Oral Pathology Exam 3

Front 1

what are the 8 reactive soft tissue lesions ?

Back 1

1. Irritation Fibrosis (traumatic Fibroma)
2. Epulis Fissuratum (denture-induced fibrous hyperplasia)
3. Papillary Hyperplasia (palatal papillomatosis)
4. Pyogenic Granuloma (Pregnancy tumor)
5. Periopheral Ginat Cell Granuloma (Tumor)
6. Peripheral (Ossifying) Fibroma
7. Epulis Granulomatosa
8. Lipoma (Liposarcoma)

Front 2

what are 3 characteristics of Fibrous (inflammatory) hyperplasia?

Back 2

1. One of hte most frequently encourntered abnormalities of the oral mucosa
2. Represents over-production of collagen (CT) - minimal vascularity
3. Not a neoplasm

Front 3

is fibrous (inflammatory) hyperplasia a neoplasm?

Back 3

No, fibrous (inflammatory) hyperplasia is not a neoplasm.

Front 4

how much vascularity is involved in Fibrous (inflammatory) hyperplasia?

Back 4

minimal vascularity

Front 5

what is one of the MOST FREQUENTLY encountered abnomrality of the oral mucosa?

Back 5

Fibrous (Inflammatory) hyperplasia

Front 6

what is another name for Traumatic Fibroma?

Back 6

Irritation Fibroma

Front 7

what is another name for Irritation Fibroma?

Back 7

Traumatic Fibroma

Front 8

what is one of the MOST COMMON lesions in the oral cavity?

Back 8

Irritation Fibroma (Traumatic Fibroma)

Front 9

Irritation Fibroma (Traumatic Fibroma) is very slow growing. It grows up to 1-2cm. T/F?

Back 9

true

Front 10

your patient presents with a sessile, nonvascular soft smooth mass that is 2 cm. it is pink & very slow growing. you ask your patient if it hurts and she says _______. what does your patient have?

Back 10

no, irritation fibroma (traumatic fibroma) is asymptomatic- it will not hurt!

she has Irritation Fibroma (traumatic fibroma)

Front 11

your pt has an irritation fibroma (traumatic fibroma). the thing that is irritating it is removed. may become slightly smaller or stay the same?

Back 11

it may become slightly smaller

Front 12

what is the etiology of irritation fibroma(traumatic fibroma)?

Back 12

-trauma
-mild, chronic intermittent irritation
-chronic reactive hyperplasia

Front 13

when looking at irritation fibromas(traumatic fibroma) in the micro sense, what will you see?

Back 13

dense collagenous tissue with minimal inflammatory cells.

Front 14

inflammatory cells are predominantly seen in irritation fibroma(traumatic fibroma). t/f

Back 14

false- you would see minimal inflammatory cells

Front 15

what is the choice of treatment for irritation fibromas(traumatic fibroma) ?

Back 15

excisional biopsy - rarely occurs :)

Front 16

a group of inherited conditions in which 2 or more ectodermally derived anatomical structures fail to develop is known as?

Back 16

ectodermal dysplasia. there's a general & an oral type.

Front 17

the general type of _________________ _____________ includes:
1. decreased number of sweat glands. (intolerance to heat)
2. fine, sparse hair with reduced eyebrow & eyelash hair
3. possible periocular skin wrinkling with hyperpigmentation
4. possible midface hypoplasia
what oral manifestation of skin diseases does this describe?

Back 17

ectodermal dysplasia

Front 18

the oral manifestations seen in ____________ ___________ includes:
1. marked decrease in number of teeth (hypodontia)
2. abnormal shape of teeth
3. tapered anterior crowns
4. in most severe cases, cuspids & 1st molars are present but are usually abnormal in shape.
what oral manifestation of skin disease does this describe?

Back 18

ectodermal dysplasia

Front 19

what's the Tx for Ectodermal Dysplasia?

