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

25
Host cell collagenase breaks collagen into fragments that _______ chemotactic a. Are not b. Are
Are not
26
Which type of periodontitis has the best prognosis of treatment a. Pre-pubertal periodontitis b. LAP c. GAP
LAP
27
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
Severe tissue inflammation
28
Which is not a virulence factor of AA in LAP a. Leukotoxin b. Bacteriocin c. Endotoxin d. Collagenase e. Plasmid transfe
Plasmid transfer
29
AA is isolated in what percent of LAP Patients a. 97% (also Pg) b. 47% c. 0% d. 21%
97% (also Pg)
30
What is the treatment of choice for LAP? a. Surgical and antibiotics b. Nonsurgical and anitbiotics c. No treatment
Surgical and antibiotics
31
What is the medication of choice for LAP? a. Metronidazone b. Amoxicillin c. Doxycycline
Doxycycline
32
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
Minimal supragingival calculus and Maximum subgingival | calculus
33
Which is a risk factor that determines the extent of RAP
Smoking
34
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
Do not treat *Treat without premedication if the ANC is >500 even if the CD4+ count is less than 200
35
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
Do not treat patient with platelet count <50,000
36
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
*Treat with premedication if the ANC <500
37
What does LGE stand for a. Linear Gingival Erythema b. Linear Gingival Edema
Linear Gingival Erythema
38
Steroid inhibition occurs a. Lipooxygenase b. Cyclooxygenase c. Pre-Arachidonic acid
Pre-Arachidonic acid
39
Which of the following is a “good” COX a. COX-1 b. COX-2 c. COX-3
COX-1
40
An acute periodontal abscess is associated with all except a. Lymphadenopathy b. Low grade fever c. Deep pocket d. Non vital pulp
Non vital pulp
41
Multiple acute periodontal abscesses are commonly seen in what disease
Diabetes
42
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
All of the above
43
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
Obsteoblastic activity
44
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
Only present on keratinized mucosa
45
``` 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 ```
Advanced periodontitis
46
. 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
Acute Herpteic Gingivostomatitis
47
Acute streptococcal gingivitis is caused by what strep agent a. Mitis b. Pyogenes
Pyogenes
48
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
25-35%
49
Bone builds until what age before bone loss stars occurring?
35
50
The most common bacteria associated with diabetes is
Pg
51
A patient has a HbA1c of 13
Postpone treatment until the patient’s HbA1c level is <9
52
A patient presents with an ANC of 350 (KNOW HOW TO CALCULATE)
Premed and continue with the treatment
53
The pro-inflammatory cytokine that stimulates osteoclasts, fibroblasts, and macrophages are
IL-1
54
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
Severe tissue inflammation
55
The prevalence of LAP is | a. 0.2-2.6%
.
56
Which periodontal disease is treated with antibiotics and surgical therapy
LAP
57
The superficial histological zone present in NUG is
Bacterial zone 🡪 neutrophil rich zone 🡪 zone of necrosis
58
The deepest histological zone near the lamina propia in NUG is
Zone of spirochete infiltration