Review (4)

Question 1

What is the current trend for risk of developing malignant melanoma?

Answer 1

Risk is increasing, as are the incidence and mortality of malignant melanoma

Question 2

What is the prognosis for a central ossifying fibroma?

Answer 2

Excellent

Question 3

What are the features of nevoid basal cell carcinoma syndrome?

Answer 3

Multiple OKCs, especially in children under 15 y.o.

Multiple BCCs more aggressive than typical BCCs

Question 4

What is the most common soft tissue location for metastatic disease to present in the oral cavity?

Answer 4

Gingiva

Question 5

Which cyst fells firm because it is filled with keratin?

Answer 5

Gingival cyst of the newborn

Question 6

What is the definition of a leukoplakia?

Answer 6

White patch that cannot be wiped off AND cannot be diagnosed clinically or microscopically as any other condition

Question 7

T/F: Leukoplakias will have blended borders.

Answer 7

False

Crisply defined borders

Question 8

What is the most common overall site for leukoplakia?

Answer 8

Buccal mucosa

Question 9

What are the highest risk sites for leukoplakia?

Answer 9

Floor of mouth, ventral tongue, soft palate

Question 10

T/F: Alcohol alone puts patients at greater risk for leukoplakia.

Answer 10

False

Cigarettes alone

Alcohol with cigarettes

Question 11

_______ of leukoplakias show hyperkeratosis without epithelial dysplasia.

Answer 11

80%

Question 12

What are the most common sites for erythroplakia?

Answer 12

Floor of mouth, ventral tongue, soft palate/tonsillar pillars

Question 13

T/F: Erythroplakia is more common in males.

Answer 13

False

Leukoplakia more common in males

Erythroplakia - no gender predilection

Question 14

How do you calculate tobacco pack/year?

Answer 14

Number of packs/day x number of years smoked

Question 15

What is the most common type of BCC?

Answer 15

Nodule-ulcerative

Question 16

T/F: BCC will have hair.

Answer 16

False

BCC will not have hair

Question 17

T/F: Chronic sun exposure is the greatest risk for cutaneous SCC.

Answer 17

True

Question 18

What percentage of cutaneous SCC are on the head and neck?

Answer 18

70%

Question 19

T/F: Cutaneous SCC is rare on the lower lip.

Answer 19

False

More common on lower lip

Question 20

T/F: 25% of oral SCC occur in patients under 40 with no risk factors, especially on the ventrolateral tongue.

Answer 20

True

Question 21

What percentage of patients diagnosed with oral SCC have hx of tobacco smoking?

Answer 21

80%

Question 22

What are the two most common places to see OSCC?

Answer 22

Tongue and floor of mouth

Question 23

What will lead to strong likelyhood that SCC patients will develop new aerodigestive tract malignancies?

Answer 23

Continue carcinogenic habit (smoking)

Question 24

What are the high risk sites for melanoma?

Answer 24

BANS - back, arms, neck, scalp

Question 25

What is the most common type of melanoma?

Answer 25

Superficial spreading

Question 26

What is the prognosis for oral melanoma?

Answer 26

Poor

Question 27

Sialogogues are useful in treating sialadenitis, but must be used with adequate ____________.

Answer 27

Hydration

Question 28

____________ is a major cause of xerostomia.

Answer 28

Polypharmacy

Question 29

What is the most common major salivary gland to have a neoplasm?

Answer 29

Parotid gland

Question 30

What is the most likely major salivary gland to have a MALIGNANCY?

Answer 30

Sublingual

Question 31

What is the most common minor salivary gland to have a MALIGNANCY?

Answer 31

Tongue and retromolar region

Question 32

80% of pleomorphic adenomas occur in the _________.

Answer 32

Parotid gland

Question 33

What is the most common salivary gland malignancy?

Answer 33

Mucoepidermoid carcinoma

Question 34

T/F: Teeth will test vital in a patient with Cemento-Osseous dysplasia.

Answer 34

True Most common in black females

Question 35

Which syndrome is associated with multiple osteomas?

Answer 35

Gardner syndrome

Question 36

Which bone malignancy results in a radical “one chance for all” surgery?

Answer 36

Chondrosarcoma

Question 37

Patients with which disease may present with multiple OKCs?

Answer 37

Nevoid basal cell carcinoma syndrome

Question 38

Which type of odontoblasts is often found in the anterior jaw?

Answer 38

Compound odontoma - multiple shards of teeth

Question 39

T/F: Ameloblastomas will often bust through the cortical plate and invade soft tissue.

Answer 39

False Dramatic expansion with ameloblastoma