Quiz 4

Question 0

Assessment, diagnosis & treatment planning

Answer 0

• goals and priorities for treatment planning
• consultations and referrals
• planning preventative programs to meet patients needs

Question 1

Objectives of clinical examination of the head and neck

Answer 1

1) assessment, diagnosis & treatment planning
2) early detection of head and neck disease improved prognosis for recovery
3) detection of systemic disease exhibiting oral manifestations
4) establishes contraindications to dental tx
5) baseline data of patients health status aids evaluation of treatment plan and preventative program
6) accurate description of patient health status for legal records

Question 2

Early detection of head and neck diseases improve prognosis for recovery

Answer 2

Oral cancer/ skin cancer

Question 3

Detection of systemic disease exhibiting oral manifestations

Answer 3

Aids, leukemia, diabetes

Question 4

Establishes contraindications to dental treatment

Answer 4

Steep throat, herpes, malignant lesions

Question 5

Four components of the clinical head and neck exam

Answer 5

• general appraisal
• vital signs
• extra oral exam
• intra oral exam

Question 6

Four methods of examination

Answer 6

• inspection
• palpation
• auscultation
• percussion

Question 7

Inspection

Answer 7

Visual assessment of body tissues, structures and systems

* identify normal/abnormal appearance and function

Question 8

Palpation

Answer 8

Use of fingers and hands to examine soft and hard tissue

Question 9

Auscultation

Answer 9

Listening for sounds in the body/ tissues (ex. Breathing, vibrations, clicking)

Question 10

Percussion

Answer 10

Striking tissues to hear resulting sounds and evaluate patients response

Question 11

Dilation

Answer 11

Heart failure, shock, emergencies

Question 12

Construction

Answer 12

Occurs in use of drugs: herion, morphine, barbiturates

Question 13

Digital palpation

Answer 13

One finger or more fingers

Question 14

Bidigital palpation

Answer 14

One or more fingers and the thumb

Question 15

Manual palpation

Answer 15

All fingers on one hand

Question 16

Bimanual palpation

Answer 16

Both hands

Question 17

Bilateral palpation

Answer 17

Both sides simultaneously, detect difference in symmetry

Question 18

Petechiae

Answer 18

Red/purple discoloration <0.5

Question 19

Purpura

Answer 19

Red/purple discoloration >0.5

Question 20

Ecchymoses

Answer 20

Red/purple discoloration of variable sizes

Question 21

Macule

Answer 21

Flat, non palpable circumscribe lesion <1 cm (freckles, flat moles)

Question 22

Patch

Answer 22

Flat, non palpable, irregularly shaped lesion < 1 cm

Question 23

Papule

Answer 23

Elevated, palpable, firm circumscribed lesion < 1 cm (warts)

Question 24

Plaque

Answer 24

Elevated, flat- topped firm, tough, superficial lesion >1 cm

Question 25

Nodule

Answer 25

Elevated, firm, circumscribed, palpable lesion >1-2 cm

Question 26

Tumor

Answer 26

Elevated, solid >2cm

Question 27

Elevated, circumscribed, superficial, lesion filled with clear fluid <1 cm (blister)

Answer 27

Vesicle

Question 28

Bulla

Answer 28

Vesicles > 1cm

Question 29

Pustule

Answer 29

Similar to vesicle but filled with pus (acne)

Question 30

Elevated, circumscribed, palpable, lesion encapsulated and filled it's fluid or semisolid material

Answer 30

Cyst

Question 31

Fissure

Answer 31

Linear crack or break (angular cheilosis)

Question 32

Depressed, glistening lesion that follows rupture of vesticle or bulla (larger than fissure)

Answer 32

Erosion

Question 33

A break in the epithelium (skin or mucosa) exposing connective tissue, has a reddened border with white, gray, yellow or hemorrhagic center

Answer 33

Ulcer

Question 34

Increased number of cells resulting of overgrowth of tissue

Answer 34

Hyperplasia

Question 35

Abnormal thickening of the epithelium... May appear as white, yellow or brown. (Cheek biting)

Answer 35

Keratosis

Question 36

Blending it occurring together, originally separate but subsequently combined

Answer 36

Confluent

Question 37

Rippled surface

Answer 37

Corrugated

Question 38

Hard, scab like surface

Answer 38

Crusted

Question 39

Separate, not blending or occurring together

Answer 39

Discrete

Question 40

Hardened area of tissue

Answer 40

Indurated

Question 41

Pedunculated

Answer 41

Elevated papillary type lesion attached to underlying tissue by a stem or narrow connector

Question 42

Nipple like growths

Answer 42

Papillomatous

Question 43

Attachment of a lesion by a broad base

Answer 43

Sessile

Question 44

Wart like surface

Answer 44

Verrucose

Question 45

Abnormally dilated vein (dark blue or purple color)

Answer 45

Varicose

Question 46

Record location of findings

Answer 46

Diagram, describe area, state landmarks, Ect

Question 47

History of the significant finding

Answer 47

When, how long has it been present, recent changes, Ect

Question 48

Morphology of the significant findings

Answer 48

Physical characteristics - size - shape - number - area - lesions - moveable/ fixed

Question 49

Elevated lesions

Answer 49

Blisterform, nonblisterform

Question 50

Blisterform

Answer 50

Contains fluid Usually soft and translucent May be vesicles, pustules or bullae

Question 51

Nonblisterform

Answer 51

Solid lesions Do not contain fluid Examples- papules, nodules, tumors, or plaques

Question 52

Red area of a variable size and shape

Answer 52

Erythema

Question 53

Growing outward

Answer 53

Exophytic

Question 54

Loose membranous layer of exudate

Answer 54

Pseudo membrane

Question 55

Marked with points or dots

Answer 55

Punctate

Question 56

Excisional biopsy

Answer 56

Entire lesion is removed

Question 57

Incisional biopsy

Answer 57

Representative section from a lesion is taken

Question 58

A white patch or plaque that cannot be scrapped off or characterized as any other disease

Answer 58

Leukoplakia

Question 59

Designate lesions of the oral mucosa that appear as bright red patches or plaques that cannot be characterized as any specific disease

Answer 59

Erythroplakia