StudentRDH Quizzes & MOCK Flashcards
REGIONAL ODONTOPLASIA

“Ghost-like teeth”
Thin enamel and dentin

MULTIPLE NEUROFIBROMAS
Papules on skin and eyelids
DOWN SYNDROME
Class III Oclussion
Delayed exfoliation
Perio
Fissured tongue
SHINGLES
Varicella zoster virus Unilateral Painful
LEUKOEDEMA
Gray opaque on cheeks disappears when stretched African American

SQUAMOUS CELL CARCINOMA
May look white tobacco and alcohol Floor of mouth & lateral tongue

CYCLIC NEUTROPENIA
inherited every 21-27 days lasts 2-3 days cleanings when count is normal
BLACK HAIRY TONGUE
keratine on filliform papilla prolonged use of hydrogen peroxide
FIBROUS DYSPLASIA
“ground glass” “cafe-au-lait” bone enlargement

PAGET’S DISEASE
“Cotton wool” bone resorption

CHERUBISM
hereditary “chubby cheeks” not painful

THALASEMIA
hereditary anemia
“hair on end”
** hair on end also seen in sickle cell anemia

ERYTHEMA MULTIFORME
“target or bulls eye”
explosive onset
steven-johnson syndrome

PHEMPHIGOUS VULGARIS
autoinmune
mouth,skin,genitals

HAIRY LEUKOPLAKIA
Epstein Barr virus
side of tongue
white, fuzzy, rough
looks like candidiasis

MANDIBULAR DYSOSTOSIS
(Treacher Collins)
“fish like”
high palate, open bite
deaf

CLEIDOCRANIAL DYSPLASIA
mushroom head
supernumeratry teeth
narrow body

CONGENITAL SYPHILIS
treponema palladium
hutchinsons teeth/mulberry molars
mother to child

MEDIAN RHOMBOID GLOSSITIS
rhomboid spot in midline
fungal
no yellow borders (like geographic tongue)

NEVOID BASAL CARCINOMA
inherited
dark pits on skin
causes odontogenic keratocyst

GARDNER SYNDROME
Polyps in intestine
osteomas/odontomas

SYPHILIS
treponema palladium
- chancre (contagious- few weeks)
- mucous patches (MOST contagious-6 wks)
- Gumma ( years- NOT contagious)
COMPOUND ODONTOMA
anterior maxilla
“many small teeth”
radilucent halo

COMPLEX ODONTOMA
posterior mandible
doesnt look like a tooth

MELANOCYTIC NEVUS
dark macules
benign

HERPANGINA
coxsackie virus
also: hand-foot-mouth disease

PERIAPICAL LESIONS
periapical granuloma- non vital
periapical cyst- non vital, trauma/caries
periapical abcess- vital, pain
EPULIS FISSURATUM
caused by dentures

VON RECKLINHAUSEN
(Neurofibromatosis)
neurofibroma on tongue
benign nerve tumor

PAPILLOMA VIRUS
papilloma
verruca vulgaris
condyloma acuminatum
AMELOBLASTOMA
“soap bubble or honey comb”
odontogenic, radiolucent
GLOBULOMAXILLARY CYST
“pear shaped”
max laterals

NASOPALATINE CYST
“heart shaped”
40-60yo males

DENTIGEROUS (FOLLICULAR) CYST
follicle around crown
unerupted 3rd molars

PRIMORDIAL CYST
in place of tooth
radiolucent

SJOGREN SYNDROME
autoinmune
xerostomia and xerophtalmia (dry eyes)
SICCA SYNDROME (dry mouth and eyes)
IMPETIGO
contagious skin infection- need antibiotics
children, looks like herpes
2-3 wks heals on its own
quaratine, affects kidneys

HIV
drugs ending in “ine”
candiasis
hairy leukoplakia (eppstein barr)
kaposi sarcoma (herpes)
linear gingival erythema (2-3mm wide, no plaque)
SIMPLE BONE CYST
traumatic
ppl in their 20’s
goes away on its own

