Chapter 12- EO/IO

Question 1

How to prepare for examination?

Answer 1

Review health histories and record.
Examine radiographs (if available)
Explain procedures to be performed

Question 2

What are the methods of examination?

Answer 2

Visual observation, palpation

Question 3

Visual Observation

Answer 3

control and prevention of oral diseases

Question 4

What is Palpation? Different ways?

Answer 4

Examination using the sense of touch through tissue manipulation or pressure on an area with the gloved fingers of one hand or both.
Digital, Bidigital, Bimanual, Bilateral

Question 5

Digital Palpation?

Answer 5

Use of a single finger

Question 6

Difference between Bimanual and Bilateral?

Answer 6

Bimanual is the use of two fingers in the same area.

Bilateral is the use of two hands at the same time

Question 7

Ventral side of tongue? Dorsal side of tongue?

Answer 7

Ventral is underneath. Dorsal is top.

Question 8

Document findings

Answer 8

Size, boarder, type, color, consistency (Hard, firm, spongy), location

Question 9

Single lesion?

Answer 9

One lesion of a particular type with a distinct margin

Question 10

Localized location of lesion?

Answer 10

Lesion limited to a small focal area

Question 11

Generalized location of lesion?

Answer 11

Involves most of an area or segment

Question 12

Multiple lesions?

Answer 12

More than one of a particular type.

Question 13

Bidigital palpation?

Answer 13

Use of finger and thumb of the same hand

Question 14

Blisterform lesion (elevated lesions)?

Answer 14

Lesions that contain fluid and are usually soft and translucent.

Question 15

Vesicle lesion (type of blisterform)?

Answer 15

small (1cm or less), w/ thin surface covering. May contain serum and appear white.

Question 16

Pusule lesion (type of blisterform)?

Answer 16

more of less than 5mm in diameter. It contains pus. Pus gives it yellowish color.

Question 17

Bulla lesion (type of blisterform)?

Answer 17

A bulla is large (more than 1cm). Filled with fluid, usually mucin or serum, but may contain blood. Color depends on fluid content.

Question 18

Nonblisterform lesions (elevated lesion)?

Answer 18

Lesions that are solid and do not contain fluid.

Question 19

Papule lesion (type of nonblisterform)?

Answer 19

A papule is a small, solid lesion that may be pointed, rounded, or flat topped.

Question 20

Nodule lesion (type of nonblisterform)?

Answer 20

A nodule is larger than a papule (greater than 5mm, but less than 2cm)

Question 21

Tumor lesion (type of nonblisterform)?

Answer 21

A tumor is 2cm or greater in width. This term means a general swelling or enlargement . Either benign or malignant.

Question 22

Plaque lesion (type of nonblisterform)?

Answer 22

A plaque is a slightly raised lesion with a broad, flat top. It is usually larger than 5mm in diameter, w/a “pasted on” apperance

Question 23

Sessile lesion?

Answer 23

Has a base as wide as the lesion itself

Question 24

Pedunculated lesion?

Answer 24

Is attatched by a narrow stalk or pedicle

Question 25

Flat Lesions?

Answer 25

On the same level as the normal skin or oral mucosa.

May occur as single or multiple lesions and have a regular or irregular form.

Question 26

Ulcer (depressed lesion)?

Answer 26

Most depressed lesions are ulcers and represent a loss of continuity of the epithelium. The center is often gray to yellow, surrounded by a red border. An ulcer may result from the rupture of an elevated lesion (vesicle, pustule, or bulla).

Question 27

Erosion lesion (depressed lesion)?

Answer 27

An erosion is a shallow, depressed lesion that does not extend through the epithelium to the underlying tissue.

Question 28

Classes from Pathology Lab Report?

Answer 28

Class I: Normal
Class II: Atypical, but not suggestive of malignant cells
Class III: Uncertain (possible for cancer)
Class IV: Probable for cancer
Class V: Positive for cancer

Question 29

What is a biopsy?

Answer 29

Biopsy is the removal and microscopic examination of a section of tissue or other material from the body for the purposes of diagnosis.

Question 30

A biopsy is required for which classes indicated by a pathologist from a cytology smear?

Answer 30

Class III through Class V

Question 31

The current concept of patient care is that the total patient is being treated, not only the oral cavity, and particularly not only the teeth and their immediately surrounding tissues.

Answer 31

True.

Question 32

Define crust

Answer 32

An outer layer, covering, or scab that may have formed from coagulation or drying of blood, serum, or pus, or a combination. A crust may form after a vesicle breaks

Question 33

Define Erythema

Answer 33

Red area of variable size and shape

Question 34

Define Exophytic

Answer 34

Growing outward.

Question 35

Define Indurated

Answer 35

Hardened

Question 36

Define Papillary

Answer 36

Resembling a small, nipple- shaped projection or elevation

Question 37

Define Petechiae

Answer 37

Minute hemorrhagic spots of pinhead to pinpoint size

Question 38

Define Pseudomembrane

Answer 38

A loose membranous layer of exudate containing organisms, precipitated fibrin, necrotic cells, and inflammatory cells produced during an inflammatory reaction on the surface of a tissue

Question 39

Define Polyp

Answer 39

Any mass of tissue that projects outward or upward from the normal surface level

Question 40

Define Puncate

Answer 40

Marked with points or dots differentiated from the surrounding surface by color, elevation, or texture

Question 41

Define Torus

Answer 41

Bony elevation or prominence usually found on the midline of the hard palate (torus palatinus) and the lingual surface of the mandible (torus mandibulars) in the premolar area

Question 42

Define Verrucous (verrucose)

Answer 42

Rough, wartlike