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4th yr- CMS- The Oral Cavity > The Oral Cavity- Normal Features and Introduction to Mucosal Pathology > Flashcards

The Oral Cavity- Normal Features and Introduction to Mucosal Pathology Flashcards

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Introductory Sommelier Exam (CMS) flashcards
1
Q

What should the management of a patient with mucosal pathology consider

A
  1. Aims of care
  2. Range of options
  3. Risk vs benefit
  4. Temporal factors
  5. Concordance
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2
Q

List some normal features that are often mistaken for pathology

A
  1. Ectopic sebaceous glands (Fordyce spots)
  2. Circumvallate papillae
  3. Filiform papillae
  4. Fungiform papillae
  5. Lingual tonsils
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3
Q

Give examples of terms we can use to describe abnormal findings

A
  1. Sessile
  2. Pedunculated
  3. Atrophy
  4. Erythema
  5. Vesicle
  6. Desquamative
  7. Homogeneous
  8. heterogeneous
  9. Crenulated
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4
Q

Define pedunculate

A

A lesion on a stalk

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5
Q

Define sessile

A

A lesion which has abase broader than its projection vertical from the tissue

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6
Q

What is an Epulis

A

A gingival swelling

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7
Q

Define atrophy

A

Thinning of an epithelium. mucosa leading to reddened appearance due to a reduced thickness of superficial tissue

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8
Q

Define erythema

A

Reddening due to increased vascularity

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9
Q

What is leukoplakia

A

A diagnosis of exclusion- a white patch for which there is no identifiable etiological reason found

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10
Q

What is a vesicle

A

Tiny blisters usually less than 5mm in diameter that contain liquid

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11
Q

What is a bulla

A

A large blister over 1cm in diameter containing clear, serous or hemorrhagic fluid

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12
Q

What is an ulcer

A

A full thickness loss of epithelium extending into the underlying connective tissue

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13
Q

When an ulcer heals what does it leave behind

A

A scar

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14
Q

What is erosion

A

Superficial or partial destruction of skin or mucosa that does not scar on healing

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15
Q

What is a cyst

A

A thin walled closed caps or sac like structure, filled with fluid, solid or semi solid material
It has an epithelial lining

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16
Q

Define Desquamative

A

Shedding of the outermost cell layers of the epithelium to leave a raw appearance

17
Q

What is a macule

A

A flat spot with an altered colouration less than 1cm in diameter

18
Q

What is a papule

A

An elevated solid lesion less than 1cm in diameter

19
Q

What do we mean by plaque when talking about lesions

A

A circumscribed palatable lesion more than 1cm in diameter.

may be thickened or elevated from the surface of the skin or mucosa.

20
Q

What is a nodule

A

An elevated solid palpable lesion more than 1cm in diamtre

21
Q

What is a Purpura

A

Red, purple or brown non blanch able spots caused by bleeding into the skin or mucosa

22
Q

Define Eechymosis

A

A bruise (bleeding under the skin or mucosa)

23
Q

Define Homogeneous

A

A lesion with a uniform appearance throughout

24
Q

Define heterogeneous

A

A lesion which has a mixed or diverse appearance

25
Q

Define Striae

A

A striped or bond like appearance

26
Q

Define Hyperkeratotic

A

Thickening of the stratum corneum of the skin or the outermost layer of the mucosal epithelium.

27
Q

What does keratin do in the mouth

A

keratin absorbs moisture and takes on a bright white appearance.

28
Q

Define hyper plastic

A

Enlargement of a tissue by an increase in cell numbers.

29
Q

Define hyperplasia

A

Enlargement of a tissue by an increase in cell numbers.

30
Q

Define hypertrophic

A

Enlargement of a tissue by an increase in the size of each cell

31
Q

define crenelated

A

Having an irregular wave like pattern

32
Q

Define fissured

A

Splits, cracks or grooves most commonly seen on the tongue to lips

33
Q

Define Depapillated

A

Loss of the papillae to leave a smooth flat appearance to the dorsal tongue

34
Q

Define Excoriated

A

A scratched appearance meaning loss of epidermis and some of the dermis from the action of the finger nails or other implement used to scratch.

35
Q

Define Leukodema

A

A bluish-white opalescence of the buccal mucosa that becomes normal colour on stretching the tissue

4th yr- CMS- The Oral Cavity (6 decks)

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