Oral Path Exam 2 - Soft Tissue Description

Question 1

What is the mnemonic for describing soft tissue lesions? (New cardinal bird sees the easy lesion)

Answer 1

Number
Color
Borders
Size
Texture
Elevation/depression
Location

Question 2

What color of soft tissue?

Normal tissue w/o change in color

Answer 2

Pink

Question 3

What color of soft tissue?

Due to increase in blood or blood vessels closer to the surface blood vessels or inflammation

Answer 3

Red

Question 4

What color of soft tissue?

Keratin, thicker epithelium

Answer 4

White

Question 5

What color of soft tissue?

Mucin deep in tissue
Venous blood
Foreign body
Melanin

Answer 5

Blue

Question 6

What color of soft tissue?

Blood extravasation (hemosiderin pigment)

Answer 6

Purple

Question 7

What color of soft tissue?

Ulcers
Fat
Lipid-containing cells

Answer 7

Yellow

Question 8

What color of soft tissue?

Melanin

Answer 8

Brown

Question 9

What color of soft tissue?

Foreign body
Melanin
Necrotic tissue

Answer 9

Black

Question 10

What color of soft tissue?

Fluid-filled

Answer 10

Clear

Question 11

T/F: More than 1 color can be present

Answer 11

True!

Question 12

The distinction between normal and abnormal tissue

Answer 12

Borders

Question 13

Well-defined or sharply demarcated vs. poorly defined or poorly demarcated, blending or diffuse

Answer 13

Border of normal and abnormal tissue

Question 14

Smooth vs irregular/jagged

Answer 14

Contour between normal and abnormal tissue

Question 15

Striated, scalloped, semilunar/C-shaped, serpentine

Answer 15

Pattern or shape to the border

Question 16

What type of border would you expect?

Developmental disorders

Answer 16

Well-defined, smooth border

Question 17

What type of border would you expect?

Benign neoplasms

Answer 17

Well-defined, smooth border

Question 18

What type of border would you expect?

All other disease categories

Answer 18

Poorly defined, blending, irregular or diffuse borders

Question 19

If there is more than one lesion, each lesion may be well-defined, but as a group they could be a ____________ border

Answer 19

diffuse

Question 20

Measure in ______ or ______ at each visit, so you know if the lesion changes over time

Answer 20

mm; cm

Question 21

Which diseases may get bigger, then smaller? (come and go)

Answer 21

Metabolic
Immune-mediated

Question 22

Which diseases show continual growth, but at a variable rate?

Answer 22

Neoplasms

Question 23

Which diseases grow bigger quickly w/o tx?

Answer 23

Infections

Question 24

Which diseases show up and often stay the same size over time?

Answer 24

Developmental

(except cysts -> can keep getting bigger)

Question 25

Exophytic projections on the surface

Answer 25

Papillary

Question 26

Irregular bumpy surface

Answer 26

Granular/pebbly

Question 27

What are the following used to describe? Bony firm Firm (but compressible) Rubbery Soft

Answer 27

Palpation quality

Question 28

What are the following used to describe? Smooth vs rough Textured Furrowed Grooved Striated Thin vs thick Homogeneous vs non-homogeneous Papillary Granular/pebbly

Answer 28

Surface changes

Question 29

What are the following used to describe? Finger-like ("warty") Rounded/blunted

Answer 29

Papillary

Question 30

What are the following used to describe? Macule Patch

Answer 30

Flat lesions

Question 31

Any change in shape or color that is ≤ 1.0 cm

Answer 31

Macule

Question 32

Any change in shape or color that is > 1.0 cm

Answer 32

Patch

Question 33

What are the following used to describe? Plaque Papule Nodule Tumor/mass Vesicle Bulla Pustule Sessile Pedunculated

Answer 33

Raised lesions

Question 34

Slightly elevated lesion w/ large area

Answer 34

Plaque

Question 35

Solid raised lesion ≤ 0.5 cm

Answer 35

Papule

Question 36

Solid raised lesion > 0.5 cm (sessile vs pedunculated)

Answer 36

Nodule

Question 37

Non-specific for any large, solid raised lesion

Answer 37

Tumor/mass

Question 38

Fluid-filled raised lesion ≤ 0.5 cm

Answer 38

Vesicle

Question 39

Fluid-filled raised lesion > 0.5 cm

Answer 39

Bulla

Question 40

Pus-filled raised lesion of any size (yellow fluid)

Answer 40

Pustule

Question 41

Base is broader than surface

Answer 41

Sessile

Question 42

Mushroom-shaped

Answer 42

Pedunculated

Question 43

Linear cleavage of mucosa

Answer 43

Fissure

Question 44

Thinning of mucosa (red)

Answer 44

Atrophy

Question 45

Depressed lesion, incomplete loss of mucosa (red)

Answer 45

Erosion

Question 46

Complete loss of mucosa (dark yellowish)

Answer 46

Ulcer

Question 47

Result of injury causing mucosal atrophy or hypertrophy w/ increased underlying collagen

Answer 47

Scar