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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
Q

What shape is the Mucocele?

A

Dome shaped

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26
Q

Besides the lower lip, what are some other common sites of Mucocele lesions?

A 
Buccal Mucosa
Ventral Tongue
Floor of Mouth
Retromolar Pad
Soft Palate
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27
Q

How is a Ranula different from a Mucocele?

A

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

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28
Q

These lesions, normally secondary to trauma/surgery are rare in the mouth, perhaps due to protection from saliva

A

Scar Tissue

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29
Q

What are the two most likely types of scars in the mouth

A
  1. Reticular pale areas

2. Fibrous masses (similar to irritation fibromas)

30
Q

A combination of Candidiasis and a reduced vertical dimension can lead to this lesion

A

Angular cheilitis

31
Q

What is the treatment for angular cheilitis

A

Antifungals

Increase vertical dimension

32
Q

What is another name for angular cheilitis

33
Q

What is the proper way to describe an angular cheilitis lesion

A

Fissured erythematous lesions at the commisures

34
Q

What are 3 syndromes/conditions that can be associated with angular cheilitis?

A

AIDS
Plummer Vinson Syndrome
Riboflavin Deficiency

35
Q

What type of vitamin might you choose to give an angular cheilitis patient in addition to antifungals?

A

Riboflavin

36
Q

This lesion is a result of an enlarged and possibly infected area of lymphoid tissue

A

Lingual Tonsil

37
Q

Where are lingual tonsil lesions found?

A

Postero-lateral borders of the tongue. Bilaterally

38
Q

What color are lingual tonsils when swollen?

39
Q

How might palpating a hyperplastic tonsil help differentiate the lesion from a carcinoma?

A

Tonsil will remain soft even if enlarged.

Carcinomas are hard

40
Q

How else does a hyperplastic tonsil (lymphoid hyperplasia) differ from cancer?

A

Infected tonsils will be so bilaterally. Cancer is rarely bilateral

41
Q

This lesion results from an accumulation of blood within the tissues secondary to trauma

42
Q

What is the treatment for a hematoma?

43
Q

What is another way to say hemotoma?

A

Ecchymosis (the C’s kind of look like eyes with black circles around them).

44
Q

How long will a hematoma last?

A

A few days

45
Q

What is the most famous type of hematoma that would appear in the head/neck region?

46
Q

This lesion is a fissured, gray-white one located where oral tobacco users place their dip

A

Tobacco Pouch

47
Q

What perio complication can be associated with dipping

A

Periodontal abrasion of the labial gingiva of mandibular incisors

48
Q

What type of chemicals can be found in Tobacco keratosis?

A 
Nicotine
Plutonium
Nitrites
Sugar
Alcohol
49
Q

What type of caries would be most associated with dipping?

A

Root caries

50
Q

If a patient is not willing to quit dipping, what is the next best alternative?

A

At least move the “plug” of dip to different areas

51
Q

This lesion is secondary to self-inflicted trauma….often during periods of stress

A

Chronic cheek biting

52
Q

What is the actual name of Chronic Cheek Biting

A

Morsicatio buccarum/labiorum/linguarum

53
Q

What does the buccal of mucosa of someone who chronically bites their cheek look like?

A

Ragged white mucosa that has been thickened surface keratin

54
Q

This lesion is a chronic muco-cutaneous disease that produces the “4 P” lesions

A

Lichen Planus

55
Q

What are the 4 P’s of Lichen Planus

A

Purple
Pruritic
Polygonal
Pustules

56
Q

What is the term that describes the reticular or lacy variant of Lichen planus

A

Striae of Wickham

57
Q

What kind of disease is LIchen Planus

A

Auto-immune

58
Q

What part of the epithelium is attacked by lichen planus

A

basement membrane

59
Q

What type of medications can treat lichen planus

60
Q

This lesion is similar to Tori, except they occur on the outside of the arch

A

Buccal exostoses

61
Q

The 24th most common lesion can be iatrogenic in nature, especially when it occurs during a restoration

A

Amalgam tattoo

62
Q

If a dentist performs a biopsy on an amalgam tatoo what are they trying to rule out?

63
Q

This lesion is described as a solitary, well-demarcated macule

A

Oral Melanotic Macule

64
Q

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

A

Median Rhomboid Glossitis

65
Q

What is the treatment of Median Rhomboid Glossitis

A

Tongue brushing

Antifungals

66
Q

This lesion is the only lesion that is a large black area on the tongue

A

Black Hairy Tongue

67
Q

What is the treatment for black hairy tongue

A

Scraping

Brushing

68
Q

This lesion can be caused by Pernicious anemia
Medications
Avitaminosis

A

Smooth Red Atrophic Tongue

69
Q

Is smooth red atrophic tongue painful?

A

Yes, burning pain.

70
Q

This lesion is slow growing and painless, yet it is a benign cyst often secondary to an infected hair follicle

A

Epidermoid cyst

71
Q

The final lesion is a benign tumor of fat

72
Q

Rank the locations of lipomas from most likely to least likely

A

Buccal mucosa
Tongue
Floor
Lips

D2: 622 Oral Pathology (36 decks)

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