Comprehensive Exzm. Last Topic Flashcards

(67 cards)

1
Q

According to the americal cancer society, oral cancer claims almost as many lives as ____ cancer

A

Melanoma cancer

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2
Q

Symptoms of oral cancer

A

Ulcer - doesnt heal within more than 2 weeks
Pathces - red and white patches
Lumps - unusual lumps or swelling

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3
Q

Is an area of abnormal appearing skin or mucosa that does not resemble the soft tissue surrounding it

A

Soft tissue kesion

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4
Q

Is one in which the surface of the lesion is the same as the normal levels of the skin or oral mucosa

A

Flat lesion

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5
Q

A small flat, discolored spot on the skin or mucosa that does not include a change in skin texture or thickness

Less than 1cm in size

Brown, black, red, or lighter skin discoloration

Ex. Freckles, petechia, amalgam tattoo

A

Macule

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6
Q

A flat, discolored area on the skin or mucosa; larger than 1cm in size

Ex. Lichen planus, snuff diapers patch, port wine stain

A

Patch

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7
Q

One in which the surfaces of the lesion is raised above the normal level of the skin or oral mucosa

A

Elevated lesion

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8
Q

A solid raised lesion that is usually less than 1cm in diameter

A

Papule

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9
Q

A superficial raised lesion often formed by the coalescence of closely grouped papules; is more than 1cm in diameter

A

Plaque

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10
Q

A raised marble like lesion detectable by touch, usually 1cm or more in diameter; can be felt as a hard mass distinct from the tissue surrounding it

Ex. Wart, bcc, melanoma, enlarged lymph node

A

Nodule

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11
Q

A raised, somewhat irregular area of localized edema; are often itchy, lasting 24hrs or less; usually due to an allergic reaction, such as a drug or insect bite

Ex. Mosquito bite, hives

A

Wheals

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12
Q

An elevated lesion filled with clear fluid or pus

A

Fluid filled lesion

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13
Q

A small blister filled with a clear fluid; 1cm or less in diameter

Herpex simplex, herpes zoster, chickenpox, smallpox

A

Vesicle

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14
Q

Large blister filled with clear fluid, over 1cm in diameter

Blister, seen in burns

A

Bulla

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15
Q

A small raised lesion filled with pus

Ex. Acne, abscess

A

Pustule

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16
Q

In which the surface if the lesion is below the normal level of the skin or oral mucosa

Depth is from thew base to the top of the lesions margin

May be superficial or deep

A

Depressed lesion

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17
Q

A crater like lesion of the skin or mucosa where the top two layers of the skin are lost

Aphthous ulcer, chickenpox

A

Ulcer

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18
Q

Depth is superficial if it is less than _mm

A

3mm

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19
Q

Deep ulcer with a depth or more than _mm

A

3mm

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20
Q

A long, narrow break in the surface of the skin or mucosa

A

Linear crack

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21
Q

A linear crack in the top two layers of the skin or mucosa

Fissured tongue, angular cheilitis

A

Fissure

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22
Q

Document characteristics of lesion

A

A - anatomical location
B - border
C - color and configuration
D - diameter
E ot T - type / evolving

