Diseases of Oral Cavity & Esophagus Quiz
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Questions and Answers

What is the most common form of herpes simplex causing orofacial infections?

  • HSV-2
  • HSV-1 (correct)
  • HSV-3
  • HSV-4
  • Which condition is characterized by beefy-red tongue and atrophy of papillae?

  • Apthous ulcers
  • Oral candidiasis
  • Glossitis (correct)
  • Recurrent herpetic stomatitis
  • Which of the following conditions is primarily associated with opportunistic infections in immunocompromised individuals?

  • Hairy leukoplakia (correct)
  • Acute herpetic gingivostomatitis
  • Koplik spots
  • Diphtheria
  • What are the superficial white patches seen in oral candidiasis generally described as?

    <p>Fluffy membrane</p> Signup and view all the answers

    Which systemic condition can lead to a gray-white exudative membrane in the throat?

    <p>Diphtheria</p> Signup and view all the answers

    What condition is described as occurring with superficial ulcerations that heal spontaneously?

    <p>Apthous ulcers</p> Signup and view all the answers

    Which of the following deficiencies is most commonly linked to glossitis?

    <p>Vitamin B12</p> Signup and view all the answers

    Which oral cavity condition is characterized by thickened white lesions in immunocompromised patients?

    <p>Oral candidiasis</p> Signup and view all the answers

    Which odontogenic tumor is characterized as a benign hamartoma rather than a true neoplasm?

    <p>Odontoma</p> Signup and view all the answers

    Which of the following is NOT classified as a tumor of odontogenic epithelium?

    <p>Ameloblastic fibrosarcoma</p> Signup and view all the answers

    What is the most common inflammatory lesion of the salivary gland?

    <p>Mucocoele</p> Signup and view all the answers

    Which type of salivary gland inflammation is commonly associated with viral infections such as mumps?

    <p>Sialadenitis</p> Signup and view all the answers

    Which odontogenic tumor is not classified as a benign type?

    <p>Clear cell odontogenic carcinoma</p> Signup and view all the answers

    What distinct feature is characteristic of a fiery red tongue associated with scarlet fever?

    <p>Prominent papillae with a raspberry appearance</p> Signup and view all the answers

    Which condition is characterized by ulcerations on the buccal mucosa that lead to Koplik spots?

    <p>Measles</p> Signup and view all the answers

    What oral manifestation is common in more than 50% of patients with cutaneous lichen planus?

    <p>Reticulate, lacelike, white keratotic lesions</p> Signup and view all the answers

    In which disorder is a friable, red, pyogenic granuloma protruding from the gingiva commonly seen?

    <p>Pregnancy</p> Signup and view all the answers

    Which oral condition is most often considered precancerous and cannot be removed by scraping?

    <p>Leukoplakia</p> Signup and view all the answers

    What type of oral lesions are associated with monocytic leukemia?

    <p>Enlarged gingivae with periodontitis</p> Signup and view all the answers

    Which syndrome is characterized by multiple aneurysmal telangiectasias in the oral cavity and other systems?

    <p>Rendu-Osler-Weber syndrome</p> Signup and view all the answers

    What is a common trigger for the maculopapular eruption seen in Erythema multiforme?

    <p>Ingestion of drugs</p> Signup and view all the answers

    Which of the following is the most common benign tumor of the parotid gland?

    <p>Pleomorphic adenoma</p> Signup and view all the answers

    What is the recurrence rate expected after enucleation of a pleomorphic adenoma?

    <p>Up to 25%</p> Signup and view all the answers

    Which salivary gland tumor is characterized by a mixture of squamous and mucus cells?

    <p>Mucoepidermoid tumor</p> Signup and view all the answers

    In which salivary gland does adenoid cystic carcinoma commonly occur?

    <p>Sublingual and submandibular glands</p> Signup and view all the answers

    Which of the following statements about the likelihood of malignancy in salivary gland tumors is TRUE?

    <p>Sublingual tumors have the greatest likelihood of being malignant.</p> Signup and view all the answers

    What characterizes leukoplakia according to the World Health Organization?

    <p>A white patch that cannot be scraped off and is not attributable to any other condition</p> Signup and view all the answers

    Which of the following statements about erythroplakia is true?

    <p>It typically shows dysplasia or early cancer in 90% of cases</p> Signup and view all the answers

    What is the most prevalent location for squamous cell carcinoma (SCC) in the oral cavity?

    <p>Floor of the mouth</p> Signup and view all the answers

    Which of the following factors is NOT associated with an increased risk of squamous cell carcinoma in the oral cavity?

    <p>Consumption of fruits and vegetables</p> Signup and view all the answers

    What type of tumors do odontogenic tumors primarily derive from?

    <p>Odontogenic epithelium and ectomesenchyme</p> Signup and view all the answers

    What is the primary histologic finding in squamous cell carcinoma of the oral cavity?

    <p>Well-differentiated squamous cells</p> Signup and view all the answers

    Which statement about leukoplakia is true concerning its prevalence and risk of malignancy?

