Important Info For Sure... Master Doc... I'm too lazy to separate it Flashcards
Desquamatous gingivitis
a. erosive lichen planus
b. mucous membrane pemphigoid
c. pemphigus vulgaris
d. all of the above
d. all of the above
Lace like appeearance in lichen planus is known as…
wickham’s striae
All of the following except which are associated with candidiasis?
a. central papillary atrophy
b. inflammatory papillary hyperplasia
c. aphthous stomatitis
d. angular cheilitis
c. aphthous stomatitis
Lesions are not present anywhere else, no fever. Resolved a week later. Which is the most likely clinical diagnosis?
recurrent herptic infection
White hairy tongue. What is responsible for this presentation?
elongated filiform papillae
What is the most likely diagnosis for this…
fordyce granules
True or False
Pt presents with ulcerative lesions on lateral border of the tongue. Says it has been there for months, and swears it is due to a sharp tooth. It is not necessary to biopsy.
False
Pt states lesion has been there her entire life, no change. What is the most likely diagnosis?
physiologic pigmentation
Bump on the gums with the following histology. States there is mineralization in the connective tissue. What is the most likely diagnosis?
peripheral ossifying fibroma
Which of the following consists of mostly granulation tissue?
a. pyogenic granuloma
b. giant cell fibroma
c. peripheral ossifying fibroma
d. peripheral giant cell granuloma
a. pyogenic granuloma
All of the following are meds associated with gingival enlargement except…
a. dilantin for seizure
b. procardia for hypertension
c. sandimmune
d. prilosec for heart burn
d. prilosec for heart burn
What is commonly mistaken for squamous papilloma?
giant cell fibroma
Which of the following is most likely associated with sexual transmission?
a. squamous papilloma
b. verrucus vulgaris
c. condyloma acuminatum
condyloma acuminatum
Edentulous patient presents with the following “bump” which is hard as a rock and says it has been there as long as she can remember. What is recommended?
no treatment
All can be expected on #29 keratinized mucosa except which of the following?
a. giant cell fibroma
b. pyogenic granuloma
c. peripheral ossifying fibroma
d. peripheral giant cell granuloma
a. giant cell fibroma
What could this be (on the soft palate) after an extraction?
a. recurrent herpetic
b. aphthous stomatitis
b. aphthous stomatitis
What is the diff diagnosis for this?
erythema migrans (geographic tongue)
What chronic skin condition is associated with geographic tongue?
Psoriasis
The image is most likely a…
a. erythroplakia
b. leukoplakia
b. leukoplakia
There is a slow growing lesion overy many years, histology was variable with mixed myoepithelial elements.
pleomorphic adenoma (benign mixed tumor)
most common salivary gland tumor
Picture under the tongue showing multiple clusters of ulcers. What is most likley the diagnosis?
herpetiform aphthous stomatitis
What is this? Patient history of smoking, but the lesion is asymptomatic.
erythema migrans (geographic tongue)
What is this?
they were also shown an image post-steroid treatment
erosive lichen planus
Fever, malaise, cervical lymphadenopathy; no previous lesions or exposure
primary herpetic gingivostomatitis
Is erythema migrans associated with candidia albicans?
nah
A 40 year old female has painful small erosions that began as vesicles on the right hard palate. She has had this before and it lasted a coulple of weeks. What is the clinical diagnosis?
recurrent herpetic infection
What three medications can cause this?
- anticonvulsants (dilantin)
- calcium channel blockers (procardia)
- immunosupressants (cyclosporin)
Pt has ulcerations on ventral tongue and floor of the mouth. No history of trauma. What is the clinical diagnosis?
aphthous stomatitis
Patient presents with a nodular gingival mass. The histology has plump cellular mesenchymal tissue with bone formation. What is this?
peripheral ossifying fibroma
Name three lesions that are associated with HPV
- squamous papilloma
- verruca vulgaris
- condyloma acuminatum
True or false
An epulis fissuratum is often associated with an overgrowth of candida albicans
False
List 4 conditions which may be associated with desquamative gingivitis
lichen planus
pemphigus vulgaris
mucous membrane pemphigoid
hypersensitivity
List 4 things that are associated with intraoral lichenoid reactions…
NSAIDs
statins
restoratie materials (amalgam)
cinnamon
geographic tongue
Differential diagnosis
mucocele
hemangioma
mucoepidermoid carcinoma
Differential diagnosis
pyogenic granuloma
peripheral giant cell granuloma
peripheral ossifying fibroma
The following lesion has noted when patient showed for an extraction follow up exam. On palpation, this lesion was not indurated and did not have rolled borders. What is the best clinical diagnosis?
aphthous stomatitis
Patient says the inside of her cheeks are sometimes sensitive to spicy foods. You see this on the left buccal mucosa. She has similar lesions on the gingiva and right buccal mucosa. She has no skin lesions.
List three condidiotns which could cause these…
- lichen planus
- systemic lupus erythematosus
- cinnamon allergy
- medications (Plavix, NSAIDs)
A patient presents with a lesion on the floor of the mouth. Histologically, there is mucin spillage into the CT from the rupture of minor salivary glands
mucocele
A patient presents with a lesion that is causes root resorption and the histology shows extravasated blood vessels that give a brown/red color. A blood test is within normal limits.
Central Giant Cell Granuloma
A lesion that is soft and located on the lateral border of the tongue.
a. Fibrous Hyperplasia
b. Mucoepidermoid Carcinoma
c. Adenamatoid Carcinoma
d. Papillary Adenoma
a. Fibrous Hyperplasia
A patient has a solitary, exophytic, pedunculated lesion on the patient’s tongue. There is also hyperplasia of squamous epithelium
Squamous Papilloma
A patient presents with skin lesions on the flexor surfaces. There are fine, white, radiating striae that has caused an uncomfortable sensation with acidic/spicy foods. With a DIF, it shows fibrinogen at the basement membrane. IgG and C3 levels are normal
erosive lichen planus
A patient presents with a red erythematous lesion with a raised white border. It is present in multiple areas (ventral surface of tongue, lateral border of tongue…) The patient has a history of smoking, alcohol, and sexual activity.
Erythema Migrans