Oral/Maxillio lecture 2

Question 1

Tb cause

Answer 1

Mycobacterium, tb bacterial, less common than other two

Question 2

Canididiasis

Answer 2

Common fungal disease

Question 3

of deaths from TB

Answer 3

2-3 million per year

Question 4

Infection of TB

Answer 4

Does not mean it’s active, most that get active disease are immunosupressed

Question 5

Where Tb effects

Answer 5

Pulmonary, extrapulmonary

Question 6

Scrofula

Answer 6

Tb in cervical lining

Question 7

Lupus vulgaris

Answer 7

Skin tb

Question 8

% of people w/active oral tb

Answer 8

.5-5%, non healing ulcer

Question 9

PPD test

Answer 9

Skin test for TB, negative to positive=concern

Question 10

Diagnosing TB

Answer 10

PPD, Sputum culture, histopathology

Question 11

Microscopic features of Tb

Answer 11

Formulation of granulomas, ceseating granulomas wall from the body

Question 12

Caseating granulomas

Answer 12

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)

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, hyphal form-disease causing

Question 18

% of pop. With candidiasis

Answer 18

Common in elderly under dentures, doesn’t always cause disease

Question 19

Pseudomembranous

Answer 19

Thrush, white/yellow plague-red, removable, common in children and geriatric patients

Question 20

Erythematous

Answer 20

Redness, baldness of tongue

Question 21

Central papillary atrophy

Answer 21

On dorsal surface of tongue, old name is median rhomboid glossitis

Question 22

Chronic multifocal

Answer 22

Many places in mouth, central papillary and palate

Question 23

Denture stomatitis

Answer 23

Under dentures, often asymptomatic

Question 24

Hyperplastic

Answer 24

Invade epithelium, will not rub off, byproducts are known carcinogens

Question 25

Thrush

Answer 25

Pseduomembranous candidiasis

Question 26

Resembles cottage cheese

Answer 26

Thrush

Question 27

Stromatopyrosis

Answer 27

Burning mouth

Question 28

Stomatodynia

Answer 28

Sore mouth

Question 29

Bald tongue

Answer 29

Median rhomboid glossitis

Question 30

Junction of ant. 2/3 and post 1/3 of dorsal tongue

Answer 30

Median rhomboid glossitis

Question 31

Cause of median rhomboid glossitis

Answer 31

Caused by candidiasis, do not treat, triangular loss of papilla

Question 32

Therapeutic diagnosis

Answer 32

Treat w/o confirming organism, retrospectively note if you were collect

Question 33

Flourhexidine

Answer 33

Use commonly for perio diseases and candidiasis

Question 34

Topical or oral for candiadis

Answer 34

Topical common, use systemic anti-fungal when needed

Question 35

Double stranded DNA viruses

Answer 35

Herpes

Question 36

HHV-1

Answer 36

Recurrent, travels in nerve ganglia

Question 37

Reactive hhv

Answer 37

Traumas, (UV, hormones, illness)

Question 38

Asymptomatic shedders

Answer 38

Shed virus for 24hrs at a time w/o showing symptoms, 70% of people do

Question 39

Site specific

Answer 39

Recurrent lesions found on vermillion border, attached gingiva

Question 40

Differentiate ulcerous/canker sore cores from HHV

Answer 40

Canker sores-everywhere except gingiva and a hard palate

Question 41

Tzanch cells

Answer 41

In recurrent herpes simplex, virus travels down nerve to epithelium, destroys connection between adjacent cells

Question 42

Diagnosis of recurrent herpes simplex

Answer 42

Clinical, or serological (detect antibodies) which is less common