Important Clinical and Historical Features of some diseases Flashcards
(150 cards)
1
Q
Wickham’s striae, bilateral symmetrical distribution of lesions with female predilection. Saw tooth retepegs. liquefaction degeneration of basal layet, colloid or civatte bodies.
A
Lichen planus
2
Q
Auspitz’s sign, painless non pruritic papules
No involvement of oral mucosa and Monro’s abscesses.
A
Psoriasis
3
Q
Psoriasis, Reiter’s syndrome. benign migratory glossitis and ectopic geographic tongue.
A
Psoriasis form lesions
4
Q
Positive Nikolsky’s sign. Tzanck cells and granular immuno Ruorescence.
A
Pemphigus
5
Q
Nikolsky’s sign+ve Dilapidated brick wall effect.
A
Familial benign chronic pemphigus (Mailey-Hailey disease)
6
Q
Butterfly distribution of lesions . Carpet tack extensions .LE.cell phenomenon Lupus erythematosus speckled or particulate immuno fourescence.
A
Lupus erythematosus
7
Q
.Lesions on skin are rare except on genitalia
Ocularinvolvement is the most serious complication
A
Cicatrial pemphigoid/ Benign mucous membrane pemphigoid / Ocular pemphigus
8
Q
Gingival tissues are involved
Separation of the basement membrane with the connective tissue from the overlying epithelium.
A
Bullous pemphigoid / Parapemphigus
9
Q
Target or Iris or Bulls Eye Lesions Erythema multiforme Recent H/0 of Herpes simplex infection
A
Erythema multiforme
10
Q
Corps ronds and grains, Leafing out pattern of parabasal cells Defect in demosome tonofilament complex.
A
Keratosis follicularis(Darriers disease)
11
Q
Hyperkeratosis, acanthosis with a deep groove filled with parakeratin and absence of granular layer constituting the Cornoid Lamella
A
Porokeratosis of Mibelli
12
Q
Mask like face, claw like hands, Raynauds phenomenon, CREST syndrome. staff board like tongue, coup de sabre and generalized widening of the periodontal ligament
A
scleroderma
13
Q
Hyper elasticity of skin, hyper extensibility of joints. defective heating, rubber man
Lack of normal scalloping of DEJ
A
Ehlers danlos syndrome
14
Q
Ulcers occurring on the masticatory mucosa, common in children Prodromal symptoms are present Presence of Lipschutz bodies and Ballooning degeneration
A
Primary herpetic stomatitis
15
Q
Koplik spots.
A
Measles (Rubeola)
16
Q
Bilateral contagious parotitis, elevated serum amylase level.
A
Mumps
17
Q
Herpetic labialis, Herpetic whitlow (painful herpes simplex vrirus infection of a finger from direct inoculation. Most common in physicians, dentists, and nurses as a result of exposure to the virus in patient’s mouth) Ulcers on the masticatory mucosa, Tzanck cells.
A
Recurrent or secondary herpes virus infection
18
Q
Ulcers occurring on the labile mucosa Precipitated commonly in stress. No history of Prodromal symptoms
A
Recurrent Apthous stomatitis
19
Q
Sore throat, ulcers on the faucial pillars, soft and hard palate, Occurs as an epidemic summer Caused by Coxsackie group A virus
A
Herpangina
20
Q
UNTLATERAL painful vesicles along the course of sensory nerves Tzanck cells
A
Herpes Zoster
21
Q
Fungal disease affecting the reticulo-endothetial system and resembles granulomatous infection.
A
Phycomycosis (mucormycosis)
22
Q
Strawberry tongue, Raspberry tongue.
A
Scarlet fever
23
Q
Lock Jaw due to muscle trismus Risus sardonicus (Rigidity of facial muscles) Risus opisthotonus (Rigidity of entire body muscles)
A
Tetanus
24
Q
Hebra nose
A
Rhinoscleroma
25
Rhagades formation is seen HUTCHINSONS TRIAD, which include hypoplasia of the incisor and molar teeth, eight nerve deafness and interstitial keratitis.
Congenital syphitis
26
Vesiculo bullous lesions affecting skin, oral mucosa, eyes and genitals.
