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bulging eyes (exophthalmos), weight loss, and Graves disease are all due to ✔✔hyperthyroidism signs/symtoms of skinny, weight loss ✔✔Graves disease weight gain, dry hair, lower voice, feels cold ✔✔hypothyroidism Acute adrenal insufficnecy is also known as disease. A patient on steroids might have an attack if not supplmeneted by the steroid dose before dental treatment due to thier inability to produce extra in response to stress ✔✔addisons disease doubling the dose of steroids cortisol in response to stress patient with reduced or missing teeth on a pan ✔✔ectodermal dysplasia patient has supernumerary teeth (extra teeth) ... likely diagnosis? ✔✔cleiodcranial dysplasia : can cause hypercementosis of the roots, generalized skull and jaw enlragment with COTTON WOOL appearance of bone ✔✔Pagets disease hypercementosis will follow the on a PAX ✔✔PDL Cleft lip is defection fusion of the and ✔✔medial nasal process
maxillary process failure of the palatal shelves to fuse result in BIFID UVULA ✔✔cleft palate, bifid uvula patient with cleft palate, mandibular micrognathia, glosspotopis (airway obstruction) ✔✔Pierre robin syndrome looks like white and brown spots on the teeth ✔✔hypocalcified teeth cannot be reversed but microabrainsion and aching can improve aesthetics, but cannot reverse the condition ✔✔fluorosis flurosis can be caued by a patient living in a region wher the fluoride content in the water is ppm. Normal is ppm ✔✔4ppm normal is 0.7ppm patient has no enamel on the teeth on bitewing or panx ✔✔amelognesis imperfecta can see OBLITERATED pulp chambers on radiogrpahs and teeth have a TRANSLUCENT or opalescent hue (greyish or blue) also known as osteogenisis imperfect associated with collagenn maturation problem, non systemic ✔✔dentogenisis imperfecta
36mg 0.018mg of EP t/f: according to cdc regulations, you are not required to wash hands before and after removing gloves? ✔✔true Sodium hypochlorite should be changed ✔✔daily to test the autoclave to ensure that it is properly sterilizing by doing a test using biological indicators ✔✔spore test Tx for tetracycline staining? ✔✔best to leave alone can cause rampant decay due to lack of saliva to buffer acidic PH ✔✔xerostomia : can cause rampant caries in todder/infant ✔✔baby bottle syndrome a patient on steriods will need ✔✔supplemenation a MI can produce symptoms while does not ✔✔GI syncope does not induce GI symptoms ( ) of EPI vasoconstrictor ✔✔1.8ml A standard cartridge as ml of 2% lidcaine at mg. the active ingredient , and 1:100,
T/F use retraction cord that contains epi for patient with recent MI ✔✔false correct sympotms of MI. The other two are more likely chest pain upset stomach pounding heart beat left arm jaw jerk pain indigestion ✔✔all except indigestion and upset stomach angina patienttakes nitroglycerine tablet with no effect in 5 min, you give a second and third tablet and still nothing happens. Patient is most likley have a ✔✔Myocaridal infarction angina perctoris symptoms .Usually precipitated by exertion of. commonly with see _and occur ✔✔chest discomfort(not pain) epigrastrium area, usually preciptated by stress and exertion nasua and vomitting if a patient is sitting in dental chair with hands on heart, first thing you do is give the patient ✔✔0.4mg of nitroglycerine tablet if patient is having a myocradial infarction/chest pain, andminster anti anginal drugs such as .
