Oral Pathology

Question 1

In what conditions can we find ulcerations in mouth?

Answer 1

IBD, celiac, malignancy

Question 2

In what conditions can we find tooth defects in mouth?

Answer 2

celiac, reflux, FAP

Question 3

In what conditions can we find pigmentation in mouth?

Answer 3

Peutz-Jegher

Question 4

In what conditions can we find masses in mouth?

Answer 4

FAP, HNPCC

Question 5

Two forms of recurrent apthous stomatitis

Answer 5

minor/major (based on size/location) –> occurs on non-keratinized mucosa, no sex predilection

Question 6

areas of oral cavity that are non-keratinized

Answer 6

dorsal tongue, hard palate, attached gingiva

Question 7

What kind of infection do we find in recurrent apthous stomatitis

Answer 7

mixed PMN/lymphocytes

Question 8

Which mouth ulcerations heal with scarring?

Answer 8

major

Question 9

Tx of oral ulcers

Answer 9

topical steroids

Question 10

Oral ulcerations found in Crohn’s

Answer 10

ulcerations, localized/general erythema, hyperplastic/polypoid/papular lesions, non-caseating granulomas

Question 11

Linear ulcerations in mouth are pathognomonic for ____

Answer 11

crohn’s

Question 12

Oral manifestations of celiac

Answer 12

ulcerations, enamel pitting

Question 13

Oral manifestation of reflux

Answer 13

acid reduces oral pH and causes erosion of tooth enamel

Question 14

Oral manifestations of FAP

Answer 14

jaw osteomas, supernumerary teeth, odontomas (multifocal tooth structure)

Question 15

Oral manifestations of HNPCC

Answer 15

fordyce granules –> ectopic sebaceous glands (asymptomatic clusters of yellow papules, usually with age)

Question 16

Oral manifestations of Peutz-Jegher

Answer 16

freckle lesions of oral mucosa, perioral skin, and fingers

Question 17

Are jaw osteomas benign or malignant?

Answer 17

benign

Question 18

What feature is pathognomonic for FAP?

Answer 18

jaw osteomas

Question 19

Pyostomatitis vegetans

Answer 19

paraneoplastic manifestation of IBD or GI malignancy –> snail track pustules/ulcerations, minimal oral discomfort, oral lesion may precede intestinal findings

Question 20

3 histologic features of pyostomatitis vegetans

Answer 20

eosinophilic blisters, epithelial spongiosus, acantholysis

Question 21

Tx of pyostomatitis vegetans

Answer 21

tx of ibd/cancer, system corticosteroid therapy

Question 22

Malignant acanthosis nigricans

Answer 22

manifestation of GI cancer (benign variant associated with endocrinopathies) –> papillary/hyperkeratotic brownish patches, velvety/leathery texture, flexural areas of skin, intraoral lesions rare

Question 23

Tx of malignant acanthosis nigricans

Answer 23

tx of cancer