Oral Candidiasis (Pseudomembranous Candidiasis)
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Questions and Answers

What is the characteristic appearance of oral candidiasis?

  • Redness and inflammation on the oral mucosa
  • Adherent white plaques resembling curdled milk on the oral mucosa (correct)
  • Small, raised bumps on the tongue
  • Ulcerative lesions on the oral mucosa
  • Which of the following is NOT a factor that contributes to the development of pseudomembranous candidiasis?

  • Vaccination against flu (correct)
  • Infancy due to underdeveloped immune systems
  • Administration of broad-spectrum antibiotics
  • Impairment of the patient's immune system
  • What is the diagnosis of a white patch that cannot be removed by scraping?

  • Pseudomembranous candidiasis
  • Chronic hyperplastic candidiasis (correct)
  • Candidal leukoplakia
  • Oral hairy leukoplakia
  • How is the diagnosis of candidiasis confirmed?

    <p>By the presence of candidal hyphae and complete resolution after antifungal therapy</p> Signup and view all the answers

    Where can candidaI organisms be seen microscopically?

    <p>In an exfoliative cytologic preparation or tissue sections obtained from a biopsy specimen</p> Signup and view all the answers

    What is the characteristic color of Candidal hyphae when stained with PAS?

    <p>Bright magenta</p> Signup and view all the answers

    What is the characteristichistopathologic feature of Candidiasis in the epithelial layer?

    <p>Small collections of neutrophils</p> Signup and view all the answers

    What is the underlying mechanism of Lichen planus?

    <p>Immune mediated disease</p> Signup and view all the answers

    What is the characteristic feature of the epithelium in Candidiasis?

    <p>Increased thickness of parakeratin</p> Signup and view all the answers

    What is the characteristic feature of the connective tissue in Candidiasis?

    <p>Chronic inflammatory cell infiltrate</p> Signup and view all the answers

    What is the characteristic nuclear feature of superficial epithelial cells in oral hairy leukoplakia?

    <p>Nuclear beading</p> Signup and view all the answers

    What is the primary fungal organism responsible for candidiasis?

    <p>Candida albicans</p> Signup and view all the answers

    What is the characteristic feature of the epithelium in oral hairy leukoplakia?

    <p>Thickened parakeratin</p> Signup and view all the answers

    What is the most common clinical presentation of candidiasis?

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

    What method can be used to demonstrate the presence of EBV in oral hairy leukoplakia?

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

    What is the underlying mechanism of oral hairy leukoplakia in HIV patients?

    <p>Reactivation of latent Epstein-Barr virus</p> Signup and view all the answers

    Which of the following is a characteristic of Candida albicans in oral candidiasis?

    <p>Appearance of white patches that can be rubbed off</p> Signup and view all the answers

    What is the primary method of diagnosing oral hairy leukoplakia?

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

    What is the primary way to diagnose oral hairy leukoplakia?

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

    What is the underlying cause of pseudomembranous candidiasis?

    <p>Candida albicans overgrowth</p> Signup and view all the answers

    What is the significance of Wickham striae in oral lesions?

    <p>Typically seen in lichen planus</p> Signup and view all the answers

    What is the characteristic feature of leukoedema?

    <p>Asymptomatic, diffuse translucent, greyish white appearance of the bilateral buccal mucosa</p> Signup and view all the answers

    What is the classification of oral white lesions that includes candidiasis?

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

    What type of oral white lesions is caused by Candida albicans?

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

    Which of the following is an example of a pseudomembranous oral white lesion?

    <p>Pseudomembranous candidosis (thrush)</p> Signup and view all the answers

    What is the significance of discovering oral hairy leukoplakia in a normal patient?

    <p>It mandates a thorough evaluation to rule out immunocompromise</p> Signup and view all the answers

    What is the common feature of oral hairy leukoplakia and leukoedema?

    <p>They both have a benign prognosis</p> Signup and view all the answers

    What is the characteristic of the lesions in oral hairy leukoplakia?

    <p>They range from faint, white vertical streaks to thickened, furrowed areas of leukoplakia</p> Signup and view all the answers

    What is the causative agent of oral hairy leukoplakia?

    <p>Epstein-Barr virus</p> Signup and view all the answers

    How is the diagnosis of leukoedema confirmed?

    <p>By disappearance of the lesion when stretched</p> Signup and view all the answers

    What is the most common clinical type of lichen planus?

    <p>Reticular type</p> Signup and view all the answers

    What is the characteristic appearance of oral lesions in lichen planus?

    <p>Fine lacelike network of white lines</p> Signup and view all the answers

    Where can lichen planus involve besides the buccal mucosa?

    <p>Lateral and dorsal tongue, gingivae, palate, and vermilion border</p> Signup and view all the answers

    What is the characteristic histopathological feature of lichen planus?

    <p>Pointed rete ridges showing saw tooth shape</p> Signup and view all the answers

    What is the term for degenerated keratinocytes in the epithelium and connective tissue interface?

    <p>Civatte bodies</p> Signup and view all the answers

    Which condition is an immunologically mediated disease?

    <p>Lupus Erythematosus</p> Signup and view all the answers

    How many forms of Lupus Erythematosus are there?

    <p>3</p> Signup and view all the answers

    What is the prognosis of Chronic cutaneous Lupus Erythematosus?

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

    What is the characteristic histopathological feature of Lichen planus that is not specific to the disease?

    <p>Intense band-like lymphocytic infiltrate</p> Signup and view all the answers

    Which condition can show a similar histopathologic pattern to Lichen planus?

    <p>Lichenoid drug reaction</p> Signup and view all the answers

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