Oral Diagnosis/Oral Pathology (QE Prep-Dr. Yepes)
Questions With Complete Solutions
"bumps" of the oral cavity.....Giant Cell Fibroma Correct
Answers 1) Fibrous tumor that is unrelated with chronic trauma
2) Aymptomatic, female predilection
-DD: traumatic fibroma, papilloma,
-histology: fibroblast in superficial connective tissue
3) Surgical excision
"bumps" of the oral cavity.....Leiomyomas Correct Answers 1)
Benign, Smooth muscle tumors
-most common in uterine myometrium
2) RARE in mouth, but more likely on lips, then on tongue,
cheeks, palate and gingiva
3) Asymptomatic, slow growing (rare in children)
4) HISTOLOGY for diagnosis (DD is mucocele and fibroma)
"bumps" of the oral cavity....Condyloma Acuminatum Correct
Answers 1) STD (Sexually transmitted disease) appearing as
soft, pink cauliflower-like growth (papillary lesion)
2) Highly contagious (viral, HPV)
3) peak incidence between 17-20
"bumps" of the oral cavity....Eruption Cyst (eruption
Hematoma) Correct Answers 1) Separation of the dental
follicle from around the crown of a tooth who is erupting
2) NO treatment, rupture spontaneously
,"bumps" of the oral cavity....HECKS DISEASE Correct
Answers 1) Virus induced proliferation of oral squamous
epithelium
2) Associated with HPV 13 and 32
3) Multiple, flattened, soft, non-tender papulas (as prevalent as
40% in some populations)
"bumps" of the oral cavity....Human Papilloma Virus (HPV)
Correct Answers 1) DNA virus
2) Types classified by ORF (open reading frame) coding for
Viral proteins
3) transmitted by 1) sexual contact 2) Birth canal 3)
autoinnoculation
*Benign versions: Warts, condylomas, focal epithelial
hyperplasia and oral papillomas
4) MOST COMMON: HPV 6&11
5) Associated lesions:
-squamous papilloma
-verruca vulgaris (Common wart)
-Condyloma Acuminatum
-Multifocal Epithelial Hyperplasia (Heck Disease)
"bumps" of the oral cavity....Mucocele Correct Answers 1)
Rupture of salivary gland duct and spillage of mucin into
surrounding soft tissue
2) Reason: TRAUMA
*NOT a true cyst (no epithelial lining)
3) MOST COMMON lesion in children
-Lower lip is common site.
, "bumps" of the oral cavity....Peripheral Giant Cell Granuloma
Correct Answers 1) ONLY on gingiva
a) MAY cause bone resorption
b) Histology: Multi-nucleated Giant cells
2) Frequent in Females
"bumps" of the oral cavity....Pyogenic Granuloma Correct
Answers 1) Exuberant tissue to local irritation or trauma
*smooth, lobulated mass, usually pedunctulated with high
vascular proliferation
2) usually on gingiva
(Unrelated to infection and granulomas)
3) More frequent in FEMALES
4) Treat: Surgical Excision, frequently recurs
"bumps" of the oral cavity....Squamous Papilloma Correct
Answers 1) BENIGN proliferation of stratified squamous
epithelium
2) INDUCED BY HPV
3) Common sites: Tongue, lips and soft palate (usually solitary)
4) Histopathology: Proliferation of keratinized startisfied
squamous epithelium with fibro-vascular connective tissue cores
"bumps" of the oral cavity....Verruca Vulgaris Correct Answers
1) Benign (viral) Focal hyperplasia of stratisfied squamous
2) HPV IN ALL LESIONS!
3) HANDS frequently, anterior tongue and lips
Among which population is Behcet's more common? Correct
Answers 1) mediterranean Countries/people
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