Exam 3 Flashcards

1
Q

The Master Endocrine Gland regulates hormones.

A

Antedior pituitary gland; has a great impact on body organs, other endocrine glands, and overall wellbeing.

Regulates the output of hormones by other glands

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2
Q

Know pituitary gland disorder/s patient is at increased risk of developing.

A
  • Macrocephaly
  • Macrognathia
  • Disproportionate mand. Growth, mand. Prognathism
  • Open anterior bite
  • Large pulp chmabers
  • Delayed eruption of primary and secondary teeth
  • Increased risk for period disease due to growth factors and hormone imbalaces
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3
Q

Define Thyroid Storm?

A

Potentially life-threatening condition for people with hyperthyroidism. The thyroid suddenly releases large amounts of thyroid hormone

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4
Q

Be familiar with diabetes & adequate/inadequate production of hormone and endocrine gland responsible for diabetes.

A
  • Pancreas: Improper functioning of this gland leads to diabetes
  • Diabetes is a disease of metabolism with inadequate production of the hormone insulin.
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5
Q
  1. Be familiar with symptoms of menopause and factors to trach the patient about regarding menopause.
A

• Hot flashes accompanied by sweats.
• Hot flash may begin with aheadache, flushing of the face, heart palpitations, dizziness then chills
• Epiosodes may last a few mintues to 30 mins.
• Night sweats/sleeping problems, feeling tires, stressed or tense
• PATIENT ED.
o Saliva substitues for xerostomia/aid in preventing caries.
o Measures for prevention of perio explained
o Importance of calculus removal
o Correlation between good health and oral health
o Recommend whole grain products, veggies, fruits
o Choose low fat low cholesterol
o Recommend Calcium and limit alcohol intake
o Caries prevention though nutritious foods

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6
Q
  1. Postmenopausal women experience increased risk for ………. (postmenopausal effects)
A
  • Reproductive organs atrophy
  • Bone problems have been associated with the menopausal patient.
  • Skin nd mucous membranes decrease in thickness and keratinization coming fragile and easily injured
  • Predisposition to conditions including atherosclerosis, diabetes and hypothroidism
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7
Q
  1. Symptoms of menopause.
A
  • Mucosal changes: Decreased estrogen levels, Dry, thinning of tissue
  • Emotional Disturbance: Mood swings, depression, irriabiliy, difficulty with concentration/memory. Dcreased inteset ins sex, experience anxiety, tension, and irritability and feel useless, weight gain and increase weight around the waist
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8
Q
  1. In menopause the patient’s general symptoms are most likely related to the decline of what hormone?
A

• Estrogen and Progesterone

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9
Q
  1. Define Cushing’s Syndrome.
A

• Caused by too much cortisol, possibly a tumor.

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10
Q
  1. Define seizure.
A

• A paroxysmal (sudden) event that results from abnormal brain activity.

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11
Q
  1. Partial seizure vs. generalized seizure.
A
  • Partial seizure: Invovles only ONE PART of the brain.

* Generalized seizure: Affects the WHOLE brain at the same time.

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12
Q
  1. What is aura when talking about clinical manifestation’s; what do you need to be aware of if this takes place in clinical setting.
A

• Not all patients have a warning, or aura, before a seizure. One who does receive a warning may seek a safe place to sit or lie down in privacy. In the dental environment, the patient can inform you so that procedures can be stopped and preparations can be made.

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13
Q
  1. Be familiar with different types of seizures.
A
  • Generlized: Affects the enire brain at the same time
  • Focal (Partial): Involves only one part og the brain
  • Unknown: These includes epileptic spasms.
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14
Q
  1. What is gingival hyperplasia caused by: (the mechanism)
A
  • Causes fibroblasts and osteoblasts to deposit excessive extracellular matrix, causing gingival overgrowth.
  • Tissue color and texture are generally within normal limits with lobular shape.
  • Local irriants like biofilm or ill fitting dentures for example make up the response worse
  • Meticulous oral hygiene has been found to reduce the occurrence ans severity of gingival overgrowth
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15
Q
  1. What determines the severity of phenytoin - induced hyperplasia/enlargement. (complicating factors)
A
  • Biofilm: Most significant determinant of the severity

