Exam 1 Practice Flashcards
Which is not a symptom of parkinsons Gait?
a. hypokinesia
b. freezing of gait
c. short, shuffled steps
d. hemiplegia
d. hemiplegia
Be able to identify facial landmarks
- outer canthus
- inner canthus
- alas
- philtrum
- tragus
- nasion
What is retrognathic jaw? (photo was shown on last one)
mandibular jaw is posterior to where is should be
which carcinoma comprises 90% of all cancers?
squamous cell
Which are considered verrucose?
a. basal cell
b. squamous cell
c. melanoma
d. both basal and melanoma
b. squamous cell
Which of the following is incorrect when discussing basal cells
a. seen after years of sun exposure
b. have cratered surface
c. seen intraorally
d. most common skin carcinoma
c. seen intraorally
signs and symptoms of oral cancer
parasthesia and lymphadenopathy
what is exophthalmos and what can it be a sign of
abnormal protruding of the eyes and it is a sign of hyperthyroidism
Are these statements true or false:
Infected lymph nodes are compressible.
Infected lymph nodes are mobile.
false, true?
Are these statements true or false:
most common cervical lymph node abnormality is lymphadenopathy.
thyroid gland is most often palpable
true, false
Are these statements true or false:
prodromal signs of aphthous is tingling and burning. prodromal signs of herpes is tingling and itching.
both true
Which is an incorrect symptom of TMD
a. insomnia
b. joint pain
c. neck ache
d. malocclusion
d. malocclusion (not a symptom, its a cause)
True or False: surgery is typically one of the first tx for TMD
false
What are the three types of aphthous
minor, major and herpetiform aphthous
What is looked for on a TMD exam
lateral tongue scalloping, tooth mobility, buccal mucosal ridging
what are symptoms of xerostomia
dysphagia, cervical caries, angular cheilitis
When wiped off by a 2x2 leaves an erythramatous base?
acute pseudomembranous candidiasis
Risk factors for candidiasis
-immunocompromised
-pregnancy
-poor oral hygiene
- smoking
- stress
-depression
- birth control pills
- diabetes
- dentures that dont fit
- xerostomia
- iron and b12 definceny
What would indicate that your patient is immunocompromised
hairy leukoplasia
not: leukodema
Your patient has ill-fitting dentures from xerostomia, and long-term antibiotics, which of the following conditions would explain this
candidiasis
5 year old presents with fever, malaise, and cold sores. what condition could he have
herpes gingivostomatitis
What is not true of periodontal pockets
Not true: depth is less than 3mm
all true: bleeding and inflammation often occurs, caused by bacterial plaque and clinical attachment loss
What are the six probing measurements
- distofacial
- facial
- mesiofacial
- distolingual
- lingual
- mesiolingual
Lichen planus is present on skin and mucous membranes. Lesions are not always painful
both true
what is paralysis on one side of the body
hemiplegia
All are cancer precautions for head and neck therapy except? a. Xerostomia
b. Mucosal Irritation
c. Cervical Caries
d. Immunocompromised
D. immunocompromised
What is the most common skin cell lesion?
a. Basal Cell Carcinoma
b. Squamous Cell Carcinoma
c. Melanoma
A. basal cell carcinoma
What type of cancer has irregular borders, crusty surface, and persistent thick rough
scaly patches that may bleed?
Squamous Cell Carcinoma
What does excess spacing between the eyes display?
Ocular Hypertelorism
TF: The most common type of lymphadenopathy is cervical/head and neck. The thyroid is most often palpable.
First statement is true. Second Statement is false.
What is the disease called that involves candida and most often occurs at the corners of
the mouth?
angular cheilitis
TF: Surgery is the most common treatment of TMD (BONUS QUESTION)
false
Oral Cancer Stages
a. 40% of oral cancers are found in Stages I or II
i. 80-90% survival rate
b. 60% of oral cancers are found in Stages III or IV
i. 33% survival rate after 3 years but a 67% recurrence rate in 2 years.
Are possible combinations of signs/symptoms of oral cancer
a. Nonhealing Ulcer and Paresis
b. Lymphadenopathy and Paresthesia
c. Healing Ulcer and Lymphadenopathy
d. Paresthesia and Healing Ulcer e. Bleeding
f. Hardness
g. Drooling
b. lymphadenopathy and paresthesia
All are types of disease that are atypical AND asymptomatic except?
a. Linea Alba
b. Leukoedema
c. Fordyce’s Granules
d. Palatal/Mandibular Tori
b. leukoedema
What type of disease can be rubbed off?
a. Leukoedema
b. Leukoplakia
c. Candidiasis
c. candidiasis
Both herpes simplex and aphthous ulcers display ulcers which are painful
Herpes Simplex display Vesicles
i. Herpes Simplex Virus = 2 weeks of healing
ii. Aphthous Ulcers = 3 days of pain and 7 days of healing
signs/symptoms of Benign Migratory Glossitis
Geographic Tongue
Normally Asymptomatic
Becomes Symptomatic with Spicy/Acidic Foods
What is the disease that is caused by the Epstein-Barr Virus, associated with HIV
infection or other immunosuppressive conditions, and display white rough patches?
