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D2: 622 Oral Pathology > 03: Top 30 Lecture (11-30) > Flashcards

03: Top 30 Lecture (11-30) Flashcards

1
Q

Numerous grooves of fissures on the dorsal tongue

Mild burning or soreness sometimes

Treat: Brush the tongue

A

Fissured Tongue

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2
Q

What is the old term for Fissured Tongue

A

Scrotal Tongue

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3
Q

This lesion is also known as Erythema Areata Migrans or Benign Migratory Glossitis

A

Geographic Tongue

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4
Q

What group gets geographic tongue more often? Men or Women

A

Women 2:1

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5
Q

What surface of the tongue will you find geographic tongue?

A

Always Dorsal

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6
Q

What is the treatment for Geographic Tongue?

A

There is no treatment

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7
Q

This lesion results in 20% of patients who wear their dentures 24 hours per day

A

Papillary Hyperplasia

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8
Q

What does the palate look like in a patient with Papillary Hyperplasia?

A

Pebble surface of hard palate

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9
Q

What is the treatment for Papillary Hyperplasia?

A

Surgical excision followed by relining of denture

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10
Q

What pathogen is considered one of the primary etiologies of Papillary Hyperplasia?

A

Candida

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11
Q

Patients who display this lesion where usually exposed to the virus that causes it between the ages of 6 months and 5 years

A

Herpes Viral Infection

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12
Q

What are the 4 different types of Recurrent Herpes Oral Infections

A

Herpes labialis
Intraoral recurrent lesions
Herpetic Whitlow
Herpetic Kertoconjunctivitis

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13
Q

Which virus is typically the cause of oral herpes lesions

A

HSV-1

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14
Q

Besides antivirals, what can help blunt the infection in its earliest stages?

A

Placing ice on the lesion

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15
Q

What are a few common names for Recurrent Herpes Labialis?

A

Cold Sores

Fever Blisters

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16
Q

What can trigger a cold sore?

A

UV Light
Trauma
Hormones

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17
Q

What are some symptoms of a cold sore?

A

Prodromal pain

Burning/Tingling/Itching all prior to vesicle formation

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18
Q

What is the window in which antivirals are most effective against cold sores?

A

Prodromal to day 3

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19
Q

By what day has the cold sore vesicle formed?

A

Day 2-4

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20
Q

What type of tissue is affected by Palatal Herpes?

A

Bound down keratinized epithelium

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21
Q

How can you tell palatal herpes from herpes labialis (besides their respective locations)

A

Palatal herpes vesicles appear in clusters of 10-15 small (1-2mm) vesicles. Labialis is one large vesicle

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22
Q

Is gingival herpes more like palatal or labial?

A

Palatal due to the clusters of small vesicles

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23
Q

This lesion usually occurs in the lower lip and is result of saliva/mucus pooling up under the mucosa…often due to previous trauma

A

Mucocele

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24
Q

What is the treatment for mucocele?

