DOC. REFUERZO - HEAD & NECK Flashcards
1
Q
Demineralization of enamel and dentin
tooth loss before 35
A
DENTAL CARIES
2
Q
Inflammation of periodontal ligaments alveolar bone, & cementum
A
PERIODONTITIS
3
Q
Causes loosening & eventual tooth loss
• Origin of infective endocarditis
A
PERIODONTITIS
4
Q
PAINFUL
SUPERFICIAL ORAL MUCOSAL ULCERATIONS
REGRESS 7-10 DAYS
A
APHTHOUS ULCER
5
Q
APHTHOUS ULCERS
ASSOCIATED WITH IMUNOLOGIC DISEASES
A
CELIAC DISEASE
IBD
BEHCET DISEASE
6
Q
HERPEX SIMPLEX
ON CHILDREN
A
GINGIVOSTOMATITIS
7
Q
HERPES SIMPLEX
ON ADULTS
A
PHARYNGITIS
8
Q
HERPES SIMPLEX ON
IMMUNOCOMPROMISED
A
CHRONIC MUCOCUTANEOUS INFECTION
9
Q
ETIOLOGIC AGENT ON HERPES SIMPLEX INFECTIONS
A
HSV-1 & HSV-2
MORE COMMON HSV-1
10
Q
HSV EXHIBITS LATENCY IN
A
TRIGEMINAL GANGLIA
11
Q
HSV IN TRIGEMINAL GANGLIA
A
RECURRENT HERPETIC STOMATITIS
12
Q
TRIGGERS FOR HSV
A
ULTRAVIOLET LIGHT
HIGH TEPMP EXPOSURES
TRAUMA
ALLERGIES
URTI
PREGNANCY
MENSTRUATION
IMMUNOSUPPRESSION
13
Q
USE FOR DIAGNOSIS OF HSV
A
TZANCK SMEAR
14
Q
EOSINOPHILIC VIRAL INCLUSIONS (COWDRY TYPE A)
MULTINUCLEATE POLYKARYONS : GIANT CELLS
A
HERPES SIMPLEX VIRUS INFECTION
15
Q
WHITE PATCH CANOT BE SCRAPED OFF
A
LEUKOPLAKIA
16
Q
RED, VELVETY AREA ORAL CAVITY
ERODED AND SLIGHTLY DEPRESSED
A
ERYTHROPLAKIA
17
Q
MORE OMINOUS
LEUKOPLAKIA OR ERYTHROPLAKIA
A
ERYTHROPLAKIA
18
Q
MARKEDLY DYSPLASTIC MERGING WITH CARCINOMA IN SITU
A
LEUKOPLAKIA
19
Q
REDDISH PLAQUE DUE TO VASCULAR DILATION
A
ERYTHROPLAKIA
20
Q
SEVERE DYSPLASIA
CARCINOMA INSITI
MINIMALY INVASIVE CARCINOMA
A
ERYTHROPLAKIA
21
Q
MOST COMMONCA OFTHE HEAD AND NECK
A
SQUAMOUS CELL CARCINOMA - 95%
22
Q
HIGH RISK IN HPV INFECTION
A
SCC
-TONSILS
-TONGUE BASE
-OROPHARYNX
23
Q
RISK FACTOR OF SCC
A
TOBACCO
SMOKING
BETEL CHEWING
SUNLIGHT
PIPE SMOKING
24
Q
SCC NON-HPV ASSOCIATED
A
KERATINIZING
-VENTRAL SURFACE OF TONGUE
-FLOR OF MOUTH
-LOWER LIP
-SOFT PALATE
-GINGIVA
25
SCC HPV-ASSOCIATED
NON KERATINIZING
-TONSILS
-TONGUE BASE
-OROPHARYNX
26
NEST ANDLOBULES GROWING WITHIN SHEET OF LYMPHOCYTES
HPV ASSOCIATED: NON-KERATINIZING
27
MARKER OF HPVN ASSOC SCC
p16
28
WORSE PROGNOSIS SCC
NON-HPV ASSOC
29
MC SITE OF LOCALMETS
CERVICAL LN
30
DISTANT METS COMMON IN:
MEDIASTINAL LN
LUNG
LIVER
BONES
31