    <p>Approximately 3% of the population presents with leukoplakic lesions, with a significant portion being premalignant.</p> Signup and view all the answers

    What distinguishes ameloblastoma from other odontogenic tumors?

    <p>It arises from odontogenic epithelium without ectomesenchymal differentiation.</p> Signup and view all the answers

    Study Notes

    Diseases of Oral Cavity & Esophagus

    • Diseases of the oral cavity and esophagus are covered.

    Oral Cavity Infections

    • Herpes simplex infections are common, but often mild.
    • Most orofacial herpes are caused by HSV-1.
    • Acute herpetic gingivostomatitis includes vesicles and ulceration.
    • Recurrent herpetic stomatitis is a recurring condition.

    Oral Cavity Apthous Ulcers

    • Common superficial ulcerations of oral mucosa.
    • Ulcers are often single or multiple, shallow, and painful.
    • They typically heal spontaneously but can be recurrent.
    • Glossitis (inflammation of the tongue) can be present in deficiency states.

    Oral Candidiasis (Thrush)

    • Superficial white patches or fluffy membranes are characteristic.
    • Easily detached, exposing a reddened underlying surface.
    • Candida is a normal flora of the oral cavity.
    • Commonly occurs in immunocompromised individuals(e.g., diabetics, neutropenic, or HIV patients).
    • The commonest fungal infection of the oral cavity.

    Oral Manifestations of Systemic Diseases

    • Hairy leukoplakia is seen in immunocompromised patients (e.g., HIV patients).

    • White fluffy thickenings on the lateral parts of the tongue are typically seen.

    • Epstein-Barr virus is often the cause.

    • Measles, infectious mononucleosis, diphtheria are infectious diseases with oral manifestations.

    • Lichen planus, pemphigus, and erythema multiforme are dermatologic conditions affecting the 口腔.

    • Conditions like phenytoin ingestion, pregnancy, and melanotic pigmentation can have oral manifestations.

    • Addison disease, hemochromatosis, fibrous dysplasia of bone (e.g., Albright syndrome), and Peutz-Jeghers syndrome can sometimes cause oral pigmentation.

    • Acute pharyngitis and tonsillitis can cause a gray-white exudative membrane.

    • Lymph nodes in the neck may become enlarged (Diphtheria).

    • Human immunodeficiency virus (HIV) infection (AIDS) predisposes individuals to opportunistic oral infections (e.g., herpesvirus, Candida, and other fungi) which sometimes manifest as oral lesions.

    • Scarlet fever shows fiery red tongue with prominent papillae (raspberry tongue) or white coated tongue with hyperemic papillae (strawberry tongue).

    • Measles presents with spotty enanthema, ulcerations on buccal mucosa, and Koplik spots.

    • Infectious mononucleosis can show oral manifestations.

    Oral Manifestations of Systemic Diseases (Dermatological Conditions)

    • Lichen planus presents with reticulate, lace-like, white, keratotic lesions that may or may not be ulcerated.
    • It can rarely be bullous (blisters).
    • More than 50% of patients with cutaneous lichen planus have 口腔 involvement, although it's less common.

    Oral Manifestations of Some Systemic Diseases (other)

    • Pemphigus (usually vulgaris) shows vesicles—blister-like lesions—and bullae that rupture easily, leaving hyperemic erosions.

    • Bullous pemphigoid resembles pemphigus macroscopically but differs histologically.

    • Erythema multiforme is a maculopapular (skin rash) eruption that can affect the 口腔 or lips. It may be caused by infections, drugs, or other systemic conditions like collagen vascular disease or cancer.

    Other

    • Melanotic pigmentation may occur in conditions like Addison's disease, hemochromatosis, fibrous dysplasia of bone (Albright syndrome), and Peutz-Jeghers syndrome.
    • Pregnancy can lead to gingival fibromas.

    Odontogenic Tumors

    • Odontogenic tumors are categorized as
    • Epithelial, Ectomesenchyme, mixtures of both

    Salivary Glands

    • Inflammatory salivary gland conditions include acute and chronic sialadenitis.
    • Minor salivary gland inflammation.
    • Sialadenitis or Sialolithiasis.
    • Viral infection which affect parotid gland.
    • Autoimmune conditions that affect minor salivary glands are common.

    Salivary Gland Tumors

    • Pleomorphic adenoma of salivary glands.
    • Mucoepidermoid carcinomas.
    • Warthin tumors (adenolymphoma).

    Tumors and Precancerous Lesions

    • Oral squamous cell carcinoma and its associated precancerous lesions are covered.
    • Leukoplakia and erythroplakia are prevalent precancerous lesions in the 口腔.
    • Oral lesions such as squamous cell carcinoma, papillomas, hemangiomas and lymphomas are in other locations in the body

    Hematologic Disorders

    • Pancytopenia (agranulocytosis, aplastic anemia).
    • Oral infections such as gingivitis, pharyngitis, and tonsillitis are common.
    • Conditions like monocytic and other leukemias can affect the gingiva.

    Leukoplakia and Erythroplakia

    • The clinical and histologic features of both oral conditions leukoplakia and erythroplakia are discussed; prevalence, morphology, and associations of both.

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    Description

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