Oral Diagnosis Flashcards
(184 cards)
1
Q
Correct diagnosis is often a result of
A
Complete and thorough examination
2
Q
Accurate History primary purpose is
A
To provide basis for determining how the patient’s physical status may be affected by dental therapy
3
Q
Essential/Most important procedure in diagnosis is the
A
Development of case history
4
Q
Most important way of obtaining chief complaint
A
Be unhurried / “not to hurry”
5
Q
most difficult and most common to evaluate chief complaint
A
Odontalgia “tooth ache”
6
Q
term experienced by a patient
A
Symptoms
7
Q
term detected by the examiner
A
Sign
8
Q
1 or more significantly unique sign and symptom that distinguish 1 disease from another
A
Pathognomonic Sign
9
Q
Butterfly rash
A
Systemic lupus erythematosus / Liver disease.
10
Q
Bull’s eye lesion, target lesion, iris lesion
A
Erythema Multiforme / Lyme disease
11
Q
Nikolsky sign
A
Pemphigus vulgaris
12
Q
Most important factor that determines prognosis - result of treatment
A
Severity
13
Q
The review of illnesses, injuries, operation & hospitalization from childhood disease to present complaint
A
Past medical History
14
Q
Normal Blood pressure
A
120/80
15
Q
normal Pulse rate
A
60-100bpm
16
Q
normal respiratory rate
A
16-20bpm
17
Q
the difference of systolic pressure and diastolic pressure is called
A
Pulse Pressure
normal pulse pressure: 30-40mmHg
18
Q
1st audible sound in stetoscope
A
Korotkoff Sounds
19
Q
Average age to diagnose ameloblastoma is
A
34 y/o
20
Q
average age to diagnose tic doloureux
A
30 y/o
21
Q
Lead poisoning
A
Plumbism
22
Q
excessively moist skin patient
A
Anxiety
23
Q
what neurotransmitter is decreased in Parkinson’s disease
A
Dopamine
24
Q
anti-viral drug that is also used and effective in Parkinson’s disease
A
Amantadine - used for Influenza/flu
25
a combination of verbal and motor tics
Tourette's Syndrome
26
Complete inability to speech
Aphasia
27
Broca's area is located at
Frontal lobe of cerebrum
28
Wernicke's area is located at
Temporal lobe
29
Broca's area is responsible for
Production of speech
30
Wernicke's area is responsible for
Comprehension
31
characterized by partial loss of the ability to produce language or speech
Expressive aphasia
32
The patient cannot understand words or recognize symbols, whether they are auditory, tactile, or visual
Receptive aphasia
33
Combination of Receptive and expressive Aphasia
GLOBAL APHASIA
34
Assessment IPPA
Inspection, Palpation, Percussion, Auscultation
35
Abdomen Assessment
Inspection, Auscultation, Percussion, Palpation
36
Radiographic examination is a form of
Inspection
37
Most common site of torus
Palatal area
38
Most commonly used clinical test
Percussion test
39
Most commonly used clinical tool
radiograph
40
how to assess bruit?
Auscultation
41
how to assess a thrill
palpation
42
Px with Diabetes M. has a ____ breath
Acetone
43
Px with liver disease has a ___ breath
Mousy
44
muscles of mastication that elevates the mandible
Temporalis, Internal Pterygoid, Masseter
45
muscle that depress and protrude mandile
External Pterygoid
46
MOM that elevates and retrude the mandible
Temporalis
47
Which of the following does not have cafe au lait spots
A. mcCune Albright syndrome
B. Addison's disease
C. Von reckling hausens disease / Neurofibromatosis
D. Hypothyroidism
E. Hyperthyroid
E. Hyperthyroid
48
Anesthetic agent that increases the amount of methemogloblin
Prilocaine
49
Prilocaine is contraindicated in patients with?
COPD, respi problem.
50
the percentage of RBC in blood is
Hematocrit
51
O2 carrier
Hemoglobin
52
high amount of RBC is called
Polycythemia
53
Has the increase amount of bilirubin
Hemolytic anemia
54
3mm - 1cm vascularity, "Non blanching" purplish spots due to bleeding vessels near the surface of skin
Purpura
55
<3mm small pinpoint.
ex. Herman's sign: DHF - Rumpel leede test / capillary fragility / Torniquet test
Petechiae
56
>1cm "Contusion" larger purpura spots, bleeding underneath.
Ecchymosis
57
Localized collection of blood outside a vessel, Solid swelling of blood clot.
