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theme 7 Flashcards

1
Q

what type of pathogens are candida

A

opportunistic

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2
Q

6 types of oral candidiasis

A
  1. erythematous candidiasis
  2. pseudomembranous candidosis
  3. hyperplastic candidosis
  4. denture induced stomatitis
  5. median rhomboid glossitis
  6. angular chelitis
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3
Q

clinical features of erythematous candidiasis

A

red tongue due to diffuse loss of filiform papillae

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4
Q

deficiencies causing erythematous candidiasis

A

low serum, vit b12, folate, iron

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5
Q

main cause of erythematous candidiasis

A

post-abx use

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6
Q

what sensation may erythematous candidiasis cause

A

burning

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7
Q

most common type of candidiasis in immunosuppressed patients

A

pseudomembranous candidosis

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8
Q

what is hyper plastic candidosis

A

white plaque infiltrated with candida hyphae

possible dysplasia + malignancy

seen in heavy smokers

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9
Q

3 classifications of denture induced stomatitis

A
  1. localised erythema or pinpointed hyperaemia
  2. generalised erythema of most/all denture bearing area
  3. central part of palate - palatal papillary hyperplasia
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10
Q

what is denture induced stomatitis associated with

A

angular chelitis

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11
Q

pathogens associated with angular cheliitis

A

Candida albicans, staphylococcus aureus +/- streptococci

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12
Q

4 predisposing factors to angular chelitis

A
  1. decreased vertical dimension
  2. iron deficiency
  3. hypo-vitaminoses - B
  4. malabsorption states - crohns
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13
Q

what herpes virus is associated with oral

A

HSV1

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14
Q

what herpes virus is associated with genital

A

HSV2

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15
Q

where dos HSV1 remain latent

A

trigeminal ganglion

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16
Q

2 age related peaks of primary herpetic gingivostomatits

A
  1. childhood - 6month-5yrs

2. early twenties

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17
Q

3 manifestations of HSV1 orally

A
  1. primary herpetic gingivostomatitis
  2. cold sores
  3. recurrent intraoral herpetic infection
18
Q

clinical features of primary herpetic gingivostomatitis

A

gingivitis
diffuse purple boggy steeling of free + sometime attached gingivae
anterior>posterior
stomatitis - 1-2mm blisters

accompanied by fever, malaise, loss of appetite, hyperslivation

19
Q

clinical features of recurrent herpetic infection

A

usually on keratinised surfaces
small crop of ulcers, mildly painful
tend to coalasce
<10days

20
Q

which herpes virus causes chickenpox/shingles

A

HSV-3

varicella zoster

21
Q

where are chickenpox mouth ulcers not found

A

not on gingiva - distinguishable from HSV1

22
Q

herpes virus associated with EBV infection

A

HSV4

20-40 day incubation

23
Q

oral manifestations of EBV

A

soft palate petechiae

whitish exudate on oedemaotosus tonsils

24
Q

definite diagnosis of hairy leukoplakia

A

detection of EBV in epithelial cells with in sity-hybridisation

25
herpes virus associated with cytomegalovirus
HSV5
26
clinical oral manifestations of CMV/HSV5
ulcers indistinguishable from aphthae
27
herpes virus associated with kaposis sarcoma
HSV8
28
oral manifestations of kaposis sarcoma
early - red/purple/brown spots long standing - bluish, nodular, ulcerate palate + gingivae
29
oral manifestation of HPV
HPV 13 + 32 focal epithelial hyperplasia - multiple flat/soft/elevated papules red or white spontaneous resolution
30
what virus causes hand foot and mouth disease + herpangia
cocksackie virus
31
clinical manifestation of hand foot and mouth disease
oral ulcers resembling herpetic stomatitis but without gingivitis
32
clinical manifestation of herpangia
pharyngeal ulcers moderated cervical lymphadenopathy fever, malaise, irratability, anorexia, vomiting
33
4 stages of syphillis and main features
primary - chancres secondary - rash + mucous patches latent tertiary - gummaotous (granulomatous effecting many organs and hard palate)
34
Hutchinson's triad of congenital syphilis
deafness noticed incisors ocular interstitial
35
bacteria causing syphilis
treponema pallidum
36
what TB is associated with oral TB lesins
primary - ulcers of tongue | secondary - ulcers/nodules tongue + HP
37
what TB is associated with head + neck TB lesions
secondary
38
bacteriological diagnosis of TB
acid fast bacilli on microscopic examination + on culture ziehl-neelson staining)
39
what is actinomycosis
rare chronic granulomatous disease causes by actinomycetes SPP
40
clinical manifestation of actinomycosis
slowly progressive painless indurated mass evolves into multiple abscesses with draining sinus on skin or oral mucosa yellow purulent material discharges from sinuses
41
what does biopsy of actin mycosis find
outer zone of granulation | central zone of necrosis

Oral Diseases (14 decks)

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