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Oral Pathology > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

an area of color change w/NO elevation or depression of the surface

A

macule

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2
Q

a macule over 2cm in diameter

A

patch

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3
Q

solid, elevated lesion <0.5cm

A

papule

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4
Q

solid elevated lesion >0.5 cm

A

nodule

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5
Q

a slightly elevated lesion of any surface area

A

plaque

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6
Q

complete loss of surface epithelium

A

ulcer

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7
Q

superficial loss of the surface epithelium

A

erosion

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8
Q

flat pinpoint areas of hemorrhage

A

petechiae

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9
Q

area of hemorrhage that is <1cm

A

purpura

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10
Q

area of hemorrhage >1cm

A

ecchymosis

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11
Q

commisural lip pits occur in what percent of the population

A

12-20%

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12
Q

redundant fold of tissue on the mucosal side of the lip

A

double lip

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13
Q

ectopic sebaceous glands that occur on the oral mucosa

A

fordyce granules

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14
Q

most common locations of fordyce granules

A

buccal mucosa

lip vermilion

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15
Q

fluid accumulation w/in the epithelial cells of the spinous layer

A

leukoedema

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16
Q

which condition uses orthodontic care to manage collapsed dental arches

A

microglossia

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17
Q

5 syndromes assoc. w/macroglossia

A 
Down Syndrome 
Beckwith-Widemann syndrome
vascular malformations
lymphangioma
amyloidosis
hypothyroidism
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18
Q

abbreviated/absent lingual frenum

A

ankyloglossia

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19
Q

mass develops in foramen cecum area

A

lingual thyroid

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20
Q

leukoedema occurs where?

A

buccal mucosa, bilateral

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21
Q

fissured tongue are seen in what percent of population? what percent of older adults?

A

5%, 30%

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22
Q

coated tongue/hairy tongue is a result from what?

A

increased production/decreased removal of keratin

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23
Q

coated tongue/hair tongue is associated with what habit?

A

smoking

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24
Q

abnormally dilated and tortuous veins

A

varix

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25
Q

common sites of varix? (5)

A

ventral/lateral tongue
buccal/labial mucosa
lip vermillion

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26
Q

main arterial branch extends superficially w/out reduction in its diameter?

A

Caliber-Persistent Artery

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27
Q

Caliber-Persistent Artery occurs where?

A

lip mucosa

upper > lower

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28
Q

What color is caliber-persistent artery?

A

normal to bluish

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29
Q

prevalence of fordyce granules?

A

80% of population

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30
Q

most common non-odontogenic development cyst of the jaws

A

incisive canal

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31
Q

development cyst w/elevation of the ala of the nose

A

nasiolabial cyst

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32
Q

most common location of dermoid cyst

A

floor of the mouth

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33
Q

small epidermoid cysts

A

milia

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34
Q

internal resorption is from

A

pulpal cells

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35
Q

external resorption

A

PDL cells

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36
Q

benign bony protruberances

A

exostoses

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37
Q

common exostoses? (3)

A

buccal exostoses
torus palatinus
torus mandibularis

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38
Q

Stafne defect aka

A

lingual md salivary gland depression

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39
Q

describe stafne defect on radiograph

A

well-demarcated radiolucency below md canal , posterior mandible

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40
Q

location of nasolabial cyst (4)

A

upper lip,

lateral to midline, nasiolabial grove 10% bilateral

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41
Q

histopathology (4) of nasiolabial cyst

A

variable
pseudostratified ciliated columnar epithelium
cuboidal epithelium
squamous metaplasia

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42
Q

treatment of nasolabial cyst

A

biopsy, surgical removal

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43
Q

demographics of nasolabial cyst

A

adults

3:1 Fto M

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44
Q

demographics of stafne cyst

A

adults; male predilection

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45
Q

rare soft tissue cyst; no radiographic changes

A

nasolabial cyst

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46
Q

what does the incisive canal develop from?

A

epithelial remants of nasopalatine duct

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47
Q

incisive canal cyst histopathology (4)

A

highly variable cyst lining

  • flattened cuboidal -* pseudostratified columanr
  • stratified squamous epithelium
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48
Q

incisive canal cyst wall contains

A

contents of the incisive neurovascular bundle

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49
Q

Epidermoid Cyst affect where? (3)

A

facial skin, neck, back

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50
Q

Epidermoid Cyst Histopathology

A

cystic lining that resembles the epidermis w/production of orthokeratin

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51
Q

small epidermoid cysts

A

milia

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52
Q

milia occur where

A

periorbital region

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53
Q

what is lined by epidermis like epithelium?

