Oral Path Final

Front 1

Dome-shaped lesion on the floor of the max sinus

Back 1

Antral Pseudocyst

Front 2

Epi-lined cystic structure separate from max sinus

Back 2

Sinus mucocele

Front 3

Associated with calcification of stylohyoid lig

Back 3

Eagle or Carotid Artery syndrome
(note: pain w/swallowing)

Front 4

Erythematous candidiasis w/loss of filiform papillae

Back 4

Median rhomboid glossitis

Front 5

Single tooth bud giving rise to two teeth

Back 5

Gemination
(note: Fusion is sort of the opposite)

Front 6

Small lymphoid nodule, commonly on floor of mouth & vent tongue

Back 6

Oral Lympho-epithelial Cyst
(note: excise)

Front 7

Lympho-epithelial cyst can be described as

Back 7

Outpouching of lymphoid tissue filled with Keratinous debris

Front 8

Tooth with cusp-like elevation of enamel

Back 8

Dens Evaginatus
(note: different from invaginatus which is basically a tooth with a vagina)

Front 9

Most common location for dens evaginatus

Back 9

Central groove of molars and pm's

Front 10

A dystrophic calcification due to chronic sinusitis

Back 10

Antrolith
(note: appears as radiodense focus in sinus)

Front 11

Abnormal attachment of the lingual frenulum

Back 11

Ankyloglossia
(note: postpone surgical tx until age 4-5 due to its self-limiting nature)

Front 12

What are Fordyce Granules?

Back 12

Ectopic sebaceous glands
(note: found in 80% of people)

Front 13

Non-expansile, non-inflammatory lesion found in post mand

Back 13

Idiopathic Osteosclerosis
(note: tooth is vital, PDL intact)

Front 14

Chronic mass of inflamed granulation tissue, assymptomatic & tooth is NOT vital

Back 14

Periapical Granuloma
(note: 75% of inflammatory lesions)

Front 15

Inflammation of periapical PDL

Back 15

Acute apical perio
(note: develops into Abcess as shit accumulates in alveolus)

Front 16

Abscess may progress to

Back 16

1) Osteomyelitis as it spreads thru bone

2) Cellulitis, when it perforates into overlying soft tissue

Front 17

Thin enamel and dentin around large pulp

Back 17

Regional Odontodysplasia

"Ghost teeth"

Front 18

White cyst on the midline in newborns

Back 18

Epstein Pearl
(note: self-limiting)

Front 19

Abscess which perf'd bone and penetrated thru soft tissue

Back 19

Chronic Periapical Abscess w/drain fistula
(note: asymptomatic due to drain & loss of P)

Front 20

What is Morsciatico Buccarum?

Back 20

Chronic Cheek Chewing
(note: pt may be unaware)

Front 21

Herpes simplex is located where?

Back 21

HSV-1: Oral, Occular, Cutaneous

HSV-2: Crotch

Front 22

How does Primary HSV-1 resolve?

Back 22

Ulcerated lesions heal w/o scarring,
HSV remains latent within ganglia.

Front 23

Where does Secondary HSV-1 occur?

Back 23

At primary site, adjacent sites. Intraorally on lips (labialis) and palate.

Front 24

What is caused by Varicella-Zoster (HSV-3)?

Back 24

Primary infection: Chicken Pox

Secondary infection: Shingles

Front 25

How does Shingles manifest itself?

Back 25

1) Prodrome w/intense pain along infected nerve (dermatome)

2) Acute phase w/clusters of vesicles

Front 26

Location of Aphthous Stomatitis

Back 26

Movable mucosa only.

Resolve in 7-10 days.

May treat with Corticosteroids.

Front 27

How does Primary Herpetic Gingivostomatitis manifest itself?

Back 27

Small mucosal pinhead lesions >

Collapse into numerous red lesions >

Develop into fibrin covered ulcerations

Front 28

EBV (HSV-4) may cause what?

Back 28

Oral Hairy Leukoplakia -
thickened keratin projections

Front 29

Oral Hairy Leukoplakia is located where?

Back 29

Lateral tongue

Front 30

Regional Odontodysplasia "Ghost teeth" is due to what?

Back 30

Altered vascular supply

Front 31

White wrinkled appearance of buccal mucosa, common in blacks, disappears when stretched

Back 31

Leukoedema
(note: unknown origin)

Front 32

Radiation therapy causes Osteonecrosis due to

Back 32

1) hypoxia
2) hypocellularity
3) hypovascularity

necrosis is NOT due to infection

Front 33

What causes Cervicofacial Emphysema?

Back 33

Air trapped in the subcutaneous tissues after surgery

Front 34

Stages and symptoms of Syphilis

Back 34

1. chancre at infection site

2. systemic symptoms (mucus patches)

3. latent, no symptoms

Front 35

Actinomycosis is of what origin?
What's its histo?

Back 35

Bacterial origin.

Histo has sulfur granules.

Front 36

Intense, persisting pain from thermal stimulation. Pain w/o stimulus, keeps pt awake at night.

Back 36

Irreversible Pulpitis

Front 37

Pain of short duration, only when stimulated.

