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Oral Medicine! > 30 Most Common w/ Pictures > Flashcards

30 Most Common w/ Pictures Flashcards

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1
Q

Dx

A

Leukoplakia

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2
Q

Dx and first step of tx?

A

leukoplakia, and take a biopsy. When in doubt, cut it out!

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3
Q

Pt lets medication sit in their mouth. Dx?

A

aspirin burn. tell pt to stop letting it sit there.

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4
Q

Pt switched toothpastes. Dx?

A

Toothpaste allergy. Tell them to use a different toothpaste.

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5
Q

Black pt and the coloring disappears upon stretching. Dx?

A

Leukoedema. No tx necessary.

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6
Q

Pt smokes. Dx?

A

Nicotine stomatitis.

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7
Q

Dx?

A

Palatal tori

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8
Q

Dx and tx?

A

Mandibular tori. No tx unless necessary. Ostectomy would be done.

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9
Q

Pt remembers trauma to the area. Dx and tx?

A

Dx: traumatic ulcer

Tx: inject 10mg/cm of Kenalog-10 (10mg/ml) or Kenalog-40 (40mg/ml) into the lesion

*remember for a 1x1cm lesion that would be 1ml of kenalog-10 and 0.25ml of kenalog-40

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10
Q

Dx and topical tx?

A

Dx: traumatic ulcer

Rx: Clobetasol propionate 0.05% gel (Temovate)

Disp 15g tube

Sig: dry affected area and apply thin amount BID-TID

Refills: 1

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11
Q

Dx and Tx?

A

Pericoronitis, gingivectomy for tx or possible extraction if on a third molar

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12
Q

Dx?

A

Parulis

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13
Q

Dx?

A

acute necrotizing ulcerative gingivitis (ANUG)

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14
Q

Dx?

A

Fibroma

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15
Q

Dx and tx?

A

Fibroma, and surgical excision for tx

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16
Q

Dx?

A

Fibroma

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17
Q

Dx and tx?

A

Fordyce granules. No tx, just educate the pt about them.

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18
Q

Dx?

A

hemangioma

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19
Q

Dx and Tx?

A

Hemangioma. Tx options: do nothing and watch, excision, sclerotherapy

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20
Q

Dx?

A

Aphthous ulcer

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21
Q

Dx and topical Rx?

A

Dx: aphthous ulcers

Rx: Clobetasol propionate .05% gel

Disp: #1 15g (or 30g) tube

Sig: dry area and apply thin amount, bid-tid

Refills: 0

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22
Q

Dx and rinse Rx?

A

Dx: recurrent aphthous ulcer

Rx: Dexamethasone elixir 0.5mg/5ml (Decadron)

Disp: 240ml bottle

Sig: rinse w/ 1 tsp. for 3-4 min after meals and at bedtime and expectorate

Refills: 3

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23
Q

Dx and OTC (over the counter) tx?

A

Dx: RAU

OTC Tx: canker cover

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24
Q

Dx and tx?

A

Papilloma, surgical excision

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25
Dx?
Papilloma
26
What type of papilloma?
verrucous vulgaris
27
Type of papilloma?
condyloma accuminatum
28
Type of papilloma?
focal epithelial hyperplasia
29
Type of papilloma?
sinonasal papilloma
30
Dx and Tx?
Epulis fissuratum. No tx unless neccessary - surgical excision.
31
Dx and tx?
Lingual varices. No tx - just educate the pt.
32
Dx?
Fissured tongue
33
Dx and tx?
Dx: geographic and fissured tongue Tx: Keep the fissures clean and avoid foods that make the geographic tongue hurt/burn. Educate the pt.
34
Dx?
geographic tongue (aka benign migratory glossitis)
35
Also, present on the tongue. Dx?
benign migratory glossitis
36
Dx and tx?
Papillary hyperplasia. If tx is necessary, surgical excision of hyperplasia and reline/rebase denture
37
Dx and tablet Rx?
Dx: oral herpes Rx: Valacyclovir 500mg (Valtrex) Disp: #28 tabs Sig: take 2 tabs bid Refills: 3
38
Dx, topical tx, and possible prophylaxis?
Dx: herpes Prophylaxis: L-Lysine 500mg tabs, 1 tab daily Rx: Acyclovir 5% ointment Disp: 15g tube Sig: apply 5x daily with fingercot at the first symptom refills: 1
39
Dx?
mucocele
40
Dx and tx?
Mucocele. Surgical excision with associated gland.
41
Dx?
Just scar tissue. No tx.
42
Dx and tx?
Dx: Angular cheilitis Tx: increase vertical dimension Rx: antifungal (and maybe a steroid)
43
What combination drug could you prescribe for angular cheilitis?
Mycolog II ointment (Triamcinolone 0.1% and Nystatin 100,000 unit/g) Disp 15g tube Sig: apply tid until healing occurs
44
What lozenge could you prescribe for angular cheilitis?
Clotrimazole troche 10mg (Mycelex) Disp #50 Sig: dissolve 1 troche in mouth 5 times per day
45
What antifungal mouth rinse could you prescribe?
Nystatin oral suspension (Mycostatin) 100,000 unit/ml Disp 240 ml Sig: rinse with 1-2 tsp for 2 min and expectorate. (swallow if affecting oropharynx)
46
Dx and tx?
Dx: pseudomembranous candidiasis Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml Disp 240 ml Sig: rinse 1-2 tsp for 2 min and expectorate, 5 times per day
47
Dx?
Lingual tonsil. No tx, just educate pt.
48
Doesn't blanch upon pressure. Dx and tx?
Hematoma. No tx.
49
Dx?
Tobacco pouch keratosis
50
Dx and tx?
Dx: tobacco pouch keratosis Tx: Quit dipping or place dip in another spot for 2+ weeks. Follow up with pt to see if keratosis has gone away - if not then consider a biopsy.
51
What can tobacco pouch keratosis possibly turn into?
Verrucous carcinoma
52
Dx?
Morsicatio buccarum
53
Dx and tx?
Dx: Chronic cheek chewing (aka morsicatio buccarum) Tx: maybe make a mouth guard if pt can't help from biting their cheek
54
Dx?
Morsicatio linguarum
55
Dx?
reticular Lichen Planus
56
Dx and tx?
Dx: reticular lichen planus Rx: Dexamethasone elixir (Decadron) 0.5mg/5ml Disp 12-16 oz. bottle Sig: rinse 1 tsp for 2 min bid-qid and expectorate
57
Dx and ointment Rx?
Dx: reticular lichen planus Rx: Clobetasol propionate (Temovate) 0.05% gel Disp 15g (or choose 30g) tube Sig: dry affected area and apply thin amount BID-TID
58
Dx and ointment Rx? (other than clobetasol)
Dx: reticular lichen planus Rx: Fluocinonide (Lidex) 0.05% gel Disp 15g (or choose 30g) tube Sig: dry and apply TID-QID
59
Dx?
erosive lichen planus
60
Dx?
erosive lichen planus
61
Dx?
buccal exostoses
62
Dx?
amalgam tattoo
63
Dx and tx?
Amalgam tattoo. No tx.
64
Dx?
oral melanotic macule
65
Dx and tx?
Oral melanotic macule. No tx. If it can't be confirmed as this dx then take a biopsy.
66
Dx?
median rhomboid glossitis
67
Dx and tx?
Dx: median rhomboid glossitis Rx: Mycostatin (nystatin oral suspension) 100,000 units/ml Disp 240 ml Sig: rinse 1-2 tsp for 2 min and expectorate
68
Dx and tx?
Black hairy tongue. Remove extra keratin from tongue and educate pt.
69
Dx and etiology?
Smooth red tongue. Can be caused by pernicious anemia, medications or avitaminosis.
70
Dx and tx?
Smooth red tongue. Treat underlying cause/condition.
71
Dx?
Epidermoid cyst
72
Dx?
Epidermoid cyst.
73
Dx and tx?
Lipoma
74
Dx and tx?
Lipoma. Surgical excision necessary.

Oral Medicine! (7 decks)

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