Sec 12 Disorders of the Oral and Genital Integument

Question 1

Most common site of Benign Alveolar Ridge Keratosis

Answer 1

Retromolar pad

Question 2

Patterns of fissured tongue

Answer 2

1. Central fissure alone or with smaller radiating fissures

2. Short fissures distributed evenly throughout the tongue

Question 3

Presents with atrophic area on the dorsal tongue with loss of filiform papillae and slightly depressed erythematous area usually sensitive or painful

Answer 3

Geographic Tongue (Benign Migratory Glossitis)

Question 4

Triad of fissured tongue, facial palsy, and cheilitis granulomatosa

Answer 4

Melkersson-Rosenthal syndrome

Question 5

Most comfortable vehicle for delivering medication to the mucosa of vulva

Answer 5

Ointment

Question 6

Manifests as bright red, shiny patches or plaques of the mucosal sites, glans and prepuce of the uncircumcised

Answer 6

Erythroplasia of Queyrat

Question 7

May present as multiple warty red, smooth topped papules on the penile shaft

Answer 7

Bowenoid papulosis

Question 8

Nonretractable foreskin

Answer 8

Phimosis

Question 9

Most common disease presenting as desquamative gingivitis

Answer 9

Lichen planus

Question 10

PFAPA Syndrome

Answer 10

Periodic Fever, Adenopathy, Pharyngitis, Aphthae Syndrome

Question 11

Most common cause of pruritus vulvae

Answer 11

Candidiasis

Question 12

Two histologically defined frictional keratosis

Answer 12

1. Morsicatio Mucosae Oris

2. Benign Alveolar Ridge Keratosis

Question 13

Painless, yellow brown or red, verrucous, sessile or papillary plaque on the genitalia

Answer 13

Verruciform xanthoma

Question 14

Lilac papules or plaques with white lacy scale on the penis

Answer 14

Penile Lichen Planus

Question 15

T or F: Vulvar psoriasis only affects keratinized skin

Answer 15

True

Question 16

% of leukoplakia associated with carcinoma or dysplasia at time of diagnosis

Answer 16

20-50%

Question 17

Constrictive lichenoid posthitis with a preputial band causing “hourglass” waist of the penile shaft

Answer 17

Genital Lichen Sclerosus

Question 18

Causes of genital drug eruption

Answer 18

Papaverine
Heparin
Warfarin
All-trans retinoic acid
Foscarnet
Nicorandil
Lisinopril

Question 19

Asymptomatic well-demarcated, glistening, moist, shiny, bright red, or autumn brown patches symmetrically involving the glans and inner prepuce sparing the keratinized penile shaft or foreskin

Answer 19

Zoon Balanitis

Question 20

Rare autosominal dominant condition presenting with poorly demarcated diffuse, painless white plaques on buccal mucosa and tongue

Answer 20

White sponge nevus

Question 21

May present with hemorrhagic crusting of lips in addition to intraoral erosions and ulcers associated with lymphoid malignancy

Answer 21

Paraneoplastic Pemphigus

Question 22

Benign symmetric exostoses present in the midline of the hard palate or bilaterally in lingual aspect of mandible

Answer 22

Palatal tori

Mandibular tori

Question 23

MAGIC Syndrome

Answer 23

Mouth And Genital ulcers with Inflamed Cartilage Syndrome

Question 24

Causes tongue pigmentation with accentuation of the papillae in punctate configuration common in dark-skinned individuals

Answer 24

Pegylated interferon with Ribavirin

Question 25

Fissured weepy lesions at the corners of the mouth often associated with Staphylococcal aureus

Answer 25

Angular cheilitis

Question 26

Most common site for oral nevomelanocytic nevi

Answer 26

Palate (40%)

Question 27

Sebaceous glands that present as painless papules located in bilateral symmetric on posterior buccal mucosa and vermilion of lips

Answer 27

Fordyce granules

Question 28

Diffusely white with red punctate areas representing opening of salivary ducts from pipe smoking and reverse smoke

