O. Path From Ouhsc Cod-- Punishment

Front 1

what to find out or do before getting to DD.

Back 1

Hx of illness, 2. Review Medical and family Hx., 3. Clinical exam

Front 2

How do you confirm a diagnosis?

Back 2

1. look and know
2. biopsy
3. History--> diagnosis sometimes
4. Put pt. on medication. if cures, then you know the disease

Front 3

Macule is?

Most common ex?

Back 3

color change, NOT ELEVATED OR DEPRESSED.

Oral Melanotic Macule

Front 4

Papule is?

Back 4

Small nodule <5mm. sold. (like mass in the tissue)

Front 5

Nodule is a...?

Color?

Back 5

solid, riased, >5mm.

normal

Front 6

sessile vs. pedunculated?

Back 6

Sessile: nodule with base of lesion larger than rest.
Pedunculated: lesion larger than base

Front 7

Papillary means?

Back 7

surface change due to inflammatory reactive process.

Front 8

Verrucous is

Back 8

rough, warty surface change. very minimal change to tissue

Front 9

Vesicle vs. bulla?

Back 9

1. vesicle is <5mm. bulla is <5mm.
2. Vesicle does not last as long as a bulla (bulla are deeper in the tissue???)

Front 10

what happens to oral vesicles?

Back 10

they rupture (don't last long and they are rare in the oral environment). then blister.

Front 11

Pustule color/ is?/

Seen with?

Back 11

yellow/ little vesicles less than 1mm

recurrent herpes

Front 12

Ulcer occurs when? is?

Back 12

bullous lesion ruptures. is a loss of surface epi and sometimes some underlying CT too. usually depressed or cavitated.

Front 13

Erosion is a _____ Lesion?

Back 13

superficial that is not all the way through the surface of epi. (true definition says it can go all the way through the epi.)

Front 14

Fissure is a

Back 14

narrow slit like ulceration/groove.

Front 15

Fissures are worth watching because?

Back 15

can get increased infections.

Front 16

Plaque color? it is?

Back 16

white usually. slightly elevated (thickened epi or elongation of rete ((ridges)).

Front 17

Leukoplakia is a?

____% will be displastic? % increases with

Back 17

white plaque

20%. irregularity.

Front 18

Acanthosis is

Back 18

thickening of epi.

Front 19

Petechia are

Back 19

small areas of vascular dilation (round pinpoint area of hemorrhage).

Front 20

causes palatal petechia?

Back 20

1. trauma
2. TTP, ITP (idiopathic thrombocytopenia)
3. URI
4.Ecchymosis

Front 21

Ecchymosis is a?

Increases with?

Back 21

rupture of vessels under the skin

age

Front 22

Telangiectasia is a

Back 22

hemangioma that forms at birth/ shortly after.

Front 23

Telangiectasia growth ?

Back 23

grows faster than child (at first) then goes away during adolescence.

Front 24

Telangiectasia/ vascular lesion caused by

Back 24

dilation fo small superficial blood vessels.

Front 25

if telangiectasia clots?

Back 25

turns hard and does not blanch

Front 26

Blanching for charge:
making lots of $$$

Back 26

Dioscopy

Front 27

Cyst is

Back 27

pathologic epi-lined cavity usually filled with liquid or semi-solid contents. (general pathologists do not require epi-lined.

Front 28

called cysts but not true cysts (just some exs)

Back 28

simple bone cysts, psuedocyst

Front 29

Cysts types

Back 29

developmental and inflammatory

Front 30

white vs. red cysts

Back 30

white is bad and red is good (90% or better with red)

Front 31

If it is a lesion that is rough and vesicular think:

Back 31

1. papilloma, 2. VV 3. Condyloma acuminatum. Know these three.

others: SCC, Verrucous carcinoma, Giant cell fibroma, Veruciform zanthoma, focal epi hyperplasia.

Front 32

Verucous carcinoma is

Back 32

subtype of SCC that is superficial growth. it can grow lateral for 5 yrs then goes vertical (becomes normal SCC)

Front 33

Red lesion DD is (you can differentiate a lot of these based on location). 5 total

Back 33

1. erythematous candidiasis (dentures stomatitis and angular cheilitis).
2. trauma. 3. erythema migrans (geographic tongue. 4. burns. 5. erythroplakia

Front 34

___% of erythroplakias are cncerous?

Back 34

90%

Front 35

types of pigmented lesions?

Back 35

1. Melanocytic (and subtypes
2. Foreign body
3. Vascular

Front 36

Second monst common Melanocytic lesion?

Back 36

melanotic macule

Front 37

Melanotic macule appears? causes?

Back 37

diffent color with no elevation
smokers melanosis, drugs, addisons disease, neurofibromatosis, Albright's disease

Front 38

Neurofibromatosis is coast of ?

Back 38

California

Front 39

Albright's disease is coast of

Back 39

maine

Front 40

Worst type of fibrous dysplasia is ? distinguished by

Back 40

albrights
percusious puberty

Front 41

Melanocytic pigmented lesions include

Back 41

melanotic macule
2. nevus
3. melanotic neuroectidermal tumor of infancy
4. melanoma (only true malignancy)

Front 42

Nevus types?

