Oral Path Exam 2 - Other White and Red Lesions Flashcards

1
Q

Which lesion?

Common (~2% of population) benign condition of unknown cause primarily affecting the tongue (i.e. geographic tongue or benign migratory glossitis)

A

Erythema migrans

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2
Q

Which lesion?

Rarely affects soft palate, buccal mucosa, and FOM

A

Erythema migrans

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3
Q

Which lesion?

Yellowish/white
Serpentine or scalloped border
Central erythema
Loss of filiform papillae

A

Erythema migrans

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4
Q

Which lesion?

Immune-mediated

A

Erythema migrans

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5
Q

Which lesion?

Lesions move around the mouth in days to weeks

A

Erythema migrans

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6
Q

Which lesion?

1/3 of patients with a fissured tongue will have this

A

Erythema migrans

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7
Q

Which lesion?

Active lesions may cause sensitivity to spicy foods

A

Erythema migrans

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8
Q

Which lesion?

No tx needed

A

Erythema migrans

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9
Q

Which lesion?

Caused by a variety of caustic agents, many are OTC

A

Chemical injury

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10
Q

What are the most common causes of chemical injuries? (3)

A

Aspirin
Hydrogen peroxide
Phenol

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11
Q

Which lesion?

White surface change due to coagulation necrosis of epithelium

A

Chemical injury

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12
Q

Which lesion?

Heals within 1-2 weeks once offending agent is removed

A

Chemical injury

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13
Q

Which oral mucosal hemorrhage?

Round, pinpoint area of hemorrhage ≤ 0.2 cm

A

Petechiae

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14
Q

Which oral mucosal hemorrhage?

Non-elevated area of hemorrhage 0.3 - 1 cm

A

Purpura

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15
Q

Which oral mucosal hemorrhage?

Non-elevated area of hemorrhage > 1 cm

A

Ecchymosis (bruise)

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16
Q

Which oral mucosal hemorrhage?

Solid swelling of blood in tissues

A

Hematoma

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17
Q

Which lesion?

Caused by blunt trauma and increased BP

A

Oral mucosal hemorrhage

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18
Q

Which lesion?

If generalized, considered a clotting problem or viral infection (mono, measles, etc)

A

Oral mucosal hemorrhage

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19
Q

Which lesion?

Most often a viral cause (adenovirus, enterovirus, influenza, parainfluenza, EBV)

A

Tonsillitis
Pharyngitis

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20
Q

Which lesion?

Bacterial etiology = Group A, beta-hemolytic streptococci; can lead to scarlet fever with a rash (exanthem)

A

Tonsillitis
Pharyngitis

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21
Q

This bacteria causes ~30% of acute cases of tonsillits/pharyngitis in children and 5-15% in adults

A

Group A, beta-hemolytic strep

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22
Q

Which lesion?

Transmitted by respiratory droplets or oral secretions

A

Tonsillitis
Pharyngitis

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23
Q

Which lesion has the following signs and symptoms?

Sudden onset of sore throat
Fever 101-104
Dysphagia
Tonsillar hyperplasia
Redness of oropharynx and tonsils
Yellowish tonsillar exudate
Palatal petechiae
Cervical LAD

A

Tonsillitis
Pharyngitis

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24
Q

Which lesion has the following signs and symptoms in children:

HA
Malaise
Anorexia
Abdominal pain
Vomiting

A

Tonsillitis
Pharyngitis

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25
Q

Which lesion?

If the following are present, a viral etiology is suggested:

Conjunctivitis
Rhinorrhea
Cough
Hoarseness
Diarrhea
Viral exanthem
Absence of fever

A

Tonsillitis
Pharyngitis

26
Q

Which lesion?

Do a rapid antigen detection (good sensitivity + specificity) if bacterial origin is suspected

A

Tonsillitis
Pharyngitis

27
Q

Which lesion?

If rapid test is negative, do a throat culture

A

Tonsillitis
Pharyngitis

28
Q

Which lesion?

Antibiotic like penicillin or amoxicillin should only be prescribed when bacterial infection is confirmed

A

Tonsillitis
Pharyngitis

29
Q

Which lesion?

Tx rationale = to avoid complications of glomerulonephritis, rheumatic fever, or tonsillar abscess

A

Tonsillitis
Pharyngitis

30
Q

Which lesion?