Answer 28

Nicotinic Stomatitis

Question 29

Most common pathogen in denture-associated Candidiasis

Answer 29

Candida albicans

Question 30

Hypopigmentation of the vulva with shiny or crinkled texture and purpura

Answer 30

Lichen sclerosus

Question 31

Red scaly patches and plaques of the keratinized penis

Answer 31

Bowen Disease of the penis

Question 32

Most common location for rhinocerebral zygomycosis

Answer 32

Palate

Question 33

Most common site for oral pigmentation cause by Minocycline and Antimalarials with slate-gray to blue diffuse macular discoloration

Answer 33

Palatal mucosa

Question 34

Sudden onset of oral melanotic macules should raise possibility of

Answer 34

Addison disease

Question 35

Treatment of choice for oral melanoma

Answer 35

Excision with clear margins

Question 36

First indication that a patient is infected with HIV

Answer 36

Hairy Leukoplakia

Question 37

Common benign idiopathic disorder presenting as rock-hard smooth white papules or nodules on scrotum

Answer 37

Scrotal calcinosis

Question 38

Most common sites for oral findings in Discoid lupus erythematosus

Answer 38

Buccal mucosa | Palate

Question 39

Most worrisome complication of Lichen sclerosus

Answer 39

Squamous cell carcinoma of penis

Question 40

White papules and plaques on either side of the linear alba on buccal mucosa, lower labial mucosa or lateral tongue caused by chewing habit

Answer 40

Morsicatio Mucosae Oris

Question 41

T or F: Fissured tongue is a permanent condition

Answer 41

True

Question 42

Rhomboidal area in the posterior midline of tongue, anterior to circumvallate papillae which may be slightly depressed and erythematous, or raised

Answer 42

Median rhomboid glossitis

Question 43

Painless sloughs of desquamated tissue that lie in thin ribbons on mucosa that can be removed without pain or discomfort caused by mouthwash and caustic toothpaste

Answer 43

Contact Desquamation

Question 44

Penile thrombophlebitis has been seen as the initial presentation of

Answer 44

Paraneoplastic migratory thrombophlebitis

Question 45

Common condition of the tongue presenting with matted or coated appearance with history of illness and antibiotic use may have a foul or stale breath

Answer 45

Black hairy tongue

Question 46

Flesh-colored, smooth, rounded rows of papules on the coronal margin of glans common in uncircumcised males

Answer 46

Pearly penile papules

Question 47

Presents as asymptomatic diffuse patchy brown to black macular pigmentation of the oral mucosa and attached gingiva

Answer 47

Physiologic pigmentation

Question 48

Annular raised double-rimmed lesions in the intergluteal cleft, on scrotum, penis and glans

Answer 48

Genital Porokeratosis of Mibelli

Question 49

Poorly demarcated painless white papules and plaques with rough surface on keratinized mucosa of gingiva and hard palate as reaction to frictional trauma

Answer 49

Benign Alveolar Ridge Keratosis

Question 50

Type of Lichen Planus with symmetric distribution on the buccal mucosa and tongue, usually not painful

Answer 50

Keratotic or Reticular form of Lichen Planus

Question 51

Painless white plaque on the lateral border of tongue in immunocompromised patients (HIV/AIDS)

Answer 51

Hairy Leukoplakia

Question 52

Most common sites for oral Squamous Cell Carcinoma

Answer 52

Ventral tongue Gingiva Floor of the mouth

Question 53

Rare, low grade squamous carcinomas

Answer 53

Verrucous carcinoma Warty carcinoma Buscke-Lowenstein tumor Giant condyloma

Question 54

Most common cause of chronic vulvar dermatosis

Answer 54

Lichen sclerosus

Question 55

Upper lip nodules

Answer 55

1. Benign salivary gland neoplasm 2. Malignant salivary gland neoplasm 3. Benign nerve sheath tumor 4. Benign vascular tumor 5. Nasolabial cyst

Question 56

Curdy yellowish-white papules or plaques which may or may not scrape off often on dorsum of tongue or palate

