Professional Documents
Culture Documents
Fig. 7-4 Acute herpetic gingivostomatitis. Painful, enlarged, and erythematous facial
gingiva. Note erosions of the free gingival margin.
6. PIC OF GUMS- can hardly see the lesion but it is there above the left canine
apoorox> we are told that the patient is 21 (?) and that he also has similar lesions
on the palate, has a sore throat, 102 degree fever and lymph nodes palpable
I put acute herpetic gingivostomatitis
Other answers were recurrent apthous,
I DOUBT THERE WOULD BE A FEVER ASSOC WITH APHTHOUS
9. PIC OF BIG RED UGLY TONGUE- told that the patient has been on penicillin
for abscess for a time and now presents with this condition. How to treat? (looked
to me like antibiotic sore mouth)
Clotrimazole troches
10. Same pic as in #8> asked now what is the most likely cause of it?
I put answer (a) penicillin allergy or candida
11. ANOTHER TONGUE (kind of white and has a raised red lesion in middle)
Median rhomboid glossitisCENTRAL PAPILLARY ATROPHY. RED
ATROPHIC MUCOSAL AREAS.. THIS IS A FORM OF CANDIASIS.
TYPICALLY ASYMPTOMATIC
Fig. 7-40 HIV-associated Kaposi's sarcoma (KS). Raised, dark-red enlargement of the
mandibular anterior facial gingiva on the left side.
17. Mand right premolar area on a pan has a large radiolucency. PMs vital and
everything asymptomatic (didnt look like it scalloped between the teeth to me but
the best answer was:
Traumatic bone cyst - IN A TRAUMATIC BONE CYST THE TEETH WILL BE
VITAL. TRAUMATIC OR SIMPLE BONE CYST WILL BE A BENIGN, EMPTY OR
FLUID FILLED CAVITY THAT IS DEVOID OF AN EPITHELIAL CELL LINING
Fig. 14-27 Simple bone cyst. Panoramic film
showing a large multilocular simple bone
cyst of the mandible in a 16-year-old white
adolescent. (Courtesy of Dr. Amy
Bogardus.)
Fig. 14-26 Simple bone cyst. Panoramic film showing a large simple bone cyst of the
mandible in a 12-year-old girl. The scalloping superior aspect of the cyst between
the roots of the teeth is highly suggestive of, but not diagnostic for, a simple bone
cyst. (Courtesy of Dr. Lon Doles.)
18. nicotinic stomatitis identify (this was asked twice)
WHITE KERATOTIC CHANGE ASSOCIATED WITH TOBACCO SMOKING.
THIS IS NOT PREMALIGNANT..IT IS CAUSED BY THE HEAT FROM THE
SMOKE NOT THE CHEMICALS. THIS IS REVERSIBLE..THEY NEED TO STOP
SMOKING!
Fig. 10-87 Nicotine stomatitis. Close-up of the inflamed ductal openings of involved
salivary glands of the hard palate. Note the white keratotic ring at the lip of many
of the inflamed ducts.
Fig. 15-3 Dentigerous cyst. Lateral variety showing a large cyst along the mesial
root of the unerupted molar. This cyst exhibited mucous cell prosoplasia. (Courtesy
of Dr. John R. Cramer.)
21. lingual tonsils
Fig. 10-4.
Lingual tonsillar tissue. A, Classic position for the tonsil (arrow). B,
Unusually large tonsil located more anteriorly than usual.
Fig. 15-59 Ameloblastoma. Large multilocular lesion involving the mandibular angle
and ascending ramus. The large loculations show the soap bubble appearance. An
unerupted third molar has been displaced high into the ramus.
AMELOBLASTOMA ARE ODONTOGENIC EPITHLEIUM IN ORIGIN.
AMELOBLASTOMAS ARE SLOW GROWING AND LOCALLY INVASIVE
AMELOBLASTOMA MOST OFTEN SEEN IN THE RAMUSTHEY ARE
MULTILOCULAR RL
Fig. 35.3
Median sagittal section of the head,
showing a dissection of the interior of
the pharynx, after the removal of the
mucous membrane. The bodies of the
cervical vertebrae have been
removed and the cut posterior wall of
the pharynx then retracted
dorsolaterally. Palatopharyngeus is
reflected dorsally to show the cranial fibres of the inferior constrictor;
the dorsum of the tongue is pulled ventrally to display a part of
styloglossus in the angular interval between the mandibular and the
lingual fibres of origin of the superior constrictor.
23. this guys jaw just started growing larger all of sudden in the past few months (?)
whats goin on?
Hyperpituitarism
25. Pic of these teeth that have the incisal half almost a clear looking and the cervical
half of the teeth are like normal looking. What happened?
Enamel hypoplasia
FIG. 7-15.