REMNANTS OF ODONTOGENIC EPITHELIUM IN THE JAWS
ODONTOGENIC CYSTS
32
2 ODONTOGENIC TUMORS
1. ODONTOMA
2. AMELOBLASTOMA
33
MC ODONTOGENIC TUMOR
TX: LOCAL EXCISION
ECTOMESENCHYMAL DIFFERENTIATION
ODONTOMA
34
LOCALLY INVASIVE
TX:WIDE EXCISION
NO EVIDENCE OF ECTOMESENCHYMAL DIFFERENTIATION
AMELOBLASTOMA
35
NONKERATINIZING
STROMAL CHRONIC INFLAMMATION
IMPACTED OR UNERUPTED TOOTH
PROGRESS TO AMELOBLASTOMA
DENTIGEROUS CYSTS
36
KERTINIZED
CORUGATED EPITHELIAL SURFACE
POSTERIOR MANDIBLE
LOCALY AGGRESSIVE
EVALUATED FOR NEVOID BCCA SYNDROME (GORLIN SYN SYNDROME)
ODONTOGENIC KERATOCYST
37
NON KERATINIZING
ACUTE & CHRONIC INFLAMMATION
APEX OF NON VIABLE TOOTH
DENTAL CARIES OR TRAUMA
PERIAPICAL ABCESS
DO NOT GIVE RISE TO AMELOBLASTOMA
RADICULAR CYST
38
RARECOMPLICATION OF BACTERIAL PHARYNGITIS
LEMIERRE SYNDROME
39
MC ORGANISM IN LEMIERRE SYNDROME
FUSOBACTERIUM SP.
40
INFECTIOUS - RHINOVIRUS,CORONA, ADENOVIRUS
ALLERGIC (IgE MEDIATED)
RHINITIS
41
SEQUELAE OF RHINITIS
CHRONIC RHINITIS
SINUSITIS
NASAL POLYPS
42
MASSESOF EDEMATOUS MUCOSA WITH LOOSE STROMA
NASAL POLYPS
43
NASAL POLYPS IS AN IMPORTANT DIFFERENTIAL DIAGNOSIS FOR PATIENTS WITH
CHRONIC NASAL CONGESTION
44
MC CAUSE OF PHARYNGITIS AND TONSILITIS
BACTERIAL
MC- GABHS
THEN S. AUREUS
45
CAUSES OF PHARYNGITIS AND TONSILLITIS
VIRAL
RHINITIS
RSV
INFLUENZA
46
INFLAMED MUCOSA WITH OR WITHOUT EXUDATES
FOLICULAR TONSILLITIS (REACTIVE LYMPHOID HYPERPLASIA OF THE TONSILS
TONSILOPHRAYNGITIS
47
NASOPHARYNX BENIGN TUMOR
HISTO - BENIGN
BIOLOGICALLY - AGRESSIVE
48
HIGHLY VASCULAR - LEAD TO HEMORRHAGE
CTNNB1 (BETA CATENIN) MUTATIONS
NASOPHARYNGEAL ANGIOFIBROMA
49
ASSOC WITH FAMILIAL ADENOMATOUS POLYPOSIS
NASAOPHARYNGEAL ANGIOFIBROMA
50
FROM RESPIRATORY MUCOSA
LOW RISK HPV 6&11
MC FORM - EXOPHYTIC
SINONASAL (SCHNEIDERIAN PAPILLOMA)
51
MUCOSAL NESTS INVAGINATE INTO THE UNDERLYING STROMA, EGFR MUTATIONS
INVERTED PAPILLOMA
52
AFRICA- CHILDREN
CHINA - ADULTS
NASOPHARYNGEAL CARCINOMA
53
EBV INFECTION
NITROSAMINES
SALTED FISH
SMOKING
NASOPHARYNGEAL CARCINOMA
54
LEAST RADIOACTIVE
NASOPHARYNGEAL
KERATINIZING CARCINOMA
55
MOST RADIOACTIVE
UNDIFFERENTUIATED CARCINOMA
NASOPHARYNGEAL CARCINOMA
56
SYNCYTIAL NESTS OF MARKEDLY ATYPICAL CELLS IN A LYMPHOCYTIC BACKGROUND T CELLS
