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MD > Clin Med-heent > Flashcards

Clin Med-heent Flashcards

1
Q

Smaller and more widely spaced than normal and notched on their biting surface
Sides of the teeth tapered toward the biting edges.
Upper central incisors permanent most often affected

A

Hutchinson’s teeth in congenital syphilis

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2
Q

Red purple papules form in the gingival interdental papillae and sometimes on the fingers
Red and soft painless, and bleed easily
Occur in 1-5% pregnancies
Regress after delivery

A

Pregnancy tumor (pregnancy epulis/pyogenic granuloma)

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3
Q

Gums enlarged by hyperplasia are swollen into heaped up masses that may even cover the teeth.

A

Gingival hyperplasia

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4
Q

A process that ccur in elderly and

Chewing surfaces of the teeth are worn down by repetitive use so that yellow brown dentin be exposed

A

Attrition of teeth

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5
Q 
Uncommon form of gingivitis occurs suddenly in adolescents and young adults 
Ulcers develop in interdental papillae 
Presence of grayish pseudomembrane 
Red painful gums bleed easily
Vincent's infection
A

Acute necrotizing ulcerative gingivitis

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6
Q

Common in teens and young adults
Red and swollen and interdental papillae are blunted
Plaque can cause this

A

Marginal gingivitis

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7
Q

Thickened white patch, persistent painless in oral mucosa, undersurface of the tongue.
Benign reactive process

A

Leukoplakia

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8
Q

Small red spots caused by blood that escapes from capillaries into the tissues
Caused by accidentally biting the cheek

A

Petechiae

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9
Q

Early sign of measles (rubeola).
White specks like grains of salt
Appear on buccal mucosa near 1st and 2nd molar

A

Koplik’s spots

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10
Q

Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or on the lips

A

Fordyce spots (fordyce granules)

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11
Q

Midline bony growth in the hard palate common in adults

Harmless, size and lobulation vary

A

Torus palatinus

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12
Q

Deep purple color with low grade vascular tumor assoc. with HV 8
Raised or flat

A

Kaposi’s sarcoma in aids

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13
Q

Yeast infection from candida species.
Thick white plaques in the mouth
Due to prolonged tx w/ antibiotics or corticosteroids and AIDS

A

Thrush on the palate

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14
Q

Acute infection caused by corynebacterium rare but impt

Throat is dull, red and gray exudate present on uvula, pharynx and tongue

A

Diphtheria

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15
Q

Red throat has white exudate on the tonsils
With fever and and enlarged cervical nodes
By gr A strepto infection

A

Exudative tonsilitis

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16
Q

Normal tonsils large but not infected esp in children
Protrude medially beyond pillars and even to midline
Color is pink

A

Large normal tonsils

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17
Q

Affects lower lip
Appear as scaly plaque, an ulcer with or without crust
Caused by Prolonged exposure to sun

A

Carcinoma of the lip

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18
Q

May resemble a carcinoma or crusted cold sore
Ulcerated papule w/indurated edge
From treponema pallidum
Painless, npnsuppurative and heal in 3-6 weeks

A

Chancre of primary syphilis

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19
Q

Small pgmented brown spots in dermal layer of lips, buccal mucosa
Autosomal dominant syndrome

A

Peutz-jeghers syndrome

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20
Q

Mutiple small red spots on the lips
Autosomal dominant endothelial disorder causing vascular fragility and AVMs
Nosebleed, GIT bleeding iron deficiency anemia are common

A

Hereditary hemorrhagic telangiectasia (osler weber rendu syndrome)

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21
Q

Localized subcutaneous or submucosal swelling caused by leakage of intravascular fluid into interstitial space
Benign and resolve within 24-48 hours

A

Angioedema

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22
Q

Recurrent and painful vesicular eruptions of lips and surrounding skin
Presence of small cluster of vesicles

A

Herpes simplex (cold sore, fever blister)

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23
Q

Excessive exposure to sunlight And affects primarily lower lip
Lips lose its redness and become scaly, thickened and slightly everted

