Developmental Defects TEST #1 Flashcards

1
Q

What forms the upper lip?

A

-Medial nasal processes merging with each other as well as the maxillary processes

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2
Q

What forms the primary palate?

A

-Merger of the medial nasal process

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3
Q

What forms the secondary palate?

A

-Maxillary processes

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4
Q

What is cleft lip?

A

-Defective fusion of the medial nasal process with the maxillary processes

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5
Q

T/F Most cases of cleft lift are bilateral

A

False

-Most are unilateral

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6
Q

What is the treatment of cleft LIP?

A

-Rule of 10s (10 weeks, 10 lbs, 10% HM)

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7
Q

What causes cleft palate?

A

-Failure of the palatal shelves to fuse

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8
Q

When thinking of CL and CP what is the most common and least common in developmental cases?

A
  • CL and CP are most common
  • CP (30%)
  • CL (25%)
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9
Q

What is the most common CL and CP in syndromic cases?

A

-Cleft Palate Only

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10
Q

What is the most common syndromic orofacial cleft ?

A

-Vander Woude Syndrome

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11
Q

What do you see with Pierre Robin sequence?

A
  • CP
  • Mandibular micrognathia
  • Glossoptosis
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12
Q

What causes a lateral facial cleft?

A

-Failure of fusion of maxillary and mandibular processes

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13
Q

In what ethnicity are you most likely to see orofacial clefting?

A
  • Native Americans
  • Asians
  • Caucasians
  • African Americans
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14
Q

What is a submucous palatal cleft?

A

-Minimal appearance of a cleft palate

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15
Q

What is a minimal manifestation of cleft palate?

A

-Bifid uvula

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16
Q

What syndrome are paramedian pits associated with?

A

-Van der Woude syndrome

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17
Q

What do you find in van der woude syndrome?

A
  • Paramedian lip pits
  • Cl + CP
  • Autosomal Dominant
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18
Q

What is involved in Ascher syndrome?

A
  • Double lip
  • Blepharochalasis
  • Nontoxic thyroid enlargement
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19
Q

What syndrome has paramedian lip pits, CL + CP, and Autosomal dominant?

A

-Van der woude syndrome

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20
Q

What syndrome presents with Double lip, blepharochalasis, nontoxic thyroid enlargement?

A

-Ascher syndrome

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21
Q

Where does double lip occur more commonly?

A

-upper lip

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22
Q

What is a fordyce granules?

A

-Ectopic sebaceous glands

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23
Q

Where is the most common location of fordyce granules?

A

-Buccal mucosa

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24
Q

What population of of people to fordyce granules occur most commonly in?

A

-Adults

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25
What do fordyce granules clinically appear as?
--Yellow or yellow-white papular lesions
26
What are ectopic sebaceous glands known as?
-Fordyce granules
27
What population do you see leukoedema mostly in?
-African Americans
28
What does a leukoedema clinically appear as?
-Diffuse, gray-white, milky, opalescent lesion found bilaterally on buccal mucosa
29
What is the test to see if it is leukoedema?
-Stretch the cheek and if it disappears then it is leukoedema
30
What is small tongue known as?
-Microglossia
31
What is it known as if the tongue is missing?
-Aglossia
32
T/F Microglossia is usually syndromic
True
33
What are the most frequent reasons of having macroglossia?
- Vascular malformations - Muscular hypertrophy - Tumors
34
Who does macroglossia most commonly occur in?
-Children
35
What syndrome is macroglossia associated with?
-Beckwith-Wiedmann syndrome (Increased risk for childhood tumors)
36
What is the treatment for ankylogossia?
-Frenotomy
37
How do you diagnose lingual thryoid?
-Technetium -99
38
Where do you find a lingual thyroid?
-Foramen cecum on the tongue
39
What are other terms for geographic tongue?
- Benign migratory glossitis | - Erythema migrans (when not on the tongue)
40
T/F Geographic tongue is a common inflammatory condition
True
41
Who does geographic tongue occur more commonly in?
-Females
42
What is the soft tissue version of a geographic tongue known as?
-Erythema migrans (doesn't appear as a complete circle)
43
T/F Geographic tongue is usually asymptomatic
True
44
What is thickened filiform papilla on the dorsal surface of the tongue known as?
-Hairy Tongue
45
If individuals have a white dorsal tongue without hairlike filiform projections what is that termed as?
-Coated tongue
46
How do you treat Hairy tongue?
- Tongue brushing | - Scraping with OHI
47
What are superficial dilated veins known as?
-Varicosities
48
What is the most common type of oral varicosity?
-Sublingual varix
49
T/F Varicosities are symptomatic
False | -Asymptomatic
50
What is a phlebolith?
-Calcified varicies
51
What is a superficial artery known as?
-Caliber persistent artery
52
Where do you commonly find caliber persistent artery?
-Lip mucosa
53
What is the unique feature of a caliber persistent artery?
-Pulsation
54
T/F Unilateral coronoid hyperplasia is more common
False | -Bilateral
55
How do you know what side is affected by coronoid hyperplasia?
- Mandible Moves toward the affected side
56
How do you know what side is affected by condylar hyperplasia?
-Mandible deviates towards the opposite side
57
What are localized bony protuberances known as?
-Exostoses
58
Where do you find palatal exostoses?
-Lateral surfaces of the palate
59
Where do you find torus palatinus?
-Midline of hard palate
60
Where do you find torus mandibularis?
-Bilaterally on the mandible on the lingual side
61
When do you treat tori?
- Trauma | - Dentures
62
What is a Stafne defect?
-Lingual mandibular salivary gland depression (Below the Mandibular canal (IAN))
63
What is eagles syndrome?
- Calcified stylohyoid ligament | - Styloid process is a slender bony projection that originates from the inferior aspect of the temporal bone