30 most common

Question 1

Leukoplakia: What are the 4 types?

Answer 1

Hyperkeratosis, dysplasia, carcinoma-in-situ, SCC

Question 2

White lesion that can be scraped off

Answer 2

Pseudomembranous candidiasis, materia alba, white coated tongue, burn, toothpaste or mouthwash overdose

Question 3

White coated tongue tx

Answer 3

Tongue scraping or brushing

Question 4

Candidiasis tx

Answer 4

Nystatin (mycostatin) or Clotrimazole (mycelex)

Question 5

Oral Hair leukoplakia

Answer 5

EBV

Lateral tongue and buccal mucosa usually indicates a hypersensitivity rxn

Question 6

Lichen Planus clinical category? Two forms?

Answer 6

Desquamative gingivitis. No tx needed. Reticular and erosive.

Tx with steroids. Temovate, decadron or lidex

Question 7

Tori M V F

Answer 7

Mandibular more common in MAN

Question 8

TUGSE

Answer 8

Traumatic ulcerative granulate with stromal eosinophilia

Non healing and hard on palpation.

Question 9

Inflammation

Answer 9

Traumatic ulcer, TUGSE, abscess, pericornitis

Question 10

Fibroma

Answer 10

Most common benign neoplasm of oral cavity. Buccal mucosa, labial mucosa, tongue, gingiva

Question 11

Hemangioma

Answer 11

Benign proliferation of blood vessels. Blanch with glass slide. SturgeWeber Angiomatosis.

Tx removal, observation or sclerotherapy

Hematoma is accumulation of blood secondary to trauma. Looks similar but is not raised.

Question 12

Recurrent aphthous ulcer

Answer 12

Non-keratinized moveable mucosa. 1-2 lesions .5 -1 cm.

Tx steroids and abx. Temovate and decadron

Dx by location, size and number

Question 13

Papilloma

Answer 13

Surgical excision. Verruca vulgaris, condyloma, focal epithelial hyperplasia, sinonasal papilloma

Question 14

Papillary hyperplasia

Answer 14

Pebbly surface under denture. Surgical excision then reline or remake denture.

Question 15

Herpes

Answer 15

Initially: acute herpetic gingivostomatitis Recurrent: Labialis, intraoral, whitlow etc.

Tx: acyclovir ointment or capsules

Question 16

Mucocele

Answer 16

Excision with underlying gland as well. Ranula on the floor of the mouth.

Question 17

Angular cheilitis

Answer 17

Tx with mycolog II. dx by culture, cytology and clinical

Question 18

Tobacco pouch

Answer 18

Can lead to verrucous ca or dysplasia.

Question 19

Median rhomboid glossitis

Answer 19

Tx with brushing of tongue and antifungals

Question 20

Smooth red tongue

Answer 20

Pernicious anemia, avitaminosis, medications. Burning and pain.

Stop cause for tx