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23
Q

Instrument to use if lesion is on the skin

A

Plastic mm ruler

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24
Q

Instrument to use if lesion is in intraoral

A

Pdl probe

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25
Keys to effective examination technique
Consistent sequence Good palpation technique Careful documentation
26
Allows the clinician to gather general information on the health of a patient, note early indications of some disease, and detect abnormalities and potentially life threathening malignancies at an early stage
Ora lexamination
27
Seven subgroups in inspecting and palpating the oral cavity
Subgroup 1: lips and vermillion border Subgroup 2: oral cavity and the mucosal surface Subgroup 3: underlying structures of the lips and cheeks Subgroup 4: floor of the mouth Subgroup 5: salivary gland function Subgroup 6: the tongue Subgroup 7: palate, tonsils, and oropharynx
28
Subgroup 2 inspect what
Oral cavity Lanbial mucosa of the lower lip Labial mucosa of the upper lip Maxillary buccal mucosa Mandibular buccal mucosa
29
Keys to effective examination technique
Consistent sequence Good palpation technique Careful documentation
30
The technique of comperssing the tissue between the fingers and thumb on the same hand
Compression between the fingers of one hand
31
The technique for comperssing the tissues between the fingers of both hands in coordination to assess a structure
Compression between the fingers of both hand
32
This technique uses one or two fingers to move or depress a structure against the underlying tissues
Compression against an underlying structure
33
This palpation technique uses the fingertips to move or compress a structure against the underlying tissues
Compression against and over an underlying structure
34
35
Subgroup 1 inspects?
Lips and vermillion border
36
Subgroup 3 inspects?
Underlying structures of the lips and cheeks Lower lip, upper lip Right cheek, left cheek
37
Sbugroup 4 inspects?
Floor of the mouth Ant and post region of the mouth Floor of the mouth
38
Subgroup 5 inspect?
Salivary glnd function Submandibular, sublingual and parotid salivary ducts - examine
39
Subgroup6 inspects?
The tongue Ventral, dorsal, ateral border of the tongue - visual inspection Tongue - palpate
40
Subgroup 7 inspects?
Palate, tonils and oropharynx
41
Healthy and unhealthy color of gum tissue
Healthy - uniform pink color - pigmented Changes in disease - bright red, bluish purple, white or pale pink
42
Healthy and unhealthy size of gum tissue
Healthy - fits snugly around the tooth Unhealthy - enlarged
43
Healthy and unhealthy position of margin of gum gum tissue
Healthy. - near the CEJ: 1 - 2 mm coronal to CEJ Uhealhty - more than 2mm around coronal to CEJ - apical to CEJ
44
Healthy and unhealthy shape of gum tissuee
Healthy - normal , stippled Unhealthy - smooth, shiny, no stippling - firm and nodular (fibrotic)
45
Healthy and unhealthy shape of gum tissue
Healthy - marginal gingiva: meets the tooth in a tapered or slightly rounded edge - interdental papilae: flat, pointed papilla fills the enbreasure space between two adjacent teeth Unhealthy - marginal gingiva: meets the tooth in a rolled, thickened, or irregular edge - interdental papillae: papilla may be bulbous, blunted, cratered, or missing
46
Healthy and unhealthy consistency of gum tissue
Healthy - firm - resilient under pressure Unhealthy - soft, flaccid - spongy, puffy - leathery, not resilient
47
Healthy and unhealthy bleeding/exudate of gum tissue
Healthy - no bleeding, no exudate Unhealthy - bleeding on probing; heavy bleeding upon probing in acute gingivitis
48
A solution that can further reveal the presence and distribution of plaque and calculus
Disclosing solution
49
Excessive tooth mobility may be related to loss of periodontal attachment or trauma from occlusion
Mobility
50
The amount of vertical overlap is known as____
Overbite
51
The maxillary incisiors vertically overlap the mandibular incisors
Vertical overlap
52
The maxillary incisors are labial to the mandibular incisors
Horizontal distance
53
The horizontal distance between the incisal edged of the maxillary teeth and the mandibular teeth is known as the ___
Overjet
54
Molar relation of class 1 occluson
The buccal groove of the mandibular first molar is directly in line with the mesiobuccal cusp of maxillary first molar
55
Canine relation of class I occlusion
The maxillary permanent canines occludes with the distal half of the mandibular canine and the mesial half of the mandibular permanent premolar
56
The buccal grooves of the mandibular first molar is distal to the mesiobuccal cusp of maxillary first molar by at least the width of a premolar
Class II division 1: groove is posterior to normal position
57
The distal surface of the mandibular canine is distal to the mesial surface of the maxillary canine by at least the width of a premolar
Class II division 1: groove is posterior to normal position
58
In class II division 1, all four maxillary incisors ___
Protrude
59
In class II division 2, both maxillary lateral incisors __ White both central incisors __
Lateral - protrude Cenrtal - retrude
60
The bccal groove of the mandibular first molar is mesial to the mesiobuccal cusp of maxillary first molar by at leastthe width of a premolar
Molar relation of clas III
61
The distal surface of the mandibular canine is mesial to the mesial surface of the maxilla canine by at least a width of a premolar
Canine relationship of class III: groove is anterior to normal position
62
Findings discovered by the dentist during an examination
Signs
63
Findings verbally revealed by the patients themselves, usually because they are causing problems Said to be subjective
Symptoms
64
O
65
The only way that flat lesions can be detected is through?
Change in color from the surrounding skin or oral mucosa
66
Chang in color from the surrounding skin or oral mucosa
67