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Pathology Final > 30 Most Common > Flashcards

30 Most Common Flashcards

1
Q

Leukoplakia

A

intraoral white plaque that doesnt rub off and cant be IDed as anything else
12% cancerous 4.3 yr transformation
imm compromised pts (higher cancer risk)

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2
Q

Leukoplakia differentials

A 
materia alba
white coated tongue
burn
pseudomembranous candadiasis
toothpaste/mouthwash OD
linea alba (bilateral)
leukoedema (bilateral)
oral hairy leukoplakia (bilateral)
tobacco pouch keratosis
lichen planus
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3
Q

Leukoplakia types

A

Hyperkeratosis
Dysplasia
Carcinoma in-situ
SCC

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4
Q

Leukoplakia locations

A

FOM
tongue
lip

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5
Q

Leukoplakia % severe, mod, mild

A

16%
3-15%
<5%

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6
Q

Tori F/M

A

Torus palitinius >F

Torus mandibularis >M

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7
Q

Inflammation/irritation

A

Traumatic ulcer (tx: steroids)
Pericornitis
Periodontal abscess
ANUG

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8
Q

Fibroma

A

most common benign neoplasm of the oral cavity

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9
Q

Fibroma locations

A

buccal mucosa
labial mucosa
tongue
gingiva

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10
Q

Fibroma differentials (bump on the gums)

A

Peripheral giant cell granuloma
Peripheral ossifying fibroma
Pyogenic granuloma

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11
Q

Fibroma tx

A

surgical excision

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12
Q

Fordyce granules

A

ectopic sebaceous glands
80% population
no tx

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13
Q

Fordyce granules location

A

buccal mucosa

lips

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14
Q

Hemangioma

A

benign proliferation of blood vessels
test with dioscopy
10-12% children

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15
Q

Hemangioma tx

A 
excision
laser
embolism
clinical observation 
sclerotherapy
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16
Q

inflammatory ulcer/Recurrent apthous ulcers

A

20-25% population
1-2 lesions
.5-1 cm
location + size + number = diagnosis

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17
Q

Recurrent apthous ulcer locations

A

non keratanized bound down mucosa

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18
Q

Recurrent apthous ulcer etiology theories

A

autoimmune issue
stress
hypersensitivity

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19
Q

Papilloma

A

benign proliferation of squamous epithelium

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20
Q

Papilloma locations

A

tongue

soft palate

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21
Q

Papilloma tx

A

surgical excision

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22
Q

Papilloma types

A

Verruca vulgaris
Condyloma accuminatum
Focal epithelial hyperplasia (Hecks disease)
Sinonasal papilloma

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23
Q

HPV strains

A

13, 32 Hecks disease

6, 11 Papilloma

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24
Q

Epulis fissuratum

A

focal inflammatory fibrous hyperplasia
flang of an ill fitting denture
single- multiple folds in the vestuble

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25
Q

Epulis fissuratum F/M

A

F>M

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26
Q

Epulis fissuratum tx

A

surgical excision with reline or make a new denture

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27
Q

Fissured tongue

A

grooves 2-6mm deep
2-5% population
increases with age

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28
Q

Fissured tongue tx

A

brush tongue

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29
Q

Fissured tongue differential

A

Geographic tongue

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30
Q

Geographic tongue

A

Erythema areata migrans
Benign migratory glossitis
1-3% population

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31
Q

Geographic tongue F/M

A

2F>M

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32
Q

Geographic tongue location

A

Dorsal tongue

33
Q

Geographic tongue tx

A

none

34
Q

Papillary hyperplasia

A

Denture papillomatosis

20% 24/7 denture wearers

35
Q

Papillary hyperplasia locations

A

hard palate

36
Q

Papillary hyperplasia tx

A 
surgical excision (scalpel, electro, cryo, laser)
reline or remake denture
37
Q

Recurrent herpes simplex

A

1-3mm vesicles > collapse
damaged epithelium lost > central turns yellow
heals in 7-10 days

38
Q

Herpes viral inflection introral locations

A

keratinized bound down mucosa

palate and attached gingiva

39
Q

Acute herpetic gingivostomatitis

A

intraoral exposure 6 months to 5-years old

40
Q

Recurrent herpetic infections

A

herpes labialis
intraoral recurrent lesions
herpetic whitlow
herpetic keratoconjunctiviitis

41
Q

Herpes tx

A

antivirals

prodrome stage is best time to start

42
Q

Mucocele

A

rupture and spill saliva into soft tissue
young adults
trauma related

43
Q

Mucocele location

A

lower lip

44
Q

Mucocele tx

A

surgical excision of the mucocele and the FEEDER GLAND

45
Q

Angular chelitis causes

A

loss of vertical dimension (crowns, attrition, worn denture)
salivary pooling
candidiasis

46
Q

Angular chelitis tx

A

antifungals

increase vertical dimension

47
Q

Angular chelitis tx

A

antifungals

increase vertical dimension

48
Q

Lingual tonsils

A

lymphoid hyperplasia on posterior bilateral tongue

discrete 1 cm mass that enlarges and turns red with infection

49
Q

Lingual tonsil tx

A

none

50
Q

Hematoma

A

blood accumulation in tissue secondary to trauma

mistaken for melanoma

51
Q

Hematoma tx

A

none

52
Q

Tobacco pouch keratosis

A

soft fissured white-grey lesion

may turn into dysplasia or verrucous carcinoma

53
Q

Tobacco pouch keratosis tx

A

stop dipping/move pouch

54
Q

Chronic cheek biting

A

Morsicatio buccarum/labiorum/linguarum

55
Q

Chronic cheek biting F/M

A

2F>M

56
Q

Chronic cheek biting tx

A

none

57
Q

Lichen planus

A

chronic mucocutaneous lesion

skin lesions: purple puritic, polygonal papules

58
Q

Lichen planus types

A

Reticular (striae of whickam)

Erosive

59
Q

Lichen planus F/M age

A

middle aged 3F>2M

60
Q

Lichen planus tx

A

steroids

61
Q

Buccal exostoses tx

A

removal with repeated trauma or preprosthetic

62
Q

Amalgam tattoo tx

A

biop to rule out melanoma

63
Q

Oral melanotic macule

A 
focal melanosis (oral freckle) 
solitary well demarkated 1-7mm
64
Q

Oral melanotic macule F/M

A

2F>M

65
Q

Oral melanotic macule location

A

lower lip
buccal mucosa
gingiva

66
Q

Oral melanotic macule tx

A

none

biop to rule out

67
Q

Median rhomboid glossitis

A

central papillary atrophy

68
Q

Median rhomboid glossitis location

A

posterior dorsal tongue

69
Q

Median rhomboid glossitis tx

A

antifungals

brush tongue

70
Q

Black hairy tongue

A

asymptomatic but might gag

bad taste, halitosis, esthetics

71
Q

Smooth red tongue etiology

A

pernicious anemia
medications
avitaminosis

72
Q

Smooth red tongue tx

A

burning pain

find underlying causes and stop it

73
Q

Epidermoid cyst

A

cyst with inflammation of a hair follicle

slow growing, painless, rubbery mass

74
Q

Epidermoid cyst locations

A

midline of FOM

75
Q

Epidermoid cyst locations

A

midline of FOM

76
Q

Epidermoid cyst tx

A

surgical removal

77
Q

Lipoma

A

benign fat tumor

skin lesions: trunk and proximal portions of extermities

78
Q

Lipoma locations

A

buccal mucosa
tongue
FOM
lips

79
Q

Lipoma tx

A

surgical excision

Pathology Final (4 decks)

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