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
Q

What is Oropharyngeal Cancer?

A

A disease in which malignant
(cancer) cells form in the
tissues of the oropharynx

26
Q

What are some Oropharyngeal Cancer risk factors?

A

-Tobacco
-Alcohol
-Sun exposure
-Betel quid and gutka
-Age
-Poor nutrition
-Genetics

27
Q

Define “signs”

A

Abnormality noticed by the
healthcare professional

28
Q

Define symptoms.

A

Described by the
patient

29
Q

What are some signs and symptoms of Oropharyngeal cancer?

A

-Lump
-Non-healing sore
-Mouth pain
-White or red patch in mouth
-Trouble chewing
-Swelling
-Voice change

30
Q

What is Leukoplakia?

A

White patch on the oral mucosa that cannot be scraped off or classified as any other diagnosable disease

31
Q

What is Erythroplakia?

A

Suspicious red oral area

32
Q

Where is Oropharyngeal Cancer most often found?

A

-The tongue
-The tonsils and oropharynx
- The floor of the mouth
-The rest are found in the lips, the minor salivary glands

33
Q

What are the 8 steps of documenting oral lesions?

A

Location
Distribution and definition
Size
Shape
Color
Consistency
Texture
History

34
Q

What is the only way to know if oropharyngeal cancer is present?

A

A biopsy

35
Q

What does the TNM system stand for?

A

Tumor
Nodes
Metastasis

36
Q

What is the Gold Standard?

A

Incisional biopsy

37
Q

What is exfoliative cytology?

A

The doctor scrapes the changed area and smears the collected tissue onto a glass slide

38
Q

What is an Oral Brush Biopsy?

A

Brush used that collects surface cells

39
Q

What are some diagnostic tools?

A

-Tissue stain
-Velscope
-ViziLite

40
Q

What is torus palatinus?

A

Bony projection on roof of the mouth

41
Q

What is mandibular tori?

A

Bony projection on floor of the mouth

42
Q

What is the medical term for tongue tied?

A

Ankyloglossia