Oral Cavity Flashcards

0
Q

What is a oral fibroma and what is it due to?

A

Squamous cell and fibrous tissue proliferation due to chronic irritation

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1
Q

What are some disease associations with aphthous ulcers?

A

Ciliac’s disease, inflammatory bowel disease

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2
Q

What is a pyogenic granuloma of the mouth?

A

Benign lobular proliferation of capillaries in the mouth

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3
Q

What can cause glossitis?

A

B12 deficiency

Other deficiency states

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4
Q

What is Plummer-Vinson syndrome?

A

Iron deficiency anemia
Glossitis
Dysphagia due to esophageal webs

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5
Q

Increased neutrophilic proliferation in the epithelium (associated with mild burning sensation) is indicated in what disease?

A

Geographic tongue

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6
Q

What is the name for heterotropic collections of sebaceous glands in the oral cavity?

A

Fordyce’s granules

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7
Q

What are the three types of odontogenic cysts?

A

Dentigerous cyst
Odontogenic keratocyst
Periapical cyst

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8
Q

What infectious diseases can manifest in oral changes?

A
Scarlet Fever
Measles
Mononucleosis
Diphtheria
HIV
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9
Q

Which dermatological diseases can manifest in the mouth?

A

Lichen planus
Pemphigus
Bullous pemphigoid
Erythema multiforme

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10
Q

What hematological disorders can manifest in the mouth?

A

Pancytopenia
Leukemia
Monocytic leukemia

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11
Q

What type of patient gets hairy leukoplakia?

A

HIV, immunocompromised

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13
Q

Where is hairy leukoplakia in the mouth and what causes it?

A

On sides of tongue

EBV

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14
Q

What viral infection is associated with squamous papillomas?

A

HPV

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15
Q

What are the two precancerous lesions commonly seen in the oral cavity?

A

Erythroplakia and leukoplakia

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16
Q

What is the histology of leukoplakia?

A

Hyperkeratosis and irregular epithelial hyperplasia

17
Q

What is actinic cheilitis? What causes it?

A

Actinic keratosis of the lip

Caused by sun exposure

18
Q

What are the biggest risk factors for squamous cell carcinoma of the oral cavity?

A

Alcohol and tobacco use, as well as HPV

19
Q

Does HPV squamous cell carcinoma result in a better or worse diagnosis?

A

Better

20
Q

What gene and which protein are overexpressed in HPV induced SCC?

A

p16, cyclin dependent kinase inhibitor

21
Q

What cells are indicated in allergic rhinitis?

A

Eosinophils (REMEMBER LATE PHASE)

22
Q

What is empyema?

A

A big pocket of pus in the sinus

23
Q

A young adolescent male presents to your office with persistent stuffiness and gets frequent nosebleeds. What is a common diagnosis for this age group?

A

Nasopharyngeal angiofibroma

24
Q

What are the three types of sinonasal papillomas?

A

Inverted, exophytic, and oncocytic

25
Q

What are the most common causes of laryngoepiglotitis?

A

RSV, H. influenza, beta hemolytic strep

26
Q

What are laryngeal squamous papillomas?

A

Benign papillary squamous neoplasms caused by HPV

27
Q

What is the most common form of laryngeal carcinoma?

A

squamous cell carcinoma

28
Q

What are the most common causes of xerostomia?

A

Sjogren’s syndrome
Radiation therapy
Antimuscarinics (and other medications)

29
Q

What is sialadenitis?

A

Inflammation of salivary glands, oftentimes by mumps or staph/strep

30
Q

What is a ranula?

A

Mucocele from sublingual duct that can dissect into the neck

31
Q

What is lymphoepithelial sialadenitis?

A

Autoimmune disease involving salivary gland

32
Q

What must lymphoepithelial sialadenitis be distinguished from pathologically?

A

B cell MALT lymphoma

33
Q

Where do most salivary glands present? Where is it the most malignant?

A

Parotid gland

Sublingual gland is most malignant

34
Q

Which is the most common salivary gland tumor? Where is it found?

A

Pleomorphic adenoma

Parotid gland

35
Q

What is the physical exam of the pleomorphic adenoma?

A

firm, freely movable, painless parotid gland mass

36
Q

What is a Warthin tumor?

A

tumor of the parotid gland, smokers have 8x the risk

37
Q

What does the histology look like of a warthin tumor?

A

Dual layer of bland, neoplastic, eosinophilic epithelium

38
Q

What is the most common malignant salivary gland tumor?

A

Mucoepidermoid carcinoma

39
Q

What is a slow growing salivary gland tumor with predilection for neural invasion?

A

Adenoid cystic carcinoma