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104 > EO/IO Inspection Quiz 3 > Flashcards

EO/IO Inspection Quiz 3 Flashcards

1
Q

Objectives of Oral Exam (1)

A

Note Normal Deviations
Oral Cancer Screening
Determine need for postponement of treatment
Early detection of lesions

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2
Q

Objectives of Oral exam (2)

Identify

A

Identify conditions that may require medical eval

Identify need for treatment adaptation

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3
Q

Objectives of Oral exam (3)

Provide

A

Provide baseline comparison

Provides info for legal record

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4
Q

Compare: Normal/Normal Deviations/Abnormal

A 
Symmetry/Asymmetry
Color
Size (mm/cm)
Location
Shape (define border)
Consistency (hard, soft, fluid inside)
Texture (rough, smooth)
Painful (are they aware)
Mobility (deeply rooted, mobile)
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5
Q

History of Lesion

A

Duration (When first noticed?)
Changes (in size and look)
Sign/Symptoms associated w/ it (differentiate)
Reoccurrence (Did you have it and now it’s back)

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6
Q

Systematic Sequence

A

Increases patient confidence in you
Prevents overlooking and missing imp. details
Increase efficiency and conserves time

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7
Q

Types of Exams

A 
Complete
Screening (limited, classify)
Limited (emergency, important to them)
Follow-up
Maintenance (reoccuring 3,4,6 months)
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8
Q

Method used in Conducting an Oral Exam

A

Observation, Palpation, Ausculation (clicking/popping), Olfactation, Instrumentation, Percussion (tap to check teeth) Electrical (pulp tester)

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9
Q

Palpation

A

Digital, Bidigital, Manual, Bimanual, Bilateral, Circular Compression

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10
Q

Most Common Sites in the Oral Cavity for Lesions

A 
Lateral border of tongue
Gingiva
Soft Palate complex (HPV)
Floor of mouth
Lower lip (More common in men)
Salivary Glands
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11
Q

Oral Cancer Risk Factors

A

Age, Gender (M>F) Sunlight, Tobacco/Alcohol use (combined as well) Previous malignancy, Area, Environmental/Occupational, Socioeconomic, Specific Disease (HIV), Repeated Trauma

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12
Q

Questions to ask the patient

**Make sure to always ask questions

A 
Are they aware?
Do they know when the lesion occured?
Have they noticed any changes?
Are they having any symptoms?
Have they had any testing?
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13
Q

Careful Communication

A 
Be reassuring
Don't act alarmed
Stress the need for a follow-up
Could be normal/treatable
Referral just means to get checked out, could be normal/benign
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14
Q

Oral Inspection Form (Extraoral)

A 
General Appearance
Skin
Eyes
Facial Symmetry
Lymph Nodes
Glands
TMJ 
Breath Odor
Lips
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15
Q

Oral Inspection Form (Intraoral)

A 
Labial and Buccal Mucosa
Alveolar Ridge
Hard Palate (8+9 and back)
Soft Palate
Floor of mouth
Tongue
Pharynx
Tonsillar region
Salivary Ducts
Papilla
Marginal and attached Gingiva
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16
Q

Sequence of Exam (Extraoral)

A

Overall appearance, Face, Skin, Eyes, Neck, Nodes

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17
Q

Sequence of Exam, Nodes

A 
Pre/Post auricular
Occipital
Submental and submandibular
Cervical chain
Supraclavicular TMJ joint
Symmetry
Sound
Asymptomatic/Symptomatic
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18
Q

Sequence of Exam (Intraoral)

A

Lips(P), Breath odor(O), labial and Buccal mucosa, Tongue(P), Floor of mouth, Saliva(d), Hard then soft palate(P), Uvula(D), Tonsillar region/throat(D), other

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19
Q

Sequence of Exam (Labial and Buccal Mucosa)

A

Vestibule (P) Muccobuccal folds (P) Frena (O movement, attachment) Opening of stenson’s duct (Express) Buccal mucosa (P)

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20
Q

Sequence of Exam (Tongue)

A

Dorsal & Ventral sides (P) Lateral borders (retract, P, use mirror) Base of tongue (O attachment) Extension (describe deviation, sometimes veers)

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21
Q

Where are women most likely to get oral cancer?

A

Baseline of tongue

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22
Q

Sequence of Exam (Floor of mouth)

A

Ventral surface of tongue (P) Whartons duct(Express) Mucosa(palpate, use mirror) Frena (attachment)