UNDIFERENTIATED CARCINOMA
57
+ FOR EBV ENCODED RNAs
EBER-1 AND LMP-1
BASALOID SQUAMOUS CELL CARCINOMA
NASOPHARYNGEAL
58
TX FOR NASOPHARYNGEAL CARCINOMAQ
RADIOTHERAPY
59
H.INFLUENZAE
RSQ
GABHS
TO LARYNGEAL OBSTRUCTION (PEDIA EMERGENCY)
LARYNGOEPIGLOTTIS
60
PARAMYXOVIRUS
LARYNGOTRACHEOBRONCHITIS (CROUP)
61
HEAVY SMOKERS
VOICE STRAINERS
REACTIVE NODULES
62
NODULES
BILATERAL
63
POLYPS
UNILATERAL
64
SQUAMOUS EPITHELIUM
LOOSE MYXOID CONECTIVE TISSUE
NOT GO TO CANCER
RAECTIVE NODULES
65
BENIGN BUT WITH HEMOPTYSIS
SQUAMOUS PAPILLOMA
PAPILOMATOSIS
66
TRUE PAPILLAE COVERED BY AN ORDERLY STRATIFIED SQUAMOUS EPITHELIUM
SQUAMOUS PAPILLOMA
PAPILOMATOSIS
67
ASSOC WITH LOW RISK HPV 6 &11
NO MALIGNANCY
SQUAMOUS PAPILLOMA
PAPILOMATOSIS
68
RISK FACTOR
S-A-R-A-H
SMOKING
ALCOHOL
RADIATION
ASBESTOS
HPV INFECTION
LARYNGEAL CARCINOMA
69
MC HISTOLOGY OF LARYNGEAL CARCINOMA
95%
SCC
70
CMCIN ELDERLY MALES 6TH DECADE
LARYNGEAL CARCINOMA
71
PERSISTENT HOARSENESS
DYSPHAGIA
DYSPHONIA
LARYNGEAL CARCINOMA
72
S. PNEUMONIAE
NHIB
M. CATARRHALIS
ACUTE OTITIS MEDIA
73
P. AERUGINOSA
S. AUREUS
FUNGI
MIXED
CHRONIC OTITIS MEDIA
74
NON NEOPLASTIC CYSTIC LESIONS
COMPLICATION FROM CHRONIC OTITIS MEDIA
CHOLESTEATOMA
75
KERATINIZING STRAT. SQUAMOUS OR
METAPLASTIC MUCUS SECRETING
CHOLESTEATOMA
76
KERATINOUS DEBRIS
CHOLESTEROL SPICULES
CHOLESTEATOMA
77
INFEXTION SPREADING TO SURROUNDSTRUCTURES ANDTO THE BRAIN
BRAIN ABSCES
78
REMNANT OD 2ND BRANCHIAL ARCH
BRANCHIAL CLEFT CYST
(CERVICAL LYMPHOEPITHELIAL CYST)
79
UPPER LATERAL NECKMASS ALONG SCM
BRANCHIAL CLEFT CYST (CERVICAL LYMPHOEPITHELIAL CYST)
80
SEROUS OR MUCINOUS WITHDESQUAMATED CELLS
BRANCHIAL CLEFT CYST (CERVICAL LYMPHOEPITHELIAL CYST)
81
WALL : LYMPHOID TISUE WITH PROMINENTGERMINAL CENTERS
BRANCHIAL CLEFT CYST (CERVICAL LYMPHOEPITHELIAL CYST)
82
MOST IMP DIAGNOSISWHEN YOU HAVE BRANCHIAL CLEFT CYST
CYSTIC METASTASIS OF SCC
83
REMNANTS OF THYROID GLAND DESCENT
THYROGLOSSAL DUCT CYST
84
STRATIFIED SQUAMOUS ( UPPER)
PSEUDOSTRATIFIED COLUMNAR (LOWER)
THYROGLOSSAL DUCT CYST
85
WALL ; THYROID TISSUE ISLANDS
RARE MALIGNANT TRANSFORMATION
THYROGLOSSAL DUCT CYST
86
NEUROENDOCRINE NEOPLASM
PARAGANGLIOMA
(CAROTID BODY TUMOR)
87
PARAGANGLIOMA
(CAROTID BODY TUMOR)
MC -
ADRENAL MEDULLA (PHEOCHROMOCYTOMAS)
