nicotine from smoking
c.) Drinking very hot beverages
d.) Either a or c

3.) Identify the recommended treatment for nicotine stomatitis:
a.) Cryotherapy
b.) Laser surgery
c.) Surgical removal
d.) No treatment necessary


Case 10.
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Case 10

Fibroma
1.) Identify the most common location(s) for the fibroma:
a.) Buccal mucosa
b.) Tongue
c.) Labial mucosa
d.) Any of the above

2.) Identify which of the following does not describe the fibroma:
a.) Painful mass
b.) Sessile, dome-shaped mass
c.) Smooth surface texture
d.) Pale pink color

3.) Identify the recommended treatment for the fibroma:
a.) No treatment necessary
b.) Surgical removal
c.) Removal of irritation source
d.) Both b and c


Case 11.
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Case 11

Benign migratory glossitis
1.) Identify the cause(s) of benign migratory glossitis:
a.) Unknown
b.) Hereditary
c.) Infectious
d.) Any of the above

2.) Identify the condition(s) that is/are often seen in association with benign migratory glossitis:
a.) Hairy tongue
b.) Fissured tongue
c.) Hairy leukoplakia
d.) All of the above

3.) Identify the recommended treatment for benign migratory glossitis:
a.) Surgical removal
b.) Antibiotic therapy
c.) Curettage
d.) No treatment necessary

Joen Iannucci Haring, DDS, MS, is an associate professor of clinical dentistry, Section of Primary Care, The Ohio State University College of Dentistry. Her Case Study column appears in every issue.


Case Study Test Answers

Case 1
1=c, 2=a, 3=d

Case 2
1=b, 2=c, 3=d

Case 3
1=a, 2=d, 3=d

Case 4
1=a, 2=a, 3=b

Case 5
1=a, 2=b, 3=c

Case 6
1=b, 2=a, 3=b

Case 7
1=d, 2=d, 3=a

Case 8
1=d, 2=a, 3=d

Case 9
1=b, 2=d, 3=d

Case 10
1=d, 2=a, 3=d

Case 11
1=a, 2=b, 3=d

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