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Dermatology > Sec 12 Disorders of the Oral and Genital Integument > Flashcards

Sec 12 Disorders of the Oral and Genital Integument Flashcards

1
Q

Most common site of Benign Alveolar Ridge Keratosis

A

Retromolar pad

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2
Q

Patterns of fissured tongue

A
  1. Central fissure alone or with smaller radiating fissures

2. Short fissures distributed evenly throughout the tongue

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3
Q

Presents with atrophic area on the dorsal tongue with loss of filiform papillae and slightly depressed erythematous area usually sensitive or painful

A

Geographic Tongue (Benign Migratory Glossitis)

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4
Q

Triad of fissured tongue, facial palsy, and cheilitis granulomatosa

A

Melkersson-Rosenthal syndrome

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5
Q

Most comfortable vehicle for delivering medication to the mucosa of vulva

A

Ointment

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6
Q

Manifests as bright red, shiny patches or plaques of the mucosal sites, glans and prepuce of the uncircumcised

A

Erythroplasia of Queyrat

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7
Q

May present as multiple warty red, smooth topped papules on the penile shaft

A

Bowenoid papulosis

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8
Q

Nonretractable foreskin

A

Phimosis

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9
Q

Most common disease presenting as desquamative gingivitis

A

Lichen planus

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10
Q

PFAPA Syndrome

A

Periodic Fever, Adenopathy, Pharyngitis, Aphthae Syndrome

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11
Q

Most common cause of pruritus vulvae

A

Candidiasis

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12
Q

Two histologically defined frictional keratosis

A
  1. Morsicatio Mucosae Oris

2. Benign Alveolar Ridge Keratosis

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13
Q

Painless, yellow brown or red, verrucous, sessile or papillary plaque on the genitalia

A

Verruciform xanthoma

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14
Q

Lilac papules or plaques with white lacy scale on the penis

A

Penile Lichen Planus

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15
Q

T or F: Vulvar psoriasis only affects keratinized skin

A

True

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16
Q

% of leukoplakia associated with carcinoma or dysplasia at time of diagnosis

A

20-50%

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17
Q

Constrictive lichenoid posthitis with a preputial band causing “hourglass” waist of the penile shaft

A

Genital Lichen Sclerosus

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18
Q

Causes of genital drug eruption

A 
Papaverine
Heparin
Warfarin
All-trans retinoic acid
Foscarnet
Nicorandil
Lisinopril
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19
Q

Asymptomatic well-demarcated, glistening, moist, shiny, bright red, or autumn brown patches symmetrically involving the glans and inner prepuce sparing the keratinized penile shaft or foreskin

A

Zoon Balanitis

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20
Q

Rare autosominal dominant condition presenting with poorly demarcated diffuse, painless white plaques on buccal mucosa and tongue

A

White sponge nevus

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21
Q

May present with hemorrhagic crusting of lips in addition to intraoral erosions and ulcers associated with lymphoid malignancy

A

Paraneoplastic Pemphigus

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22
Q

Benign symmetric exostoses present in the midline of the hard palate or bilaterally in lingual aspect of mandible

A

Palatal tori

Mandibular tori

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23
Q

MAGIC Syndrome

A

Mouth And Genital ulcers with Inflamed Cartilage Syndrome

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24
Q

Causes tongue pigmentation with accentuation of the papillae in punctate configuration common in dark-skinned individuals

A

Pegylated interferon with Ribavirin

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25
Q

Fissured weepy lesions at the corners of the mouth often associated with Staphylococcal aureus

A

Angular cheilitis

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26
Q

Most common site for oral nevomelanocytic nevi

A

Palate (40%)

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27
Q

Sebaceous glands that present as painless papules located in bilateral symmetric on posterior buccal mucosa and vermilion of lips

A

Fordyce granules

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28
Q

Diffusely white with red punctate areas representing opening of salivary ducts from pipe smoking and reverse smoke

A

Nicotinic Stomatitis

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29
Q

Most common pathogen in denture-associated Candidiasis

A

Candida albicans

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30
Q

Hypopigmentation of the vulva with shiny or crinkled texture and purpura

A

Lichen sclerosus

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31
Q

Red scaly patches and plaques of the keratinized penis

A

Bowen Disease of the penis

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32
Q

Most common location for rhinocerebral zygomycosis

A

Palate

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33
Q

Most common site for oral pigmentation cause by Minocycline and Antimalarials with slate-gray to blue diffuse macular discoloration

A

Palatal mucosa

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34
Q

Sudden onset of oral melanotic macules should raise possibility of

A

Addison disease

35
Q

Treatment of choice for oral melanoma

A

Excision with clear margins

36
Q

First indication that a patient is infected with HIV

A

Hairy Leukoplakia

37
Q

Common benign idiopathic disorder presenting as rock-hard smooth white papules or nodules on scrotum

A

Scrotal calcinosis

38
Q

Most common sites for oral findings in Discoid lupus erythematosus

A

Buccal mucosa

Palate

39
Q

Most worrisome complication of Lichen sclerosus

A

Squamous cell carcinoma of penis

40
Q

White papules and plaques on either side of the linear alba on buccal mucosa, lower labial mucosa or lateral tongue caused by chewing habit

A

Morsicatio Mucosae Oris

41
Q

T or F: Fissured tongue is a permanent condition

A

True

42
Q

Rhomboidal area in the posterior midline of tongue, anterior to circumvallate papillae which may be slightly depressed and erythematous, or raised

A

Median rhomboid glossitis

43
Q

Painless sloughs of desquamated tissue that lie in thin ribbons on mucosa that can be removed without pain or discomfort caused by mouthwash and caustic toothpaste

