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Oral Medicine! > 30 Most Common w/ Pictures > Flashcards

30 Most Common w/ Pictures Flashcards

1
Q

Dx

A

Leukoplakia

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2
Q

Dx and first step of tx?

A

leukoplakia, and take a biopsy. When in doubt, cut it out!

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3
Q

Pt lets medication sit in their mouth. Dx?

A

aspirin burn. tell pt to stop letting it sit there.

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4
Q

Pt switched toothpastes. Dx?

A

Toothpaste allergy. Tell them to use a different toothpaste.

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5
Q

Black pt and the coloring disappears upon stretching. Dx?

A

Leukoedema. No tx necessary.

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6
Q

Pt smokes. Dx?

A

Nicotine stomatitis.

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7
Q

Dx?

A

Palatal tori

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8
Q

Dx and tx?

A

Mandibular tori. No tx unless necessary. Ostectomy would be done.

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9
Q

Pt remembers trauma to the area. Dx and tx?

A

Dx: traumatic ulcer

Tx: inject 10mg/cm of Kenalog-10 (10mg/ml) or Kenalog-40 (40mg/ml) into the lesion

*remember for a 1x1cm lesion that would be 1ml of kenalog-10 and 0.25ml of kenalog-40

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10
Q

Dx and topical tx?

A

Dx: traumatic ulcer

Rx: Clobetasol propionate 0.05% gel (Temovate)

Disp 15g tube

Sig: dry affected area and apply thin amount BID-TID

Refills: 1

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11
Q

Dx and Tx?

A

Pericoronitis, gingivectomy for tx or possible extraction if on a third molar

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12
Q

Dx?

A

Parulis

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13
Q

Dx?

A

acute necrotizing ulcerative gingivitis (ANUG)

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14
Q

Dx?

A

Fibroma

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15
Q

Dx and tx?

A

Fibroma, and surgical excision for tx

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16
Q

Dx?

A

Fibroma

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17
Q

Dx and tx?

A

Fordyce granules. No tx, just educate the pt about them.

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18
Q

Dx?

A

hemangioma

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19
Q

Dx and Tx?

A

Hemangioma. Tx options: do nothing and watch, excision, sclerotherapy

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20
Q

Dx?

A

Aphthous ulcer

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21
Q

Dx and topical Rx?

A

Dx: aphthous ulcers

Rx: Clobetasol propionate .05% gel

Disp: #1 15g (or 30g) tube

Sig: dry area and apply thin amount, bid-tid

Refills: 0

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22
Q

Dx and rinse Rx?

A

Dx: recurrent aphthous ulcer

Rx: Dexamethasone elixir 0.5mg/5ml (Decadron)

Disp: 240ml bottle

Sig: rinse w/ 1 tsp. for 3-4 min after meals and at bedtime and expectorate

Refills: 3

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23
Q

Dx and OTC (over the counter) tx?

A

Dx: RAU

OTC Tx: canker cover

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24
Q

Dx and tx?

A

Papilloma, surgical excision

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25
Q

Dx?

A

Papilloma

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26
Q

What type of papilloma?

A

verrucous vulgaris

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27
Q

Type of papilloma?

A

condyloma accuminatum

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28
Q

Type of papilloma?

A

focal epithelial hyperplasia

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29
Q

Type of papilloma?

A

sinonasal papilloma

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30
Q

Dx and Tx?

A

Epulis fissuratum. No tx unless neccessary - surgical excision.

31
Q

Dx and tx?

A

Lingual varices. No tx - just educate the pt.

32
Q

Dx?

A

Fissured tongue

33
Q

Dx and tx?

A

Dx: geographic and fissured tongue

Tx: Keep the fissures clean and avoid foods that make the geographic tongue hurt/burn. Educate the pt.

34
Q

Dx?

A

geographic tongue (aka benign migratory glossitis)

35
Q

Also, present on the tongue. Dx?

A

benign migratory glossitis

36
Q

Dx and tx?

A

Papillary hyperplasia. If tx is necessary, surgical excision of hyperplasia and reline/rebase denture

37
Q

Dx and tablet Rx?

A

Dx: oral herpes

Rx: Valacyclovir 500mg (Valtrex)

Disp: #28 tabs

Sig: take 2 tabs bid

Refills: 3

38
Q

Dx, topical tx, and possible prophylaxis?

