Lecture 7

Question 1

What is diabetes mellitus?

Answer 1

Group of metabolic diseases characterized by high blood glucose and the inability to produce/ or use insulin

Question 2

What ages and genders does diabetes mellitus affect?

Answer 2

All ages and all genders

Question 3

If diabetes mellitus is poorly controlled and untreated it will lead to

Answer 3

Vascular disease
Metabolic complications
Retinopathy: Blindness
Nephropathy: End Stage Renal Disease

Question 4

Diabetes mellitus has a bidirectional relationship with oral heath. How?

Answer 4

Question 5

What are the four types of diabetes mellitus?

Answer 5

Question 6

Signs and symptoms of type 1 diabetes

Answer 6

Question 7

Signs and symptoms of Type 2 diabetes

Answer 7

Question 8

Testing for diabetes mellitus

Answer 8

Question 9

Medical management of type 1 diabetes

Answer 9

Question 10

Patients who take insulin are at risk for insulin shock if they

Answer 10

do not maintain their diets as the insulin is prescribed to support.

Question 11

Patients that do not maintain their diets as the insulin is prescribed to support will result in

Answer 11

hypoglycemia referred to as insulin shock.

Question 12

Symptoms of insulin shock

Answer 12

Question 13

Differences and similarities between type 1 and type 2 diabetes

Answer 13

Question 14

Medical management of type 2 diabetes

Answer 14

Question 15

Name some glucose lowering agents

Answer 15

Question 16

Dental management of diabetes mellitus:

When to treat

When not to treat

Signs and symptoms to look out for

Questions to ask patients diagnosed with GM

Use NSAIDS?

premedication?

Epinephrine?

Answer 16

Question 17

Oral manifestations of diabetes mellitus

Answer 17

Question 18

What is the function of the thyroid gland?

Answer 18

Question 19

Definitions of goiter, thyrotoxicosis, graves disease, hypothyroidism, myxedema, hashimoto thyroiditis, thyroiditis

Answer 19

Question 20

Hyperthyroidism:

Causes what conditions

Commonly associated with:

Eye symptoms and conditions (6) and what they may result in :

May be caused by:

Skin manifestations

Answer 20

Question 21

Signs and symptoms of hyperthyroidism

Radiographs may show what?

These patient are intolerant to___

what is a thyroid storm

Answer 21

Question 22

Medical management of hyperthyroidism

Answer 22

Question 23

Dental management of hyperthyroidism:

Are they at a higher risk for infection? When to treat if patient has an infection

Is bleeding a risk?

When able to provide care; when not able

Can you use epinephrine?

What medical emergency must you be prepared for? What do you do in this emergency?

Answer 23

Question 24

Oral manifestations of hyperthyroidism

Answer 24

Question 25

Thyroiditis: Most often caused by Affects what gender and age Progresses to What is the main symptom? What is the thyroid like in thyroiditis? Treatment for goiters

Answer 25

Question 26

Oral manifestations of thyroiditis

Answer 26

Question 27

Signs and symptoms of hypothyroidism

Answer 27

Question 28

Medical management hypothyroidism What medications treat it? What modifications to treatment are needed for diabetic patients with hypothyroidism? What medical emergency should one be aware of? What does it lead to? Mortality rate? How to treat it? What habit makes hypothyroidism worse?

Answer 28

Question 29

Dental management of hypothyroidism Need for antibiotics in uncontrolled patients? Why or why not? Bleeding risk? When to treat When not to treat and why not Uncontrolled response to drugs Be prepared for what medical emergency

Answer 29

Question 30

Oral manifestations: Hypothyroidism

Answer 30

Question 31

Thyroid cancer: Caused by: Risk factors: Distant cancers may___ Presentation: Diagnosed after Treatment

Answer 31

Question 32

Cortisol: What is it? Aids in? Acts against? Increases? Has what type of properties? Secreted upon? Increases when?

Answer 32

Question 33

Aldosterone is a hormone responding to

Answer 33

Question 34

What are the different types of adrenal gland disorders?

Answer 34

Question 35

Cushings disease signs and symptoms (10)

Answer 35

Question 36

Addisions disease signs and symptoms

Answer 36

Question 37

Medical management of addisons disease What kind of therapy? Dosage corresponds to___ Does given in how many doses and why? Diet to include what? Patient should monitor what?

Answer 37

Question 38

Medical management of cushings disease

Answer 38

Question 39

What is an adrenal crisis?

Answer 39

Question 40

Dental management and oral manifestations for patients with adrenal conditions

Answer 40