Quick PATH

Question 1

Lip pits

Answer 1

Van der Woude Syndrome= clefts + pits

Question 2

Lingual Thyroid

Answer 2

midline base of tongue

Question 3

Lymphangioma

Answer 3

Sturge-Weber Syndrome= angiomas of leptomeninges (arachnoid and pia mater) + skin along distribution of trigeminal nerve

*purple spots on tongue for oral lymphangiomas very rare

Question 4

hairy tongue

Answer 4

hypertrophy filiform papillae

Question 5

Melanotic Macule

Answer 5

Peutz-Jeghers Syndrome= freckles + intestinal polyps (sick in PJs with GI pain)

Question 6

Thyroglossal Duct Cyst

Answer 6

Midline neck swelling

Question 7

measles (rubeola)

Answer 7

koplik’s spots

Question 8

Fissured tongue

Answer 8

Melkersson-Roenthal Syndrome= fissured tongue + granulomatous cheilitis + facial paralysis (Mels Bels and Rosy Red)

Question 9

Coxsackie Virus

Answer 9

hand-foot-and-mouth

Herpangina in posterior oral cavity but IS NOT HERPES

Question 10

Aphthous ulcer

Answer 10

cancker sore
Behcet’s Syndrome= multisystem vasculitis that cuases aphthous-type ulcers on oral and genital

Sutton disease= name for major form

Question 11

dentifice associated sloughing

Answer 11

sodium lauryl sulfate

*toms of Maine or Rembrandt toothpaste

Question 12

Herpes Simplex Virus (HSV)

Answer 12

primary- pan oral

Recurrent- herpes labialis or recurrent intraoral herpes

Question 13

Varicella Zoster Virus (VZV)

Answer 13

Ramsay Hunt Syndrome= herpes in geniculate ganglion (affect CN7and 8)… facial paralysis, vertigo and deafness

primary- chickenpox
Recurrent- Shingles

Question 14

Scarlet Fever

Answer 14

Strep A

*strawberry tongue= white coated tongue with red inflammed FUNGIFORM papillae

Question 15

Syphilis

Answer 15

primary- chancre
2nd- patch
3rd- gumma

Congenital Syphilis= hutchinson’s triad(notched incisors and mulberry molars, deaf, ocular keratitis)

Question 16

Actinomycosis

Answer 16

sulfur granules

Question 17

Lichen Planus

Answer 17

sawtooth rete pegs
T-lymphocytes

• reticular form more common with wickham striae
• erosive form with red ulcersation

Question 18

1) HPV 6 and 11
2) HPV 13 and 32
3) HPV 16 and 18

Answer 18

1) condyloma acuminatum
2) focal epithelial hyperplasia
3) proliferative verrucous leukoplakie, cervical cancer,, verrucous carcinoma

Question 19

Wegener’s Granulomatosis

Answer 19

allergic rxn causing strawberry gingivitis

Question 20

Erythema Multiforme

Answer 20

Stevens-Johnson Syndrome= a name for major form

Question 21

Traumatic Neuroma

Answer 21

Multople Endocrine Neoplasia (MEN 2B)= multiple neuromas + medullary thyroid cancer + pheochromocytoma of adrenal gland

Question 22

Nodular Fasciitis vs Fibromatosis

Answer 22

Nodular Fasciitis
- easy to eradicate and rarely recurss

Fibromatosis
- hard to eradicate and often recurs

*both are fibroblast neoplasm

Question 23

SCC

Answer 23

plummer-Vinson Syndrome= atrophy + dysphagia + iron deficiency anemia + increased risk of oral cancer

Question 24

Neurofibroma

Answer 24

schwann cells and fibroblasts

*Neurofibromatosis type 1/ Von Reckinghausen’s disease= multiple neurofibromas + skin freckles (cafe au lait spots_ + axillary freckles (crowe’s sign) + iris freckles (lisch spots)

Question 25

Sarcoidosis

Answer 25

Lofgren’s Syndrome

Heerfordt Syndrome

Question 26

Kaposi’s Sarcoma

Answer 26

HHV8 and AIDS

purple endothelial cell lesions on hard paalte

Question 27

Granular Cell Tumor

Answer 27

pseudoepitheliomatous hyperplasia (PEH)

*congenital epulis of newborn varient with no PEH

Question 28

pleomorphic adenoma

Answer 28

most common benign salivary gland tumor

Question 29

mucoepidermoid carcinoma

Answer 29

most common salivary gland malignancy

Question 30

polymorphous low-grade adenocarcinoma

Answer 30

second most common salivary gland malignancy of minor glands