Oral Path Flashcards
What is usually seen with affected hypertrophic filiform pappilae
Hairy tongue
cause of hairy tongue?
bad OH
extended use of antibiotics, corticosteroids, hydrogen perioxide, and smoking
Hyperplastic lingual tonsils may resemble which of the following?
a. Epulis fissuratum.
b. Lingual varicosities.
c. Squamous cell carcinoma
d. Median rhomboid glossitis.
e. Prominent fungiform papillae
SCC (?)
Loss of filliform papilla- vitamin____def
vit B def
fact: Bilateral swelling of parotid cannot be caused by: Anorexia
anorexia: loss of apetite
Ulcer on tongue repeated every 4 months
apthous ulcer
Bechets syndrome produces what type of mouth lesion: Apthous Ulcers , apthous stomatitis, recurrent. herpes
aphtous ulcers (mem)
Pathognomonic for measles?
Koplik’s spots
koplick spot?
Pathognomonic for measles
stages of syphilis is most infectious: primary and secondary, primary, secondary, tertiary,
primary secondary and tertiary
2ndary
Heck’s disease caused by what virus?
HPV 13 and 32
baby with streaks on palate
• bone nodulus
• Epstein pearls
• congenital epulus
epstein pearls
neonate with a bunch of nodules on alveolar ridge. What is it?
Bohn’s nodule
Eruption cyst
Congenital cyst of newborn
Bohn’s nodule
- keratin-filled cysts of salivary gland origin on palate of newborn
Which syndrome has rash on cheeks, ulcers, kidney, etc?
lupus
a cavernous sinus infection would most likely come from, maxillary sinus, paranasal sinus,
frontal sinus, ant. Max. teeth
ant max teeth
mem
Why are you afraid of having infection in anterior triangle (i.e. upper lip)?
because there are valve-less veins that can send infection back to the brain
Which of the following causes Cavernous sinus thrombosis: A)Subcutaneous Abscess of
upper lip b)Subcutaneous abscess of lower anterior region
a) subcutaneous abscess of upper lip
Danger zone of Cavernous Sinus: Signs and symptoms. What is the first one? blurred vision periorbital edema proptosis ptosis
blurred vision (or headache)
Which space is not involved in ludwig’s angina? (sublingual, submandibular,
retropharyngeal, or submental)
retropharyngeal
DD OP 115
complication of lugwig’s angina
edema of glottis
Mandibular 2nd molar infection spreads to what space?
submandibular
Which muscle separates 2 potential infection spaces from a maxillary 2nd molar?
Buccinator or Masseter
buccinator
if you have an infection in the lateral pharyngeal space what muscle is involved?
Medial pterygoid
wiki, mem
You are extracting a mandibular 3rd molar and the distal root disappears into which space?
submandibular space
Which disorder has loss (or hypoplasia) of zygomatic bone?
Treacher collins syndrome
Treacher collins syndrome
NOT developmental (mutation of 5q32 gene)
hypoplasia of zygomatic bone
malformed ear
mandibular hypoplasia
Strawberry tongue seen in ____
scarlet fever
Fordyce granule is what?
• salivary gland
• sebaceous gland
• sweat gland
ectopic sebaceous glands
QUESTION: Most probable reason for a Turner Tooth?
Syphilis or Trauma?
Trauma
DD OP 11
Ulcer that appears often on buccal vestibule that goes away without scarring after a week or
so?
aphtous ulcer
A chancre due to Syphilis mostly resembles
aphtous ulcer
fact: What don’t u treat aphthous ulcers with – acyclovir
fact: What don’t u treat aphthous ulcers with – acyclovir
fact: Pemphigoid = D = DEEPER (subepithelial separation) than pemphigus S = SURFACE (epithelial separation)
fact: Pemphigoid = D = DEEPER (subepithelial (basement membrane) separation) than pemphigus S = SURFACE (epithelial separation)
Another name for chronic desquamative gingivitis?
Cicatricial pemphigoid
which conditions cause desquamative gingivitis:
•lichen planus • pemphigoid • pemphigus vulgaris • chronic ulcerative stomatitis • lupus erythematosus • erythema multiforme (KNOW ALL)
Child formed blisters with minor lip irritation?
pemphigus, pemphioid, erythema
multiform, epidermolysis bullosa
epidermolysis bullosa
Condyloma accuminatum is caused by which virus
hpv 6 and 11
know subtypes
Which of the following does not have cauliflower like , pebbly appearance? Verrucous carcinoma,
fibroma ,
condyloma accuminata,
papilloma
condyloma accuminata,
Hiv patient with oropharyngeal candidiasis, what would u prescribe A. Acyclovir B. Nystatin C. AZT D. Chlorhexidine
nystatin
asda k
which oral medication would you give to tx vaginal candidiasis? Nystatin, griseofulvin, monistat, Diflucan
Diflucan (fluconazole): vaginal
Nystatin: oral rinse
Pt has multiple white patches that can be scraped off
candidiasis
Oral cytology smears are MOST appropriately used for the diagnosis of which of the
following?
Pseudomembraneous candidiasis
What oral manifestation is seen in children with HIV?
candidiasis
DD Pediatric 49
systemic med for candida
Amphotericin B
mosby
Healthy 36 year old, red patch on palate, redness in middle of tongue:
- kaposi sarcoma,
- syphilis
- median rhomboid glossitis
- gonorrhea
median rhomboid glossitis
healthy = no kaposi or syphilis
Kid with herpes. What is the age of infection?
