Oral Pathology with Questions and Correct Answers Graded A+

What is the most common area of metastasis in the jaws? Posterior mandible What does a mobile mass that is now sessile generally indicate? Malignancy What oral characteristic is seen with affected hypertrophic filiform papillae? Hairy Tongue What does a discrete, non-tender, soft tissue swelling generally indicate? Benign tumor What are the common causes of hairy tongue? Antibiotic Corticosteroid Hydrogen Peroxide Most commonly in heavy smokers, poor OH, hypo salivation, radiotherapy, fungal/bacterial overgrowth, some medications What oral characteristic is seen with hyperplastic foliate papilla? Lingual tonsil hyerplasia Hyperplastic lingual tonsils may resemble Squamous cell carcinoma What is a manifestation of Vitamin B deficiency in the oral cavity? Loss of filiform papilla What causes bilateral and unilateral swelling of the parotid? Bilateral swelling caused by infection. Unilateral caused by sialoliths or obstruction Whitish-yellow cysts appearing that form on gums and roof of a newborn baby is most likely Epstein pearl What can be detected by transillumination of soft tissues in a child on the floor of the mouth? Sialolithiasis Neonate with numerous nodules on alveolar ridge is most likely presenting with what type of lesion? Bohn's nodule Keratin-filled cysts of salivary gland origin, on junction of hard/soft palate + buccal/lingual of dental ridges, away from midline What is the Hutchison's triad? - Hutchinson's teeth - Intersitial keratitis - 8th nerve deafness A clinical presentation of rash on cheeks, ulcers, and kidneys is most likely what syndrome? Lupus *Lupus is a chronic autoimmune disease in which the body's immune system becomes hyperactive and attacks normal, healthy tissue. Which gender is commonly affected by Systemic Lupus erythematous? Women are 10x more likely to get systemic lupus erythematous. It presents as malarkey rash, kidney problems 50% of time and lead to organ failure. Pericarditis is a frequent complication What is the most infectious stage(s) of syphilis? Primary and secondary Note: In secondary syphilis, the bacteria have spread in the bloodstream and reached their highest number Which skin condition presents with endocarditis and glomerulonephritis? Lupus What is the most likely dental origin of Cavernous sinus infection? Anterior maxillary teeth What is the most likely to cause cavernous sinus thrombosis originating from the upper lip? Soft tissue abscess in upper lip *Veins of the face do not have valves What is the first sign/symptom of cavernous sinus thrombosis? Headache Most common initial symptom is a headache. It develops as sharp pain located behind or around the eyes that steadily gets worse over time. Symptoms often start with 5-10 days of developing an infection in the face or skill, such as sinusitis or a boil Which infection site is most likely to enter the cavernous sinus? Anterior triangle of the face Which 3 spaces are involved/associated with Ludwig's angina? Sublingual, Submandibular, Submental Note: Ludwig's Angina is a serious bilateral cellulitis (CT infection) of the floor of the mouth, usually occurring in adults with concomitant dental infections & if left untreated, may obstruct the airways, necessitating tracheotomy. A patient with bilateral submandibular infection and elevated infected tongue is most likely presenting with what type of bacterial infection? Ludwig Angina