if a patient has kidney disease, what can you prescribe and NOT prescribe ✔✔Tylenol (acetaminophen) NOT aspirin, advil or naproxen (nsaids are metabolzied in the kidney) t/f: If a patient has a kidney transplant, the patient may require antibiotic(stress dose) ✔✔true- due to anti rejection medications analgesic for mild to moderate pain: NOT USED IF PATIENT HAS KIDNEY FAULURE ✔✔PROPROXEPHINE antihistmine to prevent motion sickness and as a sedative for insomina when benzodiapenines are contacindicated. Can be used to treat allergic reactions common side effects are tardive dysinesia, xerostomia ✔✔promethazine bronchiodilater inhaler that relaxes muscles. Used for asthma ✔✔albuterol t/f: should administer nitrous oxide to an asthmatic ✔✔false angioedema of the upper lip has been dianosed as an allergic reaction with no other signs of allergy. The most apporpriate treatment is? ✔✔oral administration of antihistmine (benedryl) a 60 year old female taking naproxene, one asprin dialy who is allergic to penicillin is most likely taking the naproxene for. Do not make a a precision attachment for her due to her lack of as a result of the arthritis ✔✔arthritis lack of dexterity patient has malaise, lethargy, itching, may have an allergic reaction. Give ✔✔benedryl
the major difference between syncope and severe analphylatic shock is there can be in anaphylatic shock ✔✔diffuculity in breathing patient undergoing anaphylatic shock. TX includes (4) ✔✔place patient in supine position administer oxygen manually monitor vitals give 0.3-0.5ml of EPI SC or IM the first thing to do if a patient experiences syndrome (fainting or hypotension) in the dental chair is to place patient in position ✔✔place patient in trendelenburg position (supine) with feet higher than head by 15 - 30 degrees to increase cerebral perfusion pressure When is trendelenburg position contraindicated and instead would use just horizontal position? ✔✔hypovolumic shock (loss of blood volume) medical history of patient taking penicillin and has an allegic reaction on the lower lip. Tx? (2) ✔✔apply topical steriods or swithc antibiotics anaphylactic shock tx? (2) ✔✔Epi 1:1000, 0.5 ml SQ, repeat every 10 - 20 min PRN or steroid dentist has needlestick , have ht patient do an test to detect
name this disease : patient have low platelet count (poor clotting). Normal platelet count is -. Below 50,000 per microliter is ✔✔thrmobocytopenia 150,000-450, thromboyctopenia name this diseaes: symtoms inlcude increased WBC above normal and ginival bleeding. Blood level example : RBC- 2.2million, platelets-24,00, WBC-79, What is normal WBC count? How to diagnose(2) ✔✔lekuemia 4000 - 10, complete blood count, bone marrow examination Name this disease:
can be caused by calcium channel blockers even after a few months. Treatment and last option? ✔✔gingival hyperplasia reduce or switch their medication gingivectomy patient with acid reflux and had mild dental pian. What can you prescribe? ✔✔acetominophin, no NSAIDS tetracycline and oral contraceptives the antibiotics effectivness ✔✔WEAKEN penicillin allergic patient pre medication: or with dosages for adults ✔✔clindamycin 600mg/20mg/kg erythromycin 500mg/15mg/kg non allergic penicillin patient premedication with dosage for adult and kid and time ✔✔amoxcillin 1 hour prior to treatment adult: 2g kid: 50mg Hip joint replacent prohpylaix is only given the first years after surgery only ✔✔ 2 years t/f: No ab is need for patient with rheumatic heart disease ✔✔false
severe caess: surgical intraoral excision of the process largest, least numerous arranged in inverted V shaped row at the back of the tongue? does or does not have taste bud? ✔✔circumvillate papillae does have taste buds smokless tocacco pouch keratosis ✔✔is the development of a white mucosal lesion in the area of tobacco contact Name the pathology: ca nbe caused by cheeck biting, dentures, orthodontic appliances, uneven teeth, and aggressive oral hygiene (benign hardening of the check mucosa due to excess kertain) Tx: ✔✔linea alba tx: remove the irritants is the proper treatment Name the pathology: viral infection causing oral ulcers and inflammtion. Mainly affects the children TX: (3) ✔✔herpetic stomatitis tx: acyclovir, liquid diet and numbing medication , lidocaine rinse if pain severe
