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Oral Pathology > Ulcers > Flashcards

Ulcers Flashcards

1
Q

Immunologic disease having ulcers

A

Apthous ulcers
Behcets syndrome
Wegener’s granulomatosis
Midline granuloma

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2
Q

Fungal infections have ulcerative lesions

A

Histoplasmosis
Coccidiodomycosis
Mucormycosis
Aspergillosis

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3
Q

Bacterial infections having ulcerative lesions

A

Actinomycosis
Syphilis
Tuberculosis

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4
Q

Common locations for traumatic ulcers

A

Labial
Buccal
Palate
Tongue

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5
Q

Causative factors for recurrent apthous ulcers

A

Allergies
Genetic predisposition
Hormones
Infectious agents
Nutritional deficiency
Smoking cessation
Stress
Trauma

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6
Q

Intraoral location of apthous ulcers

A

Non keratinised mucosa
Vestibule
Buccal mucosa
Tongue
Soft palate
Fauces
Floor of the mouth

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7
Q

Most common type apthous ulcers

A

Minor

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8
Q

Major apthous ulcers are most common in

A

HIV patients
Immunocompromised pts

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9
Q

How long major aphthae lasts

A

Upto 6 weeks
Heals with scar formation

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10
Q

Difference between herpetiform ulcers and herpes simplex

A

Non keratinised mucosa
Not preceded by vesicles
Exhibit no virus infected cells

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11
Q

Recurrent apthous are prevalent in

A

Crohns disease
Behcets syndrome
Cyclic nuetropenia
Nutritional deficiency
Celiac disease
AIDS

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12
Q

Abnormal immune process triggered by an infectious or environmental antigen in a genetically predisposed individual

A

Behcets syndrome

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13
Q

Features of behcets syndrome

A

Small vessel vasculitis
Males
30-40 yrs
Turkey, Japan, eastern Mediterranean

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14
Q

Recurrent oral and genital apthous type ulcers
Conjunctivitis
Uveitis
Arthritis headaches and CNS symptoms in 30-40 yrs TURKISH JAPANESE AND MEDITERRANEAN MEN

A

Behcets syndrome

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15
Q

Most common intraoral site involved in behcets syndrome

A

Soft palate
Oropharynx

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16
Q

Strawberry gingivitis is seen in

A

Wegener granulomatosis

17
Q

Lab markers for wegeners granulomatosis

A

Antineutrophil cytoplasmic antibodies (cANCAs)

Antineutrophil perinuclear antibodies (pANCAs)

18
Q

Midline granuloma also known as

A

Malignant granuloma
Lethal midline granuloma

19
Q

Necrotic ulcers progressive and non healing perforates nasal septum and hard palate

A

Midline granuloma

20
Q

Causative agent of actinomycosis

A

Actinomyces israelli
Filamentous
Branching
Gram positive
Anaerobic bacteria

21
Q

Inflammatory woody hard indurated swelling grows slowly has a soft centre with sinus discharging yellowish specks called sulfur granules

A

Actinomycosis infection

22
Q

Causative agent of syphilis

A

Treponema pallidum
Anaerobic spirochete

23
Q

Primary syphilis presents as

A

Chancre

24
Q

Common intraoral site of primary syphilis

A

Lip
Other sites
Buccal mucosa
Tongue
Palate
Gingiva
And tonsils

25
Q

Intraoral location for primary syphilis

A

Lips
Other site include
Buccal mucosa tongue pakate and tonsils

26
Q

Presentation of secondary syphilis

A

Reddish brown maculopapular rash

Snail track like mucosal ulcers
Called mucous patches on the palate

Condylomata lata - elevated broad based verrucal plaques on skin and mucosa

27
Q

Presentation of tertiary syphilis

A

Gumma
On the palate most commonly

28
Q

Indurated nodular ulcerated lesion produces extensive tissue destruction affecting palate and goes through nasal cavity seen in tertiary syphilis

A

Gumma

29
Q

Triad of congenital syphilis

A

Inflammation in the cornea - interstitial keratitis

Eigth nerve deafness

Hutchison incisors and mulberry molars

30
Q

Oral manisfestations of TB

A

Indurated chronic non healing painful ulcer on the tongue or palate shows granulomas with caseous necrotic centre under the microscope

31
Q

Destructive ulceration in the palate, paranasal sinuses and nasal cavity in an uncontrolled insulin dependent diabetic and ketoacidotic pt

A

Mucormycosis- zygomycosis

32
Q

2nd most common fungal infection followed by candidiasis in a patient undergoing chemotherapy

A

Aspergillosis

33
Q

Necrotic ulcerations eith dark grey pseudomembranes in the gingiva and hard palate of the pt undergoing chemotherapy

A

Aspergillosis

34
Q

Features of wegener granulomatosis

A

Necrotizing granulomatous lesions of
Respiratory tract

Necrotizing glomerulonephritis

Systemic vasculitis of small arteries and veins

35
Q

Treatment of TB

A

8 week course
pyrazinamide
Isoniazid
Rifampin
Ethambutol

16 week course
Isoniazid
Rifampin

36
Q

Deep fungal infection in oral cavity

A

Single or multiple indurated painful non healing ulcers on tongue
Palate buccal mucosa

Oral Pathology (16 decks)

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