Oral Medicine exam sample

1. Oral Medicine
Question Marks (30)
1 10
2
Part (1): 3
Part (2): 5
3 4
4
(A): 2
(B): 6
Question (1):
Please choose your answer and put the letter of the correct answer in the table below:
Question Answer Question Answer Question Answer
1 5 9
2 6 10
3 7
4 8
1) One of the following is not a histological feature associated with herpes simplex infection:
a) Ballooning degeneration of cells
b) Subepithelial vesicle formation
c) Inclusion bodies
d) Multinucleated giant cells
2) Xerostomia is often associated with atrophy of ______ papillae
a) Filiform
b) Circumvallate
c) Fungiform
d) Foliate
3) Tingling & burning sensation occurred at the site where the ulcer will develop
a) True b) False
4) Halitosis arises from micro-organism activity; no single specific bacterial infection is implicated but
Anaerobes “___________” on the tongue are implicated
a) Candida albicans
b) Prevotella
c) Streptococci
d) Polyamines
5) The drug which must be given in combination with prolonged treatment corticosteroids to prevent
secondary infection for 1 week after 4 weeks every 4 weeks of steroid treatment is:
a) Amoxicillin
b) Azathioprine
c) Fluconazole
d) Rifampicin

2. 6) Target lesion in skin occurs in:
a) Pemphigus
b) Erythema multiforme.
c) LP
d) HSV
7) The following are syndromes which represent a number of interesting & well recognized
manifestation in which the outstanding feature is the simultaneous involvement of the skin, oral
mucosa and the eyes, EXCEPT:
a) Steven Jonson's syndrome
b) Grinspan’s syndrome
c) Behcet's Syndrome
d) Reiter's Syndrome
8) Linear vesicular or papular eruptions on one side of face involving oral mucosa also and having
pain and tenderness is suggestive of:
a) Chickenpox.
b) Herpangina.
c) Herpes Zoster.
d) Aphthous ulcer
9) A triad consisting of urethritis (preceded other lesions) arthritis & conjunctivitis.
a) Plummer syndrome
b) Treachercollin syndrome
c) Patterson Kelly syndrome
d) Reiter’s syndrome
10) In Pemphigus the characteristic sign of the disease is that pressure to an apparently normal area
will result in the formation of a new lesion. This phenomenon is called:
a) Auspitz sign
b) Nikloskey’s sign
c) Bell’s sign
d) Kobner’s sign
Question (2)
Part (1): Complete the following:
1. Child who got the varicella zoster virus from his infected mother with chickenpox during delivery, the
child will develop: ocular lesion, extensive scar, limbs deformity. (……………………………….)
2. A clinical manifestation of salivary gland dysfunction and it does not represent a disease entity
(………………………)
3. The triad oral lichen planus, diabetic mellitus and hypertension called: (………………………)
4. An adhesion molecule that is a component of the anchoring filaments of the basement membrane
(………………………)
5. The most frequent cause of xerostomia is: (………………………)
6. Dissemination of virus through blood to skin, mucous membranes, and other organs
(………………………)

3. Part (2): write short answer for each question:
1. Write in detail about clinical features, radiological features and management of Disc displacement with
reduction.
_______________________________________________________________________________________
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_______________________________________________________________________________________
_______________________________________________________________________________________
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2. Define Systemic lupus erythematous and mention its diagnostic criteria.
_______________________________________________________________________________________
_______________________________________________________________________________________
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_______________________________________________________________________________________
Question (3)
Cases:
1. Mr. Suliman is a busy bank manager and your regular patient. At a check-up, he mentions that
he has pain when opening his mouth, associated with intermittent clicking from the left TMJ.
There is pain when you palpate the muscles of mastication and when you palpate the left
preauricular region. There is a slight reduction in mouth opening and the jaw deviates towards
the left side on opening.
❖ What diagnosis is suggested? __________________________________________________
❖ What would be the management?
___________________________________________________________________________
___________________________________________________________________________
2. A 50-year-old woman developed itchy red–purple raised & flat lesions on her wrists and ankles.
Her dentist diagnosed desquamative gingivitis & referred her to an oral medicine specialist.
Faint white striae were noticed on the buccal mucosa & a biopsy was performed.
❖ What is the most likely diagnosis? _________________________________
❖ Is there any investigation help in diagnosis the condition?
___________________________________________________________________________
❖ Mention the types of your diagnosis.
___________________________________________________________________________
___________________________________________________________________________

4. Question (4):
Matching tables
(A):
Options for questions:
Removal of the cause Blocking the cause Raising pain threshold
Preventing pain reaction by cortical depression Using psychosomatic methods
Inhibition of cyclooxygenase enzyme (COX) 1)
Improve mood by increasing the biologic amines level
in the brain
2)
General Anesthesia/ Benzodiazepine 3)
ttt of carious cavity 4)
(B): Match the correct statement from list 2 to list 1:
(1) Correct
letter
(2)
1/ A 29-year-old man who had had a renal transplant 2 years ago noticed
bilateral white plaques and papillary lesions on the lateral borders of his
tongue.
A/ Burning mouth syndrome
2/ An 18-year-old male student complains of aching jaw joints,
headaches and limitation of mouth opening over the previous 2 weeks.
There is no history of trauma or of previous TMJ-related symptoms. On
examination, the reduced opening is confirmed, with a path of opening
that is rather irregular. There is tenderness over the TMJ regions and
of the muscles of mastication bilaterally. There are inconsistent jaw
sounds but no predictable ‘click’ in either joint
B/ Oral hairy leukoplakia
C/ Pain-dysfunction syndrome
D / Atrophic lichen planus
3/ A 60-year-old Woman presented with desquamative gingivitis, pain,
interfere with speaking & eating; in addition to new lesions induced by
trauma “Koebner-phenomena”.
E / Systemic lupus erythematosus
4/ A 55-year-old woman presented with oral soreness progressively
worsening over a 3-month period. The attached gingivae were brightly
erythematous & small hemorrhagic blisters were seen in places. She also
had redness of the conjunctiva & an ophthalmologist found that
symblepharon was present.
F / Anterior displacement with
reduction
G/ Oral thrush
5/ A female patient came with superficial erosions in the oral mucosa, &
petechia in addition to desquamative gingivitis. And the very
characteristic feature is skin lesion over the cheeks & across the bridge
of the nose looks like a butterfly.
H/ Erosive lichen planus
I / Trigeminal neuralgia
6/ A 62-year-old man complains of an extremely severe, sharp, shooting
pain in his face when he touches a specific area. The pain lasts for about
60 seconds. His neurological exam is normal, however the patient
refuses to let the physician touch his face from fear of having pain.
J/ Mucous membrane pemphigoid
K / Erythema Multiforme
Good Luck
Dr. Eman Alsheikh