PAPILLON LEFEVRE
rare, genetic 1-5 yo
dry skin, palms and soles
if left untreated, teeth fall out by 17
excessive sweating
EHLER’S DANLOS SYNDROME
TMJ dysfuction
abnormal dentin & pulp shape
(overly flexible skin & joints)
CUSHING’S SYNDROME
“buffalo hump & moon face”
excess adrenocorticosteroids
weight gain
ADDISON’S DISEASE
(hypo pituitary)
hyperpigmentation
orthostatic hypotension
REYE’S SYNDROME
swelling of brain and liver
children and teenagers taking aspirin when recovering from flu
DIABETES INSIPIDUS
kidneys cant conserve water
HERPES SIMPLEX VIRUS
chicken pox
shingles
infectious monocleosis

HAPTEN
not inmunogenic but reacts with specific antibody
INTERLUKIN
cytokine that affects lymphocytes
DX FOR RADIOLUCENCY ON MAND 3RD MOLAR AREA
ameloblastoma
residual cyst
odontogenic keratocyst
PARKINSON’S
lack of dopamine
bradikinesia, tremors & shuffling gait
blinking
NON-NUTRITIVE SWEETENERS
Aspartame- equal
Sucralose- splenda
Saccharin- sweet n low
RECOMMENDED PORTIONS FOR ADULT
APPROXX
carbs: 50%
protein: 20%
fat: 30%
***for kids about the same but more fat (40%)
CARIES PROCESS
- plaque: sugar (dextran)
- acid: S. mutants convert sugar to lactic acid
- pH is lowered
CRITICAL pH FOR CARIES
enamel: 4.5-5.5
cementum: 6 -6.7
normal 6.7-7
DIGESTION
MOUTH: amylase (starch)
STOMACH: pepsin (protein)-> 1-3pH empty, 4-5pH full
SM INTESTINE: lipase (lipids)-> water absorption 8pH
LG INTESTINE: absorbs everything else except water
EPINEPHRINE EFFECTS
(vasoconstictor)
- reduce bleeding
- reduce adverse reaction
- reduce & slows systemic distribution
LOCAL ANESTHETICS
vasodilator
blocks sodium influx
MOST COMMON PRE-MEDICATION
Amoxicillin 2g or 2000mg/ 1 hr before
if allergic : clindamycin 600mg / 1 hr before
DEPRESSANT
alcohol, opioids, heroin
PUPILS: pin point - miosis
STIMULANTS
cocaine, nicotine
PUPILS: dilated- mydriasis
PILOCARPINE
treats xerostomia
overdose: causes excessive salivation
PHARMACOKINETICS
“what the body does to the drug”
absorption
distribution
metabolism
elimination
PHARMACODINAMICS
“what the drug does to the body”
ACETAMINOPHEN
tylenol
pain & fever
IBUPROFEN
Aleve
pain, fever & inflammation
METRONIDAZOLE OR TETRACYCLINE
treat perio
causes black hairy tongue
metallic taste
NO MILK, ANTACIDS OR IRON
LEVOTHYROXINE
hypothyroidism
PROPYLTHIOURACIL (PTU)
hyperthyroidism
radioactive iodine
DRUG SCHEDULE
enforced by DEA
classified by dependence
I. no medical use
II. Opioids (severe)
II Tylenol 3 (moderate)
IV. Valium (low)
V. cough syrup
LOCAL ANESTHETIC SAFETY CATEGORIES
A. SAFEST
B. Prilocaine & lidocaine (pregnant lady) —> no fetal effect
C. Mepivicaine—-> animal effect
D.
E. Temzepan —-> fetal effect
NITROUS CONTRAINDICATED FOR:
- pregnant
- COPD
- hepatitis
- cystic fibrosis
- substance abuse
- mentally unstable
CYCLOSPORINE
sandimune
used for transplants
gingival hyperplasia
PHENYTOIN
used for seizures
gingival hyperplasia
