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Oral Pathology Final > Final > Flashcards

Final Flashcards

1
Q

Salivary gland malignancy by site

A

Sublingual gland 70-90%
Minor gland 50%
Submandibular gland 41-45%
Parotid gland 15-32%

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2
Q

Minor salivary gland malignancy by site

A

Retromolar trigone = 93%
Floor of mouth = 93%
Tongue = 80%

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3
Q

1 risk for Sjogren’s

A

40X increased risk of lymphoma

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4
Q

1 malignant salivary gland tumor

A

Mucoepidermoid carcinoma

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5
Q

1 salivary gland tumor

A

Pleomorphic adenoma

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6
Q

Most common location for SG tumors

A

Parotid 64-80%
Minor glands 9-23%
Submandibular gland 9-11%
Sublingual gland <1%

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7
Q

Episodic pain and swelling in Wharton’s duct

A

Sialolith

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8
Q

Foamy MP, lower lip swelling

A

Mucocele

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9
Q

Diagnostic criteria for Sjogren’s (4)

A

Ocular dryness (Schirmer test, Bengal staining)
Xerostomia (reduced saliva + focus score)
Serologic evidence of AI (RF, ANA, SS-A, SS-B)
Systemic AI

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10
Q

Craterlike ulceration of palate

A

Necrotizing sialometaplasia

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11
Q

1 benign tumor in children

A

Hemangioma-mesenchymal

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12
Q

Females
Parotid/palate
Myoepithelial cells
10-12% malignant transformation

A

Pleomorphic adenoma

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13
Q

Clear cells (pink cytoplasm means increased mitochondria)

A

Oncocytoma

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14
Q

Old man
Smoker
Parotid
Machine oil fluid

A

Warthin’s tumor

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15
Q

Old women

Upper lip mass

A

Canalicular adenoma

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16
Q

Painful mass parotid/palate/submandibular
Facial paralysis
Perineural invasion
Swiss cheese

A

Adenoid cystic carcinoma

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17
Q

Cancer of B lymphocytes

Form of NHL

A

Burkitt’s lymphoma

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18
Q

Virus for Burkitt’s lymphoma

A

EBV

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19
Q

Reed Sternberg cell

A

Hodgkins lymphoma

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20
Q

Virus for HL

A

EBV

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21
Q

1 intraoral lymphoma

A

Diffuse large BC NHL

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22
Q

Hemoglobin synthesis w/ point mutation in beta globin chain

A

Sickle Cell Anemia

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23
Q

Philadelphia chromosome

A

Chronic myeloid leukemia

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24
Q

Floating teeth (4 things)

A

Langerhans Cell Histiocytosis
Ewings Sarcoma
Lymphoma
Periodontitis

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25
Q

Birbeck granules

A

Langerhans Cell Histiocytosis

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26
Q

Plasma cell malignancy

A

Multiple myeloma

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27
Q

Gender predilection for MM

A

Male

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28
Q

Multiple punched out RL

A

Multiple myeloma

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29
Q

1 odontogenic cyst

A

Gingival cyst of the newborn

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30
Q

Rushton bodies

A

Radicular cysts

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31
Q

Neoplastic transformation (3 things)

A

Ameloblastoma
SSC
Mucoepidermoid carcinoma

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32
Q

Rests of Serres, dental lamina rests

A

OKC

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33
Q

Gorlin syndrome

A

Nevoid Basal Cell Carcinoma Syndrome

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34
Q

Gene of Gorlin syndrome

A

PTCH

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35
Q

Clear cells, glycogen rich

A

Lateral periodontal cyst

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36
Q

Variant of lateral periodontal cyst

A

Botryoid odontogenic cyst

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37
Q

Anterior maxilla, male, ghost cell keratin, unerupted tooth

A

Calcifying odontogenic cyst

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38
Q

Calcifying odontogenic cyst AKA ____

A

Gorlin cyst

39
Q

Histologic variants of ameloblastoma

A 
Follicular
Plexiform
Granular
Desmoplastic
Ameloplastic
40
Q

Vickers-Gorlin criteria (4)

A

Palisaded columnar epithelial cells
Hyperchromatic nuclei
Reverse nuclear polarization
Sub-nuclear cytoplasmic vacuolization

41
Q

Anterior maxilla, young female, impacted canine

A

Adenomatoid odontogenic tumor

42
Q

AOT histology

Clinical appearance

A

Snow flake calcifications

Apical extension beyond CEJ

43
Q

Driven snow calcifications

A

Calcifying epithelial odontogenic tumor

44
Q

CEOT AKA ____

A

Pindborg tumor

45
Q

CEOT histology

A

Liesegang ring

Concentric calcifications

46
Q

Odontogenic myxoma histology

A 
Bland spindled to stellate stromal cells
Loose myxoid strma
Mucopolysaccharide ECM
Scant collagen
Odontogenic epithelial rests
47
Q

