"Terminology for Head and Neck Exam"

Question 1

Lesion

Answer 1

a GENERAL term to denote a pathologic to traumatic change in the tissue. It is not descriptive.

Question 2

Macule

Answer 2

focal area of color change not elevated or depressed in relation to its surroundings; flat.

Question 3

Papule

Answer 3

solid, raised lesion less than 5 mm in diameter.

Question 4

Nodule

Answer 4

solid, raised lesion greater than 5mm

Question 5

Erythema

Answer 5

red in color; a common but non-specific sign of irritation, injury, or inflammation caused by dilation of superficial blood vessels

Question 6

Sessile

Answer 6

base is the wildest part of an elevated lesion

Question 7

Pedunculated

Answer 7

based of an elevated lesion is narrower than the widest part

Question 8

Papillary

Answer 8

exhibiting numerous surface projections

Question 9

Verucous

Answer 9

exhibiting a rough, water substance

Question 10

Erythematous

Answer 10

relating or marked by erythema

Question 11

Erosive

Answer 11

superficial, partial or total loss of surface epithelium, may arise secondarily from ruptures of bulla (blister)

Question 12

Ulcerated

Answer 12

loss of surface epithelium down to the connective tissue, often appears depressed

Question 13

Fissure

Answer 13

Narrow slit-like ulceration or groove

Question 14

Plaque

Answer 14

slightly elevated and generally flat; homonym = soft white bacterial deposits that accumulates on teeth

Question 15

Petechia(e)

Answer 15

flat, round, pinpointed area(s) of hemorrhage, usually 3 mm or less

Question 16

Purpura

Answer 16

hemorrhage into the skin, larger than 3 mm but smaller than 1 cm

Question 17

Ecchymosis

Answer 17

flat area of hemorrhage larger than 1 cm; bruise

Question 18

Vesicle

Answer 18

fluid-filled, elevated, superficial, 5 mm or less in diameter

Question 19

Bulla

Answer 19

fluid-filled, elevated, 5 mm or more in diameter

Question 20

Pustule

Answer 20

superficial, circumscribed cavity filled with pus (purulent exudate)

Question 21

Indurated

Answer 21

hardened

Question 22

Fluctuant

Answer 22

Wavelike on palpation due to liquid content

Question 23

Copious

Answer 23

present in large quanitities

Question 24

Dermatoglyphics

Answer 24

lines forming a skin pattern

Question 25

Crenated

Answer 25

scalloped

Question 26

Varicose

Answer 26

abnormally swollen, distended, or dialated

Question 27

Scale

Answer 27

flakes or retained surface keratin

Question 28

Crust

Answer 28

dired blood, serum, or purulent exudate (pus) on the skin surface

Question 29

What instrument do you use for size?

Answer 29

perioprobe or ruler

Question 30

How describe site?

Answer 30

Location in oral cavity, including side, ant/post, adj to, between, midline (ECT)

Question 31

How do you describe shape?

Answer 31

shape as well as border texture

Question 32

How do you describe surface?

Answer 32

Raised/flat, texture, is there is crust/blood/pus

Question 33

How do you describe the symmetry?

Answer 33

can describe symmetry of lesion or if the lesion is bilateral

Question 34

Descriptive terminology:

Answer 34

size, site, shape, surface, symmetry, color, border/margins, mode of attachment, consistency, number, and distribution

Question 35

What are modes of attachment?

Answer 35

How lesions are attached to the oral cavity (sissile, broad/narrow based)

Question 36

Can the number be 1?

Answer 36

there can be 1 lesion or described it as solitary

Question 37

What are the two modes of distribution?

Answer 37

solitary or wide spread

Question 38

What is the descriptive terminology for radiographs?

Answer 38

size, position, shape, border, density & internal structure, and effects on adj structures

Question 39

Define size in a radiograph

Answer 39

Can be mm or cm | Described by the anatomical position of the boundaries

Question 40

What are some descriptions of boarders on a radiograph?

Answer 40

well-demarcated, ill-defines, blended, radio-opaque, thick

Question 41

What does density denote in a radiograph?

Answer 41

If the object is radiolucent or radiopaque

Question 42

What are the effects on the ADJ structures in a radiograph?

Answer 42

expansion, resorption, displacement