Ulcers

Question 1

Immunologic disease having ulcers

Answer 1

Apthous ulcers
Behcets syndrome
Wegener’s granulomatosis
Midline granuloma

Question 2

Fungal infections have ulcerative lesions

Answer 2

Histoplasmosis
Coccidiodomycosis
Mucormycosis
Aspergillosis

Question 3

Bacterial infections having ulcerative lesions

Answer 3

Actinomycosis
Syphilis
Tuberculosis

Question 4

Common locations for traumatic ulcers

Answer 4

Labial
Buccal
Palate
Tongue

Question 5

Causative factors for recurrent apthous ulcers

Answer 5

Allergies
Genetic predisposition
Hormones
Infectious agents
Nutritional deficiency
Smoking cessation
Stress
Trauma

Question 6

Intraoral location of apthous ulcers

Answer 6

Non keratinised mucosa
Vestibule
Buccal mucosa
Tongue
Soft palate
Fauces
Floor of the mouth

Question 7

Most common type apthous ulcers

Answer 7

Minor

Question 8

Major apthous ulcers are most common in

Answer 8

HIV patients
Immunocompromised pts

Question 9

How long major aphthae lasts

Answer 9

Upto 6 weeks
Heals with scar formation

Question 10

Difference between herpetiform ulcers and herpes simplex

Answer 10

Non keratinised mucosa
Not preceded by vesicles
Exhibit no virus infected cells

Question 11

Recurrent apthous are prevalent in

Answer 11

Crohns disease
Behcets syndrome
Cyclic nuetropenia
Nutritional deficiency
Celiac disease
AIDS

Question 12

Abnormal immune process triggered by an infectious or environmental antigen in a genetically predisposed individual

Answer 12

Behcets syndrome

Question 13

Features of behcets syndrome

Answer 13

Small vessel vasculitis
Males
30-40 yrs
Turkey, Japan, eastern Mediterranean

Question 14

Recurrent oral and genital apthous type ulcers
Conjunctivitis
Uveitis
Arthritis headaches and CNS symptoms in 30-40 yrs TURKISH JAPANESE AND MEDITERRANEAN MEN

Answer 14

Behcets syndrome

Question 15

Most common intraoral site involved in behcets syndrome

Answer 15

Soft palate
Oropharynx

Question 16

Strawberry gingivitis is seen in

Answer 16

Wegener granulomatosis

Question 17

Lab markers for wegeners granulomatosis

Answer 17

Antineutrophil cytoplasmic antibodies (cANCAs)

Antineutrophil perinuclear antibodies (pANCAs)

Question 18

Midline granuloma also known as

Answer 18

Malignant granuloma
Lethal midline granuloma

Question 19

Necrotic ulcers progressive and non healing perforates nasal septum and hard palate

Answer 19

Midline granuloma

Question 20

Causative agent of actinomycosis

Answer 20

Actinomyces israelli
Filamentous
Branching
Gram positive
Anaerobic bacteria

Question 21

Inflammatory woody hard indurated swelling grows slowly has a soft centre with sinus discharging yellowish specks called sulfur granules

Answer 21

Actinomycosis infection

Question 22

Causative agent of syphilis

Answer 22

Treponema pallidum
Anaerobic spirochete

Question 23

Primary syphilis presents as

Answer 23

Chancre

Question 24

Common intraoral site of primary syphilis

Answer 24

Lip
Other sites
Buccal mucosa
Tongue
Palate
Gingiva
And tonsils

Question 25

Intraoral location for primary syphilis

Answer 25

Lips Other site include Buccal mucosa tongue pakate and tonsils

Question 26

Presentation of secondary syphilis

Answer 26

Reddish brown maculopapular rash Snail track like mucosal ulcers Called mucous patches on the palate Condylomata lata - elevated broad based verrucal plaques on skin and mucosa

Question 27

Presentation of tertiary syphilis

Answer 27

Gumma On the palate most commonly

Question 28

Indurated nodular ulcerated lesion produces extensive tissue destruction affecting palate and goes through nasal cavity seen in tertiary syphilis

Answer 28

Gumma

Question 29

Triad of congenital syphilis

Answer 29

Inflammation in the cornea - interstitial keratitis Eigth nerve deafness Hutchison incisors and mulberry molars

Question 30

Oral manisfestations of TB

Answer 30

Indurated chronic non healing painful ulcer on the tongue or palate shows granulomas with caseous necrotic centre under the microscope

Question 31

Destructive ulceration in the palate, paranasal sinuses and nasal cavity in an uncontrolled insulin dependent diabetic and ketoacidotic pt

Answer 31

Mucormycosis- zygomycosis

Question 32

2nd most common fungal infection followed by candidiasis in a patient undergoing chemotherapy

Answer 32

Aspergillosis

Question 33

Necrotic ulcerations eith dark grey pseudomembranes in the gingiva and hard palate of the pt undergoing chemotherapy

Answer 33

Aspergillosis

Question 34

Features of wegener granulomatosis

Answer 34

Necrotizing granulomatous lesions of Respiratory tract Necrotizing glomerulonephritis Systemic vasculitis of small arteries and veins

Question 35

Treatment of TB

Answer 35

8 week course pyrazinamide Isoniazid Rifampin Ethambutol 16 week course Isoniazid Rifampin

Question 36

Deep fungal infection in oral cavity

Answer 36

Single or multiple indurated painful non healing ulcers on tongue Palate buccal mucosa