Exam 1-Physical & Chemical Injuries Flashcards Preview

ORAL PATHOLOGY! > Exam 1-Physical & Chemical Injuries > Flashcards

Flashcards in Exam 1-Physical & Chemical Injuries Deck (46):
1

TERM: physiologic response of mucosa to chronic physical injury.

Frictional Keratosis

2

Frictional keratosis: Produces ________ as protective phenomenon (white plaque)

hyperkeratosis

3

Is frictional keratosis reversible or non reversible?

reversible

4

What is the clinical term for cheek chewing?

Mor-SIC-atio Buccarum

5

What is shredded or macerated keratinized tissue limited to occlusal plane...."linea alba"....tongue chewing?

morsicatio buccarum/cheek chewing

6

What is the histology of morsicatio buccarum (cheek chewing)? (2)

hypcerkeratiosis + bacteria

7

DIRECT EXAM QUESTION GIVEN!!: An ulcer is the complete loss of epithelium. What is the most common cause?

TRAUMA

8

What is the loss of surface epithelium from physical injury?

a traumatic ulcer

9

traumatic ulcer: surface covered by fibrinous exudate (WHAT COLOR?)...which age range is most frequent?

TAN....kids

10

What are the two most common sites for a traumatic ulcer?

lateral tongue and the lower lip

11

What is a type of traumatic ulcer with injury to underlying muscle?

Traumatic Granuloma

12

Where is the most common site for a traumatic granuloma?

on the tongue especially the rolled boarders

13

What can a traumatic granuloma be confused with? What procedure should be done to verify?

carcinoma...biopsy

14

What are the two ways of treating a traumatic granuloma?

1.intralesional steroids 2.excision

15

TERM: slate bluish-grey discoloration from traumatic implantation of amalgam, subsurface discoloration

Amalgam Tattoo

16

What can an amalgam tattoo possibly be confused with?

melanoma...biopsy that shit

17

Amalgam Tattoo: WHICH METAL compounds stain collagen & blood vessel walls?

silver

18

TERM: extravascular bleeding into tissue, resolves

Hematoma

19

TERM: pinpoint bleeding from capillaries

PET-ECH-IAE

20

What are the two main reasons for PET-ECH-IAE?

1.Thrombocytopenia (leukemia) or 2.Local Cause (fellatio)

21

radiation therapy-What are the two types of acute outcomes?

acute dermatitis and stomatitis

22

radiation therapy-When does acute stomatitis typically manifest? How long after therapy does is persist?

about the 2nd week of therapy...subsides in about 2-3 weeks after cessation of the therapy

23

radiation therapy-What are the two CHRONIC conditions that can arise?

xerostomia and osteroradionecrosis

24

radiation therapy-chronic xerostomia-which salivary glands are more sensitive?

serous

25

radiation therapy-chronic xerostomia- how long does decreased salivary flow last?

permanent :(

26

radiation therapy-chronic xerostomia-What are two main consequences from dryness of the oral cavity?

candidiasis and cervical caries

27

radiation therapy-chronic xerostomia- how do you treat someone with this condition lest they get cervical caries?

DAILY topical fluoride Tx

28

radiation therapy-osteoradionecrosis-radiation damages _______ and microvasculature rendering bone _______

osteocytes... hypoxic

29

What is the treatment for osteoradionecrosis?

excision/resection

30

A burn usually produces necrosis of epithelium (WHAT COLOR) which may or may NOT rub off

white

31

Aspirin, phenol, silver nitrate, ↑ acid/base are examples that can cause WHAT

a chemical burn

32

Which drug for epilepsy/seizure control can cause gingival hyperplasia? WHAT % of patients on this drug experience gingival hyperplasia?

Phonytoin (Dilantin)...50%

33

Which drug for immunosuppression after an organ transplantation can cause gingival hyperplasia?

CycloSporin

34

What is the MOST likely Calcium Channel Blocker that can cause gingival hyperplasia?

NiFEDiPine

35

Drug induced gingival hyperplasia severity mostly related to adequacy of WHAT?

oral hygiene

36

Which anticonvulsant/barbituate drug can cause gingival hyperplasia?

Primidone

37

Gingival hyperplasia can cause what kind of perio pocket?

pseudopockets

38

What area of the mouth will be affected by heavy metal ingestion?

the marginal gingiva

39

Which type of hypersensitivity? Anaphylaxis & IgE

Type I

40

Which type of hypersensitivity? cell mediated, cytokines, white/red & white

Type IV

41

Which antibody is associated with Type I hypersensitivity?

IgEEEEEEEEEE

42

Anaphylaxis - IgE-_______ mediated erythema

HISTAMINE

43

The lady with swollen lips in his ppt was experiencing ________

angioedema

44

What is the clinical term for a systemic allergic reaction manifested in the mouth generalized, urticaria?

stomatitis medica-mentosa

45

What is the clinical term for a topical allergic reaction in the mouth?

stomatitis vene-nata

46

Hmmmm what kind of allergy??? often flavored, tartar control toothpaste....Lesions are commonly red, white or combination, there is an increase in desquamative gingivitis
cheek + buccal mucosa on SAME SIDE suggests hypersensitivity

Cinnamic Aldehyde Allergy