Oral Cavity

Question 0

What is a oral fibroma and what is it due to?

Answer 0

Squamous cell and fibrous tissue proliferation due to chronic irritation

Question 1

What are some disease associations with aphthous ulcers?

Answer 1

Ciliac’s disease, inflammatory bowel disease

Question 2

What is a pyogenic granuloma of the mouth?

Answer 2

Benign lobular proliferation of capillaries in the mouth

Question 3

What can cause glossitis?

Answer 3

B12 deficiency

Other deficiency states

Question 4

What is Plummer-Vinson syndrome?

Answer 4

Iron deficiency anemia
Glossitis
Dysphagia due to esophageal webs

Question 5

Increased neutrophilic proliferation in the epithelium (associated with mild burning sensation) is indicated in what disease?

Answer 5

Geographic tongue

Question 6

What is the name for heterotropic collections of sebaceous glands in the oral cavity?

Answer 6

Fordyce’s granules

Question 7

What are the three types of odontogenic cysts?

Answer 7

Dentigerous cyst
Odontogenic keratocyst
Periapical cyst

Question 8

What infectious diseases can manifest in oral changes?

Answer 8

Scarlet Fever
Measles
Mononucleosis
Diphtheria
HIV

Question 9

Which dermatological diseases can manifest in the mouth?

Answer 9

Lichen planus
Pemphigus
Bullous pemphigoid
Erythema multiforme

Question 10

What hematological disorders can manifest in the mouth?

Answer 10

Pancytopenia
Leukemia
Monocytic leukemia

Question 11

What type of patient gets hairy leukoplakia?

Answer 11

HIV, immunocompromised

Question 13

Where is hairy leukoplakia in the mouth and what causes it?

Answer 13

On sides of tongue

EBV

Question 14

What viral infection is associated with squamous papillomas?

Answer 14

HPV

Question 15

What are the two precancerous lesions commonly seen in the oral cavity?

Answer 15

Erythroplakia and leukoplakia

Question 16

What is the histology of leukoplakia?

Answer 16

Hyperkeratosis and irregular epithelial hyperplasia

Question 17

What is actinic cheilitis? What causes it?

Answer 17

Actinic keratosis of the lip

Caused by sun exposure

Question 18

What are the biggest risk factors for squamous cell carcinoma of the oral cavity?

Answer 18

Alcohol and tobacco use, as well as HPV

Question 19

Does HPV squamous cell carcinoma result in a better or worse diagnosis?

Answer 19

Better

Question 20

What gene and which protein are overexpressed in HPV induced SCC?

Answer 20

p16, cyclin dependent kinase inhibitor

Question 21

What cells are indicated in allergic rhinitis?

Answer 21

Eosinophils (REMEMBER LATE PHASE)

Question 22

What is empyema?

Answer 22

A big pocket of pus in the sinus

Question 23

A young adolescent male presents to your office with persistent stuffiness and gets frequent nosebleeds. What is a common diagnosis for this age group?

Answer 23

Nasopharyngeal angiofibroma

Question 24

What are the three types of sinonasal papillomas?

Answer 24

Inverted, exophytic, and oncocytic

Question 25

What are the most common causes of laryngoepiglotitis?

Answer 25

RSV, H. influenza, beta hemolytic strep

Question 26

What are laryngeal squamous papillomas?

Answer 26

Benign papillary squamous neoplasms caused by HPV

Question 27

What is the most common form of laryngeal carcinoma?

Answer 27

squamous cell carcinoma

Question 28

What are the most common causes of xerostomia?

Answer 28

Sjogren's syndrome Radiation therapy Antimuscarinics (and other medications)

Question 29

What is sialadenitis?

Answer 29

Inflammation of salivary glands, oftentimes by mumps or staph/strep

Question 30

What is a ranula?

Answer 30

Mucocele from sublingual duct that can dissect into the neck

Question 31

What is lymphoepithelial sialadenitis?

Answer 31

Autoimmune disease involving salivary gland

Question 32

What must lymphoepithelial sialadenitis be distinguished from pathologically?

Answer 32

B cell MALT lymphoma

Question 33

Where do most salivary glands present? Where is it the most malignant?

Answer 33

Parotid gland | Sublingual gland is most malignant

Question 34

Which is the most common salivary gland tumor? Where is it found?

Answer 34

Pleomorphic adenoma | Parotid gland

Question 35

What is the physical exam of the pleomorphic adenoma?

Answer 35

firm, freely movable, painless parotid gland mass

Question 36

What is a Warthin tumor?

Answer 36

tumor of the parotid gland, smokers have 8x the risk

Question 37

What does the histology look like of a warthin tumor?

Answer 37

Dual layer of bland, neoplastic, eosinophilic epithelium

Question 38

What is the most common malignant salivary gland tumor?

Answer 38

Mucoepidermoid carcinoma

Question 39

What is a slow growing salivary gland tumor with predilection for neural invasion?

Answer 39

Adenoid cystic carcinoma