Oral Path Flashcards
1
Q
Demographic and location affected by peripheral ossifying fibroma
A
Maxillary anterior gingiva on young adults and kids
2
Q
Ectomesenchyme derivates include
A
Bone
Cartilage
Connective tissue
Adipocytes
Dental tissues (such as dentin, pulp, cementum, alveolar bone, and periodontal ligament)
3
Q
Oral hairy leukoplakia is most often seen in patients with a CD4+ count of less than
A
500
4
Q
biopsy is a technique to screen the oral cavity
A
brush
5
Q
Pemphigus vulgaris
A
Immune-mediated mucocutaneous
disease that causes desmosome
destruction
● Painful, bleeding, gingiva and mucos
● Requires referral to dermatology for cutaneous involvement
● Associated with positive Nikolsky sign
● Symptomatic management includes dexamethasone rinse
6
Q
Location of squamous cell carcinoma:
A
Lateral border of the tongue
7
Q
location of ranula:
A
floor of the mouth
8
Q
Taste buds are bathed in saliva from the _______ which are minor serous salivary glands.
A
Von Ebner’s glands
9
Q
_____ is a benign growth of cells native to the organ. (OG)
A
hamartoma
10
Q
____ is a new and abnormal growth of tissue in the body with uncontrolled proliferation.
A
neoplasm
11
Q
Fibrous dysplasia
A
Diffuse, blending borders with “ground glass” appearance
12
Q
Location of dens invaginatus:
A
Permanent maxillary laterals
13
Q
Cleidocranial dysplasia causes hypodontia or supernumerary teeth
A
supernumerary
14
Q
Mucous membrane
pemphigoid
A
● Immune-mediated mucocutaneous
disease that causes hemidesmosome
destruction
● Erythematous, sloughing gingiva and
mucosa
● May be painful or painless
● Requires referral to ophthalmology for conjunctiva
involvement
● Symptomatic management includes dexamethasone rinse
15
Q
ranula occurs due to
A
trauma
16
Q
Malignant tumor of pigment producing cells:
A
melanoma
17
Q
Incisional biopsy lesions size
A
larger than 1 cm
Excisional = less than 1 cm
18
Q
Lesion that arises during periods of hormonal flux (i.e. pregnancy or
puberty):
A
pyogenic granuloma
19
Q
what biopsy required for pemphigus vulgaris, and membrane pemphigoid,
A
punch biopsy
20
Q
Van der woude syndrome
A
rare genetic disorder with cleft lip/and or alate and lower lip pits and bifid tongue
21
Q
Common dentoalveolar anomalies in patients with cleft lip and palate patients include
A
supernumerary and a prognathic mandible.
22
Q
Peripheral ossifying fibroma may originate as
A
traumatic fibroma
23
Q
Location of mucocele:
A
lower labial mucose
24
Q
sickle cell anemia complications include
A
spenic sequestration crosis (splenectomy) and cerebrovascular accident (stroke)
25
Lymphangioma is associated with
Sturge weber syndrome
26
HPV involved in cervical cancer, oropharyngeal cancer, and other
cancers
HPV 16 and 18
27
Most common odontogenic, developmental cyst
Dentigerous cyst
28
Nikolsky sign
Pemphigus vulgaris
29
Crouzon syndrome,
causes craniosynostosis (early closure of skull sutures, including those on top of the skull and on the maxilla). Crouzon syndrome, specifically, shows symptoms of:
brachycephaly (short skull anteroposteriorly)
midface deficiency or hypoplasia
frontal bossing (prominent forehead)
hypertelorism (widely separated eyes)
proptosis/exophthalmos (bulging eyes)
class III malocclusion.
30
Herpangina with sore throat, trouble swallowing and fever, red macules present o soft palate and tonsillar pillars
coxsackievirus A
31
Secondary Sjogren’s syndrome occurs secondary to another autoimmune condition like
systemic lupus erythematosus (SLE), rheumatoid arthritis, or scleroderma.
