Week 2

Question 1

Breath odor (Halitosis) can be indicative of ……

Answer 1

Gingiva Smoking Diabetic Ketoacidosis Liver failure

Question 2

Causes of dry mouth (Xerostomia)

Answer 2

Mouth breathing Dehydration Diuretics Salivary disease Sialoliths

Question 3

What is the prodrome to Herpes Labialis

Answer 3

Itching, burning, tingling (12-36 hours) followed by eruption of clustered vesicles along the vermilion border

Question 4

Herpes Labialis reactivation is triggered by ……

Answer 4

UV light, trauma, gatigue, stress, menstruation

Question 5

What are the characteristics of a SCC lesion?

Answer 5

PAINLESS, sharply demarcated, elevated, indurated border with ulcerated base, verrucous or plaque like, usually found in mucocutaneous junction, SLOW GROWING, FAILS TO HEAL

Question 6

What are the SSX of a Mucocele(lips)/Ranula(under the tongue)?

Answer 6

thick, mucus-type saliva produced by a damaged salivary gland which produes a clear or bluish bubble (1-2cm), movable, cystic, may rupture, bleeding possible = red/purple lesion

Question 7

A mucocele is produced because of …….

Answer 7

trauma injury to ductal system of minor labial or sublingual salivary gland

Question 8

What is Cheilitis?

Etiology?

Answer 8

“chapped lips”

use of retinoids, wind-burn, allergies, chronic lip licking

Question 9

SSX of Angular chelitis

Concerns accompanying it

Answer 9

Deep cracks at labial commisure.

Secondary infection: Candida albicans (tested via KOH prep) or staph aureus

Question 10

Etiology of angular chelitis

Answer 10

Elderly: ill-fitting dentures, loss of teeth, changing bite, dry mouth (sicca)

poor hygiene

Vitamin B deficiency and iron deficiency anemia

Question 11

A solitary lesion that lasts > ____ weeks should be biopsied for malignancy?

Answer 11

A solitary lesion that lasts > 2 weeks should be biopsied for malignancy?

Question 12

Non-erosive lesion that is:

• usually painless
• lacelike white patches/papules/streaks
• not contagious
• if chronic increases risk for oral cancer

Answer 12

Oral Lichen planus

Question 13

• White patches or plaque on oral mucosa that cannot be rubbed off
• Up to 20% of lesions will progress to cancer in 10 years
• ~90% of lesions in >40, M>F (Inflammatory conditions)
• surface is often shriveled in appearance and may feel rough “flaking white paint”
• lesion cannot be wiped away

Answer 13

Leukoplakia

Etiology:

• oral sepsis
• syphilis
• dental galvanism
• local irritation
• vitamin deficiency
• AIDS
• alcoholism
• endocrine disturbance

Question 14

White oral lesions that CANNOT be wiped off with gauze that we’re curretly studying

Answer 14

• licen planus
• squamous cell carcinoma SCC
• leukoplakia

Question 15

What disease most often found on the floor of the mouth or on the lateral and ventral surfaces of the tongue effects ~30,00 in the US each year; 90% are smokers

Answer 15

Oral SCC

may appear as area of erythroplakia or leukoplakia

Question 16

Red macule or plaque with well-demarcated edges with soft texture.

Pre-cancerous (cancer found in 40% of cases)

Answer 16

Erythroplakia

Question 17

Pigmented lesions with concerning

Asymmetry

irregular Borders

variable Coloration

increasing Diameter

Evolving

Answer 17

Melanoma

Question 18

Inflammation of the oral tissue from local or systemic conditions

Answer 18

Stomatitis

Question 19

Slightly raised soft white plaque lesions (look like milk curds) that are easily wiped away, causing bleeding. Confirmed with KOH prep.

*recurrent infections may be indicative of greater immune system threat

Answer 19

Oral Candidiasis “Thrush”

Question 20

Painful lesions that occasionally have prodromal burning or tingling.

No crusting or vesicles.

Ulcers are shallow, round to oval with graysih base and red border

May occur as outbreaks

Answer 20

Recurrent Aphthous Stomatitits = canker sores

Question 21

Chancre

Answer 21

Single painless ulceration formed during the primary stage of syphilis.