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FINALS!!! > Question bank > Flashcards

Question bank Flashcards

1
Q

Components of clincal goverance

A

openess
clinical audit
research and development
education and training
risk managment
clincial effectiveness

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2
Q

Steps in audit

A

identify prob or issue
set criteria and standrards
observe current practice
compare performance with standards
identifyy changes and implement
reviw audic, set recall intervals

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3
Q

Topicals for cpd

A

radiation protection and radiation
decon
medical emergency
complaints handling
legal and ethical

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4
Q

Veriable CPD

A

100 (10 eery 2years)

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5
Q

3 dimensions of NHS scotland

A

GDP
PDS
Hospital setting

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6
Q

6 dimensions of healthcare

A

Timely
Effective
Equitable
Efficient
Person centred
Safe

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7
Q

Clincial Goverance

A

a sysyemic approach to mainintaing and approving the quality of patient care in the healthcare system

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8
Q

Suspect non accidental injury

A

the story does not add up
delay in seeking tx
behaviour between child and mother
other injuries elese where unusal

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9
Q

Effect of trauma on primary teeth

A

delayed exfoliation
infection and pain
discolouration

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10
Q

Effect of trauma on permanenet teeth

A

ectopic eruption
enamel defects - hypominerialisation, hyperplasia
delayed eruption
crown/ root damage
ankylosis

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11
Q

conditions causing hypodontia

A

down syndrome
ectodermal dysplasia
cleft lip and palate

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12
Q

What does flurosis look like

A

yellow/brown discoluration
chalky appearance/ mottled appearance

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13
Q

Tx for fluorisis

A

microabrasion
bleaching
porcelain venners
composite

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14
Q

How does flurosis works

A

it slows down demineralisation preventing the developemnt of carious lesions
it promotres remineralisation by making enamel more resistant to acid attacks
stops bacterial metabolism (caries inhibiting)

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15
Q

Causes of desquamtive ging

A

pemphigoid
pemphigus
lichen planus

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16
Q

Local casues of desquamtive gin

A

SLS
plq

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17
Q

tx for desquamative ging

A

OHI and good plq control
difflam (anti inf) - bezydamine mw
tacrolimus ointment
metamethasone mw

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18
Q

Acheive haemostasis

A

apply pressure with damp gauze
sutures
diathermy
surgicel
La with vasoconstirctor

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19
Q

Risk factors for bleeding

A

anticogulants
liver diseses
bleeding disorder
alcoohlism

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20
Q

Maxiallary tuberosity fracture symptoms

A

tear in palate
nose
visual mobility

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21
Q

Maxillary tuberosity tx

A

dissect out and close wound
reducing and staiblising

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22
Q

OAC symptoms

A

blunt probe
bubbling of socket
change in sound, echo
direct vision

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23
Q

OAC tx

A

small = encourage clot to form, suture margins
Large - close by buccal advacnement flap, suture, nose blowing insructions

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24
Q

Root in anturm symptoms

A

Radiographically confirm

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25
Q

Root in antrum tx

A

Rasie flap
irrigate
cureete
suction
retirieve roots - endoscopically, Caldwell luc approach
Suture back down the flap

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26
Q

Causes of denture stomamtis

A

poor oh and denture hyg
keeping denture in at night
smoker
poor diet
ill fitting dentures
immunosuppressed

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27
Q

Bacteria causing denture stomatitis

A

candia albicans
candida glabrata
candia tropcalis

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28
Q

Topical tx for denture stomatitis

A

miconazole or nystatin

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29
Q

Initial tx

A

Provide oh insturctions and denture hyg
diet
smoking advice

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30
Q

RPI

A

mesial occlusal rest
distal proxmial plate
i bar clasp

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31
Q

How does RPI work

A

the denture moves towrds the mucosa when under occlsual load, the denture bearing area presses into mucosa and rotates aroudnd the mesial rest
Both the distal proximal plate and I bar clasp disengage from abutment tooth and prevents torque

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32
Q

Tx for vertical bony defect

A

surgical regernation - GTR, bone graft
Pocket climnation with osseous regernation
RSD
Elimination - tunnelling, hemisection, XLA

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33
Q

Mechanism of vetical bony defect

A

apical enf of the pocket is beleow the alveolar crest and located in intradental bone
casued by localsied - calc, subging plq, overhanging rests, occlusion
accumulation of plq bacteria ininates an inflammatory respones which can enter the underlying connnective tissue and bone casuing bone resoprtion
1 wall, 2 wall, 3 wall

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34
Q

What to look for for implant assessing

A

medical hx implications - immunosuppressed, cardiac defect, bisphosphonates
smoker
perio health and oral hyg
bone quality and quantity
smile line
progonosis of other teeth

35
Q

Trauama stamp

A

percussion note
mobility
sinus
colour
displacement
PA

36
Q

Shillings test

A

for vit b12 defiecincy

37
Q

For pygoenic granuoloma what is a common diagnosis

A

perpiheral giant cell granuoloma

38
Q

What candidosis is high malginancy rate

A

chronic hyperplasitc candidiosis

39
Q

Peak age of eryhtema multiforme

A

20-30 years

40
Q

Mumps

A

bilateral painful parotid swelling

41
Q

Is pempigus pre cancerous

A

no

42
Q

What can temporal arteries lead to?