Typically self-limited (3-4 days)

A

Tonsillitis
Pharyngitis

31
Q

Which lesion?

Chronic infection w/ candida albicans

A

Oral candidiasis

32
Q

Which lesion?

Dimorphic (yeast and hyphal forms)

A

Oral candidiasis

33
Q

Which lesion?

Most common oral fungal infection

A

Oral candidiasis

34
Q

Which lesion?

~30-50% carrier state w/ subclinical infection

A

Oral candidiasis

35
Q

Which lesion?

One or more clinical patterns may exist

A

Oral candidiasis

36
Q

Which lesion?

Affects young/elderly, immunosuppressed,
following broad-spectrum antibiotics, steroid
therapy, cigarette smoking, denture wearers
and xerostomics

A

Oral candidiasis

37
Q

What are the 3 clinical presentations of oral candidiasis?

A

Pseudomembranous
Erythematous
Chronic hyperplastic

38
Q

Which clinical presentation of oral candidiasis?

Removable white

A

Pseudomembranous

39
Q

Which clinical presentation of oral candidiasis?

Red, occasional white component

A

Erythematous

40
Q

Which clinical presentation of oral candidiasis?

Acute atrophic (AB sore mouth)
Angular cheilitis
Central papillary atrophy (median rhomboid glossitis)
Central papillary atrophy +/- palatal erythema (kissing lesion)
Any combo of these = chronic multifocal candidiasis

A

Erythematous

41
Q

Which clinical presentation of oral candidiasis?

Non-removable white

A

Chronic hyperplastic

42
Q

Which clinical presentation of oral candidiasis?

AKA “thrush”

A

Pseudomembranous

43
Q

Which clinical presentation of oral candidiasis?

Removable cheesy, white plaques on buccal mucosa, palate and tongue

A

Pseudomembranous

44
Q

Which clinical presentation of oral candidiasis?

Scraping reveals a normal or erythematous (non-bleeding) surface

A

Pseudomembranous

45
Q

Which clinical presentation of oral candidiasis?

Burning sensation or bad taste in the mouth

A

Pseudomembranous

46
Q

Which clinical presentation of oral candidiasis?

Often acute onset with antibiotic exposure; slower onset with immunosuppression

A

Pseudomembranous

47
Q

Which clinical presentation of oral erythematous candidiasis?

“Antibiotic sore mouth”- comes on after antibiotic use

A

Acute atrophic candidiasis

48
Q

Which clinical presentation of oral erythematous candidiasis?

Scalded sensation to tongue

A

Acute atrophic candidiasis

49
Q

Which clinical presentation of oral erythematous candidiasis?

Diffuse loss of filiform papillae

A

Acute atrophic candidiasis

50
Q

Which clinical presentation of oral erythematous candidiasis?

Median rhomboid glossitis

A

Central papillary atrophy

51
Q

Which clinical presentation of oral erythematous candidiasis?

Well-demarcated red zone, posterior dorsal tongue, midline, flat, smooth, symmetric

A

Central papillary atrophy

52
Q

Which clinical presentation of oral erythematous candidiasis?

Often asymptomatic

A

Central papillary atrophy

53
Q

Which clinical presentation of oral erythematous candidiasis?

Central papillary atrophy + an additional site (kissing lesion on palate and/or angular cheilitis)

A

Chronic multifocal candidiasis

54
Q

Which clinical presentation of oral erythematous candidiasis?

Erythema, fissuring, and scaling of the
angles of the mouth; waxes and wanes

A

Angular cheilitis

55
Q

Which clinical presentation of oral erythematous candidiasis?

Can occur alone or with other forms of
erythematous candidiasis

A

Angular cheilitis

56
Q

Which clinical presentation of oral erythematous candidiasis?

Reduced VDO predisposes to this presentation

A

Angular cheilitis

57
Q

Which clinical presentation of oral erythematous candidiasis?

20% candida alone
60% candida + staph aureus
20% staph aureus alone

A

Angular cheilitis

58
Q

Which clinical presentation of oral erythematous candidiasis?

More extensive perioral involvement = cheilocandidiasis

A

Angular cheilitis

59
Q

Which lesion?

Also called chronic atrophic candidiasis

A

Denture stomatitis

60
Q

rest of 19