Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Geriatrics > 4. Soft Tissue Changes > Flashcards

4. Soft Tissue Changes Flashcards

(56 cards)

Start Studying
1
Q

What is the most common infection involving oral tissues in older adults

A

fungal infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Two common diseases caused by fungal infections are

A

-denture stomatitis and angular chelitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Other names for fungal infections

A
  • Moniliasis
  • Thrush
  • Perleche
  • Candidiasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why are fungal infections so common in the elderly

A

0Diminished immune function

  • Increased use of antibiotics
  • Change in pH and moisture levels
  • Less good OH
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the four different types of candida infections -

A
  • Chronic (follows footprint of a denture)
  • Atrophic (median rhomboid glossitis- erythematous)
  • Pseudomembranous (thrush- creamy white plaques)
  • Hyperplastic (candidal leukoplakia)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Fungal infections are what type of infection

A

opportunistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What conditions favor the growth of an opportunistic organisms

A
  • Antibiotics
  • Immunosuppressive agents
  • Cytotoxic meds
  • Corticosteroids
  • Diabetes
  • HIV/AIDS
  • Immune defects in cell-mediated immunity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Main things that lead to angular chelitis are

A

0Decreased vertical dimension (increases moisture accumulation)

  • Vitamin B deficiency
  • Steroid use (i.e inhalers)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is unique about hyperplastic candidiasis clinically

A

will not wipe off.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the two variations of hyperplastic candida

A
  • Plaque type candida

- Chronic Nodular Candida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Denture stomatitis is also called

A

papillary hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the difference between types I, II, and III denture stomatitis

A 
I= Localized minor erythematous sites
II= Major areas under denture 
III= Granular mucosa
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

List the different anti-fungal agents to manage candida

A
  • Amphotericin B
  • Nystatin
  • Clotrimazole
  • Ketokonazole
  • Fluconazole
  • Itraconazole
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Amphotericin B comes in what forms

A
  • Oral rinse

- Pastilles (troche)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nystatin comes in what forms

A
  • Oral rinse
  • Pastilles (troche)
  • Cream
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clotrimazole comes in what forms

A
  • Oral rinse
  • Pastilles (troche)
  • Cream
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the oral systemic drugs that combat candida

A

ketokonazole

fluconazole and Itraconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Caution anti-fungal use with what other types of meds and why

A

anti-arrhytmia drugs that prolong the QT interval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Shingles is the result of the reactivation of the _ virus

A

herpes zoster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Shingles (increases/decreases) with age

A

increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Delayed treatment of shingles can lead to which can persist for how long

A

post herpetic neuralgia… months to years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

T/F more than half the people with shingles >60 get post herpetic neuralgia

A

t

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Involvement of the external auditory canal with shingles is called

Study These Flashcards
A

Ramsay Hunt syndrome

24
Q

What percent of patients with leukoplakia show dysplasia, CA in situ or invasive carcinoma

25
What leukoplakia characteristics make you more suspicious of cancer
- large size - Erythroplakia - Varucous or ulcerative
26
Most common site of metastatic cancer is in mouth
mandible
27
T/F Oral manifestation of metastatic cancers are common
f-rare
28
Most common carcinoma metastases are
breast, prostate, lung, thyroid and kidney
29
Cause of papillary hyperplasia
unknown- thought to be caused by negative pressure on tissues (from denture or tongue in high palatal arch)
30
T/F Papillary hyperplasia is only seen in denture wearers
f
31
Treatment of appillary hyperplasia
reline or surgery with loop electrosurgery
32
Another name for epulus fissuratum is
fibrous hyperplasia
33
epulus fissuratum is caused by
chronic irritation - **Overextended denture flanges - Overextension may develop as the ridge changes
34
Treatment for epulus fissuratum is
Surgical removal of epulus | Replace the denture
35
The most common vesiculo-ulcerative diseases of the oral mucosa in elderly are
- Lichen planus - Cicatricial (mucus membrane) pemphigoid - Pemphigous vulgaris
36
What are the least common vesiculo-ulcerative diseases in elderly of the oral mucosa
- erythema multiforme | - chronic ulcerative stomatitis
37
Two types of lichen planus are
- Reticular | - Erosive
38
Lichen planus may be seen in assoc. with what other diseases
- Liver disease | - Diabetes
39
Erosive lichen planus is characterized by
ulceration and mucosal atrophy | Reticular areas at the periphery of the leison
40
What is needed to destinguish lichen planus from pemphigodi
-immunoflurescent
41
Treatment for lichen planus
- Asymptomatic reticular= NO TX | - Erosive= corticosteroids, tecrolimus
42
Cicatricial pemphiogid is more common in (men/women)
women
43
Cause of MMP
autoantibodies to basement membrane components
44
MMP may involve what other structures
- Conjunctiva | - nasal mucosa
45
Another name of MMP
desquamative gingivitis
46
Treatment of MMP
Hard to treat - Topical steroids - Systemic Dapsone
47
MMP has positive Nikolsky's sign which means
separation of epithelium from BM (blow air on the tissue -->separation)
48
Main difference between LP MMP and PV is
location of the immune reaction
49
Location of the immune reaction of PV
between the epithelial cells (not the BM!!)
50
Clinical presentation of PV
multiple ulcers
51
Burning mouth syndrome is most commonly seen in what population
post-menopausal women
52
Other names for burning mouth syndrome
glossopyrosis, glossodynia and burning tongue syndrome
53
Typical presentation of burning mouth syndrome
- No visible oral lesions - burning sensation - Often anterior tongue and anterior palate, lips
54
Onset of burning mouth syndrome often follows
stressful event
55
Things the help burning mouth syndrome
- May use meds for neurogenic pain - Avoid spicy foods - Stop smoking - Lidocaine viscous
56
Causes of burning mouth may be
-Xerostomia -Anemia -Andida -Allergic stomatitis -Migratory glossitis ETC

Geriatrics (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions