Painful conditions

Question 1

when can you prescribe mouth rinse in children?

Answer 1

6+ years

Question 2

What is Reye’s syndrome?

Answer 2

Increasing levels of NH3 and H+ in blood

brain swell and liver inflames

Question 3

When does Reye’s syndrome occur?

Answer 3

Viral illness and treated with aspirin

Question 4

What would you prescribe for Reyes’ syndrome?

Answer 4

Paracetamol or ibuprofen

Question 5

What is sepsis?

Answer 5

Spectrum disorder resulting from infection by bacteria, virus, fungi, parasites or toxic products
Immune overreaction - inflammation, blood flow problems, low BP

Question 6

Symptoms of sepsis?

Answer 6

Five/shivering/cold
Rapid breathing
Pain
Pale/mottes skin
Disorientated/confused/sleepy
elevated HR

Question 7

What do you do if a patient shows any symptoms fo sepsis?

Answer 7

999 or A and E

Question 8

Treatment of teething?

Answer 8

Massage
Dry the drool
Teething toys/foods
Topical analgesia, systemic analgesia

Question 9

Complications with teething?

Answer 9

In pain so don’t want food/fluids = dehydration

- check when they last drank and if they are still making wet nappies

Question 10

What topical analgesia is used?

Answer 10

Bonjela/calgel - lignocaine

Question 11

What systemic analgesia can eb prescribed?

Answer 11

Paracetamol

ibuprofen - form 6 months and not asthmatic

Question 12

When are natal/neonatal teeth removed?

Answer 12

Excessively mobile - airway risk
Interfering with infant feeding
Inflammation of tongue

Question 13

Natal vs neonatal teeth?

Answer 13

Primary teeth erupting at birth or 30 days after birth

tend to be hypo plastic

Question 14

Management of eruption cysts?

Answer 14

Generally go as the tooth erupts so leave

Question 15

What is gingivitis artefacts/factitious gingivitis?

Answer 15

Loss of attachment of gingiva due to picking with nail or biting pencil etc

Question 16

Management of symptomatic treatment of physical conditions e.g. bitten nail in gingiva?

Answer 16

Remove cause
OHI
Manage ulceration -chlorhex
Prevent secondary infection
Soft diet
Review

Question 17

management of chemical conditions?

Answer 17

Symptomatic treatment
OH
fluids
Bed rest if systemically unwell
CHlorhex

Question 18

Necrotising ulcerative gingivitis manfiestation

Answer 18

Loss of interdental papillae
Grey green slough in place
erythema
smell

Question 19

Cause of necrotising ulcerative gingivitis?

Answer 19

Spirochetes

Exacerbated by malnutrition, stress, smoking

Question 20

Treatment of necrotising ulcerative gingivitis?

Answer 20

Eliminate cause - immunosuppresion , malnutrition, smoking
OH
Debridement 
Systemic antimicrobial 
Support and maintain

Question 21

What develops of necrotising ulcerative gingivitis is not treated?

Answer 21

Cancrum oris

Question 22

Manifestation of acute peudomembrnaous candidiasis (oral thrush)

Answer 22

White patches can be scraped away

Question 23

Thrhs vs milk tongue

Answer 23

Scrape away - if red underneath = thrush, if healthy = milk

Question 24

Treatment of candida infection?

Answer 24

Understand cause
- remove –> OHI, cleaning, education
Antifungal treatment

Question 25

HSV 1 and 2 orla manifestations

Answer 25

Reddened areas, vesicles, ulcers, scab

Herpetic gingiva stomatitis

Question 26

Manifestation of HSV secondary infection

Answer 26

Cold sores

Question 27

Virus causing hand foot and mouth disease?

Answer 27

Coxsackie

Question 28

Symptoms of hand, foot and mouth disease

Answer 28

Vesicles on hand, foot and mouth
Pain
Ulceration

Question 29

Traetment of hand foot and mouth disease

Answer 29

Symptomatic treatment

fluids, clean, anti fungal

Question 30

Herpangina cause?

Answer 30

Coxsackie in older child patients

Question 31

Management of VZV?

Answer 31

Symptomatic - bed rest, fluids, topical/systemic analgesia

Anti-viral if immunocompromised

Question 32

What analgesic can be given for VZV?

Answer 32

Paracetomal only - not ibuprofen