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Iron Cuts > 6 ex 2 > Flashcards

6 ex 2 Flashcards

1
Q

A patient has a coronal migration of the epithelium of 2 mm and a pocket
depth of 4 mm. What is the attachment loss

A

2mm

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2
Q

A patient has a pocket depth of 4 mm and 4 mm of recession. What is the
attachment loss

A

8mm

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3
Q

Bacteremia, endotoxemia, and systemic exposure to inflammatory mediators
occur directly from the sulcular epithelium. There are viable microbes
present in the atherosclerotic plaque
a. Both are true
b. Both are false
c. The first statement is true, the second is false

A

Both are true

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4
Q 
Which of the following is the safest time period for treatment
a. 1
st
trimester
b. 2
nd
trimester
c. 3
rd
trimester
A

2
nd
trimester

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5
Q

The risk of various cancers is increased in patients with periodontal disease
in

A

Pancreatic cancer

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6
Q

A C reactive protein level of 4 mg/L is a

a. Low risk for systemic inflammation
b. Moderate risk for systemic inflammation
c. High risk for systemic inflammation

A

High risk for systemic inflammation

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7
Q

Which of the following is not an acute phase protein

a. C reative protein
b. Serum Amyloid A
c. Fibrinogen
d. AGE

A

AGE

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8
Q

The best screening test for diabetes is

a. Fasting blood glucose
b. Glycosylated Hemoglobin c. Glucose tolerance Test

A

Fasting blood glucose

rv??

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9
Q

The best test to confirm diabetes is a. Fasting blood glucose

b. Glycosylated hemoglobin
c. Glucose tolerance test

A

Glucose tolerance test

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10
Q

The best test to see the control of a patient’s diabetes is

a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Glucose tolerance test

A

Glycosylated hemoglobin

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11
Q 
The ideal range of a glycosylated hemoglobin test of a non-diabetic individual
is
a. 4-5 %
b. 6-7 % = diabetic
c. 8-10%
A

4-5 %

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12
Q

The ideal range of a fasting blood glucose test of a non-diabetic patient is

A

70-100 mg/dL – greater than 126 =diabetic

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13
Q

A type II diabetic will most often present with

a. Ketosis
b. Increased body mass (obesity)

A

Increased body mass (obesity)

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14
Q

AGE stands for

a. Advanced glycation end products
b. Activated glycation end protducts
c. Advanced glycation epithelium

A

Advanced glycation end products

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15
Q

Which of the following is not a symptom of diabetes

a. Polyuria
b. Polydipsea
c. Polyuresis
d. Polyparesis

A

Polyparesis

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16
Q

Which of the following is not considered a risk factor for osteoporosis

a. Sedentary lifestyle
b. Age
c. Female gender
d. Advanced Periodontitis

A

Advanced Periodontitis

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17
Q

Which of these is most studied in respect to increased periodontal disease

a. IL-1
b. IL-6

A

IL-1

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18
Q

Which of these is the connection between periodontitis and pre-term birth
weight

A

PMNs released prostaglandin E2 that initiates uterine

contraction

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19
Q

The destruction of pancreatic B cells occurs in

a. Type 1 DM
b. Type 2 DM
c. Type 1 Diabetes insipidus
d. Type 2 Diabetes insipidus

A

Type 1 DM

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20
Q

Which of the following is not associated with pre-pubertal periodontitis

a. Pi
b. Pg
c. AA
d. Actinomyces Viscosus
e. TF

A

Actinomyces Viscosus

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21
Q

Which of the following is true concerning Periodontitis as a manifestation of
a systemic or genetic disease
a. It is variable among different ethnicities
b. There is probably a recessive genetic link with inherited
immunosuppressive disorders

A

There is probably a recessive genetic link with inherited

immunosuppressive disorders

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22
Q

What type of microbe is associated with most types of periodontitis

a. Gram - Aerobic
b. Gram - Anaerobic
c. Gram + Aerobic
d. Gram + Anaerobic

A

Gram - Anaerobic

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23
Q

The differential diagnosis for Pre-Pubertal periodontitis include all except

a. LAD
b. IDDM
c. Hypophosphatasia
d. Struge Weber Syndrome

A

Struge Weber Syndrom

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24
Q

Which is not a collagenase producer

a. Macrophage
b. PMN
c. Platelet
d. Osteocyte

A

Osteocyte

25
Q

Host cell collagenase breaks collagen into fragments that _______ chemotactic

a. Are not
b. Are

A

Are not

26
Q

Which type of periodontitis has the best prognosis of treatment

a. Pre-pubertal periodontitis
b. LAP
c. GAP

A

LAP

27
Q

Which of the following is not true concerning LAP

a. Burnout around 21 years of age
b. Severe tissue inflammation
c. Onset around puberty
d. Associated with permanent 1st molars and incisors

A

Severe tissue inflammation

28
Q

Which is not a virulence factor of AA in LAP

a. Leukotoxin
b. Bacteriocin
c. Endotoxin
d. Collagenase
e. Plasmid transfe

A

Plasmid transfer

29
Q

AA is isolated in what percent of LAP Patients

a. 97% (also Pg)
b. 47%
c. 0%
d. 21%

A

97% (also Pg)