Enamel hypoplasia that developed as the
result of a nutritional deficiency during
infancy. The first permanent molars,
maxillary central incisors, and mandibular
incisors show hypoplastic enamel and
dentin.
26. basal cell carcinoma- slow growing mass on the face of this old guy. BASAL
CELL CARCINOMA IS THE MOST COMMON SKIN CANCER. IT IS
LOCALLY INVASIVE AND SLOW SPREADING. THIS CANCER RESULTS
IN CHRONIC EXPOSURE TO UV RADIATION AND CHRONIC
SUNBURNING. PAINLESS PAPULE THAT BECOMES LARGER--
NODULOULCERATIVE
29. pt with thrombocytopenia (they give you the values for normal along with the
patients values) platelets were like 27,000- mad low
NORMAL RBC IS 4.5-5MILLION
PLATELET NORMAL COUNT IS 150,000-400,000
34. pulp stones (HARD TO SEE on x-ray but they are there) will complicate RCT on
the teeth in the pic
35. lichen planus on buccal mucosa
RETICULAR FORM HAS THE WHITE STRIAE ON THE BUCCAL MUCOSA
EROSIVE IS RED AND PAINFUL
Fig. 16-102 Lichen planus. A, These relatively nondescript white lesions affected the
buccal mucosa of a patient who had complained of a burning sensation.
Histopathologic evaluation of the lesion showed a lichenoid mucositis with
superimposed candidiasis. B, Same patient 2 weeks after antifungal therapy. Once
the mucosal reaction to the candidal organism was eliminated, the characteristic
white striae of reticular lichen planus were identified.
Fig. 16-95 Lichen planus. A, A middle-aged woman with mild reticular lichen planus
of the left buccal mucosa. B, Same patient 2 weeks later, showing exacerbation of
the lesions. Such waxing and waning is characteristic of lichen planus.
36. pleomorphic adenoma (two questions on this. One pic of it on palate LARGE and
another anterior to the ear) PLEOMORPHIC ADENOMA IS A PAINLESS,
SLOW GROWING MASS THAT IS FIRM. PLEOMORPHIC
ADENOMA IS THE MOST COMMON SALIVARY GLAND
NEOPLASM SEEN COMMONLY IN THE PAROTID GLAND.
TX BY SURGICAL EXCISION
37. young patient like 8 years or so presents with gingival hyperplasia (it seems)
question states that the patient is health and asymptomatic and worry free overall.
If he presented to my clinic like this I would:
order CBC and platelet counts for this child
38. AA male with radiograph of anterior max (I think) what do wee see? Whats that
indicative of?
Decreased trabeculation
Sickle cell anemia
FIGURE 16-1
Radiograph of a
patient with sickle
cell anemia,
demonstrating
horizontal
trabeculation
creating a
ladderlike effect.
(Courtesy of Dr.
Eisa Mozaffari,
Philadelphia, PA).
~reduced
trabecular pattern,
maybe hair on end
LATERAL CEPH
39. Man has his right 1st molar extracted and the next day he woke up with a sore
feeling on the lateral tongue on that side> the pic of this mans tongue looks like
crazy SCC to me and the question states that he has soreness in the area and
palpable lymph nodes. Dx:
a. traumatic ulcer (thats what I put)
b. SCC
c. Basal call carcinoma..
40. Pic of a red and white lesion on lateral tongue, which area should we biopsy
(wasnt sure of answer):
a. the red part
b. the white part
c. both areas
d.
41. pic of hyperkeratosis in the buccal vestibule near the mand molars. What do we
ask the patient?
a. Did you put aspirin there?
b. Do you use smokeless tobacco? (thats what I put!)
SMOKELESS TOBACCO WILL APPEAR WHITE ON
THE BUCCAL MUCOSA
c. ..
d. ..
42. pic of thick white lesion on the buccal mucosa> what do we do to identify it?
a. Toluidine blue staining
b. Exfoliative cytology
43. pic of a badly broken off maxillary molar way past the CEJ> Patient informs you
that they want to have the space restored without taking out the roots> what is the
RECOMMENDED TX?
a. Posted crown
b. RCT on the roots and a fixed bridge over the roots
c. Leave the roots and put.
d. Extract the roots and do a FPD (thats what I put! Since
when does the patient tell us what to do?! Lol)
44. Pic of maxillary central (I think) with a coronal third root fracture. How treat?
a. Extract (thats what I put)
b. Stabilize with splint
c. RCT
d.
45. Biologic testing of autoclave
a. Every week (the answer!)
b. Every day
c. Every month
d. Every year
46. patient had hep A while back.
a. You can treat them
CASES:
48. The pregnant girl:
30 something
HBP
Hx of Rheumatic heart disease
6 months pregnant
Lotsa perio. Gross actually
one 1-4
two 5-8
first
three 9-13
four 14-17
five 18-21
second
six 22-26
seven 27-30
eight 31-35
third
nine 36-40