Back 37

Reversible Pulpitis

Front 38

What is the most common supernumery tooth? Second?

Back 38

1. Mesiodens

2. Fourth Molar

Front 39

What causes cleft lip? Cleft palate?

Back 39

CL: Medial Nasal Processes fail to fuse.
CP: Palatal Shelves fail to fuse.

CP(30%) is a separate entity from CP&CL(70%)

Front 40

What is Melkersson-Rosenthal syndrome?

Back 40

A orofacial granulomatosis incl. lip swelling, fissured tongue & facial palsy.

Front 41

What is Cheilitis Granulomatosa?

Back 41

A orofacial granulomatosis involving ONLY the lips.

Front 42

Congenital-Hutchinson’s Triad:

Back 42

1) Mulberry Molar, Hutchinson’s Incs

2) Interstitial keratitus

3) 8th Nerve Deafness

Front 43

Chronic ocular inflammation and multiple orogenital ulcerations:

Back 43

Behcet's syndrome

Front 44

Prognosis for Aphthous Stomatitis:

Back 44

Minor: 7-10 days, no scarring

Major: 2-6 wks, scarring occurs

Front 45

What is the tx & prognosis for Shingles?

Back 45

Treat with Antivirals (valtrex, acyclovir, famcyclovir). Lesions heal, neuralgia is prolonged. Usually no recurrence.

Front 46

Kaposi's sarcoma (HSV-8):

Back 46

Vascular neoplasm,

solitary lesion initially, progresses into multiple unilateral lesions.

Front 47

Rapid onset swelling of soft tissue (lips) due to meds or IgE

Back 47

Angioedema

(note: IgE caused can be treated with antihistamines)

Front 48

Candidiasis is dimorphic, has to forms:

Back 48

1) yeast

2) hyphae

Front 49

The 5 D's of Candidiasis

Back 49

Drugs
Diabetes
Debilitation
Dryness
Dentures

Front 50

Resembles SCC, caused by inhalation of spores

Back 50

Blastomycosis

Front 51

Tooth erosion from gastric reflux:

Back 51

Perimolysis
(note: erosion begins at pH 5.6)

Front 52

Tx for Blastomycosis

Back 52

Itraconazole (oral)
Ketoconazole (oral)

Front 53

What is the significance about Gonorrhea symptoms?

Back 53

10% of dudes are asymptomatic

50% of girls are asymptomatic

Front 54

Most significant symptom / complication of Gonorrhea

Back 54

Pelvic Inflammatory Disease
(note: causes ectopic pregnancies and infertility)

Front 55

Painless papules or nodules with papillary projections

Back 55

Verruca Vulgaris

Front 56

Location of Verruca Vulgaris

Back 56

multiple lesions are usually present intra and extra-orally, usually present on the vermilion border, labial mucosa, or ant tongue

Front 57

Stages of pigmented nevus

Back 57

1) Junctional nevus;

2) compound nevus;

3) intradermal nevus (or intraoral)

Front 58

3rd most common kind of skin cancer

Back 58

Malignant Melanoma

Front 59

Most common location for Melanoma intraorally

Back 59

palate or maxillary alveolus

Front 60

What is the cause of Nicotine Stomatitis?

Back 60

Heat
(note: it is NOT pre-malignant)

Front 61

What is charaterized by sudden onset of sore, bull's eye lesions?

Back 61

Erythema Multiforme

Front 62

What may cause Erythema Multiforme?

Back 62

drug rx, hypersensitivity rx to herpes

Front 63

RL, multilocular lesion which is expansile and has a soap bubble appearance

Back 63

Ameloblastoma
(note: Tx is surgery)

Front 64

2nd most common cancer, most common intraorally

Back 64

SCC

Front 65

Where does SCC occur?

Back 65

Most on lower lip as red or white patch
(note: Tx is excision and/or Rad, Chemo doesnt work)

Front 66

Autoimmune disorder characterized by SUBepithelial clefting which fills with blood

Back 66

Cicatricial Pemphygoid
(note: Oral, eye (scarring), and genital lesions - 99% oral only)

Front 67

Autoimmune disorder characterized by INTRAepithelial clefting

Back 67

Pemphigus vulgaris

Front 68

What umbilicated lesion of the lower lip resembles SSC?

Back 68

Keratoacanthoma
(note: self-heals within 1yr)

Front 69

Rub the area w/ a cotton tip, if it hemorrhages, it is positive; rubbing causes separates epi from basement membrane CT

Back 69

Positive Nikolsky sign in both Cicatricial and Vulgaris

Front 70

HPV associated, not pre-malignant, characterized by koilocytes

Back 70

Veruca Vulgaris
(note: koilocytes are clear cells w/dark nuclei)

Front 71

Peduculated lesion, DDx for Veruca Vulgaris

Back 71

Squamous Papiloma

Front 72

Cicatricial Pemphygoid occurs mostly in

Back 72

postmenopausal women

Front 73

Tissue slothing in Cicatricial Pemphigoid is due to

Back 73

Attachment loss in hemi-desmosomes

Front 74

Rounded cells which exfoliate in Pemphigus vulgaris

Back 74

Tzanck cells

Front 75

What do you call Erythema multiforme with ocular and genital lesions

Back 75

Steven-Johnson syndrome

Front 76

Cancer lesion which usually occurs on upper lip and middle third of face

Back 76

BCC
(note: most common cancer)

Front 77

Gray/white, fissured appearance of mand fold

Back 77

Smokeless Tobacco Keratosis
(note: usually disappears with habit cessation)

Front 78

leukoplakia is most commonly pre-malignant where?

