Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Oral Pathology
2014 Supply_
3_
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2014 Annual_
9_ Differentiate between:
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2013 Supply_
1_ Dental student brought a patient with a periapical radiograph presenting a globe shape projection of enamel in the region of
central groove between the buccal and lingual cusps of premolars. He described it as Dens evaginatus. How you will differentiate it
from Dens invaginatus?
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2012 Supply_
11_ A routine radiograph revealed a mandibular bicuspid with thickened and reels demonstrating hypercementosis.
b) What is the idiopathic resorption(need to confirm the word)? What are the radiographic and histopathologic features?15
Solution:
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2011 Annual_
1_ A patient presented with pitting type defects on enamel of some anterior teeth.
Solution:
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2008 Supply_
1_ Describe the clinical and radiological features associated with Crouzon syndrome (Craniofacial dysostosis)?38
Solution:
a) Concrescence
b) Fusion
c) Gemination.
Solution:
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2008 Annual_
Solution:
a) Leukoedema
b) Fordyce granules
Solution:
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2007 Supply_
Solution:
11_
Solution:
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2007 Annual_
2_
Solution:
Solution:
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02_Epithelial Pathology
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2014 Supply_
15_ A 54-year-old female developed an ulcerating growth on the lateral border of tongue which was diagnosed as squamous cell
carcinoma on histopathology.
a) Give the microscopic features with prognosis of any 2 histopathological varities of squamous cell carcinoma.
b) How will you stage the disease according to the TNM system?
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2014 Annual_
b) Schwannoma
6_ A 50-year-old male with history of snuff usage, presented with a thick white patch on the alveolar mucosa.
a) What are the criteria used for diagnosing dysplasia under the microscope.
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2013 Supply_
2_ A middle age old male presents with complain of mass in his palate. On examination there is a “Blue Pigmented” mass on the
postero-lateral hard palate. Swelling is non tender and 3 cm in greatest dimension:
12_A patient presented with a slow growing painless swelling in the right side of cheek from one year which now has become ulcer.
What histological feature will help you to differentiate between benign and malignant oral tumors?
Solution:
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2013 Annual_
2_ During microscopic examination of a tissue, what findings will help to diagnose it as Squamous Papilloma? Enumerate the other
oral benign epithelial lesions.
Solution:
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2012 Supply_
10_ A 35-year-old presented with nodular lesion in the upper left retromolar area. Biopsy revealed a spindle cell sarcoma with 8-9
mitoses/10hpf. Give atleast 3 differential diagnoses and explain on basis of histopathology and immunohistochemistry.195
Solution:
15_ A 55-year-old male came with a grey white ulceration lesion on the lower hip. Squamous cell carcinoma. What is the etiology
and pathogenesis of squmamous cell carcinoma?
Solution:
2012 Annual_
10_ A 35-year-old female presents with bilateral fibrotic bands on her buccal mucosa with severe limitation of her mouth opening.
She has a history of betal quid chewing for the last 10 years.
a) What is the most likely diagnosis?179
b) What microscopic features would you expect to find in her biopsy specimen?180
Solution:
11_ A 55-year-old male was diagnosed with squamous cell carcinoma of the lateral border of tongue. How will you stage the lesions
of management?194
Solution:
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2011 Annual_
2_ Specimen from a Leucoplakiac area under the tongue is being seen under microscope.
Solution:
5_ A female of 46 years, at post menopausal stage, presented with complaint of severe burring of tongue and cheeks on taking
chilies. Severity of complaint increases during tension periods.180
Solution:
14_ Patient presented with red and white patches on cheeks, he is worried that a doctor told him that it is a pre-malignant condition.
