30 most common

Question 1

Definition of Leukoplakia

Answer 1

intraoral white plaque that does not rub off and can’t be described as anything other known entity

Question 2

5 white lesions that CAN be wiped off

Answer 2

1-materia alba
2-white coated tongue
3-burn
4-Pseudomembranous candidiasis
5-toothpaste or mouthwash overdose

Question 3

tx for white coated tongue

Answer 3

scrape and brush it

Question 4

tx for candidiasis

Answer 4

antifungal

Question 5

how common is leukoedema in blacks?

Answer 5

70-90%

• no tx
• bilateral

Question 6

What pattern presents in Lichen Planus?

Answer 6

Wickham striae

*not autoimmue disease, but immune mediated

Question 7

T/F leukoplakias are considered pre-malignant

Answer 7

True

*cut it out and biopsy

Question 8

what percent of leukoplakia in the floor of mouth is dysplastic?

Answer 8

42.9%

Question 9

what percent of leukoplakia in the tongue is dysplastic?

Answer 9

24.2%

Question 10

what percent of leukoplakia in the lip is dysplastic?

Answer 10

24%

Question 11

what is the best guide to potential progression of oral lesions?

Answer 11

degree of dysplasia

Question 12

what is the transformation rate of severe dysplasia?

Answer 12

16%

• moderate: 3-15%
• mild: <5%

Question 13

what percent of people have torus palatinus?

Answer 13

20-35%

*2F:1M C=B

Question 14

what percent of people have mandibular tori?

Answer 14

7-10%

• men more than women
• 90% bilateral

Question 15

tx for traumatic ulcer?

Answer 15

steroid injection

Question 16

what is the most common benign neoplasm of the oral cavity?

Answer 16

Fibroma

*hyperplasia

Question 17

4 most common places of fibromas

Answer 17

1-buccal mucosa
2-labial mucosa
3-tongue
4-gingiva

Question 18

what is the tx for a fibroma?

Answer 18

surgical excision

Question 19

what are fordyce granules?

Answer 19

ectopic sebaceous glands

Question 20

what percent of the population have fordyce granules?

Answer 20

80%

• buccal mucosa>lips
• no tx

Question 21

What is a hemangioma?

Answer 21

benign proliferation of blood vessels

*blanches under pressure

Question 22

hemangioma tx

Answer 22

do nothing, surgery, laser, embolization

*10-12% of children

Question 23

what percent of the population have recurrent aphthous ulcers

Answer 23

20-25%

*1-2 lesions, .5-1cm

Question 24

Where are RAU?

Answer 24

non-keratineized, non-bound down mucosa

Question 25

what is the tx for RAU?

Answer 25

topical steroids

Question 26

what 3 things do you need to define the type of RAU?

Answer 26

1-location 2-size 3-how many

Question 27

what are 3 possible causes of RAU?

Answer 27

1-autoimmune 2-stress 3-hypersensitivity

Question 28

what 4 things does dr. trump rx for RAU?

Answer 28

1-temovate 2-decadron 3-lidex 4-kenalog

Question 29

what is a papilloma?

Answer 29

benign proliferation of squamous epithelium * hpv * Tongue>soft palate

Question 30

what is the tx for papilloma?

Answer 30

surgical excision

Question 31

what is the differential (4) for squamous papilloma?

Answer 31

1-verruca vulgarus (wart) 2-Condyloma acuminatum (venereal wart) 3-focal epithelial hyperplasia (heck's disease) 4-sinonasal papilloma

Question 32

what is it called when you have focal inflammatory fibrous hyperplasia at the flange of an ill-fitting denture

Answer 32

Epulis Fissuratum *tx excision, fix denture

Question 33

what percent of the population have fissured tongue?

Answer 33

2-5% *tx brush tongue

Question 34

How common is geographic tongue?

Answer 34

1-3% *2F>M

Question 35

2 other names for geographic tongue

Answer 35

1-erythema areata migrans | 2-benign migratory glossitis

Question 36

how common is papillary hyperplasia ?

Answer 36

20% of those who wear dentures 24h/day

Question 37

Papillary hyperplasia tx

Answer 37

excision then fix denture *asymptomatic

Question 38

Where does recurrent herpes simplex happen?

Answer 38

almost always on Keratinized, bound mucosa

Question 39

when does acute herpetic gingivostomatitis occur?

Answer 39

6 months-5 years *recurrent: herpes labialis, recurent, whitlow, keratoconjuctivitis

Question 40

what are the different methods of delivery for antivirals

Answer 40

ointment, capsules, tablets, cream

Question 41

what is the prophylaxis for labial herpes?

Answer 41

Lysine 500 mg tablets, QD *Trump hinted for test

Question 42

what is a mucocele?

Answer 42

rupture and spillage of saliva into tissues

Question 43

most common location of mucocele?

Answer 43

lower lip

Question 44

what is the tx for a mucocele?

Answer 44

surgical excision along with the feeder gland *trump hinted for test

Question 45

what 3 things cause angular cheilitis?

Answer 45

1-reduced vertical dimension 2-salivary pooling 3-candidiasis

Question 46

Angular cheilitis tx

Answer 46

antifungals

Question 47

Accumulation of blood within the tissues secondary to trauma

Answer 47

hematoma *no tx

Question 48

is tobacco pouch keratosis precancerous?

Answer 48

yes. If use continues, may progress from dysplasia to verrucous carcinoma

Question 49

Is chronic cheek chewing more common in men or women?

Answer 49

2F:1M *Tx none or biteguard

Question 50

what are the 2 types of lichen planus?

Answer 50

Reticular and erosive

Question 51

Lichen Planus tx?

Answer 51

steroids

Question 52

what is the tx for buccal exostoses?

Answer 52

removal only with chronic repeated trauma or pre-prosthetic surgery

Question 53

When would you take a biopsy of an amalgam tattoo?

Answer 53

to rule out melanoma

Question 54

Common areas for oral melanotic macule?

Answer 54

lower lip > Buccal mucosa > gingiva

Question 55

Central papillary atrophy of the tongue is called?

Answer 55

median rhomboid glossitis *asymptomatic, crosses midline

Question 56

tx for median rhomboid glossitis

Answer 56

antifungals and brushing

Question 57

what are 3 causes of smooth red tongue?

Answer 57

1-pernicious anemia 2-medications 3-avitaminosis *Tx: stop whatever is causing it

Question 58

skin cysts associated with inflammation of hair follicle

Answer 58

epidermoid cyst

Question 59

where do oral epidermoid cysts occur?

Answer 59

midline of floor of mouth

Question 60

Tx of epidermoid cyst

Answer 60

surgical removal

Question 61

benign fat tumor?

Answer 61

lipoma

Question 62

where do lipomas occur in the mouth? | order 4

Answer 62

buccal mucosa > tongue > floor of mouth > lips

Question 63

lipoma tx?

Answer 63

surgical excision