A

Actinic cheilitis

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24
Q

Softening of skin at the angles of mouth followed by fissuring
Due to nutritional def or overclosure of the mouth

A

Angular cheilitis

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25
Q

Painful hemorrhage vesicles in tympanic membrane, ear canal or both
Earache, blood tinged discharge and conductive hearing loss
Caused by mycoplasma, viral and otitis media

A

Bullous myringitis

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26
Q

Caused by s. Pneumoniae
Eardrum reddens, loses its landmark and bulges laterally
Conductive hearing loss

A

Acute otitis media with purulent effusion

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27
Q

Caused by viral upper respiratory infections or sudden change in atmospheric pressure
Eustachian tibe cannot equalize pressure in middle and outside ear
Amber fluid in eardrum

A

Serous effusion

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28
Q

Large chalky white patch with irregular margins
Depositionof hyaline material within the layer of tympanic membrane
Healed perforation and signs of retracted drum

A

Tympanosclerosis

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29
Q

Holes in th eardrum from purulent infections of the middle ear.
With central and marginal types.

A

Perforation of the drum

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30
Q

Features of normal eardrum

A

Color pinkish gray
Malleus lies behind the upper part of the drum
Above short process lies the pars flaccida
Remainder of the drum is pars tensa
From umbo, bright cone of light

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31
Q

One of th most common symptoms in clinical practice

A

Headache

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32
Q

Most common type of headache, occurring to 70% of patients

A

Migraine

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33
Q

Enumerate primary headache

A

Migraine, cluster, tension, chronic daily headaches

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34
Q

Thunderclap headache reaching maximal intensity over several minutes

A

Subarachnoid hemorrhage

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35
Q

Preceded by sentinel leak headache from vascular leak into subarachnoid space

A

Subarachnoid hemorrhage

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36
Q

Most important attributes of headache

A

Severity and chronological pattern

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37
Q

What type of headache is considered if severe and sudden onset

A

Subarachnoid hemorrhage or meningitis

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38
Q

Type/s of headache that is/are episodic and tend to peak over several hours

A

Migraine and tension headache

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39
Q

New and persisting, progressively severe headaches

A

Tumor, abscess or mass lesion

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40
Q

Unilateral headache can be seen in?

A

Migraine and cluster headache

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41
Q

Headache arise from temporal areas

A

Tension headache

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42
Q

Headache Arises from retroorbital area/ behind your eyes

A

Cluster headache

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43
Q

Symptoms common in migraine

A

Nausea and vomiting

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44
Q

True or False. Vomiting and nausea are also common in brain tumor and subarachnoid hemorrhage.

A

True

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45
Q

True or false. Approx 60-70% of patients with cluster headache have a symptom of prodrome prior to onset. (Prodrome: euphoria, craving for food, fatigue, dizziness)

A

False. Should be migraine

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46
Q

T/F. Genetic inheritance appears to be not present in patients with migraine.

A

False

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47
Q

Difficulty looking with near/close objects

A

Hyperopia (farsighted)

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48
Q

Aging vision

A

Presbyopia

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49
Q

Difficulty in looking far objects

A

Myopia (nearsighted)

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50
Q

Sudden unilateral visual loss that is painless

A

Vitreous hemorrhage from diabetes or trauma, macular degeneration, retinal detachment, retinal vein occlusion or central artery occlusion

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51
Q

If painful sudden unilateral visual loss causes are

A

Cornea and anterior chamber in corneal ulcer, uveitis,traumatic hyphema and acute glaucoma, optic neuritis from MS

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52
Q

Bilateral and painless medication that change refraction

A

Cholinergic, anticholinergic and steroids

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53
Q

If bilateral and painful that change refraction

A

Chemical or radiation exposures

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54
Q

Onset of bilateral visual loss gradual?

A

From cataracts or macualr degeneratio

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55
Q

Presence of slow central loss

A

Nuclear cataract and macular degeneration

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56
Q

Peripheral loss of vision seen in?

A

Advanced open angle glaucoma

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57
Q

One sided loss of vision seen in?