* Contributing factors: Mouth breathing, overhangs, defective restorations, carious lesions, calculus

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16
Q
  1. Be familiar with drugs that have capability of causing gingival enlargement.
A
  • Phenytoin
  • Calcium Channel blocker
  • Immunosuppressant cyclosporin
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17
Q
  1. Partial seizures are more common in what age group.
A

Seniors

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18
Q
  1. Clinical manifestations of a partial seizure.
A
  • Precipitating factors such as stress, fatigue, flashing lighs, alchol use or withdrawl, neonatal conditions.
  • Aura-seek a safe place to sit down, numbness, tingling, twitching
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19
Q
  1. Be familiar with the antiepileptic drug phenytoin/oral changes.
A
  • Tissue color and texture are generally within normal limits with lobular shaep.
  • Fibroblasts and osteoblasts to deposit excessive extracellular matrix
  • Greater in younger patients than older
  • Anterior gingiva more affected, maxillary than mandibular
  • Facial and proximal areas are usually more affected than lingual and palatal areas
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20
Q
  1. What is the best practice to reduce occurrence and severity of gingival overgrowth?
A
  • Change in drug prescription
  • Nonsurgical treatment
  • Surgical removal
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21
Q
  1. When a seizure occurs what is the first thing a hygienist should do?
A

• Do not attempt to stop convulsion or restrain the patient.
• Terminate clinical procedure, call for assistance
• Protect the pt from injury
o Positions pt: lower chair, tilt to supine; raise feet
o Keep pt from falling out
o Push aside sharp objects, movable equipment, and instrument trays.
o Loosen tight belt, collar, necktie
o Do Not place or force anything between the teeth
o Establish airway; check for breathing; provide basic life support when indicated. Place on side recovery position. Use high speed suction with wide tip to remove vomit
o Monitor vital signs
o Stay beside the patient of consciousness and determine if emergency medical assistance is required.

22
Q
  1. If a seizure is still occurring or recurring when should EMS be activated?
A

• When a seizure is still occurring or has recurred within 5 mintues

23
Q
  1. What herbal supplement is sometimes used to control seizures?
A
  • Gingko bilboa
  • St. johns wart
  • Some essential oils
24
Q
  1. Another name for Cardiovascular Accident (CVA).
A

Stroke

25
Q
  1. Be familiar with causes of pressure sores (Decubitus Ulcers).
A

• Results from tissue anoxia or ischemia caused by pressure exerted on the skin and subcutaneous tissues by bony prominences and the object on which they rest, such aas a matress

26
Q
  1. Know the difference in Duchenne and Facioscapulohumeral MD.
A
  • Duchenne type; Limited to males and transmitted by female carriers, 4.9 year olds
  • Facioscapulohumeral MS; Males and females equally affected, 6-20 year olds
27
Q
  1. Know the factors to consider when planning Dental Hygiene care on a MS patient.
A
  • Orofacial manifestations such as intermittent headaches, facial pain, numbness, palsy, spasms
  • Visual disturbances
  • Imparied motor ability
  • Oral and systemic affects of meds
28
Q
  1. Be familiar with osteoarthritis when it involves the TMJ.
A

• TMJ usually without pain or other clinical symptoms,although crepitation, clicking or snapping may occur when the joints are exercised.

29
Q
  1. Average life expectancy for amyotrophic lateral sclerosis (ALS).
A

3-5 years

30
Q
  1. What is the prevalent age of Duchenne’s MD?
A

• Males: 1.3-1.8 between 5-24 years of age

31
Q

32 What is postpolio syndrome?

A

a condition that affects adults, years after recovery from an initial attack of the poliomyelitis virus when they were children…Cause is unknown

32
Q

33 Be familiar with Parkinson’s and drugs used to control it.

A

• No treatment; Dopamine shortage with levodopa in combination with other meds.