Solution:
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2009 Annual_
1_ Biopsy report of a patient has diagnosed the lesion as ‘oral basal cell carcinoma”. Write 6 various variants with two important
features of each.194
Solution:
2_ You have seen a patient with red and white lesion in the oral cavity; you are advised to explain the patient that erythroplakia is
premalignant condition. What main clinical and histopathological feature you will like to tell him?183
Solution:
3_ What are the ABCD features of malignant melanoma? Give 4 histopathological features.200
Solution:
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2008 Supply_
3_ Enumerate the benign pigmented lesion; describe the important features of Peut-jeghers syndrome.164,173
Solution:
Solution:
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2008 Annual_
4_183
Solution:
3_ A young dark skin pregnant female reported with symmetric hyperpigmented macules on the cheeks, the upper lip, the chin and
the forehead.
Solution:
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2007 Supply_
1_
b) Write 2 methods of biopsy used for screening of community for oral cancer and pre cancerous lesions.
Solution:
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2007 Annual_
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04_Bone Pathology
2014 Supply_
a) Osteochondroma.
b) Osteoid Osteoma.
c) Osteoporosis
Solution:
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2014 Annual_
3_ A 7-year-old girl presented in the OPD with bilateral painless swelling of her mandible. She had the particular expression of “eyes
upturned to heaven”.
Solution:
a) Brown’s tumor
b) Osteosarcoma
c) Fibrous dysplasia
Solution:
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2013 Supply_
5_ A 6-year-old girl presents with dental pain. On examination, her teeth are discolored and worn down. Her panoramic radiograph
shows osteopenia bowing, and angulation. She has a history of previous bone fractures and was of short stature of her age.
Solution:
6_ A 58-year-old woman noticed that her front teeth had become spaced and seeks advise from her dentist. On entering the surgery,
the dentist notices that she has difficulty in walking and does not respond to his questions. She becomes increasingly deaf and her
vision has also deteriorated. On examination, the maxilla and zygoma are enlarged and there is enlargement of the forehead.
Solution:
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2013 Annual_
3_ A 20-year-old woman went to her dentist because of facial asymmetry. This had occurred gradually over a period of 3 years. The
patient had no symptoms. A diffusely Opaque lesion was found in her right maxilla. All lab tests (CBC, Alkaline phosphatase, Calcium)
were within normal limits.
15_ A 25-year-young patient reported with blue sclera, bone fragility, low bone mass hyperlaxity of ligaments/skin and increased
alkaline phosphates. Give your diagnosis and important skeletal, extra skeletal and oral manifestation associated with it.
Solution:
4_ Patient presented with bilateral bony hard swelling on lingual side of premolars since long time. What is the most likely diagnosis
giving other similar conditions? What problems can be created by such conditions?
Solution:
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2012 Supply_
5_ A male presented with gradual expansion of the mandible with widening of interdental spaces.
a) Osteosarcoma.127
b) Ewing’s sarcoma.130
14_ A 65-year-old female with markedly reduced bone density was diagnosed with osteoporosis.
Solution:
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2012 Annual_
7_
b) Give clinical features with radiographic appearance of fibro-osseous lesions of the jaw.96….
Solution:
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2011 Annual_
3_ An 8-year-old girl presented with painless slowly increasing unilateral maxillary asymmetry. What features will confirm it as
fibrous dysplasia?99
Solution:
15_ A child is having Osteopetrosis. Define this condition and what are the complications associated with it?110
Solution:
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2009 Annual_
4_ Radiograph (OPG) of a patient having radio-opaque-radiolucent lesion is shown to you. How will you classify the benign fibro
osseous lesions of oral cavity?94
Solution:
10_ Radiograph(OPG) of a patient having radio-opaque-radiolucent lesions is shown to you. What important features will help you
to diagnose it as Juvenile fibrous dysplasia?99
Solution:
12_ a patient has been diagnosed as Osteogenesis Imperfecta. What General features and associated oral abnormalities you can
see?111
Solution:
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2008 Supply_
6_
a) Describe the features of Mc Cune-Albright syndrome. How would you differentiate it from jaffe syndrome?99
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2008 Annual_
6_
Solution:
15_
b) Describe the general features and associated oral abnormalities of Osteogenesis imperfect.
Solution:
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2007 Supply_
14_
a) What is Cherubism?
