ORAL PATH REVIEW POWERPOINT 1 Flashcards

1
Q

What type of glands are FORDYCE granules? What two areas of the mouth are they most commonly found?

A

Sebaceous glands…buccal mucosa and upper lip vermillion

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2
Q

What is the term for intracellular edema of cells?

A

Leukoedema

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3
Q

Name that condition: more often in AfroAmer, bilateral buccal mucosa, white area disappearing on stretching of the mucosa, no tx req

A

Leukoedema

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4
Q

Name that condition: located on lower lip or under the tongue, elderly, dilated blue veins, can thrombose and calcify

A

varix or varices

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5
Q

What are two common locations for varices? What is the most common?

A

lip and under the tongue (most common)

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6
Q

What is the scientific name for geographic tongue?

A

Erythema Migrans

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7
Q

Name that condition: red flat central area from atrophy of filliform papillae with a white serpentine border which is keratin and cellular debris

A

geographic tongue (erythema migrans)

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8
Q

Geographic tongue (erythema migrans) has red, flat central areas from atrophy of _______ papillae and a white border made of cell debris and _______

A

FILLIFORM papillae and keratin

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9
Q

What symptoms (if any) does geographic tongue produce?

A

usually asymptomatic, but may cause soreness or burning

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10
Q

What drug can you use to treat a symptomatic geographic tongue?

A

steriod rinse (DEXA-METHA-SONE)

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11
Q

What is the name of an exostosis in the midline of the hard palate?

A

Torus Palatinus

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12
Q

What happens to physiologic pigmentation over time?

A

it becomes darker

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13
Q

What is the term for the congenital abnormality of a short linugal frenum?

A

Ankyloglossia

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14
Q

What % of cleft lip is unilateral or bilateral?

A

80% unilateral and 20% bilateral

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15
Q

A cleft lip is the result of a defect between which two developmental structures?

A

Defect between the medial nasal process and maxillary process

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16
Q

Cleft palate is the result of a lack of fusion between which two anatomical structures?

A

palatal shelves

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17
Q

What is the order of frequency between these conditions: cleft lip AND cleft palate, cleft palate only, and cleft lip only

A

CL and CP > CL&raquo_space; CP

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18
Q

Name that condition: chronic chewing mucosa, white, rough tissue. What are the 3 locations that are most common (Latin names please)

A

MOR-SIC-AT-IO….Buccarum, labiorum, linguarum

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19
Q

Name that condition: Autosomal dominant genetic mutation for KERATIN production; multifocal, extensive thick white folds of tissue; NO eye involvement (wtf?)

A

White Sponge Nevus

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20
Q

White sponge nevus is a(n) __________ genetic mutation for _______ production

A

AUTOSOMAL DOMINANT…KERATIN

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21
Q

Oral Hairy Leukoplakia is a white plaque typically found on which part of the tongue?

A

lateral border

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22
Q

What is a strong factor in the development of Oral Hairy Leukoplakia?

A

immunocompromised (HIV+) pt’s

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23
Q

What is the causative agent for Oral Hairy Leukoplakia?

A

Epstein-Barr virus (HHV 4)

