Exam 2 - Intra/Extra oral exam Flashcards

Extra & Intra oral exams

1
Q

What do you do prior to the intra/extra oral exam?

A

-Review the patient’s health histories
-Examine radiographs
-Explain the procedures
-Help the patient understand the
importance of a complete head and
neck examination

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2
Q

What are the advantages of a systematic sequence?

A

-Eliminates possibility of
overlooking an area
-Increased efficiency and time
saving
-Maintains a professional
atmosphere

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3
Q

What is a lesion?

A

Any abnormal change in the tissue of an organism, usually caused by disease or trauma

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4
Q

What are oral lesions?

A

Growths found in or around
the mouth and may be precancerous or
cancerous

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5
Q

What is a neoplasm?

A

A new and abnormal growth of
tissue

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6
Q

What is dysplasia?

A

The abnormal growth or development
of a tissue or organ

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7
Q

What is an elevated lesion?

A

A raised area on the skin that can be felt or palpated

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8
Q

What is a depressed lesion?

A

Slightly elevated, flat, or depressed compared to the surrounding tissue

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9
Q

What is a flat lesion?

A

A circumscribed, flat area of discoloration

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10
Q

Define contour.

A

The outline or shape of something

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11
Q

Define crust.

A

A hard or brittle external coat or covering

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12
Q

Define cyst.

A

A closed, sac-like pocket of tissue

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13
Q

Define erythema.

A

Reddening of the skin

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14
Q

Define exophytic.

A

Growing outward from the surface of an organ or tissue

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15
Q

Define indurated.

A

Having become firm or hard

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16
Q

Define papillary.

A

Small, raised areas of tissue on the gums between teeth

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17
Q

Define petechiae.

A

Small, flat, round spots that appear on the skin or mucous membranes as a result from bleeding under skin

18
Q

Define pedunculated.

A

A stalk or stem-like attachment to another structure or growing on or from a peduncle

19
Q

Define Pseudomembrane.

A

A layer of exudate resembling a membrane, formed on the surface of the skin or of a mucous membrane

20
Q

Define polyp.

A

A projecting growth of tissue from a surface in the body, usually a mucous membrane

21
Q

Define punctate

A

Having pinpoint punctures or depressions on the surface

22
Q

Define purulent.

A

Containing or producing puss

23
Q

Define torus.

A

A bony growth or protrusion

24
Q

Define verruca.

A

Painless, white papillary growth (wart)

25
What is Oropharyngeal Cancer?
A disease in which malignant (cancer) cells form in the tissues of the oropharynx
26
What are some Oropharyngeal Cancer risk factors?
-Tobacco -Alcohol -Sun exposure -Betel quid and gutka -Age -Poor nutrition -Genetics
27
Define "signs"
Abnormality noticed by the healthcare professional
28
Define symptoms.
Described by the patient
29
What are some signs and symptoms of Oropharyngeal cancer?
-Lump -Non-healing sore -Mouth pain -White or red patch in mouth -Trouble chewing -Swelling -Voice change
30
What is Leukoplakia?
White patch on the oral mucosa that cannot be scraped off or classified as any other diagnosable disease
31
What is Erythroplakia?
Suspicious red oral area
32
Where is Oropharyngeal Cancer most often found?
-The tongue -The tonsils and oropharynx - The floor of the mouth -The rest are found in the lips, the minor salivary glands
33
What are the 8 steps of documenting oral lesions?
Location Distribution and definition Size Shape Color Consistency Texture History
34
What is the only way to know if oropharyngeal cancer is present?
A biopsy
35
What does the TNM system stand for?
Tumor Nodes Metastasis
36
What is the Gold Standard?
Incisional biopsy
37
What is exfoliative cytology?
The doctor scrapes the changed area and smears the collected tissue onto a glass slide
38
What is an Oral Brush Biopsy?
Brush used that collects surface cells
39
What are some diagnostic tools?
-Tissue stain -Velscope -ViziLite
40
What is torus palatinus?
Bony projection on roof of the mouth
41
What is mandibular tori?
Bony projection on floor of the mouth
42
What is the medical term for tongue tied?
Ankyloglossia