Exam 1-Physical & Chemical Injuries

Question 1

TERM: physiologic response of mucosa to chronic physical injury.

Answer 1

Frictional Keratosis

Question 2

Frictional keratosis: Produces ________ as protective phenomenon (white plaque)

Answer 2

hyperkeratosis

Question 3

Is frictional keratosis reversible or non reversible?

Answer 3

reversible

Question 4

What is the clinical term for cheek chewing?

Answer 4

Mor-SIC-atio Buccarum

Question 5

What is shredded or macerated keratinized tissue limited to occlusal plane….”linea alba”….tongue chewing?

Answer 5

morsicatio buccarum/cheek chewing

Question 6

What is the histology of morsicatio buccarum (cheek chewing)? (2)

Answer 6

hypcerkeratiosis + bacteria

Question 7

DIRECT EXAM QUESTION GIVEN!!: An ulcer is the complete loss of epithelium. What is the most common cause?

Answer 7

TRAUMA

Question 8

What is the loss of surface epithelium from physical injury?

Answer 8

a traumatic ulcer

Question 9

traumatic ulcer: surface covered by fibrinous exudate (WHAT COLOR?)…which age range is most frequent?

Answer 9

TAN….kids

Question 10

What are the two most common sites for a traumatic ulcer?

Answer 10

lateral tongue and the lower lip

Question 11

What is a type of traumatic ulcer with injury to underlying muscle?

Answer 11

Traumatic Granuloma

Question 12

Where is the most common site for a traumatic granuloma?

Answer 12

on the tongue especially the rolled boarders

Question 13

What can a traumatic granuloma be confused with? What procedure should be done to verify?

Answer 13

carcinoma…biopsy

Question 14

What are the two ways of treating a traumatic granuloma?

Answer 14

1.intralesional steroids 2.excision

Question 15

TERM: slate bluish-grey discoloration from traumatic implantation of amalgam, subsurface discoloration

Answer 15

Amalgam Tattoo

Question 16

What can an amalgam tattoo possibly be confused with?

Answer 16

melanoma…biopsy that shit

Question 17

Amalgam Tattoo: WHICH METAL compounds stain collagen & blood vessel walls?

Answer 17

silver

Question 18

TERM: extravascular bleeding into tissue, resolves

Answer 18

Hematoma

Question 19

TERM: pinpoint bleeding from capillaries

Answer 19

PET-ECH-IAE

Question 20

What are the two main reasons for PET-ECH-IAE?

Answer 20

1.Thrombocytopenia (leukemia) or 2.Local Cause (fellatio)

Question 21

radiation therapy-What are the two types of acute outcomes?

Answer 21

acute dermatitis and stomatitis

Question 22

radiation therapy-When does acute stomatitis typically manifest? How long after therapy does is persist?

Answer 22

about the 2nd week of therapy…subsides in about 2-3 weeks after cessation of the therapy

Question 23

radiation therapy-What are the two CHRONIC conditions that can arise?

Answer 23

xerostomia and osteroradionecrosis

Question 24

radiation therapy-chronic xerostomia-which salivary glands are more sensitive?

Answer 24

serous

Question 25

radiation therapy-chronic xerostomia- how long does decreased salivary flow last?

Answer 25

permanent :(

Question 26

radiation therapy-chronic xerostomia-What are two main consequences from dryness of the oral cavity?

Answer 26

candidiasis and cervical caries

Question 27

radiation therapy-chronic xerostomia- how do you treat someone with this condition lest they get cervical caries?

Answer 27

DAILY topical fluoride Tx

Question 28

radiation therapy-osteoradionecrosis-radiation damages _______ and microvasculature rendering bone _______

Answer 28

osteocytes… hypoxic

Question 29

What is the treatment for osteoradionecrosis?

Answer 29

excision/resection

Question 30

A burn usually produces necrosis of epithelium (WHAT COLOR) which may or may NOT rub off

Answer 30

white

Question 31

Aspirin, phenol, silver nitrate, ↑ acid/base are examples that can cause WHAT

Answer 31

a chemical burn

Question 32

Which drug for epilepsy/seizure control can cause gingival hyperplasia? WHAT % of patients on this drug experience gingival hyperplasia?

Answer 32

Phonytoin (Dilantin)…50%

Question 33

Which drug for immunosuppression after an organ transplantation can cause gingival hyperplasia?

Answer 33

CycloSporin

Question 34

What is the MOST likely Calcium Channel Blocker that can cause gingival hyperplasia?

Answer 34

NiFEDiPine

Question 35

Drug induced gingival hyperplasia severity mostly related to adequacy of WHAT?

Answer 35

oral hygiene

Question 36

Which anticonvulsant/barbituate drug can cause gingival hyperplasia?

Answer 36

Primidone

Question 37

Gingival hyperplasia can cause what kind of perio pocket?

Answer 37

pseudopockets

Question 38

What area of the mouth will be affected by heavy metal ingestion?

Answer 38

the marginal gingiva

Question 39

Which type of hypersensitivity? Anaphylaxis & IgE

Answer 39

Type I

Question 40

Which type of hypersensitivity? cell mediated, cytokines, white/red & white

Answer 40

Type IV

Question 41

Which antibody is associated with Type I hypersensitivity?

Answer 41

IgEEEEEEEEEE

Question 42

Anaphylaxis - IgE-_______ mediated erythema

Answer 42

HISTAMINE

Question 43

The lady with swollen lips in his ppt was experiencing ________

Answer 43

angioedema

Question 44

What is the clinical term for a systemic allergic reaction manifested in the mouth generalized, urticaria?

Answer 44

stomatitis medica-mentosa

Question 45

What is the clinical term for a topical allergic reaction in the mouth?

Answer 45

stomatitis vene-nata

Question 46

Hmmmm what kind of allergy??? often flavored, tartar control toothpaste….Lesions are commonly red, white or combination, there is an increase in desquamative gingivitis
cheek + buccal mucosa on SAME SIDE suggests hypersensitivity

Answer 46

Cinnamic Aldehyde Allergy