Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adults > Atlas Flashcards > Flashcards

Atlas Flashcards

1
Q

most common form sinusitis

A

maxillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

paranasal facial pain, maxillary dental pain, retroocular pain, conjunctivitis

A

maxillary sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

type of sinusitis causing vertex headache and retroocular pain

A

sphenoid sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

severe headache above eyes, worse with leaning forward; upper lid edema, rhinorrhea

A

frontal sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

boggy, tender swelling above the eye

A

Pott puffy tumor (osteomyelitis of cranium from direct extension of FRONTAL SINUSITIS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

loosening of tooth in socket

A

tooth subluxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment of subluxation of permanent tooth

A

gauze packing/figure-eight suture around neighboring tooth/Coe-Pak dressing; refer dental f/u

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

tooth forced deeper into alveolar socket

A

tooth impaction/intrusive luxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

nosebleed with missing front tooth after car accidnet

A

impacted incisor driver through alveolar bone into floor of nares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

total displacement of tooth from its socket

A

tooth avulsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Transport media for avulsed teeth

A

Hanks balanced salt solution/Save-a-tooth>low-fat or skim milk>saline>salive. NOT WATER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Treatment of avulsed tooth

A

If permanent tooth, place in socket, see oral surgeon; if primary tooth, no treatment; GIVE TETANUS SHOT, ABX (clina or PCN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tooth fracture classification system

A

ellis
Ellis I: enamel only
Ellis II: enamel plus dentin; temp sens
Ellis III: into pulp; pink or bloody discoloration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Bleeding at gingival crevice with associated tooth tenderness on percussion

A

think about tooth fracture below cementoenamel junction; get a xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Teeth fracture treatment

A

Ellis I: f/u in 24h if sharp edges
Ellis II: If<12, risk for pulp infxn (less dentin), do CaOH dressing, cover with gauze/Al foil, dentist w/in 24hr; adults see in 24-48
Ellis III: dental emergency, dental consult in 24-48hr; risk abscess formation
Root fracture: spolint; 24-48hr dentist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What other injury to consider in pts with facial trauma?

A

cervical spine injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tooth missing, must consider?

A

consider aspiration or total impaction (intrusive luxation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

alveolar bone fracture treatment

A

put saline soaked gauze, tetanus, abx, oral surgeon now

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Patient presents with inability to close mouth, talk, swallow; swelling at TMJ

A

TMJ dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

most common type of TMJ dislocation

A

forward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Posterior jaw dislocations offen assoicated with what other injury?

A

basilar skull fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Unilateral jaw dislocation causes deviation towards ______ side

A

unaffected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what two things can mimic TMJ dislocation

A

TMJ hemarthrosis, dystonic rxns (rx benadryl, benztropine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

TMJ dislocation reduction technique

A 
grab angles mandible both hands, thumbs on teeth, push DOWNWARD and BACKWARD
Get pre (if concern for fx) and post reduction panorex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

TMJ post-reduction instructions

A

avoid wide mouth opening, yawning (for a a few weeks), warm compresess, soft diet 1 week; NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which tongue lacs require repair?

A

at tip: avoid forked tongue; if >1cm that gape widely, actively bleeding, or lateral margin; use a few rapidly absorbable;
always give abx, tetanus, consider admission if airway compromise a concern from bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How to block tongue for repair?

A

inferior alveolar nerve block (blocks lingual nerve ipsilateral side); can also do local

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

How to numb lip for repair?

A

mental nerve or infraorbital nerve block (prevent tissue edema and anatomic distortion by local infiltration which makes repair difficult)

29
Q

Common types dental abscesses

A

Gingival abscess
Periodontal (gingival abscess+deeper periodontal structures)
Periapical
Pericoronal

30
Q

Periapical vs. Periodontal

A

periapical deep, not obvious on inspection; tooth is tender to percuss; may have a parulis “gumboil” (simulates gingival abscess) but is a surface manifestation of periapical abscess; periapical assocaited w/carious or nonviable teeth

31
Q

pericoronal abscess location

A

usually involves gingiva overlying partially erupted 3rd molar (especially mandibular)

32
Q

Key physical exam finding differentiating sinus tract extension of periapical abscess from periodontal abscess

A

tenderness with tooth percussion (seen in periapical)

