nonneoplastic diseases of bone ch. 8 quiz 4 Flashcards

1
Q

what are the benign fibro-osseous lesions

A

periapical cemento-osseous dysplasia
focal cemento-osseous dysplasia
florid cemento osseous dysplasia
fibrous dysplasia

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2
Q

common disease with unknown cause affects periapical bone; anterior mandible of patients older than 30; more common in black women

A

periapical cemento osseous

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3
Q

early lesions are well circumscribed and radiolucent ; with time, they become increasingly calcified; older lesions may be radiolucent with central opacifications

A

periapical cemento osseous dysplasia

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4
Q

periapical cemento osseous dysplasia mimics periapical disease, but the teeth are____

A

vital

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5
Q

older lesions contain numerous calcifications

A

periapical cemento osseous dysplasia

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6
Q
asymptomatic fibro-osseous lesion
women between 30 and 50 years
more commons in whites
posterior mandible
appears isolated, well delineated radiolucent to radiopaque lesion less than 1.5 cm
A

focal cemento osseous dysplasia

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7
Q

composed of numerous gritty pieces of soft fibrous ct and hard tissue

A

focal cemento osseous dysplasia

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8
Q

-a condition of disordered cementum and bone development; multiple quadrants in maxilla and mandible

A

florid cemento osseous

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9
Q

middle-aged black women who are older than 40; more than one quadrant; posterior regions; irregular opacification noted composed of dense, sclerotic bone, cementum, or both

A

florid cemento osseous dysplasia

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10
Q

diagnosed based on characteristic clinical presentation and radiographic appearance; can perforate mucosa; may lead to osteomyelitis, requiring surgery and antibiotics

A

florid cemento-osseous dysplasia

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11
Q

florid means

A

everywhere

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12
Q

focal means

A

one spot

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13
Q

a disease chraracterised by replacement of bone with abnormal fibrous connective tissue interspersed with varying amounts of calcifications; could be due to abnormal mesenchymal cell function; irregular trabeculae of bone; benign firbo osseous lesion

A

fibrous dysplasia

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14
Q

types of fibrous dysplasia

A

monostotic

polyostotic

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15
Q

involvement of a single bone; children and young adults; painless swelling or bulging of buccal plate

A

monostotic fibrous dysplasia

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16
Q

involvement of more than one bone; female children; long bones may exhibit bowing and an associated dull aching pain; skin lesions appearing as light-brown macules called cafe au lait spots

A

polyostotic fibrous dysplasia

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17
Q

which one has cafe au lait spots

A

polyostotic fibrous dysplasia

18
Q

several types of polyostotic fibrous dysplasia

A

craniofacial fibrous dysplasia
jaffe type
albright syndrome

19
Q

involves the maxilla with extension into the sinuses and adjacent zygoma, sphenoid, and occipital bones

A

craniofacial fibrous dysplasia

20
Q

involves multiple bones along with cafe au lait macules on skin

A

jaffe type

21
Q

characterized by endocrine abnormalities, precious puberty in females, stunting or deformity of skeletal growth in both sexes as a result of premature closing o the epiphyseal plates cafe au lait spots

A

albright syndrome

22
Q

painless enlargment of affected bone or bones; typically, a painless progressive, unilateral enlargement of the mandible or maxilla.
ground glass

A

polyostotic fibrous dysplasia

23
Q

ground glass

A

polyostotic fibrous dysplasia

24
Q

cellular fibrous ct interspered with irregularly shaped bony trabeculae; radiographic changes blend into the surrounding normal bone
surgical recontouring of bone for cosmetic reasons

A

polyostotic fibrous dysplasia

25
Q

maloclussion, tipping and displacement of teeth
ground glass
maxilla common/painless/facial assymetry

A

fibrous dysplasia

26
Q

chronic metabolic bone disease; resorption, osteoblastic repair, and remineralization of involved bone; unknown cause(could be virus); men over age 50
maxilla commonly affected

A

paget disease of bone

27
Q

paget disease is also called

A

osteitis deformans

28
Q

enlargement is common; pain; spaces increase between teeth as bone enlarges ; may cause prosthesis to fit incorrectly

A

paget disease

29
Q

radiograph: cotton wool; hypercementosis, loss of lamina dura

A

paget disease of bone

30
Q

microscopically/histologically- reversal lines; mosaic bone pattern(numerous osteoblasts and clasts on surface in bony trabeculae pattern)

A

paget disease of bone

31
Q

the serum alkaline phosphatase level is elevated in active disease; prominent reversal lines may create a pattern known as mosaic bone
treatment is experimental-slowly progressive disease(no cure)

A

paget disease of bone

32
Q

chronic progressive condition
enlargement of the jaws, pain, neurologic complaints, increase spacing, loosening of teeth, cotton wool radiopaque pattern

A

pagets

33
Q

well-vascularized ct containing multinucleated giant cells; occurs within bone; in children and young adults

A

central giant cell granuloma

34
Q

anterior maxilla or mandible; young adults; may cause resorption or divergence of tooth roots; teeth are asymptomatic and VITAL; surgical excision

A

central giant cell

35
Q

what is a lesion of bone that is radiographically identical to central giant cell

A

brown tumor

36
Q

in patients with hyperparathyroidism is also very similar microscopically to what

A

central giant cell

37
Q

a disease of bone that develops over a long period of time

  • result of calcium deficiency
  • young children(deficency in vit D)
  • adults(may be related to various health problems such as malabsorption syndrome)
A

osteomalacia

38
Q

may be associated with delayed tooth eruption and periodontal disease

A

osteomalacia

39
Q

an inherited form of vit D deficiency is called what

A

hypophosphatemic vit D-resistant rickets

40
Q

osteomalacia–when this disease occurs in young children, it is usually caused by a nutritional deficiency of vit D,and associated with disease–?

A

rickets

41
Q

have large pulp chambers with very long pulp horns; dentin has pronounced cracks, which leads to pulpal infections and fractures in enamel

A

hypophosphatemic vitamin D- resistant rickets