Test 1 Flashcards

1
Q

In RA what happens to the synovial membrane?

A

inflamed

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2
Q

TMJ involved in ___ percent of RA pts

A

75%

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3
Q

Are prophylactic antibiotics needed in RA for joiont prostheses?

A

only if recommended by MD

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4
Q

9 complications of RA.

A
  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
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5
Q

RA causes destruction of condylar heads leading to what?

A

anterior open bite

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6
Q

6 drugs for RA.

A
  1. penicillamine
  2. gold compounds
  3. antimalarials
  4. sulfasalazine
  5. immunosuppressives
  6. surgical mgmt
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7
Q

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

A

healing

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8
Q

These nodes are of distal interphalangeal joints in OA.

A

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

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9
Q

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

A

women

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10
Q

4 analgesics that treat OA.

A
  1. tylenol
  2. ASA
  3. NSAIDs
  4. narcotics
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11
Q

These 2 analgesics for OA may inc bleeding

A
  1. ASA

2. NSAIDs

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12
Q

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

A

osteoporosis

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13
Q

5 risk factors for osteoporosis.

A
  1. immobilization
  2. multiple myeloma
  3. excessive ionizing radiation
  4. malnutrition
  5. intestinal malabsorption
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14
Q

How much vitamin D do men need a day?

A

1000mg

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15
Q

Where’s the first place Osteoporosis appears?

A

jaws

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16
Q

what should you recommend to pts w/ osteoporosis.

A

calcium supplements

17
Q

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

A

gout

18
Q

[d] gout that has a genetic tendency.

A

primary gout

19
Q

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

A

secondary gout

20
Q

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

A

sjogren’s syndrome

21
Q

sjogren’s turns up in (m/f) more

A

female

22
Q

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

A

dry mouth

23
Q

3 differential diagnoses of sjogren’s

A
  1. mumps
  2. salivary gland neoplasm
  3. drug-induced xerostomia
24
Q

Test used to test for sjogren’s.

A

schirmer test

25
Q

what’s the prognosis for sjogren’s?

A

good

26
Q

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

A

discoid

27
Q

lupus more common in (m/f)

A

female

28
Q

clinical features of SLE

A
  1. anemia/leukopenia
  2. arthritis
  3. butterfly rash
  4. renal involvement
  5. cardiac involvement
  6. oral lesions
  7. psyciatric involvement
29
Q

[d] retention of excretory kidney products

A

uremia

30
Q

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

A

renal insufficiency

31
Q

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

A

renal failure

32
Q

3 most common causes of end-stage renal dz.

A
  1. DM
  2. HTN
  3. chronic glomerulonephritis
33
Q

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

A

end stage renal dz

34
Q

heparin is given during (hemodialysis/dialysis)

A

hemodialysis

35
Q

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

A

hemodialysis

36
Q

How long do you delay dental tx following dialysis?

A

4 hours

37
Q

what are most dialysis infections caused by?

A

staph aureus

38
Q

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

A

nope

39
Q

This blocks effects of heparin.

A

protamine sulfate