A

Hemianopsia and quandrantic defects

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58
Q

Moving specks or strands in the vision can be seen in?

A

Vitreous floaters

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59
Q

Called as fixed defects or scotomas have lesion on

A

Retina or visual pathways

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60
Q

Presence of flashing lights or new vitreous floaters

A

Detachment of vitreous from retina

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61
Q

Seen in lesions in the brainstem or cerebellum or weakness of EOM

A

Diplopia

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62
Q

Lesion from palsy of cranial nerve 3 or 6

A

Horizontal diplopia

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63
Q

Lesion from palsy of CN 3 or 4

A

Vertical diplopia

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64
Q

Diplopia (double vision) in one eye, with the other closed there is a problem in?

A

Cornea or lens

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65
Q

Hearing loss may be due to what factors?

A

Congenital, from single mutations

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66
Q

Hearing impairment that have trouble in understanding speech , often complaining thats others mumble , noisy envts make hearing worse

A

Sensorineural loss

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67
Q

Hearing impairment that noisy envts may help

A

Conductive hearing loss

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68
Q

Conductive hearing loss problems in?

A

External or middle ear

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69
Q

Sensorineural loss problems in?

A

Inner ear, cochlear nerve

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70
Q

Medications that affect hearing are:

A

Aminoglycosides, aspirin, NSAIDS, quinine and furosemide

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71
Q

What part of the ear that usually pain occur?

A

External canal in otitis externa and if respiratory infection in otitis media

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72
Q

Features of acute or chronic otitis media

A

Presence of unusual soft wax, debris from inflammation, or rash in ear canal

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73
Q

A perceived sound, that has no external stimulus commonly a musical ringing or rushing or roaring noise, in one or both ears

A

Tinnitus

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74
Q

Common complaints in the ear

A

Earache

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75
Q

May accompany hearing loss, increasing frequency with age.

A

Tinnitus

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76
Q

Associated with hearing loss and vertigo seen in

A

Meniere’s disease

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77
Q

Refers to the Perception that the patient or envt is rotating or spinning

A

Vertigo

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78
Q

Vertigo problem in what part of the ear?

A

Labyrinths of the inner ear, peripheral lesions of CN 8 or central pathway lesions

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79
Q

Sensation of true rotational movement of the patient or the surroundings

A

Vertigo

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80
Q

Condition that you feel to fall or pass out

A

Presyncope

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81
Q

Condition of feeling unsteady or losing balance

A

Disequilibrium

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82
Q

Refers to drainage from the nose, and often associated with nasal congestion ( sense of stuffiness or obstruction)

A

Rhinorrhea

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83
Q

Nasal congestion causes

A

Viral infections, allergic rhinitis(hay fever) and vasomotor rhinitis

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84
Q

Seasonal onset or envtal triggers

A

Allergic rhinitis

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85
Q

Excessive use of decongestants or use of cocaine

A

Drug-induced sinusitis

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86
Q

Drugs that may induce stuffiness

A

Oral contraceptives, reserpine, guanethidine, alcohol, cocaine

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87
Q

T/F. Acute bacterial sinusitis is unlikely viral URI symptoms persist more than 7 days. Both purulent drainage and facial pain are present

A

True

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88
Q

Called Bleeding from nasal passages

A

Epistaxis

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89
Q

Origin of the bleeding nose

A

Paranasal sinuses or nasopharynx

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90
Q

Local causes of epistaxis

A

Trauma (nose picking), inflammation, drying

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91
Q

Patient coughed up or vomited blood

A

Hematemesis and hemoptysis

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92
Q

Medication that can cause epistaxis

A

NSAIDS, anticoagulants

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93
Q

A frequent complaint,usually associated with acute URI.

A

Sorethroat or pharyngitis

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94
Q

Most often caused by gingivitis

A

Bleeding gums

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95
Q

Refers to change in voice quality, described as husky,rough, harsh, lower pitched than usual

A

Hoarseness

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96
Q

Causes of acute hoarseness

A

Voice overuse

Acute viral laryngitis

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97
Q

Enlarged lymph nodes commonly accompany what condition

A

Pharyngitis

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98
Q

Condition that has cold intolerance, preference for warm clothing and many blankets and sweating is decrease

A

Hypothyroidism

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99
Q

Palpations, heat intolerance, weight loss seen in?

