L221 Diagnostic Teqs Flashcards

1
Q

Subtraction radiography can detect bone density change of ____

A

5 percent

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2
Q

Limitations of radiographs

A

Limited sensitivity

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3
Q

Sensitivity

A

True positive / (true positive + False negative)

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4
Q

Specificity

A

True negative / (True negative + False positive)

Probability of test being negative when disease is not present

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5
Q

Sensitivity of bacterial culturing

A

Low

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6
Q

Why is it difficult to use direct microscopy

A

Most of the main perio pathogens are non motile so theyre hard to see

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7
Q

Antibody detection with immunofluorescent microscopic assy is used mainly to detct which bacteria

A

Aa and Pg

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8
Q

Pg Tf and Aa possess a common _________ enzyme that hydrolyzes _________

A

Pg Tf and Aa possess a common trypsin like enzyme that hydrolyzes BANA

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9
Q

PCR as a method

A

High sensitivity and specificity

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10
Q

Sources of samples

A
Saliva
GCF
Blood serum
Blood cells
Urine (hypophosphatasia)
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11
Q

GCF components

A

Host derived enzymes and their inhibitors
Byproducts of tissue breakdown
Inflammatory mediators

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12
Q

Aspartate amino transferase

A

Released during cell death

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13
Q

Alkaline phosphatase

A

Membrane bound glycoprotein involved in maintenance of alveolar bone

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14
Q

Beta-glucuronidase

A

Lysosomal enzyme degrades proteoglycans and ground substance

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15
Q

Elastase

A

Proteolytic enzyme in lysosomal granules of neutrophils

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16
Q

Extracellular destruction enzymes are associated with

A

Matrix metalloproteinases

17
Q

Intracellular destruction enzymes

A

Aspartate aminotransferase
Alkaline phosphatase
Beta-glucuronidase
Elastase

18
Q

Intracellular destruction enzyme with high sensitivity and specificity

A

Beta glucuronidase

19
Q

Changes in bone can be identified by eye only after _____ bone loss

A

30-50 percent

20
Q

Bioplex cytokine assay

A

Color coded beads to quantify cytokines in tissue

21
Q

IR spec sensitivity and specificity

A

High sensitivity

High specificity

22
Q

Near Infrared spec measures

A

measures oxygen saturation in tissues 500-600nm

23
Q

Over expression of which cytokines give genetic susceptibility

A

IL-1alpha

IL-1beta

24
Q

Salivary Occult Blood Test use

A

When thorough periodontal examination is not possible

25
Q

Bioplex cytokine assay

A

Color coded beads to quantify cytokines in tissue

26
Q

IR spec sensitivity and specificity

A

High sensitivity

High specificity

27
Q

Near Infrared spec measures

A

measures oxygen saturation in tissues 500-600nm

28
Q

Over expression of which cytokines give genetic susceptibility

A

IL-1alpha

IL-1beta

29
Q

Salivary Occult Blood Test use

A

When thorough periodontal examination is not possible