Oral lesions

Question 0

Leukoplakia etiology

Answer 0

HPV, inflammatory/autoimmune, tobacco

Question 1

oral white lesion that doesn’t brush/scrape

Answer 1

Leukoplakia

Question 2

lacy leukoplakia but may be erosive

Answer 2

lichen planus

Question 3

oral lichen planus etiology

Answer 3

chronic inflammatory autoimmune disease

Question 4

oral lichen planus treatment

Answer 4

manage pain/discomfort w/ topical or systemic corticosteroids

Question 5

blue-black macule seen in area near a dental filling

Answer 5

Amalgam tattoo

Question 6

What can be mistaken for melanoma?

Answer 6

Amalgam tattoo

Question 7

Painful oral lesions; small, gray on an erythematous base

Answer 7

Apthae (aka canker sores)

Question 8

Apthae treatment

Answer 8

Symptomatic relief- Orabase steroid

Question 9

Autoimmune vasculitis. Recurrent oral and genital apthae

Answer 9

Behcet’s

Question 10

Behcet’s etiology

Answer 10

inflammatory disorder

Question 11

Behcet’s diagnostic criteria

Answer 11

recurrent oral ulcers > 3x/year & 2 other clinical findings (genital ulcers, skin/eye lesions)

Question 12

fluid-filled cavities w/ mucous lining the epithelium

Answer 12

Mucoceles

Question 13

Mucocele etiology

Answer 13

may be seen after mild oral trauma

benign

Question 14

sore throat/mouth, oral erythema w/ or w/out white plaques

Answer 14

Oropharyngeal candidiasis

Question 15

Oropharyngeal candidiasis treatment

Answer 15

Nystatin suspension (topical), clotrimazole (topical), or oral fluconazole (diflucan)

Question 16

painful intraoral grouped vesicles on an erythematous base

Answer 16

Herpes simplex virus

Question 17

HSV etiology

Answer 17

HSV1

aggravated by sunlight, trauma, stress

Question 18

Herpes treatment

Answer 18

Acyclovir cream

Oral meds: acyclovir, valacyclovir, famciclovir

Question 19

prodrome followed by pale papules on erythematous base in mouth. painful. lesions may also occur on hands/feet/buttocks

Answer 19

Coxsackie virus

Question 20

sudden onset fever, vomiting, sore throat

Papules on soft palate become shallow ulcers in 3 days then heal

Answer 20

Herpangina

Question 21

concurrent mucosal & trunk lesions w/ new medication use
may see erythema and edema of the lips
intraoral bullae in severe cases

Answer 21

SJS/TEN

Question 22

SJS/TEN tx

Answer 22

discontinue med, corticosteroids

Question 23

slow onset of tender, flaccid bullae

superficial skin slips away from deeper layers

Answer 23

Pemphigus

Question 24

superficial skin slips away from deeper layers

Answer 24

Nikolsky’s Sign

Question 25

Pemphigus etiology

Answer 25

autoimmune blistering disease

Question 26

Pemphigus treatment

Answer 26

systematic (oral) corticosteroids
immunosuppressive agents
antibiotics for secondary infection

Question 27

atrophy of filiform papillae

Answer 27

Atrophic glossitis

Question 28

Potential atrophic glossitis etiologies (3)

Answer 28

iron, B12, folic acid deficiency
Sjogren sydrome/dry mouth
Candida

Question 29

associated with antibiotics use, candida, poor oral hygiene

Answer 29

black hairy tongue