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Clinical sciences > Oral Pathology > Flashcards

Oral Pathology Flashcards

1
Q

What causes a cleft lip?

A
  • lack of fusion between medial nasal process and maxillary process
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2
Q

What causes a cleft palate?

A
  • lack of fusion between palatal shelves
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3
Q

Clefts + pits = ??

A

Van der Woude Syndrome

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4
Q
  • white or whitish-gray edematous lesion of buccal mucosa
  • dissipates when cheek is stretched
A

Leukoedema

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5
Q

White annular (ringed) lesions surrounding central red islands that migrate over time

A

Geographic tongue AKA benign migratory glossitis

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6
Q

Folds and furrows of tongue dorsum

A

fissured tongue

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7
Q

Fissured tongue + granulomatous cheilitis + facial paralysis = ??

A

Melkersson- Rosenthal Syndrome
- Mels bells = facial paralysis
- Rosy Red = granulomatous cheilitis

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8
Q

Congenital focal proliferation of capillaries

A

hemangioma

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9
Q

congenital focal proliferation of lymph vessels

A
  • lymphangioma
  • very rare
  • when on neck it is called cystic hygroma
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10
Q

Angiomas of leptomeninges (arachnoid and pia mater) + skin along the distribution of trigeminal nerve = ??

A

Sturge-Weber syndrome

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11
Q
  • mass in midline floor of mouth
  • doughy consistency
A

dermoid cyst

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12
Q
  • lateral neck swelling
  • epithelial cyst within lymph node of neck
A

branchial cyst

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13
Q
  • epithelial cyst within lymphoid tissue of oral mucosa
  • palatine and lingual tonsils are common
A

oral lymphoepithelial cyst

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14
Q
  • radiolucency in posterior mandible BELOW mandibular canal
  • due to lingual concavity of the jaw
A

Stafne Bone Defect

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15
Q
  • Heart-shaped radiolucency in nasopalatine canal
A

Nasopalatine duct cyst

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16
Q
  • Term denoting any radiolucency between maxillary canine and lateral incisor
A

Globulomaxillary lesion

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17
Q
  • Large radiolucency SCALLOPED AROUND ROOTS
  • no epithelial lining
  • usually associated with jaw trauma
A

Traumatic Bone Cyst

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18
Q
  • red dots, inflamed salivary duct openings
A

nicotine stomatitis

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19
Q
  • brown, diffuse, irregular macules
  • typically seen in anterior gingiva
A

smoking-associated melanosis

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20
Q
  • benign hyperpigmentation in mucous membrane
  • basically a freckle of mucosa
A

Melanotic macule

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21
Q

freckles + intestinal polyps = ??

A

Peutz-Jeghers Syndrome
(PJs - Freckles - intestinal distress)

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22
Q

elongated filiform papillae

A

Hairy Tongue

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23
Q
  • commonly related to sodium lauryl sulfate
  • toms of maine or Rembrandt toothpaste
A

Dentifrice-Associated Sloughing

24
Q

Classes of submucosal hemorrhage (4)

A
  • Petechiae = 1mm hemorrhages
  • Purpura = slightly larger than petechiae
  • Ecchymosis = 1 cm or bigger, bruise
  • Hematoma = mass of blood within tissue, caused by trauma to oral mucosa
25
Q

Herpes Simplex Virus (HSV)

A
  • Primary - pan-oral
  • Recurrent - Keratinized
    - 2 forms - Herpes Labialis - vermillion border
    - Recurrent intraoral herpes - attached gingiva, hard palate

Tx - Acyclovir in Prodromal phase

26
Q

Varicella Zoster Virus (VZV)

A
  • Primary - Chickenpox
  • Recurrent - Shingles
27
Q

Herpes zoster reactivation in geniculate ganglion affecting CN 7 and 8 resulting in facial paralysis, vertigo, deafness =

A

Ramsay Hunt Syndrome

28
Q
  • Hand food and mouth disease
  • herpangina (posterior oral cavity
A

Coxsackie virus

29
Q

What are Koplik’s spots? What virus causes them?

