D3 Path Test 3

Front 1

Morsicatio buccarum is more prevalent for which gender and age group?

Back 1

females older than 35

Front 2

Which pathology can look very similar to oral hairy leukoplakia?

Back 2

morsicatio buccarum

Front 3

Ulcerations associated with Riga-Fede disease commonly occur where?

Back 3

anterior ventral or dorsal surface of the tongue

Front 4

Which pathology(s) can resemble squamous cell carcinoma?

Back 4

traumatic ulceration/traumatic granuloma

Front 5

Where do traumatic ulcerations commonly occur?

Back 5

tongue, lips and buccal mucosa (sites easily injured by dentition)

Front 6

Traumatic granulomas have which gender preference? Where do they commonly occur? How long do they usually last?

Back 6

male; tongue; 1 week-8 months

Front 7

What is the best treatment for traumatic ulcerations?

Back 7

a rapid healing biopsy

Front 8

What % of hydrogen peroxide is known to cause mucosal damage?

Back 8

3% or higher

Front 9

Which chemical that can cause mucosal damage was once used to treat apthous ulcers?

Back 9

silver nitrate

Front 10

Which type of mucosa is most easily destroyed due to chemicals?

Back 10

non-keratinized movable mucosa

Front 11

What are the two main acute changes seen with chemotherapy?

Back 11

mucositis and hemorrhage

Front 12

The hemorrhage seen with chemotherapy is secondary to __ from __.

Back 12

thrombocytopenia; hepatic damage

Front 13

Mucositis occurs when during chemotherapy? When during radiation therapy? How long after treatment does it take to resolve?

Back 13

a fews days after treatment; second week of radiation therapy; resolves 2-3 weeks after cessation of treatment

Front 14

How long does mild dermatitis from radiation therapy take to resolve? Moderate?

Back 14

2-3 weeks; 3 months

Front 15

Name the 2 symptoms that can be seen with the mild form of dermatitis seen during radiation therapy? Moderate?

Back 15

hyperpigmentation, and hair loss; hyperpigmentation, hair loss and scarring

Front 16

How long does hypoguesia from radiation therapy usually last?

Back 16

4 months

Front 17

Does osteoradionecrosis usually involve the maxilla or mandible?

Back 17

mandible

Front 18

Which medication can reduce mucositis and ulceration seen with chemotherapy but not radiation?

Back 18

chlorhexidine

Front 19

Pilocarpine is a cholinergic drug very effective in treating ___.

Back 19

xerostomia

Front 20

Which pathological disorder represents factitious injuries?

Back 20

exfoliative cheilitis

Front 21

Exfoliative cheilitis has a preference for which gender and age group?

Back 21

females younger than 30

Front 22

If exfoliative cheilitis is infectious in origin it is called __. If it is secondary to candida infection it is called __.

Back 22

angular cheilitis; cheilocandidiasis

Front 23

Where does submucosal hemorrhage usually occur? What is it usually due to?

Back 23

labial or buccal mucosa; blunt trauma

Front 24

If submucosal hemorrhage is due to increased intrathoracic pressure where is it usually found? How long does it last?

Back 24

petechiae on the side of the neck that resolves in 72 hours or on palate

Front 25

What is the typical color and location of exogenous pigmentation due to pencil graphite?

Back 25

gray area on hard palate

Front 26

Staining of reticulin fibers is usually seen with which pathological condition?

Back 26

exogenous pigmentation from amalgam

Front 27

What two metals now known to cause intoxication were once used to treat venereal disease and dermatoses?

Back 27

bismuth and arsenic

Front 28

Name the two oral findings seen in lead intoxication.

Back 28

ulcerative stomatitis and gingival lead line (blue in color)

Front 29

Tremor of the tongue on thrusting is seen with which metal intoxication?

Back 29

lead

Front 30

Name 4 common oral finding seen with acrodynia,

Back 30

excessive salivation, ulcerative gingivitis, bruxism and premature loss of teeth

Front 31

Intoxication of which metal usually manifests as as a diffuse gray-black skin discoloration of sun-exposed areas?

Back 31

silver (argyria)

Front 32

Which 2 metals show a line of discoloration along the gingiva?

Back 32

silver and bismuth

Front 33

What is the most common complication of gold intoxication?

Back 33

dermatitis preceded by pruritis

Front 34

Slate-blue discoloration of sun-exposed skin is seen with intoxication of which metal?

Back 34

gold

Front 35

What is the treatment for metal intoxication?

Back 35

chelating agents

Front 36

Where is smoker's melanosis most commonly seen with cigarette users? Pipe smokers? Reverse smokers?

Back 36

anterior labial alveolar mucosa; commissural and buccal mucosa; palate

Front 37

How long does smoker's melanosis take to resolve once someone quits smoking?

Back 37

3 years

Front 38

Which drug can produce a dark green discoloration of the bone and developing teeth?

Back 38

minocycline

Front 39

Anitmalarials and tranquilizers typically affect which area and produce which color? Estrogen, chemotherapeutic agents and AIDs meds?

Back 39

blue-black discoloration of the hard palate; brown melanosis of the skin and oral mucosa

Front 40

Where is traumatic osseous and chondromatous metaplasia usually found?

Back 40

posterior mandible

Front 41

Name the 2 types of sinus mucocele.

Back 41

surgical ciliated mucocele and obstructive type

Front 42

Which type of cysts or mucoceles require surgical elimination?

Back 42

both types of sinus mucoceles

Front 43

Where can cervicofacial emphysema possibly spread to? What is the treatment?