33
Q

Usual nidus of infection for buccal space abscess

A

maxillary 2nd and 3rd molars; rarely 3rd mandibular molar

34
Q

Key physical exam finding differentiating buccal space abscess from canine space abscess

A

buccal space abscess swelling spares nasolabial fold

35
Q

buccal space

A

between skin/fascia and buccinator muscle

36
Q

canine space

A

btwn maxilla and levator labii superiororis muscle of face

37
Q

canine space abscess nidus of infection

A

almost always MAXILLARY CANINE TOOTH

38
Q

Treatment of buccal space and canine space abscesses

A

parenteral abx; dental/oral surgery consult for I&D; involved teeth usually have to come out

39
Q

Ludwig Angina

A

bilateral cellulitis of submandibular and sublingual space with tongue elevation

40
Q

usual nidus of infection in Ludwig angina

A

posterior mandibular molars

41
Q

symptoms of Ludwigs

A

brawny submandibular induration, tongue elevation, trismus, fever, dysphonia, odynophagia

42
Q

complications of Ludwigs

A

spread to deep cervical layers to medastinum; airway compromise; acute laryngospasm (may be precipitated by attempts at oral/nasotracheal intubation)

43
Q

Ludwig treatment

A

parental abx (PCN+clinda or metro), airway setup, oral surgey consult for drainage of abscess, ICU admission for airway surveillance

44
Q

Parapharyngeal Space Abscess presentation

A

fever, dysphagia, odynophagia, drooling, ipsilateral otalgia, unilteral neck and jaw angle swelling with rigidity and limited neck motion

45
Q

complications of parapharyngeal space abscess

A

cranial neuropathies, jugular vein septic thrombophlebitis, erosion into carotid artery

46
Q

origin of parapharyngeal abscess

A

bacterial pharyngitis, sinuses, dental, or lymphatic spread

47
Q

name the abscess: oropharngeal abscess with crnail nerves IX through XI involvement

A

parapharyngeal space abscess

48
Q

edematous interdental papillae with graying psueodmembrane and punched out ulcer, foul breath, strong metallic taste, fever

A

acute necrotizing ulcerative gingitivitis (Trench mouth)

49
Q

cause of trench mouth

A

anaerobes, especially fusobacterium

50
Q

complications of trench mouth

A

peripapical abscess, alveolar bone destruction; so needs dental followup

51
Q

treatment trench mouth

A

abx, warm saline irrigation, systemic analgesics, topical anesthetics, oral rinses

52
Q

consider this disease in someone with trench mouth

A

HIV

53
Q

associations with trench mouth

A

steroid use, HIV, DM

54
Q

parotid enlargement, enamel erosion

A

bulimia

55
Q

side of teeth usually eroded with repeated vomiting

A

lingual

56
Q

side of teeth usually eroded by lemon sucking or dipping snuff

A

buccal (and labial too)

57
Q

How to distinguish thrush from hairy leukoplakia

A

leukoplakia can’t be removed by tongue depressor

58
Q

prodrome of fever, malaise, cervical adenopathy then lesion on lip

A

herpes

59
Q

aphthous ulcers tend to occur on what kind of oral mucosa

A

movable (rarely seen on hard palate and gingiva); herpes more likely on gingiva, hard palate, and vermilion border

60
Q

treatment oral herpes

A

if primary infxn and adult, use antivirals; viscous lidocaine; secondary infxn with oral PCN or clinda; steroids CONTRAINDICATED

61
Q

Causes of aphthous ulcers

A

stress, B12/folate def, local trauma, immunocompromised

62
Q

oral ulcers, genital ulcers, uveitis

A

Behcet syndrome

63
Q

herpangina

A

posterior pharyngx

64
Q

GI disease associated with aphthous ulcers

A

Crohns

65
Q

complication of overuse of topical anesthetics orally

A

methemoglobinemia

66
Q

strawberry tongue major causes

A

scarlet fever, Kawasaki, toxic shock syndrome

67
Q

in scarlet fever, before strawberry tongue, how does tongue look?

A

white coating

68
Q

predisposing factors to black hairy tongue

A

smoking, GERD, poor oral hygiene, chemo, abx; papillae stained or have chromogenic orgs

69
Q

geographic tongue

A

lacks hyperplastic papillae seen in black hairy tongue?

Adults (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions