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GMDC > to know > Flashcards

to know Flashcards

1
Q

incidence of viral infections with HIV serotype positive patients?

A

YES– lik EBV which can cause oral hairy leuoplakia in up to 38% of HIV + patients

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2
Q

EBV can cause?

A

oral hairy leukoplakia

does NOT rub off like oral thrush would

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3
Q

HIV malignicies to keep in mind

A

squamous cell carcinoma

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4
Q

squamous cell carcinoma associated with?

A

HPV infection

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5
Q

major AIDS defining condition that may be present in the oropharynx?

A

histoplasmosis
- disseminated or extrapulmonary

fungal lung infection

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6
Q

describe OA

A

chronic joint failure

- degradation of cartilage and bone with minimal inflammation, resulting in pain and immobility

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7
Q

who gets OA? risk factors?

A

80%of people over 50 show radiographic signs and 80% of people over 75 have synptomatic

  • age
  • genetics
  • excess weight
  • Trauma
  • inflammation
  • joint instability - malalignment
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8
Q

% of OA that is hereditary

A

65% of primary is inherited

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9
Q

signs of OA

A

bony enlargments

  • nodes
  • with or without inflammatory joint effusions
  • crepitus with range of motion
  • restricted range of motion
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10
Q

joint deformaties in RA

A

ulnar drift of metacarpopha;angeals

subluxation of wrists

swan-neck

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11
Q

main description of SLE

A

MULTI-SYSTEM AUTOIMMUNE DISEASE

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12
Q

what should be held morning of a procedure with a bleeding condition?

A

aspirin

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13
Q

Sjorgens syndrome can be secondary to what? NOT secondary to what?

A

NOT
- Osteoarthritis

Can be from

  • Rheumatoid Arthritis
  • Systemic Lupus
  • Scleroderma
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14
Q

post-procedure hyperglycemia best treated by?

A

subcutaneous insulin

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15
Q

HB1Ac level above what you should defer elective treatment?

A

if above 9

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16
Q

diagnosis of diabetes can be made from?

A

Fasting plasma glucose above 126 mg/dl

hemoglobin Aic above 6.5%

plasma glucose above 200 after a 75 carbohydrate intake

symptoms and random glucose above 200

17
Q

major adverse side effect of not controlling glucose levels in the blood

A

retinopathy
ALSO
- neuropathy
- nephropathy

18
Q

which psychiatric disorder has the highest prevelance rate?

A

alcoholism

then major depressive

19
Q

what do you not include in treatment for asthmatic patients

A

adrenergic blockers

20
Q

system used for diagnosing psychiatric disorders

A

multi-axial diagnosis

21
Q

basic psychiatric presentation in dental practice

A

burning mouth syndrome
pain
- pt presents with features which may be due to underlying emotional disturbance

22
Q

major premise behind dental anxiety

A

it is the persons PERCEPTION of situation rather than the pain itself that is crucial for the development of dental anxiety

23
Q

most lethal psychiatric disorder

A

eating disorder

24
Q

T/F oral cancer is associated with increased risk of suicide

A

TRUE

25
Q

second leading cause of disability worldwide?

A

major depressive disorder

26
Q

mnemonic for diagnosing depression

A

SIG E CAPS

  • sleep disturbance
  • interests declined
  • guilt
  • energy decreased
  • cconcentration decreased
  • appetite disturbance
  • psychomotor - agitation or retardation
  • suicidal thoughts
27
Q

how to diagnose depression - timeline

A

4 or more symptoms with depressed mood or anhedonia (inability to feel pleasure) for more than two weeks

28
Q

mnemonic for diagnosing bipolar

A

DIG FAST

29
Q

diagnosis of schizophrenia

A

2 or more of the following for most of 1 month

social / occupational dysfunction

duration of at least 6 months

30
Q

diagnosing generalized anxiety disorder

A

persistent feelings of anxiety, most of the day, most days for over 6 months

31
Q

*diagnosing substance abuse disorders

A
  1. Mild –> two or three symptoms
  2. moderate –> three or four symptoms
  3. severe –> five or six sympoms
32
Q

how to screen for alcohol use

A

CAGE questions
C– tried CUTTING down?

A – gotten ANGRY when someone asks about drinking?

G – GUILTY feeling at all?

E –> needed an EYE OPENER?

if 3 yes – all are abusers or dependent

33
Q

Cluster A is

A

paranoid schizoid and schizotypal

34
Q

cluster B

A

antiscoial, narcissistic

35
Q

cluster C

A

avoidant , dependent, Obsessive compulsive

36
Q

major dental manifestations of drinking

A
  1. bruxism
  2. gingivitis
  3. abscesses
37
Q

major findings with marijuana use? meth? cocaine?

A

marijuana - gum disease

meth - decay

cocaine - dental erosion, dry mouth

GMDC (15 decks)

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