Steven Johnson's syndrome Cicatrial Pemphigoid Behcet's syndrome Reiter's syndrome
27
Cyst found in place of a tooth.
Primordial cyst
28
Cyst causing "hollowing out" of the entire ramus
Dentigerous cyst
29
Multilocular variant of lateral periodontal cyst.
Botryolid odontogenic yt
30
Keratin filled.cysts along the midpalatine raphae of the new born.
Epstein pearls
31
Keratin filled cysts along the junction of the hard and soft palate in the newborn.
Bohn's modules
32
Cystic epithelium containing daughter or satellite cysts . Cystic fluid containing protein content of less than 4 gm/100 mL
Odontogenic keratocyst
33
Multiple odontogenic keratocysts, basal cell carcinoma, rib anomalies.
Jaw cyst - Basal cell nevus Bifid rib syndrome
34
Multiple odontogenic cysts. excessive length of bones, hyper extensibility of joints
Marfan's syndrome
35
Driven snow radiographic appearance Lisegang rings. APUD amyloid Clear cells.
Calcifying epithelial odontogenic tumor (Pindborg tumor)
36
Cyst developing frequently in the anterior maxilla, occurring mostly at 20 years of age, female predilection.
Adenoameloblastoma
37
Tennis racket shaped septa * Pale cells, Dark cells histologically High content of hyaluronic acid
Odontogenic myxoma
38
Asymptomatic lesions occurring near the apices of mandibular incisors, vital teeth, female predilection.
Feriapical cemental dysplasia (cementoma)
39
Neoplasm made up of different types of tissues not native to the area.
Teratoma
40
Excessive proliferation of chronically inflamed dental pulp
Occurs mostly in teeth with large open carious lesions especially in children, contains few nerves
Chronic hyperplastic pulpitis (Pulp polyp)
41
Decayed VITAL tooth. sclerosing bone reaction, high tilssue resistance. low grade Infection, bone scar formation
Condensing osteitis
42
Decayed tooth, periosteal thickening, mandible predilection, occurring mostly in children
Garre's osteomyeltis
43
Extreme fragility and fractures of the bones, blue sclera, brownish or yellowish teeth with translucent or opalescent hue
Osteogenesis imperfecta
44
Hyperostosls, tender, deeply placed soft tissue swellings occouring extensively in intants.
Infantile cortical hyperostosis
45
Brachycephalic skull. abnormalities of clavicles Hypermobilily of shoulder due to absence of clavicle
Multiple unerupted supernumerary teeth
Presence of Wormian bones
Absence of cellular cementum
Ceidocranlal dyplasia
46
Antimonologoid palpebral fissures, hyperplasia of malar bones and mandible, Facial Cleft, malformation of ears, fish like or bird like face, deficiency of eye lashes
Mandibulofacial dysostosis
47
Cleft Palate, micrognathia, glossopitosis, bird face
Pierre Robin Syndrome
48
Early synostosis of sutures, small maxilla, parrot beak nose, hypertelorism and triangular frontal defect
Craniofacial dysostosis
49
Mongoloid facies, subnormal mentality, large mandible, macroglossia, low caries incedence than in normal people, and high incidence of periodontal diseases
Down Syndrome
50
Endosteal production of bone, lack of resorption of bone, medullary cavities replaced by bone, thickened cortex
Osteopetrosis
51
Dwarfism disturbance of endochondral bone formation, possess high strength
Achondroplasia
52
Resorption of bone with ultimate total disappearance of bone.
Massive osteolysis (vanishing bone)
53
Enlargement of skull and jaw bones Compression of nerves in their foramens Both osteolytic and osteoblastic lesion, Cotton wool radiographic appearance Increased serum allaline phosphatase level, Mosaic and Jigsaw puzzle appearance of bone histologically Development of osteosarcoma in involved bones is common
Pagets disease
54
Caff-au-lait spots, endocrinal disturbances, lesions invotvring more than one bone.
