tet 2017 1 Flashcards
Dentoalveolar abscess
absces that penetrates through periosteum and be localized by the nearby local muscle attachments and form an abscess in soft tissue/ vestibular space and nearby muscles of facial expression
true of false
dentoalveolar abscess increase risk of mortality
true
CAP
Chronic Apical Periodontitis
chronic inflammation at apex of non vital tooth due to pulpal necrosis
CAA
Chronic Apical Absees
chronic inflammatory reaction to pulal inflammation & necrosis– fistula present on surface
usually asymptomatic
condensing osteitis
variant of CAP no signs symptoms
dermatosis papulosa nigra is similar to seborrheic keratosis
False similar to nevus
actinic keratosis
pre cancerous condition
describe by patches of. red skin with scaly , crusty rough surface o face
erythema migrates
areas of erythema devoid of filiform papillae of the tongue , surrounded by white or yellowish border
example of denture induced physical injury
inflammatory fibrous hyperplasia
also known as epulis fissuratum
what are the cardinal signs of inflammation:
tumor,rubor,calor, dolor
develops fast
Leukoplakia
white patch on oral mucosa which cannot b removed by scapin . cannot b attributed to any other diagnosable disease
readings less than____ are consider hypoglycemic
70 mg/dl
diagnosis definition
the act of identifying disease from sings an symptoms
reversible pulpits
pulpalgia with transient toothache on stimulus such as sweet, hot and cold
resolved with decay removal & restoration
Irreversible pulpits
pulpalgia with spontaneous toothache aggravated by stimulus that last for hrs
Proceeds to partial or Complete Pulpal Necrosis
Hyperplastic pulpitis
symptoms free
signs: pulp polyp ; a red bulb of pulpal tissue in decaying cavity
common in young after crown of tooth decays
Pulpal necrosis
results from irreversible pulpitis
MOST COMMON SEQUELA OF DENTAL DECAY
what is the histology of AAA
Acute Apical Abscess
Histology : neutrophils, edema, pus
true or false
arrested lesions are more resistant to caries
true
they can also be brown but will be hard
why can fluorescence be used in caries protection
uses blue green light because
Difference in fluorescence is easier to detect allows better observation of sound site
chief complaint
the main problem for which the patient is seeking help or treatment
history of present illness
then course of the patients CC
its a story of the patients chief complaint
should b recorded in the form of a narrative OLDCARTS
break down the OLD CART acronym
Onset Location Duration Character Aggravating factors Relieving factors
prolonged post exposure bleeding is defined as
active bleeding beyond 24hrs
true of false
leukoplakia is a cancerous condition
true
Angiotensin converting enzyme inhibitors
ACE inhibitors: expand blood vessels and decrease resistance
Lisinopril enalapril Benazepril
Angiotensin 2 receptor antagonist
produce effects similar to ACE inhibitors
Beta blockers
decrease heart rate and cardiac output, which lowers blood pressure.
propranolol , metoprolol
calcium channel blockers
interrupt the movement of calcium into heart and vessel cells to decrease the pump force of the heart
side effects of high blood pressure meds
orthostatic hypotension dry mouth angiodema orofacial region lichenoid mucositis taste alteration gingival enlargement
diabetes treatment agents
sulfonylureas-pancrease
alpha glucosidase-stomach and intestines -slow sugar brk
Biguanides-liver
thiazolidinediones- body cells
long actin broncodilator
salmetrol xinafoate
what is a comprehensive diagnosis
medical conditions
dental diagnosis
caries risk assessment
soft tissue lesion diagnosis
sensitivity to sweet and cold is a symptom of
dentin sensitivity
reversible pulpits
what is the most common cause of pulpitis
dental caries
condensing osteitis presents as
PA radioPACITY
the most common cause of deep neck infection
odontogenic infection
OCT
uses light to capture micrometer resolution 3d images
great 4 early caries detection
clinical diagnosis
or tentative diagnosis/working diagnosis
MOST LIKELY ONE
prognosis
the forecast as to the probable outcome of an attack of disease an expectation
Disease
Any deviation or interruption of normal function of any part, organ or organ system. have characteristic signs and symptoms
Pathology
study of changes disease makes to the body “FOOTPRINTS” of the disease
ITP
idiopathic thrombocytopenia purpura
TTP
idiopathic thrombotic thrombocytopenic purpura
Define oral diagnosis
Data collection and analysis to establish diagnosis that link oral conditions to certain systemic diseases
true or false
only ICD codes are valid on insurance claims
true
major component of health assessment/ diagnosis
History
Physical Examination
Medical consultation
Specialized exam results
fordyce granules
cluster of yellow spots granular looking1
1-2 mm in diameter on buckl mucosa
represent sebaceous gland in mucosal sites
erythema migrans
area of erythema devoid of filiform papillae of tongue
bald tongue
reactive.deg
associated with iron deficiency anemia, sjogrens syndrome, submucosal fibrosis
gingival enlargement due to drug reaction is an example of
reactive / degenerative reaction
also lichen Planus
