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Oral Pathology Test 1 > Week 3 > Flashcards

Week 3 Flashcards

1
Q

People who get Opportunistic fungal infections

always found on the body

A
  1. Diabetic
  2. Malignancies (adv.)
  3. Radiation
  4. Immunosuppressed
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2
Q

Do opprotunistic fungal infections perforate the palate like Deep fungal infections?

A

Yes

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3
Q

Anachoresis occurs in Opprotunistic fungal infections?

A

Yes (true)

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4
Q

Opprotunistic fungal infections

  • Which are shaped as L
  • Which as Y
A

L is Aspergillosis

Y is Mucormycosis (Phy)

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5
Q

What is the treatment for Opprotunistic fungal infections

A

Amphotericin B

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6
Q

3 most common Immunologic diseases

A
  1. Aphthous ulcers
  2. Drug reaction
  3. Erythema Multiforme
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7
Q

Aphthous Ulcers

-What predisposes one to them? (4)

A
  1. Women
  2. Allergies
  3. Stress
  4. Acidic Foods
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8
Q

At what rate in a year would one be concerened about RECURRENT Aphthous ulcers having a systemic underlying CAUSE?

A

5-6 in SAME location in a Year.

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9
Q

What are some systemic implication for RECURRENT aphthous ulcers? (4)

A
  1. Vitamin deficiencies
  2. Celiacs
  3. Crohn’s
  4. AIDS
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10
Q

Three types of Aphthous ulcers? (3)

A
  1. Minor
  2. Major
  3. Herpetiform
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11
Q

Characteristics of minor Aphthous Ulcers?

-size, shape, Number, location

A

size-0.5 cm
Shape-oval
Number-1to5
Location-Mucosa (mobile non-keratinized)

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12
Q

Characteristics of minor Aphthous Ulcers?

  • Pain
  • Scarring
A

Moderate to mild Pain

No scarring (primary healing)

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13
Q

Characteristics of Major Aphthous ulcers?

-size, shape, Number, location

A

Size-1.0cm
Shape-RAGGED oval
Number-1to10
Location-Mucosa (mobile non-keratinized)

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14
Q

Characteristics of Major Aphthous Ulcers?

  • Pain
  • Scarring
A

ExTREME Pain

Has scarring (secondary healing)

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15
Q

Characteristics of Herpetiform Aphthous ulcers?
-size, shape, Number, location

**PHOTO is on test (MANY little lesions!!!)

A

Size-0.5cm
Shape-oval
Number-10to100
Location-Usually not gingiva (but can be anywhere)

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16
Q

Aphthous ulcer Differencial (4)

A

HSV
Truamatic ulcers
Neutropenia
Vesiculobullous ulcers

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17
Q

Treatment of Aphthous ulcer? (4)

A

Steroids (topical or systemic)
Topical tetracycline
Debacterol–>Chemical cauterization

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18
Q

**Topical tetracycline (Low dose Doxy) Helps to differentiate Seondary HSV from aphthous ulcers, as the tetracycline is NOT effective against HSV (viral).

A

BLANK

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19
Q

Recalcitrant means?

A 
Chronically Recurrent (ulcers)
-biopsy them
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20
Q

What is the cause of a recalcitrant Aphthous ulcer?

A

Crohn’s disease

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21
Q

recalcitrant Aphthous ulcer

-histopathology

A

-NON-caseating granulomas

22
Q

***Crohn’s has skip lesions (repeated endoscopes required) hard to diagnose

A

BLANK

23
Q

Behcet’s Syndrome

  • Age
  • Sex
  • HS Type (1-4?)
A

age - 20-30
sex - males
Hypersensitivity - IV Delayed

24
Q

Behcet’s Syndrome

  • Triad of involvement (3)
  • HLA type
A
  1. Mouth
  2. Eyes
  3. Genitals
    HLA-B51
25
Q

