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Oral Pathology
ORPT
121
Other
Not Applicable
02/11/2017

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Term
Define genetics
Definition
Studies inheritance and the expression of inherited traits
Term
Define syndrome
Definition
A distinctive association of signs and symptoms occurring together in the same patient
Term
Is AIDS aquired or inherited?
Definition
Aquired
Term
Cleft lip and palate are components of _______ syndroms
Definition
multiple
Term
Which is the most common, cleft lip, cleft palate, or cleft lip / palate combined?
Definition
cleft lip and palate combined
Term
______refers to physical, biochemical and physiological trait of an individual
Definition
Phenotype
Term
P = Phenotype and can occur as a result of genetic or combination of genetic and _______ influences
Definition
environmental
Term
Each cell with the exception of mature germ cells has ______ chromosomes.
Definition
46
Term
_____ of chromosomes comes from mother and ____ comes from father.
Definition
1/2
Term
Chromosomes contain ______ which directs the production of amino acids polypeptides and proteins by cell
Definition
DNA
Term
All cells (except ova/spermatazoa) are _________ cells
Definition
Somatic cells
Term
How is cellular devision achieved?
Definition
Mitosis during somatic cells life span --> mitotic cycle
Term
What is the function of mitosis?
Definition
to create an exact copy of each chromosome and through division of the cell, distribute identical set of chromosomes to each daughter cell.
Term
What is meiosis?
Definition
A two-step cell division in which the primitive cells reduce the chromosome number by half and become mature germ cells
Term
Primitive germ cells have 46 chromosomes and mature germ cells have _____
Definition
23.
Term
What is trisomy?
Definition
when chromosomes do not separate and both migrate to the same cell. Known as nondisjunction and results in the formation of a germ cell with an extra chromosome
Term
Whats another name for downs synrome?
Definition
Trisomy 21
Term
nondisjunction is LESS prevalent in female oogenesis than in male spermatogenesis, T/F?
Definition
False! it's MORE prevalent because older women are more prone to shedding trisomic ovum.
Term
What is the "lyon hypothesis"?
Definition
[XX - women] and [XY - MEN]
A hypothesis that showing clinical implication for female carriers of conditions caused by genes located on the X chromosome.

During development one X chromosome in the female embryo is INACTIVATED. The inactivated X chromosome forms a structure known as (Barr body) and appears as a dark dot at the periphery of the nucleus.
Term
Explain the composition of chromosomes:
Definition
DNA contains the basic codes/template that carries genetic info. Basic unit of DNA is a nucleotide and contains 4 bases (A,G,T,C)
Term
DNA bases -- Explain
Adenine binds to _____.
Guanine binds to _____.
Definition
A-Thymine
G-Cytosine
Term
The genetic code contained in DNA is transcribed into RNA which is ______ stranded
Definition
Single
Term
RNA produces ______, polypeptides, and proteins
Definition
amino acids
Term
Uracil replaces ______ in DNA
Definition
thymine
Term
______ is the blueprint of genetic DNA for coding of proteins. It carries the message for the DNA to the ribosomes in cytoplasm, in which proteins are produced
Definition
mRNA
Term
tRNA transfers ____ _____ from the cytoplasm to mRNA positioning amino acids in proper sequence to form polypeptides and hence proteins
Definition
amino acids
Term
rRNA forms with _______ to make ribosomes
Definition
several polypeptides
Term
_______ carries the genetic code for the formation of that protein to the robisomes
Definition
mRNA
Term
_____ brings amino acids to ribosomes from cytoplasm
Definition
tRNA
Term
What are two main patterns of inheritance
Definition
Autosomal dominant and autosomal recessive
Term
What is autosomal dominant?
Definition
Dominant genes only need a SINGLE dose and is transmitted vertically from one generation to the next.
*When one parent has gene, 50% risk each pregnancy
Term
Individuals can have the autosomal dominant gene with lack of penetrance, T/F
Definition
T -- This means someone might have the gene but it doesn't affect them. How bad someone has it.
Term
__________ refers to the # of individuals affected
Definition
penetrance
Term
________ pertains to the degree which an individual is affected.
Definition
Expressivity - someone might not express the gene as much. How much it shows.
Term
Autosomal recessive have clinically normal parents of affected children are _________ and both are carriers of trait
Definition
Heterozygous.
Term
for parents that are carriers for an autosomal recessive gene, the child is ____% at risk.
Definition
25%
Term
47 23
_______ refers to familial relationship and used to describe matings or marriages among close relatives
Definition
Consanguinity
Term
Closer degree of ___________ the greater the offspring being homozygous
Definition
consanguinity
Term
x-linked inheritance means ....
Definition
Women have 2 X chromosomes and can be homozygous or hetero. Since men have one X chromosome, whatever the mother has in her X chromosomes will be passed down regardless.

