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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
What is the differential dx for erythroplakia?
1.Dysplasia 2.SCC
26
What % of Erythroplakia represents dysplasia or SCC?
90%
27
What is the common change of lower lip vermillion that leads to atrophy of vermillion border? Is it considered premalignant?
Actinic Cheilitis...YES
28
Actinic Cheilitis develops to cancer in WHAT % of cases?
6-10%
29
What are the two most common locations for SCC?
lateral border of tongue and floor of mouth
30
What oral lesion is considered to have the MOST MALIGNANT POTENTIAL?
PVL-Proliferative Verrucous Leukoplakia
31
Interesting...what condition has the second most MALIGNANT POTENTIAL-right behind PVL and in front of erythroplakia?
Nicotinic Stomatitis in reverse smokers
32
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
VC (no, not voice crack): Verrucous Carcinoma
33
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..
Basal Cell Carcinoma
34
Basal VS Squamous: above the lip-tragus line
BASAL
35
Basal VS Squamous: acute sun damage
SQUAMOUS
36
Basal VS Squamous: does NOT appear intra-orally
BASAL
37
Basal VS Squamous: Chronic sun exposure
BASAL
38
Basal VS Squamous: Below lip-tragus line
SQUAMOUS
39
Basal VS Squamous: most common intraoral cancer
SQUAMOUS
40
What is the clinical term for dry socket? What is the best way to Tx? What do you NOT do?
Alveolar Osteitis...irrigate with warm saline...NO curettage
41
This happens on a NON-VITAL TOOTH and can also be called a radicular cyst, granuloma, or an abscess...Well defined and radiolucent
RAREFYING OSTEITIS
42
What is associated with a NON-VITAL tooth and has a RL area surrounded by a diffuse RO border?
Condensing Osteitis
43
What is the intrabony counterpart to exostosis (RO area that fuses/blends to surrounding trabeculae) and is NOT an inflammatory reaction?
Idiopathic Ostrosclerosis
44
Chronic Osteomyelitis is inflammation away from an initial site. Its usually caused by PYOGENIC organisms like _______ and _______
Staph and Strep
45
WHAT IN THE WORLD? May have sequestrum: pieces of necrotic bone, Pain common; usually in MANDIBLE, Looks like cancer radiographically
Chronic Osteomyelitis
46
WTF? Inflammation spreading to the periosteum where the periosteum is lifted and deposits bone...
Osteomyelitis with PP: Proliferative Periostitis
47
Osteomyelitis with PP: Proliferative Periostitis: What location and age demographic affected the most?
Young people, MANDIBLE
48
What lesion is associated with an ONION SKIN appearance on a radiograph?
Osteomyelitis with PP: Proliferative Periostitis
49
Osteomyelitis with PP: Proliferative Periostitis has what CARDNIAL radiographic sign?
Onion Skin appearance
50
What is the ONLY ONDONTOGENIC CYST that may be MIXED RL/RO (odontogenic tumors can be mixed)?
Calcifying Odontogenic Cyst
51
Histologically: Calcifying Odontogenic Cysts contain ______ cells
ghost (eiosinophillic cell with no nucleus)
52
What is the MOST COMMON, TRUE odontogenic tumor?
Ameloblastoma
53
What is the typical age range for an Ameloblastoma?
20-40
54
AMELOBLASTOMA: RO or RL?
ALWAYS RL
55
AMELOBLASTOMA: Classic "_______" appearance
soap-bubble
56
AMELOBLASTOMA: Expansion or no expansion?
Yes, causes expansion
57
AMELOBLASTOMA: What is the most common location?
posterior mandible
58
AMELOBLASTOMA: What are the two most common types?
1.follicular 2.plexiform
59
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
1. Ameloblastic FIBROMA 2.Ameloblastic Fibro-Odontoma
60
Ameloblastic Fibroma: RL, RO or Mixed?
