2021 Final Flashcards
What cardio diagnosis can diet modifications help?
HTN and CAD
What is the least likely differential diagnosis for Steven-johnson syndrome?
- pemphigus vulgaris
- paraneoplastic pemphigus
- mucous membrane pemphigoid (cicatricial)
- bullous pemphigoid
- actue herpetic gingivostomatitis
- stomatitis medical mentos
- lichen planus
lichen planus (NOT A DIFFERENTIAL DX FOR SJS)
Atherosclerosis affects:
coronary arteries
What does this help with?
Tissue AUTOfluorescence: Helps to distindguish:
- the lesion mucosa and healthy mucosa
axis 1 means:
(orofacial pain lecture)
physical
axis 2 means:
(orofacial pain lecture)
psychological
Where can benign mucous membrane pemphigoid can cause lesions?
ocular
What treatment should be used for rheumatoid arthritis treatment?
Systemic medications and bilane splints therapy?
What is true about tissue autofluorescence?
a- dysplasia and malignant lesion looks different
b- requires training and certificaton
c- not ionizing radiation
NOT ionizing radiation
Tissue autofluorescence; foci fluoresces= middle bright spot surrounded by dark outside
Which of the following presents as an oral lichen-plants like lesion?
lupus erythematosus
A patient with a hip joint replacement is allergic to PCN. What is the biggest concern with the patient taking clindamycin?
antibody resistance
Erythema Multiforme has which of the following?
1- sub epithelial damage
2- intraepithelial damage
3- desmoglein 1 & 3
4- BP 180 & BP 230
intraepithelial damage & Demsoglein 1 & 3
Mucous membrane pemphigoid has which of the following?
1- sub epithelial damage
2- intraepithelial damage
3- desmoglein 1 & 3
4- BP 180 and BP 230
subepitthelial damage & BP 180 &230
T/F: A fluoride tray should be fabricated for patient receiving radiation and should be used for 10 minutes a day. These fluoride trays only need to be used for a few months after radiation therapy because xerostomia is only a short time issue.
S1- True
S2- False
T/F: For IV bisphosphonates, a drug holiday is typically recommended for 2-3 months before extraction and up to 2-3 months after extraction. This is so that bisphosphonates in the blood will not be incorporated into the bone.
S1- false (should be 3 months)
S2- true
Which of the following is true of Coumadin (Warfarin)?
Ideal INR for treatment is 2-3
Which of the following is a SYMPTOM of asthma?
chest tightness
Which of the following cells are responsible for incorporating bisphosonates into the bone?
osteeoblasts
Which of the following has NOT been found in vaping aerosol?
Large particles
(heavy metals, volatiles organic compounds & nicotine have been found
Which demographic has the HIGHEST use of e-cigs?
high schoolers
T/F:
E- cigs are better because they have less nicotine than cigars. Nicotine causes coronary vasoconstriction and heart rate depression.
S1- true
S2- false
What is the etiology of primary HTN?
genetics
Pain in chest after rest or little exertion:
unstable angina
Which of the following causes bleeding?
plavix (anti-platelet & ASA)
Which of the following is the antidote for Coumadin (warfarin)?
Vitamin K
Hypotension syndrome is an issue during what trimester of pregnancy?
third trimester
Gestational diabetes should be treated like:
type 2 DM
Lifestyle management of hypertension?
Increase fiber
Which of the following drugs are used to treat arhythmias?
anticoagulants
Compare BP of pregnant woman to non-pregnant woman
Pregnant women BP = higher
Atherosclerosis is associated with :
dementia
Which of the following is an INCORRECT statement regarding patients taking Coumadin (warfarin)?
bleeding during treatment should be prevented with pharmacotherapy
What is true about CVD?
most people have more than 1 CVD
Which of the following are MICROvascular changes in DM?
decreased bladder control & blindness
AHA says to use this antibiotic for cardiac patients:
amoxicillin
If you can’t take PCN, the AHA says to take:
clindamycin
What is the maximum permissible dose (MPD) for a NON-occupational person?
5 msv, 500mREM
What is the maximum permissible dose for an occupational person?
50msv; 5,000mREM
What is the maximum permissible dose for an occupational pregnant woman?
same as non-occupation person (5msv or 500mREM)
Which of the following increases biological effects of radiation?
increased oxygen levels AND young patients
What is the protocol for prescribing X-rays to a pregnant woman?
indicated for acute dental pain (emergencies)
Which of the following is an example of natural ionizing radiation?
Radon (most %)
What is an example of background ionizing radiation?
cosmic
What is the maximum amount of radiation that will not produce any serious, harmful, or deleterious effects on the individual receiving it?
maximum permissible dose (MSD)
What is the 2012 ADA guideline for recall adult low cares patient?
Teens?
Child?
bitewing every 2-3 years
Teens: 18-36 months
child: 12-24
What is the 2012 ADA guideline for high risk adult, teen, then child patient? (BW)
adults: 6-18 months
teens: 6-12 months
children: 6-12 months
What is the 2012 guideline for a NEW adult patient?
individualized radiographic exam based on clinical exam
MPD measures threshold for ____ radiation
ionizing
What radiographs do you take on a pregnant woman?
emergency dental care
What is the 2012 ADA recommendations for an adult new patient at HIGH caries risk?
FMS
According to the 2012 guidelines, a recall patient with no oral disease but high caries risk would be prescribed:
4 BWs and selected PAs
What is the most significant contribution to public radiation dose that is man-made in the U.S.?
x-radiation
According to FDA 2012, what x-rays should be taken on a new patient?
individualized radiographic exam (assess)
Dental front office worker, maximum permissible dose?
5mSv; 500 mREM
Best way to minimize patients risk when taking an x-ray?
lead apron
FDA 2012 radiograph protocol for recall patient with low caries risk (adult)?
BWs every 24-36 months
Which of the following contributes to MPD?
a- dentist who takes radiographs on himself
b- dental assistant who takes radiographs on patients
c- receptionist in the office
B & C
Patient has the following;
-generalized pocket depth of 5 mm
- full crown
- deep carious lesion
- shallow amalgam
Which radiographs needs to be taken?
FMS
What cardiac diagnosis can diet modifications help with?
HTN and CAD
What is the least likely differential diagnosis for SJS?
lichen planus
