30 most common Flashcards

(38 cards)

1
Q

what is a leukoplakia?

A

an intraoral white plaque that does not rub off and can not be identified as any well known entity

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2
Q

what are 5 white lesions that can be rubbed off?

A
Materia alba
white coated tongue
Burn
Pseudomembranous candidiasis
toothpaste or mouthwash overdose
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3
Q

what patient’s typically have materia alba?

A

patients with xerostomia or drug users

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4
Q

what is the treatment for white coated tongue?

A

it is asymptomatic

tx: tongue scraping or brushing

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5
Q

Describe leukoedema

A

bilaterally present in 70-90% of blacks
Diffuse, grayish, white milky opalescent appearance
no tx necessary

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6
Q

describe nicotine stomatitis

A

looks like dry mud with red dots

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7
Q

what virus is oral hairy leukoplakia causes by?

A

EBV in immunosuppressed patients

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8
Q

What is lichen planus and what is characteristic about it’s histology?

A

immune rxn resulting in whickham stria

histology: sawtooth shaped rete pegs

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9
Q

what are the different types of leukoplakia?

A

hyperkeratosis
dysplasia (mild, moderate, severe and
carinoma-in-situ)

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10
Q

what are the three most common sites for leukoplakia?

A

floor of mouth
tongue
lip

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11
Q

severe dysplasia results in malignant transformation what percent of the time?

A

16% (7-50%)

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12
Q

moderate dysplasia results in malignant transformation what percent of the time?

A

3-15%

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13
Q

mild dysplasia results in malignant transformation what percent of the time?

A

less than 5%

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14
Q

what percent of the population have torus palatinus?

A

20-35%

2:1 F:M

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15
Q

What percent of the population have torus mandibularis?

A

7-10%
M>F
90% bilateral

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16
Q

when do we remove tori?

A

for dentures
if they cause pain
if patient wants them out

17
Q

what does TUGSE stand for? and what is the tx

A

Traumatic Ulceration with Granular stromal eosinophilia

-cut it out or steroid injection with kenalog

18
Q

Kenalog-10 has how many mg per mL?

19
Q

Kenalog-40 has how many mg per mL?

20
Q

how many mg per cm of lesion?

A

10mg per 1cm lesion

21
Q

what is a piece of gingiva that overlays a tooth?

22
Q

what is pericornitis?

A

inflamed gingiva surrounding an erupting tooth

23
Q

list four common inflammation or irritations we see in the mouth?

A

Traumatic ulcer
pericornitits
periodontal abscess
ANUG

24
Q

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

25
what are the common locations for fibromas?
buccal mucosa (most common) labial mucosa tongue gingiva (least common)
26
what is tx for fibromas?
surgical excision
27
are fibromas sessile or pedunculated?
sessile
28
what are fordyce's granules?
ectopic sebacous glands
29
what percent of the population have fordyce's granules?
80%
30
what do fordyce granules look like and where do they occur and what is the treatment?
yellowish white papules buccal mucosa more than lips no treatment
31
what is a hemangioma?
benign proliferation of blood vessels
32
what is dioscopy and what is it used for?
pressure on an area used to dx hemangiomas
33
what is tx for hemangiomas?
surgery, laser, embolization, sclerotherapy
34
where do recurrent aphthous ulcerations occur?
non-keratinized tissue, non-bound down mucosa | tx: topical steroids
35
what three things are need to diagnosis RAUs
location size number or lesions
36
what do papaillomas look like?
finger like projections | solitary pedunculated wart-like on the (tongue> soft palate)
37
what HPV causes papillomas?
6 and 11
38
what are the four types of papillomas?
verruca vulgaris (wart) condyloma acuminatum (venereal wart) Focal Epithelial Hyperplasia (Heck's disease) Sinonasal papillomas