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. Which of the following embryologic elements is responsible for the formation of the enamel on the surface of the tooth?Mesenchymal cells outside the tooth Stellate reticulum Odontoblasts AmeloblastsNone of the answers 2. A unicystic ameloblastoma is characterized by all of the following EXCEPT:Areas resembling stellate reticulum Infiltrating ameloblastic epithelial islands into the surrounding fibrous wall Single cyst lining Vacuolization of the cytoplasm of the basal cells Palisaded basal cells with polarization of the nuclei 3. Which of the following lesions is known as a Pindborg tumor?Squamous odontogenic tumor Adenomatoid odontogenic tumor Clear cell odontogenic carcinoma Calcifying (epithelial) odontogenic tumor Ameloblastoma 4. 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:Glandular odontogenic cyst Periapical cyst Calcifying odontogenic cyst Dentigerous cyst Odontogenic keratocyst 5. 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:Complex odontoma Fibrous dysplasia Ossifying fibroma Ameloblastic odontoma Compound odontoma 6. 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 #3Malignant Ameloblastoma FibrosarcomaAmeloblastomaAmeloblastic Fibroma Ameloblastic Carcinoma 7. 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 #1Ameloblastic CarcinomaSquamous cell carcinoma AdenocarcinomaAmeloblastomaMalignant Ameloblastoma 8. Which of the following lesions is associated with McCune Albright Syndrome:Cementifying fibroma Fibrous dysplasia Ossifying fibroma Odontogenic fibroma Ameloblastic fibroma 9. 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?OdontoblastsNone of the answers are correctMesenchymal cells outside the tooth AmeloblastsStellate reticulum 10. Gorlin syndrome (nevoid basal cell nevus syndrome) is associated with which of the following:Multiple odontogenic keratocysts Multiple calcifying odontogenic cysts Paradental cysts Unicystic ameloblastomas Glandular odontogenic cysts 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 #5FibrosarcomaMalignant AmeloblastomaAmeloblastic Fibroma AmeloblastomaAmeloblastic Carcinoma 12. 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 AmeloblastomaAmeloblastomaFibrosarcomaAmeloblastic CarcinomaAmeloblastic Fibroma 13. 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 Odontogenic Keratocyst Glandular Odontogenic CystRadicular Cyst Periapical Cyst 14. 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 15. 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 #6AdenoameloblastomaRenal Cell Carcinoma Adenomatoid Odontogenic TumorCalcifying Odontogenic Tumor (Pinborg tumor)Clear Cell Odontogenic Carcinoma Loading...