Responding To Symptoms

Question 1

What are the Referral criteria for mouth ulcer

Answer 1

Persistent - 3 weeks
Weight loss
With persistent diarrhoea
Drug induced - nsaids, cytotoxics , sulfasalazine

Question 2

What is the treatment for mouth ulcer

Answer 2

Chlorhexidine mouthwash (corsodyl) for prevention of secondary infection

Bonjela - choline salicylate
Anbesol - lidocaine
Iglu - lidocaine
Difflam - benzydamine (local analgesic)

Question 3

What are Chlorhexidine side effects

Answer 3

Reversible brown staining of teeth
Discolouration of tongue
Taste disturbance

Question 4

Which deficiency increases chance of mouth ulcer

Answer 4

Iron
Folate
Zinc
Vit B12

Question 5

Oral hygiene advice when using chlorhexidine

Answer 5

Brushing teeth before reduce staining
But do not rinse thoroughly afterwards

It might be incompatible with ingredients in toothpaste so wash thoroughly with water between toothpaste and chlorhexidine products

Question 6

What are the symptoms of periodontitis

Answer 6

Bad breath
Unpleasant taste
Loose teeth
Gum abscesses

Question 7

What is periodontitis

Answer 7

When gingivitis is untreated and the tissue and bone that support teeth becomes affected

Question 8

What is the treatment of oral thrush in babies

Answer 8

Daktarin oral gel (miconazole)
Apply 4 times a day after food and continue for 1 week after symptoms disappear
(>4months old)

Question 9

Which interaction with miconazole should pick up

Answer 9

Anticoagulants

⬆️risk of bleeding

Question 10

What is the duration of use of topical decongestants

Answer 10

Max 1 week

Because risk of rebound congestion

Question 11

Which are the old and new antihistamines

Answer 11

Old - chlorohenamine, promethazine

New - loratidine, cetirizine, acrivastine

Question 12

When should antihistamines be avoided

Answer 12

Epilepsy
Glaucoma
Prostatic hypertrophy
Bc ⬆️of urinary retention, seizures, high intra pressure

Question 13

Which are expectorants

Answer 13

Guaifenesin
Squill
Ammonium chloride
Ipecacuanha

Question 14

Which type of cough is more common in viral infection

Answer 14

Dry

Question 15

Cough suppressant are not advised to be used when

Answer 15

Productive cough bc may lead to accumulation of mucus in lungs

Question 16

Treatment ms of sore throat

Answer 16

Difflam (benzydamine)
Gargling dispersible aspirin
Ultra chloraseptic
Cerylpyridium (antiseptic) lozenges/pastilles
Glycerine pastilles (demulcents)