A

Contact Desquamation

44
Q

Penile thrombophlebitis has been seen as the initial presentation of

A

Paraneoplastic migratory thrombophlebitis

45
Q

Common condition of the tongue presenting with matted or coated appearance with history of illness and antibiotic use may have a foul or stale breath

A

Black hairy tongue

46
Q

Flesh-colored, smooth, rounded rows of papules on the coronal margin of glans common in uncircumcised males

A

Pearly penile papules

47
Q

Presents as asymptomatic diffuse patchy brown to black macular pigmentation of the oral mucosa and attached gingiva

A

Physiologic pigmentation

48
Q

Annular raised double-rimmed lesions in the intergluteal cleft, on scrotum, penis and glans

A

Genital Porokeratosis of Mibelli

49
Q

Poorly demarcated painless white papules and plaques with rough surface on keratinized mucosa of gingiva and hard palate as reaction to frictional trauma

A

Benign Alveolar Ridge Keratosis

50
Q

Type of Lichen Planus with symmetric distribution on the buccal mucosa and tongue, usually not painful

A

Keratotic or Reticular form of Lichen Planus

51
Q

Painless white plaque on the lateral border of tongue in immunocompromised patients (HIV/AIDS)

A

Hairy Leukoplakia

52
Q

Most common sites for oral Squamous Cell Carcinoma

A

Ventral tongue
Gingiva
Floor of the mouth

53
Q

Rare, low grade squamous carcinomas

A

Verrucous carcinoma
Warty carcinoma
Buscke-Lowenstein tumor
Giant condyloma

54
Q

Most common cause of chronic vulvar dermatosis

A

Lichen sclerosus

55
Q

Upper lip nodules

A
  1. Benign salivary gland neoplasm
  2. Malignant salivary gland neoplasm
  3. Benign nerve sheath tumor
  4. Benign vascular tumor
  5. Nasolabial cyst
56
Q

Curdy yellowish-white papules or plaques which may or may not scrape off often on dorsum of tongue or palate

A

Thrush or Pseudomembranous candidiasis

57
Q

White plaque pf questionable risk having excluded other known diseases that carry no risk for cancer

A

Leukoplakia

58
Q

Risk factors for oral Squamous cell carcinoma

A 
Smoking
Excessive alcohol
Chewing areca nut
Past history of cancer/immunosuppression
Family history of cancer
Exposure to high risk types of HPV
Age
Sunlight (lip SCC)
59
Q

Characterized by an acute eruption of itchy, painful, swollen plaques with central blister formation, erosion and ulceration with persistent post-inflammatory hyperpigmentation

A

Fixed Drug Eruption

60
Q

Grayish white opalescent wrinkled area with fissures on the madibular sulcus or vestible from smokeless tobacco and carcinogens

A

Smokeless Tobacco Keratosis

61
Q

Sore or painful annular erythematous eruption with central glassy appearance and serpiginous border surrounded by scaling in Glucagonoma syndrome

A

Necrolytic migratory erythema

62
Q

Atrophy of the lips caused by sun damage without evidence of dysplasia

A

Actinic cheilitis

63
Q

Tongue presenting as smooth, bald with atophic papillae associated with burning sensation and sensitivity when eating acidic, salty or crunchy foods

A

Atrophic glossitis

64
Q

Bilateral painless fine grayish white, opalescent reticulations diffuse on the buccal mucosa or ventral tongue

A

Leukoedema

65
Q

% of erythroplakia associated with carcinoma or dysplasia at time of diagnosis

A

90%

66
Q

Two most common pigments of exogenous origin intraorally

A

Amalgam

Graphite from pencil lead

67
Q

Blue to purple, smooth papules on the scrotum, penile shaft, or glans which may bleed after trauma

A

Angiokeratoma

68
Q

Linear keratosis on the buccal mucosa bilaterally and a form of frictional keratosis

A

Linear alba

69
Q

Most common sites for oral melanotic macule

A

Lower lip vermilion
Gingiva
Hard palate

70
Q

Most common presentation for mucous membrane pemphigoid

A

Desquamative gingivitis

71
Q

Poor prognosis for Penile Squamous cell carcinoma

A

Perineural invasion
Vascular invasion
High histological grade (sarcomatoid cancer)

72
Q

White papules and plaques with minimal erythema associated with mucocutaneous disease or Hairy Leukoplakia

A

Hyperplastic candidiasis

73
Q

Presents as an irritating, itchy, burning red scaly patch or plaque which can be found anywhere on the anogenital area

A

Extramammary Paget Disease

74
Q

Clinical forms of oral Lichen Planus

A
  1. Keratotic/reticular
  2. Erythematous/erosive
  3. Ulcerative
75
Q

Lower lip nodules

A

Bite fibroma
Irritation fibroma
Mucoceles

76
Q

T or F: Genitalia may be the only site involved in Vitiligo

A

True

77
Q

Most common type of oral nevomelanocytic nevi

A

Intramucosal nevus (66%)

78
Q

Agents associated with ulcerative mucositis (ulcers on nonkeratinized sites - buccal mucosa and ventral tongue - extremely painful and several centimeters in size)

A

Cytarabine

Cisplatin

79
Q

Painful usually bilateral maceration of the corners of the mouth with ulceration, crusting, cracking and severe cases fissuring

A

Angular cheilitis

80
Q

Foreskin fixed in retraction

A

Paraphimosis

81
Q

Most common dermatosis of the male anogenitalia

A

Psoriasis

82
Q

Immune-mediated and interface stomatitis characterized by T-cell destruction of basal cells of epithelium mediated by TH1 cytokines

A

Oral Lichen Planus

83
Q

Most effective treatment for mucous membrane pemphigoid presenting as desquamative gingivitis

A

Topical steroid gel

Dermatology (26 decks)

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