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Oral Aspects of Metabolic Disease Multiple Choice Questions
- Hyperpigmentation is seen in all except:
A. peutz jeghers syndrome
B. addison’s disease
C. cushing’s syndrome
D. albright syndrome
- Increase in height of mandible with increase in interdental spaces in elderly man:
A. Hyperpituitarism
B. Hyperthyroidism
C. Hypopituitarism
D. Hyperparathyroidism
- Wernick’s encephalopathy is caused by deficiency of:
A. Thiamine
B. Cyanocobalamine
C. Niacin
D. Riboflavin
- A 9 year old child has increased horizontal anterior bone loss, cementum and on test shows excretion of phophoethanolamine in the urine. The child is suffering from:
A. Hypophosphatasia
B. Vit. D resistant Rickets
C. Juvenile periodontitis
D. Osteomalacia
- Which of the following vitamin in associated with manifestations of neurological problem:
A. Vit A
B. Vit K
C. Folic acid
D. Cyanacobalamin
- Pigmentation occurs in oral cavity and skin in all of the following except:
A. Peutz-jeghers syndrome
B. Addision’s syndrome
C. Cushing syndrome
D. Albright syndrome
- 65 year old man who is anaemic, complaints of back pain multiple radiolucencies in panaromic view:
A. Multiple myeloma
B. Osteosarcoma
C. Giant cell granuloma
D. Eosinophilic
- Intestional absorption of calcium is decreased by:
A. proteins
B. lactose
C. phytic Acid
D. Acidity
- Hypogonadism developmental delay, loss of taste and smell is due to deficiency of:
A. Cu
B. Zn
C. K
D. Cr
- Macrodontia is associated with:
A. Acromegaly
B. Pituitary gigantism
C. Hypoparathyroidism
D. Hyperthyroidism
- Beefy red and painful tongue is characteristic of:
A. Vitamin A deficiency
B. Any periodontal disease
C. Acute nicotinic acid deficiency
D. Ascorbic acid deficiency
- Consider the following statements giant cells are a characteristic histopathologic finding in:
A. Apthous ulcers
B. Keratocyst
C. Brown tumor of hyper parathyroidism
D. Dentigerous cyst
- Which of the following is associated with a low concentration of ionized calcium in the serum?
A. Hypothyroidism
B. Osteogenesis imperfecta
C. Paget’s disease of the bone
D. Tetany
- An abnormal resorption pattern in primary teeth, delayed eruption of permanent teeth and a large tongue are the feature of:
A. Addison’s disease
B. Hypothyroidism
C. Hyperthyroidism
D. Von-Recklinghausen disease
- Acrodermatitis enteropathica is due to deficiency of:
A. Mercury
B. Zinc
C. Lead
D. Bismuth
- Bone changes in hyperparathyroidism include:
A. Generalized demineralization
B. Brown tumours
C. Cystic changes
D. All of the above
- A disease which only affects the formation and eruption of tooth but does not cause hypoplasia is:
A. Hypoparathyroidism
B. Hyperthyroidism
C. Rickets
D. Syphilis
- The histiocytosis X is a spectrum of disorders, Which include the following condition:
A. Eosinophilic granuloma
B. Hand Schuller – Christian disease
C. Letterer – Siwe disease
D. All of the above
- Magenta tongue and cracks at corner of mouth are seen is deficiency of:
A. Vitamin B
B. Niacin
C. Riboflavin
D. Pantothenic acid
- Which of the following may be a feature of acromegaly:
A. Large tongue
B. Micrognathia
C. Hypoglycemia
D. Crowded teeth
- Oral lesions on the tongue and other mucosal surfaces of the oral cavity is caused by the deficiency of:
A. Vit – B1
B. Niacin
C. Vit – C
D. Vit – K
- A progressive increase in mandibular length and in mandibular interdental spacing in an adult patient is characteristic of?
A. Periodontosis
B. Hypothyroidism
C. Hyperpituitarism
D. Hypoadrenalism
- Which of the following is least affected in Vit– C deficiency?
A. Gingival Fibres
B. Periodontal ligament
C. Blood Vessels of the gingiva
D. Epithelial lining of the mucosa
- Which of the following tooth structure during formation is most effected due to Vit – A deficiency:
A. Enamel
B. Dentin
C. Cementum
D. Periodontal Ligament
- Osteomalacia is:
A. Defective osteoid+ normal mineralization
B. normal osteoid + defective mineralization
C. abnormal osteoid + abnormal mineralization
D. normal osteoid an demineralization
- A five-year old child presents with chronic bed wetting and bilateral loose deciduous first molars. His mother says that she want to drink of water several times during each night. Which of the following is the most likely diagnosis?
A. Hand-Schuller Christian disease
B. Marble bone diasease
C. Nieman pick disease
D. Polyostotic fibrous dysplasia
- Addison’s disease typically:
A. Causes hypertension
B. causes hypopigmentation
C. Is an autoimmune disease
D. Steroids are contraindicated
- A histologic evidence of widespread formation of globular hypocalcified dentin and pulp horns reaching the dentinoename junction, absence of lamina dura around the tooth in radiograph are the characteristic features of?
