Final Flashcards

1
Q

Salivary gland malignancy by site

A

Sublingual gland 70-90%
Minor gland 50%
Submandibular gland 41-45%
Parotid gland 15-32%

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2
Q

Minor salivary gland malignancy by site

A

Retromolar trigone = 93%
Floor of mouth = 93%
Tongue = 80%

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3
Q

1 risk for Sjogren’s

A

40X increased risk of lymphoma

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4
Q

1 malignant salivary gland tumor

A

Mucoepidermoid carcinoma

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5
Q

1 salivary gland tumor

A

Pleomorphic adenoma

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6
Q

Most common location for SG tumors

A

Parotid 64-80%
Minor glands 9-23%
Submandibular gland 9-11%
Sublingual gland <1%

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7
Q

Episodic pain and swelling in Wharton’s duct

A

Sialolith

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8
Q

Foamy MP, lower lip swelling

A

Mucocele

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9
Q

Diagnostic criteria for Sjogren’s (4)

A

Ocular dryness (Schirmer test, Bengal staining)
Xerostomia (reduced saliva + focus score)
Serologic evidence of AI (RF, ANA, SS-A, SS-B)
Systemic AI

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10
Q

Craterlike ulceration of palate

A

Necrotizing sialometaplasia

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11
Q

1 benign tumor in children

A

Hemangioma-mesenchymal

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12
Q

Females
Parotid/palate
Myoepithelial cells
10-12% malignant transformation

A

Pleomorphic adenoma

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13
Q

Clear cells (pink cytoplasm means increased mitochondria)

A

Oncocytoma

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14
Q

Old man
Smoker
Parotid
Machine oil fluid

A

Warthin’s tumor

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15
Q

Old women

Upper lip mass

A

Canalicular adenoma

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16
Q

Painful mass parotid/palate/submandibular
Facial paralysis
Perineural invasion
Swiss cheese

A

Adenoid cystic carcinoma

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17
Q

Cancer of B lymphocytes

Form of NHL

A

Burkitt’s lymphoma

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18
Q

Virus for Burkitt’s lymphoma

A

EBV

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19
Q

Reed Sternberg cell

A

Hodgkins lymphoma

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20
Q

Virus for HL

A

EBV

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21
Q

1 intraoral lymphoma

A

Diffuse large BC NHL

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22
Q

Hemoglobin synthesis w/ point mutation in beta globin chain

A

Sickle Cell Anemia

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23
Q

Philadelphia chromosome

A

Chronic myeloid leukemia

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24
Q

Floating teeth (4 things)

A

Langerhans Cell Histiocytosis
Ewings Sarcoma
Lymphoma
Periodontitis

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25
Birbeck granules
Langerhans Cell Histiocytosis
26
Plasma cell malignancy
Multiple myeloma
27
Gender predilection for MM
Male
28
Multiple punched out RL
Multiple myeloma
29
#1 odontogenic cyst
Gingival cyst of the newborn
30
Rushton bodies
Radicular cysts
31
Neoplastic transformation (3 things)
Ameloblastoma SSC Mucoepidermoid carcinoma
32
Rests of Serres, dental lamina rests
OKC
33
Gorlin syndrome
Nevoid Basal Cell Carcinoma Syndrome
34
Gene of Gorlin syndrome
PTCH
35
Clear cells, glycogen rich
Lateral periodontal cyst
36
Variant of lateral periodontal cyst
Botryoid odontogenic cyst
37
Anterior maxilla, male, ghost cell keratin, unerupted tooth
Calcifying odontogenic cyst
38
Calcifying odontogenic cyst AKA ____
Gorlin cyst
39
Histologic variants of ameloblastoma
``` Follicular Plexiform Granular Desmoplastic Ameloplastic ```
40
Vickers-Gorlin criteria (4)
Palisaded columnar epithelial cells Hyperchromatic nuclei Reverse nuclear polarization Sub-nuclear cytoplasmic vacuolization
41
Anterior maxilla, young female, impacted canine
Adenomatoid odontogenic tumor
42
AOT histology | Clinical appearance
Snow flake calcifications | Apical extension beyond CEJ
43
Driven snow calcifications
Calcifying epithelial odontogenic tumor
44
CEOT AKA ____
Pindborg tumor
45
CEOT histology
Liesegang ring | Concentric calcifications
46
Odontogenic myxoma histology
``` Bland spindled to stellate stromal cells Loose myxoid strma Mucopolysaccharide ECM Scant collagen Odontogenic epithelial rests ```
47
RP calcified mass Attached to tooth root Radiolucent rim
Benign cementoblastoma
48
Histology of benign cementoblastoma
Peripheral radiation
49
Simple type WHO type Granular cell type
Central odontogenic fibroma
50
Circumscribed apical RL Non-expansile Mandibular anterior
Periapical COD
51
1st-2nd decade Male Posterior mandible 70% Painless slow growing
Ameloblastic fibroma
52
Contains mineralized dental matrix
Ameloblastic fibro-odontoma
53
Odontoma is a ____ malformation
Hamartomatous
54
Odontoma X-RAY
Mixed RP/RL
55
Freckles | Intestinal polyps
Puetz-Jeghers syndrome
56
+ Nikolsky sign | Auto-AB against epidermal cell glycoproteins, desmoglein 1/3
Pemphigus
57
Pemphigus histology
intraepithelial separation above basal cell layer
58
Pemphigus cells
Tzanck cells
59
Ocular lesions of MMP
``` Symblepharons Scarring Dryness Entropion Trichiasis ```
60
MMP oral lesion
Desquamative gingivitis
61
MMP histology
Split at underlying CT | Auto-AB IgG, C3
62
#1 autoimmune blistering disease
Bullous pemphigoid
63
Wickham's striae
Reticular lichen planus
64
Desquamative gingivitis (3)
MMP Erosive lichen planus Pemphigus vulgaris
65
LP histology
Saw-tooth rete ridges | Civatte bodies - degenerating keratinocytes
66
Aphthous ulcers associated disorders
``` Behcets Celiac Cyclic neutropenia IgA deficiency Immunocompromised IBS MAGIC PFAPA Sweet's ```
67
Aphthous ulcers histology
Central zone of ulceration Fibrinopurulent membrane Vascularity in CT Inflammatory cells
68
Preceded by HSC and mycoplasma pneumoniae infections
Erythema multiforme
69
Early lesion for EM
Targetoid hand lesion
70
#1 CT disorder in US
Lupus
71
Lupus DIF
IgM IgG C3 at BM
72
Strawberry gingivitis
Wegener's granulomatosis
73
DX of Wegener's granulomatosis
Anti-neutrophil cytoplasm antibodies ANCA | Leukocytoclastic vasculitis
74
Petechiae on hard palate NUG EBV
Mono
75
Variation of IBS
Pyostomatitis vegetans
76
2 syndromes of Sarcoidosis
Lofgrens | Heerfordts
77
#1 oral "tumor"
Fibroma
78
Cobblestone appearance
Giant cell fibroma
79
Bad denture associated w/ ___
Epulis fissuratum
80
Pregnancy gingivitis, 7th month
Pyogenic granuloma
81
Associated w/ primary hypoparathyroidism
Peripheral giant cell granuloma
82
Radiographic cupping of underlying ridge
PGCG
83
Found at mental foramen
Traumatic neuroma
84
Benign tumor of Schwan cells
Neurilemoma
85
Tongue and buccal mucosa | Nerve sheath neoplasm
Neurofibroma
86
Von Recklinghousen's disease
Neurofibromatosis Type I
87
Diagnostic criteria neurofibromatosis
``` Neurofibromas Café au lait Crowe's sign Lisch nodules Optic glioma ```
88
Marfonid body Neuroma in eye Upper eyelid everted
MEN
89
Pseudoepithelial hyperplasia
Granular cell tumor
90
Large round cells with granular eosinophilic cytoplasm
Congenital epulis
91
#1 tumor of infancy
Hemangioma
92
Anterior tongue causing macroglossia
Lymphangioma
93
Small round blue cell tumor
Rhabdomyosarcoma
94
AIDS, HHV8
Kaposi's Sarcoma