Solution:
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2007 Annual_
11_
Solution:
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5_ A 29-year-old female presented with a firm swelling in the submandibular area. FNAC followed by excision biopsy confirmed it as
a benign salivary gland neoplasm.
b) What are the histopathological features of Warthin’s tumor? Illustrate your answer with a diagram.
Solution:
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2014 Annual_
13_ A 30-year-old female presented with a unilateral firm swelling of the left parotid region. The surgery revealed it to be a growth
the parotid gland.
Solution:
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2013 Supply_
8_
Solution:
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2012 Annual_
Solution:
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2011 Annual_
st
11_ Patient presented with mandibular occlusal view, radiograph showing irregular radio-opaque mass in 1 molar region. He was
complaining of recurrent sub-mandubular swelling at meal times.338
Solution:
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2009 Annual_
6_ Describe the forms of monomorphic adenomas of salivary glands, and give the detail of basal cell monomorphic adenomas?351
Solution:
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2008 Supply_
7_
Solution:
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2008 Annual_
7_ Describe the forms of monomorphic adenomas of salivary gland and give the detail of basal cell monorphic adenomas.
Solution:
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2007 Supply_
5_
Solution:
10_ A 75 year old lady presents to you with severe Xerostomia following radiation therapy for a squamous cell carcinoma of her
tongue, what oral complications could be seen in this patient?
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2007 Annual_
Solution:
10_ a 75-year-old lady presents with severe Xerostomia of her tongue. What oral complications could be seen in this patient?
Solution:
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2_ A 27-year-old male presented to OPD with a carious premolar. On examination, the tooth was non-vital.
a) What could be the sequence of events in the peri-apical area following pulp Necrosis?
b) What are the routes of spread of acute infection from the peri-apical area?
Solution:
10_ An incidental finding on a radiograph showed a well demarcated cystic radiolucency between the roots of lateral incisor and
canine of the mandible located near the crest of the ridge.
Solution:
14_ A 14-year-old male with a swelling of anterior maxilla presented to the maxillofacial surgery. The radiographic examination
showed a well circumscribed radiolucency around the crown of un-erupted left lateral incisor. The radiolucency was extending
beyond the cement-enamel junction. The biopsy confirmed it a benign Odontogenic lesion.
c) What is the prognosis and how will you differentiate it from a dentigerous cyst?
Solution:
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2014 Annual_
8_ A 40-year-old male presented with swelling of right posterior mandible. The OPG revealed a corticated cystic radiolucent lesion
expanding the cortical plates. The histopathology revealed a cyst lined by an orthokeratinized epithelium.
a) What is diagnosis?
c) What is prognosis?
Solution:
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2013 Supply_
rd
7_ A 35-years-old man presents with painless expansion of the buccal aspect of the mandible in the 3 molar area. A dental
rd
panoramic radiograph reveals a multilocular cystic lesion extending into the horizontal and ascending ramus. The 3 molar is absent.
Solution:
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2013 Annual_
6_ A young 30-year-old male was diagnosed as a patient of Nevoid basal cell carcinoma syndrome. Write the oral, skin and skeletal
manifestation of this condition.
Solution:
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2012 Supply_
4_ A 22-year-female presented with cystic swelling in front of neck. The cyst was surgically removed. Differentiate the following on
the basis of histopathology.
a) Branchial cyst.
b) Thyroglossal cyst.
c) Dermoid cyst.
Solution:
1_
Solution:
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2012 Annual_
9_
Solution:
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2008 Supply_
5_
a) Give define and differential diagnosis if histological features of an initial painless and later tender mass on cheeks
revealed:302
Solution:
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2008 Annual_
5_
a) Patient reported with Von Recklinghausen neurofibromatosis. Describe its clinical features.ch#9
b) Name the cysts derived from dental lamina (rests of serres), rests of Malassez and Reduced Enamel Epithelium.
Solution:
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2007 Supply_
7_
Solution:
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2007 Annual_
Solution:
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2014 Supply_
12_ A 28-year-old male came to dental OPD with swelling of the left mandible. The OPD revealed a unilateral multiloculated
radiolucent lesion with soap bubble effect in the molar region.
