GI Path Oral Cavity and Salivary Glands

Question 1

oral changes with scarlet fever

Answer 1

• fiery red tongue with prominent papillae (raspberry tongue)
• white-coated tongue through which hyperemic papillae project (strawberry tongue)

Question 2

oral changes with measles

Answer 2

• spotty enanthema in the oral cavity often precedes the skin rash
• ulcerations on the buccal mucosa about Stenson duct produce koplik spots

Question 3

oral changes with infectious mononucleosis

Answer 3

• acute pharyngitis and tonsillitis that may cause coating with a gray-white exudative membrane
• enlargement of LN in the neck
• palatal petechiae

Question 4

oral changes with diptheria

Answer 4

• characteristic dirty white, fibrinosuppurative, tough, inflammatory membrane over tonsils and retropharynx

Question 5

oral changes with HIV

Answer 5

• predisposition to opportunistic infections, particularly herpes virus, candida, and other fungi
• oral lesions of kaposi sarcoma and hairy leukoplakia

Question 6

oral changes with erythema multiforme

Answer 6

• maculopapular, vesiculobullous eruption that sometimes follows an infection elsewhere, ingestion of drugs, development of cancer, or collagen vascular disease
• Stevens-Johnson syndrome is when there is widespread mucosal and skin involvement

Question 7

what type of hypersensitivity reaction is erythema multiforme?

Answer 7

type IV

Question 8

oral changes with pancytopenia

Answer 8

• severe oral infections in the form of gingivitis, pharyngitis, tonsillitis
• may extend to produce cellulitis of the neck

Question 9

oral changes with leukemia

Answer 9

with depletion of functioning neutrophils, oral lesions may appear like those in pancytopenia

Question 10

oral changes with monocytic leukemia

Answer 10

leukemic infiltration and enlargement of the gingivae, often with accompanying periodontitis

Question 11

which duct is associated with the parotid gland?

Answer 11

Stenson’s duct

Question 12

what enzyme does parotid gland produce?

Answer 12

salivary amylase

Question 13

chromosomal issue with mucoepidermoid carcinoma

Answer 13

Balanced chromosomal translocation: (11:19)(q21;p13)

Question 14

Gene product mucoepidermoid carcinoma

Answer 14

fusion gene product: MECT1-MAML2

Question 15

Most common translocation associated with MALT lymphoma

Answer 15

t(11;18)(q21;q21)