Polyostotic fibrous dyplasia
55
Mottled, ground glass or peaud orange radiographic appearance, Lesion involving one bone, requires cosmetic recontouring as treatment. Chinese letter shaped trabeculae
Monostotic fibrous dysplasia
56
Chubby face. angelic look or or eyes towards heaven appearance Premature exfoliation of deciduous teeth, [which is also seen in Noonan's syndrome Teeth appear to be floating in cystic spaces radiographically (foating tooth syndrome) Presence of giant cells histologically Ground glass appearance radiographically
Cherubism
57
Pain, muscle tenderness (mostly lateral pterygoid). clicking of TM), Limitation of jaw motion, lack of tenderness in the joint when it is palpated through external auditory meatus.
MPDS
58
Munters of Moeller's glossítis Acholorhydria. nervous system involvement Howell-Jolly bodies and Cabot's rings.
Pernicious anemia
59
Bald tongue of sandwith, Diarrhea, Dementia and Dermatitis.
Pellagra
60
General lack of bone marrow activity, anemia, thrombocytopenia and leucopenia
Aplastic anemia
61
Target cells, end or crew cut appearance of skull (This appearance causes a Step-lader effect in PA views of skull), Salt and Pepper appearance of IOPA
Thalassemia
Note: Salt and pepper effect in MRI of salivary gland is seen in Sjogren's syndrome
62
Sickle hemoglobin (Hbs). sickle shaped erythrocytes. * Hait on end or crew cut radiographic appearance of skull.
Sickle cell anemia
63
Purplish discoloration of deciduous teeth, Enamel Hypoplasia involving the incisal edges of anterior teeth and middle 3rd of deciduous cuspid and 1st molar maybe seen resulting in a characteristic ring like defect known as Rh hump
Erythroblastosis fatalis
64
Oral ulcerations, presence of infection, . Lack of inflammatory cell infiltration around the lesions.
Agranulocytosis
65
Also known as Kissing disease Palatal petechiae is important identification feature Positive Paul bunnel and Monospot tests
Infectious mononuccosis
66
Periodic or cyclic diminution of PMNs for every 21 days.
Cyclic neutropenia
67
Philadelphia chromosome,
The most consistent chromosomal abnormality is Philadelphia chromosome involving the eciprocal translocation of parts of long arm of chromosome 2 to the long arm of chromosome 9
Chronic myeloid leukemia
68
Brown non cariogenic plaque line on the enamel at the cervical margin of the tooth.
Mesenteric line
69
Hematoxyphilic line between regular dentin and postoperative dentin * It is due to disturbance in dentin formation at the cavity preparation
Caciotraumatic line
70
Punched out lesions of interdental papilla, pseudomembrane, fusospirochetal infection (mostly of intermediate sized)
ANUG
71
Defective neutrophil chemotaxis., Mirror image shaped vertical bone loss around molars. Note: Mirror image shaped nuclei are seen in Hodgkin's lymphoma
LJP
72
Juvenile periodontitis, Palmar plantar keratosis, calcification of falx cerebri.
Papillon Lefevre syndrome
73
Trigger zones, feeting severe pain of facial muscles, More involvement of maxillary and mandibular divisions than ophthalmic division, relieved rigeminal neuralgia commonly by carbamazepine
Trigeminal neuralgia
74
Alarm clock headache, vidian nerve neuralgia, no trigger zone.
Sphenopalatine neuralgia
75
Gustatory sweating.
Auriculotemporal or Frey's syndrome
76
Mask like or expressionless face, inability to close eye on affected side Mouth drawn to unaffected side on smiling.
Bells palsy
77
Triggerzone in the tonsillar area, sharp shooting pain in the pharynx, tonsil or posterior portion of tongue.
Glossopharyngeal neuralgia
78
Charcots triad (nystagmus, tremor, and scanning speech). Personality and mood deviation towards friendliness.
Multiple sclerosis
79
Mypotahic facies, Swan neck
Dystrophic myotonia
80
Herculean appearance
Congenital myotonia
81
Sorrowful appearance
Myasthenia gravis
82
Floppy infant syndrome
Hypatonia
83
Petrified Man
Masseter is most commonly involved
Generalized myositis ossificans
84
Painless slow growing paratid mass, mixed tumor, hyaline cell. predilection for women
Pleomorphic adenoma
85
Bilateral chronic painless enlargement of lacrimal and salivary glands.