Back 19

1. removable partial
2. dentures
or
3. implants

Front 20

your patient presents orally with these characteristics. what does she have?
1. tooth count = low in number. aka hypodontia.
2. teeth are vampire looking = aka abnormal shape of teeth.
3. her anterior crowns seem tapered = vampire again!
4. since she has a severe case, her cuspids & 1st molars are also tapered = present, but are usually abnormal in shape.

Back 20

she has ectodermal dysplasia!

Front 21

what is another name for aphthous stomatitis?

Back 21

aphthous minor.

Front 22

aphthous minor is also known as aphthous stomatitis. t/f?

Back 22

true

Front 23

your pt nadine presents with a lesion- it has an erythematous halo encircling a yellowish ulceration of the lower labial mucosa (non keratinized mucosa). your pt said that it did not start out as a blister. your pt is a woman physicial with high stress who does not smoke. what does your pt have and what's so important about the non smoking part?

Back 23

nadine has aphthous minor (aphthous stomatitis). it is more common in non-smokers bc smoking builds up keratin layer protection & aphthous minor lesions appear on non keratinized mucosa.

Front 24

nadine's parents both had aphthous minor (aphthous stomatitis). what is the % that nadine will also get it?

Back 24

if both parents- 90%

Front 25

only one of nadine's parents had apthous stomatitis (aphthous mirnor). what is the % that nadine will get it?

Back 25

if one parent - 60%

Front 26

neither of nadine's parents had aphthous minor (aphthous stomatitis). what is the % that nadine will get it?

Back 26

20%

Front 27

can aphthous mirnor (aphthous stomatitis) be inherited?

Back 27

yes, aphthous minor (aphthous stomatitis) can be inhereited.

Front 28

your pt nadine presents with aphthous minor (aphthous stomatitis). her lesions never started out as a blister. they don't appear to show up on her attached gingiva & palate. what % of professional students get this disease & is it painful?

Back 28

55% of professional students get aphthous minor (aphthous stomatitis) & it is VERY PAINFUL!

Front 29

aphthous minor (aphthous stomatitis) is most commonly found where?

Back 29

aphthous minor (aphthous stomatitis) is most commonly found in the MucoBuccal Fold!

Front 30

Aphthous minor (aphthous stomatitis) is due to an autoimmune rxn. t or f?

Back 30

true- aphthous minor (aphthous stomatitis) is due to an autoimmune rxn.

Front 31

your pt nadine has aphthous minor (aphthous stomatitis). when asked if she knew of any predisposing factors or triggering factors she said what?

Back 31

aphthous minor (aphthous stomatitis) is brought on by:
1. trauma
2. stress
3. allergic factors (like nuts!)
4. plus she's female- increased susceptibility.

Front 32

what's tx for aphthous minor (aphthous stomatitis)? & what gender is most likely to get it?

Back 32

1. topical corticosteroids
2. tetracycline mouthwash
Females have increased susceptibility

Front 33

your pt nadine has aphthous minor (aphthous stomatitis). you're pretty sure that's what she has, but in order to be a good student doctor you decide to write up a differential dx. this would include what 4 things?

Back 33

1. Herpes
2. Erythema Multiforme
3. Cyclic Neutropenia
4. Pemphigus

Front 34

when would aphthous minor (aphthous stomatitis) first appear? and what is the prevalence % of the general population to that of professional students?

Back 34

aphthous stomatitis (aphthous minor) is an immunologic disease that may first appear in LATE TEENS to LATE TWENTIES (but can be less than 10 yrs and greater than 70 yrs!).
Prevalence- 20% of general population, but 55% of professional students get it.

Front 35

is aphthous stomatitis (aphthous minor) more common in smokers or non smokers? why? does it have early onset and increased severity or not?

Back 35

aphthous stomatitis is more common in NON-SMOKERS than smokers. Why? Bc smokers have keratinized tissue = barrier to lesion!
It is an inherited predisposition (early onset, and increased severity)

Front 36

what is the most common oral ulceration?

Back 36

RAU = Recurrent Aphthous Ulceration which is known as a "Canker Sore" and can be confused with HERPES. It is the most common type of Aphthous- greater than 90%.

