Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Oral Medicine > 30 Most Common Oral Lesions 1-8 > Flashcards

30 Most Common Oral Lesions 1-8 Flashcards

1
Q

the 30 most comon oral lesions make up ___% of all reported lesions

A

93%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • white plaque that does not rub off
  • cannot be identified as any other well known entity
A

leukoplakia

the fact that the lesion starts and stops is more worrisome than if it were one discontinuous lesion; you would want to take multiple incisional biopsies in this case

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

5 white lesions that can be scraped off

A
  • materia alba
  • white coated tongue
  • burn (thermal, chemical, cotton roll, etc.)
  • pseudomembranous candidiasis
  • toothpaste or mouthwash overdose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

can be scraped off

A

materia alba

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

is white coated tongue symptomatic or asymptomatic? what is the treatment?

A
  • asymptomatic
  • treatment is tongue scraping or brushing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • asymptomatic
  • wipes off
A

white coated tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

can be wiped off

history of placing aspirin in this area

A

chemical burn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

history of recent dental work, where cotton rolls were used, wipes off

A

cotton roll burn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

generalized throughout the mouth, history of toothpaste irritation, wipes off

A

toothpaste allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

wipes off

A

candidiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

bilateral on buccal mucosa at occlusal plane, does not wipe off

A
  • linea alba
  • no treatment necessary
  • can be from friction or sucking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

goes away when stretched

A

leukoedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

leukoedema is bilaterally present in what percent of african american patients?

A

70-90%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the treatment for leukoedema?

A

no treatment necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

history of smoking

A

nicotine stomatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do the red spots represent?

A

salivary gland duct openings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

this is bilateral; what is the etiology?

A

oral hairy leukoplakia, etiology is EBV (patients are usually immunocompromised, and this is often seen in HIV patients)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

tobacco pouch keratosis

treatment is to move tobacco pouch to a different location or stop using smokeless tobacco

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

does not wipe off

A

lichen planus

take incisional biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are the four possibilities of a leukoplakia biopsy?

A
  • hyperkeratosis
  • dysplasia (mild, moderate, severe)
  • carcinoma-in-situ
  • squamous cell carcinoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the 3 high risk sites for leukoplakia?

A

floor of mouth > tongue > lip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

A

degree of dysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

severe dysplasia has ___% transformation rate

moderate dysplasia has ___% transformation rate

mild dysplasia has ___% transformation rate

A

16%, 3-15%, <5%

a dx of mild dysplasia does not necessarily warrant excisional biopsy; you can watch it and determine treatment from there

in any case, excision significantly reduces the transformation rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is the average transformation time for leukoplakia?

A

4.3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
torus mandibularis
26
torus palatinus
27
what are some cases where you would recommend removing tori?
* dentures * causing problems * cosmetics/personal preference
28
what percent of the population has torus palatinus? are they more common in males or females? caucasians or african americans?
* 20-35% * 2:1 F:M * C=B
29
what percent of the population has torus mandibularis? more common in males or females? caucasians or african americans? what percent is bilateral?
* 7-10% * M\>F * C=B * 90% bilateral
30
what is kenalog-10 (or kenalog-40) used for?
treats traumatic ulcers
31
when using kenalog-10, how many mg do you need for a 1cm lesion?
in kenalog-10, there is 10mg per 1ml of fluid, so for a 1cm lesion, you'd need 10mg, or 1ml so if the lesion is 3cm, you need 30mg or 3ml kenalog-10
32
when using kenalog-40, how many mg do you need for a 1cm lesion?
in kenalog-40, there is 40mg per 1ml of fluid, so for a 1cm lesion, you'd need 10mg (0.25ml) for a 3cm lesion, you'd need 30mg or 0.75ml of kenalog-40
33
hx of trauma
traumatic ulcer
34
pericornitis operculum - fragment of oral soft tissue that overlies some of the occlusal table
35
how can you test whether this is a periodontal abscess or endo?
use gutta percha to track it
36
fibroma most common location is the buccal mucosa along the occlusal table
37
what is the most common benign neoplasm of the oral cavity? most common locations?
fibroma buccal mucosa \> labial mucosa \> tongue \> gingiva
38
what is the treatment for a fibroma?
surgical excision
39
fibroma
40
fibroma
41
fibroma
42
fordyce granules ectopic sebaceous glands
43
fordyce granules
44
\_\_\_% of the population has fordyce granules
80%
45
what are the most common locations for fordyce granules? what is the treatment?
buccal mucosa \> lips no treatment
46
clinically blanches under pressure
hemangioma
47
what is a hemangioma caused by?
benign proliferation of blood vessels
48
hemangiomas affect \_\_\_% of children
10-12%
49
what is the treatment for hemangioma?
* clinical observation * removal - surgery, laser, embolization * sclerotherapy
50
hemangioma
51
painful, history of recurrence
recurrent apthous ulcer, major
52
recurrent aphthous ulcers affect what percent of the population?
20-25%
53
recurrent aphthous ulcers occur on \_\_keratinized/non-keratinized\_\_ tissues, and on \_\_bound/non-bound\_\_\_ mucosa
non-keratinized, non-bound mucosa
54
recurrent apthout ulcers are usually how large in diameter? how many lesions are usually present?
0.5-1 cm in diameter 1-2 lesions
55
what is the treatment for recurrent aphthous ulcers?
topical steroids
56
what 3 pieces of information do you need to make a successful diagnosis of recurrent aphthous ulcers?
location + size + number of lesions
57
what is the etiology of recurrent aphthous ulcers?
* "different things in different people" * 3 theories - autoimmune, hypersensitivity, and stress
58
what are 7 examples of prescriptions used to treat recurrent aphthous ulcers?
* aphthasol * betamethasone * temovate * decadron * lidex * kenalog * medrol
59
what lesion can have a cauliflower appearance?
squamous papilloma
60
\_\_\_ is a benign proliferation of squamous epithelium
papilloma
61
what locations are squamous papillomas most common on?
tongue \> soft palate
62
are squamous papilloma lesions usually solitary or are there multiple? are they sessile or pedunculated?
they are solitary pedunculated wart-like lesions
63
what is the treatment for squamous papilloma lesions?
surgical excision
64
squamous papilloma
65
squamous papilloma
66
what is the differential for a papillary lesion?
* squamous papilloma * verruca vulgaris (wart) * condyloma acuminatum (venereal wart) * focal epithelial hyperplasia (heck's disease) * verucciform xanthoma * \*sinonasal papilloma is also a variation of a papilloma but would not be included on a differential based on location
67
verruca vulgaris
68
condyloma accuminatum
69
condyloma accuminatum
70
focal epithelial hyperplasia
71
sinonasal papilloma
72
what is the viral etiology for squamous papilloma?
HPV 6 and 11
73
what is the viral etiology for condyloma accuminatum?
HPV 16, 18
74
what is the viral etiology for focal epithelial hyperplasia (heck's disease)?
HPV 13, 32

Oral Medicine (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions