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Final Exam Flashcards

1
Q

Papillon LeFevre inheritance pattern

A

autosomal recessive

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2
Q

Papillon LeFevre affects which dentition

A

permanent and deciduous

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3
Q

Papillon Lefevre loss of dentition?

A

yes, without treatment this is inevitable

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4
Q

Papillon reversible?

A

yes, with aggressive treatment

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5
Q

treatment for gingival fibromatosis

A

gingivectomy, selective extractions, OHI

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6
Q

isolated or generalized collagenous overgrowth of gingiva

A

gingival fibromatosis

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7
Q

describe gingival in gingival fibromatosis (texture, color)

A

firm, normal color

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8
Q

drug induced gingival hyperplasia can be treated by

A

removing offending medication
improving plaque control
surgical therapy

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9
Q

gingival hyperplasia drugs

A

Nifedipine (procardia) and other Ca++ channel blockers
Dilantin (phenytoin)
Cyclosporine

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10
Q

severity of gingival hyperplasia affected by

A

host susceptibility and level of OHI

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11
Q

Desquamative gingivitis biopsy?

A

yes, incisional biopsy is indicated to confirm

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12
Q

“sloughing of the gingival epithelium”

A

desquamative gingivitis

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13
Q

desqu. gingivitis is associated with

A

immune mediated vesiculobullous diseases

  • lichen planus
  • pemphigoid
  • pemphigus
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14
Q

desqu. gingivitis a diagnosis?

A

no, it is a clinical description

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15
Q

NUG

A 
young-mid adults
punched out appearance of papillae
smell, spontaneous hemorrhage,
debride, CHX, OHI, broad spec abx if systemic involved
can spread to adjacent tissues
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16
Q

types of angioedema

A
  1. IgE mediated hypersensitivity
  2. ACEi use
  3. C1 INH deficiency
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17
Q

how quickly does angioedema resolve?

A

1-3 days

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18
Q

erythema with overlying shaggy hyperkeratosis, pain, burning arecharacteristic of

A

cinnamon reaction

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19
Q

3 types of allergic contact stomatitis

A
  1. dentrifice related sloughing
  2. cinnamon mouth
  3. lichen amalgam reaction
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20
Q

Allergic reactions to systemic drugs - 2 types

A

fixed drug eruption- at site of administration

lichenoid drug reaction - medication induced, looks like lichen planus

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21
Q

Wegener’s Granulomatosis

A

necrotizing granulomatosis with vasculitis
subepithelial hemorrhage
lungs, kidneys, skin, mucosa
generalized, limited, and superficial types

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22
Q

generalized , limited, superficial Wegener’s

A

generalized: URT, LRT, kidneys
limited: URT, LRT
superficial: skin and mucosa

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23
Q

strawberry gingivitis associated with

A

Wegener’s granulomatosis

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24
Q

oral antral fistula and palatal ulcer seen with

A

Wegener’s granulomatosis

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25
Orofacial granulomatosis
abnormal immune rxn NONnecrotizing granulomatous inflammation (Wegener's is necrotizing) NT swelling, persistent
26
2 types of orofacial granulomatosis
1. cheilitis granulomatosis (lips only) | 2. Melkersson Rosenthal (NT lip swelling, bell's palsy, fissured tongue)
27
characteristics of Melkersson Rosenthal
type of orofacial granulomatosis fissured tongue Bell's Palsy NT lip swelling
28
Behcet's syndrome
multisystem disorder aphthous like ulcers middle east and Japan classic triad
29
Behcet's triad
genital ulcerations oral ulcerations ocular disease
30
what is usually first manifestation of Behcet's syndrome
oral ulcerations
31
posterior uveitis seen in
Behcet's syndrome ocular disease
32
Behcet's can involve multiple systems?
yes, CNS, GI, CV, etc
33
Tx for recurrent aphthous ulcer
topical corticosteroid
34
Herpetiform aphthous ulcers
small lesions, most numerous | recurrences likely and close together
35
major aphthous ulcers
1-3cm last longer, scarring labial mucosa, fauces, soft palate
36
minor aphthous ulcers
1-5 painful, non keratinzed mucosa ERYTHEMATOUS HALO preceded by erythematous macule w/ prodrome
37
AIDS related Kaposi's Sarcoma
multifocal malignancy of vascular endoth. origin linked to HHV 8 half have oral involvement on palate or gingiva
38
AIDS aphthous like ulcerations
painful, persistent, solitary or multiple | topical corticosteroids
39
AIDS HPV
seen intraorally more in HIV patients exophytic lesions often multiple lesions
40
parakeratosis and ballooning of cells of upper spinous layers of epithelium =
oral hairy leukoplakia
41
oral hairy leukoplakia linked to what virus
EBV
42
non removable white plaques on lateral tongue with vertical parallel lines
oral hairy leukoplakia
43
Molluscum contagiosum in AIDS
caused by poxvirus | immunocompromised develop more lesions that don't regress
44
Necrotizing stomatitis
severe NUG presentation | painful, extensive tissue destruction affecting gingiva and alveolar mucosa, adj soft tissue and deeper bone structures
45
HIV related periodontitis
pain, spontaneous gingival bleeding interproximal necrosis, cratering edema, erythema rapid bone loss and soft tissue loss = NO POCKET
46
deep pockets seen in HIV related periodontitis?
NO! Soft tissue loss accompanies bone loss = no deep pocket
47
linear gingival erythema
gingivitis with unusual linear pattern on margin may have spontaneous bleeding no response to improved OHI
48
most common immunocompromised oral fungal infection
candidiasis
49
persistent lymphadenopathy is a key trait of
HIV
50
AIDS = CD4 count
200
51
HFM disease
enterovirus caused by coxsackie virus A (and echovirus and enterovirus) shallow ulcer oral lesions skin lesions - erythematous macules w/ central vesicle supportive care
52
Herpangina
enterovirus caused by coxsackie virus A, B, echovirus kids age 1-4 oral ulcers in tonsil pillar / posterior soft palate
53
Herpes Zoster
unilateral older age reactivation of VZV painful erythema on trunk
54
VZV
``` direct contact or air borne pruritis cutaneous lesions, rupture into crust fever, malaise shallow oral ulcers acyclovir for tx ```
55
when to give IV acyclovir
herpes in immunosuppressed
56
recurrent intraoral herpes
uncommon irritated, rough feeling cluster of shallow ulcers confined to mucosa over periosteum (hard palate, attached gingiva)
57
few people remember first primary herpes outbreak
true
58
primary herpes
saliva spread cervical lymphadenopathy, fever oral lesions rupture - ulcers - serpentine borders
59
dx primary herpes
exfoliative cytology | multinucleate and balloon degeneration of nuclei
60
Tzanck cells
herpes
61
neurotropic
HSV is neurotropic- spreads via nerves to sensory ganglia = becomes recurrent infection when reactivated from latent stage
62
antral pseudocyst treatment
none, radiograph follow up
63
how do you usually find an antral pseudocyst
radiographic finding ; floor of maxillary sinus ; infiltrate raises sinus mucosa
64
along lingual mandible mylohoid ridge
oral ulceration with cortical bone sequestration | tx by removing dead bone
65
smoker melanosis
melanocytes make pigment to protect against smoke
66
foreign body tattoo biopsy?
yes, to r/o melanocytic lesion
67
BRONJ more common in which kind of BP treatment
IV 90% | oral 10%
68
MRONJ diagnosis
1. current or previous tx with BP 2. exposed maxillofacial bone for 8 wks 3. no history of radiation to jaws
69
ionizing radiation to head / neck region leads to
radiation mucositis

Oral Pathology (1 decks)

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