ORAL PATH EXAM 1 LECTURE MATERIAL

leukoplakia, tabacco pouch keratosis, oral submucous fibrosis, actinic cheilosis

premalignant white lesions

michels

what is the solution that is used for DIF

pseudomembranous candidiasis

pt presents with metallic taste and burning sensation, white plaque that can be wiped off

white coated/hairy tongue

white plaque on tongue that can be wiped off, due to imbalance in oral environment

chemical burn

necrotic pseudomembrane that can be scraped off, due to chemical sensitivity

thermal burn

due to contact with hot food/beverage

immunosuppression can cause candida

which of the following is TRUE?

causes complete loss of taste

which statement about candidiasis is FALSE?

white lesions that do not rub off

what do the following have in common:

angular chilitis, lichen planus, linea alba, leukoedema, hairy leukoplakia, white sponge nevus, chewing trauma

angular cheilitis

candidiasis infecttion at angle of mouth that does not rub off

antifungal (nystain)

treatment for angular cheilitis

reticular lichen planus

white lacey striations (wickham striae)

topical/systemic steroids if symptomatic

treatment for lichen planus

lichen planus

what are these purple puritis, polygonal papules

linea alba

white lane prominent if patients with clenching/bruxing

leukoedema

generalized gray-white film, common in AFRICAN AMERICAN individuals, becomes less prominent when mucosa is stretched

hairy leukoplakia

patient presents with white lesion on tongue, Hx of HIV/AIDs

EBV

which organism is associated with HAIRY LEUKOPLAKIA

white sponge nevus/ cannon disease

asymptomatic white corrugated keratotic surface on BUCCAL mucosa present since CHILDHOOD

autosomal dominant

inheritance of white sponge nevus

chewing trauma

irregular ragged surface or corrugate white lesion most frequently of buccal mucosa

white sponge nevus can disappear when stretching the cheek

which of the following is FALSE

leukoplakia

PREMALIGNANT white lesion that cannot be wiped off

floor of mouth

which site has the highest risk of cancer?

smokeless tobacco keratosis

precancerous white lesion due to chewing tobacco

oral submucous fribrosis

chroni, progressive scarring due to BETAL QUID

actinic cheilosis

premalignant lesion on lip due to UV light exposure

leukoplakia cannot be rubbed off

which of the following is TRUE

erosive lichen planus

immune mediated disease causing ulcerations and erythema, PAINFUL

lichenoid mucositis

allergic/sensitivity reaction due to products with flavoring agents with prolonged/frequent contact

lupus cheilitis

lesion on vermillion zone, associated with autoimmune condition with butterfly rash

graft versus host disease

lesion with lichenoid features, occurs after transplant

geographic tongue/erythema migrans(mucosa/palate)

harmless, non-contagious inflammatory condition causing smooth, red, map-like patches with white borders on the tongue's surface or buccal mucosa/palate

nicotine stomatitis

elevated papules with red central dots due to heat from smoking

false

T/F nicotine stomatitis is precancerous

erythroleukoplakia

premalignant, red/white patches that show dysplasia on biopsy

proliferative verrucous leukoplakia

which oral lesion has the HIGHEST risk of oral cancer

1,2,3,4

order the following from lowest to highest malignant potential: (order the numbers)

1. smooth, thin leukoplakia

2. granular leukoplakia

3. erythroleukoplakia

4. proliferative verrucous leukoplakia

mild dysplasia

atypical morphology in bottom 1/3 of epithelium

moderate dysplasia

atypical morphology up to mid 2/3 of epithelium

servere dysplasia

atypical morphology above mid point to entire thickness of epithelium

carcinoma in situ

atypical morphology involving entire thickness of epithelium

geographic tongue

all of the following are indications for incisional biopsy EXCEPT:

leukoplakia

which of the following does not exhibit lichenoid mucositis

clindamycin

all of the following are prescribed to manage lichen planus EXCEPT:

fordyce granules

clusters of ectopic sebaceous glands, requires no treatment

periapical abcess

active infection that presents with pain on percussion of tooth

oral lymphoepithelial cyst

smooth no ulcerated, white/yellow lesion that develops in lymphoid tissue on FOM, tonsil or netral tongue

lymphoid hyperplasia

enlargement of lymphoid tissue that appears yellowish

lipoma

soft, movable, yellowish, smooth sessile mass of buccal mucosa

lipoma

most common mesenchymal tumor in the body

sialolithiasis

yellowish calcified structures that may appear on radiograph, causes swelling before or during eating

