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oral path Flashcards

1
Q

Ludwig’s angina is infection of __________ space

A

submandibular

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2
Q

swollen hyperplastic fungiform papillae

+ strawberry tongue

A

scarlet fever

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3
Q

valveless facial veins

A

cavernous sinus thrombosis

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4
Q

external ear changes

A

Treacher Collins

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5
Q

ectopic sebaceous glands that are yellow papules/plaques

A

fordyce granules

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6
Q

results from local trauma or infection with developing tooth bud

A

Turner tooth

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7
Q

which type of aphthous ulcer is NOT preceded by a vesicle?

A

recurrent type

tx: corticosteroid

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8
Q

characterized by subepithelial separation at basement membrane zone ** subepithelial split

A

Benign mucous membrane Pemphigoid

autoimmune - antibody rxn at epi-CT interface

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9
Q

white “wipeable” patch with red underlying base

A

pseudomembranous candidiasis

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10
Q

atrophy of filiform papillae, red, midline of tongue at jxn of posterior third and anterior 2/3

A

median rhomboid glossitis

tx: antifungal nystatin or clotrimazole

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11
Q

wandering transected nerve with scar tissue

A

traumatic neuroma

painful

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12
Q

local reactive growth, usually on gingiva (interdental papillae), exophytic, bleeds easily, non painful, proliferative, grows fast

A

pyogenic granuloma

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13
Q

liver colored, MULTINUCLEATED GIANT CELLS, limited to alveolar ridge/gingiva, anterior to 1M

A

Peripheral giant cell granuloma

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14
Q

intrabony, MULTINUCLEATED GIANT CELLS, anterior to 1M, bone destruction 2* to chronic renal disease

A

central giant cell granuloma

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15
Q

epithelium, white or pink-white, rough cauliflower surface, elevated lesion , more frequent than some “oma”s ,

A

squamous papilloma

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16
Q

most common connective tissue tumor

A

fibroma

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17
Q

reactive, not a true tumor, hyperplasia (not neoplasia), firm smooth pink, common on tongue

A

fibroma

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18
Q

nodule with smooth papillate surface, granular cells in cytoplasm, often histo has PSEUDOEPITHELIOMATOUS HYPERPLASIA (resembles SCC)

A

granular cell tumor

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19
Q

1 site of granular cell tumor

A

dorsum of tongue

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20
Q

white patch that doesn’t wipe off, cytology doesn’t help, must biopsy, if 2+ areas then incisional biopsy

A

leukoplakia

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21
Q

red plaque that doesn’t wipe off, highly likely to undergo malignant transformation and severe dysplasia

A

erythroplakia

tx: incisional biopsy

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22
Q

intraoral site with highest risk of SCC

A

floor of mouth

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23
Q

most common intraoral site of SCC

A

mid lateral border of tongue

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24
Q

least likely site of SCC

A

hard palate

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25
Q

most common SCC in general

A

lower lip

can be preceded by actinic cheilitis

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26
Q

most common node with metastasis in SCC

A

submental node

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27
Q

SCC on radiograph shows as

A

poorly defined radiolucencies without reactive sclerotic border

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28
Q

common in posterior mandible, poorly defined radiolucency without sclerotic border, does NOT cause shift in occlusion

A

metastatic disease of jaw

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29
Q

benign neoplasm of salivary gland that is most common on UPPER lip, women, asymptomatic, can be multinodular

A

monomorphic or canalicular adenoma

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30
Q

stretches and disappears when you pull, intracellular edema of cells, often BILATERAL on buccal mucosa, no treatment necessary

A

leukoedema

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31
Q

seen with smokeless tobacco habit**, not likely to metastasize, buccal vestibule common (different from SCC), large elevated papillary lesion

A

verrucous carcinoma

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32
Q

p53 tumor suppressor gene

A

most common associated in field cancerization

33
Q

most common salivary gland tumor

A

pleiomorphic adenoma

34
Q

most common malignant salivary gland tumor and it is mainly where?

A

mucoepidermoid carcinoma

mainly in parotid

35
Q

melanosis may be seen in ___________ insufficiency

36
Q

a TRUE CYST (epithelial lining), well circumscribed RL between roots of erupted, vital teeth - often mand premolars

A

lateral periodontal cyst

37
Q

tumor common in posterior mandible but CAN CROSS MIDLINE, most common true odontogenic tumor (#1 odontogenic cyst), MULTILOCULAR RADIOLUCENCY, often associated w. impacted tooth

A

ameloblastoma

tx remove jaw

38
Q

histology of ameloblastoma

A

reverse polarization of nuclei of columnar cells in periphery

39
Q

has neoplastic epithelial AND mesenchymal tissue so true mixed tumor, younger patients, slight pain/swelling, not aggressive, pure lucency

A

ameloblastic fibroma

40
Q

odontoma portion is radiopaque, rest is lucent, slight pain/swelling, not aggressive, posterior jaws, young

A

ameloblastic fibroodontoma

41
Q

young people, radiopacity with lucent rim( (follicle), can be compound with identifiable toothlets or complex with unidentifiable mass

42
Q

young, unerupted tooth, treatment is ENUCLEATION, radiograph snowflake calcifications in RL surrounding crown and impacted root

A

AOT

Adenomatoid odontogenic tumor

43
Q

lack enamel, normal cementum/dentin, normal root/crown shape, pulp chambers and root canals normal

A

amelogenesis imperfecta

44
Q

dentinogenesis imperfecta

A

bulbous bell shaped crowns, obliterated pulp chambers, constricted CEJ, opalescent blue/gray dentin,

