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
Q

What two general areas on the body manifests Lichen Planus most frequently?

A

skin and oral mucosa

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26
Q

What age and gender demographic express Lichen Planus most frequently? Also, what is the ratio of this gender preference?

A

Middle aged women…3F:2M

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27
Q

What are the 2 types of Oral Lichen Planus? Which is more common?

A

Reticular and Erosive…reticular is more common

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28
Q

Reticular Lichen Planus will present with a white lacy pattern that does NOT rub off…What is the name for this presentation?

A

WICK-AM’s STRAIE

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29
Q

Erosive Lichen Planus will present with ______ all over the mouth and you might see remnants of ________ from reticular lichen planus

A

ulcerations…wickam’s straie

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30
Q

BOTH types of Lichen Planus should present in the mouth as _______ in location

A

MULTIFOCAL

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31
Q

Which letter of the alphabet can help describe the 6 characteristis of Lichen Planus lesions on the skin?

A

‘P’…the 6 P’s: Planar, Purple, Pruritic, Polygonal, Plaque, Papule

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32
Q

Erosive Lichen Planus may present as what type of gingival condition?

A

desquamative gingivitis

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33
Q

How is Reticular Lichen Planus treated?

A

if asymptomatic, no Tx…if symptomatic (burning) topical corticosteroids

34
Q

How is Erosive Lichen Planus treated?

A

topical coritcosteriods…severe conditions call for SYSTEMIC corticoid therapy

35
Q

What is the term for a mucosal reaction to irritants like amalgam or cinnamon and appears like Lichen Planus, but in a focal spot?

A

LichenOID mucositis

36
Q

What is a reactive change of the hard palate due to the heat of smoking?

A

NicoTinic Stomatitis

37
Q

Nicotinic Stomatitis is red, inflammed ______ ______ _____ ______ with background leukoplakic change

A

MINOR SALIVARY GLAND DUCTS

38
Q

Is nicotinic stomatitis considered premalignant?

A

NO

39
Q

What are the 2 variations of Candidiasis? Which is more commonly seen?

A

1.Classic white patches 2.Red variations…RED VARIATIONS (4 of them are seen more commonly)

40
Q

What are the 4 RED variations of Candidiasis?

A

1.Acute Erythematous 2.Chronic Erythematous 3.Denture Stomatitis 4.Median Rhomboid Glossitis

41
Q

Does pseudomembranous candidiasis typically present with pain?

A

Yes

42
Q

Which form of Candidosis presents with generalized pain, burning and erythema and TYPICALLY FOLLOWS BROAD-SPECTRUM ANTIBIOTIC use? (AKA “antibiotic sore mouth”)

A

ACUTE Ertythematous Candidosis

43
Q

Which form of Candidosis is typically found in denture wearers and is typically confined to the denture-bearing areas?

A

Chronic Erythematous Candidosis

44
Q

__________ CAN be a form of RED Candidiasis, but it can also be caused by ill fitting dentures, poor hygiene, or prolonged use

A

Denture Stomatitis

45
Q

_________ is a form of RED Candidiasis found Anterior to the CIRCUMVALLATE papilla…INTERESTING: a “_______” lesion may be found on the palate!

A

Median Rhomboid Glossitis….”kissing” lesion

46
Q

Which lesion of the mouth typically occurs with reduced VDO (but does not have to be associated)

A

Angular Cheilitis

47
Q

20% of Angular Cheilitis is caused by which two pathogens alone? What % is therefore caused by the COMBINATION of these two pathogens?

A

20% is EITHER C. Albicans OR S. Aureus ALONE…60% is therefore caused by a COMBINATION of the two

48
Q

A Chemical or Physical burn does NOT represent ________, its actually WHAT occuring on the surface?

A

NOT KERATOSIS….it IS COAGULATIVE NECROSIS on the surface

49
Q

Will the white pseudomembrane of a physical or chemical burn wipe off?

A

Yes, with difficulty

50
Q

What is the bacterial pathogen responsible for Scarlet Fever?

A

GROUP A STREPTOCOCCUS infection

51
Q

Scarlet Fever is a Group A Streptococcus infection that presents with WHAT ORAL MANIFESTATION?

A

STRAWBERRY TONGUE

52
Q

Progression of ‘Strawberry Tongue’ during scarlet fever: ______ strawberry tongue which is hyperplastic ________ papillae THEN _____ strawberry tongue 4-5 days later, other coating lost

A

WHITE strawberry tongue-hyperplastic FUNGIFORM papillae THEN RED strawberry tongue 4-5 days later, white coating lost

53
Q

Hemangioma VS Venous Malformation: Which one is present at birth?

A

Venous malformation

54
Q

Hemangioma VS Venous Malformation: Tumor of infancy that has rapid growth and endothelial cell proliferation

A

Hemangioma

55
Q

Hemangioma VS Venous Malformation: which one shows a gradual involution?

A

Hemangioma

56
Q

Hemangioma VS Venous Malformation: which one BLANCHES?

A

both. lol gotcha.

57
Q

Hemangioma VS Venous Malformation: Present at birth and persists through life

A

Venous malformation

58
Q

Hemangioma VS Venous Malformation: anomalies of blood vessels WITHOUT endothelial proliferation

A

Venous malformation

59
Q

What is the nick name for a Venous Malformation associated with STRUGE WEBER Angiomatosis?

A

PORT WINE STAIN

60
Q

_________ can be associated with Meningeal Angiomas causing convulsive disorders and mental retardation

A

Sturge Weber AngioMatosis

61
Q

What is the fancy term for bruise under the mucosa from minor trauma?

A

Submucosal Hemorrhage

62
Q

Does a submucosal hemorrhage blanch?

A

No, the blood is on the outside of the vessels

63
Q

_______ are very small hemorrhages into the skin/mucosa

A

Petechiae

64
Q

_______ is blood accumulation greater than 2 cm

A

Ecchymosis

65
Q

_______ is accumulation that produces a mass

A

Hematoma

66
Q

______ is a malignancy seen in HIV+ pt’s caused by HHV-8

A

Kaposi’s Sarcoma

67
Q

What is the causitive agent of Kaposi’s Sarcoma?

A

HHV-8

68
Q

HHV 1 is AKA

A

HSV 1 (Herpes Simplex 1)

69
Q

HHV 2 is AKA

A

HSV 2 (Herpes Simplex 2)

70
Q

HHV 3 is AKA

A

Vericella-Zoster

71
Q

HHV 4 is AKA

A

Epstein Barr Virus

72
Q

HHV 5 is AKA

A

CytoMegaloVirus

73
Q

What is the definition of a CONTROLLED proliferation of melanocytes?

A

Aquired melanocytic nevus (mole, nevus)

74
Q

What are the 3 types of moles/nevi?

A

1.Junctional 2. Compound 3.Intramucosal

75
Q

A junctional nevus-the cells are at the junction of _______ and ________ tissue

A

epithelium and connective

76
Q

A _________ nevus: the cells are in BOTH the epithelium and the connective tissue

A

compound

77
Q

A _______ nevus- the cells are the connective tissue only

A

intra-mucosal

78
Q

Malignant melanoma can begin as a blue-brown _______ and may become raised and difficult to distinguish from a ______…What is the usual prognosis?

A

macule..nevus..extremely poor

79
Q

_______’s line is a blue-gray line along the gingival margin seen with LEAD intoxication

A

Burton’s line

80
Q

_______ intoxication can manifest as a blue gray line along the GINGIVAL MARGIN called BURTON’S LINE

A

LEAD