A

Blindness

43
Q

What disease is koplik’s spots found

A

measles (buccal mucosa and small white spots with red ring)

44
Q

Bullous pemphigoid vs mucous meberane

A

Bullous = just skin lesions
Mucous memebrane = ulcers, red ging and conjunctivitis

45
Q

Herpangia

A

Coxsackie A infection

46
Q

Kapsi’s Sarcoma

A

rare cancer - HHV 8
small, painlish purplish discououred patterns on skin and mouth

47
Q

Herpangina

A

coxsackie virus - small blisters or ulcers
roof of mouth/throat
young children
fever and headache

48
Q

Hand, foot and mouth

A

cosackie virus
viral infection that lasts 7-10days
contagious - spots/ bumps

49
Q

Site of action for metronidazole

A

inhibits nucelic acid synthesis

50
Q

Site of action of amoxicillin

A

cell wall synthesis

51
Q

What type of biopsy for non healing ulcers > 3weeks that are poteintal SCC

A

incisional biopsy

52
Q

reasons for failed post and core

A

root fracture
crown fracture
caries
perio
resorption
perforation

53
Q

Fracture of post and core at the junction

A

inadequate ferrule
trauma - bruxist
tooth strucutre loss
bacterial interaction

54
Q

Naggar core

A

amlagam or composite
used in posterior teeth
pulp chamber small and loss of marginal ridge
core extended down root canal tooth by removing 2-3mm

55
Q

Removing post

A

ultrasonic tip eggler forceps
mosquito forceps

56
Q

Manage perio abscess

A

sub ging insutrmentation just short of base of pocket to prevent itrogenic damage
drain abscess through incision or perio pocket
0.2% chx mouthwash
antio biotics if spread - pen V 250mg or amxoi 500mg
XLA poor progonosis teeth
carry out HPT at follow up

57
Q

Causes of erosion

A

Bullumia
GORD
Xerostomia
Acidic fruits/carbonated drinks
Meds
Habits - grinding
Ashtma inhaler

58
Q

Management of erosion

A

take full dental, medical and social hx
Diet anaylsis
High strength toothpaste 2800ppm
Durphat varnish
OHI and diet advice
Desenstising agents if sens

59
Q

Features of try in stage of proths

A

shade
mould
speech
aesthetics
stability
retention
Free way space

60
Q

Principles of caries removal

A

identify carious lesion and remove enamel
Remove enamel to establish extent of caries at ACJ and smooth margins
Remove peripheral caries in dentine from ADJ and circumerferntially deeper
Remove deep caries over pulp area
Outline form modification
Intrnal design modification

61
Q

signs and symptoms of TMD

A

Trismus
Clicking/popping
Crepitus
Tender MOM
Headaches
Earachees
JAw pain
linea alba
tongue scappoling
attrition

62
Q

Muscles to palpate for TMD

A

masster and temporalis

63
Q

Management of TMD

A

soft diet
remove stresses
physio
Tens
Soft splint
Support jaw when yawning
chew food in small pieces
avoid chewing gum

64
Q

4 components of SIRS

A

temp <36 or >38
HR >90/min
resp >20 breaths
WBC <4 x10^9 or >12x10^9

65
Q

signs of inflammation

A

size
site
heat
temp
swelling
colour
texture

66
Q

Zygomatic fracture signs and symptoms

A

visual disturbance
numbness
dystopia
diplopia
subconjuctional haemorraghe
asymmerty

67
Q

Radiophraph for zygomatic fracture

A

submentovertiex radiopgraph

68
Q

Managemetn of zygomatic fractutre

A

Do nothing
Closed reduction
Open reduction and internal fixation

69
Q

White plq that scraps off leaving read area

A

pseudomembranous candidosis

70
Q

Medical conditions that cause pseudomembranous candidodsis

A

Diabetes
HIV
Immunocompromsied

71
Q

Fluconzale interactions

A

warfarin - increases bleeding risk
Midazolam - incseased sedation
Simvasatin - leads to death of muscle fibres (rhabdomyolosis)

72
Q

HPV for oral cancer

A

16 and 18

73
Q

Ludwig’s angina

A

spreading in the submandibular region
airway mangement required, IV antibiotics and surgical drainage

74
Q

Tx for ameloblastoma

A

surgical resection

75
Q

fractured mandible

A

OPT and PA

76
Q

% of permanenet damage to lingual nerve

A

0.5%

77
Q

Unknown white patch biopsy required

A

incisonal biopsy

78
Q

What age can you supply 50000ppm toothpaste

A

age 16years and over

79
Q

Tx for primary herpes infection

A

paracetamol
acylovir if significant infection or immunocompromised

80
Q

Malocclusion for cleft lip and palate

A

Class III

81
Q

Low birth weight associated with

A

hypodontia

82
Q

Intrusion trauma injury

A

likely to damage the permanent successor

83
Q

Red complex organisms in perio

A

P. gingivalis, T.forsythia, T.denticola

FINALS!!! (20 decks)

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