33
Q

34 Oral Characteristics of Scleroderma.

A
  • Orally (lipes-thin, rigid, trimus)
  • Mucosa-thin, pale, tender, rigid w/ poor healing
  • Teeth can be mobile
  • Difficulty in chewing
  • Tongue possibly immobile/speech problems
34
Q

35 How are stages of Cancer based on?

A
  • Based on origin and extent
  • T (Tumor size)
  • N (Presence or absence of lymph nodes)
  • M (presence or absence of distant mestates)
35
Q

36 What is the protocol before head and neck radiation?

A
  • Eliminate a localized tumor too large for surgical removal
  • Treat cnacer tha has metastasized to other parts of the body
  • Prevent cancer reoccurance
  • Use before surgery to make cancer easier to remove
  • PALLIATIVE
36
Q
  1. What are the symptoms as a result of radiation therapy?
A
  • Oral Mucositis
  • Xerostomia
  • Radiation caries
  • Taste loss
  • Infection
  • Trimus
  • Osteoradionecrosis
37
Q
  1. Differentiate bt benign and malignant neoplasms?
A
  • Begnin: Not malignant
  • Malignant: tending to become progressively worse or to result in death; having the properties of anaplasia, regional or distant spread of cancer cells from site primarily involved.
38
Q

What is indicator/s of chemotherapy?

A

• Eliminate a localized tumor too large for surgical removal
• treat cancer that has metastasized to other parts of the body
• prevent cancer reoccurance with maintenance therapy
- use before surgery to make cancer easier to remove
• palliative
-treatment of “liquid tumors” such as leukemia

39
Q
  1. What is Hematopoietic cell transplantation?
A

• Used to treat cancers involving the bone marrow, including leukemia. The purpose is to substitute peripheral blood steam cells from patient or a healthy, compatible donor

40
Q
  1. Results of Radiation Therapy. (Conditions it is capable of causing)
A
  • Skin reactions; bad sunburn
  • Fatigue
  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
41
Q
  1. Side effects of chemotherapy.
A
  • Affects both rapidly dividing cancer and normal cells
  • Hair loss (Alopecia)
  • Myelopsuppression
  • Immunosuppression
  • Nausea, vomiting and diarrhea
  • Gi mucositis
42
Q
  1. Be familiar with bone marrow transplant types.
A
  • Autologous: self
  • Allogeneic: human leukocyte antigen
  • Syngeneic: identical twin
43
Q
  1. Be familiar with DH Care Plan for patient with cancer.
A
  • Gently brush teeth with soft toothbrush and fl2 toothpaste after every meal, and bed time
  • Use of interdental aids
  • Rinse mouth every 2-3 hours with baking soda, salt water solution and plain rinse or fl2 water when available
  • Sip water frequently, suck on ice chips and chew sugar free gum, avoid spicy food
  • Use fl2 tooth paste daily
44
Q
  1. Bone marrow transplants are usually aspirated from what sources?
A
  • iliac crest
  • Ribs
  • Sternum
45
Q
  1. Be familiar with different types of radiation therapy.
A
  • Internal radiation: Such as implants or seeds and is palced within the body..less radiation is delivered to surrounding tissues than an external source is utilized.
  • External radiation: Conventional use of ionizing radiation applied outside the body..Used in treatment of head and neck cancer
46
Q
  1. Risk factors for Oral/Pharyngeal Cancers.
A
  • Tobacoo
  • Alcohol
  • Sunlight
  • Environmental/occupational
  • Virsus
  • Socioeconomics
47
Q
  1. Be familiar with the Steinhert Disease.
A
  • Most common ins adults
  • Affects both men and women
  • Prolonged spasm after use
48
Q

49 Parkinson’s causes degeneration of what part of the brain?

A

•Certain neurons in the substania nigra of the basal ganglia, where posture support and voluntary motion is controlled

49
Q

50 Radiographic findings on might find in a patient with scleroderma.

A

Widening of the PDL

50
Q

Such as implants or seeds and is palced within the body..less radiation is delivered to surrounding tissues than an external source is utilized I known as?

A

Internal radiation

51
Q

Conventional use of ionizing radiation applied outside the body..Used in treatment of head and neck cancer is known as?

A

External radiation

52
Q

Most common pituitary tumor is?

A

Adenomas