A

Hyperthyroidism

100
Q

Fine hair is seen in what condition? How about coarse hair?

A

Fine- hyperthyroidism

Course- hypothyroidism

101
Q

Presence of redness and scaling on the scalp

A

Seborrheic dermatitis, or psoriasis

102
Q

Excessive facial hair occurs in some women with polycystic ovarian syndrome

A

Hirsutism

103
Q

Shining onto the retina causes pupillary constriction in both that eyes

A

Direct reaction

104
Q

Shining onto the retina causes pupillary constriction in the opposite eye is called

A

Consensual reaction

105
Q

What does vision 20/200 means?

A

At 20 feet the patient can read the print that a person with normal vision could read at 200 feet.
Remember: the larger the second number, the worse the vision.

106
Q

What does 20/40 corrected means?

A

Patient could read the 40 line with glasses

107
Q

Impaired far vision

A

Myopia

108
Q

Measurement for snellen chart

A

20 inches away

109
Q

Impaired near vision found in middle aged and older people

A

Presbyopia

110
Q

Sees better when the card is farther away

A

Presbyopia

111
Q

Legally blind means

A

When vision in better eye , corrected by eyeglasses is 20/200 or less

112
Q

Technique for early detection of lesions in anterior and posterior visual pathway

A

Confrontation testing

113
Q

Causes of anterior pathway defects

A

Glaucoma, optic neuropathy, optic neuritis, glioma

114
Q

Posterior pathway defects causes

A

Stroke and chiasmak tumors

115
Q

Patient’s left eye repeatedly does not see your fingers until they have crossed the line of gaze

A

Left temporal hemianopsia

116
Q

Temporal defect in visual field of one eye suggest that

A

Nasal defect in the other

117
Q

Enalrged blind spot occurs in the ff conditions:

A

Glaucoma, optic neuritis, and papilledema

118
Q

Red inflamed lid margins often with crusting

A

Blepharitis

119
Q

Yellow sclera indication

A

Jaundice

120
Q

Sudden increase in IOP when drainage of aqueous humor is blocked

A

Acute-narrow angle glaucoma

121
Q

Common form, with normal spatial relation bet iris and cornea is preserved and iris is fully lit

A

Open angle glaucoma

122
Q

A fine rhythmic oscillation of the eyes

A

Nystagmus

123
Q

Eyes move from up and down

A

Lid lag

124
Q

Paralysis of CN 6 there is

A

Eyes are conjugate in right lateral gaze but not in left lateral gaze

125
Q

Lid lag present on what condition

A

Hyperthyroidism

126
Q

Abnormal protrusion of the eyeballs seen in hyperthyroidism leading to charact “stare” on frontal gaze

A

Proptosis

127
Q

Poor convergence seen in condition?

A

Hyperthyroidism

128
Q

Test for convergence

A

Normal converging eyes may follow objects within 5cm-8cm of the nose

129
Q

Contraindications of mydriatic drops

A

Head injury and coma

Any suspicioj of narrow angle glaucoma

130
Q

Absence of red reflex suggest

A

Opacity of the lens (cataract)

131
Q

Measurement of optic disc

A

1.5mm

132
Q

Note the features seen in optic disc

A
  1. Sharpness or clarity of outline disc. Nasal portion of disc margin is blurred
  2. Disc color. Yellowish orange
  3. Size of physiologc cup. Horizontal diamter is less than half the horizontal diamter of the disc.
  4. Comparativ symmetry
133
Q

Swelling of optic disc and anterior bulging of physiologic cup

A

Papilledema

134
Q

Light rays from distance do not focus on retina

A

Refractive error

135
Q

Focus anterior to the retina

A

Myopia

136
Q

Focus light rays posterior to it

A

Hyepropia

137
Q

Arteries vs veins

A

Arteries: color red, size is smaller , bright light reflex
Veins: dark red, larger size, inconspicuous or absent light reflex

