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NBDE Part II > Oral Pathology 1 > Flashcards

Oral Pathology 1 Flashcards

1
Q

What oral pathology is associated with “strawberry tongue?” And which papillae is inflamed and hyperplastic?

A

Scarlet Fever

Fungiform papillae

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2
Q

How is a Turner Tooth formed? And which tooth does it most likely occur on?

A

Trauma infection on developing tooth bud

- Mandibular pre-molars

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3
Q

Which versions of the human papilloma virus are shown to cause cancer?

A

HPV 16, 18

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4
Q

What pathology is associated with a “ground glass appearance” seen on a radiograph?

A

Fibrous dysplasia

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5
Q

What pathology is associated with a “cotton wool appearance” seen on a radiograph?

A

Paget’s disease of bone

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6
Q

Which medication is associated with intrinsic tooth staining?

A

Tetracyclines

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7
Q

What is the etiology of condyloma acuminatum?

A

HPV

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8
Q

Describe candidiasis.

A
  • Opportunistic infection “yeast”
  • White, wipeable “patch” with red base
  • “Thrush” in newborns/infants
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9
Q

Describe median rhomboid glossitis.

A
  • Red atrophy of FILIFORM papillae
  • Midline tongue, junction of anterior 2/3 and posterior 1/3 at tuberculum impar
  • Caused by chronic candidaisis
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10
Q

What pathology is associated with wandering transected nerve with scar tissue, which presents as a painful or tender lump or nodule?

A

Traumatic Neuroma

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11
Q

What pathology is similar in appearance to a pyogenic granuloma, but is often “liver-colored” and contains multinucleated giant cells?

A

Peripheral giant cell granuloma

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12
Q

What is the most common connective tissue tumor?

A

Fibroma

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13
Q

Describe Luekoplakia.

A
  • White patch that does NOT wipe off

- Cytology smear does not help determine specific diagnosis - do biopsy

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14
Q

What type of luekoplakia is more likely to have severe dysplasia or worse and undergo malignant transformation to carcinoma?

A

Erythroplakia

Tx - incisional biopsy

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15
Q

What is the most common site of squamous cell carcinoma?

A

Mid-lateral border of the tongue

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16
Q

Where is the most common site for metastatic disease of the bone to show orally?

A

Posterior mandible - usually a lucency without sclerotic border

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17
Q

Describe monomorphic adenoma.

A

Most common found on upper lip

Asymptomatic, not a “mucocele” of the lower lip

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18
Q

What is luekodema?

A

Intracellular edema of cells, often seen in African Americans, to test for this - pull on buccal mucosa to see if it disappears or dissipates. - No Tx necessary

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19
Q

What is verrucous carcinoma?

A

“Snuffer’s cancer”

  • Large, elevated, papillary often associated with smokeless tobacco, in buccal vestibule
  • No tendency to metastasize
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20
Q

What tumor suppressor gene is most commonly associated with squamous cell carcinoma?

A

p53 tumor suppressor gene

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21
Q

What is the most common tumor of salivary gland origin?

A

Pleomorphic adenoma

most commonly found on the palate

22
Q

What salivary gland tumor is most likely to show perineural invasion?

A

Adenoid cystic carcinoma

23
Q

What is the most common true odontogenic tumor, that shows a multilocular radiolucency?

A

Ameloblastoma - often associated with impacted teeth

24
Q

What presents as a radiopacity with a radiolucent rim and can either be compound or complex?

A

Odontomas

  • Compound - indentifiable toothlets (anterior maxilla)
  • Complex - unidentifiable mass (posterior of jaws)
25
Q

What shows snow flake calcifications in the radiolucency surrounding the crown and a portion of the impacted tooth’s root?

A

Adenomatoid odontogenix tumor (AOT)

26
Q

What are the radiographic presentations of amelogensis imperfecta?

A

Enamel is missing, pulp chambers and root canals appear normal

27
Q

What is the clinical and radiographic presentations of dentinogenesis imperfecta?

