Oral Med Revision Q's

Question 1

Give 3 classic signs of OLP. What is the most common area?

Answer 1

Chronic, bilateral inflammatory disorder of stratified squamous epithelium.

Small white papules which coalesce to form lines (WICKHAMS STRIAE). Most common= posterior buccal mucosa. Can be white or red.

Question 2

What area of the mouth is most commonly affected by dry mouth?

Answer 2

Tongue

Question 3

What are some oral signs of Crohns diesease?

Answer 3

Angular cheilitis/ exfoliative cheilitis
Aphthous ulceration
Chronic stomatitis
Cobblestone mucosa
Linear ulcers
Mucosal tags
Erythema/ swellings on gingivae

Question 4

Name 3 medications that cause dry mouth?

Answer 4

Opiods- codiene, fentanyl
Diuretics-
PPI- omeprazole
Benzodiazepines- diazapam 
Antidepressants-
Antihistamines-

Question 5

What haematological tests would you take for a pt presenting with angular chelitis?

Answer 5

Full blood count.

Vitamin b12

Question 6

What drugs can be used to treat angular chelitis?

Answer 6

Nystatin
Fluconazole
Miconazole

Question 7

‘Target lesions’ are associated with what skin and mucous-membrane disorder.

Answer 7

Steven-Johnstone syndrome

Question 8

What gender are more likely to suffer from burning mouth syndrome?

Answer 8

Woman by 7x

Question 9

Name 4 things than can re-activate a herpes-simplex infection?

Answer 9

Sunlight/ coldness
Stress
Immunosuppression
Local trauma

Question 10

What is the difference between dysplasia and cancer

Answer 10

Cancer has invaded the basement membrane. Mild/moderate/severe dysplasia is a growing dysplasia of cells from the basement membrane to the epithelium.

Question 11

Difference between phemigus and phemphigoid?

How would you diagnose these conditions?

Answer 11

Phemphigus- shallow intraepidemral blisters
Phemphigoid- deep sub-dermal blisters

Incisional biopsy
Immunoflouresence.

Question 12

Treatment for OLP?

Answer 12

Topical corticosteroids- beclomethasone tablets dissolved in water.
Oral hygiene advice.
Systemic corticosteroids.

Question 13

What are 4 types of oral lichenoid reactions?

Answer 13

Oral lichen planus
Lichenoid-drug reaction
Lichenoid- frictional reaction
Oral lichenoid lesions of graft vs host
Lupus
Oral lichenoid contact lesion

Question 14

What are 3 types of OLP?

Answer 14

Reticular OLP
Erosive OLP
Atropic OLP (areas of redness)

Question 15

Through what mechanism do cysts expand?

Answer 15

Hydrostatic pressure

Question 16

3 ways to remove cysts?

Answer 16

Enucleation
Marsupialisation
Decompression via drain

Question 17

What is the difference between indirect and direct immunofluorescence?

Answer 17

Direct- taken from biopsy

Indirect- taken from bloods

Question 18

How would you biopsy a parotid lump?

Answer 18

Fine needle aspiration.

Question 19

Melkersson-rosthenthal triad?

Answer 19

Tongue fissuring
Facial paralythsis
Swelling of upper lip/ face.

Question 20

Contraindications medication of miconazole?

2nd line?

Answer 20

Warfarin
Statins

Nystatin mouthwash

Question 21

What are 2 investigations for sjogrens syndrome?

Answer 21

Labial gland biopsy
Autoantibody tests for antiRO and antiLA
Scrimer test

Question 22

5 causes of xerostomia?

Answer 22

Dehydration
Diabetes Mellitus
Drugs
Radiotherapy
Sjrogrens syndrome

Question 23

Outline the main managements of Sjrogrens syndrome?

Answer 23

Sugar free chewing gum
Sip water regulalary
Saliva replacements
OHI + fluoride varnsish
Prevention of ophthalmic damage- refer to ophthalmologist,

Question 24

5 aetiological risk factors of oral carcinogenesis?

Answer 24

Smoking
Alcohol
Betel chewing
Immunosupression
Diet + nutrition, fe defieciency.
Chronic infections
Viruses- HSV HIV