88
PARAGANGLIOMA
(CAROTID BODY TUMOR)
MC EXTRA-ADRENAL
HEAD AND NECK
89
NEAR OR AT CAROTID ARTERY BIFURCATION
CAROTID BODY TUMOR
90
ORGAN OF ZUCKERKANDL
BLADDER (RARE)
LESS COMMON INCIDENCE
SYMPATHETIC
POSITIVE CHROMAFFIN STAIN
PARAVERTEBRAL
91
GREAT VESSELS OF HEAD AND NECK
MORECOMMON INCIDENCE
PARASYMAPTHETIC
NEGTAIVE CHROMAFFIN STAIN
AORTICOPULMONARY CHAIN
92
FAMILIAL PARAGANGLIOMAS
MULTIPLE INDOCRINE NEOPLASIA 2 (PHEOCHROMOCYTOMAS)
93
NESTS (ZELLBALLEN) WITH VASCUKAR SEPTA
PARANGANGLIOMAS
94
SALT & PEPPER CHROMATIN NUCLEI - CHIEF CELLS
PARANGANGLIOMAS
95
SUSTENTACULAR CELLS - SPINDLE SHAPED STROMAL CELLS
+S-100 PROTEIN
PARAGANGLIOMAS
96
MC CAUSE :DRUGS
PROMINENT COMPONENT OF SJOGREN SYNDROME
XEROSTOMIA
97
INCREASE INCIDENCE OF ULCERATIONS AND FISSURING
XEROSTOMIA
98
most common type of inflammatory salivary gland lesion
MC : LOWER LIP
MUCOCELE
99
TRUE CYST WHEN SUBLINGUAL GLAND DUCT IS DAMGED
RANULA
100
Most common form of viral sialadenitis
MUMPS
101
MC INVOLVED IN MUMPS
PAROTID GLAND
102
MC GLAND IN SIALOLITHIASIS
MAJOR (SUBMANDIBULAR GLAND)
103
MC CAUSE OF SIALOLITHIASIS
S. AUREUS
V. STREPTOCOCCI
104
Most common site of tumors regardless of behavior:
PAROTID GLAND
105
TUMOR BEING MALIGNANT IS ___ TO SIZE OF GLAND
INVERSELY
106
MC TUMOR
PLEOMORPHIC ADENOMA
107
2ND MC TUMOR
WARTHIN TUMOR
108
MC PRIMARY MALIGNANT
MUCOEPIDERMOID CARCINOMA
109
MC - PAROTID
ROUNDED, WELL DEMARCATED MASS
ENCAPSULATED
GRAY-WHITE
MYXOID
BLUE TRANSLUCENT CHONDROID STROMA
PLEOMORPHIC ADENOMA
BENIGN MIXED TUMOR
110
DUCTAL CELLS
MYOEPITHELIAL CELLS
PLEOMORPHIC ADENOMA
BENIGN MIXED TUMOR
111
MC- PAROTID
ROUN TO OVAL
ENCAPSULATED
PLAE GRAY
NARROW SYSTIC SPACES
WARTHIN TUMOR
112
DOUBLE LAYER ONCOCYTIC CELLS
INNER COLUMNAR
OUTER CUBOIDAL
WITH LYMPHOCYTES
WARTHIN TUMOR
113
SMOKING NOTABLE RISK FACTOR
WARTHIN TUMOR
114
MC- PAROTID
MUCUS SECRETING CELS
SQUAMOUS CELLS
INTERMIDIATE CELLS
MUCOEPIDERMOID CARCINOMA
115
PROGNOSIS DEPENDS ON GRADE OF TUMNOR
MUCOEPIDERMOID CARCINOMA
116
MC - PALATINE GLANDS
MC FORM - CRIBIFORM
ADENOID SYSTIC CARCINOMA
117
SMAL CELLS
SCANT CYTOPLASM
HYPERCHROMIC NUCLEI
PERINEURAL INVASION
ADENOID CYSTIC CARCINOMA
118
WORSE PROGNOSIS IN MINOR SALIVARY GLAND
ADENOID CYSTIC ADENOMA