RL
61
Ameloblastic Fibro-Odontoma: RL, RL, or Mixed?
Mixed
62
What are the two types of Odontomas?
Compond and Complex
63
What type of Odontoma? Large, unidentifiable mass, mainly found in the posterior mandible
Complex
64
What type of Odontoma? identifiable "toothlets" usually in the anterior maxilla
Compound
65
What is known as the 2/3 tumor and has a "SNOW FLAKE" radiographic appearance?
Adenomatoid Odontogenic Tumor
66
An Adenomatiod Odontogenic Tumor is AKA the "2/3s" tumor because its 2/3s: age _______, gender ________, located _______, in the ______ arch
teenagers,females,anterior,maxillary
67
What is found in younger patients and resembles an ameloblastoma but has a "HONEYCOMB" or "TENNIS RACKET" appearance?
Odontogenic Myxoma
68
Odontogenic Myxoma classically presents as a "_______" or "________" appearance on a radiograph
honeycomb, tennis racket
69
What is the most common developmental non-odontogenic cyst?
Nasopalatine Duct Cyst (Incisive Canal Cyst)
70
What is the cardinal radiographic sign of a Nasopalatine Duct Cyst?
heart shaped radiographic appearance
71
What lesion am I talkin' bout? Smooth swelling adjacent to the MAXILLARY LATERAL INCISOR? *elevates the ALA *soft tissue only
Nasolabial Cyst
72
What lesion am I talking bout? Radio: usually in mandibular premolar/molar area, superior margin SCALLOPS between tooth roots
Idiopathic Bone Cavity, Simple Bone Cyst, Traumatic Bone Cyst
73
What is the tx for an ABC/Traumatic bone cyst?
none, should resolve w/o tx
74
An ABC/Traumatic bone cyst is considered a __________ because it represents an empty cavity in bone
pseudocyst
75
A ____________ (_________) is an ASYMPTOMATIC submucosal accumulation of mucus that appears as a NON-CORTICATED DOME shaped swelling in the sinus...whats the Tx?
Mucous Retention Cyst Pseudocyst (Antral Pseudocyst)
76
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
STAFNE DEFECT (Stafne Bone Cyst)
77
What is this? A benign tumor of bone, irregularly shaped RO mass...Associated with GARDNER SYNDROME
Osteoma
78
COOL: _______ are osteomas in the skin/buccal mucosa/muscle
osteoma CUTIS
79
What oral lesion is assocated with GARDNER SYNDROME?
Osteoma
80
What are the three GIANT CELL LESIONS? (all appear histologically identical, so Dx is based on clinical features)
1. Central Giant Cell Granuloma 2.Hyperparathyroidism 3. Cherubism
81
What lesion am I talkin' bout? Common in young individuals under 30, more common in FEMALES, commonly in ANTERIOR MANDIBLE
Central Giant Cell Granuloma
82
______ is a familial condition beginning between ages 1-4 years & has large multilocular radiolucent lesions of the posterior regions of jaws BILATERALLY.
Cherubism
83
SOAP BUBBLE and EXPANSION that resembles AMELOBLASTOMA
Central Giant Cell Granuloma
84
Do you see root resorption with Central Giant Cell Granulomas?
YES
85
The cause for PRIMARY hyperparathyroid gland hyperfunction is usually a(n) ________....SECONDARY is usually caused by _________
1st-adenoma....2nd-Kidney Disease
86
What condition am I describing? Painful bones, renal stones, abdominal groans, and psychotic moans?
Hyperparathyroidism
87
What condition is associated with a BROWN TUMOR OF THE BONE?
Hyperparathyroidism
88
Uh oh. What conditions present with GROUND GLASS appearance?
Hyperparathyroidism and Fibrous Dysplasia
89
Radio: Granular (salt and pepper) or "ground glass" bone...LOSS of lamina dura?
Hyperparathyroidism...yes loss of lamina dura

NBDE Part II (14 decks)

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