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Oral Medicine > 30 most common > Flashcards

30 most common Flashcards

1
Q

Definition of Leukoplakia

A

intraoral white plaque that does not rub off and can’t be described as anything other known entity

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2
Q

5 white lesions that CAN be wiped off

A 
1-materia alba
2-white coated tongue
3-burn
4-Pseudomembranous candidiasis
5-toothpaste or mouthwash overdose
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3
Q

tx for white coated tongue

A

scrape and brush it

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4
Q

tx for candidiasis

A

antifungal

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5
Q

how common is leukoedema in blacks?

A

70-90%

  • no tx
  • bilateral
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6
Q

What pattern presents in Lichen Planus?

A

Wickham striae

*not autoimmue disease, but immune mediated

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7
Q

T/F leukoplakias are considered pre-malignant

A

True

*cut it out and biopsy

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8
Q

what percent of leukoplakia in the floor of mouth is dysplastic?

A

42.9%

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9
Q

what percent of leukoplakia in the tongue is dysplastic?

A

24.2%

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10
Q

what percent of leukoplakia in the lip is dysplastic?

A

24%

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11
Q

what is the best guide to potential progression of oral lesions?

A

degree of dysplasia

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12
Q

what is the transformation rate of severe dysplasia?

A

16%

  • moderate: 3-15%
  • mild: <5%
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13
Q

what percent of people have torus palatinus?

A

20-35%

*2F:1M C=B

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14
Q

what percent of people have mandibular tori?

A

7-10%

  • men more than women
  • 90% bilateral
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15
Q

tx for traumatic ulcer?

A

steroid injection

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16
Q

what is the most common benign neoplasm of the oral cavity?

A

Fibroma

*hyperplasia

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17
Q

4 most common places of fibromas

A

1-buccal mucosa
2-labial mucosa
3-tongue
4-gingiva

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18
Q

what is the tx for a fibroma?

A

surgical excision

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19
Q

what are fordyce granules?

A

ectopic sebaceous glands

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20
Q

what percent of the population have fordyce granules?

A

80%

  • buccal mucosa>lips
  • no tx
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21
Q

What is a hemangioma?

A

benign proliferation of blood vessels

*blanches under pressure

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22
Q

hemangioma tx

A

do nothing, surgery, laser, embolization

*10-12% of children

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23
Q

what percent of the population have recurrent aphthous ulcers

A

20-25%

*1-2 lesions, .5-1cm

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24
Q

Where are RAU?

A

non-keratineized, non-bound down mucosa

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25
Q

what is the tx for RAU?

A

topical steroids

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26
Q

what 3 things do you need to define the type of RAU?

A

1-location
2-size
3-how many

27
Q

what are 3 possible causes of RAU?

A

1-autoimmune
2-stress
3-hypersensitivity

28
Q

what 4 things does dr. trump rx for RAU?

A

1-temovate
2-decadron
3-lidex
4-kenalog

29
Q

what is a papilloma?

A

benign proliferation of squamous epithelium

  • hpv
  • Tongue>soft palate
30
Q

what is the tx for papilloma?

A

surgical excision

31
Q

what is the differential (4) for squamous papilloma?

A

1-verruca vulgarus (wart)
2-Condyloma acuminatum (venereal wart)
3-focal epithelial hyperplasia (heck’s disease)
4-sinonasal papilloma

32
Q

what is it called when you have focal inflammatory fibrous hyperplasia at the flange of an ill-fitting denture

A

Epulis Fissuratum

*tx excision, fix denture

33
Q

what percent of the population have fissured tongue?

A

2-5%

*tx brush tongue

34
Q

How common is geographic tongue?

A

1-3%

*2F>M

35
Q

2 other names for geographic tongue

A

1-erythema areata migrans

2-benign migratory glossitis

36
Q

how common is papillary hyperplasia ?

A

20% of those who wear dentures 24h/day

37
Q

Papillary hyperplasia tx

A

excision then fix denture

*asymptomatic

38
Q

Where does recurrent herpes simplex happen?

A

almost always on Keratinized, bound mucosa

39
Q

when does acute herpetic gingivostomatitis occur?

A

6 months-5 years

*recurrent: herpes labialis, recurent, whitlow, keratoconjuctivitis

40
Q

what are the different methods of delivery for antivirals

A

ointment, capsules, tablets, cream

41
Q

what is the prophylaxis for labial herpes?

A

Lysine 500 mg tablets, QD

*Trump hinted for test

42
Q

what is a mucocele?

A

rupture and spillage of saliva into tissues

43
Q

most common location of mucocele?

A

lower lip

44
Q

what is the tx for a mucocele?

A

surgical excision along with the feeder gland

*trump hinted for test

45
Q

what 3 things cause angular cheilitis?

A

1-reduced vertical dimension
2-salivary pooling
3-candidiasis

46
Q

Angular cheilitis tx

A

antifungals

47
Q

Accumulation of blood within the tissues secondary to trauma

A

hematoma

*no tx

48
Q

is tobacco pouch keratosis precancerous?

A

yes. If use continues, may progress from dysplasia to verrucous carcinoma

49
Q

Is chronic cheek chewing more common in men or women?

A

2F:1M

*Tx none or biteguard

50
Q

what are the 2 types of lichen planus?

A

Reticular and erosive

51
Q

Lichen Planus tx?

A

steroids

52
Q

what is the tx for buccal exostoses?

A

removal only with chronic repeated trauma or pre-prosthetic surgery

53
Q

When would you take a biopsy of an amalgam tattoo?

A

to rule out melanoma

54
Q

Common areas for oral melanotic macule?

A

lower lip > Buccal mucosa > gingiva

55
Q

Central papillary atrophy of the tongue is called?

A

median rhomboid glossitis

*asymptomatic, crosses midline

56
Q

tx for median rhomboid glossitis

A

antifungals and brushing

57
Q

what are 3 causes of smooth red tongue?

A

1-pernicious anemia
2-medications
3-avitaminosis

*Tx: stop whatever is causing it

58
Q

skin cysts associated with inflammation of hair follicle

A

epidermoid cyst

59
Q

where do oral epidermoid cysts occur?

A

midline of floor of mouth

60
Q

Tx of epidermoid cyst

A

surgical removal

61
Q

benign fat tumor?

A

lipoma

62
Q

where do lipomas occur in the mouth?

order 4

A

buccal mucosa > tongue > floor of mouth > lips

63
Q

lipoma tx?

A

surgical excision

Oral Medicine (1 decks)

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