2015/2016

Question 1

How to manage pt with MI?

Answer 1

-100% oxygen 151 Per mins
-GTN spray 400mgunder tongue , repeat after 3mins if pain consists
-call999
-aspirin 300mg
DR ABCDE

Question 2

Mucous extravation cyst?

Answer 2

-ruptured gland so mucus into connective tissue
-lined by inflamed granulation tissue and filled with mucous and macrophages in the lumen
- young patients lower lip can reoccur

Question 3

Mucous retention cyst?

Answer 3

• blockage of duct
  Lined by ductal epithelium ,fibrous connective tissue lumen has mucous
  Older patients
  FOM and buccal mucosa

Question 4

Odontogenic keratocysts- histology?

Answer 4

-parakeratinised epithelium
-loss of rete ridges
-less inflammatory cells as developmental cyst
-daughter cysts in the wall causing recurrence ,keratin in lumen

Question 5

How to treat trigeminal neuralgia ?

Answer 5

-educate,reassure,CBT,acupuncture, physiological support
-meds: carbamazepine ,gabapentin,phenytoin, pregablin
Surgery like micro vascular decompression so more than 80%pain relief, ganglion procedure,cryoanalhesia

Question 6

What is trigeminal neuralgia?

Answer 6

-unilateral severe sharp transient brief intense stabbing ,
-can be idiopathic or secondary toothier CNS disease
-triggered by touch wind shaving washing
-pressure on nerves by cysts or vessels