Vesicobullous Lesions
Ulcerative Lesions
White Lesions
Tongue Lesions
Potpourri
100
These are 4 vesicobullous lesions
What are: herpes simplex, herpes zoster, herpangina, pemphigoid, pemphigus vulgaris, erythema multiforme
100
These are 3 ulcerative lesions of the oral cavity.
What are recurrent aphthous stomatitis, trenchmouth (ANUG - acute necrotizing ulcerative gingivitis), SLE, DLE Will take herpes or any other vesicolbullous lesions defined as "late".
100
These are 4 white lesions of the oral cavity
What are leukoplakia, candidiasis, geographic tongue, lichen planus, white sponge nevus, leukedema
100
These are 3 tongue lesions
What are geographic tongue, median rhomboid glossitis, hairy tongue, oral hairy leukoplakia?
100
These are the 5 "tastes"
What are sweet, salty, sour, bitter and UMAMI Umami - L-glutamate, in MSG, breastmilk, tomatoes, mushrooms, fish...
200
The incubation time and route of spread of herpes
What is 7 days, and direct contact of infected fluids.
200
The difference between major and minor aphthous ulcers
What is: Minor are <1cm and heal in a week without scarring. Major are >1cm, scar, and can persist up to 6 months.
200
These are the three types/patterns of lichen planus and what they look like
What are reticular (white, raised "lacy" lines on buccal mucosa - "wickham's striae"), plaque (hyperkeratotic raised white patches), and atrophic/ulcerative (deep, painful ulcers)?
200
This is median rhomboid glossitis
What is a benign condition where the papillae are missing in a well-circumscribe area on the midline dorsum of the tongue.
200
At approximately this week in an 5 or 6 week cycle of oral radiotherapy, we see signs of radiation mucositis.
What is week 2?
300
The herpes virus lays dormant in this structure, AND this key finding on history differentiates herpes from recurrent aphthous stomatitis.
What is the trigeminal ganglion, and vesicular eruption preceding ulceration.
300
These are "herpetiform" ulcers
What are ulcers that occur in groups of 20-200, 1-3mm (small), and resemble herpes but lack a vesicular stage (HISTORY!).
300
This is the clinical finding that differentiates simple candida infections from true leukoplakia (where hyperkaratosis is present).
What is the ability to scrape it off, leaving an erythematous base?
300
This is what hairy tongue is and how to treat it
What is painless hypertrophy of the filiform papillae. Treat by removing presumptive cause (antibiotics, steroids, smoking) and meticulous oral hygeine, including tongue brushing.
300
These are the serous-secreting glands adjacent to the vallate papillae.
What are VON EBNER's glands? (Vallate-Von Ebner)
400
This is the most common complication of zoster AND this is the most commonly affected branch of CNV affected.
What are postherpetic neuralgia and the ophthalmic division (V1).
400
This is the treatment for aphthous stomatitis
What is supportive therapy for minor ulcers, with topical or systemic steroids for major ulcers.
400
These are the three most common antifungals to prescribe for candida and the primary concern when prescribing them.
What are nystatin, clotrimazole, ketoconazole. First one is a matter of compliance (swish for 2 minutes - it burns btw - and swallow 4 times a day!). Last two can cause liver enzyme elevation in pts. with liver dz, so gotta ask about that.
400
This is the relevant clinical entity regarding oral hairy leukoplakia and the difference between it and hairy tongue.
What is HIV, and the difference is the location (usually lateral/bilateral patches vs midline and all over with hairy tongue), and the fact that it's white hyperkaratosis, not longer papillae.
400
This is the hallmark sign on histology of lichen planus
What are sawtooth rete ridges (hyperkaratosis!) with liquefaction of the basal layer.
500
This is the causative agent for herpangina AND this is the pathognomonic cell type on histology for pemphigus vulgaris.
What are the cocksackie virus and the tzanc cell?
500
This is the classic appearance of a white sponge nevus, it's pattern of inheritance, and two other lesions in the differential.
What is a heaped-up, hyperkaratotic, "scrotal" appearance, autosomal dominant inheritance, and candida and lichen planus (will accept squam) are the ddx.
500
These are the four kinds of papillae on the tongue and some information about each.
What are the FILIFORM (no taste, mechanical, v-shaped), FUNGIFORM (mushroom-shaped, taste, VI), VALLATE (10-14 of them, IX, sulcus terminalis) and FOLIATE papillae (back & sides, VII, IX).
500
These are 5 local and 5 systemic factors contributing to oral candida infections.
LOCAL: Physical irritation, Preexisting infection, Poor oral hygiene, Ill-fitting dentures, Overuse of mouthwashes, Lip licking, Smoking SYSTEMIC: Diabetes, pregnancy, AIDS, Malignancy (leukemia and lymphoma), ABx, steroids (topical or systemic),immunosuppression, Rads or chemotherapy
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