CALCIUM CHANNEL BLOCKERS
used for hypertension
gingival hyperplasia
MRD FOR HEALTHY PATIENT
0.2mg epi/11 cartidges 1:100
MRD FOR COMPROMISED PATIENT
0.04mg epi/ 2 cartridge 1:100
ESTERS
PLASMA
unstable, allergy
(have 1 “i”)
procaine, tetracaine, benzocaine
AMIDES
LIVER
stable, no allergy
(have 2 “i”)
lidocaine, mepivacaine, articaine, prilocaine, bupivicaine
what causes depression?
low serotonin and norepinephrine
HYPOTHALAMUS
regulates body temp
THALAMUS
regulates motor functions
CEREBRUM
largest part of brain
(2/3)
CEREBELLUM
“cerebrum assistant”
regulates body movement
CEPHALOSPORINE
hip joint replacement
CONCERTA
ADHD
ALBUTEROL
asthma
beta 2
DILIATEZAM & VERAPAMIL
calcium channel blockers
(these are the exception to the “pine” rule)
METHYLPREDNISONE
addisons disease
DIGOXIN
Congestive heart failure (CHF)
makes the heart work more efficiently
ATORVASTATIN
LIPITOR
high cholesterol
QUESTRAN
cholesterol
NYSTATIN
oral candidasis
ACYCLOVIR
HIV, herpes 1&2, eppstein, barr, shingles, tb
(retroviral)
DIPROPIONATE
asthma
inhibitor/antinflammatory
mast cells
DILANTIN
FLUTICASONE
PREDNISONE
corticosteroid
arthritis, allergies, skin infections
crohn’s disease
NON-SELECTIVE BETA BLOCKERS CONTRAINDICATED FOR:
asthma patients
beta1: contracts heart
beta 2: relaxed lungs
THERAPEUTIC INDEX
PRE-MEDICATION PROTOCOL RECOMMENDED FOR:
arificial heart valve
hx of infective endocarditis
dyalisis shunt
prosthetic (6 months)
unrepaired heart
BACTERIOSTATIC
sulfa, macrolides, tetracycline, clindamycin
BACTERICIDAL
antibiotics
ANTERIOR PITUITARY
“flat peg”
FSH
LH
ACTH
TSH
Prolactin
E
Growth hormone
POSTERIOR PITUITARY
ADH (vassopressin)
oxytocin
LASIX
antyhypertensive
TAGAMET
RANITIDINE
peptic ulcer, reflux
KAOLIN
also: LOPERA, PEPTOBISMOL
diarrhea
PARASYMPATHETIC
“REST & DIGEST”
choligernic
> muscurinic
> nicotinic
PREGNANCY GINGIVITIS
P. intermedia
CHRONIC PERIO
P. gingivalis
forsythia, denticola
AGGRESSIVE PERIO
A. A
PERIODONTAL DRESSING
protects wound
removed 5-7 days
DOES NOT SPEED UP HEALING
BONE GRAFT TYPES
AUTOGRAFT: self
ALLOGRAFT: other person
XENOGRAFT: animal
ALLOPLAST: synthetic
PROGNOSIS (McGuire)
VERY GOOD: <25%
GOOD: <25% + class I furca
FAIR: 25-50% + class I furca
POOR: 50-75% + class II, III furca + mob
HOPELESS: >75% + class III furca + mob
GRAM NEGATIVE
double wall
NOT PURPLE
perio
GRAM POSITIVE
one wall
PURPLE
PARTS OF THE PERIODONTIUM
- alveolar bone
- cementum
- PDL
- gingiva
EPITHELIAL CELLS OF MALASSEZ
leftover of HERS
near cementum
can cause tumors
SUPRABONY POCKET
coronal to alveolar bone
horizontal bone loss
INFRABONY POCKET
apical to alveolar bone
vertical bone loss
EMBRASURE TYPES
TYPE I: fills embrasure
TYPE II: doesnt fill embrasure
TYPE III: missing
PERIODONTAL DISEASE STATISTICS
67 million americans
toot loss over 45 yo
CEMENTOENAMEL JUNCTION
cementum overlaps (common)
cementum meets (less common)
gap (rare)

