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OMOPOR > Approach to oral diagnosis and Clinical documentation > Flashcards

Approach to oral diagnosis and Clinical documentation Flashcards

1
Q

What is the definition of a sessile lesion?

A

An exophytic lesion that is firmly attached to the mucosa by a broad base

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2
Q

Which of the following is the definition of indurated?

A

Firm upon palpitation in tissue that would normally be soft

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3
Q

Which of the following is the definition of a bulla?

A

A fluid-filled blister >0.5cm in diameter

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4
Q

What is a vesicle?

A

Fluid- filled blister <0.5mm in diameter

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5
Q

Which of the following is true?

A) A vesicle is a well-defined elevated lesion <0.5cm in diameter
B) A nodule is a solid mass visible or palpable within or underneath the mucosa
C) A vesicle is a fluid-filled blister <0.5cm in diameter
D) A macule is a well-defined elevated lesion >0.5cm in diameter on skin or mucosal surface

A

B & C

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6
Q

Which of the following best describes erosion?

A

Partial loss of epithelium that is secondary to inflammation

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7
Q

Which of the following tests are frequently used for histopathology?

A

Immunofluorescence

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8
Q

Which of the following options accurately describe an indurated lesion?

A

A lesion that is firm upon palpation in tissue that would normally be soft.

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9
Q

When diagnosing a patient, we use a surgical sieve to prevent missing out possibilities in our differential diagnosis. A recommended surgical sieve is NIRDS, which option is wrongly represented?

A) N, Neoplastic
B) I, Iatrogenic
C) R, Reactive
D) S, Systemic

A

B

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10
Q

What is the term for a fluid filled blister <0.5cm in diameter?

A

Vesicle

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11
Q

A patient present in your clinic with a lesion that feels firm upon palpation on his cheek. How can you describe this lesion?

A

Indurated

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12
Q

Which model of the below is best used to assess a patient’s pain level?

A

SOCRATES

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13
Q

Which of the following statements is true?

A) Atrophy is characterised by thickening of the epithelial layer
B) Leukoplakia is a histologic diagnosis, not a clinical description
C) Sessile lesions are firmly attached to the mucosa by a broad base
D) Vesicles are fluid-filled blisters of more than 1cm in diameter

A

C

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14
Q

Which of the following is correctly defined?

A) Erosion is the loss of epithelium presenting with a yellow or whitish gray pseudomembrane
B) Macule is a well defined raised with color or texture change
C) Papule is a well defined flat lesion less than 0.5mm in diameter
D) Sessile is an exophytic lesion firmly attached to the mucosa with a broad base

A

D

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15
Q

What are the 5 guiding categories for coming up with differential diagnosis?

A

Neoplastic, Infectious, Reactive, Developmental, Systemic

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16
Q

Which of the following describes a macule?

A

A well defined flat lesion with colour or texture changes

17
Q

Describing intra-oral lesions requires accuracy, so as to minimise miscommunications between different care providers. Which of the following is an accurate descriptor to the respective types of lesion?

A) Bulla- a fluid-filled blister <0.5cm in diameter
B) Induration - a lesion that is firm upon palpation in tissue that would normally be soft
C) Leukoplakia - a white lesion that rubs away when scrapped
D) Macule - a well-defined elevated lesion with colour or texture changes

A

B

18
Q

What is the difference between erosion and an ulcer?

A

Erosion is a loss of partial thickness of epithelium while ulcer is a loss of full thickness of epithelium.

19
Q

Define induration.

A

Firm upon palpation in tissue that would normally be soft

20
Q

A bulla is defined as a fluid-filled blister ___ in diameter

A

> 0.5cm

21
Q

Vesicles and bullae are both types of fluid-filled blisters. What is the key difference between them?

A

Size

22
Q

Which of the following is a solid mass visible or palpable within or underneath the mucosa?

A

Nodule

23
Q

Which of the following demonstrates a correct definition?

A) Erosion: redness of mucosa
B) Plaque: a well-defined elevated lesion >0.5cm on skin or mucosal surface
C) Ulcer: a fluid-filled blister <0.5cm in diameter
D) Nodule: a well-defined elevated lesion < 0.5cm in diameter

A

B

24
Q

Which is the correct formula for ‘pack years’?

A

(No. of packs/day) x (No. of years smoked)

25
Q

Which of the following is NOT considered a form of character of Pain?

A) Lingering
B) Numb
C) Sharp
D) Exacerbating

A

D

26
Q

Which of the following statements is most applicable for a verrucous lesion?

A) An area of papillary and deeply folded epithelial changes
B) A solid mass visible or palpable within or underneath the mucosa
C) A well-defined elevated lesion <0.5cm in diameter
D) Loss of epithelium, typically presenting with a yellow or whitish-brown pseudomembrane

A

A

27
Q

Which describes induration correctly?

A

Firm upon palpation in tissue that would normally be soft

28
Q

How should a clinician know which investigations to order?

A) Based on the differential diagnosis
B) Based on the operator’s preference
C) Based on the patient’s medical history
D) Based on the patient’s preference

A

A

29
Q

Which of the following is false?

A) Bulla is a fluid filled blister >0.5cm in diameter
B) Macule is a well-defined flat lesion with color or texture changes
C) Papule is a well-defined elevated lesion <0.5cm in diameter
D) Sessile is an exophytic lesion attached to mucosa by a thinner stalk

A

D

30
Q

Which of the following is not a feature of lymph nodes that we usually take note of during clinical examinations?

A) Mobility
B) Size
C) Shape
D) Texture
E) Tenderness

A

C

31
Q

Which of the following tests are frequently used for histopathology?

A) Immunofluorescence
B) Molecular techniques
C) Polymerase Chain Reaction (PCR)
D) Western Blot test

A

A

32
Q

A well-defined elevated lesion <0.5cm in diameter. Which of the following terms fits this definition?

A

Papule

33
Q

Which of the following describes the clinical findings of Verrucous?

A

A papillary and deeply folded epithelial changes that appear wart-like

34
Q

Which of the following statements describe a macule?

A

A well-defined flat lesion with color or texture changes

35
Q

Which of the following best describes an ulcer:

A

Loss of epithelium, typically presenting with a yellow or whitish-gray pseudomembrane

36
Q

Which of the following is not as important to ask the patients before deriving a differential diagnosis?

A) Medical history and drug allergies
B) Family and social history
C) Willingness to undergo treatment
D) Pain history

A

C

37
Q

Which of the following definitions are incorrect?

A) Ulcer refers to a loss/destruction of epithelium extending throughout the full thickness of epithelium.
B) Macule is a flat circumscribed lesion showing change in colour without change in consistency.
C) Erosion refers to a loss of superficial epithelial layers not extending throughout the full thickness of the epithelium.
D) A vesicle is a fluid filled blister >0.5cm in diameter

A

D

OMOPOR (17 decks)

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