138
Q

Important cause of poor central vision in older adults

A

Macular degeneration

139
Q

Typ of macular degeneration which is more common but less severe

A

Dry atrophic

140
Q

Undigested cell debris, hard and sharply defined

A

Drusen

141
Q

Movement of auricle and tragus through tug test is painful seen in

A

Acute otitis externa

142
Q

Tenderness behind the ear present in

A

Otitis media

143
Q

Nontender nodular swellings covered by normal skin deep in ear canals called

A

Exostoses

144
Q

Nonmalignant overgrowth which may obscure the drum

A

Exostoses

145
Q

Canal is often swolen, narrowed, moist, pale and tender, redness

A

Acute otitis externa

146
Q

Skin of canal is thickened, red,itchy

A

Chronic otitis externa

147
Q

Feature of retracted drum

A

Unusual prominent short process and handles that looks more horizontal

148
Q

Higher frequency hearing loss, miss consonants

A

Presbyopia

149
Q

Sound is heard (lateralized to) the impaired ear.

A

Unilateral conductive hearing loss

150
Q

Sound is heard in good ear

A

Unilateral sensorineural hearing loss

151
Q

Tenderness of nasal tip or alae

A

Furuncle

152
Q

Mucosa is reddened and swollen

A

Viral rhinitis

153
Q

Pale, bluish, red mucosa

A

Allergic rhinitis

154
Q

Pale saclike growths of inflamed tissue that can obstruct air passges or sinuses

A

Nasal polyps

155
Q

Local tenderness with symptoms such as pain, fever and nasal discharge

A

Acute sinusitis

156
Q

Acute sinusitis involves what parts of the sinuses

A

Frontal or maxillary sinuses

157
Q

If there is CN 10 paralysis, what happens?

A

Soft palate fails to rise, uvula deviates to opposite side

158
Q

Tonsillar node that pulsates

A

Carotid artery

159
Q

Small, hard, tender tonsillar node high and deep and bet mandible and SCM is

A

Styloid process

160
Q

Tender nodes:

Hard or fixed nodes:

A

Inflammation

Malignany

161
Q

Seen in HIV and AIDS

A

Generalized lymphadenopathy

162
Q

Cause hoarseness, shortness of breath, stridor, or dysphagia

A

Retrosternal goiter

163
Q

Afferent pupillary defect and most common pupillary abnormality

A

Marcus Gunn pupil

164
Q

Pupils contrict normally by what measurement

A

3mm to 2mm

165
Q

AV ratio

A

2:4

166
Q

Originating from neuronal dysfunction, possibly brainstem origin with low serotonin

A

Migraine

167
Q

A unilateral or bifrontal location of pain in primary headache

A

Migraine

168
Q

Usually bilateral in location of pain headache

A

Tension headache

169
Q

Unilateral usually behind the eyes or temple

A

Cluster

170
Q

Throbbing or aching varying severity is found in

A

Migraine

171
Q

Deep, continuous and severe quality of headache

A

Cluster

172
Q

Steady, pressing or tightening, nonthrobbing headache

A

Tension

173
Q

Onset of headache is abruptly

A

Cluster

174
Q

Onset of headache is gradual

A

Tension

175
Q

Onset of headache is fairly rapid

A

Migraine

176
Q

Mucosal inflammation of paranasal sinuses

A

Headache from sinusitis

177
Q

Bleeding, most often from a ruptured intracranial aneurysm

A

Subarachnoid hemorrhage

178
Q

Very severe, the worst of my life

A

Subarachnoid hemorrhage

179
Q

Steady or throbbing:

Aching or throbbing:

A

Meningitis

Headache from sinusitis

180
Q

Leakage of blood outside of the vessels producing homogenous sharply demarcated red area

A

Subconjunctival hemorrhage

181
Q

Diffuse dilatation of conjunctival vessels with redness that tends to be maximal peripherally