Solution:
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2014 Annual_
7_ A 20 year-old-male presented to the dental OPD with a partially erupted upper canine. The OPG showed a mixed radio opaque
radiolucent lesion.
Solution:
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2013 Supply_
1_ A 35-year-old male presents with painless, slowly growing mass on right side of the mandible. Radiograph examination shows
multi-locular honeycomb appearance. The Cytological examination shows “Polyhedral Epithelial tumor cells in the background of
amorphous eosinophilic material”.
Solution:
2013 Annual_
7_ A 45-year-old female was suffering from peripheral odontogenic fibroma. Give its clinical features with histopathology.
Solution:
2012 Supply_
9_ A 44-year-old male presented with a slowly growing lesion on the right side of mandible. Radiograph revealed a multilocular
radiolucent lesion. Compare and contrast the radiograph and histological features of:
b) Pindborg tumor
c) Odontogenic tumor.
Solution:
12_ A 35-year-old male addict presents the doctor with 6 months history of purulent fever, weight loss and recurrent infections.
3
Laboratory workup reveals a CD4+ cell count of 150/mm .
a) What is the likely diagnosis?
Solution:
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2012 Annual_
Solution:
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2011 Annual_
7_ A patient presented with panoramic radiograpgh showing radiolucent lesion of soap bubble appearance around the impacted
mandibular last molar tooth. During clinical examination aspiration by disposable syringe received fresh blood.152
Solution:
8_ A patient of 20 years old presented with panoramic radiograph showing multilocular radiolucent lesion around the unerupted
mandibular last molar tooth. Patient was symptom free; it was just an accidental finding.155
Solution:
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2009 Annual_
13_ Radiograph (OPG) of a patient having radio-opaque-radiolucent lesions is shown to you. How will you tell about the origin of
odontogenic cysts? 135
Solution:
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2008 Supply_
8_Give the differentiating points between malignant ameloblastoma and ameloblastic carcinoma.159
Solution:
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2008 Annual_
8_ What do you understand by Ameloblastic fibrous odontomas. Give its clinical features with histopathology.
Solution:
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2007 Supply_
6_
Solution:
13_ Draw and label the histological section of adenomatoid odontogenic tumor.
Solution:
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2007 Annual_
Solution:
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08_Infections
2014 Supply_
8_
a) Give the definitive diagnostic tests along with differential diagnosis of Actinomycosis.
Solution:
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2014 Annual_
11_
Solution:
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2013 Supply_
4_ A young patient presents with Draining sinus tracts on the surface of the skin at submandibular area. Pain was minimal and on
examination “wooden area of fibrosis” was seen around the sinus. Cytological report is suggestive of acute abscess. Patient is
advised high dosage of penicillin for at least 2 weeks.
Solution:
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2013 Annual_
8_ A 9-year-old female reported with initially fever, chills, malaise, headache followed by a rash involving trunk, head and neck, it
was diagnosed as Chicken pox. Give other associated lesions with complications.
Solution:
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2012 Supply_
13_ An 11-year-old with successful treatment of thyroid, again presented to the emergency after 2 weeks with fever and multiple
mucocutaneous erythematous vesicular eruptions, some showing large told …… .
b) What are the various types and clinical presentations of the reactor?
Solution:
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2012 Annual_
Solution:
2011 Annual_
9_ A patient presented with multiple draining sinuses on the skin at the angle of mandible having sulphur granules.238
Solution:
13_ A female patient was complaining of burning sensation on tongue, her tongue was red and depapilated. 242
Solution:
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2009 Annual_
7_ A child of 8-year-old is referred to you with diagnosis of infectious mononucleosis. What clinical features you will suspect?
Solution:
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2008 Supply_
9_ Give the important oral manifestations in AIDS patient, explain oral hairy leukoplakia (OHL) in detail.229
Solution:
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2008 Annual_
Solution:
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09_Dental caries
2014 Supply_
4_
a) Enumerate various types of reactionary Dentin. What is the Pathogenesis and the importance of each type?
b) Draw and label the microscopic zones of advanced carious lesion in Dentin.
