Test 1

Question 1

In RA what happens to the synovial membrane?

Answer 1

inflamed

Question 2

TMJ involved in ___ percent of RA pts

Answer 2

75%

Question 3

Are prophylactic antibiotics needed in RA for joiont prostheses?

Answer 3

only if recommended by MD

Question 4

9 complications of RA.

Answer 4

1. digital gangrene
2. skin ulcers
3. muscle atrophy
4. sjogren’s syndrome
5. TMJ involvement
6. pulmonary interstitital fibrosis
7. pericarditis
8. anemia
9. thrombocytopenia

Question 5

RA causes destruction of condylar heads leading to what?

Answer 5

anterior open bite

Question 6

6 drugs for RA.

Answer 6

1. penicillamine
2. gold compounds
3. antimalarials
4. sulfasalazine
5. immunosuppressives
6. surgical mgmt

Question 7

salicylates, NSAIDS, penicillamine, antimalarials, sulfasalazine, immunosuppressives, and gold compounds all delay what?

Answer 7

healing

Question 8

These nodes are of distal interphalangeal joints in OA.

Answer 8

heberden’s nodes (bouchard’s nodes are proximal)

Question 9

Primary generalized OA appears most often in (men/women).

Answer 9

women

Question 10

4 analgesics that treat OA.

Answer 10

1. tylenol
2. ASA
3. NSAIDs
4. narcotics

Question 11

These 2 analgesics for OA may inc bleeding

Answer 11

1. ASA

2. NSAIDs

Question 12

[D] defect of bone quantity. Reduced mineralized bone mass. fragile bones that fracture. impaired healing.

Answer 12

osteoporosis

Question 13

5 risk factors for osteoporosis.

Answer 13

1. immobilization
2. multiple myeloma
3. excessive ionizing radiation
4. malnutrition
5. intestinal malabsorption

Question 14

How much vitamin D do men need a day?

Answer 14

1000mg

Question 15

Where’s the first place Osteoporosis appears?

Answer 15

jaws

Question 16

what should you recommend to pts w/ osteoporosis.

Answer 16

calcium supplements

Question 17

[D] painful joint dz caused by sustained elevation of uric acid in plasma.

Answer 17

gout

Question 18

[d] gout that has a genetic tendency.

Answer 18

primary gout

Question 19

[d] gout that is a direct complication of systemic dz or myeloproliferative syndromes, chemo, sickle cell anemia, or severe psoriasis.

Answer 19

secondary gout

Question 20

[d] most common autoimmune dz after RA. most common dz of salivary glands.

Answer 20

sjogren’s syndrome

Question 21

sjogren’s turns up in (m/f) more

Answer 21

female

Question 22

what’s the most prominent symptom of sjogren’s?

Answer 22

dry mouth

Question 23

3 differential diagnoses of sjogren’s

Answer 23

1. mumps
2. salivary gland neoplasm
3. drug-induced xerostomia

Question 24

Test used to test for sjogren’s.

Answer 24

schirmer test

Question 25

what's the prognosis for sjogren's?

Answer 25

good

Question 26

this lupus is chronic with erythematous scaly plaques on the face, scalp, or ears.

Answer 26

discoid

Question 27

lupus more common in (m/f)

Answer 27

female

Question 28

clinical features of SLE

Answer 28

1. anemia/leukopenia 2. arthritis 3. butterfly rash 4. renal involvement 5. cardiac involvement 6. oral lesions 7. psyciatric involvement

Question 29

[d] retention of excretory kidney products

Answer 29

uremia

Question 30

[d] glomerular filtration diminished 20-50% of normal

Answer 30

renal insufficiency

Question 31

[d] kidneys can't perform excretory, endocine, and metabolic functions.

Answer 31

renal failure

Question 32

3 most common causes of end-stage renal dz.

Answer 32

1. DM 2. HTN 3. chronic glomerulonephritis

Question 33

[d] causes renal osteodytrophy (localized enlargement of jaw).

Answer 33

end stage renal dz

Question 34

heparin is given during (hemodialysis/dialysis)

Answer 34

hemodialysis

Question 35

[d] when dialysis is needed on a long term basis.

Answer 35

hemodialysis

Question 36

How long do you delay dental tx following dialysis?

Answer 36

4 hours

Question 37

what are most dialysis infections caused by?

Answer 37

staph aureus

Question 38

Is prophylaxis recommended for hemodialysis pts w/ no known cardiac risk factors?

Answer 38

nope

Question 39

This blocks effects of heparin.

Answer 39

protamine sulfate