EXAM 2!!!

Question 1

What are the 4 types of fibromas?

Answer 1

• Giant cell fibroma
• Peripheral odontogenic (ossifying) fibroma
• Inflammatory fibrous hyperplasia (Epulis fissuratum)
• Inflammatory papillary hyperplasia (Papillomatosis)

Question 2

What is known as the pregnancy tumor?

Answer 2

Pyogenic granuloma

Question 3

What is a gingival swelling draining a source of odontogenic infection of either pulpal or periodontal origin called?

Answer 3

Parulis “gum boil”

Question 4

What are developmental overgrowths of lymphatic vessels?

Answer 4

Lymphangiomas

Question 5

What is a vascular proliferation of brain and face, usually along the trigeminal nerve?

Answer 5

Sturge-Weber Angiomatosis

Question 6

What is the most common tumor of infancy?

Answer 6

Hemangioma

Question 7

What is a localized overgrowth of tissues native to that part, that is often developmental?

Answer 7

Hamartoma

Question 8

What is a new growth of tissue in which growth is not controlled by normal regulatory factors and does not regress after removal of stimulus?

Answer 8

Neoplasm

Question 9

What are the epithelial types of neoplasms?

Answer 9

• Human papilloma virus etiology (HPV)
• Keratoacanthoma (KA)

Question 10

What are the 3 types of HPV?

Answer 10

1. Papilloma
2. Verruca vulgaris
3. Condyloma acuminatum

Question 11

What epithelial neoplasm has clinical and histological freatures that resemble squamous cell carcinoma (skin cancer)?

Answer 11

KA - Keratoacanthoma

Question 12

What are the different types of mesenchymal neoplasms?

Answer 12

• Connective tissues
• Muscle
• Nerve

Question 13

What are the neoplams of the nerve?

Answer 13

• Fibroma
• Lipoma
• Verruciform xanthoma

Question 14

What is a benign neoplasm of smooth muscle called?

Answer 14

Leiomyoma

Question 15

What is a benign neoplasm of skeletal muscle called?

Answer 15

Rhabdomyoma

Question 16

What benign neoplasm has 1/2 of them that cuases overlying epithelium to react in a pattern that simulates carcinoma called Pseudoepitheliomatous Hyperplasia (PEH)?

Answer 16

Granular cell tumor

Question 17

What benign neoplasm is usually located on the anterior ridge and more common in females?

Answer 17

Congenital epulis of the newborn

Question 18

What can cause cafe-au-lait spots?

Answer 18

Neurofibromas & McCune Albright Syndrome

Question 19

What odontogenic cyst arises from degeneration of the enamel organ?

Answer 19

Primordial Cyst

Question 20

What odontogenic cyst arises from separation of the follicle?

Answer 20

Dentigerous cyst - “follicular”

Question 21

What is the most common ondontogenic cyst?

Answer 21

Apical periodontal cyst

Question 22

What cyst come from cystic degeneration of “rests of malassez” in the pdl?

Answer 22

Lateral Periodontal cysts

Question 23

What are Odontogenic Keratocysts known for?

Answer 23

1. Clinical aggressiveness
2. Recurrence after removal (1/3)
3. With Basal Cell Nevus-Bifid Rib Syndrome
   
   1. “OK = Rib syndrome”

Question 24

Of the odontogenic cysts, which ones are actually inflammatory while the others are all developmental?

Answer 24

Radicular cysts & Buccal bifurcation cysts

Question 25

What's the difference between newborn and adult gingival cysts?

Answer 25

Newborn - dental lamina, common, will self-marsupialize Adult - attached gingiva, from "rests or glands of serres",

Question 26

What ondontogenic cysts have "ghost cells" in their histology?

Answer 26

Calcifying Ondontogenic Cysts

Question 27

What odontogenic cysts have unilocular and multilocular radiolucencies?

Answer 27

Glandular Odontogenic Cysts

Question 28

What type of cyst has inflammatory cyst on the buccal of erupting teeth in kids?

Answer 28

Buccal bifurcation cysts/ paradental

Question 29

What are the different types of melanomas, making up what % of cutaneous melanomas?

Answer 29

* Superficial Spreading - 70% * Nodular - 15% * Lentigo Maligna - 5-10% * Oral * Acral Lentiginous

Question 30

What melanoma has the longest radial growth phase?

Answer 30

Lentigo Maligna

Question 31

What melanoma has a small subset, that affects palms of hands and soles of feet and mucous membranes?

Answer 31

Acral Lentiginous

Question 32

What is the overall survival rate for melanomas and oral melanomas?

Answer 32

* Melanomas - 79% - 10 years * Oral melanomas - \<20% - 5 years

Question 33

What produces the most multifocal pigmentation?

Answer 33

Physiological causes

Question 34

What are the cytology grades?

Answer 34

"NABS-P" 1. Normal 2. Atypical 3. Borderline 4. Suggestine 5. Positive 1. Biopsy all after atypical

Question 35

With immunofluoresence what technique detects antibodies in the blood, and in the tissue?

Answer 35

* Tissue - Direct (DIF) * Blood - Indirect (IIF)

Question 36

What is a dry socket called?

Answer 36

Localized acute alveolar osteomyelitis

Question 37

What does a shredded keratinized tissue on the occlusal plane indicate?

Answer 37

Morsicatio Buccarum - cheek chewing

Question 38

What is the most commong allergen seen in practice?

Answer 38

Cinnamon

Question 39

What is a reactive lesion of the PDL?

Answer 39

Peripheral ondotogenic fibroma

Question 40

What is a pigmented lesion that is from reactive proliferation of intraepithelial dendritic melanocytes?

Answer 40

Melanoacanthoma - more common in blacks

Question 41

What is a localized overproduction of melanin, not an increase in number of cells?

Answer 41

Ephelis (freckle)

Question 42

What are "age or liver spots" known as?

Answer 42

Actinic or Senile lentigo

Question 43

What is a tan to brown, flat macule, like a big ephelis but not sun related?

Answer 43

Melanotic macule

Question 44

What is the 3rd most common skin cancer and the most deadly?

Answer 44

Malignant Melanoma

Question 45

What are the clinical features to detemine a malignant melanoma?

Answer 45

* Asymmetry * Borders * Color * Diameter - \>6mm