A

Dx: herpes

Prophylaxis: L-Lysine 500mg tabs, 1 tab daily

Rx: Acyclovir 5% ointment

Disp: 15g tube

Sig: apply 5x daily with fingercot at the first symptom

refills: 1

39
Q

Dx?

A

mucocele

40
Q

Dx and tx?

A

Mucocele. Surgical excision with associated gland.

41
Q

Dx?

A

Just scar tissue. No tx.

42
Q

Dx and tx?

A

Dx: Angular cheilitis

Tx: increase vertical dimension

Rx: antifungal (and maybe a steroid)

43
Q

What combination drug could you prescribe for angular cheilitis?

A

Mycolog II ointment (Triamcinolone 0.1% and Nystatin 100,000 unit/g)

Disp 15g tube

Sig: apply tid until healing occurs

44
Q

What lozenge could you prescribe for angular cheilitis?

A

Clotrimazole troche 10mg (Mycelex)

Disp #50

Sig: dissolve 1 troche in mouth 5 times per day

45
Q

What antifungal mouth rinse could you prescribe?

A

Nystatin oral suspension (Mycostatin) 100,000 unit/ml

Disp 240 ml

Sig: rinse with 1-2 tsp for 2 min and expectorate. (swallow if affecting oropharynx)

46
Q

Dx and tx?

A

Dx: pseudomembranous candidiasis

Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml

Disp 240 ml

Sig: rinse 1-2 tsp for 2 min and expectorate, 5 times per day

47
Q

Dx?

A

Lingual tonsil. No tx, just educate pt.

48
Q

Doesn’t blanch upon pressure. Dx and tx?

A

Hematoma. No tx.

49
Q

Dx?

A

Tobacco pouch keratosis

50
Q

Dx and tx?

A

Dx: tobacco pouch keratosis

Tx: Quit dipping or place dip in another spot for 2+ weeks. Follow up with pt to see if keratosis has gone away - if not then consider a biopsy.

51
Q

What can tobacco pouch keratosis possibly turn into?

A

Verrucous carcinoma

52
Q

Dx?

A

Morsicatio buccarum

53
Q

Dx and tx?

A

Dx: Chronic cheek chewing (aka morsicatio buccarum)

Tx: maybe make a mouth guard if pt can’t help from biting their cheek

54
Q

Dx?

A

Morsicatio linguarum

55
Q

Dx?

A

reticular Lichen Planus

56
Q

Dx and tx?

A

Dx: reticular lichen planus

Rx: Dexamethasone elixir (Decadron) 0.5mg/5ml

Disp 12-16 oz. bottle

Sig: rinse 1 tsp for 2 min bid-qid and expectorate

57
Q

Dx and ointment Rx?

A

Dx: reticular lichen planus

Rx: Clobetasol propionate (Temovate) 0.05% gel

Disp 15g (or choose 30g) tube

Sig: dry affected area and apply thin amount BID-TID

58
Q

Dx and ointment Rx? (other than clobetasol)

A

Dx: reticular lichen planus

Rx: Fluocinonide (Lidex) 0.05% gel

Disp 15g (or choose 30g) tube

Sig: dry and apply TID-QID

59
Q

Dx?

A

erosive lichen planus

60
Q

Dx?

A

erosive lichen planus

61
Q

Dx?

A

buccal exostoses

62
Q

Dx?

A

amalgam tattoo

63
Q

Dx and tx?

A

Amalgam tattoo. No tx.

64
Q

Dx?

A

oral melanotic macule

65
Q

Dx and tx?

A

Oral melanotic macule. No tx. If it can’t be confirmed as this dx then take a biopsy.

66
Q

Dx?

A

median rhomboid glossitis

67
Q

Dx and tx?

A

Dx: median rhomboid glossitis

Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml

Disp 240 ml

Sig: rinse 1-2 tsp for 2 min and expectorate

68
Q

Dx and tx?

A

Black hairy tongue. Remove extra keratin from tongue and educate pt.

69
Q

Dx and etiology?

A

Smooth red tongue. Can be caused by pernicious anemia, medications or avitaminosis.

70
Q

Dx and tx?

A

Smooth red tongue. Treat underlying cause/condition.

71
Q

Dx?

A

Epidermoid cyst

72
Q

Dx?

A

Epidermoid cyst.

73
Q

Dx and tx?

A

Lipoma

74
Q

Dx and tx?

A

Lipoma. Surgical excision necessary.

Oral Medicine! (7 decks)

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