Front 37

what's the % of the 3 types of aphthous lesions?

Back 37

1. Aphthous Minor (Aphthous Stomatitis) is > 90%
2. Herpetiform Aphthous is 5% (misnomer, bc it actually looks like primary HERPES!)
3. Aphthous Major is 5% as well, it's the SERIOUS one bc pt suffer A LOT!

Front 38

a yellow fibrinous membrane with erythematous halo makes you think of . . . (not an angel) . . . ?

Back 38

aphthous minor (aphthous stomatitis!)

Front 39

what's a pre-sign of Aphthous stomatitis (aphthous minor) ?

Back 39

Burning! and ITCHING! Prodromal signs = comes before lesion does.

Front 40

aphthous major is larger than minor. what's the lesion size of minor?

Back 40

3-10 mm in diameter for aphthous minor. may have multiple lesions but usualy NO MORE THAN 3-5 at a time.

Front 41

your pt nadine has aphthous minor (aphthous stomatitis). her lesions appear oval, discrete, circumscribed, and shallow ulcers. there is a red halo with ulcerated center which is pseudomembrane. can you wipe this off?

Back 41

yes!

Front 42

vesicles are seen in aphthous stomatitis (aphthous minor). it tends to be tender and painful when eating spicy foods. t/f?

Back 42

f- vesicles are NOT seen in aphthous sotmatitis (aphthous minor).
t- it tends to be tender and painful when eating spicy foods.

Front 43

when it comes to vesicles, what's the difference btwn aphthous and herpes?

Back 43

herpes always has a blister for a coupel of hours where aphthous does NOT have a vesicle/blister.

Front 44

the tongue, soft palate, labial mucosa, gingiva and vestibule are common sites for aphthous stomatitis. but what ist he MOST COMMON site?

Back 44

mucobuccal fold is the most common site for aphthous stomatitis (aphthous minor)

Front 45

how long do aphthous stomatitis (aphthous minor) lesions last? and how often can new lesions occur?

Back 45

aphthous stomatitis (aphthous minor) lesions last about 3-7 days and new lesions may occur every couple of months or a couple times a year!

Front 46

on what 2 oral locations do aphthous stomatitis have pain being out of proportion to the size of lesion?

Back 46

1. lateral tongue
2. dorsum of tongue

Front 47

in pts with re-calcitrant aphthae, a diagnosis of Chron's is considered (which has the cobble stone path). t/f?

Back 47

true

Front 48

what is the etiology of aphthous stomatitis (aphthous minor) ?

Back 48

1. primary immunodysregulation = has to do with immune system --> focal autoimmune dysfunction
2. Decrease of mucosal barrier = bite yourself, create traumatic ulcer than can create an aphthous lesion
3. Increase of antigenic exposure = precipitating factors can be the cause like certain foods like pineapple, strawberry, chocolate, walnuts. . .

Front 49

aphthous stomatitis (aphthous minor) is an associated condition in minority number of cases such as these 5-

Back 49

1. Behcet Syndrome
2. Crohn's Dz = in pts with recalcitrant aphthae, a diag of Chron's is considered!
3. Celiac Dz
4. Deficiencies in Folic acid, vitamin B12, Iron
5. AIDs pts = aphthous like ulcers may occur in any mucosal site, but must get major or hepetiform type.

Front 50

what precipitation factor is seen in high percent of cases when it comes to aphthous minor (aphthous stomatitis)?

Back 50

Trauma

Front 51

what are the 4 precipitating factors seen in aphthous minor?

Back 51

1. Trauma
2. Endocrine Conditions- related to menses, remission during pregnancy- but latests studies show no association to menstural cycle
3. Psychic factors = STRESS!
4. Allergic Factors = nuts (100 gm of walnuts/day), chocolate. . .
5. also- SLS = Sodium Lauryl Sulfate in soap, toothpaste (but not TOMs)

Front 52

Tx for aphthous minor (aphthous stomatitis) includes?