A

Surgical excision along with feeder gland

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25
What shape is the Mucocele?
Dome shaped
26
Besides the lower lip, what are some other common sites of Mucocele lesions?
``` Buccal Mucosa Ventral Tongue Floor of Mouth Retromolar Pad Soft Palate ```
27
How is a Ranula different from a Mucocele?
It's not, it is a sub-type that is found on the floor of the mouth and is fed by the sublingual or submandibular glands
28
These lesions, normally secondary to trauma/surgery are rare in the mouth, perhaps due to protection from saliva
Scar Tissue
29
What are the two most likely types of scars in the mouth
1. Reticular pale areas | 2. Fibrous masses (similar to irritation fibromas)
30
A combination of Candidiasis and a reduced vertical dimension can lead to this lesion
Angular cheilitis
31
What is the treatment for angular cheilitis
Antifungals | Increase vertical dimension
32
What is another name for angular cheilitis
Perleche
33
What is the proper way to describe an angular cheilitis lesion
Fissured erythematous lesions at the commisures
34
What are 3 syndromes/conditions that can be associated with angular cheilitis?
AIDS Plummer Vinson Syndrome Riboflavin Deficiency
35
What type of vitamin might you choose to give an angular cheilitis patient in addition to antifungals?
Riboflavin
36
This lesion is a result of an enlarged and possibly infected area of lymphoid tissue
Lingual Tonsil
37
Where are lingual tonsil lesions found?
Postero-lateral borders of the tongue. Bilaterally
38
What color are lingual tonsils when swollen?
Red
39
How might palpating a hyperplastic tonsil help differentiate the lesion from a carcinoma?
Tonsil will remain soft even if enlarged. Carcinomas are hard
40
How else does a hyperplastic tonsil (lymphoid hyperplasia) differ from cancer?
Infected tonsils will be so bilaterally. Cancer is rarely bilateral
41
This lesion results from an accumulation of blood within the tissues secondary to trauma
Hematoma
42
What is the treatment for a hematoma?
None
43
What is another way to say hemotoma?
Ecchymosis (the C's kind of look like eyes with black circles around them).
44
How long will a hematoma last?
A few days
45
What is the most famous type of hematoma that would appear in the head/neck region?
Black Eye
46
This lesion is a fissured, gray-white one located where oral tobacco users place their dip
Tobacco Pouch
47
What perio complication can be associated with dipping
Periodontal abrasion of the labial gingiva of mandibular incisors
48
What type of chemicals can be found in Tobacco keratosis?
``` Nicotine Plutonium Nitrites Sugar Alcohol ```
49
What type of caries would be most associated with dipping?
Root caries
50
If a patient is not willing to quit dipping, what is the next best alternative?
At least move the "plug" of dip to different areas
51
This lesion is secondary to self-inflicted trauma....often during periods of stress
Chronic cheek biting
52
What is the actual name of Chronic Cheek Biting
Morsicatio buccarum/labiorum/linguarum
53
What does the buccal of mucosa of someone who chronically bites their cheek look like?
Ragged white mucosa that has been thickened surface keratin
54
This lesion is a chronic muco-cutaneous disease that produces the "4 P" lesions
Lichen Planus
55
What are the 4 P's of Lichen Planus
Purple Pruritic Polygonal Pustules
56
What is the term that describes the reticular or lacy variant of Lichen planus
Striae of Wickham
57
What kind of disease is LIchen Planus
Auto-immune
58
What part of the epithelium is attacked by lichen planus
basement membrane
59
What type of medications can treat lichen planus
Steroids
60
This lesion is similar to Tori, except they occur on the outside of the arch
Buccal exostoses
61
The 24th most common lesion can be iatrogenic in nature, especially when it occurs during a restoration
Amalgam tattoo
62
If a dentist performs a biopsy on an amalgam tatoo what are they trying to rule out?
Melanoma
63
This lesion is described as a solitary, well-demarcated macule
Oral Melanotic Macule
64
This lesion is a result of central papillary atrophy of the tongue...there is a asymptomatic erythematous zone in the midline of the posterior tongue
Median Rhomboid Glossitis
65
What is the treatment of Median Rhomboid Glossitis
Tongue brushing | Antifungals
66
This lesion is the only lesion that is a large black area on the tongue
Black Hairy Tongue
67
What is the treatment for black hairy tongue
Scraping | Brushing
68
This lesion can be caused by Pernicious anemia Medications Avitaminosis
Smooth Red Atrophic Tongue
69
Is smooth red atrophic tongue painful?
Yes, burning pain.
70
This lesion is slow growing and painless, yet it is a benign cyst often secondary to an infected hair follicle
Epidermoid cyst
71
The final lesion is a benign tumor of fat
Lipoma
72
Rank the locations of lipomas from most likely to least likely
Buccal mucosa Tongue Floor Lips

D2: 622 Oral Pathology (36 decks)

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