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102 terms

final exam

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The initial step for treatment of leukoplakias
remove any causative agents and see if healing occurs
If a white lesion (leaukoplakia) is unexplained and persistant what is mandatory?
A biopsy
If a leaukoplakia is benign with dysplasia, then what is treatment?
removal is alwasy necessary to see if lesion is reoccuring
CBC stands for:
complete blood count
A true carcinoma that has not progressed to the point of invasion is called:
Carcinoma In Situ
most common sailvary gland neoplasm
pleomorphic adenoma
where does the pleomorphic adenoma most commonly occur
the palate
what extra oral sight is most common for pleomorphic adenoma's
parotid gland
pleomorphic adenoma sex preference
females 30-60
3 most common nutritional deficiencies in Anemia
iron, folic acid, and B12
3 oral manifestations similar in all types of anemia
-angular cheilitis
-pallor of the oral tissue
-erythrmatous smooth painful tongue
disease that results form long standing iron deficiency anemia
Plummer Vinson syndrom
Plummer Vinson syndrome includes what symptoms
difficulty swallowing, atrophy of upper ailementary tract, presidposition to develop cancer
The Philadelphia chromosome is seen in
Chronic Leukemia
Virus implicated in Hairy leukoplakia
Epstein Barr Virus
Causative organism of Verruca Vulgaris
HPV human pappiloma virus
This condition is different from squamous cell carcinoma in that there is no invasion through the basement memebrane
Carcincoma In Situ
Cotton Wool Xray
Pagets disease of the bone
(patchy radiolucency/radiopacity
Herpangina and hand, foot and mouth disease is caused by which virus?
Coxsackie virus
Lesions of syphilis
primary-infectious (chancre)
secondary- highly infectious
tertiary- not infectious
Varicella zoster virus, epstein barr virus, cytomegalovirus and herpes simplex viruses are all from what family of viruses?
human herpes virus HHV
Measles result from what virus
paramyxovirus
a reduction in the number of circulating neutrophils is called what
neutropenia
what disease is neutropenia evident in?
agranulocytosis
Hair on end x ray
sickle cell anemia
3 p's of diabetes
polydipsia, polyuria, polyphagia
Cafe au lait spots are seen in which 3 diseases?
craniofacial dysplasia, jaffes disease and albrights disease
excess production of growth hormone in adults
acromegaly a form of hypituitarism
sulfur granules in abscesses is characteristic of
actinomycosis - which is caused by filamentous bacterium
disordered growth and maturation of cells with increased risk for malignant transformation; if in epethelium it is premalignant is the definition
epethelial dysplasia
Bulls eye target lesions are seen in
erythema multiforme
A well-defined radiopaque mass that is in continuity with the root or roots of an affected tooth, obliterates the apex , and has radiolucent halo
benign cementoblastoma
precocious puberty
common with fibrous dysplasia and albright syndrom, very very early puberty
What do the Elisa and Western Blot tests measure
HIV antibody levels
Acquired Immunodeficiency Syndrome is a primary or secondary immunodeficiency
secondary
on a radiograph , what helps differentiate between a dentigerous cyst and an adenomatoid odontogenic tumor that is associated with an impacted tooth?
The AOT extends beyonfd the CEJ and can involve 50-60% of the root
A slow growing salivary gland neoplasm. More common in females in 5-6th generation of life, aggressive locally and biggest worry is extension to the brain
Adenoid cystic carcinoma
Adenoid Cystic carcinoma effects?
