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. 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 #2Gorlin Cyst Glandular Odontogenic CystOdontogenic Keratocyst Radicular Cyst Periapical Cyst 2. 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 #4Ameloblastic CarcinomaAmeloblastic Fibroma FibrosarcomaMalignant AmeloblastomaAmeloblastoma 3. 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 AmeloblastomaAdenocarcinomaAmeloblastic CarcinomaMalignant Ameloblastoma 4. 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:Ameloblastic fibroma Juvenile ossifying fibromaGiant cell granuloma Fibrous dysplasia Periapical cyst 5. Which of the following embryologic elements is responsible for the formation of the enamel on the surface of the tooth?Odontoblasts AmeloblastsStellate reticulum None of the answersMesenchymal cells outside the tooth 6. 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:Periapical cyst Calcifying odontogenic cyst Glandular odontogenic cyst Odontogenic keratocyst Dentigerous cyst 7. 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:Fibrous dysplasia Ossifying fibroma Compound odontoma Complex odontoma Ameloblastic odontoma 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 #3 Odontogenic Part 2, Case #3AmeloblastomaFibrosarcomaAmeloblastic Carcinoma Ameloblastic Fibroma Malignant Ameloblastoma 9. A unicystic ameloblastoma is characterized by all of the following EXCEPT:Infiltrating ameloblastic epithelial islands into the surrounding fibrous wall Areas resembling stellate reticulum Palisaded basal cells with polarization of the nuclei Single cyst lining Vacuolization of the cytoplasm of the basal cells 10. 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 #5Ameloblastic Fibroma Ameloblastic Carcinoma FibrosarcomaMalignant AmeloblastomaAmeloblastoma 11. 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 #6Renal Cell Carcinoma Calcifying Odontogenic Tumor (Pinborg tumor)Clear Cell Odontogenic Carcinoma Adenomatoid Odontogenic TumorAdenoameloblastoma 12. Which of the following lesions is known as a Pindborg tumor?Clear cell odontogenic carcinoma Calcifying (epithelial) odontogenic tumor Squamous odontogenic tumor Adenomatoid odontogenic tumor Ameloblastoma 13. Which of the following lesions is associated with McCune Albright Syndrome:Ossifying fibroma Cementifying fibroma Odontogenic fibroma Ameloblastic fibroma Fibrous dysplasia 14. Gorlin syndrome (nevoid basal cell nevus syndrome) is associated with which of the following:Multiple odontogenic keratocysts Glandular odontogenic cystsUnicystic ameloblastomas Multiple calcifying odontogenic cysts Paradental cysts 15. 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?AmeloblastsNone of the answers are correctOdontoblastsMesenchymal cells outside the tooth Stellate reticulum Loading... Share this: Share on X (Opens in new window) X Share on WhatsApp (Opens in new window) WhatsApp Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Share on LinkedIn (Opens in new window) LinkedIn Related