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_Patient Care II > Exam 1 Practice > Flashcards

Exam 1 Practice Flashcards

1
Q

Which is not a symptom of parkinsons Gait?
a. hypokinesia
b. freezing of gait
c. short, shuffled steps
d. hemiplegia

A

d. hemiplegia

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2
Q

Be able to identify facial landmarks

A
  1. outer canthus
  2. inner canthus
  3. alas
  4. philtrum
  5. tragus
  6. nasion
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3
Q

What is retrognathic jaw? (photo was shown on last one)

A

mandibular jaw is posterior to where is should be

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4
Q

which carcinoma comprises 90% of all cancers?

A

squamous cell

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5
Q

Which are considered verrucose?
a. basal cell
b. squamous cell
c. melanoma
d. both basal and melanoma

A

b. squamous cell

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6
Q

Which of the following is incorrect when discussing basal cells
a. seen after years of sun exposure
b. have cratered surface
c. seen intraorally
d. most common skin carcinoma

A

c. seen intraorally

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7
Q

signs and symptoms of oral cancer

A

parasthesia and lymphadenopathy

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8
Q

what is exophthalmos and what can it be a sign of

A

abnormal protruding of the eyes and it is a sign of hyperthyroidism

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9
Q

Are these statements true or false:
Infected lymph nodes are compressible.
Infected lymph nodes are mobile.

A

false, true?

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10
Q

Are these statements true or false:
most common cervical lymph node abnormality is lymphadenopathy.
thyroid gland is most often palpable

A

true, false

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11
Q

Are these statements true or false:
prodromal signs of aphthous is tingling and burning. prodromal signs of herpes is tingling and itching.

A

both true

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12
Q

Which is an incorrect symptom of TMD
a. insomnia
b. joint pain
c. neck ache
d. malocclusion

A

d. malocclusion (not a symptom, its a cause)

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13
Q

True or False: surgery is typically one of the first tx for TMD

A

false

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14
Q

What are the three types of aphthous

A

minor, major and herpetiform aphthous

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15
Q

What is looked for on a TMD exam

A

lateral tongue scalloping, tooth mobility, buccal mucosal ridging

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16
Q

what are symptoms of xerostomia

A

dysphagia, cervical caries, angular cheilitis

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17
Q

When wiped off by a 2x2 leaves an erythramatous base?

A

acute pseudomembranous candidiasis

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18
Q

Risk factors for candidiasis

A

-immunocompromised
-pregnancy
-poor oral hygiene
- smoking
- stress
-depression
- birth control pills
- diabetes
- dentures that dont fit
- xerostomia
- iron and b12 definceny

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19
Q

What would indicate that your patient is immunocompromised

A

hairy leukoplasia
not: leukodema

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20
Q

Your patient has ill-fitting dentures from xerostomia, and long-term antibiotics, which of the following conditions would explain this

A

candidiasis

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21
Q

5 year old presents with fever, malaise, and cold sores. what condition could he have

A

herpes gingivostomatitis

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22
Q

What is not true of periodontal pockets

A

Not true: depth is less than 3mm
all true: bleeding and inflammation often occurs, caused by bacterial plaque and clinical attachment loss

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23
Q

What are the six probing measurements

A
  • distofacial
  • facial
  • mesiofacial
  • distolingual
  • lingual
  • mesiolingual
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24
Q

Lichen planus is present on skin and mucous membranes. Lesions are not always painful

A

both true

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25
Q

what is paralysis on one side of the body

A

hemiplegia

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26
Q

All are cancer precautions for head and neck therapy except? a. Xerostomia
b. Mucosal Irritation
c. Cervical Caries
d. Immunocompromised

A

D. immunocompromised

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27
Q

What is the most common skin cell lesion?
a. Basal Cell Carcinoma
b. Squamous Cell Carcinoma
c. Melanoma

A

A. basal cell carcinoma

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28
Q

What type of cancer has irregular borders, crusty surface, and persistent thick rough
scaly patches that may bleed?

