Oral Medicine Flashcards

1
Q

gustatory sweating

  • also known as (2)
  • caused by (2)
A

known

  • Frey’s syndrome
  • auricolotemporal syndrome

cause

  • diabetic neuropathy
  • damage during parotid surgery
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2
Q

what is the pathophysiology for gustatory sweating? (4)

A
  • damage to auricolotemporal nerve
  • is a mandibular branch of trigeminal nerve
  • passes through parotid gland
  • caries parasympathetic fibers to sweat glands of scalp and parotid gland
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3
Q

what is the nerve system pathway? (starting from CNS) (4)

A
  • CNS goes into PNS
  • PNS divides into sensory (afferent) and motor (efferent) division
  • motor divides into somatic (voluntary) and autonomic (involuntary) nervous system
  • ANS divides into sympathetic (fight/flight) and parasympathetic (housekeeping)
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4
Q

Radicular cyst

- histology? (3)

A
  • non-keratinized, stratified squamous epithelium
  • derived from cell rest of Mallasez
  • contains Rushton bodies
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5
Q

Ameloblastoma

- subtypes (3)

A
  • unicystic
  • multicystic
  • peripheral
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6
Q

ameloblastoma histopathology

  • subtypes (2)
  • consist of? (3)
A

subtypes

  • follicular (islands)
  • flexiform (long strands epithelium)
  • surrounded by fibrous stroma
  • palisaded basal cells that resemble pre-ameloblast (which has reverse polarity)
  • surround core of loosely arranged cells resembling stellate reticulum
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7
Q

what is origin of the following benign odontogenic tumours?

  • ameloblastoma
  • odontoma
A

ameloblastoma
- benign odontogenic EPITHELIUM tumour

odontoma
- benign MIXED EPITHELIAL and MESENCHYMAL tumour

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8
Q

odontoma

  • types (2)
  • description (2)
A

compound

  • most common
  • found on anterior maxilla

complex

  • consist of irregular mass of hard and soft tissues forming cauliflower like mass
  • found on posterior mandible
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9
Q

pregnancy in dentistry

  • how many trimesters (3)
  • what pregnancy weeks are respective trimesters (3)
  • concerns on each trimester. (3)
A
1st trimester (up till 13th week)
- highest risk of stress and teratogens occuring
2nd trimester (26th week)
- most stable
3rd trimester (40 week)
- supine hypotension syndrome
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10
Q

what are the following seizures?

  • tonic clonic
  • myoclonic
  • tonic atonic
A

tonic clonic
- stiff then jerking movement

myoclonic
- rhythmical jerking

tonic atonic
- stiffens and then floppy

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11
Q

absence seizure

  • types (2)
  • describe (2)
A

typical
- blank and unresponsive. Will still continue walking and not be aware.

atypical
- lasts longer. Limbs becomes floppy and will fall.

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12
Q

pemphigus

- pathophysiology (3)

A
  • autoimmune interepithelial blistering disease
  • attacks desmoglein, epidermis detached
  • this is called acantholysis
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13
Q

name 2 types of pemphigus

A
  • pemphigus vulgaris

- pemphigus foliaceous

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14
Q

what is Nikolky’s sign

A

eptihelial detachment as a result of slight pressure of rubbing against unaffected mucosa

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15
Q

what is the difference between pemphigus and pemphigoid (4)

A

pemphigus

  • acantholysis
  • affects outer skin (epidermis)

pemphigoid

  • no acantholysis
  • affects lower layer of skin (between epidermis and dermis)
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16
Q

name 3 types of pemphigoid

A
  • mucous membrane pemphigoid
  • bulllous pemphigoid
  • gestational pemphigoid
17
Q

mucous membrane pemphigoid

  • oral manifestation (1)
  • serious complications? (1)
  • associated malignancy (2)
A

desquamative gingivitis

blindness

  • non-hodgkins lymphoma
  • cutaneous T cell lymphoma
18
Q

what is the chances having a child with Downs syndrome?

A

at 30 years old
- 1 in 1000

after 40 years old
- 1 in 100

19
Q

salivary flow test

- how much would constitute dry mouth?

A

less than 0.2ml/min

20
Q

what are the 3 common causes of pain in the TMJ? (3)

A
  • internal derangement
  • osteoarthrosis
  • myofacial pain
21
Q

lesions found in HIV patients? (4)

A
  • linear gingival erythema
  • kaposi sarcoma
  • hairy leukoplakia
  • ANUG
  • pseudomembranous candidosis