OEQ Flashcards

1
Q

As odontogenic infection progresses from early to late stage, anaerobic bacteria make up the elate stage infection almost entirely.

Streptococcus is the amino acid bacteria that makes up aerobic bacteria

A

T, T

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

A patient that is a heavy drinker/alcoholism has decreased immune function.

A patient with impaired renal ability has decreased immune function

A

T, T

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

I &D is a contraindication for treatment of cellulitis.

There is a chance of spread of infection from surgical intervention.

A

F, T

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

Signs of inflammation. Trismus comes from pterygomandibular .

A

true

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

18 year old male presents to you office. The swelling is firm to touch, large radiolucency on Arya. What is the next step.

A

Aspirate

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

Which of the following does not describe cellulitis

A

localized collection of pus (abscess)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the main thing you want to do in treatment of any type of odontogenic infection:

A

identify & excise cause of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bacteriostatic antibiotic is better than bactericidal.

A

false - bactericidal KILLS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A patient comes in with an ulcerated 5mm white lesion on the dorsal side of her tongue. The patient is a heavy drinker and smoker, the biopsy comes back and says the lesion is “chronic inflammation”. What is the next step?

A

Take another sample of the lesion to make sure their aren’t tumor cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List the primary maxillary spaces:

A

Canine, Buccal, Infratemporal

Max says CARRIE BUYS IGLOOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List the primary mandibular spaces:

A

Manny likes SUBS & BOOTY

Buccal, Sublingual, Submandibular, Submental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Secondary fascial spaces:

A

Lateral pharyngeal
Retropharyngeal
Masseteric
Pterygomandibular
Superficial and deep temporal
Prevertebral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

An infection near the maxillary first molar will most likely spread to:

A

buccal space

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

Which one does not use an extra-oral approach to drainage:

A

Infraorbital

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

The ___ separates the sublingual and submandibular spaces:

A

mylohyoid muscle

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

A patient comes in with swelling and you are unable to palpate the border of the mandible. What space is mostly likely involved?

A

Submandibular

(fluid underneath the mandible so you won’t feel the bone)

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

A patient comes in with swelling and you are able to palpate the floor of the mouth next to the swelling. Where is the most likely space?

A

Sublingual

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

In normal health, subfascial spaces do not exist.

Most infections don’t want to spread to bone like osteomyelitis/

A

True, True

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

What is the standard radiograph for osteomyelitis?

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What radiograph do you get to visualize the extend of odontogenic infections better?

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When you send a sample (biopsy) to the lab, what do you order/expect to get back?

A
  • microbial analysis
  • histological assessment
  • C&S

(all of the above)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Ludwigs angina spaces:

A
  1. Sublingual
  2. Submandibular
  3. Submental

NOT SUBMASSETERIC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Patient comes in with cavernous sinus thrombosis secondary from infection. What else do you expect to see?

A
  1. Marked edema
  2. Congestion of eyelids and conjunctiva
24
Q

Chronic osteomyelitis is _____ (how painful) and continues to progress

A
  • minimal pain early on
  • extensive pain in late stages
25
Q

Involucrum definition:

A

A layer of new bone growth that forms around existing bone in response to infection

26
Q

Garre’s Osteomyelitis is also known as:

A

chronic refractory myelitis

-proliferative periostitis
- periostitis ossificans

27
Q

What is the only form of osteomyelitis that you would use HBO therapy for?

A

Chronic refractory osteomyelitis

28
Q

____% of demineralization needs to occur for osteomyelitis to show up on x-ray

A

30-60%

29
Q

What is the standard x-ray for osteomyelitis?

A

CT scan (pano initially)

30
Q

What is not part of the surgical treatment for osteomyelitis…?

A

(what is= sequestrectomy, saucerization, and decortication)

31
Q

Patient comes in and has persistent lesion after 5 days with no apparent etiology. Take surgical approach after two weeks if local therapy has not worked.

A

Both true

32
Q

Indications for excisional biopsy:

A

Excisional= total excision of lesion for microscopic study

  • slow growing lesions that appear benign on clinical exam
  • remove of entire lesion
33
Q

Indications for incisional biopsy:

A
  1. lesion too large to remove entirely without having established diagnosis
  2. suspicion of malignancy
34
Q

In which instance would you use an incisional biopsy:

  • a 4cm white lesion on the border of the tongue
  • a 1cm lesion of papilloma
  • a 2cm bony exostosis lesion
A

a 4cm white lesion on the border of the tongue

35
Q

What size of needled we use for aspiration in our OS department?

A

18 gauge

36
Q

Biopsy is transported what medium?

A

10% formalin

37
Q

Immunofluorescent biopsy is transported what medium?

A

Michels transport medium

38
Q

What is Carboys solution used to treat?

A

OKC

39
Q

Why are OKCs recurrent?

A

Satelite/daughter cells

40
Q

Which one is derived from the dental lamina?

A

OKC

also:
- dental lamina cyst of newborn
- latetral periodontal cyst
- glandular cyst

41
Q

What is derived from rest of malassez?

A
  • periapical cyst
  • residual cyst
42
Q

What is derived from reduced enamel epithelium?

A

dentigerous cyst & eruption cyst

43
Q

What is the best treatment for a 60 year old man whose cystic infection spreads to the lower border of the mandible?

A

Marsupialization

  • refers to creating a surgical window in the wall of a cyst and evacuation of cystic contents
44
Q

If you perform enucleation in there anterior maxillary palate region, you have his of causing an oro-antral communication:

A

True

45
Q

Which treatment creates a surgical window?

A

marsupilizaiton

46
Q

Which treatment involves the use of a rotary instrument to remove bone adjacent to the cystic lining for removal of all residual epithelium/daughter cysts?

A

Enucleation + peripheral ostectomy

47
Q

What is the most common type of ameloblastoma you will see in your office?

A

Multicystic ameloblastoma

48
Q

Which surgical resection does NOT disrupt the continuity of the bone?

A

Marginal resection

49
Q

Most common developmental odntogenic cyst:

A

dentigerous

if not then OKC!

50
Q

Compound odontoma will rarely create teeth-like structures.

Complex odontoma found in posterior of jaw.

A

False; True

51
Q

What has soap bubble appearance radiographically?

A

multi-cystic ameloblastoma

52
Q

Treatment of AOT?

A

Surgical enucleation

53
Q

Where does multi cystic ameloblastoma like to hang out?

A

mandibular ramus

54
Q

Where does cementoblastoma like to hang out?

A

mandibular first molar region

55
Q
A