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23
Q

Occlusal Screening/Oral habits

A

Angle’s Classification
Habits
Occlusal Discrepancies

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24
Q

Periodontal Exam

A

Papilla
Marginal Gingiva
Attached Gingiva

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25
Periodontal Summary Statement
AAP Case Type
26
Describing and Documenting SF
Size and Shape, Color, Location and Configuration, Texture, attachment and depth, consistency, mobility, symptomatology
27
Size and shape (SF)
Determined by L,W,H Margin traits: Smooth/flat, raised/elevated/depressed Contour of the border: Regular/irregular
28
Color (SF)
Most common: red, white,red and white, pink | Others: yellow, black, brown or blue
29
Location and Configuration (SF)
Generalized or localized | Discrete, grouped, confluent, or coalescing, linear
30
Flat Lesions
Are on the same level as the normal skin and oral mucosa | Macule or patch
31
Macule
Small flat, discolored spot that exhibits no change in skin texture or thickness Less than 1 cm in size Color: brown, black, red, or any color lighter than skin EX: freckles, petechia
32
Patch
Flat, discolored area on skin or mucosa Greater than 1 cm in size EX:Snuff patch, Birth marks
33
Elevated Lesions-Nonblisterform
Area where surface of the lesions are raised above the normal level of the skin or oral mucosa Denser/Firmer cell filled EX: Papules, Plaque, Nodule, Tumor
34
Papule
A solid raised lesions that is usually less than 1 cm in diameter Ex: moles and skin tags
35
Plaque
Superficial raised lesion often formed by the coalescence of closely grouped papules. Greater than 1 cm in diameter and slightly raised by still flat Ex: leukoplakia, psoriasis
36
Nodule
Raised marble-like lesion dectectable by touch usually 1 cm or more in diameter- hard mass Ex: wart, enlarged lymph node
37
Tumor
General swelling or enlargement, 2 cm or greater in width
38
Fluid Filled Lesions-Blisterforms
Elevated lesions filled with clear fluid or pus Softer, more fluctuant EX: Vesicle, Bulla, Pustule, Wheal
39
Vesicle
Small blister filled with a clear fluid, Usually less than 1 cm in diameter
40
Bulla
Large blister filled with clear fluid. Greater than 1 cm in diameter EX: Burn blister
41
Pustule
Small raised lesion filled with pustule | EX: acne, boil, abscess
42
Wheal
Raised, irregular area of localized edema. Usually from an allergic reaction lasting 24 hours EX: Mosquito bite, Hives
43
Depressed Lesions
Surface of the lesion is below the normal level of the skin or oral mucosa. Can be superficial or deep EX: Ulcer, Erosion
44
Ulcer
Crater-like Lesion of the skin or mucosa where the top of 2 layers of skin are lost Superficial is less than 3 mm depth Deep ulcer is greater than 3 mm depth
45
Erosion
Shallow, depressed lesion that does not extend through the epithelium to the underlying tissue (usually 1st layers, lip pickers)
46
Linear Cracks
Crack | Fissure
47
Crack
Long narrow break in the surface of the skin or mucosa | EX: lips crack
48
Fissure
Linear crack in the top two layers of skin or mucosa | EX: corners of mouth
49
Other Descriptive Terms
Exophytic (growing outside) Petechiae (pinpoint red dot) Sclerosis (hardening) Verrucous (wartlike)
50
DBCTA
Diameter, Border, Color, Type, Anatomic Location
51
Oral Cancer
Devastating when detected late 50% survival rate w/n 5 years after treatment Squamous cell carcinoma makes up 90% of all malignant neoplasms in oral cavity. Associated with sun, tobacco, alcohol, and HPV
52
Appearance of Early Cancer
White area, Red area, Red and White area, Ulcers, Masses, Pigmentation (Doesn't need to be all, can be just one)
53
Diagnostic Aids
Toluidine Blue | Chemiluminescence
54
Toluidine Blue
Identify changes in mucosa that could be malignant. Rinse or painted on. Rinsed w/ acetic acid and the retaining dye should be biopsied.
55
Chemiluminescence
Rinse w/ 1% acetic acid and used light which will help detect abnormal cells
56
Checking Suspicious lesions
Biopsy Exfoliative cytology Cytologic Smear
57
Biopsy
Total or partial removal of the lesion by excision means so the tissue can be examined for the purpose of diagnosis (Best Method)
58
Exfoliative Cytology
Diagnostic Aid in which cells are removed from the lesion and slides fixed and mailed in for results. Usually comes back as suspicious so need biopsy anyway
59
Cytologic Smear
Diagnostic aid in which cells are removed from the lesion for microscopic evaluation. Can get false positives, not reliable
60
Healthy Characteristics of Gingiva
Pink, Flat, Knife-like edge, Stippling (looks like an orange peel)
61
Unhealthy Characteristics of Gingiva
Erythemic, Bulbous, and Rolling (on marginal) | Cratered (Blown up with fluid), Irregular border, Blunted, Smooth, Smooth/Shiny (w/ a lot of edema)
62
Papilla Healthy
Pink, Melatonic, Flat, Firm, Stippled | Can be either healthy/unhealthy: Pointed, Shiny, Smooth
63
Papilla Unhealthy
Erythemic, Cyanotic, Bulbous, Blunted, Cratered, Edematous, Irregular, Fibrotic
64
Marginal Gingiva Healthy
Pink, Melatonic, Flat, Firm, Shiny, Smooth
65
Marginal Gingiva Unhealthy
Erythemic, Cyanotic, Rolled, Festooned, Recessed, Clefting, Edematour, Stippled, Irregular, Fibrotic
66
Angiodema
Swollen on lower lip
67
Bells Palsy
Affects one side

104 (9 decks)

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