4th Year Mouth Additions

Question 1

what is glossitis?

Answer 1

inflamed tongue that cause papillae to shrink giving a beefy appearance

Question 2

causes of glossitis?

Answer 2

iron deficiency
B12
folate
Coeliac's
injury or irritant

Question 3

treatment options for candidiasis

Answer 3

miconazole gel
nystatin suspension
fluconazole tablets

Question 4

what is geographic tongue?

Answer 4

inflammatory condition where the tongue loses epithelium and papillae
patches form irregular shapes
tends to relapse and remit

Question 5

what is geographic tongue related to?

Answer 5

stress
mental illness
psoriasis
atrophy
diabetes

Question 6

is geographic tongue benign?

Answer 6

yes

Question 7

management of geographic tongue

Answer 7

topical steroids

antihistamines

Question 8

what is strawberry tongue related to?

Answer 8

scarlet fever

Kawasaki disease

Question 9

what is black hairy tongue?

Answer 9

decreased shedding of keratin so papillae elongate looking like hairs

Question 10

presentation of black hairy tongue

Answer 10

sticky saliva

metallic taste

Question 11

causes of black hairy tongue?

Answer 11

dehydration
poor hygiene
smoking

Question 12

what is leukplakia and erythorplakia?

Answer 12

precancerous squamous cell carcinoma

Question 13

presentation of oral lichen planus

Answer 13

reticular, erosive plaque (Wickham’s striae)

Question 14

management of oral lichen planus

Answer 14

oral hygiene
stop smoking
topical steroids

Question 15

what can gingivitis progress to?

Answer 15

periodontitis + acute necrotising

Question 16

management of gingivitis

Answer 16

oral hygiene
smoking
chlorhexidine
anitbiotics
surgery

Question 17

causes of gingival hyperplasia

Answer 17

gingivitis
pregnancy
scurvy
AML
drugs (CCBs, phenytoin, ciclopsorin)

Question 18

what are apthous ulcers related to?

Answer 18

stress
trauma
foods
IBD
Coeliac's
Behcet's
vitamin deficiency
HIV

Question 19

how long does it take for apthous ulcers to heal?

Answer 19

2 weeks

Question 20

management of apthous ulcers

Answer 20

choline salicylate (bonjela)
benzydamine
lidocaine or topical corticosteroids

Question 21

when to refer ulcer on cancer pathway?

Answer 21

present for >3 weeks

Question 22

causes of angioedema

Answer 22

allergic reaction
ACEI
hereditary angioedema (C1 esterase inhibitor deficiency)

Question 23

what is Ludwig’s angina?

Answer 23

cellulitis of floor of the mouth