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NBDE Part II > ORAL PATH REVIEW POWERPOINT 3 > Flashcards

ORAL PATH REVIEW POWERPOINT 3 Flashcards

1
Q

What condition is this? Mucous minor salivary glands of the lips are inflammed…usually lower lip, swelling of the lip

A

Cheilitis Glandularis

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2
Q

In WHAT CONDITION are inflammed/dilated ducts producing mucopurulent secretions

A

cheilitis glandularis

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3
Q

Is cheilitis glandularis considered premalignant?

A

YES for SCC!!!

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4
Q

OMG. this necrotic/ulceration of tissue due to local ischemia (like from local anesthetic)

A

Necrotizing sialometaplasia

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5
Q

What is the onset of necrotizing sialometaplasia? What is the treatment? How long does it last?

A

RAPID..no Tx…self-resolving…resolves within 2 months

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6
Q

What does necrotizing sialometaplasia mimic?

A

SCC

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7
Q

lol. what is the common name for a mucus retention phenomenon or a mucus extravasation phenomenon?

A

a mucocele

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8
Q

During a _____, there is a severed salivary gland duct leading to mucus deposition in the soft tissue…What is the typical coloration of this?

A

mucocele..blueish hue

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9
Q

A ______ is just a mucocele on the floor of the mouth…but what is the concern and therefore treatement is to excise.

A

RANULA…plunging ranula into the submandibular/sublingual space

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10
Q

What is the MOST COMMON Salivary gland tumor?

A

Pleomorphic Adenoma

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11
Q

What is the MOST COMMON benign salivary gland tumor?

A

Pleomorphic Adenoma

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12
Q

What is the MOST COMMON malignant salivary gland tumor?

A

Muco-epidermoid Carcinoma

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13
Q

What is the MOST COMMON location for a salivary gland tumor? What % of these tumors are typically benign?

A

the PAROTID GLAND (its the largest gland lol)…60-70% benign

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14
Q

Rule of thumb with Salivary Gland Tumors…the larger the gland the more likely the tumor is _________ and the smaller the gland the more likely the tumor is _______

A

larger = benign…..smaller = malignant

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15
Q

What % of tumors in the submandibular gland are benign?

A

50%

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16
Q

What % of tumors in the sublingual gland are MALIGNANT?

A

“Very good chance” of malignancy

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17
Q

If a mucocele is ALWAYS on the lower lip…what is it called on the upper lip?

A

Canal-icular Adenoma..why you gotta be so fancy huh?

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18
Q

What is the more common name for a Papillary Cystadenoma Lymphomatosum (LOL)? Where are they almost always located?

A

Warthin’s Tumor…Parotid

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19
Q

What are Warthin’s tumors (papillary cystadenoma lymphomatosum) associated with (cause)? Are they bilateral?

A

Smoking..can happen bilaterally in the parotids, but not usually at the same time

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20
Q

What are the three most common PAROTID gland tumors in order of frequency?

A
  1. Pleomorphic Adenoma 2.Mucoepidermoid Carcinoma 3.Warthin’s Tumor
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21
Q

Name that condition: Autoimmune disease, not infectious, elderly women, bilateral swelling of parotid glands

A

Sjogren’s Syndrome

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22
Q

Whats the difference between PRIMARY Sjorgren’s Syndrome and Secondary SS?

A

Primary = xeropthalmia and xerostomia ONLY…Secondary have xeropthalmia and xerostomia PLUS another autoimmune disease (lupus, RA)

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23
Q

Ground glass appearance on a radiograph

A

Fibrous Dysplasia

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24
Q

What is the differential dx for leukoplakia?

A

1.Hyperkeratosis 2.Dysplasia 3.SCC

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25
Q

What is the differential dx for erythroplakia?

A

1.Dysplasia 2.SCC

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26
Q

What % of Erythroplakia represents dysplasia or SCC?

A

90%

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27
Q

What is the common change of lower lip vermillion that leads to atrophy of vermillion border? Is it considered premalignant?

A

Actinic Cheilitis…YES

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28
Q

Actinic Cheilitis develops to cancer in WHAT % of cases?

A

6-10%

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29
Q

What are the two most common locations for SCC?

A

lateral border of tongue and floor of mouth

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30
Q

What oral lesion is considered to have the MOST MALIGNANT POTENTIAL?

