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Oral Pathology > Oral Pathology Final Exam > Flashcards

Oral Pathology Final Exam Flashcards

1
Q

shallow ulcers colaesce resulting in serpentine borders

A

primary herpes

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2
Q

Tzanck cells are found in

A

primary herpes

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3
Q

cold sore, fever blister

A

recurrent herpes labialis

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4
Q

triggered by UV light exposure or traum

A

recurrent herpes labialis

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5
Q

recurrent intraoral herpes occurs where?

A

mucosa bound to periosteum

hard palate + attached gingiva

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6
Q

recurrent intraoral herpes occurs as what?

A

cluster of shallow ulcers

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7
Q

herpes immunosuppressed displays as what?

A

large shallow ulcers w/elevated, scalloped borders

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8
Q

tx of herpes-immunosuppressed

A

intravenous acyclovir for acute cases

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9
Q

hazards assoc with not wearing gloves

A

herpetic whitlow

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10
Q

oral lesions that present with 1-2 shallow oral ulcers at any intraoral site

A

varicella

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11
Q

lesions stop at midline

A

herpes zoster (shingles)

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12
Q

post herpetic neuralgia

A

herpes zoster (shingles)

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13
Q

herpangina occurs where

A

posterior soft palate/ tonsillar pillar region

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14
Q

herpangina is associated with what

A

coxsackievirus/echovirus

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15
Q

hand, foot, and mouth disease occurs where?

A

buccal mucosa, labial mucosa, and tongue

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16
Q

describe hand, foot, and mouth diseaese

A

skin lesions consist of 1-3mm erythematous macules w/central vesicles

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17
Q

pulmonary infection that can spread to oral mucosa

A

histoplasmosis

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18
Q

non healing ulceration or granular lesion

A

histoplasmosis

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19
Q

red linear band at the free gingival margin

A

linear gingival erythema

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20
Q

tx for NUG

A

prophylactic chlorhexidine used 2x daily for maintenance

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21
Q

rapid bone loss with soft tissue destrcution

A

NUP

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22
Q

extensive painful tissue destruction that also affects deeper osseous structures

A

necrotizing stomatitis

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23
Q

skin infection by poxvirus

A

molluscum contagiosum

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24
Q

facial skin is often affected, waxy center w/umbilicated center

A

molluscum contagiousm

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25
Q

herpes simplex in aids patients affect where

A

any oral mucosa surface

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26
Q

persistent painful diffuse shallow ulcerations

A

herpes simplex infections

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27
Q

HIV related viral infections (5)

A 
HPV
herpes simplex
molluscum contagiosum
varicella zoster
epstein barr
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28
Q

unilateral distribution of vesicles and ulcers

A

herpes zoster infection

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29
Q

caused by epstein-barr virus, superimposed candidiasis

A

oral hairy leukoplakia

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30
Q

non-removable white plaques of the lateral tongue, vertical parallel lines

A

oral hairy leukoplakia

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31
Q

exophytic lesions, solitary, or multiple lesions

A

HPV

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32
Q

differential diagnosis with HPV

A

squamous papilloma
condyloma
epithelial hyperplasia

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33
Q

aphtuous-like ulcerations respond it

A

immune-mediated etiology

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34
Q

painful persistent, may be solitary or multiple

A

aphtuous like ulcerations

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35
Q

multifocal malignancy of vascular endothelial cell origin

A

AIDS related Kaposi Sarcoma

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36
Q

Kaposi Sarcoma usually involves

A

palate or gingiva

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37
Q

most common malignancy in AIDS population in US

A

non-hodgkins lymphoma

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38
Q

often extra nodal (CNS/GI tract)

A

non-hodgkin lymphoma

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39
Q

white line on buccal muocsa at level of occlusal plane

A

linea alba

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40
Q

ragged superficial keratosis

A

morsicatio buccarum

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41
Q

cheek chewing

A

morsicatio buccarum

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42
Q

removable yellowish-white fibrinopurulent membrane

A

traumatic ulcer

43
Q

surrounded by variable erythema with a hyperkeratotic border

A

traumatic ulcer

44
Q

thermal injury occurs most commonly where?

A

palatal mucosa, anterior tongue

45
Q

coagulation necrosis of the epithelium

A

thermal injury

chemical injury

46
Q

common culprits of chemical injury (3)

A

aspirin, hydrogen peroxide, phenol

47
Q

what change is seen in chemical injury

A

white surface change

48
Q

begins w/in first few days of chemo

A

chemotherapy related epithelial necrosis

49
Q

how long does it take for chemotherapy related epithelial necrosis to resolve?

A

after 2-3 weeks

50
Q

secondary to ionization radiation used to treat malignancies in H/N region

A

radiation mucositis

51
Q

damage to rapidly dividing basal cells of oral mucosa

A

radiation mucositis

52
Q

MRONJ is seen with

A

bisphosphanates
antiresorptive
antiangiogenic

53
Q

Diagnosis of MRONJ

A

current or previous tx w/bisphosphonate or other assoc. agent
exposed bone in the region for more than 8 weeks
no history of radiation therapy to the jaws

54
Q

what is used to id amalgam foreign body tatoo

A

xray

55
Q

intentional/iatrogenic introduction of inert pigment w/in the CT tissue

A

foreign body tatoo

56
Q

smoker’s melanosis is most commonly seen on the?

