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Desquamative gingivitis may be present in various areas of the mouth and also may have varying appearances. However, they are commonly found _______________.

A. in the alveolar mucosaB. in the gingival tissueC. in the gingival tissue and the alveolar mucosaD. generalized affecting both the alveolar and gingival tissueE. localized and generalized in both the alveolar and gingival tissue

All of the following may be associated with desquamative gingivitis EXCEPT _______________.

A. Lichen planusB. Erythema multiformeC. Mucous membrane pemphigoidD. Pemphigus vulgarisE. Behcet's Syndrome

Baylor College of Dentistry data indicates that over 90% of desquamative gingivitis could be categorized into one of four conditions _______________.

A. oral lichen planus, mucous membrane pemphigoid, pemphigus vulgaris or hypersensitivityB. oral lichen planus, mucous membrane pemphigoid, pemphigus vulgaris or erythema multiformeC. coral lichen planus, foreign body granulomas, pemphigus vulgaris or hypersensitivityD. Reiter's syndrome, mucous membrane pemphigoid, pemphigus vulgaris or hypersensitivityE. oral lichen planus, mucous membrane pemphigoid, pemphigus vulgaris or orofacial granulomatosis

Desquamative gingivitis was originally believed in 1932 to be _______________.

A. contagiousB. developed by a virusC. hormonal in women patientsD. predominately in menE. affecting either sex but bacterial in nature

A key feature in desquamative gingivitis is _______________.

A. Nikolsy's signB. Dupuytren's signC. heavy plaqueD. deeper pocket formationE. severe pain

Biopsy specimens are difficult to obtain because of _______________.

A. the location of the tissueB. essential fibrous nature of the tissueC. the heavy plaque accumulationD. the inability to obtain the epithelial tissue layerE. patient reluctance to consent to a tissue biopsy

In a survey by the International Pemphigus and Pemphigoid Foundation, a clinical diagnosis of oral lesions occurred after ______ months of time.

A. 2 monthsB. 4 monthsC. 6 monthsD. 8 monthsE. 10 months

The consolidation phase, cited by Brystyn and Scuibba, consists of _______________.

A. diagnosis of the disorderB. therapy designed to reduce or eliminate the symptoms of the diseaseC. reduction or elimination of continual therapyD. long-term control of the disease processE. retreatment of the existing disease state

Which of the following is most likely to exhibit oral lesions, cutaneous lesions and ocular involvement?

A. Pemphigus vulgarisB. HypersensitivityC. Lichen planusD. Orofacial granulomatosisE. Linear IGA disease

Negative immunofluorescence findings should be anticipated in biopsies of _______________.

A. Mucous Membrane PemphigoidB. Pemphigus vulgarisC. Hypersensitivity reactionsD. Oral lichen planusE. Erythema multiforme

When taking a biopsy specimen, the clinician should select tissue that is _______________.

A. in direct contact with the most severely ulcerated areaB. located only on desquamative gingivaC. at the most apical area in the mouthD. it makes no difference where the tissue sample is takenE. selected because of an intact epithelial surface

An important point to remember when taking a biopsy is _______________.

A. take a minimal amount of tissueB. do not inject anesthesia directly into the biopsy siteC. submit either a histological tissue sample or a sample for immunofluorescenceD. always take a sample of tissue from an uninvolved siteE. remove tissue from sites where no evident epithelium is present

A biopsy technique that works well in cases involving desquamative gingivitis by retention of intact epithelium is _______________.

A. the scalpel techniqueB. the stab-and-roll techniqueC. punch biopsyD. non-serrated tissue forcepsE. any of the above techniques are acceptable

The special medium that is used to transport a DIF tissue specimen is named _______________.

A. Formalin solution-10% Neutral BufferedB. Potassium hydroxide transport mediumC. Michel's transport mediaD. Roxycin sodium bicarbonate transport mediaE. Caldwell's solution

The use of fluorescence devices are sometimes indicated for desquamative gingivitis. The results may be skewed because _______________.

A. Desquamative gingivitis is more vascular than most other mucocutaneous disordersB. Desquamative gingivitis usually produces a negative resultC. There are usually more keratotic cells presentD. Fluorescence results suggestive of malignancy may be seen in highly inflamed areasE. Negative results occur because of the parakeratosis of the epithelium

Patients who have desquamative gingivitis have in the past been told that _______________.

A. desquamative gingivitis is a disorder that has been linked to Parkinson's diseaseB. using certain spices and flavoring agents have caused the disorderC. they need to learn to live with itD. there is an association with heart diseaseE. the disorder will resolve totally with time

The age range of individuals most often affected by oral lichen planus is _______________.

A. 20-30 years oldB. 30-60 years oldC. 40-70 years oldD. 50-80 years oldE. 20 and beyond

Direct Immunofluorescence may support the diagnosis of oral lichen planus because _______________.

A. there will be a separation of epithelial cellsB. the DIF confirms the type of lichen planusC. DIF may confirm other “skin” disease statesD. a linear deposition of fibrin is noted at the basement membrane zoneE. cytoid bodies are never seen in DIF analysis

Oral lichen planus desquamative gingivitis is usually treated with a _______________ corticosteroid.

A. low potency creamB. low potency mouthrinseC. low potency ointmentD. high potency mouthrinseE. high potency gel

Clobetasol 0.05% (cream) is considered a low dose topical corticosteroid and is recommended because the formulation is superior to the gel form.

A. The information is correct and the rationale is correct.B. The information is wrong but the rationale is correct.C. The information is wrong and the rationale is wrong.D. The rationale is wrong but the information is correct.E. The information is correct but the dosage of Clobetasol is wrong.

Dental hygiene patients with oral lichen planus often adhere to the following protocol _______________.

A. scaling procedures are needed yearlyB. use of ultrasonic scaling is recommendedC. use of stronger mouthrinses limit bacteria and candidaD. increased frequency of recall appointments (2-3 months) to maintain periodontal healthE. flossing is contraindicated when there is inter-proximal bleeding

Often the only clinical feature that is noted in mucous membrane pemphigoid may be _______________.

A. Nikolsky's signB. desquamative gingivitisC. skin lesionsD. bullous oral lesionsE. genital lesions

A histological term that is used in the diagnosis of pemphigus vulgaris is _______________.

A. hyper-chromatismB. acantholysisC. plemorphismD. dense fibrous connective tissueE. hyaline (amyloid)

Delayed oral hypersensitivity reactions are classified as _______________.

A. Type 1B. Type 2C. Type 3D. Type 4E. May be all of the above.

The most frequent cause of oral hypersensitivity reaction is _______________.

A. mintsB. gumC. foodsD. toothpasteE. environmental agents

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Desquamative Gingivitis
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