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Princples of Oral Med > 2021 Final > Flashcards

2021 Final Flashcards

(62 cards)

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1
Q

What cardio diagnosis can diet modifications help?

A

HTN and CAD

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2
Q

What is the least likely differential diagnosis for Steven-johnson syndrome?

  • pemphigus vulgaris
  • paraneoplastic pemphigus
  • mucous membrane pemphigoid (cicatricial)
  • bullous pemphigoid
  • actue herpetic gingivostomatitis
  • stomatitis medical mentos
  • lichen planus
A

lichen planus (NOT A DIFFERENTIAL DX FOR SJS)

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3
Q

Atherosclerosis affects:

A

coronary arteries

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4
Q

What does this help with?

A

Tissue AUTOfluorescence: Helps to distindguish:

  • the lesion mucosa and healthy mucosa
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5
Q

axis 1 means:

(orofacial pain lecture)

A

physical

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6
Q

axis 2 means:

(orofacial pain lecture)

A

psychological

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7
Q

Where can benign mucous membrane pemphigoid can cause lesions?

A

ocular

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8
Q

What treatment should be used for rheumatoid arthritis treatment?

A

Systemic medications and bilane splints therapy?

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9
Q

What is true about tissue autofluorescence?

a- dysplasia and malignant lesion looks different
b- requires training and certificaton
c- not ionizing radiation

A

NOT ionizing radiation

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10
Q
A

Tissue autofluorescence; foci fluoresces= middle bright spot surrounded by dark outside

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11
Q

Which of the following presents as an oral lichen-plants like lesion?

A

lupus erythematosus

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12
Q

A patient with a hip joint replacement is allergic to PCN. What is the biggest concern with the patient taking clindamycin?

A

antibody resistance

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13
Q

Erythema Multiforme has which of the following?

1- sub epithelial damage
2- intraepithelial damage
3- desmoglein 1 & 3
4- BP 180 & BP 230

A

intraepithelial damage & Demsoglein 1 & 3

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14
Q

Mucous membrane pemphigoid has which of the following?

1- sub epithelial damage
2- intraepithelial damage
3- desmoglein 1 & 3
4- BP 180 and BP 230

A

subepitthelial damage & BP 180 &230

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15
Q

T/F: A fluoride tray should be fabricated for patient receiving radiation and should be used for 10 minutes a day. These fluoride trays only need to be used for a few months after radiation therapy because xerostomia is only a short time issue.

A

S1- True
S2- False

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16
Q

T/F: For IV bisphosphonates, a drug holiday is typically recommended for 2-3 months before extraction and up to 2-3 months after extraction. This is so that bisphosphonates in the blood will not be incorporated into the bone.

A

S1- false (should be 3 months)
S2- true

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17
Q

Which of the following is true of Coumadin (Warfarin)?

A

Ideal INR for treatment is 2-3

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18
Q

Which of the following is a SYMPTOM of asthma?

A

chest tightness

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19
Q

Which of the following cells are responsible for incorporating bisphosonates into the bone?

A

osteeoblasts

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20
Q

Which of the following has NOT been found in vaping aerosol?

A

Large particles

(heavy metals, volatiles organic compounds & nicotine have been found

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21
Q

Which demographic has the HIGHEST use of e-cigs?

A

high schoolers

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22
Q

T/F:

E- cigs are better because they have less nicotine than cigars. Nicotine causes coronary vasoconstriction and heart rate depression.

A

S1- true
S2- false

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23
Q

What is the etiology of primary HTN?

A

genetics

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24
Q

Pain in chest after rest or little exertion:

A

unstable angina

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25
Which of the following causes bleeding?
plavix (anti-platelet & ASA)
26
Which of the following is the antidote for Coumadin (warfarin)?
Vitamin K
27
Hypotension syndrome is an issue during what trimester of pregnancy?
third trimester
28
Gestational diabetes should be treated like:
type 2 DM
29
Lifestyle management of hypertension?
Increase fiber
30
Which of the following drugs are used to treat arhythmias?
anticoagulants
31
Compare BP of pregnant woman to non-pregnant woman
Pregnant women BP = higher
32
Atherosclerosis is associated with :
dementia
33
Which of the following is an INCORRECT statement regarding patients taking Coumadin (warfarin)?
bleeding during treatment should be prevented with pharmacotherapy
34
What is true about CVD?
most people have more than 1 CVD
35
Which of the following are MICROvascular changes in DM?
decreased bladder control & blindness
36
AHA says to use this antibiotic for cardiac patients:
amoxicillin
37
If you can't take PCN, the AHA says to take:
clindamycin
38
What is the maximum permissible dose (MPD) for a NON-occupational person?
5 msv, 500mREM
39
What is the maximum permissible dose for an occupational person?
50msv; 5,000mREM
40
What is the maximum permissible dose for an occupational pregnant woman?
same as non-occupation person (5msv or 500mREM)
41
Which of the following increases biological effects of radiation?
increased oxygen levels AND young patients
42
What is the protocol for prescribing X-rays to a pregnant woman?
indicated for acute dental pain (emergencies)
43
Which of the following is an example of natural ionizing radiation?
Radon (most %)
44
What is an example of background ionizing radiation?
cosmic
45
What is the maximum amount of radiation that will not produce any serious, harmful, or deleterious effects on the individual receiving it?
maximum permissible dose (MSD)
46
What is the 2012 ADA guideline for recall adult low cares patient? Teens? Child?
bitewing every 2-3 years Teens: 18-36 months child: 12-24
47
What is the 2012 ADA guideline for high risk adult, teen, then child patient? (BW)
adults: 6-18 months teens: 6-12 months children: 6-12 months
48
What is the 2012 guideline for a NEW adult patient?
individualized radiographic exam based on clinical exam
49
MPD measures threshold for ____ radiation
ionizing
50
What radiographs do you take on a pregnant woman?
emergency dental care
51
What is the 2012 ADA recommendations for an adult new patient at HIGH caries risk?
FMS
52
According to the 2012 guidelines, a recall patient with no oral disease but high caries risk would be prescribed:
4 BWs and selected PAs
53
What is the most significant contribution to public radiation dose that is man-made in the U.S.?
x-radiation
54
According to FDA 2012, what x-rays should be taken on a new patient?
individualized radiographic exam (assess)
55
Dental front office worker, maximum permissible dose?
5mSv; 500 mREM
56
Best way to minimize patients risk when taking an x-ray?
lead apron
57
FDA 2012 radiograph protocol for recall patient with low caries risk (adult)?
BWs every 24-36 months
58
Which of the following contributes to MPD? a- dentist who takes radiographs on himself b- dental assistant who takes radiographs on patients c- receptionist in the office
B & C
59
Patient has the following; -generalized pocket depth of 5 mm - full crown - deep carious lesion - shallow amalgam Which radiographs needs to be taken?
FMS
60
What cardiac diagnosis can diet modifications help with?
HTN and CAD
61
What is the least likely differential diagnosis for SJS?
lichen planus
62

Princples of Oral Med (2 decks)

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