Back 52

1. topical corticosteroids (esp if autoimmune Dz. Kenalog Orabase = hard to make it stick to oral mucosa, but sticks to vestibule)
2. Antibiotics = Tetracycline Mouth wash (good in 70% of cases)
3. Topical Anesthetic (Xylocaine Viscous) = prescription, numbs area for 15 mins
4. Self remedies = crazy glue? crazy!
5. Smoking? maybe?
6. Levamisole = an antihelmintic agent, 60% get improvement (another study showed NO improvement)
7. Chlorhexidine = heals lesion for a couple days fastor bc kills bacteria on surface
8. Vitamins? only for certain ppl with deficiencies in Folic Acid, Iron, Vit B12
9. Benadryl Elixir mixed 50/50 with Kaopectate = coats ulcer and helps
10. Benadryl Elixir mixed 50/50 with Maalox = coats ulcer & helps
11. Aphthasol (Amelexanox) = not a steroid, helps some
* HIV + pts will have multiple recurrent lesions - on keratinized tissue too!

Front 53

regarding aphthous minor (aphthous stomatitis), topical steroids are used in this order (if one doesn't work, use the next one):

Back 53

1. Kenalog in Orabase
2. Lidex Gel (Fluocinonide)
3. Lidex Gel mixed with Orabase 50/50 = orabase pulls it towards area
4. Decadron Elixir = 1 tsp swish for 1 min/couple times a day. gotta use this for HEPETIFORM ulcers = 100 ulcers at one time!)
5. Temovate Ointment = one of the strongest steroids you can use. maybe use only on aphthous major!

Front 54

your pt nadine has aphthous stomatitis! at least that is what you think. being an awesome student dentist you decide to create a differential diagnosis. this includes what 4 things?

Back 54

1. Herpes (Recurrent intraoral type)
2. Erythema Multiforme
3. Cyclic Neutropenia
4. Traumatic Ulcer

Front 55

What is the incidence of Herpeitofrm Aphthous?

Back 55

2-5% of all herpes!

Front 56

your pt presents with numerous pinhead ulcerations of the ventral surface of the tongue, several of which have coalesced into larger, more irregular areas of ulceration. what do you suspect?

Back 56

Herpetiform Aphthous

Front 57

what relation does herpetiform aphthous have with herpes?

Back 57

it has NOTHING to do with herpes!

Front 58

what type of aphthous can get as many as 100 lesions, looks very much like primary herpes and affects females in their 20s?

Back 58

HERpetiform Aphthous

Front 59

If pt says this ist he 1st time getting this (herpetiform aphthous), chances are that it is primary herpes and NOT herpetiform aphtous (but could also be 1st time getting herpetiform aphthous!) so be careful with Dx. t/f

Back 59

true

Front 60

what's the average size in diameter for herpeitform aphthous?

Back 60

herpetiform aphthous is 1-3mm in diameter vs 3-10 mm in diameter for aphthous minor!

Front 61

ulcers seen in herpetiform aphthous may heal wtihin how many days? how many weeks can it last?

Back 61

herpetiform aphthous may heal within 7-10 days! (vs aphthous minor which heals within 3-7 days).
herpetiform aphthous can last several weeks (vs aphthous minor which can last longer?)

Front 62

some lesions of herpetiform aphthous can be found on Keratinized areas of mucosa. t/f

Back 62

true- herpetiform aphthous can be found on Keratinized areas of mucosa.

Front 63

Sutton's Dz is also known as what?

Back 63

Aphthous Major!

Front 64

what's the difference of aphthous major and minor?

Back 64

they are the same except major has an increase in severeity. ulcers last longer and are larger (up to several cm in diameter!). they may last up to 6 wks and may scar and have genital lesions. some pts may have recurring problems lasting up to 20 yrs!

Front 65

contrast the sizes of the 3 aphthous lesions.

Back 65

1. aphthous minor (aphthous stomatitis) = 3-10 mm in diameter
2. herpetiform aphthous = 1-3mm in diameter
3. aphthous major = several CM in diameter

Front 66

what is the best tx of choice for aphthous major?