Mikulicz's disease
86
Characterized by triad of Keratoconjunctivitis sicca, xerostomia and rheumatoid arthritis
Cherry blossom or bracelets fruit laden tree or salt and pepper appearance of Sialogram
Sjagren's syndrome
87
Carcinoma insitu occurring in patients who have had arsenic therapy
Bowen's disease
88
The basal cells are arranged in anastomosing cords or a duct like pattern, central portion may contain a mucoid material, producing a typical cibriform or swiss cheese or honey comb pattern
Perineural spread of tumor cells is seen
Adenoid cystic carcinoma(Cylindroma)
89
Most common malignant salivary gland tumor of children "
Most common intraosseus salivary gland neoplasm
Mucoepidermoid carcinoma
90
Exphytic growth with finger Like projections, cauliflower like surface
Most common benign neoplasm originating from surface epithelium.
Papilloma
91
Benign lesion esembling epidermoid carcinoma both clinically and histologically, a self healing lesion
Keratoacanthoma
92
Carcinoma resembling benign lesion *Parakeratin plugging is seen.
Verrucous carcinoma
93
Most common intra oral nevus.
Blue nevus
94
"Abtrop fung" or dropping off effect, junctional activity, premalignant condition.
Junctional nevus
95
Premalignant lesions.
Leukoplakia,Erythroplakia
96
Strap cells, racquet cells and ribbon cells.
Rhabdomyosarcoma
97
Intracellular edema of the spinous layer. The characteristic edematous cells are large and pale with a reticular pattern lesion resembles leukoplakia but is a variant of normal mucosa. * Lesion disappears on stretching the buccal mucosa.
Leukoedema
98
Buming sensation, trismus, absence of retepegs, reduced fibroblasts and hyalinization of collagen bundles.
Oral submucous fibrosis
99
Most common carcinoma of skin .Men predilection * Rolled out margins * Most frequent on middle third of the face * Direct spread, no metastasis, so known as benign carcinoma.
Basal cell carcinoma
100
Most common neoplasm of oral cavity, second most common neoplasm of skin, most common in lower lips
Epidermoid carcinoma
101
Epidermoid carcinoma which has poor prognosis.
Carcinoma of tongue and floor of the mouth
102
Malignant melanoma which exists solely in vertical growth phase.
Nodular melanoma
103
Most common benign soft tissue neoplasm of oral cavity.
Fibroma
104
Granular septa originating at right angles from the periphery of the lesion, indentation at the septa, lesion occurring anterior to the first molar usually:
Central giant cell granuloma
105
Loss of laminadura. ground glass appearance, brown tumors
Hyperparathyroidsm
106
Blood welling up from the tissue, eccentrically ballooned soap bubble radiographic appearance
Pseudocyst
Aneurysmal bone cyst
107
Pumping action i.e If the tooth in the tumor area Is pushed into the socket, it is rebounded back
Central haemangioma
108
Angiomas of skin in the area supplied by Vnerve. intracranial calcifications, lepto- meningeal angioma
Encephalo trigeminal angiomatosis
109
Predominate malignant bone tumor children, onion skin and sunray radiographic appearance.
Ewing's sarcoma
110
Most common primary bone tumor. sunray appearance,widened periodontal ligament.
Osteosairoma
111
B-cell neoplasm caused by EBV virus. STARRY SKY histologic appearance.
Burkitt's lymphoma
112
Reed-Sternberg_cell lacunar cell (R-S cell in nodular sclerosis type)
Hodgkin's lymphoma
113
Bence Jones Protein Plasma cells with cart wheel Or checkerboard pattern of chromatin Russel bodies Multiple sharply punched out radlolucent areas, hyperglobulinemia, anemia
Multiple myeloma
114
Bence Janes proteins in urine with no anemia and hyperglobulinemia.