32
Lisch nodules
Neurofibromatosis type 1 (Von
Recklinghausen’ disease)
33
where is mouth nicotine stomatitis occur
palate,
occurs due to extreme heat in mouth from smoking
34
apthous ulcer associated with
bechet's disease and crohn's disease
35
Lyme disease symptoms
bull’s eye or target rash as well as fever, chills, headache, fatigue, and muscle or joint aches.
36
Introrally, HSV usually appears on
herpes simplex presents mainly on keratinized tissues (e.g. vermillion border of lips, hard palate, attached gingiva) in immunocompetent patients
37
HbA1c count every ____ months
whats ideal for well-controlled diabetes
3 months
6.5-7
38
Pierre Robin Sequence is most commonly associated with ___________________which can present with the same craniofacial abnormalities.
Stickler syndrome , a condition that affects connective tissues, specifically collagen
39
triad of symptoms seen in Melkersson-Rosenthal syndrome.
facial paralysis, fissured tongue, and granulomatous cheilitis
40
tx of traumatic bone cyst
Treatment includes curettage in an attempt to initiate bleeding to allow for healing and bony filling of the cavity.
41
Reed-Sternberg cells
Hodgkin’s lymphoma
42
Calcified mass in the maxillary sinus:
antrolith
43
HIV medications like Neucleoside reverse transcriptase (lamivudine (Epivir®) and zidovudine (Retrovir®) can cause what oral manifestation
hyperpigmentation in oral mucosal tissue
44
Neoplasm in the oral cavity:
fibroma
45
Sickle cell anemia causes
swelling in extremities, episodes of pain, abdomen. pallow and delayed eruption of dentin
46
differentiate mucous membrane pemphigoid and pemphigus vulgaris
Mucous membrane pemphigoid: presents in the mouth as bleeding gingiva, erosions, ulcerations, and sloughing tissue. Extraoral involvement is often to the eyes.
Pemphigus vulgaris: presents in the mouth as widespread ragged-appearing ulcerations. Extraoral involvement is often to the skin, and oral lesions can precede skin lesions in some cases.
47
apert syndrome
crocephalosyndactyly, is an autosomal dominant genetic disorder that causes craniosynostosis, acrocephaly (tall skull), byzantine arch (narrow palate with high vault), and syndactyly (fusion of fingers and toes).
48
A lymphoepithelial cyst
is a slow-growing benign lesion that most commonly presents on the ventral surface and lateral borders of the tongue and floor of the mouth.
49
SCC
1st most common location
what's the risk?
1st most comon: lateral border of tongue
2nd: floor of mouth
Risk: alcohol and tobacco
50
Pierre Robin Sequence is most commonly associated with______ which can present with the same craniofacial abnormalities.
Stickler syndrome
- condition that affects connective tissues specifically collagen
51
The______ virus most commonly causes hand-foot-and-mouth disease and herpangina.
coxsackie
52
The clinical findings of a blue macule that blanches on compression, suggests the diagnosis of a
varix. A varix is an abnormally dilated blood or lymphatic vessel, commonly presented as a vein.
53
Location of KCOT (keratocystic odontogenic tumor)
Posterior ascending
ramus of mandible
54
presents on the anterior two-thirds of the tongue as a pebbly surface
with numerous translucent vesicles:
Lymphangioma
55
mass composed of normal cells in an abnormal location in the body.
Choristoma
56
Addison’s disease is an
autoimmune destruction of the adrenal glands resulting in a pathognomonic finding of generalized hyper-pigmented blue-black or brown macules on the tongue, buccal mucosa, and hard palate.
57
Exudate from the abscess will contain a high abundance of
neutrophils, lymphocytes, necrotic tissue, and microbial colonies.
58
Mass found on the midline of the neck and moves during swallowing
thyroglossal duct cyst
59
Bacteria to cause peptic ulcer disease:
H. Pylori
60
5 P's for exophytic pink lesion
peripheral ossifying fibroma
peripheral giant cell granuloma
parulis
pyogenic granuloma
fibroepithelial polyp.
61
kaposi sarcoma what
hhv 8
It initially presents as purple, red, or brown spots often on the hard palate, gingiva, or tongue that can resemble bruises and later develops a nodular appearance with or without secondary ulceration.