Back 66

DECADRON ELIXIR

Front 67

what is given for pain relief to pts with aphthous major?

Back 67

xylocaine viscous

Front 68

your DD for aphthous major include what 2 things?

Back 68

1. aphthous Minor
2. Pemphigus

Front 69

your pt presents with ulceration on the buccal mucosa, a large irregular ulceration of the soft palate and she has genital lesions and the lesions that have healed have unfortunately scarred. what does she have and how would you tx?

Back 69

she has aphthous major (sutton's dz)
tx with: 1st choice is TOPICAL STEROIS. 2nd choice is TOPICAL TETRACYCLINE.
can also give
3. Lidex gel 50% with orabase 50%
4. Decadron elixir - used for herpetiform
5. prednisone tabs- bc of autoimmune behavior

Front 70

why do we give prednisone tabs to those with aphthous major?

Back 70

bc of the autoimmune behavior

Front 71

herpetiform aphthous can be treated with what?

Back 71

DECADRON ELIXIR!

Front 72

what are 3 immunologic dz that we learned in oral infction lecture?

Back 72

1. aphthous stomatitis (aphthous minor)
2. Herpetiform aphthous
3. Aphthous Major (sutton's dz)

Front 73

what are the viral dz we learned about in oral infx lecture?

Back 73

1. herpes simplex
2. chickenpox (varicella)
3. herpes zoster (shingles)
4. Infectious Mononucleosis (EBV)
5. Herpangina, aphthous pharyngititis
6. hand, foot and mouth dz
7. measles (rubeola)
8. rubella
9. condyloma cuminatum (veneral wart)

Front 74

your pt presents with numerous coalescing, irregular & yellowish ulcerations of hte dorsal surface of the tongue. she also has painful, enlarged and erythematous facial gingiva. when tested you find that she has NO antibodies to herpes simplex virus. what do you suppose your pt has?

Back 74

Primary Herpetic Gingivostomatitis

Front 75

those with primary herpetic gingivostomatitis have 90-99% of them being SUBCLINICAL. what does this mean?

Back 75

you can't see symptoms

Front 76

primary herpetic gingivostomatitis lies dormant in nerve ganglia! what ganglia for oral herpes?

Back 76

Trigeminal ganglia for oral herpes.

Front 77

your pt presents with fever, painful swallowing, lymphadenophaty and lesions everywhere in her mouth. she has NO antibodies to HSV when tested. what do you suppose she has? will the recur? what tx do you give?

Back 77

she has Primary Herpetic Gingivostomatitis.
-they will NOT recur once you've had it.
-there is NO specific tx however:
1. acyclovir may help in some cases
2. Vidarabine
3. Idoxuridine

Front 78

what is your DD for a pt presenting with primary herpetic gingivostomatitis?

Back 78

1. ANUG
2. Herpangina
3. Herpes Zoster

Front 79

the primary mode of HSV transmission is?

Back 79

ASYMPTOMATIC viral shedding

Front 80

HSV- type I affects where? type II affects where?

Back 80

type 1 = face, lips, oral cavity
type 2 = genital & skin of lower body

Front 81

what is the MOST COMMON viral diseases affecting MAN other than Viral Respiratory Infections?

Back 81

Herpes SImplex Virus!

Front 82

your pt presents with fever, painful swallowing, lymphadenophaty and lesions everywhere in her mouth. she has NO antibodies to HSV when tested. what do you suppose she has? will the recur? what tx do you give?

Back 82

she has Primary Herpetic Gingivostomatitis.
-they will NOT recur once you've had it.
-there is NO specific tx however:
1. acyclovir may help in some cases
2. Vidarabine
3. Idoxuridine

Front 83

what is your DD for a pt presenting with primary herpetic gingivostomatitis?

Back 83

1. ANUG
2. Herpangina
3. Herpes Zoster

Front 84

the primary mode of HSV transmission is?

