Free Oral Manifestations of Systemic Disease MCQs with Answers

• A. Exophytic oral Hemangioma
• B. Facial hemangioma
• C. Tramline calcification of dura on lateral cephalogram
• D. Facial hematoma

Explanation: Sturge-Weber syndrome features a facial port-wine vascular malformation, possible oral hemangiomas, and intracranial tram-track…

• A. Plasmacytoma
• B. Multiple myeloma
• C. Burkitt's lymphoma
• D. None of the above
• E. Both A & B

Explanation: Plasmacytoma is a localized plasma-cell neoplasm, whereas multiple myeloma is a disseminated plasma-cell malignancy involving bone marrow…

• A. Chronic smokers
• B. Gluten enteropathy
• C. Excess of B-complex
• D. Anti-malarial medication

Explanation: Recurrent aphthous-like ulceration is associated with gluten-sensitive enteropathy, probably through nutritional deficiency or immune…

• A. Paget's dissease
• B. Osteosarcoma
• C. Ewing sarcoma
• D. Multiple myeloma

Explanation: Multiple myeloma characteristically produces multiple punched-out radiolucencies, especially in the skull and jaw bones.

• A. Genetic
• B. Viral
• C. Injury
• D. Endocrine

Explanation: Multiple neurofibromatosis, or neurofibromatosis type 1, is an inherited genetic disorder caused by pathogenic variants in the NF1 gene.

• A. Follilcular reticulosis
• B. A malignant neoplasm
• C. Chronic granulomatous disease
• D. Inflammatory disease

Explanation: Hodgkin disease is a malignant lymphoid neoplasm characterized by Hodgkin and Reed-Sternberg cells, even though it may present with…

• A. Osteochondroma
• B. Giant cell tumour
• C. Multiple myeloma
• D. Paget's disease

Explanation: Multiple myeloma is a malignant plasma-cell neoplasm that causes destructive skeletal lesions, marrow failure and systemic complications…

• A. Hemangiomatous involvement of skin
• B. Mostly bilateral
• C. Port wine nevus
• D. Vascular gingival hyperplasia

Explanation: Sturge-Weber syndrome classically causes a usually unilateral facial port-wine stain with leptomeningeal and ocular vascular involvement…

• A. Multiple myeloma
• B. paget's disease
• C. Malignant melanoma
• D. Fibrous dysplasia

Explanation: Bence-Jones proteins are free immunoglobulin light chains excreted in urine and are classically associated with plasma-cell dyscrasias…

• A. There is hyperplasia of parathyroid gland
• B. All of the above
• C. Pancreatic tumours may produce gastrin, insulin glucagon, samatostain
• D. Chromophobe adenoma of pituitary gland may result in acromegaly

Explanation: MEN syndromes can include parathyroid hyperplasia, pituitary adenomas producing growth hormone and pancreatic endocrine tumours producing…

• A. Peutz Jegers Syndrome
• B. Albright's Syndrome
• C. Sturge Weber Syndrome
• D. Lymphangioma

Explanation: A port-wine stain is a capillary malformation classically associated with Sturge-Weber syndrome, often involving the ophthalmic division…

• A. Xeroderma pigmentosum
• B. Peutz-Jeghers syndrome
• C. Plummer-vinson syndrome
• D. SLE

Explanation: Systemic lupus erythematosus is not classically listed as a precancerous condition, whereas Plummer-Vinson syndrome, xeroderma pigmentosum…

• A. AIDS
• B. Hepatitis B
• C. Smoker's keratitis
• D. Candidiasis

Explanation: Oral hairy leukoplakia is an Epstein-Barr virus-associated lesion strongly linked with HIV-related immunosuppression, especially AIDS.

• A. Encephalotrigeminal angiomatosis
• B. Hereditary haemorrhagic telangiectasia
• C. Nasopharyngeal angiofibroma
• D. Vascular nevus

Explanation: Hereditary haemorrhagic telangiectasia causes fragile telangiectatic vessels in the nasal and oral mucosa, so recurrent epistaxis is a…

• A. Alpha-thalassemia
• B. Glandular fever
• C. Hodgkin's disease
• D. Hansan's disease

Explanation: Reed-Sternberg cells are the characteristic neoplastic cells of Hodgkin disease, classically appearing as large binucleate or bilobed…

• A. Carcinoma lung
• B. Carcinoma breast
• C. Carcinoma urinary bladder
• D. Carcinoma prostate

Explanation: Prostatic carcinoma classically produces osteoblastic, or bone-forming, metastases.

• A. Lips
• B. Buccal mucosa
• C. Tongue
• D. Palate

Explanation: Hereditary haemorrhagic telangiectasia commonly produces visible telangiectases on the lips, tongue and oral mucosa, with the lips being a…

• A. Hemangioma
• B. Ameloblastoma
• C. Neurofibroma
• D. Giant cell fibroma

Explanation: Von Recklinghausen disease, or neurofibromatosis type 1, is characterized by multiple neurofibromas along with café-au-lait pigmentation…

• A. German measles
• B. Chicken pox
• C. Small pox
• D. Measles

Explanation: Rubeola is the medical term for measles, caused by measles virus. German measles is rubella, which is a separate viral infection.

• A. oral ulcers in AIDS patients
• B. oedema following extractions
• C. TMJ arthritis
• D. Angioneurotic oedema

Explanation: Systemic steroids may be used for significant post-extraction oedema, TMJ inflammatory arthritis, and angioneurotic oedema, but they are…