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Flashcards in Head and Neck Deck (46):
1

diseases associated with aphthous ulcers

celiac, inflammatory bowel disease, Behcet disease

2

erthematous halo surrounding yellowish fibrinopurulent membrane

aphthous ulcers

3

abrupt onset of vesicles throughout the oral cavity

acute herpetic gingivostomatitis

4

causes "cole sores"

HPV-1

5

can reactivate HPV-1 sores

trauma, allergies, UV light, upper RTI, pregancy, menstruation, immunospuression, extremes of temp

6

balloning of infected cells with large eosinophillic intranuclear inclusions.Adjacent cells fuse to form large multinucleated polykarons

herpes lesions

7

most common fungal infection of the oral cavity

candidiasis (thrush)

8

can promote thrush

immunocompromise or broad spectrum antibiotics

9

superfiscial curdlike inflamatory membrane of matted orginisms

thrush

10

submucosal nodular fibrous tissue formed by chronic irritation

fibromas

11

common site of fibromas

buccal mucosa along bite line

12

treatment of fibromas

surgical exision and removal of source of irritation

13

richly vascular, ulcerated lesions in the mouth

pyogenic granulomas

14

white patch or plaque that cannot be scraped off and cannot be called anything else

leukoplakia

15

may progress to SCC

leukoplakia, erythroplakia

16

red velvety eroded area flat or depressed to the surrounding mucosa

erythroplakia

17

risk factor of leukoplakia or erythroplakia

tobacco use

18

thickened, acanthotic, orderly mucosal lesions with marked dysplasia

leukoplasia

19

most common oral cancer type

SCC

20

mutations common in oral cancer caused by tobacco

TP53, p63 and NOTCH1

21

most common behavioral risk factor of oral cancer

tobacco use

22

cause of oral tumors in the tonsillar crypts and base of the tounge

HPV 16 infection

23

mutation of oral tumors in the tonsillar crypts and base of the tounge

p16

24

worse prognosis of oral cancer

HPV negative

25

most common locations of oral SCC

ventral surface of the tounge, floor of mouth, lower lip, soft palate and gingiva

26

raised, firm, pearly plauqes

SCC

27

dry mouth resulting from decrease in saliva production

xerostomia

28

autoimmune disorder that can cause xerostomia

sjogren syndrome (occurs with dry eyes)

29

possible causes of xerostomia

many medications, sjogrens

30

dry eyes, dry mouth, inflammatory enlargement of salivary glands

sjogren syndrome

31

complications of xerostomia

cavities and difficulrt swallowing/speaking

32

most common cause of sialdenitis

mumps

33

imflamation fo salivary glands

sialadentitis

34

imflammatory lesion of salivary glands that changes in size in association with meals

mucocele

35

cystlike space lined with granulation tissue or fibrous connective tissue filled with mucin or macrophages

mucocele

36

common antecedent to sialadentitis

salivary stones, also food debris or edema from injury, dehydration, long term phenothiazene therapy

37

bugs that cause sialadentitis

staph A and strep viridens

38

most common salivary gland to get a tumor

parotid

39

the smaller the gland the more likely...

a tumor is malignant

40

most common type of salivary gland malignant tumor

mucoepidermoid carcinoma

41

most common salivary gland tumor

adenoma

42

tumor with mix of all kinds of cells

pleomorphic adenoma

43

long term risk of pleomorphic adenoma

can morph into very aggressive maligancu

44

variable mixture of squamous cells, mucus secreting cells, and intermediate cells

mucoepidermoid carcinoma

45

gene mutation in mucoepidermoid carcinoma

MAML2

46

cords, sheets and cysts lined by squamous, mucous or intermediate cells

mucoepidermoid carcinoma