526 Mouth

Question 1

What is the treatment for dental infection

Answer 1

NSAIDs
amox or clinday for 7-10 days

Question 2

why do dental abcesses not respond well to abx and what is the definitive treatment

Answer 2

because there is no blood supply to carry the abx to the abcess
definitive treatment is incision and drainage

Question 3

which patients with dental infection may have no pain or only mild pain

Answer 3

patients on glucocorticoids
DM
advanced age

Question 4

what are signs of severe dental infection

Answer 4

trismus, airway compromise, dysphagia

Question 5

true or false: radiography is recommended to diagnose dental abcess

Answer 5

false, primarily diagnosed through history and physical

Question 6

ludwig angina had what symptoms and is a possible life threatening complication of what

Answer 6

trismus, drooling, induration of tongue, tachypnea and dyspnea
possible complication of dental abcess

Question 7

what are the 3 main pairs of salivary glands

Answer 7

parotid
submandibular
sublingual

Question 8

parasympathetic innervation (increases or decreases) saliva production and sympathetic innervation (increases or decreases) saliva production

Answer 8

parasympathetic = increase
sympathetic = decrease

Question 9

which salivary gland is most likely to develop a tumor

Answer 9

parotid

Question 10

what is xerostomia

Answer 10

dry mouth

Question 11

what is ptyalism

Answer 11

excess salivaw

Question 12

what is initial treatment for non infectious nonmalignant salivary gland problems

Answer 12

hydration and pain management

Question 13

mucocele is typically seen where

Answer 13

common in lower lip

Question 14

a ranula is most commonly seen where

Answer 14

on the floor of the mouth

Question 15

what is the treatment for a mucocele and ranula

Answer 15

excision

Question 16

what is a sialolith

Answer 16

calcified mass blocking a salivary duct

Question 17

TB may cause what salivary gland disease

Answer 17

sarcoidosis

Question 18

how do you treat sarcoidosis

Answer 18

corticosteroids

Question 19

what is keratoconjunctivitis sicca and what autoimmune disorder is it accosiated with

Answer 19

dry eyes
sjorgrens syndrome

Question 20

what is parotitis

Answer 20

inflammation of the parotid gland

Question 21

what viruses are most commonly associated with parotitis

Answer 21

paramyxovirus (mumps)
HIV

Question 22

what medications increase risk of parotitis and why

Answer 22

anticholinergics and antihistamines
decrease saliva

Question 23

rapid edema, pain and induration along the jaw/side of face in indicative of what glandular disorder

Answer 23

parotitis

Question 24

is steroids a common treatment for parotitis

Answer 24

no, there use in treatment is questionable

Question 25

what is the main treatment for parotitis

Answer 25

abx

Question 26

what are important differentials to rule out with a peritonsillar abcess

Answer 26

mono tumor peritonsillar cellulitis epiglotitis

Question 27

what is a more likely presentation with mono versus peritonsillar abcess

Answer 27

mono usually has a prodrome of headache, malaise, fatigue and anorexia before a sore throat

Question 28

what findings would make epiglottitis less likely when ruling out for a possible peritonsillar abcess

Answer 28

epiglottitis is less likely if there is peritonsillar swelling with preserved swallowing and no stridor

Question 29

what condition would cause white-grey exudate on the tonsils with petechiae on the palate and posterior cervical adenopathy

Answer 29

mono

Question 30

what is the most common fungus to infect the mouth

Answer 30

candida albicans

Question 31

what oral disease would cause vesicular lesions with an erythematous base

Answer 31

HSV

Question 32

what oral disease would cause a prodrome of pain, tingling and burning

Answer 32

HSV

Question 33

what oral disease has lesions that are white, verrucous and may be in clusters or singular and found on the lips, hard palate or gingiva

Answer 33

HPV

Question 34

what is the proper term for a canker sore

Answer 34

apthous ulcer

Question 35

what oral disease has shallow painful ulcerations in the oral mucosa that are nonkertonized

Answer 35

apthous ulcers

Question 36

how would you differentiate apthous ulcers from herpetic lesions

Answer 36

herpetic lesions originate from vesicles and are found on oral mucosa attached to bone structure

Question 37

how is oral HSV treated

Answer 37

oral zinc antivirals topical corticosteroids

Question 38

how are oral papillomas from HPV treated

Answer 38

surgical excision

Question 39

how is oral candida treated

Answer 39

nystatin clotrimazole flucanozole

Question 40

how is aphthous stomatitis treated

Answer 40

topical steroids or rinse peroxide rinse different combination "mouthwashes"