A

dermoid cyst

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54
Q

most commonly occur as fluctuant swelling midline floor of mouth?

A

dermoid cyst

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55
Q

thyroglossal duct cyst occurs where?

A

midline from the f. cecum to suprasternal notch

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56
Q

what procedure is used to combat the high recurrence rate of the thyroglossal duct cyst?

A

Sistrunk procedure

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57
Q

Histopathology of the thyroglossal duct cyst

A

columnar/stratified squamous epithelium w/thyroid tissue in cyst wall

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58
Q

fluctant swelling of upper lateral neck?

A

branchial cleft cyst

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59
Q

Histopathology of branchial cleft cyst

A

stratified squamous epithelium w/lymphoid tissue in cyst wall

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60
Q

oral lymphoepithelial cyst occurs where? 3

A

floor of mouth
ventro-lateral tongue
tonsillar pillar

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61
Q

oral lymphoepithelial cyst histopathology

A

stratified squamous epithelium w/lymphoid tissue in cyst wall

62
Q

incomplete/defective enamel formation

A

enamel hypoplasia

63
Q

cupped out depression of occlusal surfaces or cusp tips

A

erosion

64
Q

opalescent teeth

A

dentinogenesis imperfecta

65
Q

what is the mode of inheritance for dentin dysplasia

A

autosomal dominant

66
Q

Type 1 Dentin Dysplasia (3)

A
  • rootless teeth
  • obliteration of pulp
  • periapical radiolucencies
67
Q

Type II Coronal Dentin Dysplasia (2)

A

enlarged pulps w/”thistle tube” appearance

pulp stones

68
Q

strong association w/Paget’s Disease

A

hypercementosis

69
Q

dens invaginatus most commonly affects the

A

maxillary lateral incisor

70
Q

extra cusp in central developmental groove

A

dens evaginatus

71
Q

teeth may appear pink due to what condition ?

A

internal resorption

72
Q

three divisions of AI

A

hypoplastic
hypomaturation
hypocalcified

73
Q

if NUG spreads to adjacent soft tissue?

A

necrotizing ulcerative mucositis

necrotizing stomatitis

74
Q

if NUG extends to mucosa to cutaneous surface of face?

A

noma

cancrum oris

75
Q

what conditions are associated with desquamative gingivits? (3)

A

erosive lichen planus
mucous membrane pemphigoid
pemphigus vulgaris

76
Q

pt managment of desquamative gingivitis?

A

incisional biopsy

77
Q

drugs that can cause drug-related gingival hyperplasia

A

Phenytoin (Dilantin)
Nifedipine
Calcium Channel-blocking agents
Cylosporin

78
Q

abnormal growth of gingival tissues secondary to use of a systemic medication

A

drug-related gingival hyperplasia

79
Q

slowly progressive collagenous overgrowth of the gingiva

A

gingival fibromatosis

80
Q

what findings are sometimes observed with gingival fibromatosis (3)

A

hypertrichosis
epilepsy
mental retardation

81
Q

accelerated periodontitis, due to defects in neutrophil function

A

Papillon-Lefevre syndrome

82
Q

palmar-plantar keratosis is associated with

A

papillon-lefevre syndrome

83
Q

superficial infection of the skin: BOARD TQ

A

impetigo

84
Q

impetigo is caused by (2)

A

staphylococcus aureus

streptococcus pyogenes

85
Q

what is tonsillolithiasis

A

calcified structures that dev. in enlarged tonsillar crypts

86
Q

convoluted crypts filled with desquamated cells, foreign debris, and bacteria

A

tonsillar concretions

87
Q

primary and secondary lesions of syphilis show

A

intense plasmacytic infiltrate

88
Q

tertiary (gumma) syphilis lesions show

A

granulomatous inflammation

89
Q

clinical features of TB (board TQ) 5

A 
weight loss 
hemoptysis 
fatigue
night sweats 
low grade fever
90
Q

multinucleated giant cells are associated with?

A

TB

91
Q

actinomycosis most commonly affects the?

A

cervicofacial region

92
Q

sulfur granules are commonly seen with?

A

actinomycosis

93
Q

what form is the pathogenic form of candida albicans?

A

hyphal

94
Q

pathogenesis of candidiasis? (3)

A

host immune status
oral mucosal environment
virulence of candidal strain

95
Q

aka thrush?

