Oral Med Flashcards
What form of congenital heart defect needs abx prophy?
Cyanotic
5 that start wit T
What drug is used in pt’s that have a pen allergy for abx prophy?
Azithromycin
COndition where kidneys are unable to retain water
Body can’t produce or react to ADH properly
Polydipsia and polyuria
Diabetes Insipidus
ESRD that is undergoing dialysis is what ASA class?
ASA 3
What should be done for a pt that is choking and unconscious?
CPR
What should be used to check pulse in children?
Carotid
What should be used to check pulse in infants and babies?
Brachial artery
Pt is overweight, has elevated Hb, peripheral edema, coughing and wheezing: what we got here?
Chronic bronchitis
Does chronic bronchitis affect inspiration or expiration?
Both
Does emphysema affect inspiration or expiration?
Expiration
Pt is older and thin, severe dyspnea, quiet chest, xray hyperinflation with flattened diaphragm?
Emphysema
What are the 4 classes of drugs that can be used to treat COPD?
Anticholinergics (Tropiums)
Beta-Adrengergic Agonists (Epi, albuterol)
Corticosteroids (Prednisone)
Phosphodiesterase Inhibitors (Theophylline)
ABCD
What are the 5 classes of drugs that can be used to treat asthma?
Antihistamines (Diphenhydramine)
Beta-adrenergiic agonist (Epi, albuterol)
Corticosteroids (prednisone)
Decongestant (Pseudophedrine)
Leukotriene Rc Antagonists (Montelukast)
What is Cushing’s syndrome main hormone effect?
Increased Cortisol
What hormone is the sign of primary Cushing’s?
Increased cortisol
What hormone is sign of secondary Cushing’s?
INcreased ACTH
What hormone is sign of tertiaryCushing’s?
INcreased CRH
Moon facies, buffalo hump, central obesity, HTN, Hypercalcemia, and mood changes/chronic tiredness are symptoms of _____
Cushings
What is the condition where cortisol is less very decreased?
Addison’s ds
Hyperpigmentation, Immuncompromised, fatigue, muscle weakness, and weight loss are symtoms of _____
Addison’s ds
What is the biggest concern in an Addisonian crisis?
Hypovolemic shock
What are the 4 phases of hemostasis in order?
Vascular (vasoc)
Platelet plug
Coagulation
Fibrinolytic
What are the 2 extrinsic clotting factors?
3 and 7
What are ht e 3 intrinsic factors of coag?
12, 11, 9
What are the 3 comon pathway clotting factors?
10, 2, 1
What clotting factor and pathway does Hemophilia A affect?
Factor 8 intrinsic pathway
What clotting factor and pathway does Hemophilia B affect?
Factor 9 intrinsic pathway
What clotting factor and pathway does Hemophilia C affect?
Factor 11 intrinsic pathway
What are the vitamin K dependent clotting facotrs?
2, 7, 9, 10
Von willebrand ds affects what clotting factor?
Factor 8 (intrinsic)
_____ drug pulls thrombin and anti-thrombin together blocking factor 2
Heparin
____ drug inhibits factor Xa
Apaxiban
____ drug directly binds to thrombin (Factor IIa)
Dabigatran
Does aPTT test intrinsic or extrinsic coag?
Intrisic
Does PT/INR test extrinsic or intrinsic coag?
Extrinsic
How does use of Marijuana affect heart rate?
Tachycardia
____ drug blocks reuptake of dopamine, serotonin, and NE
Abuse can lead to tachycardia, arrhythmias, HTN, pupil dilation, heart attack or stroke
Cocaine
Do amphetamines increase or decrease CNS?
Increaase
DO opiods cause xerostomia?
No
________ are a class of drugs that stimulate the central nervous system for the purpose of managing attention deficit hyperactivity disorder; also promote weight loss by causing appetite suppression. Amphetamines are also are used to manage daytime sleepiness due to narcolepsy and are associated with depression due to withdrawal.
Amphetamines
Autoantibodies that target the TSH rc and stimulate the release of thyroid hormone
Fatigue, nervousness, heat intolerance, weight loss, tachycardia, exophthalmos, goiter
Graves ds
Stress leads to tachycardia, a fib, sudden fever, sweating, and loss of consciousness
Tx w/ hydrocortisone, glucose, and propylthiouracil
Thyrotoxic crisis
The following are symptoms of ______:
Weight gain, cold intolerance, bradycardia, goiter, Wormian bones
Hypothyroidism
____ is severe hypothyroidism in children seen w/ severely stunted physical and mental growth
Cretinism
____ is associated with severe hypotension
Stress leads to bradycardia, severe hypotension, low body temp
Tx: Levothyroxine, glucose
Myxedematous coma
_____ involves multiple neuromas, medullary thyroid carcinoma, and pheochromomcytoma of the adrenal gland
MEN2
What organ is the most common site of origin for metastasis to the thyroid gland
Kidney
Which thyroid condition is assc with delayed eruption of teeth, macroglossia, xerostomia, and radiating pain
Hypothyroidism
The following are signs of _____:
Kidney stones, painful bones, ab groans, psychiatirc moans
Browns tumors
Generalized loss of lamina dura
Salt and pepper
Elevated alkaline phosphatase levels
Loss of bone trabeculation
Hyperparathyroidism
The following are signs of _____:
Paresthesai and tetany
RO in skull by basal ganglia
Pitted enamel hypoplasia
Late eruption
Dilaceration
Increased RO in jaws
Hypoparathyoidism
In case of hyperparathyroidism, how is Ca affected?