A

Opalescent dentin - blue sclera

- lack pulp chambers and root canals, bell-shaped crown with constricted cervical region

28
Q

What pathology presents with multi-locular, bilateral lucencies, often seen in young people and causes jaw expansion?

A

Cherubism

29
Q

Describe fibrous dysplasia.

A
  • Unilateral mandibular or maxillary expansion, “teeth don’t fit”
  • Painless swelling
  • Cafe au lait pigmentation
  • Ground glass appearance - Xrays
  • Tx - cosmetic bone shaving
30
Q

How will teeth test when they’re associated with condensing osteitis?

A

Nonvital - Tx = RCT

31
Q

What pathology is associated with scalloped margins seen on radiographs? And what is the treatment?

A

Traumatic bone cyst - spontaneous healing without treatment following exploratory surgery (psuedocyst)

32
Q

What are some key characteristics of Paget’s disease of bone?

A
  • Bilateral maxilla affected
  • Bone can undergo malignant transformation (osteosarcoma)
  • Cotton wool appearance
  • 50% hypercementosis
33
Q

What is the Hand-Schuller-Christian traid?

A
  1. Diabetes insipidus
  2. Exopthalmos
  3. Bone Lesions
    * *Often seen in Langerhans Cell Disease
34
Q

What tumor/cyst is rarely seen on radiographs and why?

A

Nasolabial cyst - usually in soft tissue, not bone

35
Q

What are some key characteristics of Odontogenic Keratocysts?

A
  • Radiolucent multilocular lesion with a high recurrence.
36
Q

What pathology is associated with bifid ribs and calcification of the falx cerebri?

A

Nevoid basal cell carcinoma syndrome

37
Q

What is morsicatio buccarum?

A

Cheek nibbling -

White rough, tissue tags above and below occlusal plane (linea alba)

38
Q

What are some characteristics with Gardner syndrome?

A
  • Multiple facial osteomas & skin nodules
  • Hyperdontia, unerupted teeth
  • Multiple GI polyps –> colon carcinoma
39
Q

Which way will a jaw deviate upon opening in patients with temporomandibular dysfunction?

A

Toward the painful side opening

40
Q

Which was does the TMJ disc move and why?

A

Anteriorly and medially - due to the contraction of the lateral pterygoid muscle

41
Q

What lesion are considered “target or bulls-eye lesions?”

A

Erythema Multiforme

42
Q

What is Stevens-Johnson sydrome?

A

Erythema multiforme major

- Eye (conjuntiva), mouth (labial mucosa), genitalia

43
Q

What demonstrates immunoglobulin fluorescence intraepithelial cementing substance, as well as a positive Nikolsky sign?

A

Pemphigus Vulgaris

44
Q

What is associated with induration of the soft tissues and generalized widening of the PDL space?

A

Scleroderma (Progressive systemic sclerosis)

45
Q

What happens in benign migratory glossitis?

A
  • Depapillated areas of tongue (filiform papillae atrophied), wit keratin & epithelial debris
46
Q

What is the treatment for Geographic tongue?

A

Dexamethasone (corticosteroid rinse)

47
Q

Where do basal cell carcinomas present?

A

Ulcer of the upper lip, elsewhere on sun-exposed face with raised margins (does not occur intra-orally)

48
Q

What presents as a slight radiopaque, dome-shaped, emanating from floor of maxillary sinus?

A

Antral pseudocyst

49
Q

What can arise from dentigerous cysts?

A

Unicystic ameloblastomas

50
Q

What presents as a pericoronal radiolucency attached at CEJ of unerupted tooth, and also what is a good differential diagnosis?

A
  • Dentigerous cyst
  • Ameloblastoma
  • Residual cyst
  • Odontogenic keratocyst
  • Odontogenic myxoma
51
Q

What describes the elongation and/or calcification of the stylohyoid ligament?

A

Eagle Syndrome -

Head and neck pain is elicited by chewing, yawning and opening mouth

52
Q

What are some common signs seen in patients with Crohn’s disease?

A
  • Granulomatous gingivitis
  • Aphthous-like ulcers
  • Rectal bleeding (intestinal skip lesions of small intestine)

NBDE Part II (13 decks)

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