Solitary plasma cell myeloma (Plasmacytoma)
115
Cafe au lait spots. macroglossia, cosmetic disfigurement, neoplasm arising from perineural cells and Schwann cells
Neurofibroma
116
Metastatic lesions of the jaws are mostly from
Carcinoma of breast
117
Metastasis from mandibular sarcoma mostly occurs to
Lung
118
Protein deficiency with sufficient calorie intake. "Flag sign" hair.
Kwashiorkor
119
Starvation with overall lack of calories.
Marasmus
120
Photosensitivity, red urine (also seen in patients taking Rifampicin) Reddish brown discoloration of both deciduous and permanent dentition.
Porphyria
121
Gorgoyle cells or Hurler cells, Reily bodies.
Hurler syndrome
122
Magenta colored tongue. angular cheilitis.
Riboflavin deficiency
123
Vomiting after ingestion of fruit or cane sugar.
Hereditary fructose intolerance
124
Multiple punched out bone lesions, Exophtholmos, diabetes insipidus, multifocal eosinophilic granuloma.
Hand-Schuller Christian disease
125
Gaucher cells, glucosideroside deposition due to lack of an enzyme glucocerebrosidase.
Gaucher's disease
126
Foamy, lipid laden Niemann pick cells, storage of sphingomyclin due to lack of sphingomyelinase.
Niemann-Pick disease
127
Deficiency of alkaline phosphatase, excretion of phosphoenthanolamine in urine, premature loss of deciduous teeth.
Hypophosphatasia
128
Acute adrenal cortical insufficiency.
Waterhouse Friderichsen syndrome
129
Bronzing of the skin, pigmentation of oral mucosa, chronic adrenal cortical insufficiency.
Addison's disease
130
Pink hued crown, odontoclasts on the inner pulpal surface of dentin.
Internal resorption
131
Radiolucency situated below the mandibular canal.
Static or Stafne's cyst
132
Scalloped radlolucency extended between roots of teeth above the mandibular canal.
Pseudocyst
Traumatic bone cyst
133
Brandy wine type, shell teeth,
Type III dentinogenesis imperfecta
134
Lava flowing around boulders (histologic appearance)
Type I (radicular) dentin dysplasia
135
Thlstle tube pulp chamber.
Type II (coronal) dentin dyxplasia
136
Ghost teeth.
Regional odontodysplasia
137
Disease occurring due to malabsorption of zinc.
Acrodermatitis enteropathica
138
Cobblestone or fissured appearance clinically, caused by HPV 13 AND 32, Club shaped wide rete rldges, presence of viral altered mitosoid cell histologically
Focal epithelial hyperplasia (heck's disease)
139
Benign inflammatory condition of the submandibular gland that mimics a malignant neoplasm clinically because of presentation as a hard mass
Kuttner tumor or Chronic sclerosing sialadenitis of submandibular gland
140
Traumatic ulceration of mucosa due to missing teeth malposed teeth, partial denture and Riga Fede disease followed by proliferation of granulation tissue adjacent to the area of ulceration
TUGSE or Traumantic granuloma with stromal eosinophilia
141
Leaf like denture fibroma that occurs beneath a maxillary denture, mucopolysaccharide keratin dystrophy or plasma pooling histologic feature
EPULIS FISSURATUM or enture epulis or inflammatory fibrous hyperplasia
142
Camblum layer is seen in
Alveolar rhabdomyosarcoma
143
Congenital epulis in newborns located on maxillary or mandibular gingiva:
Neuman's tumor
144
The lips characteristically develops looseness and protrusion that have been described as tapir lps-
Myopathic facies
Patients are unable to whistle or smile
Mild restricted muscular dystrophy.
145
Triton tumor is other name for
Malignant peripheral nerve sheath tumor (MPNST)
146
Dentinogenic ghost cell tumor is other name for
Calcifying odontogenic cyst
147
. A periapical granuloma without cystic transformation
Bay cyst
148
An inflammatory cyst found primarily on the distal or facial aspect of a vital mandibular 3rd molar
Paradental cyst
149
The antigen that can be detectable during the window period and the late phase of infections when the virus replicating fast
P24 antigen
150
The disease in which the causative organisms contains a clear halo and is described as "tissue microcyst"
Cryptococcosis
