Week 0.5

Question 1

Papule

Answer 1

Raised lesion
Any color
Less than 5mm

Question 2

Nodule

Answer 2

Solid, raised lesion
Any color
Greater than 5mm

Question 3

Tumor/mass

Answer 3

Solid, raised mass
any color
Greater than 1cm

Question 4

Sessile

(3 terms) and description

Answer 4

Papule/nodule or mass

*Base wider than apex

Question 5

Pedunculated

(3 terms) and Description

Answer 5

Papule, nodule or tumor/mass

*has a stalk!

Question 6

Verrucous

Answer 6

Warty, rough surface

Question 7

Vesicle

Answer 7

Fluid filled! Elevation
any color
less than 5mm

Question 8

Bulla

Answer 8

Fluid filled! Elevation
any color
Greater than 5mm

Question 9

Ulcer
Description
-*Due to:

Answer 9

Discontinuous surface mucosa

*due to microscopic death of cells

Question 10

Erosion

Answer 10

Superficial loss of epithelium

Question 11

Erosion of Buccal mucosa

layer lost

Answer 11

Layer lost: Stratum Lucidum

Question 12

Erosion of Gingival mucosa

layer lost

Answer 12

Layer lost: Stratum corneum

Question 13

Fissure

Answer 13

Narrow, slit

**Ulceration or groove

Question 14

Plaque/patch

Answer 14

FLAT TOPPED elevated area

Question 15

Petechia

Answer 15

ROUND

pinpoint area of hemorrhage

Question 16

Ecchymosis

Answer 16

Non-ELEVATED

area of hemorrhage larger than petechia

Question 17

Telangiectasia

Answer 17

vascular lesion caused by dilation of small, superficial blood vessel

Question 18

Sinus/fistula

-non suppurating

Answer 18

Hollow passage
Between tubular organ and outside body
OR
Between two tubular organs

Question 19

Sinus/fistula

-suppurating

Answer 19

Suppurating CAVITY TRACT (cyst or abscess)

TO: surface mucosa

Question 20

Cyst

Answer 20

PATHOLOGIC epithelium lined cavity filled with liquid or semi-solid

Question 21

Two types of clinical features

Answer 21

Symptoms and Signs

Question 22

Signs

Answer 22

Detected by DR examiation

Question 23

Symptoms

Answer 23

Complaints of the patients

Question 24

Macule

Answer 24

FLAT area
odd color
usually 1cm or smaller

Question 25

3 General! Types of Vesiculobullous ulcerative diseases

Answer 25

1. Hereditary 2. Viral 3. Immunologic (autoimmune)

Question 26

1 Hereditary type of Vesiculobullous ulcerative disease

Answer 26

Epidermolysis bullosa

Question 27

5 types of viral vesiculobullous

Answer 27

* 1. Herpes Simplex AND * 2. Varicella-Zoster 3. Hand foot and mouth 4. Herpangina 5. Measles

Question 28

3 immunologic diseases

Answer 28

1. Pemphigus Vulgaris * 2. Mucous membrane Pemphigoid 3. Bullous pemphigoid

Question 29

Mucocele | 3

Answer 29

*unbroken vesicle (swelling from glands IN connective tissue) no pain Filled with mucin

Question 30

Acute lesions

Answer 30

Pain Recent Fever/malaise/other systemic symptoms

Question 31

Vesicle with erosion and ulceration

Answer 31

``` Chronic (1 yr) Pain on eating Not systemic Bleeding gums Dr. gave antibiotic w/ no change ```

Question 32

6 herpetic infections and tissues involved

Answer 32

1. HSV1--Epithelial 2. HSV2--Epithelial 3. Varicella-Zoster--Nerve (trigeminal ganglia) (initially lungs) 4. Epstein-Barr--B-Cells and Epithelial (also IS oncogenic) 5. Cytomegalovirus--Salivary glands (latent in lymphocytes) 6. HHV8! - unknown and IS oncogenic

Question 33

HSV lesions two forms *(2)

Answer 33

Primary and Secondary/recurrent | Can be self-limiting and controls the disease

Question 34

HSV severity increased due to______

Answer 34

Immunocompromised!

Question 35

Two names for recurrent/secondary HSV lesions (layman terms)

Answer 35

Cold sores | Fever Blisters

Question 36

Pathogenesis (5 steps)

Answer 36

1. Host (seroneg) 2. Primary disease (primary herpetic gingivostomatitis) 3. Host (seropos) LATENT in trigem gang 4. Reactivation (cold, dry, hot, sun) 5. Secondary disease (cold sores, fever blisters)

Question 37

Transmission of HSV

Answer 37

ONLY BY DIRECT CONTACT, no aerosols

Question 38

Primary/Overt HSV (% of cases? and AGE) - Symptoms (3) - Oral symptoms (2)

Answer 38

1% of cases, AGE: usually children Fever, malaise, lymphadenopathy (classic viral symptoms) * Oral and perioral vesicles, rupture -> ulcers * *****can occur on ANY surface (i assume oral)

Question 39

Secondary HSV - Age - Causes of symptoms - Symptoms (3 locations of lesions)

Answer 39

Age: Any Causes: stress, cold, sunlight, immunocompromised Symptoms: Vesicles/ulcers on 1. Lips, 2. Palate, and 3. Gingiva.

Question 40

Description of pain for HSV lesions: _____ and ______ PAIN!!!!

Answer 40

Tingling and burning