Spring Quiz Flashcards

1
Q

What is the Gum Bump DDX?

A
  • Fibroma
  • Pyogenic Granuloma
  • Peripheral Ossifying Fibromas
  • Peripheral Giant Cells Granuloma
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2
Q

What are 2 types of Lichen Planus?

A
  1. Reticular LP
  2. Erosive LP
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3
Q

Describe Reticular LP…

A
  • Interlacing white lines
  • Dorsal tongue involvement, patchy keratosis and atrophy
  • C. albicans may be superimposed on either
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4
Q

Describe Erosive LP…

A
  • Shallow ulcers
  • Peripheral erythema
  • Radiating white lines
  • C. albicans may be superimposed on either
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5
Q

How do you treat Oral Lichen Planus?

A
  • Management includes treatment of any associated candidiasis with antifungal therapy
  • For remaining lesions, topical corticosteroids
  • Reticular LP usually requires no therapy
  • Erosive KP should be treated with one of the stronger topical corticosteroids; systemic steroids usually not needed
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6
Q

What do autoantibodies attack in Pemphigus Vulgaris?

A

Desmosomes

Blister forms within the epithlium

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7
Q

What are some oral presentations of Pemphigus Vulgaris?

A
  • Blisters
  • Ragged superficial erosions/ulcerations
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8
Q

What is a Positive Nikolsky Sign?

A
  • Formation of bullae on previously unaffected skin after application of firm, lateral pressure
  • Characteristic of pemphigus vulgaris
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9
Q

What type of solution to you submit Pemphigus Vulgaris in?

A

Michel’s Solution

Ammonium sulfate solution; transport medium, not a fixative like formalin; allows for “fresh” tissue

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10
Q

What do the antibodies attack in Pemphigoid?

A
  • Antibodies directed against components of the epithelial basement membrane causing subepithelial splitting
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11
Q

What is the differential dx for Papillary lesions?

A
  • Squamous Papilloma
  • Verruca Vulgaris
  • Condyloma Acuminatum
  • Giant Cell Fibroma
  • Heck’s Disease
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12
Q

What is a DDX for Mucosal Pigmentation?

A
  • Oral Melanotic Macule
  • Oral Melanoacanthoma
  • Amalgam tattoo
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13
Q

What is Diascopy?

A

Test for blanchability performed by applying pressure with a finger or glass slide and observing color changes, used to determine if a lesion is vascular, non vascular, or hemorrhagic

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14
Q

What oral symptom is common with Erythema Multiforme?

A

Crusting of Lips

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15
Q

What skin lesions are clasic for Erythema Multiforme?

A

Target Lesions

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16
Q
A
17
Q

What are 4 Bening Peripheral Nerve Sheath Tumors?

A
  • Neurofibroma
  • Schwannoma
  • Traumatic Neuroma
  • Palisaded Encapsulated Neuroma
18
Q
A