Oral pathology: cysts and odontogenic tumours: botryoid odontogenic cyst: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Dentistry · Oral pathology: cysts and odontogenic tumours: botryoid odontogenic cyst

Sample item

A biopsy of a multilocular lateral radiolucency beside the roots of a mandibular canine shows a cluster of small cysts like a bunch of grapes, with the histology of a lateral periodontal cyst. It has a higher recurrence rate than the usual unilocular lesion. What is it?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Botryoid odontogenic cyst

The botryoid odontogenic cyst is a polycystic variant of the lateral periodontal cyst. Its multilocular pattern means that small loculi may be left behind, so recurrence is more frequent and thorough removal is needed.

Option by option

  • A. Central giant cell granuloma

    A giant cell granuloma is a solid lesion with multinucleated giant cells.

  • B. Unicystic ameloblastoma

    Unicystic ameloblastoma shows ameloblastic epithelium in the lining and is unilocular.

  • C. Odontogenic myxoma

    Odontogenic myxoma is a solid myxoid tumour and not a cluster of cysts.

  • D. Botryoid odontogenic cyst (correct)

    Correct. A multilocular, grape-like variant of the lateral periodontal cyst is the botryoid cyst.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Dentistry questions

Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is D, Botryoid odontogenic cyst. The botryoid odontogenic cyst is a polycystic variant of the lateral periodontal cyst.

Why is "Central giant cell granuloma" not the answer?

A giant cell granuloma is a solid lesion with multinucleated giant cells.

Why is "Unicystic ameloblastoma" not the answer?

Unicystic ameloblastoma shows ameloblastic epithelium in the lining and is unilocular.

Why is "Odontogenic myxoma" not the answer?

Odontogenic myxoma is a solid myxoid tumour and not a cluster of cysts.

What concept does this question test?

It tests Oral pathology: cysts and odontogenic tumours: botryoid odontogenic cyst in Dentistry. Its multilocular pattern means that small loculi may be left behind, so recurrence is more frequent and thorough removal is needed.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral pathology: cysts and odontogenic tumours: botryoid odontogenic cyst?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.