: : Diseases of  jaws, salivary glands, lips, tongue, soft tissues of the oral cavity : :

1 On examination of the oral cavity of elderly patient there was found atrophy of the soft tissues of the gums in the areas of surgical extraction of tooth roots. What kind of atrophy does occur in the gums:
{
= Dysfunctional atrophy
~ Dyscirculatory atrophy
~ Atrophy  neurotica
~ Compression atrophy
~ Physical factor atrophy
}

2 A man aged 52 years has in the center of the lower lip  erosion on brightly hyperemic background with bloody crusts. Microscopic examination of the biopsy determined epithelial defect, on the edges of the erosion the epithelium is in the state of acanthosis, thorny layer cells in varying degrees of diskomplexation and atypia. The stroma has a diffuse infiltrate of lymphocytes, plasma cells, histiocytes. Your diagnosis:
{
~ Baelz disease
= Cheilitis Manganotti
~ Contact cheilitis
~ Actinic chilitis
~ Labial cancer
}

3 A young girl aged 18  consulted a doctor complaining of constant peeling in red border of the lips. At external examination there was revealed the presence of thin flat scales on a red border, and the border and the mucosa. Transparent flakes like mica platelets, tightly attached to the center and are behind the periphery. Your diagnosis:
{
~ Actinic chilitis
~ Baelz disease
= Exfoliative chilitis
~ Meteorological cheilitis
~ Labial fissure
}

4 Woman aged 42  consulted a doctor complaining of a burning sensation in the tongue, periodic loss of sensation. On examination there was found increase and thickening of the mushroom-shaped papillae, areas of desquamation of various shapes and sizes in the form of "nests" of reddish color. Around the focal lesion there was found mild keratosis. Your diagnosis:
{
~ Median rhomboid glossitis
~ Neurogenic glossopathy
~ Crocodile tongue
= Erythema migrans lingualis
~ Glossotrichia
}

5 On examination of the oral cavity of a man aged 66 there was found  chestnut brown color of the back and middle back of the tongue. Threadlike papillae  are thickened, extended, signs of keratinization. To the top they are darker than at the base. Altered stained threadlike papillae resemble hair:
{
~ Median rhomboid glossitis
~ Neurogenic glossopathy
~ Crocodile tongue
~ Erythema migrans lingualis
= Glossotrichia
}

6 A man aged 77 consulted a doctor complaining of the affect of the red border of the lower lip. On examination there was revealed clearly delimited hearth with diameter of 10 mm, which departs from the ledge in the form of cone of 8 mm high, muddy brown of color. During histological examination there was found expressed hyperkeratosis. Horny mass in the form of cone raised above the surface of the epithelium. In the epithelium under the horny masses there observed acanthosis. In the underlying connective tissue there is marked diffuse infiltration of lymphoid and plasma cells. Your diagnosis:
{
= Cutaneous horn
~ Stomatitis
~ Exfoliative chilitis
~ Leukokeratosis
~ Chronic labial fissure
}

7 On examination of the mouth cavity of a pregnant woman there was observed a coated tongue. On the inner surface of the cheeks there located sores of grayish-pink color, of various shapes and sizes. Your diagnosis:
{
~ Leukokeratosis
= Stomatitis
~ Exfoliative chilitis
~ Meteorological cheilitis
~ Chronic labial fissure
}

8 On examination of the mouth cavity of a man aged 46 in the mucosa of the tongue there are found  whitish spots of varying shapes and sizes, not protruding above the surface of the mucosa. On histologic examination there was noticed thickening of the stratified epithelium through the expansion of the basal and granular layers,  parakeratosis, acanthosis and hyperkeratosis. Acanthotic bands of the epithelium are deep into the dermis. Your diagnosis:
{
~ Meteorological cheilitis
~ Stomatitis
~ Exfoliative chilitis
= Leukokeratosis
~ Chronic labial fissure
}

9 A man aged 25 complained of pain in the right lower jaw, swelling, high body temperature, chills and fever. On examination macroscopically there is observed the detachment of the periosteum with the accumulation of inflammatory exudate between it and the bone, with perifocal edema of soft tissues and periosteum partially molten. What kind of disease  has developed:
{
~ Gangrenous pulpitis
= Purulent periostitis
~ Local periodontitis
~ Catarrhal gingivitis
~ Granulating periodontitis
}

10 The patient aged 37 has xerostomia (dryness of the oral mucosa) and xerophthalmia (dryness of the conjunctiva and cornea). Histological examination of the tissue in the salivary glands - a chronic sialadenitis with the destruction of the glands and severe limfomacrophage infiltrate. Your diagnosis:
{
~ Parotitis
~ Glandular fever
~ Hypovitaminosis À
= Sjogren's syndrome
~ Sialolithiasis
}
