Oral Path

Question 1

The white line in the buccal mucosa at level of occlusal plane.

Answer 1

linea alba

Question 2

What causes linea alba?

Answer 2

pressure, friction, sucking

Question 3

The shredded appearing lesion on buccal mucosa or tongue.

Answer 3

morsicatio baccarum

Question 4

what causes morsicatio baccarum?

Answer 4

habitual cheek chewing

Question 5

The erosion of upper layers of mucosa resulting in a yellowish fibrin at the center surrounded by a red mucosa?

Answer 5

traumatic ulcer

Question 6

What can cause a traumatic ulcer?

Answer 6

trauma or ill fitting dentures

Question 7

What must happen if a traumatic ulcer lingers for more than a month?

Answer 7

biopsy

Question 8

4 types of burns

Answer 8

electrical
heat
chemical by patients
chemical by dentist

Question 9

what is the inflammation of the salivary gland ducts that appear as red, raised papules on the palate?

Answer 9

nicotine stomatitis

Question 10

what causes nicotine stomatitis?

Answer 10

heat

Question 11

A grey-blue pigmented lesion on or adjacent to alveolar ridge caused by dental amalgam

Answer 11

amalgam tattoo

Question 12

What is a brown discoloration on gingiva, floor of mouth, buccal mucosa, palate or lips of a heavy smoker?

Answer 12

smokers melanosis

Question 13

What is the cause of smokers melanosis?

Answer 13

accumulation of melanin that is trying to detoxify the nicotine

Question 14

What is a fast growing brown patch on the buccal mucosa?

Answer 14

melanoacanthoma

Question 15

melanoacanthoma’s are more common in — and seen almost always in – people

Answer 15

women

black

Question 16

What should be monitored due to its premalignant nature: it blurs the margin between lips and skin?

Answer 16

actinic cheilitis

Question 17

Where do the 4 P lesions occur and are caused by?

Answer 17

gingival

trauma

Question 18

A small firm bump on the gingiva, buccal mucosa or tongue?

Answer 18

peripheral fibroma

Question 19

A dark red, fast-growing, ulcerated gingival nodule commonly seen in younger patients or pregnant women. It may disappear or be surgically removed.

Answer 19

Pyogenic granuloma

Question 20

A red to purple gingival nodule that needs to be surgically removed all the way down to the underlying bone.

Answer 20

Peripheral giant cell granuloma

Question 21

A red, ulcerated gingival nodule, commonly seen in young patients that contains bony tissues and needs to be surgically removed down to the bone.

Answer 21

Peripheral ossifying fibroma

Question 22

A fluid-filled, dome-shaped lesion usually on lower lip, commonly found in kids.

Answer 22

Mucocele

Question 23

what is a mucocele on the floor of the mouth called?

Answer 23

ranula

Question 24

What causes a mucocele?

Answer 24

traumatic rupture of salivary gland duct .

Question 25

A fluid-filled sac lined by epithelium?

Answer 25

cyst

Question 26

----- form adjacent to salivary ducts and contain mucin

Answer 26

salivary duct cysts

Question 27

Where do salivary gland cysts occur?

Answer 27

floor of mouth, buccal mucosa, lips

Question 28

What is the abnormal formation of calcium deposits within salivary glands called?

Answer 28

sialotithiasis

Question 29

A dimorphic fungi commonly present in normal flora?

Answer 29

candida albicans

Question 30

what does dimorphic mean?

Answer 30

both spores and filaments

Question 31

What are predisposing factors for candida albicans infections?

Answer 31

Immunocompromised (HIV), diabetes, dentures

Question 32

What are the 3 types of candidiasis?

Answer 32

pseudomembranous (thrush) erythematous chronic hyperplastic

Question 33

What is the removable white plaques?

Answer 33

thrush

Question 34

what candidiasis cause red lesions in mouth or at the corners?

Answer 34

erythematous

Question 35

What is the non-removable white plaques the require a biopsy?

Answer 35

chronic hyperplastic candidness

Question 36

How are candida infections diagnosed?

Answer 36

swab, smear on slide, look for spores and hyphae

Question 37

what is the treatment for candida infections?

Answer 37

topical or oral anti-fungal agents

Question 38

What is the first phase of HHV infections?

Answer 38

primary infection then is dormant and can reactivate and cause secondary symptoms/

Question 39

Herpes simplex 1 infections affect the -- and -- and is present in saliva

Answer 39

skin | mucosa above the waist

Question 40

Which herpes causes a primary infection then remain latent in nerve ganglia for the rest of patients life?

Answer 40

herpes 1

Question 41

The primary herpes 1 infection can a ---

Answer 41

asymptomatic and most everyone gets it

Question 42

When herpes 1 is symptomatic is can cause what two diesases? (primary)

Answer 42

gingivostomatitis | pharyngotonsillitis

Question 43

What herpes oral manifestation is more common in kids and presents as small vesicles anywhere in mouth, with fever and is self limiting.

Answer 43

gingivosomatitis

Question 44

What herpes 1 primary oral manifestation is more common in adults and presents as small vesicles on tonsils?

Answer 44

pharyngotonsillitis

Question 45

What herpes virus is commonly known as cold sores?

Answer 45

herpes 1- secondary infection

Question 46

What secondary herpes-1 infections can occus?

Answer 46

herpes labialis | herpes stomatitis

Question 47

What herpes1 secondary oral manifestation of clusters of small blisters near the lips that rupture and crust. Self limiting.

Answer 47

herpes labialis

Question 48

what herpes1 secondary oral manifestation are clusters of small blisters on attached mucosa that rupture and ulcerate. Self limiting.

Answer 48

herpes stomatitis

Question 49

How is herpes 1 diagnosed?

Answer 49

swab or biopsy

Question 50

What is the treatment of primary herpes 1?

Answer 50

none

Question 51

What is the treatment of secondary herpes 1?

Answer 51

topical or oral antivirals

Question 52

what is the treatment of herpes infections of immunocompromised patients?

Answer 52

IV antivital agents

Question 53

Where does herpes 2 affect?

Answer 53

skin and mucosa below waist

Question 54

does herpes 2 present in mouth?

Answer 54

no

Question 55

herpes 2 is commonly transmitted ---

Answer 55

sexually

Question 56

An example of herpes 2 is --

Answer 56

genital herpes

Question 57

How is herpes 3 transmitted?

Answer 57

air droplets or direct contact with lesions

Question 58

What does varicella lesions look like?

Answer 58

dew drop on a rose petal

Question 59

Varicella is primary = and secondary=

Answer 59

chickenpox | shingles

Question 60

A retrovirus that infects and destroys helper T cells

Answer 60

HIV

Question 61

What are the oral manifestations of HIV/AIDS include --, -- , --, --, -- and --

Answer 61

``` candidiasis perio disease H1 H3 malignancies ulcers ```

Question 62

What is the most common non-traumatic oral ulcer?

Answer 62

aphthous ulcers

Question 63

Where do canker sores occur?

Answer 63

unattached mucosa-moveable