iNcreased ca in blood and less accumulation in bone
In case of hypoparathyroidism, how is Ca affected?
Increased Ca in bone and less in blood
_______ presents in pregnancy is assc w/ high blood pressure, proteinuria, edema, and blurred vision
Preeclampsia
Are cat A good or bad for pregnancy?
Good
Cat D pregnancy drugs good or bad?
Bad
If preg pt, how ot treat supine hypotension syndrome?
Roll on left side
Oral manifestaions of _____
Gingivitis
Increased caries risk
Pyogenic granuloma
SInus congestion
Dental eriosion
Hypersensitive gag reflex
Preg
Are HDL or LDL better for you?
HDL
Oral manifestations of _____
Increased calcification in pulp chamber
Muscle pain and weakness
INcreased Perio Ds
High cholesterol and Statins
What is most common H and N cancer?
SCC
Is HIV RNA or DNA virus?
RNA retrovirus
What is the CD4 count assc with AIDS?
<200
What is the main Dx test for HIV?
ELISA
What is the main bacteria involved in peptic ulcers?
H Pylori
What is the second leading cause of peptic ulcers?
Chronic NSAID use
What sleep cycle does obstructive events typically happen in children?
REM sleep
What oral finding is seen in the following conditions?
Pierre Robin sequence
Treacher collins
Craniofacial microsomia
Mandibular hypoplasia
What oral finding is seen in the following conditions?
MEN2B
Abeckman Wideman’s syndrome
Amyloidosis
Acromegaly
Hypothyroidism
Macroglossia
What is the classification system to determine size of tonsils?
Brodsky score
WHat Ig is the most common? Principal antibody?
IgG
What Ig is the first responder?
IgM
What Ig is in saliva?
IgA
What 2 Heps are fecal oral?
A and E
What 2 Heps are got from contaminated blood?
C and B
2-6 week incubation period
Acute rapid onset
Doesn’t lead to chronic ds or carrier state
Jaundice, fever, malaise, loss of appetit, nausea
Vax available
Hep A
High risk transmission
1-6 month incubation
DNA virus (Dane particle)
Jaundice, fever, malaise, loss of appetite, nausea
Vax available
OSHA requres that employers make the vax freely available to employees occupationally exposed to blood
PEP available
Hep B
What form of Hep is the only DNA virus?
Hep B
What form of Hep does OSHA require that employers make the vax freely available?
Hep B
Most common bloodborne pathogen in US
Low risk of transmission
2 week-6 month incubation period
Usually asymptomatic
No vax available, but tx is
Hep C
Oral manifestations of ____
Jaundice, petechiae, fetor hepaticus, atrophic glossitis, xerostomia, lichen planus, hepatocellular carcinoma
Liver dysfunction
Which Hep is a superinfection assc with another hep virus?
Hep D
The oral manfestations of ____ are:
Leukoplakia
SCC
Nictotinic stomatitis
Smoker’s melanosis
Hairy tongue
Halitosis
Smokeless tobacco keratosis
Perio ds
Smoking
The following drugs are used to tx _____:
Isoniazid
Latent TB
The following drugs are used to tx _____:
Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Active TB
______
Acid fast bacillus
Co infection with HIV common
Spread via droplet nuclei
TB
____ is the TB skin test
Mantoux skin test
Are dental employees requred to get a TB test prior to beginning work?
Yes
ORal manifestations of _____
Ulcer
Tuberculous osteomyelitis
Scrofula
TB
Cancer of plasma cells
-IgG, IgA, IgD
Bone resorption and bone marrow replacement
Anemia, leukopenia, thrombocytopenia
Death by infection or renal failure
Elderly
Multiple myeloma
Bence-JOnes protein found in urine is suggestive of _____
Multiple myeloma
The following drugs tx ____
Thalidomide
Borrtexomib
Bisphosphonates
Multiple myeloma
Oral manifestations of _____:
PUnched out RL
Amyloidosis of tongue
Paresthesia
Dysphagias
Multiple myeloma
Oral manifestations of ____:
Oral submucous fibrosis
SCC
Attrition
Gingival recession
Extrinsic staining
NOT XEROSTOMIA
Betel quid
Seed of areca palm fruit
Quid= leaf package for chewing
CNS stimulant similar to cocaine
Betel nut/quid