Essentially, since men only have one X, if their mother has a defective X chromosome, it will automatically be passed down to the son. The trait will be seen clinically regardless if it is recessive or dominant.
Term
a fathers X chromosomes are transmitted to daughters but not sons, this is an example of _______ inheritance.
Definition
X linked inheritance,
Term
A carrier mother of x linked recessive trait will have _____% risk of affected son and ______% risk of carrier daughter
Definition
50% because its an X linked disease, it will be passed down regardless because both M and F need X chromosome. BUT it depends on which X is transferred.

This is not the same for father --> son. Instead, the daughter would get the other x chromosome.
Term
_________ is defined as benign lesions of the bone characterized histologically by cellular fibrous conntective tissue admixed with irregularly shaped bone trabeculae or cementoid material
Definition
Fribro-osseous lesions or (Osseous dysplasia)
Term
This disease of bone has an unknown cause, asymptomatic, usually found in the anterior mandible in patients older than 30. More common in F vs M especially in asians and Af. Am. Diagnosis is based off of combo of clinical and radiographic features
Definition
Periapical cemento-osseous dysplasia
Term
There's 3 stages to every fibro osseous lesion:
Definition
1. Radiolucent
2. Mixed
3. Sparatic - completely immature bone
Term
New growth, cells that exhibit uncontrolled proliferation
Definition
Neoplasm
Term
characteristics of a benign tumor
Definition
well differentiated, slow growing, encapsulated around lesion and NO metastasis
Term
Characteristics of a malignant tumor
Definition
Anaplastic -- not well differentiated
Rapid growth, mitotic figures and invasive
Term
Cancer within an epithelial cell
Definition
squamous cell carcinoma, basal cell carcinoma
Term
Cancer within a mesenchymal cell
Definition
fibroSARCOMA or osteoSARCOMA
Term
Cancer within a ductal cell
Definition
Breast ADENOCARCINOMA
Term
Squamous epithelium, salivary gland epithelium and odontogenic epithelium are examples of ____________ tumors
Definition
epithelium -- duh
Term
Benign tumor of squamous epithelium that presents as a small exophytic pedunculated or sessile growth. Has numerous papillary projections (finger like)
Definition
Papilloma
Term
All those physiologic mechanisms which endow the animal with the capacity to recognize materials as foreign to itself and to neutralized, eliminate, or metabolize them with or without injury to its own tissues defines ____.
Definition
Immunity
Term
Defense, homeostasis and surveillance are all functions of ____________.
Definition
The immune system
Term
Has the capacity for memory and responds more quickly to a foreign substance if encountered again. Involves memory.
Definition
Aquired immunity
Term
t/f: Cell-mediated (cellular immunity) involves lymphocytes working alone or assisted by macrophages to regulate the immune system
Definition
True
Term
_______ immunity involves the production of antibodies, with the b cell lymphocytes as the primary cells. Responsible for protection against many pathogenic microorganisms.
Definition
Humoral immunity or antibody-mediated
Term
What are the 5 cells involved in immunity
Definition
Monocyte, neutrophil, lymphocyte, basophil, and eosinophil
Term
What are the non-cellular mediators of immunity?
Definition
immunoglobulins (antibodies), lymphokines, and complement
Term
T and B cells come from
Definition
bone marrow
Term
Where do t cells go, where do b cells go?
Definition
T cells-- thymus
B cells--resides and matures in lymphoid tissue. two b cells develop when stimulated by an antigen, 1- memory b cell and 2 the plasma cell--produces the antibody.

