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NURS 518 > 526 Mouth > Flashcards

526 Mouth Flashcards

1
Q

What is the treatment for dental infection

A

NSAIDs
amox or clinday for 7-10 days

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2
Q

why do dental abcesses not respond well to abx and what is the definitive treatment

A

because there is no blood supply to carry the abx to the abcess
definitive treatment is incision and drainage

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3
Q

which patients with dental infection may have no pain or only mild pain

A

patients on glucocorticoids
DM
advanced age

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4
Q

what are signs of severe dental infection

A

trismus, airway compromise, dysphagia

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5
Q

true or false: radiography is recommended to diagnose dental abcess

A

false, primarily diagnosed through history and physical

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6
Q

ludwig angina had what symptoms and is a possible life threatening complication of what

A

trismus, drooling, induration of tongue, tachypnea and dyspnea
possible complication of dental abcess

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7
Q

what are the 3 main pairs of salivary glands

A

parotid
submandibular
sublingual

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8
Q

parasympathetic innervation (increases or decreases) saliva production and sympathetic innervation (increases or decreases) saliva production

A

parasympathetic = increase
sympathetic = decrease

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9
Q

which salivary gland is most likely to develop a tumor

A

parotid

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10
Q

what is xerostomia

A

dry mouth

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11
Q

what is ptyalism

A

excess salivaw

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12
Q

what is initial treatment for non infectious nonmalignant salivary gland problems

A

hydration and pain management

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13
Q

mucocele is typically seen where

A

common in lower lip

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14
Q

a ranula is most commonly seen where

A

on the floor of the mouth

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15
Q

what is the treatment for a mucocele and ranula

A

excision

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16
Q

what is a sialolith

A

calcified mass blocking a salivary duct

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17
Q

TB may cause what salivary gland disease

A

sarcoidosis

18
Q

how do you treat sarcoidosis

A

corticosteroids

19
Q

what is keratoconjunctivitis sicca and what autoimmune disorder is it accosiated with

A

dry eyes
sjorgrens syndrome

20
Q

what is parotitis

A

inflammation of the parotid gland

21
Q

what viruses are most commonly associated with parotitis

A

paramyxovirus (mumps)
HIV

22
Q

what medications increase risk of parotitis and why

A

anticholinergics and antihistamines
decrease saliva

23
Q

rapid edema, pain and induration along the jaw/side of face in indicative of what glandular disorder

A

parotitis

24
Q

is steroids a common treatment for parotitis

A

no, there use in treatment is questionable

25
Q

what is the main treatment for parotitis

A

abx

26
Q

what are important differentials to rule out with a peritonsillar abcess

A

mono
tumor
peritonsillar cellulitis
epiglotitis

27
Q

what is a more likely presentation with mono versus peritonsillar abcess

A

mono usually has a prodrome of headache, malaise, fatigue and anorexia before a sore throat

28
Q

what findings would make epiglottitis less likely when ruling out for a possible peritonsillar abcess

A

epiglottitis is less likely if there is peritonsillar swelling with preserved swallowing and no stridor

29
Q

what condition would cause white-grey exudate on the tonsils with petechiae on the palate and posterior cervical adenopathy

A

mono

30
Q

what is the most common fungus to infect the mouth

A

candida albicans

31
Q

what oral disease would cause vesicular lesions with an erythematous base

A

HSV

32
Q

what oral disease would cause a prodrome of pain, tingling and burning

A

HSV

33
Q

what oral disease has lesions that are white, verrucous and may be in clusters or singular and found on the lips, hard palate or gingiva

A

HPV

34
Q

what is the proper term for a canker sore

A

apthous ulcer

35
Q

what oral disease has shallow painful ulcerations in the oral mucosa that are nonkertonized

A

apthous ulcers

36
Q

how would you differentiate apthous ulcers from herpetic lesions

A

herpetic lesions originate from vesicles and are found on oral mucosa attached to bone structure

37
Q

how is oral HSV treated

A

oral zinc
antivirals
topical corticosteroids

38
Q

how are oral papillomas from HPV treated

A

surgical excision

39
Q

how is oral candida treated

A

nystatin
clotrimazole
flucanozole

40
Q

how is aphthous stomatitis treated

A

topical steroids or rinse
peroxide rinse
different combination “mouthwashes”

NURS 518 (15 decks)

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