Chapter 14: Malignancies Of The Jaws

Test Bank
MULTIPLE CHOICE
1. A 15-year-old patient has a numb lower lip and pain in the right posterior mandible. A
radiograph shows slight thickening of the periodontal membrane space of tooth no.
30. The tooth shows slightly reduced vitality to electric pulp testing. Which of the
following should be included in a differential diagnosis?
a. Periapical cyst
b. Periapical granuloma
c. Traumatic bone cyst
d. Benign odontogenic neoplasm
e. Malignancy
ANS: E

REF: Chap 14 (Box 14-1), p 329

2. Which of the following signs/symptoms would be unlikely for a malignant neoplasm

within the mandible?
a. Paresthesia
b. Pain
c. Vertical tooth mobility
d. Uniformly widened periodontal membrane space
e. Sclerotic bony margins
ANS: E

REF: Chap 14 (Box 14-1), p 329

3. Osteosarcoma is known to be complication of which of the following?

a. Neurofibromatosis
b. MEN III
c. Pagets disease
d. Gardners syndrome
e. All the above
ANS: C

REF: Chap 14 (Osteosarcoma), pp 328-335

4. All of the following are signs or symptoms that are associated with malignancy in the
jaw except:
a. Uniformly widened periodontal membrane space around a tooth (teeth)
b. Vertical tooth mobility
c. Hypercementosis
d. Premature loss of deciduous teeth
e. Acquired malocclusion
ANS: C

REF: Chap 14 (Box 14-1), p 329

5. Which of the following malignancies would most likely be seen in children?

a. Burkitts lymphoma
b. Osteosarcoma arising in Pagets disease
c. Multiple myeloma
d. Metastatic colon cancer
Copyright 2012, 2008, 2003, 1999, 1993, 1989 by Saunders, an imprint of Elsevier Inc.

Test bank

e. None of the above

ANS: A

REF: Chap 14 (Burkitts lymphoma), pp 339-340

6. The Epstein-Barr virus may be associated with the etiology and pathogenesis of which
of the following jaw lesions?
a. Garrs disease
b. Ewings tumor
c. Burkitts lymphoma
d. Central giant cell granuloma
e. Osteogenesis imperfecta
ANS: C

REF: Chap 14 (Burkitts lymphoma), pp 339-340

7. A radiolucent and radiopaque lesion in the maxilla of a 35-year-old woman was

biopsied. It was a neoplasm composed of malignant cells making osteoid. This most
likely represents:
a. Odontogenic myxoma
b. Ameloblastoma
c. Fibrous dysplasia
d. Odontoma
e. Osteosarcoma
ANS: E

REF: Chap 14 (Osteosarcoma/Histopathology), pp 330-332

8. Which of the following malignancies of the jaws characteristically affects the older
adult population?
a. Sarcoma
b. Burkitts lymphoma
c. Ewings tumor
d. Metastatic adenocarcinoma to jaws
e. None of the above
ANS: D
343-344

REF: Chap 14 (Metastatic carcinoma/Clinical features), pp

9. A 14-year-old girl developed an ill-defined radiolucency in her anterior mandible in

association with a hypermobile tooth no. 25. She also had a numb lip. Which of the
following should be suspected?
a. Ossifying fibroma
b. Fibrous dysplasia
c. Central giant cell granuloma
d. Periapical cemento-osseous dysplasia
e. Osteosarcoma
ANS: E
REF: Chap 14 (Osteosarcoma/Clinical features/Box 14-2), pp 329-330

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

Test bank
10. An ill-defined radiolucent and radiopaque lesion in the maxilla of a 65-year-old
woman was biopsied. Histologically, it was a solid neoplasm composed of malignant
plasma cells. This most likely represents which of the following?
a. Multiple myeloma
b. Ameloblastic fibroma
c. Fibrous dysplasia
d. Osteoblastoma
e. Osteosarcoma
ANS: A
REF: Chap 14 (Multiple myeloma/Histopathology/Differential diagnosis), pp 341342

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