RP calcified mass
Attached to tooth root
Radiolucent rim

A

Benign cementoblastoma

48
Q

Histology of benign cementoblastoma

A

Peripheral radiation

49
Q

Simple type
WHO type
Granular cell type

A

Central odontogenic fibroma

50
Q

Circumscribed apical RL
Non-expansile
Mandibular anterior

A

Periapical COD

51
Q

1st-2nd decade
Male
Posterior mandible 70%
Painless slow growing

A

Ameloblastic fibroma

52
Q

Contains mineralized dental matrix

A

Ameloblastic fibro-odontoma

53
Q

Odontoma is a ____ malformation

A

Hamartomatous

54
Q

Odontoma X-RAY

A

Mixed RP/RL

55
Q

Freckles

Intestinal polyps

A

Puetz-Jeghers syndrome

56
Q

+ Nikolsky sign

Auto-AB against epidermal cell glycoproteins, desmoglein 1/3

57
Q

Pemphigus histology

A

intraepithelial separation above basal cell layer

58
Q

Pemphigus cells

A

Tzanck cells

59
Q

Ocular lesions of MMP

A 
Symblepharons
Scarring
Dryness
Entropion
Trichiasis
60
Q

MMP oral lesion

A

Desquamative gingivitis

61
Q

MMP histology

A

Split at underlying CT

Auto-AB IgG, C3

62
Q

1 autoimmune blistering disease

A

Bullous pemphigoid

63
Q

Wickham’s striae

A

Reticular lichen planus

64
Q

Desquamative gingivitis (3)

A

MMP
Erosive lichen planus
Pemphigus vulgaris

65
Q

LP histology

A

Saw-tooth rete ridges

Civatte bodies - degenerating keratinocytes

66
Q

Aphthous ulcers associated disorders

A 
Behcets
Celiac
Cyclic neutropenia
IgA deficiency
Immunocompromised
IBS
MAGIC
PFAPA
Sweet's
67
Q

Aphthous ulcers histology

A

Central zone of ulceration
Fibrinopurulent membrane
Vascularity in CT
Inflammatory cells

68
Q

Preceded by HSC and mycoplasma pneumoniae infections

A

Erythema multiforme

69
Q

Early lesion for EM

A

Targetoid hand lesion

70
Q

1 CT disorder in US

71
Q

Lupus DIF

A

IgM
IgG
C3 at BM

72
Q

Strawberry gingivitis

A

Wegener’s granulomatosis

73
Q

DX of Wegener’s granulomatosis

A

Anti-neutrophil cytoplasm antibodies ANCA

Leukocytoclastic vasculitis

74
Q

Petechiae on hard palate
NUG
EBV

75
Q

Variation of IBS

A

Pyostomatitis vegetans

76
Q

2 syndromes of Sarcoidosis

A

Lofgrens

Heerfordts

77
Q

1 oral “tumor”

78
Q

Cobblestone appearance

A

Giant cell fibroma

79
Q

Bad denture associated w/ ___

A

Epulis fissuratum

80
Q

Pregnancy gingivitis, 7th month

A

Pyogenic granuloma

81
Q

Associated w/ primary hypoparathyroidism

A

Peripheral giant cell granuloma

82
Q

Radiographic cupping of underlying ridge

83
Q

Found at mental foramen

A

Traumatic neuroma

84
Q

Benign tumor of Schwan cells

A

Neurilemoma

85
Q

Tongue and buccal mucosa

Nerve sheath neoplasm

A

Neurofibroma

86
Q

Von Recklinghousen’s disease

A

Neurofibromatosis Type I

87
Q

Diagnostic criteria neurofibromatosis

A 
Neurofibromas
Café au lait
Crowe's sign
Lisch nodules
Optic glioma
88
Q

Marfonid body
Neuroma in eye
Upper eyelid everted

89
Q

Pseudoepithelial hyperplasia

A

Granular cell tumor

90
Q

Large round cells with granular eosinophilic cytoplasm

A

Congenital epulis

91
Q

1 tumor of infancy

A

Hemangioma

92
Q

Anterior tongue causing macroglossia

A

Lymphangioma

93
Q

Small round blue cell tumor

A

Rhabdomyosarcoma

94
Q

AIDS, HHV8

A

Kaposi’s Sarcoma

Oral Pathology Final (2 decks)

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