A

Conjunctivitis

182
Q

Can produce watery, mucoid, has clear cornea mild discomfort rather than pain, highly contagious, bacterial or viral infections

A

Conjunctivitis

183
Q

Increased cortisol production with round or moon face red cheeks

A

Cushing’s syndrome

184
Q

Face is edmatous and often pale. Swelling around the eyes and in the morning

A

Nephrotic syndrome

185
Q

Severe hypothyroidism with dull, puffy facies. Eyebrows dry and course. Edema around the eyes

A

Myxedema

186
Q

Swelling in anterior to the ear lobes and above the angles of jaw, seen in mumps

A

Parotid gland enlargement

187
Q

Increased in growth hormone enlargement of both bone and soft tissues.

A

Acromegaly

188
Q

Decreased facial mobility blunts expression. Mask like face.

A

Parkinson’s disease.

189
Q

Occlusion of branch of central retinal artery

A

Horizontal defect of visual field

190
Q

Produces unilateral blindness, lesion on optic nerve.

A

Blind right eye (right optic nerve)

191
Q

Lesion on optic chiasm, only fibers crossing over the opposite side. Visual loss involves temporal half of each field. Fibers originate in nasal half.

A

Bitemporal heminanopsia (optic chiasm)

192
Q

Lesion of optic tract, interrupts fibers originating from same side of both eyes,

A

Left homonymous hemianopsia (right optic tract)

193
Q

Partial lesion of optic radiation in temporal lobe

A

Homonymous, left superior quadrantic defect (right optic radiation, partial)

194
Q

Complete interruption of fibers in optic radiation

A

Left homonymous hemianopsia (right optic radiation)

195
Q

Drooping of upper eyelid

A

Ptosis

196
Q

Damage to sympa nerv supply

A

Horner’s syndrome

197
Q

More common in elderly, inward turning of the lid margin

A

Entropion

198
Q

Outward turning of the lid margin exposing palpebral conjunctiva , more common in elderly. Can lead to eye no longer drains well and tearing occurs.

A

Ectropion

199
Q

Wide eyed stare

A

Lid retraction

200
Q

Protrusion of eyeballs, common feature of grave’s disease

A

Exophthalmos

201
Q

Harmless, yellowish triangular nodule in bulbar conjunctiva, appears with aging.

A

Pinguecula

202
Q

Ocular inflammation of episcleral vessels. Show redness and dilated vessels

A

Episcleritis

203
Q

Painful, tender, red infection in margin of eyelid

A

Sty

204
Q

Subacute nontender, painless nodule with blocked meibomian glands

A

Chalazion

205
Q

Slightly rwised, yellowish, well cicumscribed plaques along nasal portions . May accompany lipd disorders

A

Xanthelasma

206
Q

Swelling between lower eyelid and nose. Acut is painful, red and tender. Chronic is obstructiojn of nasolacrimal duct. Tearing prominent

A

Inflammation of lacrimal sac ( dacryocystitis)

207
Q

Thin grayish white arc, or circle, accompany normal aging. Hyperlipoproteinemia in young people.

A

Corneal arcus

208
Q

Golden to red brown ring, shading to hreen or blue from copper deposition in periphery of cornea found in wilson’s disease

A

Kayser-fleischer ring

209
Q

Superficial grayish white opacity in the cornea. Secondary to old injury, or inflammation

A

Corneal scar

210
Q

Triangular thickening of bulbar conjunctiva grows slowly across outer surface of cornea

A

Pterygium

211
Q

Opacities of the lens visible through the pupil. Old age, smoking. Etc.

A

Cataract

212
Q

Looks gray when seen by flashlight. Pupil is dilated widely, gray opacity is see

A

Nuclear cataract

213
Q

Produces spokelike shadows that point gray against black seen with flashlight

A

Peripheral cataract

214
Q

When anisocoria (unequal pupils) is greater in bright light than dim light, larger pupil cannot constrict. Caused by what?

A

Blunt trauma to the eye, open angle glaucoma and impaired parasympa nerve supply

215
Q

When anisocoria is greater in dim light, smaller pupil cannot dilate properly. What condition?

