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Oral Pathology > White Lesions > Flashcards

White Lesions Flashcards

1
Q

Most common oral precancerous lesion

A

Leukoplakia

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2
Q

Leukoplakia most commonly found on

A

Lip vermilion, buccal mucosa, gingiva

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3
Q

Which area’s leukoplakia show highest chances of dysplasia

A

Tongue, floor of the mouth

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4
Q

Variants of leukoplakia

A

Homogenous (most common), granular, speckeled, verrucous

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5
Q

Which type of leukoplakia has highest risk of malignant transformation to Squamous cell carcinoma

A

Proliferative verrucous leukoplakia

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6
Q

Hyperchromatism, pleomorphism, dyskeratosis

A

Leukoplakia

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7
Q

Which gender shows high risk of malignancy from leukoplakia

A

Female

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8
Q

Benign white lesion associated with HIV pts, can occur in immunosuppressed pts

A

Hairy leukoplakia

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9
Q

Cause for hairy leukoplakia

A

Epstein-Barr virus

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10
Q

Wrinkled in vertical direction, white asymptomatic patch, bilaterally on lateral surface of tongue

A

Hairy leukoplakia

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11
Q

Chronic inflammatory mucocutaneous, T cell mediated

A

Lichen planus

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12
Q

Looks like lichen planus but caused by dental material, stress, medications

A

Lichenoid mucositis

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13
Q

Most common types of lichen planus

A

Reticular, erosive

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14
Q

On skin purple, pruritic, polygonal, papules on flexor surface of extremities, genital mucosa, nails

A

Lichen planus

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15
Q

Common location for lichen planus

A

Buccal mucosa bilaterally

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16
Q

Most common form of lichen planus

A

Reticular

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17
Q

Asymptomatic bilateral white papules connect and form network

A

Reticular lichen planus

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18
Q

Wickham Striae

A

Lichen planus

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19
Q

Erosive lichen planus only affecting gingiva

A

Desquamative gingivitis

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20
Q

Erythematous, atrophic areas with central ulceration bordered by thin,white radiating striae

A

Erosive lichen planus

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21
Q

Symptomatic form of lichen planus

A

Erosive

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22
Q

Saw tooth appearance of rete pegs, degeneration of basal cell layer Hydropic degeneration

A

Lichen planus

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23
Q

Civatte bodies, hyaline bodies

A

Lichen planus

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24
Q

Bandlike infiltration of inflammatory cells

A

Lichen planus

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25
Q

Common sequela of pts who undergo allogenic bone marrow transplantation

A

Graft-versus-host disease

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26
Q

Features minic to sjorgan’s syndrome, SLE and scleroderma

A

Chronic GVHD

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27
Q

Fine reticular network of white striae that mimic oral lichen planus

A

Graft-versus-host disease

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28
Q

Bone marrow transplant pts have increased risk for

A

Epithelial dysplasia, squamous cell carcinoma

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29
Q

To prevent GVHD pts preparing for BMT undergo

A

T cell depletion of graft & prophylactic tx with immunosuppresants

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30
Q

Form of keratosis on hard palate due to heat of pipe/cigar smoking

A

Nicotine Stomatitis

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31
Q

Palatal mucosa diffusely gray or white with numerous slightly elevated papules

A

Nicotine stomatitis

32
Q

Form of hyperkeratosis caused by nitrosamines & hydrocarbons

A

Snuff pouch/ Smokeless tobacco keratosis

33
Q

Mucosa granular to wrinkled, white it gray plaque

A

Snuff pouch

34
Q

Most common area of involvement for snuff pouch

A

Mucobuccal fold of mand in incisor or molar region

35
Q

High risk , precancerous condition, chronic progressive scarring of oral mucosa

A

OSMF

36
Q

Associated with chwing of betel quid , paan & gutka

A

OSMF

37
Q

Fibrosis of underlying submucosal tissue

A

OSMF

38
Q

Induced fibroblasts proliferation, upregulated collagen shnthesis, downregulated collagenase production

