Oral Pathology Final Exam Flashcards
1
Q
shallow ulcers colaesce resulting in serpentine borders
A
primary herpes
2
Q
Tzanck cells are found in
A
primary herpes
3
Q
cold sore, fever blister
A
recurrent herpes labialis
4
Q
triggered by UV light exposure or traum
A
recurrent herpes labialis
5
Q
recurrent intraoral herpes occurs where?
A
mucosa bound to periosteum
hard palate + attached gingiva
6
Q
recurrent intraoral herpes occurs as what?
A
cluster of shallow ulcers
7
Q
herpes immunosuppressed displays as what?
A
large shallow ulcers w/elevated, scalloped borders
8
Q
tx of herpes-immunosuppressed
A
intravenous acyclovir for acute cases
9
Q
hazards assoc with not wearing gloves
A
herpetic whitlow
10
Q
oral lesions that present with 1-2 shallow oral ulcers at any intraoral site
A
varicella
11
Q
lesions stop at midline
A
herpes zoster (shingles)
12
Q
post herpetic neuralgia
A
herpes zoster (shingles)
13
Q
herpangina occurs where
A
posterior soft palate/ tonsillar pillar region
14
Q
herpangina is associated with what
A
coxsackievirus/echovirus
15
Q
hand, foot, and mouth disease occurs where?
A
buccal mucosa, labial mucosa, and tongue
16
Q
describe hand, foot, and mouth diseaese
A
skin lesions consist of 1-3mm erythematous macules w/central vesicles
17
Q
pulmonary infection that can spread to oral mucosa
A
histoplasmosis
18
Q
non healing ulceration or granular lesion
A
histoplasmosis
19
Q
red linear band at the free gingival margin
A
linear gingival erythema
20
Q
tx for NUG
A
prophylactic chlorhexidine used 2x daily for maintenance
21
Q
rapid bone loss with soft tissue destrcution
A
NUP
22
Q
extensive painful tissue destruction that also affects deeper osseous structures
A
necrotizing stomatitis
23
Q
skin infection by poxvirus
A
molluscum contagiosum
24
Q
facial skin is often affected, waxy center w/umbilicated center
A
molluscum contagiousm
25
herpes simplex in aids patients affect where
any oral mucosa surface
26
persistent painful diffuse shallow ulcerations
herpes simplex infections
27
HIV related viral infections (5)
```
HPV
herpes simplex
molluscum contagiosum
varicella zoster
epstein barr
```
28
unilateral distribution of vesicles and ulcers
herpes zoster infection
29
caused by epstein-barr virus, superimposed candidiasis
oral hairy leukoplakia
30
non-removable white plaques of the lateral tongue, vertical parallel lines
oral hairy leukoplakia
31
exophytic lesions, solitary, or multiple lesions
HPV
32
differential diagnosis with HPV
squamous papilloma
condyloma
epithelial hyperplasia
33
aphtuous-like ulcerations respond it
immune-mediated etiology
34
painful persistent, may be solitary or multiple
aphtuous like ulcerations
35
multifocal malignancy of vascular endothelial cell origin
AIDS related Kaposi Sarcoma
36
Kaposi Sarcoma usually involves
palate or gingiva
37
most common malignancy in AIDS population in US
non-hodgkins lymphoma
38
often extra nodal (CNS/GI tract)
non-hodgkin lymphoma
39
white line on buccal muocsa at level of occlusal plane
linea alba
40
ragged superficial keratosis
morsicatio buccarum
41
cheek chewing
morsicatio buccarum
42
removable yellowish-white fibrinopurulent membrane
traumatic ulcer
43
surrounded by variable erythema with a hyperkeratotic border
traumatic ulcer
44
thermal injury occurs most commonly where?
palatal mucosa, anterior tongue
45
coagulation necrosis of the epithelium
thermal injury
| chemical injury
46
common culprits of chemical injury (3)
aspirin, hydrogen peroxide, phenol
47
what change is seen in chemical injury
white surface change
48
begins w/in first few days of chemo
chemotherapy related epithelial necrosis
49
how long does it take for chemotherapy related epithelial necrosis to resolve?