A

PVL-Proliferative Verrucous Leukoplakia

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31
Q

Interesting…what condition has the second most MALIGNANT POTENTIAL-right behind PVL and in front of erythroplakia?

A

Nicotinic Stomatitis in reverse smokers

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32
Q

What is a Low-grade form of squamous cell carcinoma that has a LOW tendency to metastasize? More info: Slowly growing with white, rough, warty surface

A

VC (no, not voice crack): Verrucous Carcinoma

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33
Q

Which type of cancer has a raised, rolled border with a central area of depression or ulceration? It usually does not metastasize, but can be locally destructive..

A

Basal Cell Carcinoma

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34
Q

Basal VS Squamous: above the lip-tragus line

A

BASAL

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35
Q

Basal VS Squamous: acute sun damage

A

SQUAMOUS

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36
Q

Basal VS Squamous: does NOT appear intra-orally

A

BASAL

37
Q

Basal VS Squamous: Chronic sun exposure

A

BASAL

38
Q

Basal VS Squamous: Below lip-tragus line

A

SQUAMOUS

39
Q

Basal VS Squamous: most common intraoral cancer

A

SQUAMOUS

40
Q

What is the clinical term for dry socket? What is the best way to Tx? What do you NOT do?

A

Alveolar Osteitis…irrigate with warm saline…NO curettage

41
Q

This happens on a NON-VITAL TOOTH and can also be called a radicular cyst, granuloma, or an abscess…Well defined and radiolucent

A

RAREFYING OSTEITIS

42
Q

What is associated with a NON-VITAL tooth and has a RL area surrounded by a diffuse RO border?

A

Condensing Osteitis

43
Q

What is the intrabony counterpart to exostosis (RO area that fuses/blends to surrounding trabeculae) and is NOT an inflammatory reaction?

A

Idiopathic Ostrosclerosis

44
Q

Chronic Osteomyelitis is inflammation away from an initial site. Its usually caused by PYOGENIC organisms like _______ and _______

A

Staph and Strep

45
Q

WHAT IN THE WORLD? May have sequestrum: pieces of necrotic bone, Pain common; usually in MANDIBLE, Looks like cancer radiographically

A

Chronic Osteomyelitis

46
Q

WTF? Inflammation spreading to the periosteum where the periosteum is lifted and deposits bone…

A

Osteomyelitis with PP: Proliferative Periostitis

47
Q

Osteomyelitis with PP: Proliferative Periostitis: What location and age demographic affected the most?

A

Young people, MANDIBLE

48
Q

What lesion is associated with an ONION SKIN appearance on a radiograph?

A

Osteomyelitis with PP: Proliferative Periostitis

49
Q

Osteomyelitis with PP: Proliferative Periostitis has what CARDNIAL radiographic sign?

A

Onion Skin appearance

50
Q

What is the ONLY ONDONTOGENIC CYST that may be MIXED RL/RO (odontogenic tumors can be mixed)?

A

Calcifying Odontogenic Cyst

51
Q

Histologically: Calcifying Odontogenic Cysts contain ______ cells

A

ghost (eiosinophillic cell with no nucleus)

52
Q

What is the MOST COMMON, TRUE odontogenic tumor?

A

Ameloblastoma

53
Q

What is the typical age range for an Ameloblastoma?

A

20-40

54
Q

AMELOBLASTOMA: RO or RL?

A

ALWAYS RL

55
Q

AMELOBLASTOMA: Classic “_______” appearance

A

soap-bubble

56
Q

AMELOBLASTOMA: Expansion or no expansion?

A

Yes, causes expansion

57
Q

AMELOBLASTOMA: What is the most common location?

A

posterior mandible

58
Q

AMELOBLASTOMA: What are the two most common types?

A

1.follicular 2.plexiform

59
Q

Name those 2 odontogenic tumors: usually less than 20 yrs of age, posterior mandible, precursor to an odontoma…1 is completely RL and the other is mixed RL/RO

A
  1. Ameloblastic FIBROMA 2.Ameloblastic Fibro-Odontoma
60
Q

Ameloblastic Fibroma: RL, RO or Mixed?

A

RL

61
Q

Ameloblastic Fibro-Odontoma: RL, RL, or Mixed?

A

Mixed

62
Q

What are the two types of Odontomas?

