Head and Neck

Question 1

diseases associated with aphthous ulcers

Answer 1

celiac, inflammatory bowel disease, Behcet disease

Question 2

erthematous halo surrounding yellowish fibrinopurulent membrane

Answer 2

aphthous ulcers

Question 3

abrupt onset of vesicles throughout the oral cavity

Answer 3

acute herpetic gingivostomatitis

Question 4

causes “cole sores”

Answer 4

HPV-1

Question 5

can reactivate HPV-1 sores

Answer 5

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

Question 6

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

Answer 6

herpes lesions

Question 7

most common fungal infection of the oral cavity

Answer 7

candidiasis (thrush)

Question 8

can promote thrush

Answer 8

immunocompromise or broad spectrum antibiotics

Question 9

superfiscial curdlike inflamatory membrane of matted orginisms

Answer 9

thrush

Question 10

submucosal nodular fibrous tissue formed by chronic irritation

Answer 10

fibromas

Question 11

common site of fibromas

Answer 11

buccal mucosa along bite line

Question 12

treatment of fibromas

Answer 12

surgical exision and removal of source of irritation

Question 13

richly vascular, ulcerated lesions in the mouth

Answer 13

pyogenic granulomas

Question 14

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

Answer 14

leukoplakia

Question 15

may progress to SCC

Answer 15

leukoplakia, erythroplakia

Question 16

red velvety eroded area flat or depressed to the surrounding mucosa

Answer 16

erythroplakia

Question 17

risk factor of leukoplakia or erythroplakia

Answer 17

tobacco use

Question 18

thickened, acanthotic, orderly mucosal lesions with marked dysplasia

Answer 18

leukoplasia

Question 19

most common oral cancer type

Answer 19

SCC

Question 20

mutations common in oral cancer caused by tobacco

Answer 20

TP53, p63 and NOTCH1

Question 21

most common behavioral risk factor of oral cancer

Answer 21

tobacco use

Question 22

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

Answer 22

HPV 16 infection

Question 23

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

Answer 23

p16

Question 24

worse prognosis of oral cancer

Answer 24

HPV negative

Question 25

most common locations of oral SCC

Answer 25

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

Question 26

raised, firm, pearly plauqes

Answer 26

SCC

Question 27

dry mouth resulting from decrease in saliva production

Answer 27

xerostomia

Question 28

autoimmune disorder that can cause xerostomia

Answer 28

sjogren syndrome (occurs with dry eyes)

Question 29

possible causes of xerostomia

Answer 29

many medications, sjogrens

Question 30

dry eyes, dry mouth, inflammatory enlargement of salivary glands

Answer 30

sjogren syndrome

Question 31

complications of xerostomia

Answer 31

cavities and difficulrt swallowing/speaking

Question 32

most common cause of sialdenitis

Answer 32

mumps

Question 33

imflamation fo salivary glands

Answer 33

sialadentitis

Question 34

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

Answer 34

mucocele

Question 35

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

Answer 35

mucocele

Question 36

common antecedent to sialadentitis

Answer 36

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

Question 37

bugs that cause sialadentitis

Answer 37

staph A and strep viridens

Question 38

most common salivary gland to get a tumor

Answer 38

parotid

Question 39

the smaller the gland the more likely...

Answer 39

a tumor is malignant

Question 40

most common type of salivary gland malignant tumor

Answer 40

mucoepidermoid carcinoma

Question 41

most common salivary gland tumor

Answer 41

adenoma

Question 42

tumor with mix of all kinds of cells

Answer 42

pleomorphic adenoma

Question 43

long term risk of pleomorphic adenoma

Answer 43

can morph into very aggressive maligancu

Question 44

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

Answer 44

mucoepidermoid carcinoma

Question 45

gene mutation in mucoepidermoid carcinoma

Answer 45

MAML2

Question 46

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

Answer 46

mucoepidermoid carcinoma