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2014 Annual_
Solution:
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2013 Supply_
13_ A patient presented with caries in the cervical region involving dentin.
What can you see under microscope if you prepare the slide of dentinal caries?
Solution
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2013 Annual_
Solution:
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2012 Supply_
7_
Solution:
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2012 Annual_
Solution:
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2011 Annual_
4_ A patient is having multiple carious teeth under microscope. What zones can you see in dentinal caries?75
Solution:
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2009 Annual_
8_ A young lady of 23-years presented with multiple caries. She is very much worried for it and is asking the reason for these caries.
Give key features of The Acidogenic Theory of caries by Miller.
Solution:
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2008 Supply_
10_ Caries control is a difficult task for a dental surgeon. Give your ways of control of caries in the children.
Solution:
11_
b) Write down the key differentiating points with reference to nature of a pin in different types of pulpitis.77,78
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2008 Annual_
Solution:
11_
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2007 Supply_
Solution:
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2007 Annual_
13_
Solution:
14_
Solution:
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7_ A 38-year-old male presented with braeny painful swelling on the left cheek. The eyelids of the same side were swollen with
protrusion of the eyeball and Chemosis. The patient had high grade fever. Oral examination revealed a carious upper left canine.
a) Trace the pathway of spread of infection from upper right canine to the Cavernous sinus.
c) What are the signs and symptoms associated with the involvement of this sinus?
Solution:
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2014 Annual_5_
a) Briefly narrate the etiology, clinical features and histopathology of chronic Hyper plastic pulpitis.
b) Enlist treatment modalities of Chronic hyper plastic pulpitis. (Modality is a particular mode in which something exists
or is experienced or expressed.)
10_ A 48-year-old diabetic female developed fever with a browny painful swelling of the upper part of neck. On oral examination the
right premolar was carious. Patient had dyspnea; neck movements were restricted with difficulty in swallowing.
c) What are the clinical features associated with each space involvement?
Solution:
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2013 Supply_
9_ Patients of dental caries are complaining of different nature and types of pain.
Solution:
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2013 Annual_
Solution:
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2012 Supply_
8_ A 27-year-old man presents with throbbing pain in the upper left first molar, exacerbated on lying down.
Solution:
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2012 Annual_
4_
Solution:
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2011 Annual_
6_ A patient is complaining of pain in deeply carious teeth at sleeping time. Write down the key differentiating points with reference
to nature of pain in different types of pulpitis.78
Solution:
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2009 Annual_
14_ Radiograph of a patient with dental caries is showing some communication to pulp and patient is complaining of pain, write
down the key differentiating points with reference to nature of pain in different types of pulpitis.78
Solution:
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2008 Supply_
11_
d) Write down the key differentiating points with reference to nature of a pin in different types of pulpitis.77,78
Solution:
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2008 Annual_
11_
Solution:
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2007 Annual_
12_
Solution:
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2014 Annual_4_ A 58-years-old male was operated for squamous cell carcinoma of the lateral border of tongue with radial neck
dissection followed by radiotherapy.
Solution:
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2012 Supply_
6_
b) What can be the clinical signs and symptoms of cavernous sinus infection?
c) Trace the pathway of spread of infection from maxillary molar to cavernous sinus.89
Solution:
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2007 Supply_
3_
Solution:
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2007 Annual_
Solution:
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2014 Supply_
1_ A 56-year-old male came to the dental clinic with complaints of Myalgia and limitation of jaw movement. Oral examination
revealed exclusive tooth to tooth wear.
Solution:
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2013 Supply_
15_ Patient presented with sensitivity of teeth, during clinical examination, non carious loss of tooth structure was observed.
Solution:
14_ Patient of Dengue fever came on your clinic for dental treatment.
Solution:
10_ A 54-year-old patient reported with loss of tooth structure by chemical reaction by excess use of beverages, it was not associated
with bacteria (caries):
Solution:
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2013 Annual_
14_ Patient of Dengue fever came on your clinic for dental treatment.
