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AU18: Oral Path 2 > Review (4) > Flashcards

Review (4) Flashcards

1
Q

What is the current trend for risk of developing malignant melanoma?

A

Risk is increasing, as are the incidence and mortality of malignant melanoma

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2
Q

What is the prognosis for a central ossifying fibroma?

A

Excellent

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3
Q

What are the features of nevoid basal cell carcinoma syndrome?

A

Multiple OKCs, especially in children under 15 y.o.

Multiple BCCs more aggressive than typical BCCs

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4
Q

What is the most common soft tissue location for metastatic disease to present in the oral cavity?

A

Gingiva

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5
Q

Which cyst fells firm because it is filled with keratin?

A

Gingival cyst of the newborn

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6
Q

What is the definition of a leukoplakia?

A

White patch that cannot be wiped off AND cannot be diagnosed clinically or microscopically as any other condition

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7
Q

T/F: Leukoplakias will have blended borders.

A

False

Crisply defined borders

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8
Q

What is the most common overall site for leukoplakia?

A

Buccal mucosa

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9
Q

What are the highest risk sites for leukoplakia?

A

Floor of mouth, ventral tongue, soft palate

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10
Q

T/F: Alcohol alone puts patients at greater risk for leukoplakia.

A

False

Cigarettes alone

Alcohol with cigarettes

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11
Q

_______ of leukoplakias show hyperkeratosis without epithelial dysplasia.

A

80%

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12
Q

What are the most common sites for erythroplakia?

A

Floor of mouth, ventral tongue, soft palate/tonsillar pillars

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13
Q

T/F: Erythroplakia is more common in males.

A

False

Leukoplakia more common in males

Erythroplakia - no gender predilection

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14
Q

How do you calculate tobacco pack/year?

A

Number of packs/day x number of years smoked

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15
Q

What is the most common type of BCC?

A

Nodule-ulcerative

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16
Q

T/F: BCC will have hair.

A

False

BCC will not have hair

17
Q

T/F: Chronic sun exposure is the greatest risk for cutaneous SCC.

A

True

18
Q

What percentage of cutaneous SCC are on the head and neck?

A

70%

19
Q

T/F: Cutaneous SCC is rare on the lower lip.

A

False

More common on lower lip

20
Q

T/F: 25% of oral SCC occur in patients under 40 with no risk factors, especially on the ventrolateral tongue.

A

True

21
Q

What percentage of patients diagnosed with oral SCC have hx of tobacco smoking?

A

80%

22
Q

What are the two most common places to see OSCC?

A

Tongue and floor of mouth

23
Q

What will lead to strong likelyhood that SCC patients will develop new aerodigestive tract malignancies?

A

Continue carcinogenic habit (smoking)

24
Q

What are the high risk sites for melanoma?

A

BANS - back, arms, neck, scalp

25
Q

What is the most common type of melanoma?

A

Superficial spreading

26
Q

What is the prognosis for oral melanoma?

A

Poor

27
Q

Sialogogues are useful in treating sialadenitis, but must be used with adequate ____________.

A

Hydration

28
Q

____________ is a major cause of xerostomia.

A

Polypharmacy

29
Q

What is the most common major salivary gland to have a neoplasm?

A

Parotid gland

30
Q

What is the most likely major salivary gland to have a MALIGNANCY?

A

Sublingual

31
Q

What is the most common minor salivary gland to have a MALIGNANCY?

A

Tongue and retromolar region

32
Q

80% of pleomorphic adenomas occur in the _________.

A

Parotid gland

33
Q

What is the most common salivary gland malignancy?

A

Mucoepidermoid carcinoma

34
Q

T/F: Teeth will test vital in a patient with Cemento-Osseous dysplasia.

A

True

Most common in black females

35
Q

Which syndrome is associated with multiple osteomas?

A

Gardner syndrome

36
Q

Which bone malignancy results in a radical “one chance for all” surgery?

A

Chondrosarcoma

37
Q

Patients with which disease may present with multiple OKCs?

A

Nevoid basal cell carcinoma syndrome

38
Q

Which type of odontoblasts is often found in the anterior jaw?

A

Compound odontoma - multiple shards of teeth

39
Q

T/F: Ameloblastomas will often bust through the cortical plate and invade soft tissue.

A

False

Dramatic expansion with ameloblastoma

AU18: Oral Path 2 (18 decks)

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