62
Oral mucosa is derived from
oral ectoderm and digestive endoderm.
63
location of granular cell tumor:
Dorsal part of the tongue
64
Bohn’s nodules
are white-yellow firm papules found on the hard palate.
65
A key oral finding is crusty ulcerations on the vermilion borders of the lips.
erythema mutiforme
have target lesion
are immune-mediated
66
The most common cause of failure for metal fiber posts is .
root fracture
67
Frictional hyperkeratosis occurs
due to cheeck biting. it is also called morsicatio buccarum
68
______ rinses can be used in the treatment of certain inflammatory and autoimmune conditions such as lichen planus.
Corticosteroid rinses such as dexamethasone
69
sign of pemphigus vulgaris:
nikolsky sign
70
Ramsay hunt syndrome
(herpes zoster oticus) occurs when a shingles outbreak affects the facial nerve near one of your ears.
Limited mobility of facial muscles and tinnitus on the right side
71
opportunistic oral infection:
Candidiasis
72
Signs of Eagle syndrome include
1. Pain during swallowing and head movement
2. Shooting pains from the throat to the jaw
3. Ringing of the ears
4. Feeling like something is stuck in the throat (globus sensation)
73
Location of osteonecrosis of the jaw
posterior mandible
74
Crepitus is characteristic of
osteoarthritis of the TMJ.
75
periapical scar
well defined radiolucency found after endo treatment. have dense fibrous collagenous tissue
76
what is another name for mandibulofacial dysostosis
treacher collin's syndrome
77
denture related oral pathologies
: Epulis fissuratum and inflammatory
papillary hyperplasia
78
_____ is a type of germ cell tumor made of several different types of tissues such as hair, muscle teeth or bone.
teratoma
79
The chief risk factors for oral squamous cell carcinomas (SCC),
are tobacco and alcohol.
80
bacteria associated with erysipelas, a superficial infection of the skin, which results in a tender red rash with raised borders and is possibly accompanied by a high fever, chills, headache, and malaise
streptococcus pneumoniae and streptococcus pyogenes (Group A strep)
81
Horner syndroe
Ptosis
Miosis
Anhidrosis
82
biopsy that has Verocay bodies in Antoni-A areas, which is a classical histological feature of
schwannoma.
83
difference btw ecchymosis and petechiae
An ecchymosis is a site of localized internal bleeding that is larger than 10 mm, whereas petechiae are pinpoint hemorrhages that manifest as small (1-2 mm) red or purple spots on the skin and are caused by minor bleeds from broken capillary blood vessels.
84
bacteria in abscesses, boils, furuncles, and cellulitis), as well as more systemic infections (e.g. pneumonia and endocarditis)
staphylococcus aureus
85
A Chancre is a non-painful ulcer at the site of inoculation, seen in
primary syphilis.
86
what needs to be ruled out for central giant cell granuloma
hyperparathyroidism
87
Odontogenic cyst
Radicular cyst
88
Finding in the mandibular canine-premolar region along the lateral root
surface of a vital tooth:
lateral periodontal cyst
89
Scurvy
is a disease caused by a severe vitamin C deficiency and commonly presents with swollen, bleeding gums.
90
what is epithelial dysplasia
Abnormal maturation and changes in the epithelium stratification characterize oral epithelial dysplasia
91
most common failure of implants it
heavy smoking, uncontrolled diabetes mellitus, bisphosphonate therapy, and chemotherapy or radiation.
