Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GI > Oral Health and Disease > Flashcards

Oral Health and Disease Flashcards

1
Q

What is geographic tongue?

A

Erythaema migrans
Common autosomal dominant disorder
Migratory areas of depapillation on the dorsum of the tongue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the symptoms of geographic tongue?

A

Generally asymptomatic

May be painful on eating spicy foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is lichen planus?

A

Mucocutaneous disorder with likely immunological aetiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How might lichen planus present?

A

Pruritic skin rash on wrists and shins

Areas of white striae and ulceration affecting tongue and buccal mucosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the likely cause of a smooth, sore, red tongue with soreness and cracking at the corners of the mouth in a patient being investigated for a RIF mass?

A

Iron deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the likely cause of an inflamed palate with white speck and a smooth red tongue in an asthmatic?

A

Thrush (oral candidiasis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most likely cause of a right sided pain preceding a vesicular rash on the right side of the check and right side of the palate in an HIV positive patient?

A

Shingles (Herpes Zoster Virus) affecting the trigeminal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the most likely cause of a two year history of up to five painful oral ulcers at one to two month intervals in an otherwise well schoolgirl?

A

Recurrent oral ulceration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Behcet’s Disease?

A

A recurrent multi-system disorder associated with immunologically mediated vasculitis
Characterised by recurrent urogenital ulceration, ocular disease alongside cutaneous, joint, neurological and vascular involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Erythema multiforme?

A

Immunologically mediated mucocutaneous disease
Characterised by numerous target or iris lesions with a central blister affecting the hands and feet
May have painful oral erosions and crusted lips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What can trigger Erythema multiforme?

A 
Herpes simplex virus
HIV
Hep B 
Mycoplasma pneumoniae 
Drugs
Malignancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the most likely cause of a small papule on the upper lip which rapidly break down into a large painless indurate ulcer in a businessman returned from an extended period of overseas travel?

A

Syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can ulceration in the mouth be a sign of?

A

Recurrent aphthous stomatitis (RAS)
Tumour
Trauma
Infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What might slump in the mouth be a sign of?

A

Hyperplasia
Tumour
Infection
Dental Abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What might a white patch in the mouth be a sign of?

A

Vascular
Immune
Dysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What might other pigmented lesions in the mouth be a sign of?

A

Amalgam tattoo
Drugs
Melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why might dry mouth occur?

A

Lack of saliva = dehydration

Salivary gland disease = Sjogrens syndrome, radiotherapy

Diabetes

Diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How might oral disease present in iron deficiency?

A 
Recurrent oral ulceration 
Oral dysaethesia 
Oral candida 
Angular cheilitis 
Smooth tongue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Why might iron deficiency occur?

A

Reflection of systemic low tissue iron stores
GI bleeding
Excess menstrual loss
Poor diet
Malabsorption
Malignancy - Intestinal polyps, colorectal carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which haematological disorders may have oral manifestations?

A 
Anaemia 
Haematinic deficiencies (Vit B12, Folate, Iron)
21
Q

How might bleeding disorders (e.g. leukaemia) present orally?

A

Spontaneous oral mucosal bleeding (usually around teeth and gums)

22
Q

What systemic disease might cause RAS to present orally?

A

Anaemia

Haematinic Deficiency

23
Q

What is orofacial granulomatosis?

A

Swelling of lips, cheeks

Angular cheilitis

24
Q

What might cause orofacial granulomatosis?

A

Allergy (food additives and preservatives)
Crohn’s Disease
Sarcoidosis

25
Q

How might Crohn’s Disease present orally?

A 
Obstruction of lymphatics gives orofacial granulomatosis
Mucosal oedema gives "cobblestoning" 
Perforation 
Oral ulceration 
Mucosal tags
26
Q

How can Crohn’s disease result in oral manifestations?

A

Directly

Deficiency

27
Q

How might GORD present orally?

A

Dental enamel erosion

Mucosal irritation and fibrosis

28
Q

How might peptic ulcer disease present orally?

A

No direct effects

Indirect effects secondary to iron deficiency, vomiting (pyloric stenosis)

29
Q

How might Coeliac Disease present orally?

A

Secondary to malabsorption, giving recurrent oral ulceration
Adult onset gives new cases of RAS
Gluten free diet is curative

30
Q

How might Ulcerative Colitis present orally?

A

RAS
Oral effects of drug therapy
Oral lesions resolve with colectomy

31
Q

How might Type II Diabetes present orally?

A

Thrush - acute pseudomembranous candidosis

more prone to infection

32
Q

What are some dermatological conditions which can also present orally?

A

Lichen planus/lichenoid reactions
Pemphigus
Pemphigoid
Erythema Multiforme

33
Q

What is lichen planus?

A

A condition affecting oral mucosa, skin, scalp, nails, genitals and oesophagus
Most patients have both skin and oral involvement

34
Q

What is mucous membrane pemphigoid?

A

A condition affecting oral mucosa, conjuctiva, genital mucosa, nasal mucosa and skin

35
Q

How does mucous membrane pemphigoid cause eyesight deterioration?

A

Blisters abd vesicles breakdown to form ulcers

Thes heal with scarring, which can lead to loss of sight if found at conjugtiva

36
Q

Which rheumatological conditions can present orally, and how?

A

Primary - e.g. Sjogren’s Syndrome
Secondary - e.g. accompanying connective tissue disorder like rheumatoid arthritis

Dry mouth and/or dry eyes

37
Q

What are some of the oral manifestations of HIV?

A 
Candida
Oral ulceration 
Kaposi's sarcoma 
Herpes lesions
"Hairy" leukoplakia 
Warts 
Servere gingivitis 
Bone loss
38
Q

What are some of the facial presentations of HIV?

A

Kaposi’s sarcoma
Cervical lymphadenopathy
Angular chelitis
Herpes zoster

39
Q

What can cause oral cancer?

A 
Tobacco and/or Alcohol 
Diet and nutrition 
HPV 
UVL 
Candida 
(Syphilis/Dental factors)
40
Q

What kinds of tobacco can lead to oral cancer?

A 
Reverse smoking 
Bidi smoking 
Tobacco chewing 
Skoal Bandits 
Water pipe
41
Q

What dietary factors are a risk for oral cancer?

A

Low vitamin A
Low vitamin C
Low iron

42
Q

Which types of HPV have links to oral cancer?

A

16 and 18

43
Q

How does the prognosis of HPV associated oropharyngeal cancer compare to that of non HPV associated?

A

Prognosis is better in HPV associated

44
Q

Where are high risk sites for oral cancer?

A

Soft (on keratinising sites) =
Ventral tongue
Floor of mouth
Lateral tongue

Rarer in UK =
Dorsal tongue
Hard palate

Asia =
Buccal mucosa

45
Q

What are some potentially malignant oral lesions?

A 
Erythroplakia 
Erythroleukoplakia 
Leukoplakia 
Erosive lichen Plans 
Submucous fibrosis 
Dyskeratosis congenita
46
Q

What ar the warning signs for oral cancer?

A 
Red/white/red and white lesion 
Ulcer 
Numb feeling 
Unexplained pain in mouth or neck 
Change in voice 
Dysphagia
47
Q

What are other orofacial manifestations of cancer?

A 
Numb lip or face 
Drooping eyelid or facial palsy 
Fracture of mandible 
Double vision 
Blocked or bleeding from nose 
facial swelling
48
Q

What four questions should be asked to patients with a suspicious oral lesion?

A

How long has it been there?
Is it painful?
Does the patient smoke or drink?
What colour is it?

GI (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions