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Oral Medicine! > 30 Most Common > Flashcards

30 Most Common Flashcards

1
Q

What are some white lesions that CAN be scraped off?

A

materia alba, white coated tongue, burns, pseudomembranous candidiasis, toothpaste irritation

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2
Q

Pt presents with white plaque and erythematous tissue. Whats the dx and tx?

A

Dx: pseudomembranous candidiasis
Tx: Nystatin

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3
Q

What presents as a non-wipeable white area on the cheeks (common in black population)

A

leukoedema

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4
Q

When in doubt, ___ __ ___.

A

cut it out!

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5
Q

Is leukoplakia pre-malignant or no?

A

yes, it’s considered pre-malignant

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6
Q

How concerned should you be for mild dysplasia leukoplakia to progress to cancer?

A

Not too worried. <5% chance

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7
Q

What are the three most concerning sites for leukoplakia?

A

FOM, tongue, lip

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8
Q

What is a bony protuberance in the mouth?

A

Tori (palatinus, mandibularis, etc)

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9
Q

How did Dr. Trump tell us to treat a traumatic ulcer?

A

Inject Kenalog-10 into the ulcerated tissue (steroid injection)
Biopsy if this fails

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10
Q

What are four common examples of inflammation/irritation that comes into your dental office?

A

Traumatic ulcer, pericornitis, periodontal abscess, ANUG

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11
Q

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

A

Fibroma

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12
Q

common spots for fibromas?

A

Buccal mucosa, labial mucosa, tongue, and maybe gingiva

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13
Q

What are ectopic sebaceous glands?

A

Fordyce granules (80% of population)

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14
Q

What is a spot of benign proliferation of blood vessels?

A

Hemangioma (it will blanch under pressure)

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15
Q

How to treat hemangioma?

A

observe with no intervention, surgical removal, or sclerotherapy

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16
Q

What tissue do RAUs occur on?

A

non-keratinized, non-bound mucosa

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17
Q

How do you treat RAUs?

A

topical steroids (aphthasol, betamethasone, decahedron, lidex, kenalog)

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18
Q

What appears as a little cauliflower in the mouth?

A

Papilloma

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19
Q

Where do papillomas frequently occur?

A

tongue, soft palate

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20
Q

How to treat papillomas?

A

surgical excision

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21
Q

What are variations of papillomas?

A

verruca vulgaris, condyloma accuminatum, focal epithelial hyperplasia, and sinonasal papillomas

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22
Q

What kind of papilloma looks broader and flatter?

A

condyloma accuminatum

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23
Q

Epulis fissuratum is classified as what?

A

focal inflammatory fibrous hyperplasia (from ill-fitting denture)

24
Q

What do you do to treat epulis fissuratum?

A

surgical excision if relining or remaking the denture

25
Q

Pt has numerous grooves on the tongue. Dx and Tx?

A

Dx: fissured tongue
Tx: brush the tongue and keep it clean

26
Q

Pt has red patches on tongue that are sensitive to hot/spicy foods. Dx and Tx?

A

Dx: geographic tongue
Tx: nothing, educated pt

27
Q

What causes papillary hyperplasia?

A

Constant irritation to gingiva, such as wearing a denture 24/7

28
Q

How to treat papillary hyperplasia if severe?

A

surgical excision and relining of denture. If not severe then leave it but educate

29
Q

Where do herpes occur intra-orally?

A

almost ALWAYS on the keratinized, bound mucosa (palate, attached gingiva)

30
Q

How long does it take for oral herpes to heal?

A

7-10 days

31
Q

What antivirals can you prescribe for herpes?

A

Acyclovir 5% ointment (6x/day), Acyclovir 200mg (5x/day), prophylaxis with Lysine 500mg

32
Q

What is a mucocele on the FOM called?

A

A ranula

33
Q

What is most common site of mucocele?

A

lower lip (because it gets bit most commonly)

34
Q

How to treat a mucocele?

A

Surgical excision along with the associated gland

35
Q

How to treat angular cheilitis?

A

antifungals, and increase the pt’s vertical dimension

36
Q

What is an accumulation of blood within the tissues, secondary to trauma?

A

hematoma (no tx)

37
Q

How to treat tobacco pouch keratosis?

A

cessation of dipping. Should resolve within 2 weeks. If it doesn’t then re-evaluate the lesion (possible biopsy)

38
Q

What can tobacco pouch keratosis progress into if they don’t stop?

A

verrucous carcinoma

39
Q

What does reticular lichen planus present with?

A

wickham striae

40
Q

What are skin lesions like with Lichen Planus?

A

purple, pruritic, polygonal

41
Q

How to treat lichen planus?

A

steroids (aphthasol 5%, betamethasone syrup, decahedron elixir 0.5mg/5ml, lidex 0.05%)

42
Q

If you suspect an amalgam tattoo, what can you do as a quick check?

A

radiograph - amalgam will appear as a RO object

43
Q

How to treat an amalgam tattoo?

A

no tx, but if you can’t rule out melanoma then a biopsy may need to be done

44
Q

What is an oral melanotic macule?

A

an oral freckle

45
Q

common places for oral melanotic macules?

A

lower lip > buccal mucosa > gingiva

46
Q

How to treat oral melanotic macules?

A

No tx, unless melanoma cannot be ruled out - then do a bx

47
Q

Pt has a red spot on the midline of their tongue. Dx and Tx?

A

Dx: median rhomboid glossitis
Tx: antifungals and tongue brushing

48
Q

How to treat hairy tongue?

A

Scrape off the hyperkeratosis

49
Q

What are causes of smooth red tongue?

A

pernicious anemia, medications, avitaminosis

50
Q

Pt has a burning and painful tongue. it’s smooth upon exam. Dx and Tx?

A

Dx: smooth red tongue
Tx: find underlying cause and treat that

51
Q

What is a cyst associated with inflammation of a hair follicle?

A

epidermoid cyst

52
Q

Where do epidermoid cysts usually occur in the mouth?

A

midline FOM

53
Q

How to treat epidermoid cysts?

A

surgical removal

54
Q

Where are lipomas most commonly seen?

A

buccal mucosa > tongue > FOM > lips

55
Q

How to treat a lipoma?

A

surgical excision

Oral Medicine! (7 decks)

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