after 2-3 weeks
50
secondary to ionization radiation used to treat malignancies in H/N region
radiation mucositis
51
damage to rapidly dividing basal cells of oral mucosa
radiation mucositis
52
MRONJ is seen with
bisphosphanates
antiresorptive
antiangiogenic
53
Diagnosis of MRONJ
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
what is used to id amalgam foreign body tatoo
xray
55
intentional/iatrogenic introduction of inert pigment w/in the CT tissue
foreign body tatoo
56
smoker's melanosis is most commonly seen on the?
anterior facial gingiva
57
light brown, diffuse melanin pigementation of oral mucosa?
smoker's melanosis
58
stimulation of melanin production by melanocytes vs deposition of drug metabolites
drug-related discoloration of oral mucosa
59
focal superficial sequestration of a fragment of cortical bone
oral ulceration w/bone sequestration
60
anatomic sites which a bony prominence is covered by a thin mucosal surface
oral ulceration w/bone sequestration
61
dome shaped, radiopaque lesion on floor of maxillary sinus
antral pseudocyst
62
inflammatory exudate accumulates under sinus mucosa and causes inflammation
antral pseudocyst
63
canker sores
recurrent aphthous ulcerations
64
three forms of recurrent aphthous ulcerations
minor
major
herpetiform
65
minor aphthuous ulcerations occur exclusively where
nonkeratinized (movable) mucosa
66
erythematous halo
minor aphtuous ulcerations
67
what is major aphtuous ulcers unique feature?
heal with scarring
68
common sites of major aphtuous ulcers?
labial mucosa, soft palate, tonsillar fauces
69
unique feature of herpetiform aphtuous ulcerations?
affect any oral mucosal surface
70
superficial resemblance to primary HSV
herpetiform
71
tx for recurrent aphtuous ulcerations
topical high-potency corticosteroids
72
histopathology of recurrent aphthuous ulceration is
non-specific
73
behcet's syndrome
oral ulcerations
genital ulcerations
ocular disease
74
positive pathergy test
behcet's syndome
75
non necrotizing granulomatous inflammation w/persistent non-tender swelling
orofacial granulomatosis
76
Melkerson-Rosenthal syndrome (3)
non tender lip swelling
bell's palsy
fissured tongue
77
generalized wegner's affects where?
upper and lower respiratory tract, kidneys
78
what test is most useful for wegner's?
PR3-ANCA (c-ANCA)
79
inflammatory alteration that recur at the same site after the administration of the drug
fixed drug eruption
80
medication induced mucosal alteration which mimic appearance of lichen planus
lichenoid drug reaction
81
three types of allergic contact stomatitis
dentrifrice related sloughing
oral mucosal cinnamon rxn
lichenoid amalgam rxn
82
can cause widespread desquamation of the superficial layers of epithelium
dentrifrice-related sloughing
83
dentrifrice-related sloughing is associated with
sodium lauryl sulfate and sodium pyrophosphate
84
erythema with overlying shaggy hyperkeratosis
oral mucosal cinnamon reaction
85
common symptoms with oral mucosal cinnamon reaction
pain and burning
86
mucosal alterations mimic lichen planus, except localized
lichenoid amalgam reaction
87
white, erythematous, +/- peripheral striae
lichenoid amalgam reaction
88
three types of angioedema
1. IgE mediated hypersensitivity reaction
2. angiotensin convertine enzyme (ACE) inhibitors
3. CI esterase inhibitor (C1-INH) defiency
89
relatively rapid onset of soft tissue swelling, can affect breathing
angioedema
90
most common benign epithelial neoplasm seen intraorally
squamous papilloma
91
solitary lesion often found on soft palate/uvula on tongue
squamous papilloma
92
sessile, exophytic, papillary lesion, MULTIPLE
verruca vulgaris
93
koliocytosis associated with
verruca vulgaris
| condyloma acuminatum
94
multiple sessile papules/plaques w/a cauliflower-like surface
condyloma acuminatum
95
venereal wart
condyloma acuminatum
96
occurs on sun exposed areas
seborrheic keratosis
97
composed of basaloid epidermal cells
seborrheic keratosis
98
small dark papules near the malar region
dermatosis papulosa nigra
99
small seborrheic keratoses
dermatosis papulosa nigra
100
umbilicated papule w/a yellowish tinge, 1-5mm in diameter
sebaceous hyperplasia
101
may be mistaken for basal cell Ca
sebaceous hyperplasia
102
diffuse white, apperance to the palatal mucosa, surface may be wrinkly/fissured
nicotonic stomatitis
103
inflamed minor salivary gland orifices
nicotonic stomatitis