hairy leukoplakia
All are signs/symptoms of Xerostomia except?
a. Candidiasis
b. Angular Cheilitis
c. Dysphagia
d. Dyspnea
e. Burning tongue
f. Root and Cervical Caries g. Stomatitis
d. dyspnea
Type of Candidiasis that display creamy white patches and easily wipes off leaving an erythematous base?
a. Acute Pseudomembranous Candidiasis
b. Atrophic Candidiasis
c. Thrush
a. acute pseudomembranous candidiasis
What is the disease that display oral lesions with high fever, malaise, cervical
lymphadenopathy, and dehydration?
Herpes Simplex
TF: Herpes Simplex Virus prodromal signs include tingling, itching, pain, and burning 6-24 hours before lesions appear. Aphthous Ulcers prodromal signs appear 1-2 days before lesions appear.
both are true
Aphthous Ulcers (Canker Sores) Clinical Forms
a. Minor – Shortest duration
b. Major – Longest duration per episode, Onset after puberty, May cause scarring c. Herpetic Form – Greatest amount and Most recurs frequently, Onset in Adults
TF: When probing, depths exceed 3mm and display inflammation/bleeding. While probing, must walk the tip of probe along the entire length of the junctional epithelium.
both true
Periodontal probing measures 6 sites per tooth except?
a. Distofacial, Facial, Mesiofacial
b. Distolingual, Lingual, Mesiolingual
c. Mesiodistal
c. mesiodistal
Which of the following is known as a supernumerary tooth?
mesiodens
Your patient has gross incoordination of muscle movements. What does he have?
ataxic gait
Freezing gait is common of what disease
parkinsons
Which of the following is not a risk factor for oral cancer?
xerostomia
Your patient has sulfur-colored lesions that are asymptomatic. What are these called?
Fordyce granules
Which term is used to describe a healthy lymph node?
Compressible
Which of the following is NOT a sign of routine cervical infection when palpating lymph nodes? choose 2
a. Firm
b. Attached (fixed)
c. Compressible
d. Non-tender
a. firm
b. attached (fixed)
Basal cell carcinoma is the most common cell type of oral cancers. Oral cancers are most often diagnosed in stages I-II
both statements are false
Picture of wart/cauliflower like lesion What term would you use to describe this
lesion?
Verrucose
Which of the following would not be a risk factor for a skin lesion?
Uniform color
Hypertelorism could be caused by (choose 2):
a. a syndrome
b. a congenital defect
c. ocular herpes
a. a syndrome
b. a congenital defect
When giving an extra oral exam, you ask the patient to swallow. What are you palpating?
Thyroid gland
Which of the following does not have a quick onset?
Lichen planus
Which of the following is not a risk factor for candida?
Sun exposure
What has whickam striae?
Lichen planus
Which of the following disappears when stretched?
Leukoedema
What can you not expect to see in a pt with TMD?
a. tooth mobility
can you NOT expect to see in a pt with TMD?
b. buccal mucosal ridging
c. lateral tongue scalloping
d. torus palatinus (torus mandibularis is more common w bruxism-> TMD)
e. all of above
d. torus palatinus
Which is NOT a high risk area for oral cancer?*
buccal mucosa
a sloughing (shedding) of epithelium caused by disease, trauma or chemical burn (aspirin burn) is termed?
eschar
most common in african americans that disappears when stretched
leukoedema
What has painful erythematous erosions and ulcers?
lichen planus
Benign Migratory Glossitis is also known as?
geographic tongue
Which of the following could be a risk of Xerostomia
a. caries
b. candidiasis
c. angular cheilitis
d. burning tongue
e. gingival stomatitis
f. All of the above
f. all of the following
What is associated with herpes simplex?
a. vesicle
b. papule
a. vesicle
You should hold the probe with a modified pen grasp. The probe should be held parallel to the long axis of the tooth.
Both statements true
Probing depths range from 1-3mm. Periodontal pockets occurs as a result of apical
migration of the junctional epithelium.
Both statements are true
ID the outer cantus
1
What is 7 called?
a. Submental
b. Submandibular
c. Tonsillar/Jugulodigastric
d. Preauricular
e. Postauricular
f. Occipital
g. Anterior Cervical Chain
h. Supraclavicular
i. Posterior Cervical Chain
g. Anterior Cervical Chain
ID
Verrucose
ID; “Patches, Red Area, and Variable Size/Shape”
Erythema
ID
Eschar
ID; “white, rough, and asymptomatic”
Nicotine stomatitis
ID
Lichen Planus
ID
Aphthous ulcer
ID
irritation fibroma - bulla
Separarte, not running together
Discrete
running together or blending, but they were orginally separate
Confluent
ID
Herpes simplex
ID
Linea alba