45
Q

multilocular bilateral radiolucencies, jaw expansion that stops after childhood

46
Q

UNILATERAL mn or mx expansion, painless swelling, onset before puberty, C/C is “my teeth don’t fit”, non infectious process
CAFE AU LAIT spots
GROUND GLASS radiographic

A

fibrous dysplasia

tx bone shaving after 20 when stable

47
Q

cafe au lait spots in polyostotic form

A

mccune albright syndrome

48
Q

associated with pulpitis, nonvital, periapical RADIOPACITY, does not connect with root - root outline always visible unlike cementoblastoma

A

condensing osteitis

49
Q

no pulpitis, no pain, no expansion, radiopacity without lucent rim, not connected to root

A

idiopathic osteosclerosis

tx none

50
Q

radiolucency with SCALLOPED MARGINS, PSEUDOCYST, spontaneous healing after exploratory surgery

A

traumatic bone cyst

51
Q

bilateral maxilla, older people, high malignant trans.
COTTON WOOL appearance
REVERSAL lines with MOSAIC appearance
cranial nerve deficits as nerve compressed
ALKALINE PHOSPHATASE INCREASED

A

Paget’s disease

52
Q

tooth floating in air on radiograph, made of Langerhans cells

A

Langerhans cell disease

53
Q

Ominous sign of malignancy bone involvement

A

spontaneous paresthesia of lower lip

54
Q

Sign of benign bone involvement

A

cortex remains intact, thinned, or expanded

55
Q

calcification of falx cerebri, bifid rib, basal cell carcinoma, cysts of jaws

A

nevoid basal cell carcinoma syndrome

56
Q

hyperdontia, intestinal polyps (FAP > colon ca)

A

Gardner syndrome

57
Q

CN 7 paralysis, lasts about a month

A

Bell’s palsy

58
Q

BULLS EYE / TARGET LESIONS on hands and feet, crusted bleeding vesicles on vermilion and intraoral sites EXCLUDING GINGIVA, young males

A

erythema multiform

59
Q

involves eye, mouth, genitalia > very bad. erythema multiform major

A

Stevens Johnson Syndrome

60
Q

vesiculoulcerative, intraepithelial (supraepithelial) cementing substance
POSITIVE NIKOLSKY SIGN
INTRAEPITHELIAL SPLIT, BASAL LAYER INTACT

A

pemphigus vulgaris

tx: corticosteroids

61
Q

autoimmune, replace normal CT with dense collagen > fibrosis, loss of mobility, altered organ fxn
PDL WIDENING, TRISMUS, mask like induration

A

Scleroderma (progressive systemic sclerosis)

62
Q

DESQUAMATIVE FILIFORM PAPILLAE, sore or burning, tx with corticosteroid rinse, moves around, dorsum tongue most common

A

benign migratory glossitis (geographic tongue)

tx corticosteroid rinse

63
Q

DESQUAMATIVE FILIFORM PAPILLAE, sore or burning, tx with corticosteroid rinse, moves around, dorsum tongue most common

A

benign migratory glossitis (geographic tongue)

tx corticosteroid rinse

64
Q

white coagulative necrosis of surface, RUBS OFF with difficulty

A

aspirin burn

65
Q

does not occur intraorally, painless ulcer on SUN EXPOSED, raised margins, ASSOC TELANGIECTASIA
most common form of skin cancer

A

basal cell carcinoma

66
Q

floor of mouth swelling, FROG’S BELLY, bluish, recurrence, true retention cyst , INCREASE IN SIZE BEFORE MEAL, histiocytes visible

67
Q

slight RADIOPAQUE dome shaped from floor of sinus, asymptomatic

A

antral pseudocyst

68
Q

result of proliferation of remnants of reduced enamel epithelium, common site 3M and posterior mandible, pericoronal RL at CEJ of unerupted tooth

A

dentigerous cyst

69
Q

calcified or elongated stylohyoid ligament; neck pain with chewing, yawning, opening mouth

A

Eagle Syndrome

70
Q

crop of painful vesicle ulcers, markedly UNILATERAL

A

herpes zoster

71
Q

slightly compressible, DOUGHY, midline distribution usually anterior FOM

A

dermoid cyst

72
Q

multiple mucosal neuromas
medullary thyroid carcinoma
adrenal pheochromocytoma

A

multiple endocrine neoplasia syndrome

73
Q

most common non-odontogenic developmental cyst, teeth vital, true cyst (epi lining), heart shaped RL

A

incisive canal cyst

74
Q

a GENODERMATOSIS (autosomal dominant), BILATERAL mucosa, thick, white folds of tissue , no eye involvement

A

white sponge nevus

defect in normal keratinization

75
Q

PREMALIGNANT, vermilion border becomes indistinct, sun exposure

A

actinic cheilitis

76
Q

seen in HIV, caused by EBV, white rough plaque on lateral border of tongue

A

oral hairy leukoplakia

77
Q

middle aged black women, mandibular anterior teeth, TEETH ARE VITAL!, asymptomatic, no expansion or pain
multifocal RLs that become mixed RL/RO and finally RO

A

periapical cemento-osseous dysplasia

78
Q

multiquadrant, fibro-osseous intrabony lesion, complication is 2* osteomyelitis, RL and RO

A

florid osseous dysplasia

79
Q

Wickham’s striae, comes in reticular, erosive, and hyperplastic types, negative Nikolskys sign

A

Lichen planus

NBDE 2 (8 decks)

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