Path Pt2 Flashcards

(30 cards)

1
Q

In the context of Aggressive Periodontitis vs. Chronic Periodontitis, what is the primary mechanism or clinical presentation associated with disease progression?

A

D. A familial pattern with neutrophil dysfunction

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2
Q

In the context of Cytokines and Chemokines in Periodontal Disease, what is the key function of IL-1β in pathogenesis?

A

C. Activation of osteoclasts and upregulation of MMPs

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3
Q

In the context of Host Immune Response – T Cells and Plasma Cells, what marks the established lesion stage in gingivitis?

A

C. Plasma cell infiltration and antibody production

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4
Q

In the context of Alveolar Bone Resorption and Osteoclast Activation, what mediates osteoclast differentiation in periodontitis?

A

C. RANKL and IL-1β

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5
Q

In the context of Red Complex Bacteria and Pathogenicity, what is the critical virulence factor of Porphyromonas gingivalis?

A

B. Gingipains that degrade complement and immunoglobulins

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6
Q

In the context of Initial Colonization and Plaque Formation, which bacterial species is the first to adhere to the acquired pellicle?

A

C. Streptococcus sanguinis

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7
Q

In the context of Microbial Succession in Plaque, what shift occurs as biofilm matures?

A

C. Increase in obligate anaerobes

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8
Q

In the context of Neutrophils, which enzyme is released during the oxidative burst that contributes to bacterial killing?

A

A. Myeloperoxidase

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9
Q

In the context of Macrophages, what cytokine is primarily released to activate T cells in chronic inflammation?

A

C. IL-12

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10
Q

In the context of Periodontitis vs. Gingivitis, what differentiates the bacterial profile in periodontitis?

A

B. Dominance of spirochetes and Gram-negative rods

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11
Q

In the context of Systemic Links to Periodontal Disease, which systemic condition is most associated with increased periodontal bone loss?

A

A. Diabetes mellitus

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12
Q

In the context of Enzymes and Matrix Degradation, which enzyme is primarily involved in the degradation of gingival collagen?

A

B. MMP-8

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13
Q

In the context of Host Immune Response - Plasma Cells, what is the primary antibody type produced in the established lesion stage?

A

B. IgG

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14
Q

In the context of Biofilm Structure and Maturation, what is the primary nutrient source for subgingival bacteria in chronic periodontitis?

A

B. Host tissue breakdown products

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15
Q

In the context of Alveolar Bone Resorption, what cell type is directly activated by RANKL?

A

A. Osteoclasts

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16
Q

In the context of Microbial Virulence, which bacterial component is responsible for immune evasion by P. gingivalis?

A

C. Gingipains

17
Q

In the context of Aggressive Periodontitis, what genetic factor is associated with increased susceptibility?

A

B. Polymorphism in IL-1 gene

18
Q

In the context of Cytokine-Mediated Bone Loss, what cytokine is predominantly associated with osteoclastogenesis?

19
Q

In the context of T Cell Activation in Periodontitis, which cytokine is crucial for Th1 differentiation?

20
Q

In the context of Clinical Presentation and Diagnosis, which clinical feature is a hallmark of chronic periodontitis?

A

B. Deep pockets and bleeding on probing

21
Q

In the context of Red Complex Bacteria, which pathogen is NOT part of the red complex?

A

B. Prevotella intermedia

22
Q

In the context of Biofilm Structure, what is the significance of extracellular polymeric substances (EPS)?

A

B. Act as a barrier to antimicrobial agents

23
Q

In the context of Alveolar Bone Resorption, what enzyme degrades collagen in the periodontal ligament?

24
Q

In the context of Immune Evasion, how does T. denticola inhibit phagocytosis?

A

C. Secretes proteolytic enzymes

25
In the context of Systemic Links to Periodontitis, which systemic marker is elevated in both periodontitis and cardiovascular disease?
B. CRP
26
In the context of Bacterial Succession, which species is a key bridging organism in biofilm maturation?
B. Fusobacterium nucleatum
27
In the context of T Cell-Mediated Immunity, what cytokine promotes Th17 differentiation in periodontal disease?
A. IL-17
28
In the context of Gingival Inflammation, what is the dominant immune cell type in early gingivitis?
A. Neutrophils
29
In the context of Biofilm Formation, which bacterial component is critical for initial adhesion to the tooth surface?
B. Fimbriae
30
In the context of Bone Resorption, which cytokine directly enhances osteoclast activation in periodontitis?
C. RANKL