Brainscape's Knowledge GenomeTM

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


See full index

Patient Care II > Intraoral Exams part 2 > Flashcards

Intraoral Exams part 2 Flashcards

1
Q

Most cases of xerostomia are chronic or acute?

A

chronic

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

What does xerostomia significantly increase the risk of?

A

caries, erosion, dentinal hypersensitivity, and candidiasis

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

What are the causes of xerostomia?

A
  • over-the-counter/prescription meds
  • systemic disorder/disease
  • physical climate
  • emotional response
  • elderly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What types of diseases can contribute to xerostomia?

A
  • diabetes
  • hormone changes (menopause, pregancy)
  • depression (anxiety-meds)
  • radiation for head/neck cancers
  • autoimmune diseases (sjogren’s)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What types of questions should you ask for xerostomia?

A

 Do you have difficulty swallowing?
 Does your mouth feel dry when eating?
 Do you sip liquids to help swallowing?
 Do you have any oral burning or soreness?
 Do you often have bad breath?
 Do you eat crushed ice or drink fluids to keep your mouth moist?

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

What are the clinical signs of xerostomia?

A
  • reddened, pebbled surface of tongue
  • dry and cracked corners of mouth
  • red, glossy, parched mucosal tissues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the symptoms of xerostomia?

A
  • candidiasis
  • angular chelitis
  • burning tongue
  • root and cervical caries
  • stomatitis
  • dysphagia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the characteristics of candidiasis?

A
  • white plaque
  • creamy white lesions
  • looks like hyperkeratosis (but wipes off)
  • located on the buccal mucosa and lateral borders of the tongue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where can candidiasis (thrush) spread to?

A
  • tongue
  • hard and soft palate
  • tonsillary region
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are risk factors for developing candidiasis?

A
  • immunocompromised
  • pregnancy
  • poor oral hygiene
  • smoking
  • stress
  • depression
  • birth control pills
  • long term antibiotics
  • diabetes
  • ill fitting dentures
  • xerostomia
  • iron or B12 deficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is atrophic candidiasis?

A
  • forms under the dentures
  • red on palate or tongue
  • burn with spicy foods and alcohol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the treatment for candidiasis?

A
  • good oral hygiene
  • yogurt, acidophilus
  • avoid alcohol and sugars
  • medications (antifungal; nystatin or ketaconozole)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Primary herpes gingivostomatitis is seen mainly in _________

A

children

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

Severe primary infections of herpes gingivostomatitis have what symptoms?

A

oral lesions
high fever
malaise
cervical lymphadenopathy
dehydration

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

Where do herpes gingivostomatitis develop in the oral cavity?

A

pharynx
palate
buccal mucosa
lips
tongue

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

What do the vesicles of herpes gingivostomatitis break down into?

A

small ulcers that are covered with exudate

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

How long does it take for herpes gingivostomatitis to resolve without treatment?

A

two weeks

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

How long does HSV survive in the external environment?

A

Not long at all (most primary infections are from direct contact with infected person)

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

What percent of the population has herpes?

A

50-80%

20
Q

What are the prodromal signs of herpes?

A

-tingling, itching, pain, burning. Arise 6-24 hours before lesions
develop.

21
Q

What are the symptoms of herpes?

A
  • multiple fluid-filled blisters
  • merge and collapse
  • yellowish crust
22
Q

What can cause herpes simplex to recur?

A

immune weakness such as…
- stress
- fever
- illness
- injury
- sunburn

23
Q

What is herpetic whitlow?

A

INFECTIONS OF THE THUMBS OR FINGERS. GROUPED, FLUID OR PUS FILLED. USUALLY, ITCH AND /OR PAINFUL

24
Q

What are the treatments for primary herpetic gingivostomatitis?

A
  • antiviral medications
  • acyclovir suspension
25
Q

What are the treatments for herpes labialis?

A
  • acyclovir ointment
  • systemtic acyclovir, valacyclovir, famciclovir
26
Q

What percent of the US population has aphthous ulcers?

A

60%

27
Q

What are the prodromal symptoms of aphthous ulcers?

A

tingling or burning sensation (1-2 days before the ulcer appears)

28
Q

How many days of pain and days until healed for aphthous ulcers?

A

3 days pain
7 days healed

29
Q

When do aphthous ulcers usually start (age)?

A

10-20 years old

30
Q

What appears to be the mechanism for aphthous lesions?

A

mucosal destruction appears to represent a T-cell mediated immunologic reaction

31
Q

What are the 3 clinical variations of aphthous lesions?

A

minor
major
herpetiform

32
Q

Are aphthous lesions usually inherited or is it not related to family?

A
  • tends to occur along family lines
33
Q

How large are the minor aphthous ulcerations?

A

3-10 mm in diameter

34
Q

How long does it take for minor aphthous ulcerations to heal without scatting?

A

7-14 days

35
Q

What type of mucosa do minor aphthous ulcerations arise on?

A

nonkeratinized mucosa

36
Q

What are the prodromal symptoms of minor aphthous ulcerations?

A

burning, itching, or stinging

37
Q

What areas of the oral cavity are most likely to experience minor aphthous ulcerations?

A

buccal/labial mucosa
ventral surface of tongue

37
Q

How many lesions occur with minor aphthous ulcerations??

A

1-5 lesions

38
Q

What type of ulcerations of the oral cavity have the longest duration per episode?

A

major aphthous ulcerations

39
Q

How long does major aphthous ulcerations take to heal?

A

2-6 weeks

40
Q

How many lesions involved in major aphthous ulcerations?

A

1-10 lesions

41
Q

What type of ulcerations in the oral cavity have the greatest number of lesions and most frequent recurrence?

A

herpetiform aphthous ulcerations

42
Q

How many ulcers are present with herpetiform aphthous ulcerations?

A

as many as 100 in a single recurrence

43
Q

How long do the lesions of herpetiform aphthous ulcerations take to heal?

A

7-10 days (recurrences tend to be closely spaced)

44
Q

Does herpetiform aphthous ulcerations affect males or females more?

A

females

45
Q

What are the treatments for aphthous ulcers?

A

symptomatic
- visocus benzocaine
- orajel
- anbesol
local anti-inflammatory
- kenalog in orabase paste
sealing agent
- ameseal
FDA approved
- aphthasol

46
Q

What is the only FDA approved treatment for canker sores (aphthous ulcers)?

A

aphthasol

Patient Care II (10 decks)

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