Oral disorders

Question 1

Thrush most commonly seen in (7)

Answer 1

1. young infants
2. older adults (w/ dentures)
3. diabetics
4. pt. recently tx w/ ABX
5. chemo or radiation
6. AIDS pt
7. inhaled glucocorticoid therapy for asthma

Question 2

DDX for thrush (oral candadiasis)

Answer 2

leukoplakia (premalignant–w/ chew users primarily)

Question 3

thrush PE

Answer 3

can be scrapped off–will have underlying eurythema and bleeding

Question 4

canker sore aka etiiology

Answer 4

aphthous ulcer–

1. stress
2. hormones
3. HIV
4. GERD

Question 5

painful, Shallow, round to oval ulcer, “grayish base”

Answer 5

aphthous ulcer

Question 6

herpetic gingivostomatitis (vesicular)

Answer 6

HSV-1 in mouth – Common – acyclovire or “magic mouthwash”

Question 7

smooth tongue

Answer 7

glossitis (usually nutritional deficiency or dehydration)

Question 8

inflammation of tongue w/ loss of filiform papillae leading to a red smooth-surfaced tongue

Answer 8

glossitis

Question 9

burning and pain of tongue – “burning mouth syndrome”

Answer 9

glossodynia

Question 10

glossitis w/ glossodynia associated w/

Answer 10

diabetes mellitus, tobacco, and candidiasis

Question 11

sore throat accompanying URI symptoms

Answer 11

pharyngitis (common)

Question 12

most common cause of pharyngitis

Answer 12

VIRAL (flu, parainfluenza, coronavirus, rhinovirus, adenovirus)

Question 13

pharyngitis w/ blue-gray pseudomembrane suggests

Answer 13

diphtheria

Question 14

10% of sore throuts w/ white exudate–tender cervical lymphadnopathy–fever by history

Answer 14

Strep pyogenes

Question 15

fine maculopaular rash 1-2 days after pharyngitis

Answer 15

Scarlet fever–Strep pyogenes

Question 16

acute bacterial or viral infection causing inflammation of the palatine tonsils; can occur w/ pharyngitis; common in kids

Answer 16

acute tonsillitis (MOSTLY VIRAL) bac–Strep pyogenes

Question 17

Indication for T&A: (4)

Answer 17

1. obstruction of nasopharyngeal or oropharyngeal airway
2. interference w/ swallowing
3. malignant tumor of tonsil or suspicion of malignancy
4. uncontrollable hemorrhage

Question 18

management of tonsillitis

Answer 18

1. salt water gargle
2. tylenol
3. penicillin for Strep
4. Referral to ENT for recurrent

Question 19

Epstein-Barr virus affects adolescents and young adults

Answer 19

infectious mononucleosis (Common)

Question 20

S&S for mono (6)

Answer 20

1. systemic illness
2. fever
3. fatigue
4. pharyngitis
5. lymphadenopathy
6. TONSILLAR EXUDATES in 50%

Question 21

Mono may be accompanied by

Answer 21

1. splenomegaly

2. palatal petechiae

Question 22

complication of acute tonsillitis

Answer 22

Peritonsillar Abscess PTA

Question 23

PTA etiology (3)

Answer 23

1. Strep pyyogenes
2. Staph aureus
3. H. influenzae

Question 24

acute inflammation of salivary glands; most commonly parotid w/ submandibular and sublingual glands less frequently involved

Answer 24

sialadenitis

Question 25

etiology of sialadenitis (7)

Answer 25

1. dehydration 2. poor oral hygiene 3. Staph or Strep 4. Virus (mumps) 5. stone in duct 6. foreign body 7. mucus plug from allergies

Question 26

PE of sialadenitis (3)

Answer 26

1. purulent discharge 2. erythema of duct 3. edema

Question 27

rapidly progressive infection (cellulitis) of epiglottis and adjacent tissues -- due to H. influenzae

Answer 27

epiglottitis

Question 28

90% of laryngitis etiology | 10% bacterial

Answer 28

- viral | - M. catarrhalis and H. influenzae

Question 29

mumps, influenza, coxsackie, EBV-- prodromal headache, myalgies, malaise, low-grade fever

Answer 29

parotitis (VIRAL)