2 yo, 4 yo, 6 yo, 8 yo, 10 yo
2 yo
ways to treat kid w/ herpetic gingivostomatitis EXCEPT
a. antibiotics
b. give numbing anesthetic before eating
c. have pt rest and drink lots of water
antibiotics
fact: aphtous ulcers in non keratinized tissue – herpes in keratinized tissue
fact: aphtous ulcers in non keratinized tissue – herpes in keratinized tissue
Patient gets recurrent herpetic lesions very often with gingivostomatitis. What should be done?
prescribe ACYCLOVIR (if in early course of primary or recurrent herpes) Pallative care if not
Patient comes with recurrent herpetic stomatitis on the lips and history shows no signs
of primary herpetic gingivostomatitis. Why?
Most primary infections are subclinical
pt presents at 3 days with secondary herpes lesion? What the treatment of choice?
Palative treatment
Acyclovir
Palative treatment
acyclovir works best within 3 days you get lesion
MOA of acyclovir?
it inhibits viral DNA polymerase
mosby
Post herpetic neuralgia caused by: VZV HSV1 HSV2 CMV
VZV (chickenpox virus)
HSV1 (waist up herpes)
HSV2 (waist down herpes)
What does histoplasmosis oral lesion look like?
recurrent herpes
painful ulcer with irregular borders, similar to cancer
Syphilis Chancre resembles
1) Cancer
2) Herpes
3) Herpangina
4) Apthous Ulcer
aphtous ulcer
location where kaposi sarcoma is most likely to occur?
hard palate
A patient has a denture and a firm, swelling under the buccal flange midway
between incisors and molars. What is it?
traumatic neuroma
Pink growth on palatal between canine and 1st pre molar: Papilloma, pyogenic granuloma, peripheral ossifying, irritation fibroma
Pyogenic granuloma
Which lesion shows the most rapid change in size? • oncocytoma • pleomorphic adenoma • fibroma • pyogenic granuloma
pyogenic granuloma
Patient is female and pregnant and is said to have this enlargement and picture has it
on the corner of her mouth (vermillion border) and she said it just developed; the picture had it
shown as a boil and very red, said it bled, and was no painful
pyogenic granuloma
Where do u find giant cells? Hyperthyroidism,
Hypothyroidism,
Hyperparathyroid,
Hypoparathyroid
hyperparathyroid
OP lecture
The causes of Verrucus xanthoma? VZV HSV1 HSV2 HPV CMV
HPV
The most common between five? 1-Papilloma 2-Rhabdomyoma 3-Leiomyoma 4-Lymphangioma 5-Neurofibroma
papilloma
Cauliflower looking lesion
papilloma
Epulis fissuratum is most similar cellularly to: fibroma or granulomar cell tumor
fibroma
both fibroma and epulis fissuratum share trauma as etiology
In most of the cases, localized fibromas are often: Dysplasias, metaplasia, anaplasia, hyperplasia
heperplasia
Which of the following does not have cauliflower like , pebbly appearance: Verrucous carcinoma , fibroma, condyloma accuminata, papilloma
fibroma
Congential epulis histological similar to:
hemangioma,
lymphangioma,
granular cell myoblastoma
granular cell myoblastoma
(Lecture: Congenital Epulis microscopically shows a benign proliferation of cells having granular cytoplasm
If you have leukoplakia for biopsy, do you incise or excise for biopsy?
incise
the white patch is going to be very big, and excision is not indicated for biopsy
In smoker’s soft palate, theres red points, wut could it be?
erythroplakia,
initial stages of SCC,
nicotinic stomatitis
erythroplakia
nicotinic stomatitis is in hard palate
most rate of SCC is in what race?
black men
Lesion that resembles SCC…16wks and then disappers
a. papilloma
b. keratoacanthoma
c. papillary hyperplasia
keratoacanthoma
mem
Which of the following has the best survival rate?
a. squamous cell carcinoma
b. adenocarcinoma
c. osteosarcoma
adenocarcinoma
1 risk factor for oral cancer
tobacco
Most likely site for SCC?
ventrolateral tongue
Most common malignancy in the oral cavity?
a. metastatic ca
b. basal cell ca
c. epidermoid ca
d. mucoepidermoid ca
e. adenoid cystic ca
c. epidermoid ca (aka SCC)
- BCC is most common type of skin cancer
lesion on buccal mucosa. stretch and it disappears
Leukoedema
A 6 years old patient has acute lymphatic leukemia. Her deciduous molar has a large carious
lesion and furcation lucency. How will you treat this person?
a. pulpotomy
b. pulpectomy
c. extraction
d. nothing
ext
An 18 year old man complains of tingling in his lower lip. an examination discloses a
painless, hard swelling of his mandibular premolar region. the patient first noticed this swelling three
weeks ago. radiograph indicate a loss of cortex and a diffuse radiating pattern of trabeculae in the mass.
which of the following is the MOST likely diagnosis?
a. leukemia
b. dentigerous cyst
c. ossifying fibroma
d. osetosarcoma
e. hyperparathyroidism
osteosarcoma
Best prognosis?
Verrucous carcinoma in vestibule, verrucous carcinoma floor of mouth,
SCC floor of mouth, SCC in other areas
Verrucous carcinoma in vestibule
virus responsible for Verricus leukoplakia
HPV 16 and 18
Most common salivary gland neoplasm
pleomorphic adenoma
Most common intraoral salivary gland malignancy
mucoepidermoic carcinoma
Perineural invasion is seen in:_____
adenoid cystic carcinoma
Lec
Histologically, you can see swiss cheese pattern in ______
Adenoid cyctic carcinoma