A

Compond and Complex

63
Q

What type of Odontoma? Large, unidentifiable mass, mainly found in the posterior mandible

A

Complex

64
Q

What type of Odontoma? identifiable “toothlets” usually in the anterior maxilla

A

Compound

65
Q

What is known as the 2/3 tumor and has a “SNOW FLAKE” radiographic appearance?

A

Adenomatoid Odontogenic Tumor

66
Q

An Adenomatiod Odontogenic Tumor is AKA the “2/3s” tumor because its 2/3s: age _______, gender ________, located _______, in the ______ arch

A

teenagers,females,anterior,maxillary

67
Q

What is found in younger patients and resembles an ameloblastoma but has a “HONEYCOMB” or “TENNIS RACKET” appearance?

A

Odontogenic Myxoma

68
Q

Odontogenic Myxoma classically presents as a “_______” or “________” appearance on a radiograph

A

honeycomb, tennis racket

69
Q

What is the most common developmental non-odontogenic cyst?

A

Nasopalatine Duct Cyst (Incisive Canal Cyst)

70
Q

What is the cardinal radiographic sign of a Nasopalatine Duct Cyst?

A

heart shaped radiographic appearance

71
Q

What lesion am I talkin’ bout? Smooth swelling adjacent to the MAXILLARY LATERAL INCISOR? *elevates the ALA *soft tissue only

A

Nasolabial Cyst

72
Q

What lesion am I talking bout? Radio: usually in mandibular premolar/molar area, superior margin SCALLOPS between tooth roots

A

Idiopathic Bone Cavity, Simple Bone Cyst, Traumatic Bone Cyst

73
Q

What is the tx for an ABC/Traumatic bone cyst?

A

none, should resolve w/o tx

74
Q

An ABC/Traumatic bone cyst is considered a __________ because it represents an empty cavity in bone

A

pseudocyst

75
Q

A ____________ (_________) is an ASYMPTOMATIC submucosal accumulation of mucus that appears as a NON-CORTICATED DOME shaped swelling in the sinus…whats the Tx?

A

Mucous Retention Cyst Pseudocyst (Antral Pseudocyst)

76
Q

Whats the name for the salivary gland depression in the mandible, its asymptomatic, it occurs BELOW the IAC (usually near the angle of the mandible)….Thickly corticated RL area

A

STAFNE DEFECT (Stafne Bone Cyst)

77
Q

What is this? A benign tumor of bone, irregularly shaped RO mass…Associated with GARDNER SYNDROME

A

Osteoma

78
Q

COOL: _______ are osteomas in the skin/buccal mucosa/muscle

A

osteoma CUTIS

79
Q

What oral lesion is assocated with GARDNER SYNDROME?

A

Osteoma

80
Q

What are the three GIANT CELL LESIONS? (all appear histologically identical, so Dx is based on clinical features)

A
  1. Central Giant Cell Granuloma 2.Hyperparathyroidism 3. Cherubism
81
Q

What lesion am I talkin’ bout? Common in young individuals under 30, more common in FEMALES, commonly in ANTERIOR MANDIBLE

A

Central Giant Cell Granuloma

82
Q

______ is a familial condition beginning between ages 1-4 years & has large multilocular radiolucent lesions of the posterior regions of jaws BILATERALLY.

A

Cherubism

83
Q

SOAP BUBBLE and EXPANSION that resembles AMELOBLASTOMA

A

Central Giant Cell Granuloma

84
Q

Do you see root resorption with Central Giant Cell Granulomas?

A

YES

85
Q

The cause for PRIMARY hyperparathyroid gland hyperfunction is usually a(n) ________….SECONDARY is usually caused by _________

A

1st-adenoma….2nd-Kidney Disease

86
Q

What condition am I describing? Painful bones, renal stones, abdominal groans, and psychotic moans?

A

Hyperparathyroidism

87
Q

What condition is associated with a BROWN TUMOR OF THE BONE?

A

Hyperparathyroidism

88
Q

Uh oh. What conditions present with GROUND GLASS appearance?

A

Hyperparathyroidism and Fibrous Dysplasia

89
Q

Radio: Granular (salt and pepper) or “ground glass” bone…LOSS of lamina dura?

A

Hyperparathyroidism…yes loss of lamina dura

NBDE Part II (14 decks)

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