30
Q

What is the treatment of choice for LAP?

a. Surgical and antibiotics
b. Nonsurgical and anitbiotics
c. No treatment

A

Surgical and antibiotics

31
Q

What is the medication of choice for LAP?

a. Metronidazone
b. Amoxicillin
c. Doxycycline

A

Doxycycline

32
Q

Which of the following is not associated with GAP?
a. 14 or more teeth involved – B strain of AA occurs more
b. Onset near puberty
c. Minimal supragingival calculus and Maximum subgingival
calculus

A

Minimal supragingival calculus and Maximum subgingival

calculus

33
Q

Which is a risk factor that determines the extent of RAP

A

Smoking

34
Q

Case study- given ANC, Platelet count, Viral Count, CD4+ Count:
a. Treat patient
b. Treat with premedication
c. Do not treat
*Treat without premedication if the ANC is >500 even if the CD4+
count is less than 200

A

Do not treat
*Treat without premedication if the ANC is >500 even if the CD4+
count is less than 200

35
Q

Case study- given ANC, Platelet count, Viral Count, CD4+ Count:

a. Treat patient
b. Treat patient with premedication
c. Do not Treat
* Do not treat patient with platelet count <50,000

A

Do not treat patient with platelet count <50,000

36
Q

Case study- given ANC, Platelet count, Viral Count, CD4+ Count:

a. Treat patient
b. Treat with premedication
c. Do not treat
* Treat with premedication if the ANC <500

A

*Treat with premedication if the ANC <500

37
Q

What does LGE stand for

a. Linear Gingival Erythema
b. Linear Gingival Edema

A

Linear Gingival Erythema

38
Q

Steroid inhibition occurs

a. Lipooxygenase
b. Cyclooxygenase
c. Pre-Arachidonic acid

A

Pre-Arachidonic acid

39
Q

Which of the following is a “good” COX

a. COX-1
b. COX-2
c. COX-3

A

COX-1

40
Q

An acute periodontal abscess is associated with all except

a. Lymphadenopathy
b. Low grade fever
c. Deep pocket
d. Non vital pulp

A

Non vital pulp

41
Q

Multiple acute periodontal abscesses are commonly seen in what disease

A

Diabetes

42
Q

Which of the following must be present in a periodontal abscess

a. Periodontal pocket
b. Subgingival plaque
c. Blockage of the pocket
d. All of the above

A

All of the above

43
Q

An acute periodontal abscess has all of the following histopathologies except

a. Vascular hyperemia
b. Ulceration of the junctional epithelium
c. Obsteoblastic activity
d. Inflammatory cell infiltration

A

Obsteoblastic activity

44
Q

Acute herpetic gingivostamatitis is associated with all of the following except

a. Duration of 7-10 days
b. Only present on keratinized mucosa
c. Erythema

A

Only present on keratinized mucosa

45
Q 
A patient presents with numerous small vesicles in the oral cavity and has
difficulty eating and drinking. What could not be considered the differential
diagnosis?
a. ANUG
b. Erythema Multiforme
c. Acute Herpetic Gingivostomatitis
d. Acute streptococcal gingivitis
e. Advanced periodontitis
A

Advanced periodontitis

46
Q

. In question #45, the patient also has Tzanck cells. What is the diagnosis?

a. ANUG
b. Erythema Multiforme
c. Acute Herpteic Gingivostomatitis
d. Acute streptococcal gingivitis
e. Advanced periodontitis

A

Acute Herpteic Gingivostomatitis

47
Q

Acute streptococcal gingivitis is caused by what strep agent

a. Mitis
b. Pyogenes

A

Pyogenes

48
Q

Over the age of 65, females loose 35-50% of their bone mass, Males lose

a. 7-9%
b. 25-35%
c. 35-51%
d. A Lot

A

25-35%

49
Q

Bone builds until what age before bone loss stars occurring?

A

35

50
Q

The most common bacteria associated with diabetes is

A

Pg

51
Q

A patient has a HbA1c of 13

A

Postpone treatment until the patient’s HbA1c level is <9

52
Q

A patient presents with an ANC of 350 (KNOW HOW TO CALCULATE)

A

Premed and continue with the treatment

53
Q

The pro-inflammatory cytokine that stimulates osteoclasts, fibroblasts, and
macrophages are

A

IL-1

54
Q

Which of the following is false concerning LAP

a. Involves permanent 1st molars and incisors
b. Onset is near puberty
c. Bilateral
d. Severe tissue inflammation

A

Severe tissue inflammation

55
Q

The prevalence of LAP is

a. 0.2-2.6%

A

.

56
Q

Which periodontal disease is treated with antibiotics and surgical therapy

A

LAP

57
Q

The superficial histological zone present in NUG is

A

Bacterial zone 🡪 neutrophil rich zone 🡪 zone of necrosis

58
Q

The deepest histological zone near the lamina propia in NUG is

A

Zone of spirochete infiltration

Iron Cuts (6 decks)

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