A. Vitamin -D resistant rickets
B. Hypophosphatasia
C. Hypervitaminosis-A
D. Vitamin-A deficiency
- Reilly bodies are inclusion bodies seen in hurler’s disease within:
A. Lymphocytes
B. Fibroblast
C. RBC
D. WBC
- Hepatolenticular degeneration is seen with deposition of:
A. cadmium
B. lead
C. aluminium
D. copper
- Which of the following may be a feature of acromegaly?
A. Large tongue
B. Micrognathia
C. Hypoglycaemia
D. Crowded teeth
- All the following affects absorption of calcium EXCEPT:
A. citric acid
B. Retinoic acid
C. phytates
D. Oxalates
- Hyperparathyroidism radiological features seen are:
A. Loss of laminadura
B. Osteitis fibrosa cystica
C. Erosion below the duramater of skull
D. All of the above
- Normal serum calcium level is:
A. 5 to 7 mg%
B. 7 to 9 mg%
C. 9 to 11 mg%
D. 11 to 13 mg%
- Brown tumours are seen in:
A. Hyperparathyroidism
B. Pigmented villonodular synovitis
C. Osteomalacia
D. Neurofibromatosis
- Swollen joint, anemic, loose teeth & dentin dysplasia are because of deficiency of:
A. Vitamin C
B. Vitamin D
C. Vitamin B
D. Vitamin E & D
- Red fluorescent fluid is seen in:
A. Pemphigus
B. Erythema multiforme
C. Lichen planus
D. prophyria
- Letterer seiwe disease is a disturbance of:
A. protein metabolism
B. histiocytic disorder
C. Mucopolysaccharide metabolism
D. Carbohydrate metabolism
- Bone pain, bone, cyst, fractures and renal stones are characteristics of:
A. Hyperparathyroidism
B. Cushing’s syndorme
C. Multiple myeloma
D. Marfan’s syndrome
- A 50 year old obese man complains of several recent abscesses in the gingiva with loosening of teeth. He also suffers from itching of skin and polyuria. The most probable etiology is:
A. Scurvy
B. Myxoedema
C. Diabetes mellitus
D. Vitamin A deficiency
- Lamina Dura is lost of partially lost in:
A. hypothyroidism
B. hyperthyroidism
C. hypoparathyroidism
D. hyperparathyroidism
- Vitamin “D” deficiency causes all except:
A. Widening of predentin
B. Defective calcification
C. Microdontia
D. Inter globular dentin formation
- Eosinophilic granuloma results from the proliferation of:
A. Histiocytes
B. eosinophils
C. Lymphocytes
D. Fibroblast
- Premature exfoliation of deciduous teeth is seen in:
A. Hypophosphatasia
B. Hypophosphatemia
C. Hyper phosphtasia
D. Hyperparathryroidism
- An etiological factor for macroglossia is:
A. Atrophic glossitis
B. Oral submucous fibrosis
C. Syphilitic glossitis
D. Hurler’s syndrome
- Diabetes insipidus, bone lesions lesions and exophthalmos is seen in:
A. Sickle cell anemia
B. Niemen pick disease
C. Littere Siewe Disease
D. Hand-Schuller-Christian disease
- Gingiva is most commonly affected by deficiency of:
A. Vitamin A
B. Vitamin D
C. Vitamin C
D. Vitamin B
- Deficiency of which of the following will cause enamel hypoplasia:
A. Vitamin B and C
B. Vitamin A, C and D
C. Calcium
D. Vitamin C
- Which of the following deficiencies are associated with the disorders of hyperplasia of salivary gland and keratinization of the salivary gland:
A. Vit – A
B. Vit – B
C. Vit – C
D. Vit – K
- Dinesh, a 24-year old male, complains of loose teeth in a single quardrant. His radiograph shows irregular bone loss and histopathology reveals eosinophils and histiocytes. The most probable diagnosis is:
A. Hand- Schuller-Christian disease
B. Paget’s disease
C. Osteoclastoma
D. Albright’s syndrome
- Addison’s disease is related to:
A. Adrenal medulla
B. Adrenal cortex
C. Post pituitary
D. Parathyroid gland
- The deficiency of which of the following vitamins does not effect on tooth development:
A. Vit – A
B. Vit – D
C. Vit – C
D. Vit – K
- Which of the following is related to an enzyme deficiency and involves periodontal destruction around primary teeth:
A. Hypophosphatasia
B. Cyclic neutropenia
C. Juvenile Periodontitis
D. Papillion Lefevre syndrome
- Delayed eruption of at least part of the dentition is a recognized feature of all of the following EXCEPT:
A. Rickets
B. Congenital hyperthyroidism
C. Cleidocranial dysplasia
D. Cherubism
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