Back 78

1) Lip
2) Tongue
3) Floor of mouth

overall 80% benign

Front 79

Immune-triggered hyperkeratotic and hyperplastic lesion caused by stress

Back 79

Lichen planus
(note: tx is topical steroid like LIDEX or Decadron)

Front 80

Associated with multiple intestinal polyps

Back 80

Gardner's syndrome
(note: 100% develop colon cancer)

Front 81

Exophytic, asymptomatic, slow growing, low grade malignancy

Back 81

Verruous Carcinoma
"Snuff dipper's cancer"
(note: tx is excision)

Front 82

well-circumscribed RL area located lateral to tooth, 75-80% cases occur in the mandibular pm-c-l area

Back 82

Lateral Periodontal Cyst
(note: tx is enucleation)

Front 83

Location of OKC

Back 83

60-80% involve the mand, post body and/or ascending ramus

Front 84

Basal cell nuclei are hyper chromatic palisades, surface corrugated layer of parakeratin

Back 84

OKC
(note: Tx is enucleation & curretage)

Front 85

Pericoronal RL of impacted/unerupted tooth

Back 85

Dentigerous cyst
(note: tx is enucleation of the cyst with removal of unerupted tooth)

Front 86

SSC fun facts:

Back 86

22,000 new cases/yr

5,300 deaths in the U.S./yr

Front 87

How to test for von Wildebrand's?

Hemophilia A?

Back 87

vWb - PTT & Bleedin time

Hemo A - PTT only

Front 88

Erythroplakia is malignant how often?

What are its locations usually?

Back 88

91-100%

Floor of mouth, ventral & lat tongue

Front 89

Unique sign of Lupus erythamatosis

Back 89

Malar rash, occurs in women

Front 90

Characteristics of Nevoid Basal Cell Carcinoma

"Gorlin Syndrome"

Back 90

multiple BCCs of the skin, OKCs,
intracranial calcifications (falx cerebri), palmar/plantar pits,
bifid ribs

Front 91

Characteristics of Systemic Sclerosis

Back 91

Rock Hard skin
Telangectasias (sm dilated vessels)
Widened PDL

Front 92

What are the 3 mixed odontogenic tumors?

Back 92

Ameloblastic Fibroma

Ameloblastic Fibro-Odontoma

Odontoma (most common)

Front 93

Red lesion, PDL origin, occurs only in incisor and pm region

Back 93

Peripheral ossifying fibroma

Front 94

lesion on the tongue, can be mistaken for SCC

Back 94

Granular Cell tumor

Front 95

Sialolith on x-ray

Back 95

RO mass below mandible

Front 96

Benign tumor of bone, associated with Gardner's syndrome

Back 96

Osteoma
(note: RO, post mand)

Front 97

Dyslplasia in black females, bilateral, multi quadrant appearance of ground glass

Back 97

Florid cemento osseous dysplasia
(note: asymptomatic)

Front 98

Only multilocular lesion in children that is bilateral

Back 98

Cherubism

Front 99

Lesion of mand anteriors, black females, non-expansile

Back 99

Periapical cemento osseous dysplasia

Front 100

Osteogenesis Imperfecta is due to what?

Back 100

abnormal formation of collagen

Front 101

Poorly defined expansive ground glass radio opacity

Back 101

Fibrous Dysplasia

Front 102

Reed-Sternberg cells and owl eye histiology

Back 102

Hodgkin lymphoma
(note: 8,000 cases/yr)

Front 103

Headache associated with light and sound mixing

Back 103

Migraine

Front 104

50% occur on palate

50% are benign

Back 104

Minor salivary gland Tumors

Front 105

This is histological identical to the brown tumor of hyperparathyroidism

Back 105

Central giant cell granuloma

Front 106

None expansile radiopacity usually in posterior mandible

Back 106

Idiopathic Osteosclerosis

Front 107

What shows decreased serum phosphate

Back 107

Fibrous Dysplasia

Front 108

bone pain and cranial nerve impingement

Back 108

Padget's disease

Front 109

often associated with orthognathic surgery, TMJ

Back 109

Trigiminal neuralgia

Front 110

medullary carcim of thyroid, sun ray appearance, marfanoid body

Back 110

MEN2B

Front 111

Sjoergen's syndrome show enlargement of what gland?

Back 111

Parotid

Front 112

alarm clock headache in the middle of the night

Back 112

Clusterfuck Headache

Front 113

Malignant neoplasm of plasma cells

Back 113

Multiple Myeloma

Front 114

result of a post zygotic mutation

Back 114

Fibrous dysplasia

Front 115

Unilateral throbbing headache intense, aching, burning, temporal and facial pain, Prominent and painful superficial temporal artery

Back 115

Temporal Arteriatis