Disease of the Oral Cavity

Question 1

Blood supply of the oral cavity from the External carotid artery what are the branches?

Answer 1

1. Facial artery
2. Inferior alveolar artery
3. Maxillary artery
4. Infraorbital artery
5. Posterior superior alveolar arteries

Question 2

most common along the bite line with a microscopically apperance of a fibrous tissue covered by squamous mucosa

Answer 2

Irritation Fibroma

Question 3

Aggregation of multinucleated foreign body-like giant cells, separated by fibroangiomatous stroma and it easily bleeds

Answer 3

Peripheral Giant Cell Granuloma (Giant Cell Epulis)

Question 4

Clinical term applied to swelling at the gum margin most of them are granulomas associated with chronic gingivitis

Answer 4

Epulis

Question 5

Inflammatory of the mouth

Answer 5

Stomatitis

Question 6

Inflammatory of the lips most common etiology is fungal

Answer 6

Cheilitis (Angular cheilitis)

Question 7

Inflammatory of the lips most common etiology is fungal

Answer 7

Chelitis (Angular chelitis)

Question 8

inflammation of the soft tissue around teeth typically resulting from inadequate oral hygiene

Answer 8

gingivitis

Question 9

inflammation of the tongue mroe commonly applied to the beefy red tongue ( vit b12 and iron deficiency)

Answer 9

Glossitis

Question 10

Valacyclovir- Valtrex

Answer 10

H. labialis ▪ 2g p.o. q12h for one day

H. zoster ▪ 1g p.o. q8h for 7 days

Question 11

Valacyclovir- Valtrex

Answer 11

H. labialis ▪ 2g p.o. q12h for one day

H. zoster ▪ 1g p.o. q8h for 7 days

Question 12

Famciclovir- Famvir

Answer 12

For H. zoster ▪ 500mg q8h for 7 days

For H. labialis ▪ 250mg p.o. q8h for 7 to 10 days

Question 13

Acyclovir- Zovirax

Answer 13

H. zoster - 800 mg p.o. q4h for 7 to 10 days

For Oral lesions:
H. simplex labialis - 150 mg buccal tab single dose

Question 14

Coxackie A virus causes

Answer 14

Herpangina

Question 15

Coxackie A virus causes

Answer 15

Herpangina

Question 16

as superficial grey- white inflammatory membrane comprising fungus in a fibrinosuppurative exudate

white exudate can be removed by scrapping (does not bleed)

Answer 16

Oral candidiasis (Thrush)

Question 17

Oral candidiasis treatment

Answer 17

• Mild, acute forms: topical Nystatin
• Mild, chronic: topical Nystatin + Clotrimazole troches

-Refractory or immunocompromised without systemic involvement: add oral fluconazole

-Severe forms (Systemic): IV Amphotericin B with or without Fluconazole

Question 18

Oral candidiasis treatment

Answer 18

• Mild, acute forms: topical Nystatin
• Mild, chronic: topical Nystatin + Clotrimazole troches

-Refractory or immunocompromised without systemic involvement: add oral fluconazole

-Severe forms (Systemic): IV Amphotericin B with or without Fluconazole

Question 19

Trench mouth, Acute ulcerative gingivitis caused by Borellia vincenti and Fusiform bacilli

Answer 19

VIncent’s Angina

Question 20

Trench mouth, Acute ulcerative gingivitis caused by Borellia vincenti and Fusiform bacilli

Answer 20

VIncent’s Angina

Question 21

Primary stage of syphilis

Answer 21

Lips, tongue, buccal mucosa and tonsil

Site of incubation is 3 weeks after the infection papule breaks down to form an ulcer (chancre)

Question 22

Oral chancre

Answer 22

painless ulcer with a smooth surface, raised borders and indurated margin

Question 23

Secondary stage of Syphilis

Answer 23

Most infectious. after 6-8 weeks and last 2-10 weeks with systemic symptoms

Question 24

Snail track ulcer

Answer 24

Oral cavity and oropharynx - Ulcerated lesion covered with grayish white membrane when scraped has pink base (no bleeding)

Question 25

Syphilis serology

Answer 25

1. Nontreponemal antibody test (VDRL, RPR) → for screeing and treatment follow up 2. Treponema specific antibody test (FTA-ABS test, TPHA) → for confirmation; usually remains positive for life

Question 26

Treatment for syphilis

Answer 26

Penicillin G 2.4 million units IM (intramuscularly) as a single dose (Drug of choice) Ceftriaxone, Erythromycin or Doxycycline (Cause dizziness)

Question 27

TB Oral most common site

Answer 27

Dorsum of the tongue (most common site) Lip, buccal mucosa and palate

Question 28

TB oral ulcer

Answer 28

multiple, painful, irregular, undermined border, granulating floor, usually covered by a gray-yellowish exudate, inflamed and indurated surrounding tissue

Question 29

swallowed sputum or direct spread from adjacent lymph nodes; stricture, fistula, mucosal irregularities

Answer 29

TB esophagitis

Question 30

Aphtous ulcer (canker sore) clinical apperance

Answer 30

▪ Appears as a well-delineated white lesion with an erythematous halo ▪ Prodrome of burning or tingling in area prior to ulcer’s appearance ▪ Resolve within 7-10 days ▪ Never scars

Question 31

Herpetiform

Answer 31

▪ Small, 1-3mm in diameter ulcerations appearing in crops of 20-200 ulcers ▪ Typically located on mobile oral mucosa, tongue and palate ▪ Lasts 1-2 weeks ▪ Called herpetiform due to ulcerations that resemble those of HSV, but there is no vesicular phase

Question 32

It is a Chronic, mucocutaneous, autoimmune disorder with a oral manifestation of white papules – coalescence, forming a network of lines (Wickham’s striae)

Answer 32

Lichen planus

Question 33

Most common symptoms in oral SCC

Answer 33

Sore in the mouth that does not heal Pain in the mouth that does not go away

Question 34

Microscopically hyperkeratosis and atypua and a whitish plaque that cannot be scraped off (5-20% malignant potential)

Answer 34

Leukoplakia

Question 35

Red patch or macule with soft, velvety texture it has much higher chance of harboring malignancy (60-90% untreated cases)

Answer 35

Erythroplakia

Question 36

Oral lesion seen in HIV or AIDS patient caused by EBV Infection often superimposed with Candida lesions seen as white patches or fluffy hyperkeratosis

Answer 36

Hairy leukoplakia

Question 37

A type of mucocele found in the floor of the mouth and present as swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct, Usually results from obstruction of the ducts of the salivary glands

Answer 37

Ranula

Question 38

Main excretory duct

Answer 38

Stensen's duct

Question 39

Submandibular duct

Answer 39

Warton's duct

Question 40

Submandibular duct

Answer 40

Warton's duct

Question 41

Parotid gland duct

Answer 41

Revenous duct

Question 42

Parotid gland duct

Answer 42

Revenous duct

Question 43

Tongue-tie (Ankyloglossia)

Answer 43

Congenital oral anomaly ,decreased mobility of the tongue tip due to unusually short, thick lingual frenulum and there may be a V shaped notch at the tip

Question 44

Tongue-tie (Ankyloglossia): Symptoms and effect

Answer 44

1. Can affect feeding 2. Speech 3. Oral hygiene 4. Mechanical and social effects