Week 5

Question 1

What are the 5 P’s in Lichen Planus

Answer 1

Puritic, Papule, Purple, Polygonal and Plaque (Phlat)

Question 2

Is Lichen Planus autoimmune?

Answer 2

NO, Immune mediated only (no antibodies/proteins attacked)

Question 3

What type of hypersensitivity is Lichen Planus?

Answer 3

Type 4

Question 4

6 types of Lichen Planus

Answer 4

BEER-UP. Bullous, Erythamatous, Erosive, Reticular, Ulcerative and Plaque.
Atrophic is aka erythematous

Question 5

Lichen Planus

-histologic->DIF finding

Answer 5

Presence of Fibrinogen at BMZ

Question 6

What type of Lichen Planus would you use a steroid for treatment?

Answer 6

Erosive/Bullous/Ulcerative (those with ulcerations)

Question 7

What % malignancy rate does Lichen Planus have?

Answer 7

None, only coincident.

Question 8

Two types of Lupus Erythematosus?

Answer 8

Systemic

Discoid

Question 9

Difference between SLE and DLE (2)

• SLE has _______
• DLE only affects _______

Answer 9

SLE has antibodies. DLE only affects oral and skin.

Question 10

Describing the Skin lesions of DLE (2)

Answer 10

1. Hypopigmented centers

2. Hyperpigmented Margins

Question 11

Describing the Oral lesions of DLE (2)

Answer 11

1. Ulcers

2. With Striae

Question 12

What antibody test is MOST suggestive of SLE?

Answer 12

(positive for) Anti Sm antibodies.

Question 13

Describing the Oral lesions of SLE (2)

Answer 13

1. Ulcers

2. With Striae

Question 14

Describing the Oral lesions of SLE

-Location(4)

Answer 14

1. Vermillion border
2. Buccal mucosa
3. Gingiva
4. Palate

Question 15

What is NOT included in the differential for Red lesions with SLE??

Answer 15

Leukoplakia

Question 16

SLE

-histologic->DIF findings (5)

Answer 16

1. IgG,2. IgM 3. IgA, 4. C3 5. Fibrinogen

Question 17

Unique treatment option for SLE and the common one.

Answer 17

Unique: AntiMalarials
Normal: Steroids

Question 18

What do you most need to determine for an infection of Candida?

Answer 18

WHAT IS THE ROOT CAUSE, because it is a commensal organism!

Question 19

Predisposing Factors (causing) candida (6)

Answer 19

1. *Systemic antibiotics
2. Steroids
3. Dentures
4. Dry Mouth
5. Diabetics
6. Immunosuppressed HIV

Question 20

Pseudomembranous Candidiasis

-3 People likely to get this type

Answer 20

1. Oldies
2. Youngens
3. Asthmatics (steroid Inhalers)

Question 21

Pseudomembranous Candidiasis

-Condition of underlying skin when attempted to wipe off

Answer 21

-The skin underneath is Red, ulcerated and/or eroded

Question 22

Median Rhomboid Glossitis

-Location(s)* 1–>2

Answer 22

Midline of tongue, THIS OFTEN SPREADS TO THE PALATE, this is called a Kissing LESION.

Question 23

Treatments for Candidiasis (3)

-One is specifically for the Angular Cheilitis

Answer 23

1. Nystatin, 2. Clotrimazole, ***Iodoquinol/Hydrocortisone for Angular Cheilitis

Question 24

Oral Submucous Fibrosis (OSF)

-affects epithelial layer or C.T.

Answer 24

BOTH muthertruckers!

Question 25

Oral Submucous Fibrosis

-Is this safe or premalignant?

Answer 25

Premalignant, NOT FREAKING SCLERODERMA

Question 26

Oral Submucous Fibrosis

-Clinical features (3)

Answer 26

1. Trismus, 2. Pain, 3. Pale Mucosa (a white hue)

Question 27

Oral Submucous Fibrosis

-Histopath (3)

Answer 27

1. Hyperkeratosis!
2. DENSE Collagen in C.T.
3. Chronic inflammation

Question 28

Oral Submucous Fibrosis

-Treatment (2)

Answer 28

1. Steroids (injected)

2. Surgical splitting of the of Fibrous Bands