Name the pathology: PALATAL AND MUCCOBUCCAL FOLD LESIONS ARE OFTEN ASSOICATED WITH THIS ✔✔TOBACCO, SNUFF Name the pathology: picture of palate with numerous small raised areas with central red dots caused by pipe smoking This is not premalignant and is caused by the form the smoke. Not the chemicals tx? ✔✔nicotonic stomatitis heat from the smoke, not the chemicals is reversible, need to stop smoking Name the pathology: can be seen on the palate in a pipe smoker ✔✔nicotonic stomatitis Name the pathology: Hepatitis that ca be caused by inoculation(serum, vaccination) iv drug use and blood transfusions ✔✔hepatitis C Name the pathology: occurs on the lower lip an lateral tongue borders. may have a crusted or cauliflower appearance ✔✔Squamous cell carcinoma patient comes in with hard palate swelling hat has been there for about 2 years. The patient tells you they had a similiar lesion removed some years ago tx? ✔✔surgical removal
after one 1 transmitted fecal oral route Name the pathology: looks like little dialted blood vessels (telangiectasis) on the tongue ✔✔multiple telangiestasias Median Rhomboid Glossitis (Central Papillary Atrophy) is type of infection. Tx ✔✔candida nystatin Hairy tongue : looks nasty. treat by taking the patient of thier medicaitons , use _ and improve oral hygiene (brush tongue) ✔✔mouthrinses, medications , and improve OH Oral hairy leukoplakia (AIDS) presents as white plaque usually on the lateral border of the tongue that does not rub off. Associated with and ✔✔Presents as a white mucosal plaque that does not rub off, usually on the lateral border of the tongue; associated with EBV and AIDS Name the pathology: oral manfestation in aids patients. a malginant cnacer of the lining of blood vesels on the. May present as purple lesionson the palte. TX:? ✔✔kaposi sarcoma hard palate tx: provide normal dntal treatment but NO invasive treatment Geographic tongue (migratory glossitis) caused by atrophy of the papillae on tongue
tx:? ✔✔Pattern of normal coating interspersed with bright red, shiny, circular bald areas caused by atrophy of the filiform papillae, with raised pearly borders. Pattern resembles a map and changes with time. Not significant, and its cause is not known. tx: ressure patient and leave alone Fissured tongue aka Scrotal tongue tx? ✔✔deep furrows on the surface of the tongue that is considered a normal variant do nothing leukoplakia on the tongue or buccal mucosa must be ✔✔biopsied asymptomatic finding on the tongue lateral border with a 5 year history during which time it has changed appearance repeatedly. TX? ✔✔reassurance, no treatment a keratotic linear formation on the tongue lateral border has been present for about 2.5 years. tx ✔✔biopsy Name the pathology: can see on PAX with translucent areas due to less striations in bone, decrease in trabecular bone density, enlarged bone marrow spaces, and stepladder appearance ✔✔sickle cell anemia Name the pathology: can see due an obvious step between teeth 24 and 25 on pan. Can show a step down in the occlusal plane ✔✔mildine mandibule fracture
Name the pathology: mandible has soap bubble appearance due to multilocular radiolucencies: ✔✔ameloblastoma Periapical film of mandibular first molar area with irregular shaped, periapical radiopacity Tx:? ✔✔leave alone Name the structure: carries saliva from the parotid gland to the mouth on the cheeck just behind the second molar. If there is a retrograde infectoin of the duct, could be be due to
. Take a sialogram of the salivary ducts and glands to see if stone exisit. Can also to see if saliva comes out. If there is no calcification, it is a on a radiograph ✔✔stensons duct duct stones palpate radiolucent Name the structure: a submandibular duct that can become calcified. If a stone is presnet it will like like a radipaque on an occlusal film ✔✔whartons duct Film used to detect a sialolith of a submandibular gland? ✔✔occlusal Name the pathology: the most common SALIVARY gland neoplasm, can be see on the posterior palate as a PAINLESS SWELLING ✔✔pleomorphic adenoma Name the pathology: shows white WHICHMANS straie (rectillinear pattern) on the buccal mucosa.
Treatment if sympotomatic/erosive vs asymptomatic? ✔✔lichen planus symptomatic tx: topical steroid asymptomatic: leave alone Name the pathology: ground glass appearance? ✔✔fibrous dysplasia Name the pathology: a cyst can be see on a panorex with a raised area on the sinu floor? ✔✔maxillary left sinus Name the pathology: can be present on inside of cheeck with fluid like blister. Treatment? ✔✔extravasation cyst tx: surgical removal Name the pathology:; can be seen on pan even with all of the other third molars erupted, usually in area #17 but can be in any third molar locaiton ✔✔primordial cyst (developmental odontogenic cyst) Most common odontogenic cyst associated with the crown of an unerupted or partially erupted tooht frequent in posterior mandible ✔✔dentigerous cyst Name the pathology: arises from the PDL remnants. Is develpmental and not the result of infection or inflammaiton Tx:? ✔✔lateral periodontial cyst