Solution:
12_ A 54-year-old patient with loss of tooth structure by chemical reaction. It was not associated with bacteria (caries). Discuss other
features of this condition.
Solution:
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2012 Supply_
3_ A 32-year-old male presented with a firm swelling on the left parotid region. The lesion was surgically removed and was benign.
Solution:
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2012 Annual_
a) Abrasion
b) Erosion
c) Attrition
Solution:
14_
Solution:
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2011 Annual_
12_ Patient presented with complaint of severe sensitivity and severe loss of tooth structure from anterior surface of upper central
incisors. He was habitual of using beverages.
Solution:
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2009 Annual_
9_ Patient presented with sensitivity of teeth while she is regularly cleaning the teeth twice daily, tell her about abrasion and tooth
loss.367
Solution:
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2008 Supply_
12_ Describe the classification of tooth wear, give the detail of loss of tooth structure by attrition.366,367
13_ Define ankylosis of teeth, give its causes and clinical features.372
Solution:
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2008 Annual_
Solution:
13_
a) Classify the dental erosion according to extrinsic and intrinsic acid sources.
Solution:
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2007 Supply_
2_
i. Attrition
ii. Abrasion
iii. Erosion
Solution:
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2014 Supply_
11_ A 40-year-old female presented to OPD with a complaint of white lesion on Buccal Mucosa. On clinical examination, the lesion
consists of raised, thin, white lines in a lacy pattern against an Erythematous background.
c) How will you differentiate the lesion from the other autoimmune disorder of the oral cavity, clinically?
Solution:
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2014 Annual_
2_
a) What is Nikolsky sign? Name the lesion in which this sign is positive.
b) Write the laboratory tests and the interpretation required for the diagnosis of these lesions.
Solution:
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2013 Supply_
11_ Patient has come to you with multiple ulcers in oral cavity which are not responding to the medications like antiseptic mouth
washes and nystatine like drops.
b) What histopathological and immunological features can diagnose it as “Mucous Membrane Pemphigoid (MMP)”
Solution
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2013 Annual_
Solution:
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2012 Supply_
2_ A 35-year-old female presented with stuffiness of the nose and blood stained discharge. Biopsy revealed a granulomatous lesion.
What are the “differences between a “Lethal Midline Granuloma” and “Wegener’s granulomatosis”?284,410
Solution:
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2012 Annual_
15_
Solution:
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2009 Annual_
5_ Patient has come to you with multiple ulcers in oral cavity which are not responding to medications like antiseptic mouth washes
and nyastatine like drops. What can come to your mind and how will you differentiate the following two most likely diagnoses on
the basis of histopathological and immunological features?
b) Pemphigus Vulgaris.265
Solution:
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2008 Supply_
14_
b) How would you diagnose it by, clinical, radiological and other lab findings? 277
Solution:
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2008 Annual_
Solution:
13_
c) Classify the dental erosion according to extrinsic and intrinsic acid sources.
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2014 Supply_
13_
Solution:
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2014 Annual_
15_ A 40-year old male with cervical and axillary lymphadenopathy was diagnosed with Hodgkin’s lymphoma.
Solution:
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2013 Annual_
14_ A 25-year-young lady reported to you with anemia. Enumerate the disorders associated with this disease.
Solution:
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2012 Supply_
1_
Solution:
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2012 Annual_
Solution:
13_
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2009 Annual_
15_ A pregnant lady presented to OPD for extraction of a tooth. Her eyes and skin was pale. She was looking anemic. What other
features can be seen in this patient?395
Solution:
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2007 Supply_
Solution:
15_
Solution:
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2007 Annual_
8_
Solution:
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b) Draw and label the variety of this sarcoma occurring in younger age group, forming polypoidal grape like structures arising
in a hollow cavity.
Solution:
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2012 Annual_
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2008 Supply_
5_
c) Give define and differential diagnosis if histological features of an initial painless and later tender mass on cheeks
revealed:302
Solution:
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Prayers for Muhammad Ramiz Khawaja, NID, Multan.
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