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Princples of Oral Med > 2021 Final > Flashcards

2021 Final Flashcards

1
Q

What cardio diagnosis can diet modifications help?

A

HTN and CAD

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2
Q

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
A

lichen planus (NOT A DIFFERENTIAL DX FOR SJS)

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3
Q

Atherosclerosis affects:

A

coronary arteries

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4
Q

What does this help with?

A

Tissue AUTOfluorescence: Helps to distindguish:

  • the lesion mucosa and healthy mucosa
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5
Q

axis 1 means:

(orofacial pain lecture)

A

physical

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6
Q

axis 2 means:

(orofacial pain lecture)

A

psychological

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7
Q

Where can benign mucous membrane pemphigoid can cause lesions?

A

ocular

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8
Q

What treatment should be used for rheumatoid arthritis treatment?

A

Systemic medications and bilane splints therapy?

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9
Q

What is true about tissue autofluorescence?

a- dysplasia and malignant lesion looks different
b- requires training and certificaton
c- not ionizing radiation

A

NOT ionizing radiation

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10
Q
A

Tissue autofluorescence; foci fluoresces= middle bright spot surrounded by dark outside

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11
Q

Which of the following presents as an oral lichen-plants like lesion?

A

lupus erythematosus

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12
Q

A patient with a hip joint replacement is allergic to PCN. What is the biggest concern with the patient taking clindamycin?

A

antibody resistance

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13
Q

Erythema Multiforme has which of the following?

1- sub epithelial damage
2- intraepithelial damage
3- desmoglein 1 & 3
4- BP 180 & BP 230

A

intraepithelial damage & Demsoglein 1 & 3

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14
Q

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

A

subepitthelial damage & BP 180 &230

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15
Q

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.

A

S1- True
S2- False

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16
Q

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.

A

S1- false (should be 3 months)
S2- true

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17
Q

Which of the following is true of Coumadin (Warfarin)?

A

Ideal INR for treatment is 2-3

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18
Q

Which of the following is a SYMPTOM of asthma?

A

chest tightness

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19
Q

Which of the following cells are responsible for incorporating bisphosonates into the bone?

A

osteeoblasts

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20
Q

Which of the following has NOT been found in vaping aerosol?

A

Large particles

(heavy metals, volatiles organic compounds & nicotine have been found

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21
Q

Which demographic has the HIGHEST use of e-cigs?

A

high schoolers

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22
Q

T/F:

E- cigs are better because they have less nicotine than cigars. Nicotine causes coronary vasoconstriction and heart rate depression.

A

S1- true
S2- false

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23
Q

What is the etiology of primary HTN?

A

genetics

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24
Q

Pain in chest after rest or little exertion:

A

unstable angina

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25
Q

Which of the following causes bleeding?

A

plavix (anti-platelet & ASA)

26
Q

Which of the following is the antidote for Coumadin (warfarin)?

A

Vitamin K

27
Q

Hypotension syndrome is an issue during what trimester of pregnancy?

A

third trimester

28
Q

Gestational diabetes should be treated like:

A

type 2 DM

29
Q

Lifestyle management of hypertension?

A

Increase fiber

30
Q

Which of the following drugs are used to treat arhythmias?

A

anticoagulants

31
Q

Compare BP of pregnant woman to non-pregnant woman

A

Pregnant women BP = higher

32
Q

Atherosclerosis is associated with :

A

dementia

33
Q

Which of the following is an INCORRECT statement regarding patients taking Coumadin (warfarin)?

A

bleeding during treatment should be prevented with pharmacotherapy

34
Q

What is true about CVD?

A

most people have more than 1 CVD

35
Q

Which of the following are MICROvascular changes in DM?

A

decreased bladder control & blindness

36
Q

AHA says to use this antibiotic for cardiac patients:

A

amoxicillin

37
Q

If you can’t take PCN, the AHA says to take:

A

clindamycin

38
Q

What is the maximum permissible dose (MPD) for a NON-occupational person?

A

5 msv, 500mREM

39
Q

What is the maximum permissible dose for an occupational person?

A

50msv; 5,000mREM

40
Q

What is the maximum permissible dose for an occupational pregnant woman?

A

same as non-occupation person (5msv or 500mREM)

41
Q

Which of the following increases biological effects of radiation?

A

increased oxygen levels AND young patients

42
Q

What is the protocol for prescribing X-rays to a pregnant woman?

A

indicated for acute dental pain (emergencies)

43
Q

Which of the following is an example of natural ionizing radiation?

A

Radon (most %)

44
Q

What is an example of background ionizing radiation?

A

cosmic

45
Q

What is the maximum amount of radiation that will not produce any serious, harmful, or deleterious effects on the individual receiving it?

A

maximum permissible dose (MSD)

46
Q

What is the 2012 ADA guideline for recall adult low cares patient?

Teens?
Child?

A

bitewing every 2-3 years

Teens: 18-36 months
child: 12-24

47
Q

What is the 2012 ADA guideline for high risk adult, teen, then child patient? (BW)

A

adults: 6-18 months
teens: 6-12 months
children: 6-12 months

48
Q

What is the 2012 guideline for a NEW adult patient?

A

individualized radiographic exam based on clinical exam

49
Q

MPD measures threshold for ____ radiation

A

ionizing

50
Q

What radiographs do you take on a pregnant woman?

A

emergency dental care

51
Q

What is the 2012 ADA recommendations for an adult new patient at HIGH caries risk?

A

FMS

52
Q

According to the 2012 guidelines, a recall patient with no oral disease but high caries risk would be prescribed:

A

4 BWs and selected PAs

53
Q

What is the most significant contribution to public radiation dose that is man-made in the U.S.?

A

x-radiation

54
Q

According to FDA 2012, what x-rays should be taken on a new patient?

A

individualized radiographic exam (assess)

55
Q

Dental front office worker, maximum permissible dose?

A

5mSv; 500 mREM

56
Q

Best way to minimize patients risk when taking an x-ray?

A

lead apron

57
Q

FDA 2012 radiograph protocol for recall patient with low caries risk (adult)?

A

BWs every 24-36 months

58
Q

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

A

B & C

59
Q

Patient has the following;
-generalized pocket depth of 5 mm
- full crown
- deep carious lesion
- shallow amalgam

Which radiographs needs to be taken?

A

FMS

60
Q

What cardiac diagnosis can diet modifications help with?

A

HTN and CAD

61
Q

What is the least likely differential diagnosis for SJS?

A

lichen planus

62
Q
A

Princples of Oral Med (2 decks)

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