A

Squamous Cell Carcinoma

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29
Q

What does excess spacing between the eyes display?

A

Ocular Hypertelorism

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30
Q

TF: The most common type of lymphadenopathy is cervical/head and neck. The thyroid is most often palpable.

A

First statement is true. Second Statement is false.

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31
Q

What is the disease called that involves candida and most often occurs at the corners of
the mouth?

A

angular cheilitis

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32
Q

TF: Surgery is the most common treatment of TMD (BONUS QUESTION)

A

false

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33
Q

Oral Cancer Stages

A

a. 40% of oral cancers are found in Stages I or II
i. 80-90% survival rate
b. 60% of oral cancers are found in Stages III or IV
i. 33% survival rate after 3 years but a 67% recurrence rate in 2 years.

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34
Q

Are possible combinations of signs/symptoms of oral cancer
a. Nonhealing Ulcer and Paresis
b. Lymphadenopathy and Paresthesia
c. Healing Ulcer and Lymphadenopathy
d. Paresthesia and Healing Ulcer e. Bleeding
f. Hardness
g. Drooling

A

b. lymphadenopathy and paresthesia

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35
Q

All are types of disease that are atypical AND asymptomatic except?
a. Linea Alba
b. Leukoedema
c. Fordyce’s Granules
d. Palatal/Mandibular Tori

A

b. leukoedema

36
Q

What type of disease can be rubbed off?
a. Leukoedema
b. Leukoplakia
c. Candidiasis

A

c. candidiasis

37
Q

Both herpes simplex and aphthous ulcers display ulcers which are painful

A

Herpes Simplex display Vesicles
i. Herpes Simplex Virus = 2 weeks of healing
ii. Aphthous Ulcers = 3 days of pain and 7 days of healing

38
Q

signs/symptoms of Benign Migratory Glossitis

A

Geographic Tongue
Normally Asymptomatic
Becomes Symptomatic with Spicy/Acidic Foods

39
Q

What is the disease that is caused by the Epstein-Barr Virus, associated with HIV
infection or other immunosuppressive conditions, and display white rough patches?

A

hairy leukoplakia

40
Q

All are signs/symptoms of Xerostomia except?
a. Candidiasis
b. Angular Cheilitis
c. Dysphagia
d. Dyspnea
e. Burning tongue
f. Root and Cervical Caries g. Stomatitis

A

d. dyspnea

41
Q

Type of Candidiasis that display creamy white patches and easily wipes off leaving an erythematous base?
a. Acute Pseudomembranous Candidiasis
b. Atrophic Candidiasis
c. Thrush

A

a. acute pseudomembranous candidiasis

42
Q

What is the disease that display oral lesions with high fever, malaise, cervical
lymphadenopathy, and dehydration?

A

Herpes Simplex

43
Q

TF: Herpes Simplex Virus prodromal signs include tingling, itching, pain, and burning 6-24 hours before lesions appear. Aphthous Ulcers prodromal signs appear 1-2 days before lesions appear.

A

both are true

44
Q

Aphthous Ulcers (Canker Sores) Clinical Forms

A

a. Minor – Shortest duration
b. Major – Longest duration per episode, Onset after puberty, May cause scarring c. Herpetic Form – Greatest amount and Most recurs frequently, Onset in Adults

45
Q

TF: When probing, depths exceed 3mm and display inflammation/bleeding. While probing, must walk the tip of probe along the entire length of the junctional epithelium.

A

both true

46
Q

Periodontal probing measures 6 sites per tooth except?
a. Distofacial, Facial, Mesiofacial
b. Distolingual, Lingual, Mesiolingual
c. Mesiodistal

A

c. mesiodistal

47
Q

Which of the following is known as a supernumerary tooth?

A

mesiodens

48
Q

Your patient has gross incoordination of muscle movements. What does he have?

