White Lesions Flashcards

1
Q

Most common oral precancerous lesion

A

Leukoplakia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Leukoplakia most commonly found on

A

Lip vermilion, buccal mucosa, gingiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which area’s leukoplakia show highest chances of dysplasia

A

Tongue, floor of the mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Variants of leukoplakia

A

Homogenous (most common), granular, speckeled, verrucous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A

Proliferative verrucous leukoplakia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hyperchromatism, pleomorphism, dyskeratosis

A

Leukoplakia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which gender shows high risk of malignancy from leukoplakia

A

Female

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

Hairy leukoplakia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cause for hairy leukoplakia

A

Epstein-Barr virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

Hairy leukoplakia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Chronic inflammatory mucocutaneous, T cell mediated

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

Lichenoid mucositis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most common types of lichen planus

A

Reticular, erosive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Common location for lichen planus

A

Buccal mucosa bilaterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most common form of lichen planus

A

Reticular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Asymptomatic bilateral white papules connect and form network

A

Reticular lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Wickham Striae

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Erosive lichen planus only affecting gingiva

A

Desquamative gingivitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

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

A

Erosive lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Symptomatic form of lichen planus

A

Erosive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Civatte bodies, hyaline bodies

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Bandlike infiltration of inflammatory cells

A

Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Common sequela of pts who undergo allogenic bone marrow transplantation
Graft-versus-host disease
26
Features minic to sjorgan’s syndrome, SLE and scleroderma
Chronic GVHD
27
Fine reticular network of white striae that mimic oral lichen planus
Graft-versus-host disease
28
Bone marrow transplant pts have increased risk for
Epithelial dysplasia, squamous cell carcinoma
29
To prevent GVHD pts preparing for BMT undergo
T cell depletion of graft & prophylactic tx with immunosuppresants
30
Form of keratosis on hard palate due to heat of pipe/cigar smoking
Nicotine Stomatitis
31
Palatal mucosa diffusely gray or white with numerous slightly elevated papules
Nicotine stomatitis
32
Form of hyperkeratosis caused by nitrosamines & hydrocarbons
Snuff pouch/ Smokeless tobacco keratosis
33
Mucosa granular to wrinkled, white it gray plaque
Snuff pouch
34
Most common area of involvement for snuff pouch
Mucobuccal fold of mand in incisor or molar region
35
High risk , precancerous condition, chronic progressive scarring of oral mucosa
OSMF
36
Associated with chwing of betel quid , paan & gutka
OSMF
37
Fibrosis of underlying submucosal tissue
OSMF
38
Induced fibroblasts proliferation, upregulated collagen shnthesis, downregulated collagenase production
OSMF
39
Blotchy, marblelike pallor and progressive stiffness
OSMF
40
Palpable fibrous bands running vertically on buccal mucosa
OSMF
41
Stiff mucosa, trismus
OSMF
42
Most affected sites for OSMF
Buccal mucosa, retromolar area, soft palate
43
Mild OSMF treatment
Intralesional corticosteroids
44
Moderate to severe OSMF tx
Surgical splitting or excision of fibrous bands
45
20% increased risk of development of squamous cell carcinoma
OSMF
46
Inflammatory reaction on oral mucosa caused by artificial cinnamon flavouring
Cinnamon contact stomatitis
47
For exposure affected mucosa becomes superficial white wrinkled appearance
Chemical burn
48
White plaque, unpleasant taste, burning sensation
Uremic stomatitis
49
Tx for uremic stomatitis
Mildly acidic mouth rinse, topical anesthetic
50
Common oppurtunistic oral mycotic infection
Candidiasis
51
Most common oral fungal infection
Candidiasis
52
Most common form of candidiasis
Pseudomembranous(thrush)
53
Adherent diffuse white mucosal plaque on cheek palate and tongue
Candidiasis
54
Plaque that can be wiped off leaving raw ulcerated and bleeding surface
Candidiasis
55
Type of candidiasis that can not be rubbed off
Chronic Hyperplastic candidiasis
56
Most common location for chronic hyperplastic candidiasis
Anterior buccal mucosa
57
Exfoliative cytology, hyphae
Candidiasis
58
Asymptomatic, multiple benign erythematous depapillated lesions surrounded by white borders on tongue
Geographic tongue
59
Marked accumulation of ketatin on filiform papillae on dorsal tongue, haur like appearance
Hairy tongue
60
Tx for hairy tongue
Remove etiological factors, keratolytic agents, brushing tongue
61
Yellowish white malodorous plaque like material, can not be scraped off
Saburral tongue
62
Ectopic sebaceous glands asymptomatic papules yellow white
Fordyce’s granules
63
Oral mucosal condition occurs more in blacks than whites
Leukoedema
64
Lesion disappears when mucosa stretched
Leukoedema
65
Increased thickening of epi and intra cellular edema of spinous layer
Leukoedema
66
Genetically inherited, asymptomatic, thick, white, corrugated, spongy, diffuse plaque on buccal mucosa bilterally
Wgite sponge nevus
67
Autoimmune multisystem disease
Lupus erythematous
68
Lesions disc shaped Atrophic with hyperkeratotic margins
Discoid lupus erythematous
69
Butterfly shaped erythematous rash/ malar rash
Systemic lupus erythematous
70
Kidney lesions glomerulobephritis & renal failure
Systemic lupus erythematous
71
Avoid sun exposure, UV light increases activity of this condition
Lupus erythematous
72
Hyperkeratotic white lesion related to chronic rubbing or friction
Frictional keratosis
73
Most common locations for frictional keratosis
Edentulous ridge, retromolar pad, buccal mucosa, lateral tongue & lips
74
Bilateral asymptomatic white lines along occlusal plane
Linea alba
75
Squamous papilloma caused by
HPV type 6 & 11
76
Soft, asymptomatic, pink to white exophytic nodule or cauliflower appearance with multiple finger like projections
Squamous papilloma
77
Asymptomatic papule or nodule with papillary projections or pebbly surface
Verruca Vulgaris (common wart)