Back 43

retropharyngeal or mediastinal areas; broad spectrum antibiotics although most cases resolve spontaneously

Front 44

What % of the general population has recurrent appthous ulcers?

Back 44

20%

Front 45

What are the 3 main categories of etiology for recurrent aphthous ulcers?

Back 45

immune dysregulation, decrease of the mucosal barrier and increase in antigenic exposure

Front 46

Where do minor aphthous ulcerations arise almost exclusively? Most common sites? What age is onset typical?

Back 46

non-keratinized mucosa; buccal and labial mucosae; childhood or adolescence

Front 47

What are the most common sites for major aphthous ulcers? What age is onset typical?

Back 47

labial mucosa, soft palate and tonsillar fauces; after puberty

Front 48

Where do herpetiform aphthous ulceration commonly affect? Gender preference? Onset?

Back 48

non-keratinized movable mucosa; females; adulthood

Front 49

What is the typical treatment for recurrent aphthous ulcerations?

Back 49

minor and herpetiform types respond well to betamethasone syrup or 0.01% dexamethasone elixir; major form is more resistant and treatment includes injection of triamcinolone acetonide covered with 0.05% betamethasone diproprionate or 0.05% clobetasol proprionate

Front 50

What is the first sign of Behcet's syndrome and in what percent of cases will this finding be seen?

Back 50

oral lesions which will eventually be seen in 99% of cases

Front 51

Where are the oral lesions of Behcet's syndrome most commonly found?

Back 51

soft palate and oropharynx

Front 52

What is considered the classical sign of Behcet's syndrome? What gender is ocular involvement more serious in?

Back 52

positive pathergy test; males

Front 53

The histology of Behcet's syndrome is similar to aphthous stomatitis but also has ___.

Back 53

leukocytoclastic vasculitis

Front 54

What is the treatment for the oral signs of Behcet's syndrome? Genital? Ocular?

Back 54

tetracycline-containing rinse or topical corticosteroid; topical corticosteroid; azathioprine and cyclosporine

Front 55

Name the racial, gender and age prevalences seen for sarcoidosis? Name the five organs most typically affected?

Back 55

blacks, females and age between 20 and 40; lungs, eyes, salivary glands, skin and lymph nodes

Front 56

Name the 2 syndromes associated with acute sarcoidosis and the symptoms of each.

Back 56

Heerfordt's syndrome- parotid enlargement, facial paralysis, and anterior uveitis; Lofgren's syndrome- arthralgia, bilateral hilar lymphadenopathy, and erythema nodosum

Front 57

Schaumann bodies and asteroid bodies are seen in the granunolmas of which pathological condition?

Back 57

sarcoidosis

Front 58

Elevated serum ACE is seen in which disease?

Back 58

sarcoidosis and angioedema

Front 59

Kviem test was used for which disease?

Back 59

sarcoidosis

Front 60

What is the most accurate way of diagnosing sarcoidosis?

Back 60

biopsy of posterior superficial lobe of parotid gland

Front 61

Which pathological condition is a a diagnosis of exclusion?

Back 61

orofacial granulomas

Front 62

What is the most common site for orofacial granulomas?

Back 62

lips

Front 63

Name the 3 symptoms associated with Melkerson-Rosenthal syndrome?

Back 63

cheilitis granulomatosa, fissured tongue and facial paralysis

Front 64

Which pathological condition presents with a cobblestone appearance of the buccal mucosa?

Back 64

orofacial granulomatosis

Front 65

Name the 3 most common finding used when describing Wegener's granulomatosis.

Back 65

necrotizing granulomatous lesions of the respiratory tract, necrotizing glomerulonephritis, and systemic vasculitis of small arteries and veins

Front 66

What is the fist place of involvement with Wegener's?

Back 66

upper and lower respiratory tracts

Front 67

Saddle nose deformity is seen with what condition?

Back 67

Wegener's

Front 68

What is the most frequent cause of death seen with Wegener's?

Back 68

renal involvement with glomerulonephritis

Front 69

Strawberry gingivitis is seen with what disease?

Back 69

Wegener's

Front 70

What is the diagnostic test for Wegener's?

Back 70

immunofluorescence of p-ANCA an c-ANCA

Front 71

Is p-ANCA or c-ANCA more useful when diagnosing Wegener's?

Back 71

c-ANCA

Front 72

What is the drug of choice for treating Wegener's?

Back 72

cyclophosphamide and prednisone

Front 73

What is the most common sites for lichenoid, lupus-like and pemphigus-like mucosal reactions to drugs?

Back 73

posterior buccal mucosa and lateral tongue

Front 74

Allergic contact stomatitis has what gender preference? What is the most frequent acute symptom?

Back 74

females; burning

Front 75

Where does contact stomatitis from cinnamon flavored toothpaste mostly affect? From gum and candy?

Back 75

gingiva; buccal mucosa and lateral tongue

Front 76

Acute hypersensitivity reaction from amalgam begin how long after placement? Disappear how long after? What condition do the lesions from amalgam reactions look like?

Back 76

2-24 hrs; 10 days; lichen planus

Front 77

What type of tissue does angioedema mostly affect? What is the most common cause?

Back 77

subcutaneous and submucosal connective tissue; mast cell degranulation

Front 78

Name the 3 causes of angioedema?

Back 78

mast cell degranulation, complement pathway and ACE inhibitors

Front 79

Angioedema is seen secondary to increased levels of __.

Back 79

bradykinin

Front 80

Respiratory and GI involvement occur with which form of angioedema? Perioral and periocular involvement is seen with which form?

Back 80

hereditary form; allergic form