A

ataxic gait

49
Q

Freezing gait is common of what disease

A

parkinsons

50
Q

Which of the following is not a risk factor for oral cancer?

A

xerostomia

51
Q

Your patient has sulfur-colored lesions that are asymptomatic. What are these called?

A

Fordyce granules

52
Q

Which term is used to describe a healthy lymph node?

A

Compressible

53
Q

Which of the following is NOT a sign of routine cervical infection when palpating lymph nodes? choose 2
a. Firm
b. Attached (fixed)
c. Compressible
d. Non-tender

A

a. firm
b. attached (fixed)

54
Q

Basal cell carcinoma is the most common cell type of oral cancers. Oral cancers are most often diagnosed in stages I-II

A

both statements are false

55
Q

Picture of wart/cauliflower like lesion What term would you use to describe this
lesion?

A

Verrucose

56
Q

Which of the following would not be a risk factor for a skin lesion?

A

Uniform color

57
Q

Hypertelorism could be caused by (choose 2):
a. a syndrome
b. a congenital defect
c. ocular herpes

A

a. a syndrome
b. a congenital defect

58
Q

When giving an extra oral exam, you ask the patient to swallow. What are you palpating?

A

Thyroid gland

59
Q

Which of the following does not have a quick onset?

A

Lichen planus

60
Q

Which of the following is not a risk factor for candida?

A

Sun exposure

61
Q

What has whickam striae?

A

Lichen planus

62
Q

Which of the following disappears when stretched?

A

Leukoedema

63
Q

What can you not expect to see in a pt with TMD?
a. tooth mobility
can you NOT expect to see in a pt with TMD?
b. buccal mucosal ridging
c. lateral tongue scalloping
d. torus palatinus (torus mandibularis is more common w bruxism-> TMD)
e. all of above

A

d. torus palatinus

64
Q

Which is NOT a high risk area for oral cancer?*

A

buccal mucosa

65
Q

a sloughing (shedding) of epithelium caused by disease, trauma or chemical burn (aspirin burn) is termed?

A

eschar

66
Q

most common in african americans that disappears when stretched

A

leukoedema

67
Q

What has painful erythematous erosions and ulcers?

A

lichen planus

68
Q

Benign Migratory Glossitis is also known as?

A

geographic tongue

69
Q

Which of the following could be a risk of Xerostomia
a. caries
b. candidiasis
c. angular cheilitis
d. burning tongue
e. gingival stomatitis
f. All of the above

A

f. all of the following

70
Q

What is associated with herpes simplex?
a. vesicle
b. papule

A

a. vesicle

71
Q

You should hold the probe with a modified pen grasp. The probe should be held parallel to the long axis of the tooth.

A

Both statements true

72
Q

Probing depths range from 1-3mm. Periodontal pockets occurs as a result of apical
migration of the junctional epithelium.

A

Both statements are true

73
Q

ID the outer cantus

A

1

74
Q

What is 7 called?
a. Submental
b. Submandibular
c. Tonsillar/Jugulodigastric
d. Preauricular
e. Postauricular
f. Occipital
g. Anterior Cervical Chain
h. Supraclavicular
i. Posterior Cervical Chain

A

g. Anterior Cervical Chain

75
Q

ID

A

Verrucose

76
Q

ID; “Patches, Red Area, and Variable Size/Shape”

A

Erythema

77
Q

ID

A

Eschar

78
Q

ID; “white, rough, and asymptomatic”

A

Nicotine stomatitis

79
Q

ID

A

Lichen Planus

80
Q

ID

A

Aphthous ulcer

81
Q

ID

A

irritation fibroma - bulla

82
Q

Separarte, not running together

A

Discrete

83
Q

running together or blending, but they were orginally separate

A

Confluent

84
Q

ID

A

Herpes simplex

85
Q

ID

A

Linea alba

86
Q
A

_Patient Care II (10 decks)

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