1 - common lesions

Question 1

“mole”
junctional compound - intradermal/intramucosal

benign melanocytic lesion

Answer 1

nevus

often notice a decrease in pigmentation as nevi progress from junctional to compound to intradermal

Question 2

“freckles”
brown pigmentation that develops following sun exposure

more common in children and fair skinned individuals

Answer 2

ephelides

Question 3

benign melanocytic lesion

macular (flat)

increase in number in whites with age, no change in color intensity with exposure to UV light

Answer 3

lentigo

Question 4

benign skin lesion with a “stuck on” appearance

looks like dropped on candlewax

Answer 4

seborrheic keratosis

Question 5

variant of seborrheic keratosis that occurs in ~30% of black population

Answer 5

dermatosis papulosa nigra

Question 6

precursor lesion for cutaneous scc

“sandpaper” texture

Answer 6

actinic keratosis

either surgical excision or

topical immune-activating agents such as Aldara (imiquimod 5%) Cream is)

limit sun exposure

Question 7

_ capillaries - prominent vessels

often an indication of sun damage

Answer 7

telangestatic capillaries

Question 8

central umbilication, usually over 40 years old often seen on forehead,

once achieve 1-2mm minimal to no further growth

Answer 8

sebaceous hyperplasia

sebaceous duct

Question 9

most common cancer in humans

“mask” area, rolled borders, umbilicated center, and telangiectasia

also associated with nevoid basal cell carcinoma syndrome

Answer 9

basal cell carcinoma

Question 10

ectopic sebaceous glands

can be seen anywhere in the mouth, buccal mucosa most common location also lips

Answer 10

fordyce granules

Question 11

assoicated with loss of VDO

Candida, some may have co-infection with Staph

if external only - topical antifungal/corticosteroid cream`

Answer 11

angular cheilitis

Question 12

most common site for recurrent HSV-1 is vermilion border and adjacent perioral skin

Answer 12

herpes labialis

Question 13

focal increase in melanin: also can occur as reactive melanosis in response to local trauma

Answer 13

melanotic macule

Question 14

focal deposition of mucous - cause is damage to associated minor salivary gland duct

Answer 14

mucocele

tx - conversative remove extravasated mucous and associated minor salivary glands

Question 15

intracellular edema

Answer 15

leukoedema

Question 16

benign collection of dense fibrous CT, conservative removal

Answer 16

fibroma

Question 17

immunologically mediated process “Striae” pr lacy clinical presentation

does not wipe off

Answer 17

Lichen Planus

lichenoid mucositis - descriptive term which could apply to several conditions

Question 18

maxillary torus

comprised of dense _ bone

Answer 18

vital lamellar bone

Question 19

found under ill fitting denture or rpd

may also reflect nearly constant wear

Answer 19

inflammatory papillary hyperplasia

noted with high vault

conservative excision and new denture

Question 20

inflamed minor salivary glands of the palate with hyperkeratosis around the orifices

most commonly seen in pipe smokers - long term hot beverages

Answer 20

nicotine stomatitis

Question 21

overgrowth of chromogenic bacteria and filiform papillae

Answer 21

black hairy tongue

Question 22

difference btw fissured and geographic tongue

Answer 22

fiissured tongue - grooves

geographic - may be symptomatic to spicy or acidic

Question 23

Vertical lines at posterior lateral tongue often see lympoid tissue in that area as well

_ papilla - part of Waldeyer’s ring

Answer 23

Foliate papilla

Question 24

intra oral opening of sinus tract

rule out an odontogenic source of infection

Answer 24

Parulis