Back 42

junctional, compound, intramucosal, and blue

Front 43

Tx for blue nevus?

Back 43

disappears with age. quote was "born with them die without."

Front 44

Melanoma most common location? others with the same most common location?

Back 44

palate

amalgam tatoo and macule

Front 45

location where nevus has never been seen?

Back 45

dorsal surface of tongue

Front 46

How to tell if a pigmented lesion is vascular?

Back 46

if it blanches

Front 47

DD for Brown/Grey/Black lesions?

Back 47

1. Racial pigmentation, 2. amalgam tattoo, 3. hairy tongue, 4. melanotic macule, or 5. smokers melanosis

Front 48

Upper lip DD?

Back 48

1. irritation fibroma, 2. salivary gland tumor, 3. salivary duct cyst, 4. minor gland sialoliths, 5. Other mesenchymal tumors, 6. Nasolabial cyst (Cleidstat cyst)

Front 49

Minor glands % benign vs malignant?

Where/what is the exception?

Back 49

1. 50/50%

2. Upper lip is only 80/20%

Front 50

Lower lip order of DD?

Back 50

1. Mucocele, 2. Irritation fibroma, 3. SCC, 4. Mesenchymal tumors, 5. Salivary duct cyst, 6. Salivary gland tumor, 7. Keratoacanthoma

Front 51

Which lip is more likely to be malignant?

Back 51

Lower, so upper lip is better off.

Front 52

Keratoacanthoma is

Back 52

SCC that is extremely well differentiated.

Front 53

Keratoacanthoma tx?

Back 53

After 1 yr, goes away on own (but not often diagnosed so may receive tx like SCC)

Front 54

DD of redundant tissue of upper lip?

Back 54

Double lips, asher's syndrome

Front 55

Asher's syndrome symptoms?

Back 55

Droopy eye lids, hyperthyroidism, Double upper lip

Front 56

Double upper lip is due to

Back 56

negative suction habit

Front 57

Negative suction habit on the cheak called?

Back 57

linea alba

Front 58

Gingival lesions DD?

Back 58

1. Pyogenic granuloma,
2. Peripheral giant cell granuloma (PGCG)
3. POF
4. Peripheral fibroma

Front 59

Which of the gingival lesions are unique to the gingiva?

Back 59

PGCG and POF

Front 60

An epulis is

Back 60

a lump on the gingiva

Front 61

POF is unique and differs from PGCG because

Back 61

it is a periodontal lesion. If no tooth, cannot be POF
PGCG can be edentulous and is a lesion of the periostium (unique to alveolar bone)

Front 62

PG recurrence?

Back 62

5%

Front 63

When is it a peripheral fibroma?

Back 63

if it is only fibrous tissue

Front 64

the game given to the group of gingival lesions?

Back 64

Inflammatory fibrous hyperplasia

Front 65

Systemic diseases that have gingival lesions?

Back 65

Brown tumor of hyperthyroidism and Paget's

Front 66

PGCG has a calcium level that is

Back 66

negative (perform this test and a serum phosphatase on any centrally located lesion)

Front 67

2 syndromes associated with supernumeraries?

Back 67

Cleidocranial and gardners sundrome.

Front 68

Hyperdontia is more commonly due to

Back 68

idiopathic supernumeraries or cleft lip/palate

Front 69

most common supernumerary/

Back 69

mesiodense

Front 70

Twinning is

Back 70

has multiple definitions. can mean funny looking, large teeth or supernumerary (this is why it is not preferred by the author)

Front 71

Gemination vs fusion (and tooth count for each

Back 71

Gem: tooth bud splits: normal tooth count
Fus: two teeth grow together: loss of tooth count by 1

Front 72

Attrition vs abrasion

Back 72

Att: tooth to tooth (bruxism)
Abrasion: tooth brush

Front 73

Erosion types?

Back 73

Perimolysis: from within the body
Acid erosion: acid source is from outside the body

Front 74

Abfraction is

Back 74

stress fracture on tooth. Tooth must crack/chip (microstructure) of dentin and enamel. (can't usually see)

Front 75

Erosion and abfraction can be fixed by

Back 75

saliva

Front 76

If it is DD for unilocular RL, think

Back 76

1. OKC
2. Dentigerous Cyst
Ameloblastoma

Front 77

Why is the term hyperplastic dental follicle not used?

Back 77

insurrance wont pay

Front 78

Dentigerous cyst same lesion as (other close lesions, 2)

Back 78

1. Eruption cyst,
2. Orthokeratinizing odontogenic cyst

Front 79

If the RL lesion is in the anterior maxilla, think ____ for DD

Back 79

Dentigerous Cyst,
OKC
AOT (instead of ameloblastoma, which is rarely in the anterior)

Front 80

Lesions that early on are RO?

Back 80

COC, CEOT, AFO
Intraosseou MEC

Front 81

Which lesion has the thirds rule?

Back 81

AOT (but not sure what this rule is, I forget)

Front 82

Median rhomboid glossitis is caused by?

Lesion color?

Back 82

Candidiasis

Red