A

anterior facial gingiva

57
Q

light brown, diffuse melanin pigementation of oral mucosa?

A

smoker’s melanosis

58
Q

stimulation of melanin production by melanocytes vs deposition of drug metabolites

A

drug-related discoloration of oral mucosa

59
Q

focal superficial sequestration of a fragment of cortical bone

A

oral ulceration w/bone sequestration

60
Q

anatomic sites which a bony prominence is covered by a thin mucosal surface

A

oral ulceration w/bone sequestration

61
Q

dome shaped, radiopaque lesion on floor of maxillary sinus

A

antral pseudocyst

62
Q

inflammatory exudate accumulates under sinus mucosa and causes inflammation

A

antral pseudocyst

63
Q

canker sores

A

recurrent aphthous ulcerations

64
Q

three forms of recurrent aphthous ulcerations

A

minor
major
herpetiform

65
Q

minor aphthuous ulcerations occur exclusively where

A

nonkeratinized (movable) mucosa

66
Q

erythematous halo

A

minor aphtuous ulcerations

67
Q

what is major aphtuous ulcers unique feature?

A

heal with scarring

68
Q

common sites of major aphtuous ulcers?

A

labial mucosa, soft palate, tonsillar fauces

69
Q

unique feature of herpetiform aphtuous ulcerations?

A

affect any oral mucosal surface

70
Q

superficial resemblance to primary HSV

A

herpetiform

71
Q

tx for recurrent aphtuous ulcerations

A

topical high-potency corticosteroids

72
Q

histopathology of recurrent aphthuous ulceration is

A

non-specific

73
Q

behcet’s syndrome

A

oral ulcerations
genital ulcerations
ocular disease

74
Q

positive pathergy test

A

behcet’s syndome

75
Q

non necrotizing granulomatous inflammation w/persistent non-tender swelling

A

orofacial granulomatosis

76
Q

Melkerson-Rosenthal syndrome (3)

A

non tender lip swelling
bell’s palsy
fissured tongue

77
Q

generalized wegner’s affects where?

A

upper and lower respiratory tract, kidneys

78
Q

what test is most useful for wegner’s?

A

PR3-ANCA (c-ANCA)

79
Q

inflammatory alteration that recur at the same site after the administration of the drug

A

fixed drug eruption

80
Q

medication induced mucosal alteration which mimic appearance of lichen planus

A

lichenoid drug reaction

81
Q

three types of allergic contact stomatitis

A

dentrifrice related sloughing
oral mucosal cinnamon rxn
lichenoid amalgam rxn

82
Q

can cause widespread desquamation of the superficial layers of epithelium

A

dentrifrice-related sloughing

83
Q

dentrifrice-related sloughing is associated with

A

sodium lauryl sulfate and sodium pyrophosphate

84
Q

erythema with overlying shaggy hyperkeratosis

A

oral mucosal cinnamon reaction

85
Q

common symptoms with oral mucosal cinnamon reaction

A

pain and burning

86
Q

mucosal alterations mimic lichen planus, except localized

A

lichenoid amalgam reaction

87
Q

white, erythematous, +/- peripheral striae

A

lichenoid amalgam reaction

88
Q

three types of angioedema

A
  1. IgE mediated hypersensitivity reaction
  2. angiotensin convertine enzyme (ACE) inhibitors
  3. CI esterase inhibitor (C1-INH) defiency
89
Q

relatively rapid onset of soft tissue swelling, can affect breathing

A

angioedema

90
Q

most common benign epithelial neoplasm seen intraorally

A

squamous papilloma

91
Q

solitary lesion often found on soft palate/uvula on tongue

A

squamous papilloma

92
Q

sessile, exophytic, papillary lesion, MULTIPLE

A

verruca vulgaris

93
Q

koliocytosis associated with

A

verruca vulgaris

condyloma acuminatum

94
Q

multiple sessile papules/plaques w/a cauliflower-like surface

A

condyloma acuminatum

95
Q

venereal wart

A

condyloma acuminatum

96
Q

occurs on sun exposed areas

A

seborrheic keratosis

97
Q

composed of basaloid epidermal cells

A

seborrheic keratosis

98
Q

small dark papules near the malar region

A

dermatosis papulosa nigra

99
Q

small seborrheic keratoses

A

dermatosis papulosa nigra

100
Q

umbilicated papule w/a yellowish tinge, 1-5mm in diameter

A

sebaceous hyperplasia

101
Q

may be mistaken for basal cell Ca

A

sebaceous hyperplasia

102
Q

diffuse white, apperance to the palatal mucosa, surface may be wrinkly/fissured

A

nicotonic stomatitis

103
Q

inflamed minor salivary gland orifices

A

nicotonic stomatitis

Oral Pathology (2 decks)

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