Back 84

ASYMPTOMATIC viral shedding

Front 85

HSV- type I affects where? type II affects where?

Back 85

type 1 = face, lips, oral cavity
type 2 = genital & skin of lower body

Front 86

what is the MOST COMMON viral diseases affecting MAN other than Viral Respiratory Infections?

Back 86

Herpes SImplex Virus!

Front 87

Herpes Simplex affects tissue derived from where?

Back 87

ECTODERM = skin, MM and nerves

Front 88

Herpes is a dermatrophic virus. what does this mean?

Back 88

it resides within cells of ECTODERMAL origin.

Front 89

HSV occurs early in life, but not before ___ months.

Back 89

not before 6 months!

Front 90

1%-10% have clinical dz of HSV, yet 50-90% of adult population display antibodies. T/f?

Back 90

true

Front 91

The larger, weight-bearing bone of the lower leg is the

Back 91

tibia

Front 92

it is uncommon to find HSV-2 on lips or oral mucosa membranes and HSV-1 in the genital area. t/f

Back 92

false- it's not uncommon to find these in these locations

Front 93

clinical manifestations of HSV include 5 different ones-

Back 93

1. Primary Herpetic Stomatitis (Herpetic Gingivostomatitis) = infection of a person WITHOUT circulating antibodies.
2. Recurrent (Infection in a person WITH antibdoes) or Secondary herpetic stomatitis
3. Recurrent Intraoral Herpes SImplex
4. Inoculation Herpes SImplex
5. Relasionship of primary and recurrent herpes simplex

Front 94

what type of HSV is an infxn in a person WITHOUT circulating antibodies?

Back 94

Primary herpetic stomatitis (herpetic Gingivostomatitis)

Front 95

what type of SV is an infxn in a person WITH circulating antibodies?

Back 95

Recurrent or SEcondary herpetic stomatitis

Front 96

what is the most common manifestation age of acute herpetic gingivostomatitis?

Back 96

1-5 yrs of age. it's rare before 6 months, but it can occur at any age.

Front 97

Incubation for Acute Herpetic Gingivostomatitis ranges from how many days?

Back 97

2-20 days. 1-10% of primary infectious are highly VISIBLE with 90-99% being Asymptomatic or "subclinical"

Front 98

S/S of Acute Herpetic Gingivostomatitis ?

Back 98

1. Fever (103-105EF)
2. Irritability
3. Headache
4. Pain on swallowing
5. Lympadenoathy
-Virus remains latent in nerve ganglia until reactivated (for oral hepes usually trigeminal ganglia involved)

Front 99

Orally- acute herpetic gingivostomatitis = what are early signs?

Back 99

painful gingiva & bleeding gingiva are early signs for acute herpetic gingivostomatitis.

Front 100

how large are the veislces and ulcers on the gingiva in acute herpetic gingivostomatis? is it recurrent?

Back 100

2-4 mm. will not get recurrence of primary!

Front 101

the majority of the cases of acute herpetic gingivostomatitis are trasmitted in this way- what way is this?
and, if the virus gets thrown on the table how long can it survive?

Back 101

shed the virus in oral or genital area WITHOUT evidence of clinical lesions. virus can survive 2-4 hours on environmental surfaces

Front 102

your pt Primrose has had acute herpetic gingivostomatits for 3 wks. is this normal?

Back 102

no, in 7-14 days infections subsides (some cases 2-4 days)

Front 103

when vesicles rupture in acute herpetic gingivostomatitis, they leave what behind? what happens if htis happens in adults?

Back 103

ragged ulcers that are PAINFUL! in adults this may cause PHARYNGOTONSILITIS

Front 104

you are looking at a HSV histologically and see "ballooning degeneration" and Lipshutz bodies (intranuclear inclusions). This automatically makes you think of what?

Back 104

Acute herpetic gingivostomatitis

Front 105

what are other forms of acute herpetic gingivostomatitis?

