30 most common

Question 1

what is a leukoplakia?

Answer 1

an intraoral white plaque that does not rub off and can not be identified as any well known entity

Question 2

what are 5 white lesions that can be rubbed off?

Answer 2

Materia alba
white coated tongue
Burn
Pseudomembranous candidiasis
toothpaste or mouthwash overdose

Question 3

what patient’s typically have materia alba?

Answer 3

patients with xerostomia or drug users

Question 4

what is the treatment for white coated tongue?

Answer 4

it is asymptomatic

tx: tongue scraping or brushing

Question 5

Describe leukoedema

Answer 5

bilaterally present in 70-90% of blacks
Diffuse, grayish, white milky opalescent appearance
no tx necessary

Question 6

describe nicotine stomatitis

Answer 6

looks like dry mud with red dots

Question 7

what virus is oral hairy leukoplakia causes by?

Answer 7

EBV in immunosuppressed patients

Question 8

What is lichen planus and what is characteristic about it’s histology?

Answer 8

immune rxn resulting in whickham stria

histology: sawtooth shaped rete pegs

Question 9

what are the different types of leukoplakia?

Answer 9

hyperkeratosis
dysplasia (mild, moderate, severe and
carinoma-in-situ)

Question 10

what are the three most common sites for leukoplakia?

Answer 10

floor of mouth
tongue
lip

Question 11

severe dysplasia results in malignant transformation what percent of the time?

Answer 11

16% (7-50%)

Question 12

moderate dysplasia results in malignant transformation what percent of the time?

Answer 12

3-15%

Question 13

mild dysplasia results in malignant transformation what percent of the time?

Answer 13

less than 5%

Question 14

what percent of the population have torus palatinus?

Answer 14

20-35%

2:1 F:M

Question 15

What percent of the population have torus mandibularis?

Answer 15

7-10%
M>F
90% bilateral

Question 16

when do we remove tori?

Answer 16

for dentures
if they cause pain
if patient wants them out

Question 17

what does TUGSE stand for? and what is the tx

Answer 17

Traumatic Ulceration with Granular stromal eosinophilia

-cut it out or steroid injection with kenalog

Question 18

Kenalog-10 has how many mg per mL?

Answer 18

10mg/mL

Question 19

Kenalog-40 has how many mg per mL?

Answer 19

40mg/mL

Question 20

how many mg per cm of lesion?

Answer 20

10mg per 1cm lesion

Question 21

what is a piece of gingiva that overlays a tooth?

Answer 21

operculum

Question 22

what is pericornitis?

Answer 22

inflamed gingiva surrounding an erupting tooth

Question 23

list four common inflammation or irritations we see in the mouth?

Answer 23

Traumatic ulcer
pericornitits
periodontal abscess
ANUG

Question 24

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

Answer 24

Fibroma

Question 25

what are the common locations for fibromas?

Answer 25

buccal mucosa (most common)
labial mucosa
tongue
gingiva (least common)

Question 26

what is tx for fibromas?

Answer 26

surgical excision

Question 27

are fibromas sessile or pedunculated?

Answer 27

sessile

Question 28

what are fordyce’s granules?

Answer 28

ectopic sebacous glands

Question 29

what percent of the population have fordyce’s granules?

Answer 29

80%

Question 30

what do fordyce granules look like and where do they occur and what is the treatment?

Answer 30

yellowish white papules
buccal mucosa more than lips
no treatment

Question 31

what is a hemangioma?

Answer 31

benign proliferation of blood vessels

Question 32

what is dioscopy and what is it used for?

Answer 32

pressure on an area used to dx hemangiomas

Question 33

what is tx for hemangiomas?

Answer 33

surgery, laser, embolization, sclerotherapy

Question 34

where do recurrent aphthous ulcerations occur?

Answer 34

non-keratinized tissue, non-bound down mucosa

tx: topical steroids

Question 35

what three things are need to diagnosis RAUs

Answer 35

location
size
number or lesions

Question 36

what do papaillomas look like?

Answer 36

finger like projections

solitary pedunculated wart-like on the (tongue> soft palate)

Question 37

what HPV causes papillomas?

Answer 37

6 and 11

Question 38

what are the four types of papillomas?

Answer 38

verruca vulgaris (wart)
condyloma acuminatum (venereal wart)
Focal Epithelial Hyperplasia (Heck’s disease)
Sinonasal papillomas