Answer 56

Thrush or Pseudomembranous candidiasis

Question 57

White plaque pf questionable risk having excluded other known diseases that carry no risk for cancer

Answer 57

Leukoplakia

Question 58

Risk factors for oral Squamous cell carcinoma

Answer 58

``` Smoking Excessive alcohol Chewing areca nut Past history of cancer/immunosuppression Family history of cancer Exposure to high risk types of HPV Age Sunlight (lip SCC) ```

Question 59

Characterized by an acute eruption of itchy, painful, swollen plaques with central blister formation, erosion and ulceration with persistent post-inflammatory hyperpigmentation

Answer 59

Fixed Drug Eruption

Question 60

Grayish white opalescent wrinkled area with fissures on the madibular sulcus or vestible from smokeless tobacco and carcinogens

Answer 60

Smokeless Tobacco Keratosis

Question 61

Sore or painful annular erythematous eruption with central glassy appearance and serpiginous border surrounded by scaling in Glucagonoma syndrome

Answer 61

Necrolytic migratory erythema

Question 62

Atrophy of the lips caused by sun damage without evidence of dysplasia

Answer 62

Actinic cheilitis

Question 63

Tongue presenting as smooth, bald with atophic papillae associated with burning sensation and sensitivity when eating acidic, salty or crunchy foods

Answer 63

Atrophic glossitis

Question 64

Bilateral painless fine grayish white, opalescent reticulations diffuse on the buccal mucosa or ventral tongue

Answer 64

Leukoedema

Question 65

% of erythroplakia associated with carcinoma or dysplasia at time of diagnosis

Answer 65

90%

Question 66

Two most common pigments of exogenous origin intraorally

Answer 66

Amalgam | Graphite from pencil lead

Question 67

Blue to purple, smooth papules on the scrotum, penile shaft, or glans which may bleed after trauma

Answer 67

Angiokeratoma

Question 68

Linear keratosis on the buccal mucosa bilaterally and a form of frictional keratosis

Answer 68

Linear alba

Question 69

Most common sites for oral melanotic macule

Answer 69

Lower lip vermilion Gingiva Hard palate

Question 70

Most common presentation for mucous membrane pemphigoid

Answer 70

Desquamative gingivitis

Question 71

Poor prognosis for Penile Squamous cell carcinoma

Answer 71

Perineural invasion Vascular invasion High histological grade (sarcomatoid cancer)

Question 72

White papules and plaques with minimal erythema associated with mucocutaneous disease or Hairy Leukoplakia

Answer 72

Hyperplastic candidiasis

Question 73

Presents as an irritating, itchy, burning red scaly patch or plaque which can be found anywhere on the anogenital area

Answer 73

Extramammary Paget Disease

Question 74

Clinical forms of oral Lichen Planus

Answer 74

1. Keratotic/reticular 2. Erythematous/erosive 3. Ulcerative

Question 75

Lower lip nodules

Answer 75

Bite fibroma Irritation fibroma Mucoceles

Question 76

T or F: Genitalia may be the only site involved in Vitiligo

Answer 76

True

Question 77

Most common type of oral nevomelanocytic nevi

Answer 77

Intramucosal nevus (66%)

Question 78

Agents associated with ulcerative mucositis (ulcers on nonkeratinized sites - buccal mucosa and ventral tongue - extremely painful and several centimeters in size)

Answer 78

Cytarabine | Cisplatin

Question 79

Painful usually bilateral maceration of the corners of the mouth with ulceration, crusting, cracking and severe cases fissuring

Answer 79

Angular cheilitis

Question 80

Foreskin fixed in retraction

Answer 80

Paraphimosis

Question 81

Most common dermatosis of the male anogenitalia

Answer 81

Psoriasis

Question 82

Immune-mediated and interface stomatitis characterized by T-cell destruction of basal cells of epithelium mediated by TH1 cytokines

Answer 82

Oral Lichen Planus

Question 83

Most effective treatment for mucous membrane pemphigoid presenting as desquamative gingivitis

Answer 83

Topical steroid gel