ERUPTION SEQUENCE OF PERMANENT TEETH
“Mama Is In Power, Papa Cant Make Mistake”
Molar1 : 6-7
Incisor1 7-8
Incisor2 8-9
Premolar1 9-10
Premolar2 10-11
Canine 11-12
Molar2 12-13
Molar3 17-21
ERUPTION SEQUENCE OF PRIMARY TEETH
(n X i)
“7+4 rule”
7 mo= 1 tooth
11mo= 4 teeth
15mo= 8 teeth
19mo= 12 teeth
23mo=16 teeth
27mo= 20 teeth

PAROTID GLAND
Stensen’s duct
25% flow
SUBMANDIBULAR GLAND
Wharton’s duct
65% flow
SUBLINGUAL GLAND
Bartholins duct
10% flow
STERNOMASTOID ATTACHMENT
attaches to the mastoid process of temporal bone
CRANIAL NERVES
“On Occassion Our Trusty Truck Acts Funny, Very Good Vehicle Anyhow”
“Some Say Marry Money But My Brother Says Big Brains Matter More”
I. Ophtalmic VII. Facial
II. Optic VII. Vestibular
III. Ocular IX. Glossopharyngeal
IV. Throchlear X. Vagus
V. Trigeminal XI. Accessory
VI. Abducens XII. Hypoglossal

WHAT INNERVATES THE PHARYNX?

WHAT INNERVATES THE PALATE
All muscles of the palate are supplied by the vagus
..Except tensor veli palatani.
Why? Because it’s a tensor!
All muscles in the head beginning with “tensor” are supplied by V3
FACIAL NERVE BRANCHES
“The Zebra Bit My Cow”
Temporal: forehead
Zygomatic: nose, upper lip
Buccal: cheek, upper lip, corners of lips
Mandibular: lower lip & chin
Cervical: platysma
WHAT INNERVATES THE TONGUE
9: post 1/3 taste & sense
7: ant 2/3 taste
5: ant 2/3 sense
(5+7=12) <strong> </strong>12 ant 2/3 motor

ANTERIOR HARD PALATE
NASOPALATINE
canine to canine
SOFT PALATE AND TONSILS
BRANCHES OF THE EXTERNAL CAROTID (blood supply)
(4, MFLO)
MAXILLARY
FACIAL
LINGUAL
OCCIPITAL

POSTERIOR PALATE
GREATER PALATINE NERVE
POSTERIOR SUPERIOR ALVEOLAR (PSA)
MAXILLARY ARTERY SUPPLIES:
muscles of mastication
goes through parotid
MAXILLARY ARTERY
(crosses parotid)
MANDIBULAR: IA (mandible)
PTERYGOID: names of muscles of mastication
PTERYGOPALATINE (name of blocks)

PTERYGOPALATINE
(3rd branch of maxillary artery)

WBC
NEUTROPHILS: first to arrive, most abundant
MONOCYTES: second, become MACROPHAGES
Lymphocytes: second most abundant
(B cells ,T cells and killer cells
SMILING AND LAUGHING MUSCLE
Zygomatic muscle
WHAT IS THE FLOW OF TEARS
- FORNIX CONJUNCTIVA
- LACRIMAL PUNCTA
- NASOLACRIMAL SAC
- INFERIOR NASAL MEATUS
Radiolucency in jaw: all multilocular
MACHO
M- myxoma
A- ameloblastoma
C- central giant cell granuloma
H- hemangioma (blood vessel)
O- OKC, orthokeratinizing odontogenic cyst
Nevoid basal cell carcinoma syndrome
resorption or displacement of teeth may occur