A

OSMF

39
Q

Blotchy, marblelike pallor and progressive stiffness

A

OSMF

40
Q

Palpable fibrous bands running vertically on buccal mucosa

A

OSMF

41
Q

Stiff mucosa, trismus

A

OSMF

42
Q

Most affected sites for OSMF

A

Buccal mucosa, retromolar area, soft palate

43
Q

Mild OSMF treatment

A

Intralesional corticosteroids

44
Q

Moderate to severe OSMF tx

A

Surgical splitting or excision of fibrous bands

45
Q

20% increased risk of development of squamous cell carcinoma

A

OSMF

46
Q

Inflammatory reaction on oral mucosa caused by artificial cinnamon flavouring

A

Cinnamon contact stomatitis

47
Q

For exposure affected mucosa becomes superficial white wrinkled appearance

A

Chemical burn

48
Q

White plaque, unpleasant taste, burning sensation

A

Uremic stomatitis

49
Q

Tx for uremic stomatitis

A

Mildly acidic mouth rinse, topical anesthetic

50
Q

Common oppurtunistic oral mycotic infection

A

Candidiasis

51
Q

Most common oral fungal infection

A

Candidiasis

52
Q

Most common form of candidiasis

A

Pseudomembranous(thrush)

53
Q

Adherent diffuse white mucosal plaque on cheek palate and tongue

A

Candidiasis

54
Q

Plaque that can be wiped off leaving raw ulcerated and bleeding surface

A

Candidiasis

55
Q

Type of candidiasis that can not be rubbed off

A

Chronic Hyperplastic candidiasis

56
Q

Most common location for chronic hyperplastic candidiasis

A

Anterior buccal mucosa

57
Q

Exfoliative cytology, hyphae

A

Candidiasis

58
Q

Asymptomatic, multiple benign erythematous depapillated lesions surrounded by white borders on tongue

A

Geographic tongue

59
Q

Marked accumulation of ketatin on filiform papillae on dorsal tongue, haur like appearance

A

Hairy tongue

60
Q

Tx for hairy tongue

A

Remove etiological factors, keratolytic agents, brushing tongue

61
Q

Yellowish white malodorous plaque like material, can not be scraped off

A

Saburral tongue

62
Q

Ectopic sebaceous glands asymptomatic papules yellow white

A

Fordyce’s granules

63
Q

Oral mucosal condition occurs more in blacks than whites

A

Leukoedema

64
Q

Lesion disappears when mucosa stretched

A

Leukoedema

65
Q

Increased thickening of epi and intra cellular edema of spinous layer

A

Leukoedema

66
Q

Genetically inherited, asymptomatic, thick, white, corrugated, spongy, diffuse plaque on buccal mucosa bilterally

A

Wgite sponge nevus

67
Q

Autoimmune multisystem disease

A

Lupus erythematous

68
Q

Lesions disc shaped Atrophic with hyperkeratotic margins

A

Discoid lupus erythematous

69
Q

Butterfly shaped erythematous rash/ malar rash

A

Systemic lupus erythematous

70
Q

Kidney lesions glomerulobephritis & renal failure

A

Systemic lupus erythematous

71
Q

Avoid sun exposure, UV light increases activity of this condition

A

Lupus erythematous

72
Q

Hyperkeratotic white lesion related to chronic rubbing or friction

A

Frictional keratosis

73
Q

Most common locations for frictional keratosis

A

Edentulous ridge, retromolar pad, buccal mucosa, lateral tongue & lips

74
Q

Bilateral asymptomatic white lines along occlusal plane

A

Linea alba

75
Q

Squamous papilloma caused by

A

HPV type 6 & 11

76
Q

Soft, asymptomatic, pink to white exophytic nodule or cauliflower appearance with multiple finger like projections

A

Squamous papilloma

77
Q

Asymptomatic papule or nodule with papillary projections or pebbly surface

A

Verruca Vulgaris (common wart)

Oral Pathology (18 decks)

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