1. Which of the following is not characteristic of congenital syphilis

A. Ghon complex
B. Interstitial keratitis
C. Mulberry molars
D. Notched incisors

Ans. A
The pathognomic og congenital syphillis is HUTCHINSON’S TRIAD , which includes

● Mulberry molars and notcged incisors
● Interstitial keratitis
● 8th nerve deafness

2. Splitted papule at corner of mouth is seen in

A. Recurrebt herpes labialis
B. Recurrent herpetic stomatitis
C. Increased vertical dimension
D. Secondary syphilis

Ans. D
Mucous patches, split papules, condyloma latum are oral manifestations of secondary syphilis

3. Ollendorf sign is seen in

A. Congenital syphilis
B. Primary syphilis
C. Secondary syphilis
D. Tertiary syphilis

Ans. C
Ollendorf’s sign: The sign is observed in secondary syphilis. In secondary syphilis the papule is exquisitely tender to the touch of a blunt probe, which is termed positive ollendorf’s sign.

4. Oral lesions of secondary syphilis includes all except

A. Snail track ulcers
B. Mucous patches
C. Chancre of tongue
D. Hutchinsons wart

Ans. C
Chancre is seen in primary stage

5. Leutic glossitis is an intra oral manifestation caused by

A. Mycobacterium tuberculosis
B. Actinomycosis
C. Trepenoma pallidium
D. Streptococcus

Ans. C
Leutic glossitis or syphilitic glossitis is atropic or interstitial glossitis due to tongue involvement by treponema.
The importance of leutic glossitis is the chance of undergoing malignant transformation

6. Cancerous involvement is seen with

A. Chancre
B. Mucous patch
C. Syphilitic glossitis
D. Gumma

Ans. C

7. General paresis in neuroshiphilis is a feature of

A. Primary stage of syphilis
B. Latent phase of syphilis
C. Secondary stage of syphilis
D. Tertiary stage of syphilis

Ans. D

8. Which of the following is a painful ulcer

A. Syphilitic ulcer
B. Trophic ulcer
C. Oral chancre
D. All of the above

Ans. C
Normally the lesions of primary syphilis( chancre) are painless. But oral lesions are painful due to secondary infection.

9. The first consideration in the differential diagnosis of a painless palatal perforation would be

A. Syphilis
B. Histoplasmosis
C. Scrofulderma
D. Actinomycosis

Ans. A
Gumma may ulcerate the palate… palatal perforation occurs in midline lethal granuloma, wegeners granulomatosis.
In tertiary syphilis intra oral gumma is common on palate and tongue
Painless palatal perforation is caused by fungal disease like histoplasmosis, blastomycosis, cryptococcus

10. Syphilis is a …………….. disease

A. Fungal
B. Bacterial
C. Viral
D. Parasitic

Ans. B