30 most common lecture 2

Question 1

what are the variations of a papilloma?

Answer 1

• Squamous papilloma
• Verruca Vulgaris (wart)
• Condyloma Acuminatum (Venereal wart)
• Focal epithelial Hyperplasia (Heck’s disease)
• Sinonasal papillomas

Question 2

What is the difference between verruca vulgaris and a squamous papilloma?

Answer 2

-Verruca vulgaris has a sessile base, its white, and more flat and braod

Question 3

What is Condyloma accuminatum?

Answer 3

-Clinically look like broad flat areas or multiple papillary lesions throughout the mouth (multiple never just one), found in HIV + pts (HPV 16 and 18)

Question 4

If you see something that looks like condyloma accuminatum in a child what are you thinking?

Answer 4

• multi-Focal epithelial hyperplasia (HPV 13 and 32)

- aka Hecks disease

Question 5

What does the flange of an ill-fitting denture cause?

Answer 5

-Epulis fissuratum

Question 6

What is the histologic diagnosis of an epulis fissuratum?

Answer 6

-Focal inflammatory fibrous hyperplasia

Question 7

If a patient doesn’t remove a denture what will you likely find underneath?

Answer 7

-Inflammatory Papillary hyperplasia

Question 8

If you see an ulcer on attached mucosa what are you thinking?

Answer 8

-HSV type 1

Question 9

What is the initial exposure of HSV type 1 called?

Answer 9

-Acute herpetic gingivostomatitis (occurs between 6 months - 5 yrs)