Back 105

1. herpetic conjunctivitis- karatitis and corneal ulcerations
2. herpetic meningoencephaliits- serious disease
3. herpes genitalis- more virulent (herpes, type 2) appears to be related to cervical carcinoma
4. disseminated herpes simplex of newborn- acquired bc mother has herpetic vaginitis

Front 106

cervical carcinoma can be related to what form of acute herpetic gingivostomatitis?

Back 106

herpes genitalis

Front 107

antibiotics are sometimes in cases of acute herpetic gingivostomatitis why?

Back 107

antibiotics may be used to control secondary infection.

Front 108

how is diagnosis made for acute herpetic gingivostomatitis?

Back 108

viral cultures- may take 2-3 days.

Front 109

antibodies to HSV-1 decrease infection with HSV-2 and vice versa. t/f?

Back 109

true

Front 110

your DD for acute herpetic gingivostomatitis include what 3 things?

Back 110

1. ANUG
2. Herpangina
3. Herpes Zoser

Front 111

recurrent herpes simplex is also known as what 3 other names?

Back 111

1. herpes labialis
2. "cold sore"
3. "fever blister"

Front 112

cold sores are usually seen in adults and after primary infection. t/f

Back 112

true

Front 113

s/s of recurrent herpes simplex-1. 50% of population (higher in lower-income strata)
2. usually on Muco-Cutaneous juntion
3. Preceded by burning sensation 24 hrs--> then swelling (in clusters) --> then vesicles (1mm in diameter) --> then ulcerates and gets crusty.
4. may occur as often as once a month or maybe once a year
t/f

Back 113

true

Front 114

cold sores have a order. put these in order:
vesicles
burning
swelling
crusty
ulcerations

Back 114

1. preceded by burning
2. swelling (in clusters)
3. vesicles (1mm in diameter)
4. ulcerates
5. gets crusty

Front 115

cold sores last _______ days. do they scar?

Back 115

4-10 days.
no scarring.

Front 116

tx for cold sores are? what should you NOT use? systemically you can use what?

Back 116

no specific tx. but do NOT use steroids.
-systemically you can use oral acyclovir (zovirax) in serious episodes where lesions interferes with daily function

Front 117

DD for cold sores are what 5?

Back 117

1. aphthous lesion
2. herpes zoster
3. erythema multiforme
4. pemphigus
5. allergies

Front 118

you pt presents with multiple fluid-filled vesicles adjacent to the lip vermillion. they are triggered by fever, colds, suntlight, stress and food. what are 2 names for this lesion?
what's the 5 list DD?

Back 118

cold sore
fever blister.
DD = 1. aphthous lesion. 2. herpes zoster. 3. EM 4. pemphigus 5. allergies

Front 119

recurrent intraOral Herpes simplex occurs with bone underneath- develops on mucosa bound to periosteum such as hard palate and gingiva. It is usually seen concurrently with herpes Labialis (cold sore/fever blister). t/f?

Back 119

t-occurs with bone underneath
f-NOT usually seen concurrently with herpes labialis

Front 120

multiple, small painful ulcers that my coalisece into a large ulcer that heals within 7-10 days that occur with bone underneath is what? what's the relation to dental tx?

Back 120

Recurrent intraoral Herpes simplex.
-often precipitated by dental tx!

Front 121

what type of HSV is often precifpiated by dental tx?

Back 121

recurrent intraoral herpes simplex! watch out dentists!

Front 122

what type of HSV is NOT found concurrently with Herpes Labilais? Which one is?

Back 122

NOT- recurrent intraOral Herpes Simplex
IS- Herpetic Whitlow

Front 123

How many factors are needed to coagulate blood?

Back 123

13

Front 124

diagnosis of viral lesions for HSV include what 5 procedurse?

Back 124

1. biopsy
2. cytologic smear
3. culture
4. fluorescent antibody
5. serology

Front 125

your pt presents with multiple coalescing ulcerations on the hard palate. kinda looks like flowers together. and it's often brought on by YOU- dental tx = stress to gingiva. when you touch it she says OUCH bc it is painful! you tell her she has what? and how long with it take to heal?

