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Otorhinolaryngology > Disease of the Oral Cavity > Flashcards

Disease of the Oral Cavity Flashcards

1
Q

Blood supply of the oral cavity from the External carotid artery what are the branches?

A
  1. Facial artery
  2. Inferior alveolar artery
  3. Maxillary artery
  4. Infraorbital artery
  5. Posterior superior alveolar arteries
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2
Q

most common along the bite line with a microscopically apperance of a fibrous tissue covered by squamous mucosa

A

Irritation Fibroma

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3
Q

Aggregation of multinucleated foreign body-like giant cells, separated by fibroangiomatous stroma and it easily bleeds

A

Peripheral Giant Cell Granuloma (Giant Cell Epulis)

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4
Q

Clinical term applied to swelling at the gum margin most of them are granulomas associated with chronic gingivitis

A

Epulis

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5
Q

Inflammatory of the mouth

A

Stomatitis

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6
Q

Inflammatory of the lips most common etiology is fungal

A

Cheilitis (Angular cheilitis)

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7
Q

Inflammatory of the lips most common etiology is fungal

A

Chelitis (Angular chelitis)

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8
Q

inflammation of the soft tissue around teeth typically resulting from inadequate oral hygiene

A

gingivitis

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9
Q

inflammation of the tongue mroe commonly applied to the beefy red tongue ( vit b12 and iron deficiency)

A

Glossitis

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10
Q

Valacyclovir- Valtrex

A

H. labialis ▪ 2g p.o. q12h for one day

H. zoster ▪ 1g p.o. q8h for 7 days

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11
Q

Valacyclovir- Valtrex

A

H. labialis ▪ 2g p.o. q12h for one day

H. zoster ▪ 1g p.o. q8h for 7 days

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12
Q

Famciclovir- Famvir

A

For H. zoster ▪ 500mg q8h for 7 days

For H. labialis ▪ 250mg p.o. q8h for 7 to 10 days

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13
Q

Acyclovir- Zovirax

A

H. zoster - 800 mg p.o. q4h for 7 to 10 days

For Oral lesions:
H. simplex labialis - 150 mg buccal tab single dose

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14
Q

Coxackie A virus causes

A

Herpangina

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15
Q

Coxackie A virus causes

A

Herpangina

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16
Q

as superficial grey- white inflammatory membrane comprising fungus in a fibrinosuppurative exudate

white exudate can be removed by scrapping (does not bleed)

A

Oral candidiasis (Thrush)

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17
Q

Oral candidiasis treatment

A
  • Mild, acute forms: topical Nystatin
  • Mild, chronic: topical Nystatin + Clotrimazole troches

-Refractory or immunocompromised without systemic involvement: add oral fluconazole

-Severe forms (Systemic): IV Amphotericin B with or without Fluconazole

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18
Q

Oral candidiasis treatment

A
  • Mild, acute forms: topical Nystatin
  • Mild, chronic: topical Nystatin + Clotrimazole troches

-Refractory or immunocompromised without systemic involvement: add oral fluconazole

-Severe forms (Systemic): IV Amphotericin B with or without Fluconazole

19
Q

Trench mouth, Acute ulcerative gingivitis caused by Borellia vincenti and Fusiform bacilli

A

VIncent’s Angina

20
Q

Trench mouth, Acute ulcerative gingivitis caused by Borellia vincenti and Fusiform bacilli

A

VIncent’s Angina

21
Q

Primary stage of syphilis

A

Lips, tongue, buccal mucosa and tonsil

Site of incubation is 3 weeks after the infection papule breaks down to form an ulcer (chancre)

22
Q

Oral chancre

A

painless ulcer with a smooth surface, raised borders and indurated margin

23
Q

Secondary stage of Syphilis

A

Most infectious. after 6-8 weeks and last 2-10 weeks with systemic symptoms

24
Q

Snail track ulcer

A

Oral cavity and oropharynx - Ulcerated lesion covered with grayish white membrane when scraped has pink base (no bleeding)

25
Q

Syphilis serology

A
  1. Nontreponemal antibody test (VDRL, RPR) → for screeing and treatment follow up
  2. Treponema specific antibody test (FTA-ABS test, TPHA) → for confirmation; usually remains positive for life
26
Q

Treatment for syphilis

A

Penicillin G 2.4 million units IM (intramuscularly) as a single dose (Drug of choice)

Ceftriaxone, Erythromycin or Doxycycline (Cause dizziness)

27
Q

TB Oral most common site

A

Dorsum of the tongue (most common site)

Lip, buccal mucosa and palate

28
Q

TB oral ulcer

A

multiple, painful, irregular, undermined border, granulating floor, usually covered by a gray-yellowish exudate, inflamed and indurated surrounding tissue

29
Q

swallowed sputum or direct spread from adjacent lymph nodes; stricture, fistula, mucosal irregularities

A

TB esophagitis

30
Q

Aphtous ulcer (canker sore) clinical apperance

A

▪ Appears as a well-delineated white lesion with an erythematous halo
▪ Prodrome of burning or tingling in area prior to ulcer’s appearance
▪ Resolve within 7-10 days
▪ Never scars

31
Q

Herpetiform

A

▪ Small, 1-3mm in diameter ulcerations appearing in crops of 20-200 ulcers
▪ Typically located on mobile oral mucosa, tongue and palate
▪ Lasts 1-2 weeks
▪ Called herpetiform due to ulcerations that resemble those of HSV, but there is no vesicular phase

32
Q

It is a Chronic, mucocutaneous, autoimmune disorder with a oral manifestation of white papules – coalescence, forming a network of lines (Wickham’s striae)

A

Lichen planus

33
Q

Most common symptoms in oral SCC

A

Sore in the mouth that does not heal

Pain in the mouth that does not go away

34
Q

Microscopically hyperkeratosis and atypua and a whitish plaque that cannot be scraped off (5-20% malignant potential)

A

Leukoplakia

35
Q

Red patch or macule with soft, velvety texture it has much higher chance of harboring malignancy (60-90% untreated cases)

A

Erythroplakia

36
Q

Oral lesion seen in HIV or AIDS patient caused by EBV Infection often superimposed with Candida lesions seen as white patches or fluffy hyperkeratosis

A

Hairy leukoplakia

37
Q

A type of mucocele found in the floor of the mouth and present as swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, Usually results from obstruction of the ducts of the salivary glands

A

Ranula

38
Q

Main excretory duct

A

Stensen’s duct

39
Q

Submandibular duct

A

Warton’s duct

40
Q

Submandibular duct

A

Warton’s duct

41
Q

Parotid gland duct

A

Revenous duct

42
Q

Parotid gland duct

A

Revenous duct

43
Q

Tongue-tie (Ankyloglossia)

A

Congenital oral anomaly ,decreased mobility of the tongue tip due to unusually short, thick lingual frenulum and there may be a V shaped notch at the tip

44
Q

Tongue-tie (Ankyloglossia): Symptoms and effect

A
  1. Can affect feeding
  2. Speech
  3. Oral hygiene
  4. Mechanical and social effects

Otorhinolaryngology (6 decks)

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