Maxofacial Patho Part 2

Question 1

Cause of Tb

Answer 1

Mycobacterium tuberculosis, bacterial, less common than the other two

Question 2

Canididiasis

Answer 2

Fungal disease, common

Question 3

number of deaths from tb

Answer 3

2-3 million per year, particularly immunosuppressed; increasing in foreign born (unmonitored)

Question 4

Infection of Tb

Answer 4

DOES NOT mean active disease; most that get active disease are simply immunosupressed

Question 5

where tb effects

Answer 5

pulmonary of course, also extrapulmonary (skin-lupus vulgaris and Cervical Lymph nodes-scrofula)

Question 6

Scrofula

Answer 6

tb in cervical ln

Question 7

lupus vulgaris

Answer 7

skin tb

Question 8

% of people with active oral tb and what is

Answer 8

.5-5%; non healing ulcerus

Question 9

PPD test

Answer 9

skin test for tb, concern when one goes from negative to positive

Question 10

Ways to diagnose tb

Answer 10

PPD, Sputum Culture, Histopathology

Question 11

Microscopic features of Tb

Answer 11

formulation of granulomas-Caseating granuloma-wall of from the body

Question 12

Caseating Granulomas

Answer 12

in pulmonary Tb-multinucleated balls of macrophages

Question 13

Langhans Giant cells

Answer 13

Tb

Question 14

Treatment

Answer 14

• Multi-drug therapy
• MDR-TB
• XDR-TB (extremely resistant to everything)

Question 15

MDR TB

Answer 15

Multi-Drug Resistance

Question 16

Moniliasis

Answer 16

Candidiasis-Dimorphic fungus

Question 17

Dimorphic fungus

Answer 17

yeast form-innocuous

Hyphal form-disease causing

Question 18

Percentage of population with candidiasis

Answer 18

Common, in elderly, under dentures, not always disease causing

Question 19

Forms of Candidiasis

Answer 19

Many..

Question 20

Psudeomembranous

Answer 20

“thrush” white/yellow plaque-red; removable; common in children and geriatric patients

Question 21

erythematous

Answer 21

Redness; baldness of tongue (lack papilla); scalded symptom (burned tongue)

Question 22

central papillary atrophy

Answer 22

on dorsal surface of tongue- loss of texture in middle of tongue in circle shape-old name is median rhomboid glossitis

Question 23

chronic multifocal

Answer 23

many places in the mouth; central pappillary and palate

Question 24

angular cheilitis

Answer 24

fungal infection at the corner of the mouth

Question 25

denture stomatitis

Answer 25

under the dentures; often asymptomatic

Question 26

Hyperplastic

Answer 26

candidiasis-invade epithelium- Will NOT rub off; byproducts are known carcinogens ; topical medications will not work due to penetration

Question 27

Thrush

Answer 27

psuedomembranous candidiasis; resembles cottage cheese

Question 28

resembles cottage cheese/curdled milk

Answer 28

thrush, or psuedomembranous candidiasis

Question 29

stromatopyrosis

Answer 29

burning mouth, thrush

Question 30

Stomatodynia

Answer 30

sore mouth; thrush

Question 31

bald tongue

Answer 31

erythematous candidias

Question 32

rhomboid glossitis aka central papillary atrophy location

Answer 32

@jcn of ant 2/3 and post 1/3 of dorsal tongue

Question 33

Cause of median rhomboid glossitis

Answer 33

NOT developmental; caused by candidias; do not treat; triangular loss of pappila

Question 34

Candidiasis that will not rub off

Answer 34

chronic hyperplastic-use systemic antifungals

Question 35

therapeutic diagnosis

Answer 35

treat without confirming organism; retrospectively note if you were correct

Question 36

Flourhexidine

Answer 36

Use commonly for perio diseases and candidiasis

Question 37

Topical or oral for candiadis

Answer 37

topical common; use systemic anti fungal when needed

Question 38

Double stranded DNA viruses

Answer 38

Herpes

Question 39

HHV-1

Answer 39

recurrent, travels in nerve ganglia in latent state

Question 40

reactive HHV

Answer 40

traumas (UV, hormones, illness)

Question 41

Asymptomatic shedders

Answer 41

shed the virus for 24hrs at a time without showing symptoms-70% of people do

Question 42

Site Specific

Answer 42

Recurrent lesions found on vermillion border, attached gingiva (keratinized and to bone), and hard palate (keratinized and to bone)

Question 43

differentiate ulcerus/canker sore cores from HHV

Answer 43

canker sores-everywhere except gingiva an d hard palate (where HHV is)

Question 44

Tzanch cells

Answer 44

in recurrent herpes simplex; virus travels down the nerve to epithelium; destroys connection between adjacent cells; these cells float around in the blister fluid; these are tzanch cells

Question 45

Diagnosis of Recurrent herpes simplex

Answer 45

clinical; or serological (detect antibodies) which is less common