PathMD Quizes, Head & Neck Odontogenic Lesions – 02 October 29, 2017 peferguson Author: Philip Ferguson, M.D. Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. This lesion usually occurs in children or young adults, is often associated with trauma, and may be secondary to slow, minute, recurrent hemorrhages. The most likely diagnosis is:Periapical cyst Ameloblastic fibroma Juvenile ossifying fibromaFibrous dysplasia Giant cell granuloma 2. The periodontal ligament anchors the tooth to the bone socket of the jaw and maxilla. Which of the following embryological elements is responsible for the formation of periodontal ligament?None of the answers are correctOdontoblastsAmeloblastsMesenchymal cells outside the tooth Stellate reticulum 3. A unicystic ameloblastoma is characterized by all of the following EXCEPT:Single cyst lining Vacuolization of the cytoplasm of the basal cells Palisaded basal cells with polarization of the nuclei Areas resembling stellate reticulum Infiltrating ameloblastic epithelial islands into the surrounding fibrous wall 4. Which of the following embryologic elements is responsible for the formation of the enamel on the surface of the tooth?Stellate reticulum None of the answersAmeloblastsMesenchymal cells outside the tooth Odontoblasts 5. This cystic lesion is characterized by a stratified squamous epithelium (at least partially), a well defined basal layer of cuboidal to columnar cells (may resemble ameloblasts), and ghost cells (similar to a pilomatricoma). The best answer is:Calcifying odontogenic cyst Glandular odontogenic cyst Dentigerous cyst Periapical cyst Odontogenic keratocyst 6. A 28 y/o female presents with a cystic jaw lesion. The cyst is curetted and representative images are shown. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #2 Odontogenic Part 2, Case #2 Odontogenic Part 2, Case #2Periapical Cyst Glandular Odontogenic CystOdontogenic Keratocyst Radicular Cyst Gorlin Cyst 7. A 30 y/o patient is found to have a solid jaw lesion. Surgical excision is performed, and representative images are shown for review. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #6 Odontogenic Part 2, Case #6 Odontogenic Part 2, Case #6Calcifying Odontogenic Tumor (Pinborg tumor)AdenoameloblastomaAdenomatoid Odontogenic TumorClear Cell Odontogenic Carcinoma Renal Cell Carcinoma 8. A 30 y/o patient is found to have a solid jaw lesion. Surgical excision is performed, and representative images are shown for review. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #5FibrosarcomaAmeloblastomaMalignant AmeloblastomaAmeloblastic Carcinoma Ameloblastic Fibroma 9. Which of the following lesions is known as a Pindborg tumor?Squamous odontogenic tumor Clear cell odontogenic carcinoma Calcifying (epithelial) odontogenic tumor AmeloblastomaAdenomatoid odontogenic tumor 10. This lesion is characterized by a poorly differentiated conglomeration of dentin, cementum, and enamel. There are usually found in the first two decades of life. The best diagnosis is:Ossifying fibroma Fibrous dysplasia Complex odontoma Compound odontoma Ameloblastic odontoma 11. Gorlin syndrome (nevoid basal cell nevus syndrome) is associated with which of the following:Glandular odontogenic cystsMultiple calcifying odontogenic cysts Paradental cysts Multiple odontogenic keratocysts Unicystic ameloblastomas 12. Which of the following lesions is associated with McCune Albright Syndrome:Ameloblastic fibroma Cementifying fibroma Ossifying fibroma Odontogenic fibroma Fibrous dysplasia 13. A 30 y/o patient is found to have a solid jaw lesion. Surgical excision is performed, and representative images are shown for review. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #3 Odontogenic Part 2, Case #3FibrosarcomaMalignant Ameloblastoma Ameloblastic Fibroma AmeloblastomaAmeloblastic Carcinoma 14. A 30 y/o patient is found to have a solid jaw lesion. Surgical excision is performed, and representative images are shown for review. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #4 Odontogenic Part 2, Case #4 Odontogenic Part 2, Case #4 Odontogenic Part 2, Case #4Malignant AmeloblastomaAmeloblastic Fibroma FibrosarcomaAmeloblastomaAmeloblastic Carcinoma 15. A 31 /o male had a destructive jaw lesion which was surgically removed. Representative images from the case are shown. Based on the findings, which of the following is the best diagnosis? Odontogenic Part 2, Case #1 Odontogenic Part 2, Case #1 Odontogenic Part 2, Case #1Squamous cell carcinoma Ameloblastic CarcinomaAmeloblastomaMalignant AmeloblastomaAdenocarcinoma Loading... Share this:TwitterWhatsAppFacebookEmailPrintLinkedIn Related