Oral Diagnosis Quiz 2

Front 1

Complications of diabetes in healing

Back 1

hyperglycemia, ketoacidosis, vascular wall changes results in vascular insufficiency

Front 2

normal fasting blood glucose level

Back 2

less than 100mg/dl

Front 3

pre-diabetes fasting blood glucose level

Back 3

125mg/dl

Front 4

do not treat the pt if their blood glucose level is above what?

Back 4

200 mg/dl

Front 5

three criteria used for diagnosis of diabetes mellitus

Back 5

1. symptoms of diabetes plus causal plasma glucose concentration > 200 mg/dl
2. FPG > 126 mg/dl
3. 2 hour postload glucose level > 200 mg/dl during an OGTT

Front 6

symptoms of mild stage insulin shock

Back 6

hunger, weakness, tachycardia, pallor, sweating, paraesthesias

Front 7

symptoms of moderate stage of insulin shock

Back 7

incoherence, uncooperativeness, belligerence, lack of judgment, poor orientation

Front 8

symptoms of severe stage of insulin shock

Back 8

unconsciousness, tonic or clonic movements, hypotension, hypothermia, rapid thready pulse

Front 9

sustained abnormal elevation of arterial pressure usually asymptomatic

Back 9

hypertension

Front 10

control target bp for hypertension

Back 10

140/90

Front 11

target bp for pts with diabetes or renal disease

Back 11

130/80

Front 12

etiology for infectious mononucleosis

Back 12

epstein-barr virus

Front 13

common types of intestinal disorders

Back 13

Crohn's disease (inlammatory bowel disease - IBD)
gastritis
GERD (gastric esophageal reflux disease)

Front 14

oral manfestations of GERD

Back 14

severe erosion due to reflux of stomach acid
sensitivity of teeth
burning tongue

Front 15

is antibiotic prophylaxis before dental tx necessary for pts with artifical heart valves?

Back 15

yes - bc they are susceptible to bacterial endocarditis

Front 16

heart murmur is caused by what?

Back 16

turbulence of blood circulating through the valves and chambers of the heart

Front 17

organic heart murmurs may be caused by what?

Back 17

stenotic valve
regurgitation of blood from endocardial fibrosis (floppy incompetent valve)
combination of the two
MVP
RHD
autoimmune disease

Front 18

are valves on the L or R side of the heart more commonly affected with murmurs?

Back 18

left

Front 19

allergies to aspirin may produce what symptoms?

Back 19

urticaria or edema

Front 20

acute atrophic candidiasis is caused from what?

Back 20

steroid asthma inhaler

Front 21

tension headaches produce pain where?

Back 21

frontal bone, occipital area, muscles of the neck

Front 22

hypertension can produce what types of headaches and pain?

Back 22

headaches in occipital area, visual disturbances, muscle aches in lower extremeties

Front 23

temporal headaches may be related to what?

Back 23

TMJ problems

Front 24

noises in the ear such as buzzing, roaring, or ringing is called what?

Back 24

tinnitus

Front 25

chronic disease of the inner ear characterized by recurrent episodes of vertigo

Back 25

Meinere's disease

Front 26

antisialogogue

Back 26

drug that reduces, slows, or prevents the flow of saliva

Front 27

frequent colds are characterized to occur how often?

Back 27

more than 3 or 4 per year

Front 28

angina pectoris suggests what?

Back 28

insufficiency of the blood supply to the heart

Front 29

increase in appetite w/ no wt gain suggests what?

Back 29

hyperthyroidism or diabetes

Front 30

decrease in appetite may suggest what?

Back 30

hepatitis, infectious mononucleosis, anorexia, depression, GI cancer, or AIDS

Front 31

most common causes of indigestion

Back 31

peptic ulcer and gall bladder disease

Front 32

what is considered frequent urination?

Back 32

> 6x a day

Front 33

how do you approach tx for a pregnant lady in 1st trimester?

Back 33

avoid elective tx, ER tx only, may perform prophy w/ visual exam
most critical time for teratogenicity
development of major organs in fetus

Front 34

which trimester is the most ideal for dentistry?

Back 34

2nd - fetus is past critical stage and mother is not too large to be uncomfortable in chair

Front 35

ASA I classification

Back 35

Normal healthy pt, no dental management alterations, no probs climbing stairs or running at least 2 min

Front 36

ASA II classification

Back 36

mild systemic disease that does not interfere w/ day-to-day activity or that has a significant health risk factor i.e. mild hypertension, type 2 diabetes, well controlled epilepsy, etc

Front 37

ASA III classification

Back 37

pt w/ moderate to severe systemic disease that is not incapacitating but may alter day-to-day activity i.e. type 1 diabetes, COPD, moderate HT, etc

Front 38

ASA IV classification

Back 38

pt w/ severe systemic disease that is constant threat to life. pt will be unable to do light activity for short period of time and may experience discomfort at rest
i.e. severe HT, liver failure, advanced AIDS, etc