Phys Dx (Oropharangeal)

Front 1

Dry mouth.

Back 1

Xerostomia

Front 2

The most common bacteria caused acute pharyngitis.

Back 2

Group A beta hemolytic Streptococci

Front 3

Pain in throat extending to the ear, unpleasant smell and taste in mouth, hoarseness, snoring, red swollen tonsils.

Back 3

Acute follicular tonsillitis

Front 4

White patches on back of throat, sore throat, fever, nausea, vomiting, abdominal pain, tender enlarged cervical lymph nodes.

Back 4

Streptococcal pharyngitis

Front 5

Most common ages for Streptococcal pharyngitis.

Back 5

5 - 15 yrs

Front 6

In addition to the symptoms associated with strep, what additional symptoms are seen with mono pharyngitis?

Back 6

Conjunctivitis
Coryza (acute rhinitis)
Cough
Diarrhea

Front 7

What are the 3 major complications of streptococcal phayngitis if left untreated?

Back 7

Rheumatic fever
Heart valve damage
Strep glomerulonephritis

Front 8

Inflammation of the tissues under the tongue (a form of cellulitis).

Back 8

Ludwig's angina

Front 9

T or F
Ludwig's angina is most commonly in children.

Back 9

False
(uncommon in children)

Front 10

Ludwig's angioma usually follows what conditions?

Back 10

Injury or infection of the roots of the teeth (i.e. tooth abscess)

Front 11

A peritonsillar abscess of pus following tonsilitis if it spreads beyond the tonsils.

Back 11

Quincy's abscess

Front 12

Qunicy's abscess is due to what bacteria?

Back 12

Group A streptococci

Front 13

Acute or chronic gingivitis with redness or swelling, necrosis, pain, hemorrhage, necrotic odor, and pseudomembrane.

Back 13

Vincent's angina

Front 14

Aka submandibular duct.

Back 14

Whartin's duct

Front 15

How many teeth should there be in full dentition.

Back 15

32 teeth

Front 16

Possible causes of gingival hyperplasia.

Back 16

Hormonal imbalance during pregnancy or puberty, heredity, leukemia, medications

Front 17

Medications such as Dilantin (anti seizure) and Nifedipine (Ca++ channel blocker) may cause this condition.

Back 17

Gingival hyperplasia

Front 18

85% of lingual cancers occur on what portion of the tongue?

Back 18

Anterior 2/3

Front 19

Induration (hardness) or ulcers of the tongue suggests what?

Back 19

Cancer

Front 20

You should consider a biopsy of a lesion of the tongue if it is present for how long?

Back 20

2 weeks

Front 21

T or F
T or F
Masses found on the hard/soft pallate are usually minor salivary glands and are frequently malignant.

Back 21

True

Front 22

What CNs are associated with the gag reflex?

Back 22

CN IX and X

Front 23

Name 2 nonsuppurative complications of Group A beta hemolytic strep.

Back 23

Rheumatic fever
Glomerulonephritis

Front 24

Acute ulcerative infection, unilateral sore throat, fetid breath, shaggy gray membrane covering tonsils.

Back 24

Acute membranous pharyngitis
(aka - Vincent's angina)

Front 25

Posterior cervical lymphadenitis in a patient under 25 would suggest what condition?

Back 25

Infective Mononucleosis

Front 26

Fever, posterior cervical adenitis with petechiae, eyelid edema, and/or splenomegaly.

Back 26

Exudative tonsillopharyngitis

Front 27

Softening of the skin at the angles of the mouth followed by fissuring.

Back 27

Angular cheilitis

Front 28

Lower lip loses it's normal redness, may thicken and become scaly. Primarily due to sun exposure.

Back 28

Actinic cheilitis

Front 29

A diffuse, nonpitting, tense swelling of the dermis and subcutaneous tissue of the lip.

Back 29

Angioedema

Front 30

Multiple small red spots on the lips.

Back 30

Hereditary hemorrhagic telengiectasia

Front 31

Pigmented spots on the lips and buccal mucosa which are darker than the surrounding freckles. Multiple intestinal polyps are also associated.

Back 31

Peutz-Jegher's syndrome

Front 32

How will a chancre of primary syphilis on the lip appear?

Back 32

Firm, button-like, may ulcerate and crust over.
(looks similar to a carcinoma or cold sore)

Front 33

Throat is dull red, gray exudate on uvula, pharynx and tongue.

Back 33

Diphtheria

Front 34

Yeast infection, thick white plaques on palate.

Back 34

Thrush (aka Candidasis)

Front 35

Thrush is due to what?

Back 35

Candida

Front 36

Predisposing factors to thrush.

Back 36

1. Prolonged treatment of antibiotics or corticosteroids
2. AIDS

Front 37

Deep purple lesions (raised or flat) of the palate.

Back 37

Kaposi's sarcoma in AIDS

Front 38

A midline bony growth in the hard palate that is fairly common in adults.

Back 38

Torus palatinus

Front 39

Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or lips.

Back 39

Fordyce spots

Front 40

Early signs of measles (rubeola), small white specks on the buccal mucosa near the first and second molars.

Back 40

Koplik's spots
(the rash of measles will present within a day)

Front 41

Small red spots caused when blood escapes from capillaries.

Back 41

Petechiae

Front 42

A thickened white patch anywhere in the oral mucosa. Common cause might be chewing tobacco.

Back 42

Leukoplakia

Front 43

An uncommon form of gingivitis which occurs suddenly in adolescents/young adults, accompanied by fever, malaise, ulcers, grayish pseudomenbrane.

Back 43

Acute necrotizing ulcerative gingivitis

Front 44

Aka pregnancy tumor.

Back 44

Epulis, Pyogenic granuloma

Front 45

How often does a pregnancy tumor (aka epulis) occur.

Back 45

1% of pregnancies

Front 46

Process in which the appearance of yellow-brown dentin due to wearing down of the teeth.

Back 46

Attrition

Front 47

How are notched teeth due to wear differentiated from Hutchinson's teeth?

Back 47

Notched teeth due to wear maintain normal contours, sizing, and spacing.

Front 48

Notched teeth due to congenital syphilis.

Back 48

Hutchinson's teeth

Front 49

Benign condition of the tongue, scattered smooth red areas denuded of papillae.

Back 49

Geographic tongue

Front 50

Yellowish to brown or black elongated papillae on the tongue's dorsum.

Back 50

Hairy tongue
(due to antibiotic use, can occur spontaneously)

Front 51

Aka scrotal tongue.

Back 51

Fissure tongue

Front 52

Aka smooth tongue.

Back 52

Atrophic glossitis

Front 53

A smooth, often sore tongue that has lost it's papillae. Likely due to Vitamin B or iron deficiency.

Back 53

Smooth tongue (Atrophic glossitis)

Front 54

Whitish raised areas with a feathery or corrugated patten usuall on sides of tongue.

Back 54

Hairy leukoplakia
(seen in HIV, AIDS)

Front 55

Aka canker sore.

Back 55

Aphtohous ulcer

Front 56

Painless lesion, raised, oval, and covered by a grayish membrane, in secondary stage of syphilis.

Back 56

Mucous patch of syphilis

Front 57

Reddened areas of mucosa.

Back 57

Erythoplakia