Hematoma "Bruise"
58
Which of the following causes red lesion
A. Purpura
B. Perleche
C. Angular Cheilitis
D. Stomatitis
A. Purpura
59
Circumscribed, flat non-palpable
Up to 1cm
Macule
ex. Freckles "ephilis", Petechiae
60
Palpable elevated: Solid mass
Approx. 0.5cm
Papule
61
Palpable elevated: Solid mass
0.5 - 2cm
Nodule
62
Palpable elevated: Free Fluid
>0.5cm
Bulla
ex. Large Blister
63
Palpable elevated: Free Fluid
Up to 0.5cm
Vesicle
ex. Herpes
64
Palpable elevated: Free Fluid
Acne
Pustule
65
Monroe's abscess
Psoriasis
66
most common form of candidiasis
Pseudomembranous type
67
Bird-face
Pierre-robin & Treacher collins
68
Monkey face
Marasmus
69
Lion-like face
Leprosy, Paget's disease
70
Angel-like face
Cherubism
71
Near vision in called
Myopia
72
Hyperopia
Far sighted
73
Cloudy vision, opacity of lens
Cataract
74
Tunnel vision
Glaucoma
75
Pupillary constriction
Miosis
PNS
76
Pupillary dilation
Mydriasis
SNS
77
what is the syndrome in SNS that has the following sign and symptoms: Miosis, Anhidrosis, Ptosis, Sympathetic disorder
Horner's Syndrome
78
common group of blood vessel that is affected by epistaxis
Kiesselbach's Plexus
79
Superior oblique muscle is innervated by what CN
IV (Trochlear Nerve)
80
Lateral Rectus muscle is innervated by CN
VI (ABDUCENS NERVE)
81
Inf. Oblique, Sup. Inf. Medial Rectus muscle is innervated by
CN III (Occulomotor)
82
Function of oblique musle
Adduct or Abduct?
Abduct
83
Function of rectus muscle is Adduct, except:
Lateral Rectus muscle
84
Recurrent apthous ulcer located in
Non-keratinized
RHU - Keratinized
85
Chancre (syphillis) is a
Painless ulcer
Canker - Painful ulcer
86
Differential diagnosis for gardners syndrome and peutz jeghers syndrome: Polyps in jejunum and
Melanotic lesion in oral cavity
Gardners: Supernumerary, GI Polyps, Osteoma.
87
DOC for Systemic candidiasis
Amphotericin B or Azoles
88
most common site of torus
Palatine
89
Stent is used before the removal of torus, stent is
90
most common periodontal disease
Gingivitis
91
pathognomonic sign of gingivitis
Bleeding on probing
92
epithelium of gingivitis that is 1st affected
COL
93
Floss is until
below the contact point
94
incharge of remission and exacerbation of ANUG
Stress
95
TX for ANUG
1st Debridement
and
Antibiotic
96
Inflammation of tongue
Glossitis
97
Papilla of tongue most commonly affected
Filiform papilla
98
Benign migratory glossitis is also known as
Geographic tongue
99
varicose veins under tongue
Caviar Tongue
100
Burning tongue sensation
Glossodynia
101
Bad taste is known as
Cacogeusia
102
Altered taste is known as
Dysgeusia
103
Pharyngitis is caused by what microorganism
Streptococcus Pyogenes
104
Aschoff bodies is found in
Rheumatic Heart Disease
104
2 disease that can lead after pharyngitis
Rheumatic Heart Disease, Acute Glomerulonephritis
105
most common cause of odynophagia "painful swallowing" :
Sore throat
106
circular motion, upright position, proximal to distal, slightly flexed forward (side of assessment) is a assessment for?
Lymphnodes
107
lymph nodes that is commonly affected with German Measles "Rubella"
Mastoid "post auricular" Lymph nodes
108
Reed-sternberg cell is seen in
Hodgkin's Lympohoma
109
Burkitt's lymphoma is caused by microorganism
Epstein Barr Virus -
Moth eaten appearance
: Acute osteomyelitis
: Chondrosarcoma
: EWINGS Sarcoma
110
difficulty in breathing
Dyspnea
111
most common sign of heart failure
Paroxysmal nocturnal dyspnea
112
Increased rate and or depth of breathing leading to decrease in CO2
Hyperventilation
113
decrease in vitamin D in children causes pigeon chest
Ricketts
114
normal blood pressure
120/80 mmHg (pre-hypertensive state)
Stage 1: 140-159/90-99
Stage 2: 160-179/>100-109
Hypertension Crisis: >180/>110
115
Acute endocarditis is caused by what MO
Staphylococcus Aureus
- IV Drugs
- Tricuspid valve
116
Subacute endocarditis is caused by what MO
Streptoc. Viridans
- Dental Procedure
- Mitral Valve
117
Location of tricuspid valve
Between the right atrium and right ventricle
118
number of Lobes in right lung?