A
  • buccal mucosa dot ulcers, precede skin rash
  • Measles (Rubeola)
30
Q

Benign epithelial pedunculated or sessile proliferation on skin or mucosa

A

papilloma (AKA wart)

31
Q

common skin wart

A

verruca vulgaris

32
Q
  • HPV 6 and 11
  • genital wart
A

Condyloma Acuminatum

33
Q
  • HPV 13 and 32
  • multiple small dome-shaped warts on oral mucosa
A

Focal Epithelial hyperplasia (Heck’s disease)

34
Q

-epstein barr virus
- white patch on lateral tongue, does not wipe off
- opportunistic infection associated with HIV
- associated with Burkitt’s lymphoma

A

oral hairy leukoplakia

35
Q

Treponema pallidum causes?

A

syphilis

36
Q

Characteristics of syphilis

A

primary - chancre
secondary - oral mucous patch
tertiary - gumma (systemic)

37
Q

Common characteristics of Actinomycosis

A
  • caused by actinomyces israelii (NOT FUNGAL)
  • Periapical - jaw infections
  • cervicofacial - head and neck infections
  • sulfur granules in purulent exudate
38
Q

Characteristics of Scarlet Fever

A
  • Group A strep (strep pyogenes)
  • strawberry tongue = white coated tongue with red inflamed fungiform papillae
39
Q

Characteristics of candidiasis

A
  • AKA Thrush
  • pseudomembranous = white plaque that rubs off
  • atrophic = red
  • Median rhomboid glossitis = loss of lingual papillae
  • angular cheilitis = corner of mouth
40
Q
  • white patch that does not rub off
  • Tx: biopsy
A

Leukoplakia
- clinical description, not a diagnosis

41
Q
  • Recurrent and warty
  • HPV 16 and 18
  • high risk of malignant transformation to SCC or verrucous carcinoma
A

Proliferative Verrucous Leukoplakia

42
Q
  • Red Patch
  • higher risk than leukoplakia
  • Tx: biopsy
A

Erythroplakia
- clinical description, not a diagnosis

43
Q

Due to sun damage (UVB especially)

A

Actinic Cheilitis

44
Q

White mucosal change in vestibule due to direct effects of smokeless tobacco and additives

A

Smokeless tobacco associated lesion

45
Q

Nonkeratinized
Minor –> heal without scarring
Major –> heal with scarring
Sutton disease = AKA for Major form
Behcet’s syndrome

A

Aphthous Ulcer

46
Q

Multisystem vasculitis that causes aphthous-type ulcers of oral and genital, and inflammation of eye

What is the treatment?

A

-Behcet’s Syndrome
-Corticosteroids

47
Q
  • Often on lips but can occur anywhere on skin and mucosa
  • minor –> herpes simplex hypersensitivity
  • major –> drug sensitivity (AKA stevens-johnson syndrome)
A

Erythema Multiforme

48
Q

Stevens-Johnson Syndrome

A

Another name for the major form of erythema multiforme

49
Q
  • Allergic reaction to drug or food contact
  • diffuse swelling of lips, neck or face
  • mediated by mast cell release of IgE and histamines

What is the treatment?

A

Angioedema

antihistamines

50
Q
  • allergic reaction to inhaled antigen
  • strawberry gingivitis

What is the treatment?

A

Wegener’s Granulomatosis

Corticosteroids (prednisone) and cyclophosphamide

51
Q
  • T lymphocytes target and destroy basal keratinocytes
  • sawtooth rete pegs
  • reticular –> wickham striae, more common
  • erosive –> wickham striae with red ulcerations

What is the treatment?

A

Lichen Planus

Corticosteroids

52
Q
  • Discoid chronic type –> disc-like lesions on face
  • systemic acute type –> butterfly rash over nose

What is the treatment?

A

Corticosteroids

53
Q
  • hardening of skin and connective tissue
    restricted opening and uniform widening of PDL - space
A

Scleroderma

54
Q
  • Autoantibodies against desmosomes
  • multiple painful ulcers preceded by bullae
  • positive nikolsky’s sign

What is the treatment?

A

Pemphigus Vulgaris

Corticosteroids

55
Q
A

Clinical sciences (4 decks)

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