Oral Medicie YR3

Question 1

What is the definition of oral medicine?

Answer 1

Specially concerned with the care of patients with chronic recurrent and medically related disorder of the oral and maxillofacial region and with their diagnosis and non-surgical management

Question 2

Name 6 diseases that can be or causes oral mucosal disease?

Answer 2

Local:- inflamm, infective- premalignant and neoplasticMucocutaneous diseaseManifest of CT and vasculitic diseaseManifest of GIManifest of nutritional deficManifest of endocrine

Question 3

What are the risk factors for oral cancer?

Answer 3

Smoking| Alcohol

Question 4

Name 5 causes of salivary gland disease?

Answer 4

InfectiveObstructiveImmuneNeoplasticGland enlargement/focal growth assoc with systemic problems

Question 5

Name 6 examples of oro-facial pain syndromes?

Answer 5

TMJDysesthesiaNeuropathicNeuralgiaTrigeminal autonomic cephalalgiasVasculitic

Question 6

What is the role of an oral medicine consultant?

Answer 6

Information gathering:- letter, history, examRecord keepingDifferential diagnosis:- special investDiagnosis and treatment plan:- risk/benefit- patient preference

Question 7

What must the patient assessment contain?

Answer 7

Full historyIntra-oral examExtra-oral exam:- appearance, skeleton- salivary and lymph nodes- TMJ and occlusal functionCranial nerve examination

Question 8

Name 4 examples of special investigations which could be useful for diagnosis?

Answer 8

MicrobiologyPathologyBloodsImaging

Question 9

How should a clinician describe a lesion?

Answer 9

Say what you seeInclude history of lesionImportance of negative findingsInduce normal features of mouthPatient background

Question 10

Name the 9 descriptive features of a mucosal lesion/

Answer 10

SiteSizeShape:- round, oval, irregMargin:- flat or raisedShade:- diff coloursSurface:- bleed, ulcer, tessellated, smoothStalk:- pedunculated or sessileSurrounding mucosa:- inflamed, changed?Consistency:- soft or indurated

Question 11

What are the examples of tongue chnages?

Answer 11

GeographicMedian rhomboid glossitisCoatingFissuring

Question 12

What structures can mucosal swelling occur from?

Answer 12

EpitheliumCTVasc NerveGlandMuscleFatBoneOdontogenic

Question 13

What are the requirements of a melanoma?

Answer 13

Variable pigmentationIrregular outlineRaised surfaceSymptomatic:- itch and bleed

Question 14

How to identify a mucosal pigmented lesion?

Answer 14

Endo or exo pigmentNatural or artificialFocal or generalised

Question 15

What is the presentation of haemangioma?

Answer 15

Cavernous (blue/purple)| Capillary (red)

Question 16

Name 4 aetiologies of oral ulceration?

Answer 16

TraumaAphthous ulcersViral infectionVesiculobullous disease

Question 17

What is the definition of erythema?

Answer 17

Redness

Question 18

What is the definition of atrophy?

Answer 18

Thinning of tissue

Question 19

What is the definition of erosion?

Answer 19

Superficial loss of epithelium

Question 20

What is the definition of ulceration?

Answer 20

Full loss of epithelium

Question 21

What is the definition of vesicle?

Answer 21

Fluid filled lesion that is less than 5mm in diameter

Question 22

WHat is the definition of bulla?

Answer 22

Fluid filled lesion that is greater than 5mm in diameter

Question 23

What is the definition of hyperplasia?

Answer 23

Increase in number of cells

Question 24

What is the definition of hyperkeratosis?

Answer 24

Increased number of keratin cells