T cells proliferate to the cellular immune system to make lymphokines & killer t cells and B cells go through humoral cells to make antibodies.
Term
Explain blast transformation
Definition
When B cells are activated, they split into a plasma cell and one goes to memory. The next time the antigen enters the body, b cells fabricate antibodies to defend against that specific antigen.
Term
List the steps of t and b cell formation
Definition
1. stem cell differentiation
2. Maturation - formation of antibodies
3. Dissemination - more plaque = more t and b cells
Term
This specific area in the oral cavity contains lymphoid tissue
Definition
Waldyers ring
Term
A local, non-specific reaction of the body tissues to an injury in an attempt to localize the injury and to heal it. ****Can be caused by microorganisms, physical, or chemical agents
Definition
Inflammation
Term
*****Invasion and multiplication of microorganisms inside of the body tissues - which result in local cellular injury
Definition
Infection
Term
______ is caused by living microorganisms, physical or chemical agents
Definition
inflammation
Term
_____ is a result of invasion and multiplication of microorganisms inside the body tissues
Definition
Infection
Term
Acute, chronic, and granulomatous are three types of _________.
Definition
Inflammation
Term
What is the most common type of inflammation ?
Definition
acute inflammation, example --> pmns
Term
What is the first cell to enter the site of inflammation?
Definition
PMNS. they are the fastest there but they die off and other cells are at the site at that time if the infection is still occuring. -- this leads to chronic
Term
What cells would you see in acute inflammation, in chronic?
Definition
acute- pmn
chronic- macrophages, lymphocytes, plasma cells
Term
"Hygienist's job in the form of a formula"
Definition
N x V / R

N= Number of organisms
V= Virulence of the organism
R= Resistance of the HOST
Term
Anaphylactic, cytotoxic, immune complexes, cell mediated are all examples of ___________________.
Definition
Allergic reactions / Hypersensitivities
Term
Sjogrens, systemic lypus, pemphigus and pemphigoid are _______________diseases
Definition
autoimmune
Term
intact skin, enzymes in saliva (antibacterial activity) and the flushing action of tears, saliva, urine and diarrhea are all ___________
Definition
NATURAL defense mechanisms against injury
Term
___________signs include fever, leukocytosis, and lymphodenopathy
Definition
inflammation
Term
The increase in blood flow that fills the capillary beds is called
Definition
hyperemia
Term
The movement of WBC to periphery of vessel
Definition
Margination
Term
Lining the walls by WBC
Definition
Pavementing
Term
Process by which WBC escape
Definition
Emigration
Term
Movement of WBC to the site of injury
Definition
Chemotaxis
Term
Removal of foreign substances by ingesting and digesting them
Definition
Phagocytosis
Term
WWhat are the 5 inflammatory responses
Definition
Margination, pavementing, emigration, chemotaxis, and phagocytosis
Term
6 CELLS involved in inflammatory response?
Definition
Neutophils, monocytes, lymphocytes, plasma cells, eosinophils, mast cells.
Term
4 MAJOR cells involved in inflammatory response
Definition
neutrophils, monocytes, lymphocytes and plasma cells
Term
make up 60-70 % of WBC, first to arrive at site of injury, PRIMARY cell of acute inflammation, main fuction is phagocytosis
Definition
Neutrophils
Term
2nd cell to arrive during inflammatory response, responds to chemotactic factors, capable of phagocytosis, single round nucleus and NON granular cytoplasm, makes 3-8% of WBC
Definition
Monocyte or macrophage
Term
PMNs have longer lifespan than Monocyte / macrophage t,f?
Definition
false
Term
Which cells are involved in both chronic inflammation and the immune response?
Definition
Lymphocytes and plasma cells
Term
Kinin system, clotting mechanism and complement system are 3 ______mediators of inflammation
Definition
Chemical

**they are all interrelated**
Term
____________ system mediates by causing increased dilation of BV at site of injury and increased permeability of local BV. Role limited to early inflammation and components induce pain.
Definition
Kinin
Term
Causes production of sequential cascade of plasma proteins that are present in the blood in an inactivated form.