Behcet’s Syndrome

  • Initial manifestation
  • Key systemic symptom
A

MAJOR ‘Aphthous’ ulcers (ragged ovals)

-Systemic Arthritis

26
Q

Behcet’s Syndrome Treatments (2)

A

Steroids

Immunosuppresive medications

27
Q

Reiter’s

  • Age
  • Sex
  • Location
A
  • Age 30-40
  • White men
  • Location: Hard palate* or tongue
28
Q

Reiter’s

-Triad

A
  1. Polyarthritis(joints)
  2. Conjunctivitis(eyes)
  3. Urethritis(PEEPEE)
29
Q

Reiter’s

-HLA?

A

HLA-B27

30
Q

Reiter’s

-Pain level?

A

No pain

31
Q

Reiter’s

-Treatment

A

NSAIDS/Antibiotics for shigella

32
Q

Erythema Multiforme

  • Hypersensitivity type
  • Two types
A
  • Hypersensitivity 3 (targets SMALL blood vessels)
    1. Major (stevens-johnson)
    2. Minor
33
Q

Erythema Multiforme

  • What bring on major vs minor?
  • Location of Major vs minor
A

Major- Drugs (Oral, skin, genital, EYES)

Minor-HSV sequelae (Oral and skin only)

34
Q

Erythema Multiforme

-What is unique about the systemic distribution of the lesions?

A

They are symmetrical.

35
Q

Erythema Multiforme

-Main indicator for MAJOR vs minor

A

Crusting lips

-and eye involvement/Genital

36
Q

**Erythema Multiforme can not be differenciated using DIF testing (no antibodies are pathognomic)

A

BLANK

37
Q

Erythema Multiforme

-Differential (4)

A
  1. HSV
  2. Aphthous
  3. PV/MMP
  4. EROSIVE Lichen planus
38
Q

Erythema Multiforme

-Treatment

A

Steroids

-and treat sypmtoms

39
Q

What Antibody is active for Adverse Drug Reactions (ADR’S)

A

IgE

40
Q

What is Major symptom of ADR’s?

A

Angioedema

41
Q

Angioedema

-Causes of angioedema (3)

A
  1. Hereditary (Loss of C1 esterase)
  2. ACE inhibitor (drug rxn)
  3. Contact allergy (latex)
42
Q

Differential for Lichenoid Mucositis (5)

A
  1. Lichen planus
  2. Red and white Plakia
  3. MMP and PVulgaris
  4. Erythema Multiforme
  5. Aphthous
43
Q

Stomatitis Medicamentosa

A

Allergic rxn to systemic drugs (FAST) Dangerous

?Probs Type 1 hypersensitivity

44
Q

Stomatitis Venenata A.K.A=Contact Mucositis

-Type HS?

A

Allergic reaction via Direct skin contact

-Type 4 hypersensitivity

45
Q

**Plasma cell GIngivitis is a contact Mucositis

A

BLANK

46
Q

Wegener’s Granulomatosis

-3 types

A
  1. Classic
  2. Limited
  3. Superficial
47
Q

Wegener’s Granulomatosis

-Triad (which TYPE does the tirad apply to?)

A
  1. Upper/lower respiratory
  2. Skin
  3. Renal
    - –Classic Wegener’s
48
Q

Wegener’s Granulomatosis

Primary oral Finding?

A

Strawberry gingivitis

***IT is a vasculitis

49
Q

Wegener’s Granulomatosis

-Problem with Strawberry GING (2)

A
  • Destruction of underlying bone

- –Also causes Ging hyperplasia

50
Q

Wegener’s Granulomatosis

-What is pathognomic for wegeners?

A

a POSITIVE cANCA test

51
Q

Wegener’s Granulomatosis

-Treatment

A

Immunosuppresion

-chemo

52
Q

**Tcell lymphoma will perf the palate. Duh

A

BLANK

Oral Pathology Test 1 (4 decks)

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