AAPD HANDBOOK: PATHOLOGY
EXAM QUESTIONS AND ANSWERS
Neonatal cyst - Correct Answers -White puples that slough off Epstein pearls, Bohns
nodules, Dental Lamina Cyst
Epstein Pearls - Correct Answers -Occurs on palatal midline; epithelial inclusion cyst
Bhons nodules - Correct Answers -Occurs at junction of hard and soft palate, remnants
of minor salivary glands
Dental Lamina cyst - Correct Answers -Alevolar mucosa; remnants of dental lamina
Riga-Fede disease - Correct Answers -Traumatic granuloma from natal teeth ID cause,
modify feeding, smooth, CHx, topical steroids
Tongue Trauma - Correct Answers -Consider neurocomatose chewking, seizure
disorder, incorrect use of pacifier/bottle; systemic considtions
Neuropathologic Ulcers - Correct Answers -Familial Dysautonomia, Lesch-Nyhan
Syndrome, Gaucher disease, CP, Tourette
Vascular Lesions - Correct Answers -Macroglossia
Vascular Malformations - Correct Answers -Present ad birth, gorws with child, can be
red, purple, blue
Hemangioma - Correct Answers -may involve major salivary glands (parotid) Regresses
with Age
Lymphangioma/Cystic hygroma - Correct Answers -Diffuse swelling of cervical region of
neck, partolid gland Does not regress, amy need surgery
Neonatal alveolar lymphangioma - Correct Answers -present at birth, Ablack males,
Alveolar ride, mandible>maxillar no tx, resolves spontaneously
, Congenital Epulis - Correct Answers -Firm pink red mass, alveolar mucosa, maxillary
lateral and canine region Excision
Melanotic neuroectodermal tumor of infance - Correct Answers -Smooth surface
expansile lesion of alveolus, anterior maxillar Excision
Hemifacial hypertrophy - Correct Answers -unilateral oral and facial enlargement, 25%
have intellectual disability Cosmetic Surgery, Orhodontics
Goldenar Syndrome - Correct Answers -Hemifacial microsomia, unknown etiology, 50%
cardiac pathlogy Surgery, distraction osteogenesis
White Lesions - Correct Answers -
Candidiasis - Correct Answers -Pseudoembranous form wipes off; from mom during
birth, long term antibiotic therapy, corticosteroids, xerostomia, oral appliances Antifungal
Leukoedema - Correct Answers -bilateral, filmy white, wrinkled. Diappears with
stretching, African Americans No tx, variation of normal
Frictional keratosis - Correct Answers -Cheek/Tongue biting' white, adherent. Usually on
buccal mucosa None, reversible lesion
Mucosal Burn (thermal/chemical) - Correct Answers -Thermal palate or tongue;
Chemical uusally on gingiva, buccal/labial mucosa, wipes off
Geographic Tongue (benign migratory glossitis) - Correct Answers -Dorsal of tongue,
may be tender to certain foods Palliative tx as needed
Fordyce Granules - Correct Answers -Ectopic sebaceous glands in oral mucosra,
usually at puberty, buccal mucosa and lips None, variation of noral
Cinnamon contact stomatitis - Correct Answers -Due to flavoring agent, buccal mucosa
and lateral tongue, white shaggy ahderent patches ID cause, discontine use
Smokeless tobacco keratosis - Correct Answers -Vetibular mucosa, white, wrinked,
ahderent, hailtosis, precanerous Reversible if discontinued, biopsy if persistent
White Sponge Nevus - Correct Answers -Autosomal dominant, diffuse, white, thickend,
prominent in adolescence None, persistent condition
Macroglossa Differential: Uncommon - Correct Answers -Irritation Fibroma
Macroglossa Differential: Uncommon - Correct Answers -Muocele of Blandin-Nuhn
Macroglossa Differential: Uncommon - Correct Answers -foreign body entrapment
EXAM QUESTIONS AND ANSWERS
Neonatal cyst - Correct Answers -White puples that slough off Epstein pearls, Bohns
nodules, Dental Lamina Cyst
Epstein Pearls - Correct Answers -Occurs on palatal midline; epithelial inclusion cyst
Bhons nodules - Correct Answers -Occurs at junction of hard and soft palate, remnants
of minor salivary glands
Dental Lamina cyst - Correct Answers -Alevolar mucosa; remnants of dental lamina
Riga-Fede disease - Correct Answers -Traumatic granuloma from natal teeth ID cause,
modify feeding, smooth, CHx, topical steroids
Tongue Trauma - Correct Answers -Consider neurocomatose chewking, seizure
disorder, incorrect use of pacifier/bottle; systemic considtions
Neuropathologic Ulcers - Correct Answers -Familial Dysautonomia, Lesch-Nyhan
Syndrome, Gaucher disease, CP, Tourette
Vascular Lesions - Correct Answers -Macroglossia
Vascular Malformations - Correct Answers -Present ad birth, gorws with child, can be
red, purple, blue
Hemangioma - Correct Answers -may involve major salivary glands (parotid) Regresses
with Age
Lymphangioma/Cystic hygroma - Correct Answers -Diffuse swelling of cervical region of
neck, partolid gland Does not regress, amy need surgery
Neonatal alveolar lymphangioma - Correct Answers -present at birth, Ablack males,
Alveolar ride, mandible>maxillar no tx, resolves spontaneously
, Congenital Epulis - Correct Answers -Firm pink red mass, alveolar mucosa, maxillary
lateral and canine region Excision
Melanotic neuroectodermal tumor of infance - Correct Answers -Smooth surface
expansile lesion of alveolus, anterior maxillar Excision
Hemifacial hypertrophy - Correct Answers -unilateral oral and facial enlargement, 25%
have intellectual disability Cosmetic Surgery, Orhodontics
Goldenar Syndrome - Correct Answers -Hemifacial microsomia, unknown etiology, 50%
cardiac pathlogy Surgery, distraction osteogenesis
White Lesions - Correct Answers -
Candidiasis - Correct Answers -Pseudoembranous form wipes off; from mom during
birth, long term antibiotic therapy, corticosteroids, xerostomia, oral appliances Antifungal
Leukoedema - Correct Answers -bilateral, filmy white, wrinkled. Diappears with
stretching, African Americans No tx, variation of normal
Frictional keratosis - Correct Answers -Cheek/Tongue biting' white, adherent. Usually on
buccal mucosa None, reversible lesion
Mucosal Burn (thermal/chemical) - Correct Answers -Thermal palate or tongue;
Chemical uusally on gingiva, buccal/labial mucosa, wipes off
Geographic Tongue (benign migratory glossitis) - Correct Answers -Dorsal of tongue,
may be tender to certain foods Palliative tx as needed
Fordyce Granules - Correct Answers -Ectopic sebaceous glands in oral mucosra,
usually at puberty, buccal mucosa and lips None, variation of noral
Cinnamon contact stomatitis - Correct Answers -Due to flavoring agent, buccal mucosa
and lateral tongue, white shaggy ahderent patches ID cause, discontine use
Smokeless tobacco keratosis - Correct Answers -Vetibular mucosa, white, wrinked,
ahderent, hailtosis, precanerous Reversible if discontinued, biopsy if persistent
White Sponge Nevus - Correct Answers -Autosomal dominant, diffuse, white, thickend,
prominent in adolescence None, persistent condition
Macroglossa Differential: Uncommon - Correct Answers -Irritation Fibroma
Macroglossa Differential: Uncommon - Correct Answers -Muocele of Blandin-Nuhn
Macroglossa Differential: Uncommon - Correct Answers -foreign body entrapment