parotid gland
Most common location of Kaposi's sarcoma in an AID's Patient
oral cavity
The virus senn in hairy leukoplakia
HIV
Location of aphthous ulcers is commonly on
unkeratinized oral mucosa
location of recurrent intra oral aphthous ulcers
keratinized mucosa
Erythema Multiforme is often triggered by a drug reaction T or F
False- unknown but seen with certain viruses
Most severe form of erythema multiforme
Stevens-Johnsons syndrome
The triad of Reiter's syndrom
Arthritis, urethritis, conjunctivitis
oral manifestations of Sjorgren's syndrome
xerostomia
causative organism of TB
mycobacterium tuberculosis
multiple odontomas and osteomas are seen in what syndrome
Gardners syndrome
Hair on end x-ray
sickle cell anemia
antibodies are produced that react with desmosomes (intraepithelial) in what autoimmune disease
pemphigus vulgaris
Treponema Pallidum casues what disease
syphilis
the cause and common location of necrotizing sialodinitis
loss of blood supply to minor salivary glands
located on hard palate off the midline
Tzanck cells are seen in which immunocompetent disease
pemphigus vulgaris
most common developmental odontogenic cyst
dentigerous cyst
most commom oral cyst
periapical cyst
most common benign salivary gland neoplasm and location
pleomorphic adenoma
common on the palate intraorally, parotid extraorally
most common routes of spread of oral carcinoma
lateral border and ventral tongue followed by oropharynx, floor of the mouth, gingiva, buccal mucosa,, lip and palate
a clinical term descrptive of a white patch on the oral mucosa that cannot be scraped off and cannot be classified as any other clinically diagnosable disease
leukoplakia
causative organism of herpes zoster
varicella - zoster virus
osteosarcoma is a
malignant tumor of the bone
sarcoma
malignant tumor of connective tissue
salivary gland stone is called
sialolith
attrition is a __________ process
physiologic
erosion is a _________ process
pathologic
abrasion is a _________process
pathologic
gentle pressure with movement on clinically normal mucosa causing cleavage of epithelium and a bulla is called
nikolsky's sign
nikolsky's sign common in
pemphigus vulgaris
most common mass of gingiva: connective tissue with few blood vessels
irritation fibroma
the soft tissue version of the dentigerous cyst
eruption cyst
the cyst that develops in place of a tooth
primordial cyst
soft tissue variant of the lateral periodontal cyst
genigival cyst
tumor exhibiting rolled borders and caused from the sun
basal cell carcinoma
cyst associated with basal cell neus sundrome
OKC's
Etiology of hairy tongue
unknown, may be increase in keratin or decrease in desquamation. often seen in HIV
3 p's of diabetes
polydipsia, polyuria, polyphagia
a lesion that is described as hard
indurated
cafe au lait spots are seen in what 3 diseases
craniofacial fibrous dysplasia, Albrights disease and Jaffe's disease
increase blood calcium decreased phosphorus, and abnormal bone metabolism are used to diagnose what disease
hyperparathyroidsim
Koplik's spots are seen in someone who has
measles
koplik's spots are
small erythematous macules with white necrotic centers that occur in the oral cavity
inherited anemia resulting from abnormal hemoglobin in RBC's and occurs when oxygen is decreased
sickle cell anemia
benign odontogenicc tumor that is locally aggressive, has high recurrence rate, multi or unilocular in molar ramus area
ameloblastoma
90% of all oral malignancies are
squamous cell carcinomas
most common malignant salivary gland tumor in children is
mucoepidermoid carcinoma
mucoepidermoid carcinoma locations
parotid (major) and palate (minor)
3 predisposing factors for the most common oral malignancies
tobacco, alcohol and UV
3 characteristics of cells within malignant tumors
poorly differentiated, invasive, unencapsulated, mitotic
most common salivary gland neoplasm
pleomorphic adenoma
most common location for pleomorphic adenoma
palate
sex predelection for pleomorphic adenoma
females 30-60
extra oral location for pleomorphic adenoma
parotid gland
most commom typr of fibrous dysplasia
monostatic dysplasia involves a single bone
mosaic bone
cotton wool appearance associated with Pagets disease
punched out skull lesions
multiple myeloma
sunburst
osteosarcoma
moth eaten appearance to the teeth
hypocalcified type amelogenisis imperfecta
soap bubble
cherubism found in ameloblastomas
snow capped teeth
amelogenisis imperfecta
Bence-Jones proteins are fragments of immunoglobin in patients with
multiple myeloma
cluster of numerous miniature teeth surrounded by a radiolucent halo is called
compound odontoma
what age, race, sex and location typically describe the cementoma AKA periapical cemental dysplasia
+30, black, female, anterior mandible
mass of enamel, dentin, cementum,and pulp that does not resemble a tooth
complex odontoma