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24
Q

Hairy tongue is an elongation of ________ papillae

A

FILLIFORM

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25
What two general areas on the body manifests Lichen Planus most frequently?
skin and oral mucosa
26
What age and gender demographic express Lichen Planus most frequently? Also, what is the ratio of this gender preference?
Middle aged women...3F:2M
27
What are the 2 types of Oral Lichen Planus? Which is more common?
Reticular and Erosive...reticular is more common
28
Reticular Lichen Planus will present with a white lacy pattern that does NOT rub off...What is the name for this presentation?
WICK-AM's STRAIE
29
Erosive Lichen Planus will present with ______ all over the mouth and you might see remnants of ________ from reticular lichen planus
ulcerations...wickam's straie
30
BOTH types of Lichen Planus should present in the mouth as _______ in location
MULTIFOCAL
31
Which letter of the alphabet can help describe the 6 characteristis of Lichen Planus lesions on the skin?
'P'...the 6 P's: Planar, Purple, Pruritic, Polygonal, Plaque, Papule
32
Erosive Lichen Planus may present as what type of gingival condition?
desquamative gingivitis
33
How is Reticular Lichen Planus treated?
if asymptomatic, no Tx...if symptomatic (burning) topical corticosteroids
34
How is Erosive Lichen Planus treated?
topical coritcosteriods...severe conditions call for SYSTEMIC corticoid therapy
35
What is the term for a mucosal reaction to irritants like amalgam or cinnamon and appears like Lichen Planus, but in a focal spot?
LichenOID mucositis
36
What is a reactive change of the hard palate due to the heat of smoking?
NicoTinic Stomatitis
37
Nicotinic Stomatitis is red, inflammed ______ ______ _____ ______ with background leukoplakic change
MINOR SALIVARY GLAND DUCTS
38
Is nicotinic stomatitis considered premalignant?
NO
39
What are the 2 variations of Candidiasis? Which is more commonly seen?
1.Classic white patches 2.Red variations...RED VARIATIONS (4 of them are seen more commonly)
40
What are the 4 RED variations of Candidiasis?
1.Acute Erythematous 2.Chronic Erythematous 3.Denture Stomatitis 4.Median Rhomboid Glossitis
41
Does pseudomembranous candidiasis typically present with pain?
Yes
42
Which form of Candidosis presents with generalized pain, burning and erythema and TYPICALLY FOLLOWS BROAD-SPECTRUM ANTIBIOTIC use? (AKA "antibiotic sore mouth")
ACUTE Ertythematous Candidosis
43
Which form of Candidosis is typically found in denture wearers and is typically confined to the denture-bearing areas?
Chronic Erythematous Candidosis
44
__________ CAN be a form of RED Candidiasis, but it can also be caused by ill fitting dentures, poor hygiene, or prolonged use
Denture Stomatitis
45
_________ is a form of RED Candidiasis found Anterior to the CIRCUMVALLATE papilla...INTERESTING: a "_______" lesion may be found on the palate!
Median Rhomboid Glossitis...."kissing" lesion
46
Which lesion of the mouth typically occurs with reduced VDO (but does not have to be associated)
Angular Cheilitis
47
20% of Angular Cheilitis is caused by which two pathogens alone? What % is therefore caused by the COMBINATION of these two pathogens?
20% is EITHER C. Albicans OR S. Aureus ALONE...60% is therefore caused by a COMBINATION of the two
48
A Chemical or Physical burn does NOT represent ________, its actually WHAT occuring on the surface?
NOT KERATOSIS....it IS COAGULATIVE NECROSIS on the surface
49
Will the white pseudomembrane of a physical or chemical burn wipe off?
Yes, with difficulty
50
What is the bacterial pathogen responsible for Scarlet Fever?
GROUP A STREPTOCOCCUS infection
51
Scarlet Fever is a Group A Streptococcus infection that presents with WHAT ORAL MANIFESTATION?
STRAWBERRY TONGUE
52
Progression of 'Strawberry Tongue' during scarlet fever: ______ strawberry tongue which is hyperplastic ________ papillae THEN _____ strawberry tongue 4-5 days later, other coating lost
WHITE strawberry tongue-hyperplastic FUNGIFORM papillae THEN RED strawberry tongue 4-5 days later, white coating lost
53
Hemangioma VS Venous Malformation: Which one is present at birth?
Venous malformation
54
Hemangioma VS Venous Malformation: Tumor of infancy that has rapid growth and endothelial cell proliferation
Hemangioma
55
Hemangioma VS Venous Malformation: which one shows a gradual involution?
Hemangioma
56
Hemangioma VS Venous Malformation: which one BLANCHES?
both. lol gotcha.
57
Hemangioma VS Venous Malformation: Present at birth and persists through life
Venous malformation
58
Hemangioma VS Venous Malformation: anomalies of blood vessels WITHOUT endothelial proliferation
Venous malformation
59
What is the nick name for a Venous Malformation associated with STRUGE WEBER Angiomatosis?
PORT WINE STAIN
60
_________ can be associated with Meningeal Angiomas causing convulsive disorders and mental retardation
Sturge Weber AngioMatosis
61
What is the fancy term for bruise under the mucosa from minor trauma?
Submucosal Hemorrhage
62
Does a submucosal hemorrhage blanch?
No, the blood is on the outside of the vessels
63
_______ are very small hemorrhages into the skin/mucosa
Petechiae
64
_______ is blood accumulation greater than 2 cm
Ecchymosis
65
_______ is accumulation that produces a mass
Hematoma
66
______ is a malignancy seen in HIV+ pt's caused by HHV-8
Kaposi's Sarcoma
67
What is the causitive agent of Kaposi's Sarcoma?
HHV-8
68
HHV 1 is AKA
HSV 1 (Herpes Simplex 1)
69
HHV 2 is AKA
HSV 2 (Herpes Simplex 2)
70
HHV 3 is AKA
Vericella-Zoster
71
HHV 4 is AKA
Epstein Barr Virus
72
HHV 5 is AKA
CytoMegaloVirus
73
What is the definition of a CONTROLLED proliferation of melanocytes?
Aquired melanocytic nevus (mole, nevus)
74
What are the 3 types of moles/nevi?
1.Junctional 2. Compound 3.Intramucosal
75
A junctional nevus-the cells are at the junction of _______ and ________ tissue
epithelium and connective
76
A _________ nevus: the cells are in BOTH the epithelium and the connective tissue
compound
77
A _______ nevus- the cells are the connective tissue only
intra-mucosal
78
Malignant melanoma can begin as a blue-brown _______ and may become raised and difficult to distinguish from a ______...What is the usual prognosis?
macule..nevus..extremely poor
79
_______'s line is a blue-gray line along the gingival margin seen with LEAD intoxication
Burton's line
80
_______ intoxication can manifest as a blue gray line along the GINGIVAL MARGIN called BURTON'S LINE
LEAD