A

psuedomembranous candidiasis

96
Q

pseudomembranous candidiasis is found where?

A

buccal mucosa, palate, tongue

97
Q

area of redness, variable borders?

A

erthematous candidiasis

98
Q

site of erythematous candidiasis? (4)

A

tongue, may involve palate, oral commissures, perioral skin

99
Q

aka antibiotic sore mouth?

A

acute atrophic candidiasis

100
Q

diffuse atrophy of dorsal tongue papillae?

A

acute atrophic candidiasis

101
Q

what is due to chronic candidiasis?

A

central papillary atrophy

102
Q

central papillary atrophy is + location

A

well defined area of redness, mid posterior area of tongue

103
Q

erythema of palatal denture bearing area

A

denture stomatitis

104
Q

sabouraud’s agar slant is used for what

A

detection of denture stomatitis

105
Q

redness, cracking of corners of mouth

A

angular cheilitis

106
Q

related to candidiasis, but can also have other bacterial microflora (2)

A

angular chelitis

perioral candidiasis

107
Q

often associated w/lip-licking or use petrolatum based materials

A

perioral candidiasis

108
Q

redness, cracking of cutaneous surface

A

perioral candidiasis

109
Q

chronic multifocal candidiasis three signs

A

chronic papillary atrophy
kissing lesion of hard palate
angular chelitis

110
Q

aka candidal leukoplakia

A

hyperplastic candidiasis

111
Q

white patch that cant be rubbed of

A

hyperplastic candidiasis

112
Q

specific immunologic defects related to how the body interacts with Candida albicans

A

chronic mucotaneous candidiasis

113
Q

seen in situations of severe uncontrolled diabetes mellitus or immune suppression

A

invasive candidiasis

114
Q

acanthosis often present

A

candidiasis

115
Q

life threatening candidiasis requires

A

IV amphotericin B

116
Q

disease from bird and bat droppings

A

histoplasma capsulatum

117
Q

acute symptoms of histoplasmosis

A

flu- like illness

118
Q

inhalation

of spores? (2)

A

coccidiomycosis

cryptococcosis

119
Q

large spherules that contain endospores?

A

coccidiomycosis

120
Q

affects immunosuppressed patients exclusively?

A

cryptococcus

121
Q

clear halo w/mucopolysaccharide?

A

cryptococcosis

122
Q

severe diabetic or immunocompromised patient?

A

zygomycosis/mucormycosis

123
Q

black necrotic lesions

A

mucormycosis/zygomycosis

124
Q

spores in soil, water, decaying organic debris

A

aspergillosis

125
Q

allergic fungal sinusitis (may trigger asthma)

A

aspergillosis

126
Q

approved for treating histoplasmosis

A

itraconazole

127
Q

vorizonazole treats

A

candida, aspergillus

128
Q

depth of commissural lip pits

A

1-4mm

129
Q

tx for double lip

A

excise for aesthetic purposes

130
Q

fordyce granules occur in what percent of population

A

80%

131
Q

leukoedema is most common where?

A

buccal mucosa

132
Q

complete absence of tongue

A

aglossia

133
Q

enlargement of tongue

A

macroglossia

134
Q

tongue tie

A

anklyglossia

135
Q

population of lingual thyroid

A

female

136
Q

treatment for fissured tongue?

A

none

137
Q

filliform papillae can become discolored in?

A

coated/hairy tongue

138
Q

how to tell if varix is thrombosed

A

apply pressure and observe color changes, if blanches=not thrombosed

139
Q

sea gull in flight description for?

A

caliber persistent artery

140
Q

what conditions require treatment for exostoses?

A

trauma, fabrication of removable prostesis

141
Q

symptoms of stafne defect

A

asymptomatic

142
Q

treatment of nasolabial cyst?

A

surgical removal, biopsy

143
Q

tx of incisive canal cyst?

A

simple curettage

144
Q

epidermoid cyst/milia arise from?

A

hair follicle

145
Q

benign cystic form of teratoma

A

dermoid cyst

146
Q

if attached to this (2) may elevate on swallowing?

A

hyoid bone, tongue

147
Q

cervical variant of lymphoepithelial cyst?

A

branchial cleft cyst

148
Q

epithelial rests in oral lymphoid tissue

A

oral lymphoepithelial cysts

149
Q

can be wiped off

A

pseudomembranous candidiasis

150
Q

can’t be wiped off

A

hyperplastic candidiasis

Oral Pathology (2 decks)

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