Module 9 (part of test 4)

Question 1

Leukemia is characterized according to cell ______ and ______

Answer 1

type
maturation (age)

Question 2

What Leukemia is most common in children?

Answer 2

Acute Leukemia

Question 3

Which Leukemia has a large number of MATURE WBC’s?

Answer 3

Chronic

Question 4

Acute Leukemia has a large number of ______ WBC’s?

Answer 4

immature

Question 5

What is the 7th most common malignancy?

Answer 5

Lymphoma

Question 6

What are the 3 types of Lymphomas?

Answer 6

Hodgkins
Non-Hodgkins
Burkitt’s

Question 7

Non-Hodgkins Lymphoma is a disorder of the _____ and _____ cells?

Answer 7

T

B

Question 8

Burkitt’s Lymphoma is an aggressive _____ Cell proliferation?

Answer 8

B

Question 9

A patient with Burkitt’s may have what on their mandible?

Answer 9

osteolytic lesions

Question 10

If we are seeing a patient with a WBC disorder we need a ________ and possibly ______ before treatment?

Answer 10

MD consult

premedication

Question 11

What is the most common causes of urticaria in adults and in kids?

Answer 11

Adults- drugs

Kids- food

Question 12

What are the 3 most common causes of anaphylactic death?

Answer 12

bee sting
wasp sting
penicillin

Question 13

Allergic reactions result from a _______ reaction to a _______?

Answer 13

immune

antigen (non-infectious)

Question 14

What cells process the presence of an antigen?

Answer 14

T-lymphocytes

Macrophages

Question 15

What cells recognize the antigen and are the primary lymphocyte in humoral immunity?

Answer 15

B-lymphocytes

Question 16

B-cels make what 2 things?

Answer 16

Plasma cells

Memory B-cells

Question 17

Plasma cells make?

Answer 17

antibodies (immunoglobulins)

Question 18

What type of hypersensitivity involves the humoral immunity and occurs soon after the 2nd contact/exposure?

Answer 18

Type 1

Question 19

Type 1 Hypersensitivity is _____ mediated?

Answer 19

IgE

Question 20

What is the most serious type 1 allergic response?

Answer 20

anaphylaxis

Question 21

What 2 substances in L/A could a patient be allergic to?

Answer 21

Parabens

Sulfites

Question 22

What medication generally doesn’t cause a true allergic reaction?

Answer 22

Codeine

Question 23

What was the 1st generation Antagonist medication used in the treatment of allergic reactions?

Answer 23

Benadryl

Question 24

What was the 2nd generation Antagonist medication used in the treatment of allergic reactions?

Answer 24

Allegra, Claritin, Zyrtek

Question 25

Flonase, Nasonex, and Rhinocort are examples of?

Answer 25

Intranasal Glucocorticoids

Question 26

What immune system is referred to as "delayed"

Answer 26

Cellular

Question 27

What cells play the central role in cellular immunity?

Answer 27

T-lymphocytes

Question 28

T-cells produce?

Answer 28

cytokines and memory t-cells

Question 29

The ______ is the largest organ. It weighs ____ lbs and is located in the ______Quadrant?

Answer 29

liver 3 UR

Question 30

A compromised liver means a decreased synthesis of _________ factors?

Answer 30

coagulation

Question 31

What are 3 causes of hepatitis?

Answer 31

virus Acetaminophen Alcohol

Question 32

Hepatitis A is transmitted through what route?

Answer 32

fecal - oral

Question 33

Does Hepatitis A have a carrier state?

Answer 33

No

Question 34

Is there a vaccine for Hepatitis A?

Answer 34

yes- harrivax

Question 35

How is Hepatitis B transmitted?

Answer 35

Blood (direct/indirect contact)

Question 36

_________transmission of Hepatitis B is NOT important

Answer 36

airborne

Question 37

Hepatitis B has a ____ onset and _______duration compared to Hepatitis A

Answer 37

slower | longer

Question 38

A Hepatitis B immunoglobulin shot can be administered how long after exposure?

Answer 38

24-48 hrs

Question 39

Is there a Hepatitis C vaccine?

Answer 39

no

Question 40

What is the most chronic blood borne infection in the U.S.

Answer 40

Hepatitis C

Question 41

Hepatitis _____ only occurs in the presence of Hepatitis B?

Answer 41

D

Question 42

Hepatitis ______ only occurs in the presence of Hepatitis C?

Answer 42

G

Question 43

Icteric means? and is due to?

Answer 43

Jaundice | billirubin buildup

Question 44

What precedes the onset of jaundice?