Back 125

she has recurrent IntraOral Herpes SImplex. will heal within 7-10 days

Front 126

recurrent herpetic infection of the finger- is it painful or not? it is often accompanied by what 2 things?

Back 126

it is PAINFUL.
accompanied by 1. Lymphangitis and 2. regional adenopathy

Front 127

an HSV lesion that may last 4-6 wks and is recurrent with herpes labialis, found on fingers and common in dentists is waht?

Back 127

herpetic Whitlow!

Front 128

recurrent intraOral Herpes simplex occurs with bone underneath- develops on mucosa bound to periosteum such as hard palate and gingiva. It is usually seen concurrently with herpes Labialis (cold sore/fever blister). t/f?

Back 128

t-occurs with bone underneath
f-NOT usually seen concurrently with herpes labialis

Front 129

multiple, small painful ulcers that my coalisece into a large ulcer that heals within 7-10 days that occur with bone underneath is what? what's the relation to dental tx?

Back 129

Recurrent intraoral Herpes simplex.
-often precipitated by dental tx!

Front 130

what type of HSV is often precifpiated by dental tx?

Back 130

recurrent intraoral herpes simplex! watch out dentists!

Front 131

what type of HSV is NOT found concurrently with Herpes Labilais? Which one is?

Back 131

NOT- recurrent intraOral Herpes Simplex
IS- Herpetic Whitlow

Front 132

your classmate presents with lesions on fingers that have lasted 6 wks. it's common in DDS and DH. what is it and what's it's relation with herpes labialis?

Back 132

herpetic Whitlow (inoculation Herpes Simplex)
-recurrence may occur along with herpes labialis

Front 133

diagnosis of viral lesions for HSV include what 5 procedurse?

Back 133

1. biopsy
2. cytologic smear
3. culture
4. fluorescent antibody
5. serology

Front 134

it's on tissue overlying bone like the hard palate. it'a an HSV lesion. what is it?

Back 134

recurrent intraoral herpes simplex

Front 135

your pt presents with multiple coalescing ulcerations on the hard palate. kinda looks like flowers together. and it's often brought on by YOU- dental tx = stress to gingiva. when you touch it she says OUCH bc it is painful! you tell her she has what? and how long with it take to heal?

Back 135

she has recurrent IntraOral Herpes SImplex. will heal within 7-10 days

Front 136

recurrent herpetic infection of the finger- is it painful or not? it is often accompanied by what 2 things?

Back 136

it is PAINFUL.
accompanied by 1. Lymphangitis and 2. regional adenopathy

Front 137

an HSV lesion that may last 4-6 wks and is recurrent with herpes labialis, found on fingers and common in dentists is waht?

Back 137

herpetic Whitlow!

Front 138

your pt presents with white opaque vesicles on the hard palate and numerous erythromatous vesicles on the right side of the neck. it's caused by the varicella zoster virus and entry is most likely by RESPIRATORY tract. what does yoru pt have?

Back 138

Chicken Pox (varicella)

Front 139

chicken pox can recur. t/f?

Back 139

true- recur as herpes zoster.

Front 140

chicken pox first affects what parts before hitting the extremeiteis?

Back 140

trunk and face first!

Front 141

stages of chicken pox are what?

Back 141

1. erythema
2. vesicle
3. pustule
4. hardened crust

Front 142

your niece has chicken pox and can't go to school. she loves school bc she is a nerd. how long are you gonna tell her that it will last and what tx should you give/what should you NOT give?

Back 142

tell your niece to chillax and enjoy 7-10 days at home! tx is antivirals and antipyretics. do NOT give apsirin or else she could get REYES syndrome!

Front 143

an acute mild disease caused by virus that causes herpes zoster is ?

Back 143

varicella zoster virus

Front 144

your niece wants to know how she contracted chickenpox. "was it from a chicken," she asks? you tell her what? and how long has it been incubating inside of her?

Back 144

prob from respiratory tract! incubation period is 2 wks.