3
119
DOC for patent ductus arteriosus
Indomethacin
120
DOC for angina pectoris
Sublingual admin. Nitroglycerin
121
Most common cause of myocardial infarction
Atherosclerosis
122
Most common cause of death of Myocardial infarction
Arrhythmia
123
Blood in urine
Hematuria
124
Severe protein deficiency
Kwashiorkor
"Edematous Malnutrition"
125
most abundant protein in the body
Collagen
126
Most abundant protein in the blood
Albumin
-Maintain colloid osmotic pressure
127
Generalized edema
Anasarca
128
most common opportunistic fungal infection
Candida Albicans
129
Systemic candidiasis DOC
Amphotericin B
130
White lesion cannot be rubbed off
Leukoplakia
131
Fungal infection pathogenic are type _ Hypersensitivity
4
- Tb, Contact dermatitis
132
Most common cancer in oral cavity
Squamous cell carcinoma
- common in lateral, ventral, post. 1/3
133
Most common type of lichen planus
Whickham Striae
- "Lace-like pattern"
134
Negri bodies is seen in
Rabies
135
Sulfur granules is seen in
Actinomycosis
136
Aschoff bodies
Rheumatic heart fever
137
Generalized opacity with red dots, associated with nicotine
Nicotinic Stomatitis
138
Red lesion that do not blanch off
Eryhtroplakia
139
Red lesion that blanches off, vascular lesion
Hemangioma
140
Rendu osler weber syndrome is also known as
Hereditary Hemorrhagic Telengiectasia
141
Bull's eye lesion, target lesion, iris lesion/
Erythema Multiforme
142
Majot type of Erythema Multiforme
Steven johnson syndrome
143
related to vitmain b2 (Riboflavin) deficiency, candidiasis, Vertical dimension is low
Angular Cheilitis
144
Lower lip, color blue, associated with trauma, affected minor salivary gland
Mucocele
145
from Floor of the mouth, color blue, trauma, Major salivary gland affected
"Frog's belly"
Ranula
146
most abundant component of amalgam alloy
Silver
147
Silver toxicity
Argyria (Ag)
148
Lead toxicity
(most resistant to the ionizing radiation)
Plumbism (Pb)
149
Mercury toxicity
Acrodynia
150
cause of hairy tongue is a elongated what papilla of tongue?
Filiform
151
most abundant blood cells
red blood cells
152
Oxygen carrier
Hemoglobin
153
Percentage of rbc in the blood
Hematocrit
154
Increase in platelet, a disease in which your bone marrow makes too many platelets.
Thrombocythemia
155
Normal hemoglobin
14-17gm/100ml
156
normal hematocrit
45-50ml/DL
157
most commonly used method for bleeding time
Template Method
3-6 mins
158
test to measure presence of adequate platelet function for screening PT's in blood disease,
Bleeding time
159
prothrombin time is a measure of extrinsic pathway of clotting factors
1 P"f"ibrinogen
2 Prothrombin
7 Proconvertin
10 Stuart prower
160
Partial prothrombin time is a measure of intrinsic pathway of clotting factors
8 Anti-hemophilia A
9 Anti-hemophilia B
11 Anti-hemophilia C
12 Hageman factor
161
normal fasting blood sugar
80-120mg/DL
8-12hrs
162
most commonly used test for kidney function
Blood Urea Nitrogen (BUN)
Creatinine clearance
163
Most specific test for kidney function test
Inulin clearance
164
Aspartate aminotransferase
Serum Glutamic Oxoloacetic Transaminase
Serum Glutamic Oxoloacetic Transaminase
165
Alanine Aminotransferase
Serum Glutamic Pyruvic Transaminase
Serum Glutamic Pyruvic Transaminase
166
Normal blood pH
Boards: 7.4
7.35-7.45
167
Bence jones protein is seen in urine in what disease
Multiple Myeloma
168
Forecast wether patient will get well or not
Prognosis
169
Most important factor in determining prognosis
Severity
170
Analgesic for Pregnant
Paracetamol
171
Safest antibiotic for pregnant
Penicillin - Erythromycin - Cephalosporin
172
MC cause of drug allergies
Penicilin
173
MO Drug induced bacteria
Clostridium Difficile
from Clindamycin
174
Most common error in blood pressure
Wrong cuff size
smaller cuff =Increase BP
Larger cuff=Decrease BP
175
PX with recently cardiovascular surgery, how long delay of treatment
6 months
176
Cardiovascular Patient/Medically compromised
epinephrine of:
0.04mg or 2 carpules of 1:100,000 EPI
Healthy: 0.20mg or max. of 11 carpules
177
Highest risk for Infective endocarditis
Prosthetic heart valves placement
178
Pulse site for infants
Brachial Pulse
179
Pulse site for adults
Carotid pulse
180
1st maneuver to open airway
Head tilt, chin lift
181
Most commonly injured organ in CPR
Liver
182
COMPRESSION FOR ADULT AND INFANT
30:2 for 20x
183
MCL, ACL, Meniscus is a medical triad called
Unhappy Triad
- Anterior cruciate lig.
- Medial Collateral Lig
- Meniscus