submandibular

most common gland for SIALOLITHIASIS

granular cell tumor

benign pink/yellow mass with granular surface, pseudoepitheliomatous may be mistaken for SCC

verruciform xanthoma

hyperplastic spithelium with white/yellow/red papillary rough surface

pyostomatitis vegetans

yellowish, elevated pustules with erythematous oral mucosa, “snail track”

pyostomatitis vegetans

oral lesion associated with ULCERATIVE collitis or CROHNS

periapical abcess is an active infection

which of the following is CORRECT

frictional keratosis

which is NOT a YELLOW lesion:

abcess

oral lymphoepithelial cyst

frictional keratosis

verruciform xanthoma

fibroma

small, painless, elevated lesion on lateral tongue, with rough papillary surface. which is NOT in the differential diagnosis:

squamous papilloma

verruciform xanthoma

fibroma

granular cell tumor

oral submucous fibrosis

irregular ragged white lesion on buccal mucosa. Which is NOT in differrential diagnosis:

white sponge nevus

chewing trauma

frictional keratosis

oral submucous fibrosis

white sponge nevus (only on buccal)

single corrugated white lesion on lateral tongue. which is NOT in differential diagnosis:

leukoplakia

white sponge nevus

hairy leukoplakia

chewing trauma

leukoedema

which of the following does not have SKIN LESIONS:

geographic tongue

lichen planus

systemic lupus

leukoedema

anemia

smooth red tongue accompanied by tiredness, headache, lightheadedness

acute atrophic candidiasis

candidiasis causing burning painful, red lesions after course of antibiotics

denture stomatitis

candidiasis causing localized erethema in denture areas

median rhomboid glossitis

candidiasis causing loss of filliform papilla, anterior to circumcallate papilla

nystatin, clotrimazole, diflucan (anttifungals)

treatments for candidiasis

erythroplakia

pre malignant red patch that cannot be diagnosed as any other condition

buccal mucosa and gingiva

most common locations for EROSIVE LICHEN PLANUS

hemangioma

red/blue, firm, blanches with diascopy

hemangioma

most common tumor of infancy

sturge weber angiomatosis

port wine stain, unilateral vascular involvement, gingival hyperplasia, tramline calcifications

false

T/F sturge weber is a hereditary condition

radiation mucositis

localized ulceration following cancer treatment

chemotherapy mucositis

generalized ulceration following cancer treatment

petechiae

minute hemorrahge below ski, small red dots

pupura

slighlty larger than petechiae

ecchymosis

accumulation of blood 2cm> below skin

hematoma

accumulation of blood within tissue producing mass

telangiectasia

dialated small blood vessels near skin surface

hereditary hemorrhagic telangiectasia (HHT)

autosominal dominant, telangietasia on lips tongue buccal mucosa hands, epitaxis (nosebleed), blanch

crest syndrome

calcinosis, raynauds, esophgeal dysfunction, sclerodactyly, tenlangiectasia

chewing trauma

all of the following could cause erythematous tongue with discomfort EXCEPT:

candidiasis

anemia

chewing trauma

erosive lichen planus

anemia

small red dots on palate could be due to all of the following EXCEPT:

coughing

infectious mononucleosis

crest syndrome

anemia

varicose vein (varix)

abnormally dilated and torturoud veins in OLDER adults, sublingual most common

phlebolith

calcified varicose vein

hemangioma

benign tumor of blood vessels

mucocele

most common on lower lip due to trauma of minor salivary gland

ranula

large mass in floor of mouth from sublingual gland

surgical removal, marsuopialization

treatment forr RANULA

upper lip

most common location for salivary duct cyst

epithelial lining

how is a salivary duct cyst different that mucocele

mucoepidermoid carcinoma

salivary gland neoplasm

eruption cyst

Children, overlying the crown of erupting deciduous or permanent tooth, subsides whentooth erupts

gingival cyst

Adults, most common location is between mandibular canine & PM, surgical excision

amalgam tattoo

macules or (rarely) as raised lesions which are blue, black, or gray in color, ill defined

kaposi sarcoma

AIDS related vascular malignant neoplasm

mucoepidermoid carcinoma

which of the following exhibits a large bluish mass on palate:

blue nevue

amalgam tattoo

mucocele

mucoepidermoid carcinoma

hairy tongue

brown/black excess keratin on surface of filiform papillae