A

Horner’s syndrome, interruption of sypmpa nerve supply

216
Q

Pupil is large, regular, and unilateral. Light reaction is reduced severly, slowed or absent,

A

Tonic pupils (adie’s pupil)

217
Q

Dilated pupil is fixed to light and near effort. Ptosis of upper eyelid and lateral deviation are present.

A

CN 3 paralysis

218
Q

Affected pupil, reacts briskly to light and newr effort. Presence of lighter color of iris

A

Horner’s syndrome

219
Q

Small, irregular pupils that accommodate but do not react to light

A

Argyll robertson pupils

220
Q

T/F. Unilateral blindness does cause anisocoria

A

False

221
Q

Normal variations of optic disc

A 
Rings and crescent are seen
Medullated nerve fibers much less common
Physiologic cup small whitish depression, at central or temporal. 
Disc vessels are tiny 
Sharp disc margins
222
Q

Death of optic nerve fibers leads to loss of tiny disc vessels

A

Optic atrophy

223
Q

Arteries are full and tortuous, incr light reflex

A

Copper wiring

224
Q

Portion of narrowed artery has opaque wall, no visible wall

A

Silver wiring

225
Q

Arteries are focal or generalized narrowing. Light reflex is narrowed. Arterial wall thickens and less transparent,

A

Hypertensive retinal artery

226
Q

Normal retinal artery has:

A

Arterial wall is transparent.
Column of blood can be seen
Light reflex is narrow about 1/4 the diameter of blood column

227
Q

Marked AV crossing changes. Copper wiring of arterioles is present.

A

Hyeprtensive retinopathy

228
Q

Fundus of light skinned and dark skinned?

A

Light: brunette color is redder
Dark: grayish brown, almost purplish

229
Q

Deposit of uric acid crystals in helix, or antihelix

A

Tophi

230
Q

Firm nodular hypertrophic mass of scar tissue extending beyond the are of injury

A

Keloid

231
Q

Formely known as sebaceous cyst , dome shaped lump in dermis

A

Cutaneous cyst

232
Q

Small lumps on helix, or anti helix

A

Rheumatoid nodules

233
Q

Raised nodules show lustrous surface and telangectatic vessels

A

Basal cell carcinoma

234
Q

Chronic inflammatory lesion, painful, tender, papule on helix, antihelix

A

Chondrodermatitis helicis

235
Q

Eroded by chemical reaction. Part is enamel from lingual surfaces of upper incisors exposing yellow brown dentin

A

Erosion of teeth

236
Q

Biting surface of teeth caused by rrecurrent trauma as holding nails. Sides of teeth show normal contours. Size and shape of teeth unaffected,

A

Abrasion of teeth with notching

237
Q

Dorsum, scattered smooth red areas denuded of papillae. Maplike pattern

A

Geographic tongue

238
Q

Yellowish to brown and black elongated papillae on tongue’s dorsum

A

Hairy tongue

239
Q

Appear with increasing age, sometims called scrotal tongue. Food debris accumulate in crevices and be irritating

A

Fissured tongue

240
Q

Smooth and often sore tongue lost its papillae due to deficiency of nutrients or vitamins.

A

Smooth tongue (atrophic glossitis)

241
Q

Thick white coating. Can be scraped off. From candida infections

A

Candidiasis

242
Q

Whitish raised areas with feathery, corrugated pattern, often affect sides of tongue. Can be scraped off.

A

Hairy leukoplakia

243
Q

Small purplish, or blue black round swellings under the tongue with age

A

Varicose veins

244
Q

Painful, round or oval ulcer with whit or yellowish gray and surrounded by halo of reddened mucosa

A

Aphtous ulcer (canker sore)

245
Q

Painlss lesion, highly infectious of secondary syphilis. Slightly raised, oval and covered by grayish membrane.

A

Mucous patch of syphilis

246
Q

Rounded bony growths on inner surface of mandibles, are bilateral, asymptomatic and harmless

A

Tori mandibulares

MD (2 decks)

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