Free Oral Cancer MCQs with Answers

68 Oral Cancer MCQs from Oral Pathology and Medicine, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

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  • A. Floor of the sinus
  • B. Posterior wall of the sinus
  • C. Roof of the sinus
  • D. Anterior wall of the sinus

Explanation: The floor of the maxillary sinus forms the roof of the alveolar process and lies directly above the maxillary tooth roots.

Correct answer: Floor of the sinus
  • A. Adenocarcinoma
  • B. Adenoid cystic carcinoma
  • C. Basal cell adenoma
  • D. Squamous cell carcinoma

Explanation: Adenoid cystic carcinoma has a strong tendency for perineural invasion, which may produce pain, numbness, or cranial nerve symptoms.

Correct answer: Adenoid cystic carcinoma
  • A. Squamous cell carcinoma
  • B. Adenocarcinoma
  • C. Basal cell carcinoma
  • D. Melanoma

Explanation: Basal cell carcinoma is locally destructive but only very rarely metastasizes, whereas adenocarcinoma, squamous cell carcinoma, and…

Correct answer: Basal cell carcinoma
  • A. T1 No Mo
  • B. T1 NI Mo
  • C. T1 N2 Mo
  • D. T2 No Mo

Explanation: A tumour measuring 2 cm or less is T1, clinically absent regional nodes are N0, and absent distant spread is M0.

Correct answer: T1 No Mo
  • A. Benign tumour of skin and mucous membrane
  • B. Malignant tumour of skin and mucous membrane
  • C. Malignant tumour of melanophores
  • D. Benign tumor of melanophores

Explanation: Melanoma is a malignant tumour of melanocytes that can occur in skin and mucous membranes.

Correct answer: Malignant tumour of skin and mucous membrane
  • A. Infection
  • B. Metastatic neoplasia
  • C. Dental Manipulation
  • D. CNS disease

Explanation: Unexplained numbness of the lower lip or chin is the classic numb-chin syndrome and may indicate malignant involvement of the mental or…

Correct answer: Metastatic neoplasia
  • A. CHaracteristically is columner-celled:
  • B. Has a recognized association with chewing gum
  • C. Has a recognized association with chewing betel nut
  • D. Has a recognized association with geographic tongue

Explanation: Buccal mucosal carcinoma has a recognized association with betel-quid or areca-nut chewing, particularly in regions where this habit is…

Correct answer: Has a recognized association with chewing betel nut
  • A. Metaplasia
  • B. Pre-cancer
  • C. Dysplasia
  • D. Carcinoma

Explanation: Epithelial pearls are concentric collections of keratinizing malignant squamous cells and are characteristic of well-differentiated…

Correct answer: Carcinoma
  • A. Lymphatics
  • B. Direct textension
  • C. Blood vessels
  • D. Aspiration of tumor cells

Explanation: Oral squamous cell carcinoma most commonly spreads first through lymphatic channels to regional cervical lymph nodes.

Correct answer: Lymphatics
  • A. Have a poor oro-dental hygiene, nutritional deficiencies and are chronic alcoholics
  • B. Are old, chronic alcoholics and regularly and regularly use tobacco
  • C. Are middle aged have a poor oro-dental hygiene and regularly use tabacco
  • D. Are young, have poor oro-dental hygiene and are heavy smokers

Explanation: The strongest established lifestyle risks are increasing age, tobacco use and chronic alcohol consumption, with alcohol and tobacco acting…

Correct answer: Are old, chronic alcoholics and regularly and regularly use tobacco
  • A. Fibrosarcoma
  • B. Nerufibroma
  • C. Malingant fibrous histiocytoma
  • D. Ameloblastic fibroma

Explanation: A storiform, or cartwheel-like, arrangement of tumour cells is a classic microscopic pattern of malignant fibrous histiocytoma, now termed…

Correct answer: Malingant fibrous histiocytoma
  • A. Stage IV
  • B. Stage II
  • C. Stage III
  • D. Stage I

Explanation: A retromolar trigone carcinoma invading the mandible or deep muscles such as the medial pterygoid is locally advanced T4 disease.

Correct answer: Stage IV
  • A. anterior third
  • B. posterior third
  • C. middle third
  • D. lateral margin

Explanation: The posterior third of the tongue has rich access to deeper lymphatic and vascular channels, so carcinomas there have a greater tendency…

Correct answer: posterior third
  • A. Parakeratosis
  • B. Hyperkeratosis
  • C. Dyskeratosis
  • D. Acanthosis

Explanation: Dyskeratosis means abnormal, premature keratinization of individual epithelial cells and is a feature of epithelial dysplasia, which may…

Correct answer: Dyskeratosis
  • A. Smooth muscles
  • B. Reticuloendothelial system
  • C. Striated muscles
  • D. Blood vessels

Explanation: Kaposi sarcoma is a malignant vascular neoplasm derived from endothelial cells, producing spindle cells and slit-like vascular spaces.

Correct answer: Blood vessels
  • A. Squamous cell carcinoma
  • B. Transitional cell carcinoma
  • C. Melanoma
  • D. Basal cell carcinoma

Explanation: Squamous cell carcinoma is by far the most common malignant epithelial tumour of the oral cavity, arising from the stratified squamous…

Correct answer: Squamous cell carcinoma
  • A. Epstein-Barr virus
  • B. Herpes simplex virus type I
  • C. HTLV 1
  • D. Papilloma virus

Explanation: EBV, HTLV-1 and human papillomavirus are established oncogenic viruses linked with human cancers.

Correct answer: Herpes simplex virus type I
  • A. Verruca vulgaris
  • B. Lymphoepithelioma
  • C. Junctional nevus
  • D. Basal cell carcinoma

Explanation: Ultraviolet radiation from sunlight is a major risk factor for basal cell carcinoma, especially on sun-exposed skin.

Correct answer: Basal cell carcinoma
  • A. Intro epithelial carcinoma
  • B. Benign neoplasm of the G.I.T
  • C. Vesiculobullous lesion of skins
  • D. Ulcerative lesion of G.I.T

Explanation: Bowen disease is squamous cell carcinoma in situ, meaning atypical epithelial cells involve the full epithelial thickness without invasion…

Correct answer: Intro epithelial carcinoma
  • A. Buccal mucosa
  • B. Skin of the lower lip
  • C. Hard Palate
  • D. Dorsum of the tongue

Explanation: Among the listed choices, basal cell carcinoma most commonly occurs on sun-exposed facial skin, including the skin of the lower lip.

Correct answer: Skin of the lower lip