Chapter 14 - Oral Cavity - Part 1 Flashcards

1
Q

What is an aphthous ulcer?

A

Canker sore

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2
Q

What is an aphthous ulcer?

A

Canker sore

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3
Q

What is the name for a recurring canker sore?

A

Recurrent aphthous stomatitis

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4
Q

What percentage of the population gets aphthous ulcers?

A

40%

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5
Q

Is aphthous ulcer a common condition?

A

Yes, 40%

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6
Q

Where do canker sore usually show up?

A

Oral mucosa and pharynx

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7
Q

Worst case scenarios of canker sores are in which area?

A

pharynx

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8
Q

How long do aphthous ulcers usually last?

A

7-10 days

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9
Q

Are aphthous ulcers painful?

A

yes

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10
Q

What doe aphthous ulcers (canker sores) look like?

A
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11
Q

Are aphthous ulcers shallow or deep?

A

Shallow

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12
Q

Who is at risk for aphthous ulcers?

A

Female,

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13
Q

What 3 diseases are associated with aphthous ulcers?

A

Celiac disease, Behcet disease, and inflammatory bowel disease.

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14
Q

What are some things that can trigger an aphthous ulcer?

A

Smoking, stress, trauma, fever, certain foods.

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15
Q

Which herpes simplex virus causes cold sores and fever blisters?

A

HSV - 1

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16
Q

What is the name for a recurring canker sore?

A

Recurrent aphthous stomatitis

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17
Q

What percentage of the population gets aphthous ulcers?

A

40%

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18
Q

Is aphthous ulcer a common condition?

A

Yes, 40%

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19
Q

Where do canker sore usually show up?

A

Oral mucosa and pharynx

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20
Q

Worst case scenarios of canker sores are in which area?

A

pharynx

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21
Q

How long do aphthous ulcers usually last?

A

7-10 days

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22
Q

Are aphthous ulcers painful?

A

yes

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23
Q

What doe aphthous ulcers (canker sores) look like?

A

Less than 5 mm, thin educate (white), & red rimmed

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24
Q

Are aphthous ulcers shallow or deep?

A

Shallow

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25
Q

Who is at risk for aphthous ulcers?

A

Female,

26
Q

What 3 diseases are associated with aphthous ulcers?

A

Celiac disease, Behcet disease, and inflammatory bowel disease.

27
Q

What are some things that can trigger an aphthous ulcer?

A

Smoking, stress, trauma, fever, certain foods.

28
Q

What are some treatments for aphthous ulcers?

A

Avoid causative foods and trauma.
NSAIDs, corticosteroids
Vitamin B12**

29
Q

Which herpes simplex virus causes cold sores and fever blisters?

A

HSV - 1

30
Q

Which HSV is genital herpes?

A

HSV - 2

31
Q

Primary infections of HSV-1 occur most commonly in?

A

Young children (2-4) years

32
Q

When they occur in young children are the symptomatic?

A

No, 80% are asymptomatic

33
Q

What is a possible life treating situation with HSV-1?

A

When virus spreads to brain.

34
Q

What is acute herpetic gingivostomatitis?

A

Abrupt onset of vesicles and ulcerations throughout the mouth.

35
Q

Most adults are carries of this virus.

A

HSV - 1

36
Q

HSV-1 involves which ganglion and cranial nerve?

A

Trigeminal ganglion

CN 5

37
Q

What is recurrent herpetic stomatitis?

A

Reactivation/Recurring cold/canker sores

38
Q

Adult carriers have a _____ infection of HSV-1

A

latent

39
Q

Does the location of herpes outbreak indicate type?

A

No necessarily, may infect either location.

40
Q

How does a cold sore feel?

A

Itchy, burning, tingling

41
Q

What does cold sore look like?

A

group of small vesicles, 1-3 mm

42
Q

What are some possible associated symptoms with a cold sore?

A

Headache,
sore throat,
Malaise
fever

43
Q

What are some provoking exposures for an outbreak?

A

UV light, fever, cold,

Trauma, URTI, pregnancy

44
Q

What happens during and HSV outbreak?

A

Acute blistering

45
Q

Are HSV self-limiting? If so, how long do they take to heal?

A

Yes, vesicles rupture and heal.

7-10 days

46
Q

Is there a cure?

A

No, but antiviral drugs decrease replication

47
Q

What is a possible life treating situation with HSV-1?

A

When virus spreads to brain.

48
Q

What is it called when HSV spreads to brain?

A

Herpesviral encephalitis

49
Q

What happen with Herpesviral encephalitis?

A

Acute CNS swelling/inflammation

50
Q

What is the MC form of HSV that causes Herpesviral encephalitis?

A

HSV-1

51
Q

What is the most common fungal infection of the oral cavity?

A

Oral candidiasis

52
Q

What causes oral candidiasis?

A

Candida albicans

53
Q

Where does oral candidiasis occur?

A

Tongue, cheeks, gums, tonsils

54
Q

What is the common name for oral candidiasis?

A

thrush

55
Q

What color is thrush?

A

Gray to white

56
Q

What is another name for thrush?

A

pseudomembranous candidiasis

57
Q

Can the thrush be scraped off?

A

yes

58
Q

When you scrape off the white thrush what is below?

A

erythema (redness)

59
Q

What are some differential diagnosis’ for the appearance of oral candidiasis?

A

Leukoplakia
candidemia
Oral CA

60
Q

What percentage of newborns in the US get oral candidiasis/thrush?

A

37%