Cause mast cells to release granules of histamine
Definition
complement system
Term
what does histamine do?
Definition
Increases vascular permeability and vasodilation
Term
_______ cause cell death by creating holes in the cells membrane. they also form chemotactic factors for WBC and enhance phagocytosis
Definition
Complement system
Term
WBC and pathogenic microorganisms produce fever producing substances called _____
Definition
pyrogens
Term
when should you worry about a fever?
Definition
over 102.
Term
10,000-30,000 is the normal WBC range, t/f?
Definition
FALSE -- thats the response to INFECTION

NORMAL -- 4,000-10,000.
Term
_____________ is when the tissue damage is slight and the tissue returns completely to normal function; this the most favorable end to AI
Definition
Regeneration
Term
___________ takes place when the complete return to normal is not possible because the tissue damage has been too great
Definition
REPAIR
Term
INJURY ---

At day 1 ______emigrate
At day 2 _____emigrate
End of day 2 _______emigrate
Definition
PMNs (neutrophils)

monocytes

Leukocytes and plasma cells
Term
Describes the wearing away of tooth structure
Definition
attrition
Term
Describes grinding and clenching of teeth for non fuction purposes
Definition
Bruxism
Term
Describes a wedge shaped lesion in cervical areas of teeth from biomechanical forces on teeth (tooth brush)
Definition
Abfraction
Term
Describes chemical loss of tooth structure
Definition
Erosion
Term
______injuries are caused by the patient
Definition
factitial
Term
A circumscribed, elevated lesion that is more than 5mm, usually contains serous fluid and looks like a blister
Definition
Bulla
Term
A segment or lobe that is a part of the whole, these sometimes appear fused togther
Definition
lobule
Term
An area that is usually distinguished by a color different from that of the surrounding tissue, it is flat and does not protrude above the surface of the normal tissue. A freckle is an example of this
Definition
macule
Term
A small circumscribed lesion usually less than 1cm in diameter that is elevated or protrudes above the surface of normal surrounding tissue
Definition
papule
Term
attached by a stemlike or stalklike base similar to that of a muchroom
Definition
pedunculated
Term
variously sized circumscribes elevations containing pus
Definition
pustule
Term
Describing the base of a lesion that is flat or broad instead of stemlike
Definition
sessile
Term
A small, elevated lesion less that 1 cm in diameter that contains serous fluid
Definition
vesicle
Term
a palpable solid lesion up to 1 cm in diameter found in soft tissue, it can occur above, level with or beneath the skin surface
Definition
nodule
Term
clinical term used to describe an oral mucosal lesion that appears as a smooth red patch or granular red and velvety patch
Definition
erythroplakia
Term
a clinical term for a white plaquelike lesion on the oral mucosa that cannot be rubbed off or diagnosed as a specific disease
Definition
leukoplakia
Term
smooth, rough, and folded are all terms used to describe ____
Definition
surfacce texture of a lesion
Term
This cyst occurs with the root of a nonvital tooth. It is the most commonly occuring cyst in the oral cavity. Develops when the epithelium within the inflamed CT of the PA granuloma proliferates. Radiographic appearance looks like PA granuloma.
Definition
Radicular cyst
Term
Forms when the tooth is removed and all or part of a radicular cyst is left behind. It is well-circumscribed located at the site of an extracted tooth.
Definition
Residual cyst
Term
A change in bone near the apices of teeth that may be a reaction to low-grade infection. Tooth most commonly associated with this is the mandibular first molar.
Definition
Focal sclerosing osteomyelitis
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