Oral Epithelial Dysplasia Quiz

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Questions and Answers

What is the primary risk factor for oral potentially malignant disorders and oral cancer?

  • Actinic radiation
  • Tobacco (correct)
  • Alcohol
  • Chronic infections

What is the characteristic feature of severe epithelial dysplasia?

  • Involvement of at least half the epithelium
  • Involvement of the lower 1/3 of the epithelium
  • Involvement of the entire epithelium
  • Involvement of most of the epithelium thickness (correct)

What is the effect of nicotine on oral cancer?

  • It is not carcinogenic by itself (correct)
  • It is a direct carcinogen
  • It reduces the risk of oral cancer
  • It increases the permeability of mucosa to carcinogens

What is the role of alcohol in oral cancer?

<p>It increases the permeability of mucosa to carcinogens (C)</p> Signup and view all the answers

What is the effect of ultraviolet radiation on the lip?

<p>It causes characteristic mutations in cellular DNA (C)</p> Signup and view all the answers

What is the role of candida albicans in oral lesions?

<p>It is a type of fungus (D)</p> Signup and view all the answers

What is the term for abnormal growth of epithelial cells in the mouth?

<p>Dysplasia (C)</p> Signup and view all the answers

What is the term for a white patch on the oral mucosa?

<p>Leukoplakia (A)</p> Signup and view all the answers

What percentage of oral submucous fibrosis cases show signs of epithelial dysplasia?

<p>10-15% (D)</p> Signup and view all the answers

Which of the following is a clinical feature of oral submucous fibrosis?

<p>Xerostomia (D)</p> Signup and view all the answers

What is the main cause of oral submucous fibrosis?

<p>Areca nut betel quid chewing (A)</p> Signup and view all the answers

What is the characteristic histopathological feature of oral submucous fibrosis?

<p>Juxta epithelial and submucosal deposition of densely collagenized, hypovascular connective tissue (A)</p> Signup and view all the answers

What is the prognosis of oral submucous fibrosis?

<p>It does not regress with habit cessation (C)</p> Signup and view all the answers

What is the oral lesion that is completely reversible?

<p>Nicotine Stomatitis (A)</p> Signup and view all the answers

What is the risk of malignant transformation in the palate except for?

<p>Reverse smokers (B)</p> Signup and view all the answers

What is the aim of this lecture?

<p>To detail the histopathological aspects of oral epithelial dysplasia (A)</p> Signup and view all the answers

What is the characteristic appearance of thick or fissured leukoplakia?

<p>Leathery, with deep fissures (D)</p> Signup and view all the answers

Which of the following is a high-risk clinical variant of leukoplakia for malignant transformation?

<p>Speckled leukoplakia (A)</p> Signup and view all the answers

What is the term for white patches on oral mucosa that cannot be rubbed off and cannot be characterized clinically as any other disease?

<p>Leukoplakia (A)</p> Signup and view all the answers

What is the histological feature of leukoplakia that is characterized by a thickened surface keratin layer?

<p>Keratosis (D)</p> Signup and view all the answers

What is the term for a severe and aggressive form of oral potentially malignant disorder that is multifocal, has a progressive course, and has a high recurrence rate?

<p>Proliferative verrucous leukoplakia (A)</p> Signup and view all the answers

What is the site most commonly affected by leukoplakia?

<p>Buccal mucosa (D)</p> Signup and view all the answers

What is the characteristic feature of speckled leukoplakia?

<p>Red patches (D)</p> Signup and view all the answers

What is the histological feature of leukoplakia that is characterized by an intact basement membrane?

<p>Intact basement membrane (D)</p> Signup and view all the answers

Which clinical presentation carries the greatest risk of cancer development in the oral cavity?

<p>Erythroplakia (A)</p> Signup and view all the answers

Which of these histopathological features is NOT typically associated with severe epithelial dysplasia?

<p>Normal variation in nuclear size and shape (A)</p> Signup and view all the answers

Which of the following is classified under oral potentially malignant disorders characterized by the presence of white patches?

<p>Leukoplakia (C)</p> Signup and view all the answers

Which architectural changes are indicative of oral epithelial dysplasia?

<p>Drop-shaped rete ridges and loss of epithelial cell cohesion (D)</p> Signup and view all the answers

What is a common risk factor for Actinic Cheilitis?

<p>Exposure to UV radiation (D)</p> Signup and view all the answers

What category of lesion is synergistically elevated by the habit of reverse smoking?

<p>Palatal lesions due to reverse smoking (A)</p> Signup and view all the answers

Which of the following is NOT a cytological change seen in oral epithelial dysplasia?

<p>Normal mitotic figures (D)</p> Signup and view all the answers

Which feature is most characteristic of abnormal epithelial stratification in oral epithelial dysplasia?

<p>Premature keratinization in single cells (A)</p> Signup and view all the answers

Which clinical feature is most indicative of erythroplakia?

<p>Well-demarcated red macule or plaque (C)</p> Signup and view all the answers

What is the most common cause of white color in leukoplakia?

<p>Masking of underlying vascularity (D)</p> Signup and view all the answers

Which histological feature is least associated with erythroplakia?

<p>Presence of hyperkeratosis (D)</p> Signup and view all the answers

What is the least likely condition to be included in the clinical differential diagnosis of leukoplakia?

<p>Psoriasis (B)</p> Signup and view all the answers

Which factor is least likely to contribute to the development of actinic cheilitis?

<p>Indoor occupations (B)</p> Signup and view all the answers

Which feature best differentiates erythroplakia from other red lesions?

<p>Flat or depressed character (C)</p> Signup and view all the answers

What should be the primary treatment approach for oral leukoplakia?

<p>Avoidance of causative factors (A)</p> Signup and view all the answers

Which clinical feature is not associated with actinic cheilitis?

<p>Rapid lesion development (A)</p> Signup and view all the answers

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