mouth

Question 1

what are the 4 types of tastebuds

Answer 1

Filiform (no taste buds) // Fungiform, vallate, foliate

Question 2

innervation of tongue

Answer 2

CN VII - taste ant 2/3 // CN IX - taste ant 1/3 // CNX - taste pharynx // motor CN XII

Question 3

what is glossitis

Answer 3

red and swollen tongue (beefy tongue)

Question 4

what can cause glossitis

Answer 4

B12, folate def, iron def, coeliac

Question 5

what is a geographic tongue

Answer 5

weird and swirly white patches - assoc with stress

Question 6

what is black hair tongue

Answer 6

defective desquamation (exfoliation) of filiform papillae // can cause, brown, green, black tongue

Question 7

RF black hairy tongue

Answer 7

poor oral hygiene // abx // head and neck radiation // HIV // IVDU

Question 8

invx black hair tongue

Answer 8

swab to exclude candida

Question 9

mx black hairy tongue

Answer 9

scraping

Question 10

what is leukoplakia

Answer 10

premalignant, white, hard spots on mucous membrane of mouth

Question 11

who usually gets Leukoplakia

Answer 11

smokers

Question 12

how is Leukoplakia differentiated from candidas or lichen planus

Answer 12

does NOT wipe away

Question 13

invx Leukoplakia

Answer 13

biopsy to exclude SCC

Question 14

symptoms lichen planus (oral)

Answer 14

white, lacy pattern on buccal mucosa which can wipe away

Question 15

symptoms lichen planus (systemic)

Answer 15

itcy, papular rash on palms, soles, genitalia, flexors // polygonal with white lines on surface (wickham stria) // koebner phenomenon // thin nails

Question 16

mx oral lichen planus

Answer 16

benzydamine mouth wash or spray

Question 17

what is an apthous ucler

Answer 17

non-viral ulcer // inflammation // have ‘halos // from stress // self limiting

Question 18

what causes gingiviits

Answer 18

poor dental hygiene

Question 19

symptoms simple gingivitis

Answer 19

painless, red, swollen gums which bleed on contact

Question 20

symptoms nec gingivitis

Answer 20

panfil bleeding gums, halitosis, punched out ulcers

Question 21

mx simple gingivitis

Answer 21

seek dental advise, do not normally need abx

Question 22

mx nec gingivitis

Answer 22

refer urgent to dentist // oral metro (or amox) 3 days // chlorhexidine or hydrogen peroxide mouth was

Question 23

what meds cause gingival hyperplasia

Answer 23

phenytoin, ciclosporin, CCB

Question 24

medical causes gingival hyperplasia

Answer 24

AML

Question 25

RF mouth cancer

Answer 25

40+ // smoker // heavy drinker // chew tobacco or betel nut