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Principles of Oral Diagnosis > 2021 Final > Flashcards

2021 Final Flashcards

1
Q

What cardio diagnosis can diet modifications help?

A
  1. HTN
  2. 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 (cicitricial)
-Bullous pemphigoid
-Acute herpetic gingivostomatitis
-Stomatitis medicamentosa
-Lichen planus

A

Lichen planus (NOT A DIFFERENTIAL DIAGNOSIS 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 diagnose 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 (BMMP) can cause lesions?

A

Ocular lesions

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8
Q

What treatment should be used for rheumatoid arthritis?

A

Systemic medications and bilane splint therapy

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9
Q

What is true about tissue autofluorescence?

a) dysplasia and malignant lesions looks different

b) requires training and certification

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 planus-like lesion:

A

lupus erythematosus

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12
Q

A patient with a hip joint replacement is allergic to penicillin, what is the biggest concern wit the patient taking clindamycin?

A

Antibody resistance

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13
Q

Erythema multiforme has which of the following:

-subepithelial damage
-intraepithelial damage
-desmoglein 1& 3
-BP 180 & BP 230

A

-intraepithelial damage
-desmoglein 1 & 3

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14
Q

Mucous membrane pemphigoid has which of the following?

-subepithelial damage
-intraepithelial damage
-desmoglein 1& 3
-BP 180 & BP 230

A

-subepithelial damage
-BP 180 & 230

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15
Q

T/F: a fluoride tray should be fabricated for patients receiving radiation and should be used for 10 min 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- T
S2- F

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16
Q

T/F: For IV bisphosphonates, a drug holida is typically recommended for 2-3 months before extraction and up to 2-3 months after extraction. This is so that bisphosphonates from the blood will not be incorporated into the bone.

A

S1- F: (should be 3 months)

S2: T

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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 bisphosphonates into bone?

A

Osteoblasts

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20
Q

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

A

Large particles

(Volatile organic compounds, heavy metals and nicotine have been)

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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- T
S2- F

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23
Q

What is the etiology of primary HTN?

A

Genetics

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24
Q

Pain is chest after rest or little exertion:

A

Unstable angina

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25
Q

Which of the following causes bleeding?

A

Plavix (anti-platelelt & ASA)

26
Q

Which of the following is the antidote for coumadin? (Warfarin)

A

Vitamin K

27
Q

Hypotension syndrome is an issue during which trimester of pregnancy?

A

Third trimester

28
Q

Gestational diabetes should be treated like:

A

Type II DM

29
Q

Lifestyle management of HTN:

A

Increase fiber

30
Q

Which of the following drugs are used to treat arrhythmias?

A

anticoagulants

31
Q

atherosclerosis is associated with:

A

dimentia

32
Q

Which of the following is an INCORRECT statement in regard to patients taking Coumadin (Warfarin)?

A

Bleedind during treatment should be prevented with pharmacotherapy

33
Q

What is true about cardiovascular disease?

A

Most people have MORE THAN 1 CVD

34
Q

Which of the following are MICROvascular changes in diabetes?

A

Decreased bladder control AND blindness

35
Q

AHA says to use this antibiotic for cardiac patients:

A

Amoxicillin

36
Q

If you CANNOT take PCN AHA states to take:

A

Clindamycin

37
Q

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

A

5 mSv, 500mREM

38
Q

What is the maximum permissble dose for an occupational person?

A

50 mSv, 5000 mREM

39
Q

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

A

Same as non-occupational person (5mSv, 500mREM)

40
Q

Which of the following increases biological effects of radiation?

A

Increased oxygen levels AND young patients

41
Q

what is the protocol for prescribing x-rays to pregnant women?

A

Indicated for acute dental pain (emergency)

42
Q

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

A

Radon (most %)

43
Q

Which of the following are examples of a background ionizing radiation?

A

Cosmic

44
Q

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

A

Maximum permissible dose

45
Q

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

Teens?
Child?

A

BW every 2-3 years

Teens 18-36 months

Child 12 -24 months

46
Q

What is the 2012 ADA guideline for HIGH RISK adult, teen, child?

BW

A

adult 6-18 mo

teens 6-12 mo

child 6-12 mo

47
Q

What is the 2012 guideline for a NEW adult patient?

A

Individualized radiographic exam based on clinical exam

48
Q

MPD measures threshold for ____ radiation

A

Ionizing

49
Q

What radiographs do you take on a pregnant woman?

A

emergency dental care

50
Q

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

A

FMS

51
Q

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

A

4 BWs and selected PAs

52
Q

what is the most significant contribution to public radiation that is man-made in the US?

A

X-radiation

53
Q

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

A

Individualized radiographic exam (assess)

54
Q

Dental front office worker maximum permissible dose?

A

5 mSV 500 mREM

55
Q

Best way to mimimize patients risk when taking an X-ray?

A

Lead apron

56
Q

FDA 2012 radiograph protocol for adult recall patient with low caries risk:

A

BWs every 24-36 months

57
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

58
Q

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

Which radiographs need to be taken?

A

FMS

59
Q

What cardiac diagnosis can diet modifications help with?

A

HTN and CAD

60
Q

What is the least likelt DD for SJS?

A

Lichen planus

61
Q
A

Principles of Oral Diagnosis (2 decks)

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