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Image Clinical Algo · Public Showcase
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Image Clinical Algo Module

MasteringBDS.com clinical MCQs from real medical & dental images — calibrated for NEET MDS, INICET, UPSC, BDS and all Indian dental exams.

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CASE SPOTTER #2841 Oral Medicine & Radiology
Q 1 / 10
00:52
📸 Radiographic Spotter NEET MDS / INICET Focus Q.ID #89201
Mandibular OPG · Region 36-38
Multilocular Radiolucency · Soap-Bubble Pattern
Click Options Below to Diagnose
A 24-year-old female presents with a painless, slow-growing swelling in the left posterior mandible. Panoramic radiograph reveals a distinct multilocular radiolucency with a characteristic 'soap bubble' / 'honeycomb' appearance, cortical expansion, and divergence of adjacent molar roots.
What is the most probable diagnosis according to standard WHO classification?
A
Dentigerous Cyst (Follicular Cyst)
B
Conventional / Solid Multicystic Ameloblastoma
C
Odontogenic Keratocyst (OKC / KCOT)
D
Central Giant Cell Granuloma (CGCG)
✓ CORRECT ANSWER: OPTION B Professor Differential Diagnosis Rationale

Clinical & Radiographic Correlation: Conventional Ameloblastoma is the most common clinically significant odontogenic tumor of the jaw (80% occur in the mandible, predilection for the molar-ramus region).

  • Why Option B is Correct: Classic soap-bubble or honeycomb multilocular radiolucency with significant root resorption/divergence and cortical thinning is pathognomonic of solid/multicystic ameloblastoma.
  • Why Option A is Incorrect: Dentigerous cysts present as unilocular radiolucencies attached to the CEJ of an unerupted/impacted tooth.
  • Why Option C is Incorrect: OKC typically exhibits anteroposterior growth along the medullary cavity with minimal cortical expansion.
  • Why Option D is Incorrect: CGCG predominantly affects the anterior mandible crossing the midline in younger patients (<20 years).
Standard Textbook Citation: Shafer's Textbook of Oral Pathology (9th Ed), Chapter 4 — Cysts and Tumors of Odontogenic Origin.
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Common questions from students preparing for NEET MDS and BDS exams.

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1 Attempt = 1 Complete Test Session. Starting a new image test session consumes exactly 1 attempt from your balance. Generating subsequent batches of questions in the same session does not consume extra attempts. Reviewing answers and downloading PDFs is always free.
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