Answer 44

Pre-icteric phase (prodromal)

Question 45

The post-icteric phase is _________ and can last how long?

Answer 45

convalescent | 6 mo

Question 46

_______ _________ liver is when hepatocytes get engorged with fatty lobules and distend?

Answer 46

Fatty Infiltrate

Question 47

______ _______ is when the liver goes through destructive cellular changes?

Answer 47

alcoholic hepatitis

Question 48

_______ is a progressive fibrosis of the liver and is irreversible?

Answer 48

cirrhosis

Question 49

If surgical procedures are necessary for hepatitis patients we need to have ______ ability evaluated?

Answer 49

clotting

Question 50

_______ is an alcohol sensitizing drug which increases the effects of a hangover?

Answer 50

Antabuse

Question 51

What drug works like antabuse but is safer?

Answer 51

Temposil

Question 52

How much hydrochloric acid do we produce a day?

Answer 52

2 liters

Question 53

A well defined break in the GI mucosa is called a?

Answer 53

peptic ulcer

Question 54

Most ulcers are located in the?

Answer 54

duodenum/stomach

Question 55

1st degree relatives have a _____risk of GI ulcers?

Answer 55

3 fold

Question 56

What is the main cause of GI diseases?

Answer 56

Overproduction of Acid

Question 57

What is the 2nd cause of GI diseases?

Answer 57

H-pylori bacteria

Question 58

Stomach discomfort occurs how long after eating?

Answer 58

90min-3hrs

Question 59

What are 3 common drugs used in the treatment of H-pylori bacillus GI disorders?

Answer 59

Amoxicillin Biaxin Zantac

Question 60

Pepto-bismol, Tums, Zantac, and Tagamet are OTC drugs that _____ of gastric secretions?

Answer 60

raise PH

Question 61

What OTC GI medication interfered with lidocaine and valium typically used in dental treatment?

Answer 61

Tagamet

Question 62

We need to avoid _____ and ______ OTC drugs when someone is taking GI medications?

Answer 62

Aspirin | NSAIDS

Question 63

Antacids may impair the absorption of what 2 antibiotics?

Answer 63

Tetracycline | Erythromycin

Question 64

What are 2 common oral complications with GI disorders?

Answer 64

``` Oral Candidiasis ( due to antibiotics) Enamel Erosion (due to vomiting) ```

Question 65

What GI disease is Serious and sometimes fatal and occurs from prolonged antibiotic use?

Answer 65

PC- pseudomembranous colitis

Question 66

Pseudomembranous Colitis is an overgrowth of?

Answer 66

Clostridium Difficile

Question 67

Broad Spectrum antibiotics cause _____ after taking them for 4-10 days?

Answer 67

diarrhea

Question 68

You should discontinue broad spectrum antibiotic use and switch to ____ or _____ with GI disorders?

Answer 68

Flagyl | Vancomycin

Question 69

Plavix alters ______ function?

Answer 69

platelet

Question 70

What is the most common inherited bleeding disorder?

Answer 70

Von Willebrand's

Question 71

Hemophilia A is a deficiency / defect of factor?

Answer 71

8

Question 72

Hemophilia B is also known as ____ and is a deficiency of factor _____?

Answer 72

Christmas Disease | 9

Question 73

What medications do we recommend for dental management in patients with bleeding disorders?

Answer 73

Acetaminophen with/out Codeine

Question 74

`Aspirin therapy results can last how long after the patient stops taking it?

Answer 74

9 days

Question 75

Anemia is associated with _____ of RBC's

Answer 75

number

Question 76

A normal RBC is ___% hemoglobin?

Answer 76

33

Question 77

The _____ is the sensor that determines the level of oxygenation of RBCs

Answer 77

Kidney

Question 78

Low oxygenation in RBCs tells the kidney to produce?

Answer 78

erythropoietin

Question 79

What is the most common Anemia?

Answer 79

iron deficiency

Question 80

Pernicious Anemia is a lack of ________ factor which is secreted from the _____ Cells?

Answer 80

intrinsic | parietal

Question 81

What is a genetic anemia most commonly found in African Americans?

Answer 81

Sickle Cell

Question 82

Radiographically the bone appears with ______ trabeculae arranged in a ______ pattern like a "_____ ____" in sickle cell patients?

Answer 82

widened horizontally step ladder

Question 83

Patients with sickle cell disease need an oxygen saturation of _____%

Answer 83

95

Question 84

Sickle cell patients _____ use Nitrous?

Answer 84

can

Question 85

Nitrous levels need to be at ______% oxygen for sickle cell patients?

Answer 85

50 or higher