Oral Ulceration BDS10017
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Questions and Answers

What is a characteristic feature of traumatic ulcers?

  • Spontaneous healing within 3-10 weeks
  • Painful lesions with severe erythema
  • Rapid reduction in size and symptoms within 10 days
  • Yellowish-grey floor of fibrin slough (correct)
  • What is the main concern when a traumatic ulcer fails to heal?

  • Orofacial granulomatosis
  • Granulomatous diseases
  • Erythema multiforme
  • Malignancy (correct)
  • What is the typical age range for the characteristic presentation of eosinophilic ulcers?

  • Adolescents between 10-15 years old
  • Infants in the first year of life (correct)
  • Children between 2-5 years old
  • Adults between 20-30 years old
  • What is a distinctive feature of eosinophilic ulcers?

    <p>Failure to heal and persistence for many months</p> Signup and view all the answers

    What can eosinophilic ulcers mimic histopathologically?

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

    What triggers a more rapid resolution of eosinophilic ulcers?

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

    What is the typical size of eosinophilic ulcers?

    <p>Exceeding 10 mm in diameter</p> Signup and view all the answers

    What is a possible cause of eosinophilic ulcers?

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

    What is a characteristic of the fibrin slough that covers most oral ulcers?

    <p>It has a characteristic appearance and can be easily distinguished</p> Signup and view all the answers

    Which of the following is an example of a granulomatous disease that can cause oral ulcers?

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

    What is the primary characteristic that distinguishes an ulcer from other types of lesions?

    <p>A break in the continuity of epithelium</p> Signup and view all the answers

    Which of the following is NOT a type of oral ulceration that can occur without preceding vesiculation?

    <p>Herpes labialis</p> Signup and view all the answers

    What is the name of the disease that is characterized by recurrent oral ulcers and genital ulcers?

    <p>Behçet's disease</p> Signup and view all the answers

    Which of the following is a common cause of traumatic oral ulcers?

    <p>All of the above</p> Signup and view all the answers

    What is the term for the study of the histopathological features of immunologically-mediated disorders of the oral mucosa?

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

    Which of the following is an example of a vesiculobullous disease that can cause oral ulcers?

    <p>Pemphigus vulgaris</p> Signup and view all the answers

    Which diagnostic method is primarily used for identifying pemphigus and pemphigoid?

    <p>Direct and indirect immunofluorescence</p> Signup and view all the answers

    What is one of the main reasons to perform a biopsy for recurrent aphthous stomatitis?

    <p>To rule out carcinoma or viral infections</p> Signup and view all the answers

    What characteristic of eosinophilic ulcers can be misleading in a diagnosis?

    <p>Often resembling carcinoma</p> Signup and view all the answers

    In the context of histopathological education, what should students understand about tuberculosis?

    <p>Its histopathological aspects</p> Signup and view all the answers

    What is a primary diagnostic approach for erythema multiforme?

    <p>Clinical presentation</p> Signup and view all the answers

    Which diseases are associated with immunologically-mediated disorders of the oral mucosa?

    <p>Pemphigus, pemphigoid, and erythema multiforme</p> Signup and view all the answers

    What additional reading is recommended for students studying traumatic oral ulceration?

    <p>Both A and B</p> Signup and view all the answers

    Which of the following aspects are included when studying granulomatous disease of the oral tissues?

    <p>Histopathological features, clinical presentations, and treatments</p> Signup and view all the answers

    Which stage of syphilis affects approximately 30% of untreated individuals?

    <p>Tertiary syphilis</p> Signup and view all the answers

    What type of inflammation is characteristic of tertiary syphilis?

    <p>Granulomatous inflammation</p> Signup and view all the answers

    Which histopathological feature is NOT associated with primary and secondary stages of oral syphilis?

    <p>Peripheral pseudoepitheliomatous hyperplasia</p> Signup and view all the answers

    Which stain can be used to detect the organism causing syphilis?

    <p>Steiner stain</p> Signup and view all the answers

    What is a common clinical feature of secondary syphilis?

    <p>Snail-track pattern mucous patches</p> Signup and view all the answers

    Which feature is characteristic of tertiary stage oral syphilitic lesions?

    <p>Peripheral pseudoepitheliomatous hyperplasia</p> Signup and view all the answers

    What occurs in tertiary syphilis affecting the palate?

    <p>Ulcers perforate into the nasal cavity</p> Signup and view all the answers

    Which is an appropriate action if oral ulcers persist for more than 10 days?

    <p>Biopsy to exclude other diseases</p> Signup and view all the answers

    What type of cells are essential in the destruction of surface epithelium in Recurrent Aphthous Stomatitis?

    <p>Cytotoxic T cells (CD8+)</p> Signup and view all the answers

    Which cytokine is primarily involved in the inflammatory reaction in Recurrent Aphthous Stomatitis?

    <p>Tumor necrosis factor (TNF)</p> Signup and view all the answers

    Which histopathological feature is consistent with traumatic ulcers?

    <p>Fibrinopurulent membrane with neutrophils</p> Signup and view all the answers

    What is a major etiological factor in the pathogenesis of Recurrent Aphthous Stomatitis?

    <p>T cell mediated immunologic reaction</p> Signup and view all the answers

    Why might a biopsy be performed in a case of major aphthae?

    <p>To exclude carcinoma</p> Signup and view all the answers

    Which of the following is not a trigger for Recurrent Aphthous Stomatitis?

    <p>Bacterial infection</p> Signup and view all the answers

    In eosinophilic ulcers, where does the inflammatory infiltrate extend to?

    <p>Deeper tissues</p> Signup and view all the answers

    Which clinical variation of Recurrent Aphthous Stomatitis may require biopsy to exclude viral infection?

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

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