Free Oral Manifestations of Systemic Disease MCQs with Answers

• A. Does not disturb the patient during sleep
• B. Can be treated with NSAID's
• C. Always bilateral in distribution
• D. Is a hereditary condition

Explanation: Trigeminal neuralgia usually consists of brief, electric-shock-like unilateral attacks that commonly do not awaken the patient from sleep.

• A. Clinical observation only
• B. Clinical observation and complete blood and platelet counts prior to and at frequent intervals during therapy
• C. No monitoring
• D. Complete blood investigation only if adverse symptoms arise

Explanation: Carbamazepine can rarely cause bone-marrow suppression, including leukopenia, thrombocytopenia, and aplastic anemia.

• A. Fanconi's
• B. Horner's
• C. Auriculotemporal
• D. Cushin's

Explanation: Auriculotemporal syndrome, or Frey syndrome, causes flushing, warmth, and sweating over the cheek and ear after eating, usually following…

• A. Cowden syndrome
• B. Tic doulourex
• C. Reiter's syndrome
• D. Eagle's syndrome

Explanation: Eagle's syndrome is facial or throat pain caused by an elongated styloid process or calcified stylohyoid ligament.

• A. Trigeminal neuralgia
• B. Glossopharyngeal neuralgia
• C. Bell's palsy
• D. Sphenopalatine neuralgia

Explanation: Glossopharyngeal neuralgia produces paroxysmal pain in the oropharynx, tonsillar region, posterior tongue, pharynx, and sometimes the ear.

• A. Epilepsy
• B. MPDS
• C. Myasthenia gravis
• D. Cerebral palsy

Explanation: Myasthenia gravis causes fluctuating skeletal-muscle weakness because neuromuscular transmission becomes less effective with repeated…

• A. Submandibular salivary gland
• B. TMJ
• C. sublingual salivary gland
• D. Parotid gland

Explanation: Frey syndrome, or auriculotemporal syndrome, commonly follows parotidectomy when regenerating parasympathetic fibres connect with sweat…

• A. Mydriasis
• B. Anhydrosis
• C. Flushing
• D. Ptosis

Explanation: Horner syndrome results from sympathetic interruption and produces ptosis, miosis and anhidrosis, sometimes with apparent enophthalmos.

• A. Paralysis of one side of the face
• B. Sharp, excruciating pain of short duration
• C. Uncontrollable twitching of muscles
• D. Prolonged episodes of plain on one side of the face

Explanation: Trigeminal neuralgia causes brief, recurrent attacks of severe electric-shock-like or stabbing pain along one or more divisions of the…

• A. Facial palsy
• B. Trigeminal neuralgia
• C. MPDS
• D. Neurosis

Explanation: Transcutaneous electrical nerve stimulation can reduce pain and muscle hyperactivity in myofascial pain dysfunction syndrome, often used…

• A. Inability to whistle
• B. Bilateral involvement of the side of the face
• C. No loss of muscular control
• D. Closing of the eyes

Explanation: Bell palsy is an acute lower-motor-neuron facial nerve paralysis, so facial movements such as whistling become difficult and eye closure…

• A. Premature exfoliation of primary teeth
• B. A + C
• C. Progressive painless symmetric
• D. Hypoplastic defects

Explanation: Cherubism characteristically causes progressive, painless and symmetrical enlargement of the jaws, often with displacement or premature…

• A. Jaffe's syndrome
• B. Abright's syndrome
• C. Monostotic fibrous dysplasia
• D. Osteogenesi imperfecta

Explanation: Precocious puberty is a classic endocrine manifestation of McCune-Albright syndrome, which also includes café-au-lait pigmentation and…

• A. Osteorthritis
• B. Dentinogenesis imperfecta
• C. Paget's disease
• D. Rheumatoid arthitis

Explanation: Paget disease of bone increases osteoblastic activity and therefore commonly raises serum alkaline phosphatase, often with normal calcium…

• A. Blue sclera, brittle bones opalescent dentin
• B. enlarged hand, feet, maxilla, mandible
• C. blue sclera, sparse hair, anhydrosis
• D. blue sclera, arachnodactyly, brittle bones

Explanation: The classic triad of osteogenesis imperfecta is brittle bones, blue sclerae and dentinogenesis imperfecta, producing opalescent teeth.

• A. Osteoclerosis
• B. Peget's disease
• C. Pariapical cemential dysplasia
• D. Ossifying fibroma

Explanation: Paget disease produces a disorganized mixture of bone formation and resorption, giving the jaws a characteristic cotton-wool radiographic…

• A. Hypophosphatasia
• B. Fibrous dysplasia
• C. Pagets disease
• D. Cherubism

Explanation: Paget disease commonly causes generalized hypercementosis, with excessive cementum formation and bulbous enlargement of tooth roots.

• A. Craniofacial dysostosis
• B. Cleft palate
• C. Cleidocranial dysplasia
• D. pierre robinson syndrome

Explanation: Pierre Robin sequence causes severe mandibular deficiency, typically producing a Class II tendency rather than Class III malocclusion.

• A. Cleidocranial dysostosis
• B. Hyperthyroidism
• C. Craniofacial dysostosis
• D. Osteitis deformans

Explanation: Cleidocranial dysostosis causes numerous supernumerary teeth and failure or marked delay of permanent tooth eruption because of defective…

• A. Persence of extra collagen fibres and less calcification resulting in resistance of bones to fracture
• B. Periosteal bone formation and lack of normal bone resorption
• C. Endosteal bone formation and lack of normal bone resorption
• D. Presence of numerous osteoclasts and a few osteoblasts

Explanation: Osteopetrosis results from failure of osteoclastic bone resorption, with excessive endosteal bone formation and progressive obliteration…