random for test

Question 1

if give topical steroids - what to be weary of

Answer 1

oral cavity should be monitored for emergence of fungal infection on patients who are placed on topical steroid therapy

Question 2

recurrent apthous ulcer occurs where

Answer 2

less keratinized tissue

Question 3

HSV-1 occurs where usually

Answer 3

highly keratinized tissue

Question 4

reverse count of CD4 and CD 8 puts at risk for?

Answer 4

fungal and viral infections

Question 5

shooting pain think of

Answer 5

vericella zoster

Question 6

when should we be monitoring urine output?

Answer 6

acyclovir — increased risk of renal dysfunction in patients having nephrotic agents

**half life of this drug is dependent on the patients renal function

Question 7

use of corticosteroids is contraindicated with

Answer 7

vericella zoster/ herpes zoster

Question 8

if lesion changes ever do what type of biopsy?

Answer 8

excisional

Question 9

cause of melanocyte usually

Answer 9

increase in MELANIN SYNTHESIS – NOT and increase in numbe` of melanocytes

Question 10

what is the CLINICAL diagnosis of the white plaque

Answer 10

leukoplakia

Question 11

if treat with topical steroid what should you prophylactically treat?

Answer 11

antifungal

because supress immune function with steroids

Question 12

erythema multiform

basics

Answer 12

IGm

vasculitis with SUPERFICIAL VESSLES

Question 13

PEMPIGUS VALGARIS VS MUCOUS MEMBRANE PEMPHIGOID

Answer 13

both IgG

vulgaris - positive noclisky and tzank smear and against desmisomes

Question 14

predisone / steroid precautions**

Answer 14

drug induced secondary ADRENAL SUPPRESSIVE effect – so secondary adrenocortical insufficiency

salt and water retention with INCREASED SECRETION of potassium and calcium

Question 15

associated with HHSV - 8

Answer 15

kaposis sarcoma

Question 16

langerhans cells with

Answer 16

oral hairy leukoplakia

Question 17

mutation in hairy leukoplakia

Answer 17

G to A hypermutation in env env gene of HIV might occur in oral mucosa of this patient

Question 18

protease inhibitor does what

Answer 18

inhibits viral protein assembly

Question 19

kaposis is proliferation of what cell type + describe histo

Answer 19

ENDOTHELIAL ( which are spindle or oval shaped)

- red blood cells under microscope are mainly **extravasated from the ill-defined vascular spaces

Question 20

AZT is agianst

Answer 20

inhibits HIV viral reverse transcriptase

Question 21

secondary infection may slow healing involved with?

Answer 21

herpes zoster / varicella zoster virus

Question 22

do not need antifungal prophylaxis with what medication

Answer 22

acyclovir

Question 23

deposition of __ in erythema multiform

Answer 23

IgM and C3in SUPERFICIAL VESSELS

Question 24

think of ___ taking with erythema multiform

Answer 24

sulfonamides

Question 25

when do you need to use antifungal prophylaxis

Answer 25

when presccribe steroid

Question 26

may see decrease in hemoglobin in?

Answer 26

iron deficiency – tongue is more likely to be smooth and red (vs beefy red in pernicious anemia)

Question 27

scattered red lesions on the tongue - atrophic changes think

Answer 27

atrophic candidiasis

causes atrophic changes to the filiform papillae

Question 28

viral infection in the salivary gland and where?

Answer 28

mumps – parotid and submnadibular sublingual sometimes

by paramyxoviirus

Question 29

HIV infection in salivary glands?

Answer 29

unknown etiology
- parotid gland more likely

multicentric cyst in the salivary glands
CD 8 lympocytes

Question 30

salivary gland more afffeected in bacterial infection

Answer 30

parotid

because more bacteriostatic properties in submandibular saliva

Question 31

where does sialolithiasis occur and why? *

Answer 31

these are STONES

- submandibular glands have more viscous glycoprotein consistency of the secretions