92
cleidocranial dysplasia, features
defective or missing clavicles, and distinct facial features including:
Frontal bossing
Enlarged fontanelles
Hypertelorism
Maxillary hypoplasia
Mandibular prognathism
93
Specifically, a deficiency in which vitamin can accounts for approximately 25% of angular cheilitis cases.
vitamin B2
94
_____ is a medication that is known to precipitate recurrence of infection by varicella zoster virus.
Cyclophosphamide (Cytoxan®) - chemotherapy and immunosuppressive drug
95
Multiple myeloma
● CRAB: Calcium elevation (hypercalcemia), Renal failure,
Anemia, and Bone damage
Results in multiple "punched out"
radiolucencies
● IV bisphosphonates and corticosteroids
96
Benign salivary gland tumor:
pleomorphic adenoam
97
Fibrous dysplasia is associated with
McCune Albright Syndrometr
98
Treponema pallidum is the causative agent of
syphilis
99
Mononucleosis:
Caused by EBV
Mono/Kissing disease
Can increase stimulated salivary output
fatigue, fever, rash, swollen glands, sore throat, and drooling.
100
biopsy for suspected herpetic lesions or candidiasis.
cytologic smear
101
treacher collin's syndrome
● Genetic disorder that affects the
development of facial bones and
associated tissues
● Underdeveloped cheekbones and lower jaw
● Dental abnormalities, including hypodontia
● Cleft palate
● Small, malformed ears
● Downward slanting eyes
● Hearing loss
● Breathing difficulties
102
Gumma is a soft, granulomatous, tumor-like mass that occurs in
tertiary syphilis.
103
Transposition
Maxillary canine with 1st premolar
104
Scleroderma oral manifestations
(it is autoimmune with abnormal growth of connective tissue) hardening and tightening of skin
microstomia
xerostomia
erosions of the mandible
widened periodontal ligament space.
105
Teeth associated with dentigerous cyst:
Canines and third molars
106
Finding in patients Epstein Barr virus or HIV patients:
oral hairy leukoplakia
107
most common oral ulcer
traumatic ulcer
108
Chemical burn - wipe off or not?
Chemical burns are lesions that can develop anywhere in the oral cavity and cause a painful white plaque that can be wiped off.
109
Sjogren’s syndrome is an autoimmune cause of xerostomia, which can cause various other issues such as
angular cheilitis, decay, and traumatic ulcerations.
110
hyperparathyroidism
brown tumors
111
second most common oral ulcer
apthous ulcer (canker sore)
112
Bacteria for dental caries: S
streptococcus mutans
113
tongue tie
ankyloglossia
114
Location of nasopalatine cyst:
: Anterior hard palate posterior to the
maxillary central incisors
115
1st lime of tx for Ramsay hunt syndrome
corticosteroids such as prednisone and antiviral medications such as acyclovir.
116
Varicella zoster virus remains latent predominantly in the
trigeminal ganglion, but also in the dorsal root ganglion
117
geographic tongue is due to
stress, hormones, nutritional deficiencies
118
Name:
HHV 1, 2, 3, 4, 5, 6, 7, 8,
Herpes simplex virus 1 (HHV-1): Gingivostomatitis, keratoconjunctivitis, herpes labialis, herpetic whitlow, encephalitis
Herpes simplex virus 2 (HHV-2): Genital herpes, neonatal herpes
Varicella-Zoster virus (HHV-3): Chickenpox, shingles, encephalitis
Epstein-Barr virus (HHV-4): Mononucleosis, Burkitt lymphoma
Cytomegalovirus (HHV-5): Mononucleosis, congenital CMV, AIDS retinitis
Human herpesviruses 6 and 7 (HHV-6, HHV-7): Roseola infantum
Human herpesvirus 8 (HHV-8): Kaposi sarcoma
119
______is a non-wipeable white plaque on the vestibule and can show up after prolonged use of smokeless tobacco.
Smokeless tobacco keratosis
120
The most common cause of failure for carbon fiber posts is .
decementation bc thermal expansion btw carbon fiber ad dentin, aging of cement
121
Difference between idiopathic osteosclerosis and condensing osteitis
Idiopathic osteosclerosis presents with a radiopaque lesion at the apex of a tooth and an intact lamina dura.
Condensing osteitis is common in teeth with deep restorations or decay and appears at the apex of a non-vital tooth.
122
Location of periapical cemento-osseous dysplasia:
mandibular anterior teeth
123
mucous retention cyst
radiopaque, dome-shaped structure with a rounded edge
124
Salivary gland malignancy:
mucoepidermoid carcinoma
