Chapter 14 - Oral Cavity - Part 1

Question 1

What is an aphthous ulcer?

Answer 1

Canker sore

Question 2

What is an aphthous ulcer?

Answer 2

Canker sore

Question 3

What is the name for a recurring canker sore?

Answer 3

Recurrent aphthous stomatitis

Question 4

What percentage of the population gets aphthous ulcers?

Answer 4

40%

Question 5

Is aphthous ulcer a common condition?

Answer 5

Yes, 40%

Question 6

Where do canker sore usually show up?

Answer 6

Oral mucosa and pharynx

Question 7

Worst case scenarios of canker sores are in which area?

Answer 7

pharynx

Question 8

How long do aphthous ulcers usually last?

Answer 8

7-10 days

Question 9

Are aphthous ulcers painful?

Answer 9

yes

Question 10

What doe aphthous ulcers (canker sores) look like?

Question 11

Are aphthous ulcers shallow or deep?

Answer 11

Shallow

Question 12

Who is at risk for aphthous ulcers?

Answer 12

Female,

Question 13

What 3 diseases are associated with aphthous ulcers?

Answer 13

Celiac disease, Behcet disease, and inflammatory bowel disease.

Question 14

What are some things that can trigger an aphthous ulcer?

Answer 14

Smoking, stress, trauma, fever, certain foods.

Question 15

Which herpes simplex virus causes cold sores and fever blisters?

Answer 15

HSV - 1

Question 16

What is the name for a recurring canker sore?

Answer 16

Recurrent aphthous stomatitis

Question 17

What percentage of the population gets aphthous ulcers?

Answer 17

40%

Question 18

Is aphthous ulcer a common condition?

Answer 18

Yes, 40%

Question 19

Where do canker sore usually show up?

Answer 19

Oral mucosa and pharynx

Question 20

Worst case scenarios of canker sores are in which area?

Answer 20

pharynx

Question 21

How long do aphthous ulcers usually last?

Answer 21

7-10 days

Question 22

Are aphthous ulcers painful?

Answer 22

yes

Question 23

What doe aphthous ulcers (canker sores) look like?

Answer 23

Less than 5 mm, thin educate (white), & red rimmed

Question 24

Are aphthous ulcers shallow or deep?

Answer 24

Shallow

Question 25

Who is at risk for aphthous ulcers?

Answer 25

Female,

Question 26

What 3 diseases are associated with aphthous ulcers?

Answer 26

Celiac disease, Behcet disease, and inflammatory bowel disease.

Question 27

What are some things that can trigger an aphthous ulcer?

Answer 27

Smoking, stress, trauma, fever, certain foods.

Question 28

What are some treatments for aphthous ulcers?

Answer 28

Avoid causative foods and trauma. NSAIDs, corticosteroids Vitamin B12**

Question 29

Which herpes simplex virus causes cold sores and fever blisters?

Answer 29

HSV - 1

Question 30

Which HSV is genital herpes?

Answer 30

HSV - 2

Question 31

Primary infections of HSV-1 occur most commonly in?

Answer 31

Young children (2-4) years

Question 32

When they occur in young children are the symptomatic?

Answer 32

No, 80% are asymptomatic

Question 33

What is a possible life treating situation with HSV-1?

Answer 33

When virus spreads to brain.

Question 34

What is acute herpetic gingivostomatitis?

Answer 34

Abrupt onset of vesicles and ulcerations throughout the mouth.

Question 35

Most adults are carries of this virus.

Answer 35

HSV - 1

Question 36

HSV-1 involves which ganglion and cranial nerve?

Answer 36

Trigeminal ganglion | CN 5

Question 37

What is recurrent herpetic stomatitis?

Answer 37

Reactivation/Recurring cold/canker sores

Question 38

Adult carriers have a _____ infection of HSV-1

Answer 38

latent

Question 39

Does the location of herpes outbreak indicate type?

Answer 39

No necessarily, may infect either location.

Question 40

How does a cold sore feel?

Answer 40

Itchy, burning, tingling

Question 41

What does cold sore look like?

Answer 41

group of small vesicles, 1-3 mm

Question 42

What are some possible associated symptoms with a cold sore?

Answer 42

Headache, sore throat, Malaise fever

Question 43

What are some provoking exposures for an outbreak?

Answer 43

UV light, fever, cold, | Trauma, URTI, pregnancy

Question 44

What happens during and HSV outbreak?

Answer 44

Acute blistering

Question 45

Are HSV self-limiting? If so, how long do they take to heal?

Answer 45

Yes, vesicles rupture and heal. | 7-10 days

Question 46

Is there a cure?

Answer 46

No, but antiviral drugs decrease replication

Question 47

What is a possible life treating situation with HSV-1?

Answer 47

When virus spreads to brain.

Question 48

What is it called when HSV spreads to brain?

Answer 48

Herpesviral encephalitis

Question 49

What happen with Herpesviral encephalitis?

Answer 49

Acute CNS swelling/inflammation

Question 50

What is the MC form of HSV that causes Herpesviral encephalitis?

Answer 50

HSV-1

Question 51

What is the most common fungal infection of the oral cavity?

Answer 51

Oral candidiasis

Question 52

What causes oral candidiasis?

Answer 52

Candida albicans

Question 53

Where does oral candidiasis occur?

Answer 53

Tongue, cheeks, gums, tonsils

Question 54

What is the common name for oral candidiasis?

Answer 54

thrush

Question 55

What color is thrush?

Answer 55

Gray to white

Question 56

What is another name for thrush?

Answer 56

pseudomembranous candidiasis

Question 57

Can the thrush be scraped off?

Answer 57

yes

Question 58

When you scrape off the white thrush what is below?

Answer 58

erythema (redness)

Question 59

What are some differential diagnosis' for the appearance of oral candidiasis?

Answer 59

Leukoplakia candidemia Oral CA

Question 60

What percentage of newborns in the US get oral candidiasis/thrush?

Answer 60

37%