Oral Pathology Specialty Quiz

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Questions and Answers

What is the branch of dentistry concerned with the diseases of oral and paraoral structures, including oral soft tissues and mucous membranes, teeth, jaws, and salivary glands?

  • Orthodontics
  • Oral Pathology (correct)
  • Periodontology
  • Endodontics

Which cells are classified as granulocytes in the context of inflammatory cells?

  • Plasma Cells
  • Lymphocytes
  • Eosinophils (correct)
  • Macrophages

What are the cardinal signs of inflammation?

  • Pallor, Fatigue, Dizziness
  • Redness, Swelling, Pain (correct)
  • Sweating, Trembling, Fast Heartbeat
  • Itching, Numbness, Tingling

How are PRIMARY types of lesions characterized in oral pathology?

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

Which type of lesion is described as a sharply circumscribed discoloration, flat, and up to 1cm in diameter?

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

What is the primary difference between a papule and a plaque?

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

Which type of lesion is a sharply circumscribed serous fluid-filled elevation more than 1cm in diameter?

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

What distinguishes a nodule from a tumor in terms of size?

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

Which type of lesion is characterized by a break in the continuity of the epithelium and is deeper than an erosion?

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

What does the term 'infiltration' refer to in the context of lesions?

<p>Extension of the primary lesion into deeper tissue (A)</p> Signup and view all the answers

What is the primary cause of clefts in the primary palate?

<p>Absence of mesoderm penetration between the medial nasal and maxillary processes (A)</p> Signup and view all the answers

What is the reason behind clefts in the secondary palate?

<p>Lack of fusion between the palatine shelves (C)</p> Signup and view all the answers

At what stage do the palatal shelves initially assume a vertical position?

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

What forms at the junction where the anterior part of the palatal shelves fuses with the triangular primary palate?

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

Which muscle is often intact but hypoplastic in cases of unilateral cleft lip?

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

What is the direction in which the nasal ala on the side of the cleft is displaced?

<p>Laterally, inferiorly, and posteriorly (C)</p> Signup and view all the answers

What is a common link to genes in relation to oral clefts?

<p>Chromosomes 1, 2, 3, 4, 6, and 19 among others (D)</p> Signup and view all the answers

What is a maternal factor that has been associated with causing oral clefts?

<p>Maternal smoking (especially more than 20/day) (D)</p> Signup and view all the answers

What is the reported incidence range of oral clefts in live births?

<p>1 in 500 to 1 in 2500 (D)</p> Signup and view all the answers

At what age do surgeries typically start to correct simple cleft lip/palate?

<p>About 3 months of age (A)</p> Signup and view all the answers

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Study Notes

Dentistry Branch

  • The branch concerned with diseases of oral and paraoral structures is called Oral Pathology.
  • It encompasses the study of oral soft tissues, mucous membranes, teeth, jaws, and salivary glands.

Granulocytes and Inflammatory Cells

  • Granulocytes include neutrophils, eosinophils, and basophils, classified as inflammatory cells due to their role in immune response.

Cardinal Signs of Inflammation

  • The cardinal signs of inflammation are redness, heat, swelling, pain, and loss of function.

Primary Types of Lesions in Oral Pathology

  • Primary lesions are characterized as initial manifestations of diseases, assessing their shape, size, color, and surface texture.

Lesion Descriptions

  • A macule is described as a sharply circumscribed discoloration, flat, and up to 1cm in diameter.
  • A papule is a small, raised lesion, while a plaque is broader and may be flat, distinguishing them by size and morphology.

Serous Fluid-Filled Lesions

  • A vesicle is a sharply circumscribed, serous fluid-filled elevation measuring more than 1cm in diameter.

Nodules vs. Tumors

  • The primary distinction between a nodule and a tumor is size; nodules are typically less than 2cm, while tumors exceed this size.

Continuity Break in Epithelium

  • An ulcer is characterized by a break in the continuity of the epithelium and is deeper than an erosion.

Infiltration of Lesions

  • Infiltration refers to the accumulation of cells within a lesion, indicating a more extensive involvement of tissue.

Causes of Clefts in Palate

  • Clefts in the primary palate primarily arise from genetic factors during early fetal development.
  • Clefts in the secondary palate are usually associated with environmental factors such as maternal smoking or medications.

Palatal Shelves Positioning

  • Palatal shelves initially assume a vertical position during the 7th to 8th week of fetal development.

Fusion of Palatal Structures

  • The incisor papilla forms at the junction where the anterior part of the palatal shelves fuses with the triangular primary palate.

Muscle Hypoplasia in Cleft Lip

  • The orbicularis oris muscle is often intact but hypoplastic in cases of unilateral cleft lip.

Nasal Ala Displacement

  • The nasal ala on the cleft side is typically displaced downward and laterally.
  • Research indicates common genetic variants may contribute to the risk of oral clefts.

Maternal Factors for Oral Clefts

  • Maternal diabetes and use of certain medications during pregnancy have been implicated in the causation of oral clefts.

Incidence of Oral Clefts

  • The reported incidence of oral clefts in live births ranges from 1 in 1,000 to 1 in 5,000 depending on various factors.

Surgery Timing for Cleft Lip/Palate

  • Surgeries to correct simple cleft lip/palate typically begin within the first year of life, often around 6 months of age.

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