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57 Cards in this Set
- Front
- Back
Q. Discrete, shallow, painful lesions of the oral mucosa, occurring singly or in groups, small ulcers that heal w/o scarring while large ones >1cm diameter scar?
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Aphthous Stomatitis
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Q. Name this disease:
-1-2 mm ulcer yellowish gray with red base on soft palate and oral mucosa -2-3 attacks/yr. -Heals 7-10 days |
Aphthous Stomatitis
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Q. Name 4 things which can lead to Aphthous Stomatitis?
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Stress, food allergies, acidity, nutritional deficiencies, Crohn’s, immune compromised
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Q. What foods should be eliminated in Aphthous Stomatitis?
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Acidic Foods
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Q. These herbs are for what condition?
Calendula succus Commiphora myrrha Salvia off |
Aphthous Stomatitis
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Q. Primary infection can present with fever, single or multiple lesions on and in mouth or asymptomatic.
Location: vermillion border, hard palate, attached gingiva. SXM: include drooling, cervical lymphadenitis, muscle aching |
Herpes Simplex 1
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Q. How long does the Herpes Simplex virus last?
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10-14 days
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Q. These botanicals treat which condition?
Hypericum Hamamelis virginiana Glycerrhiza Melissa off |
Herpes Simplex 1
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Q. An eruptive skin disorder of the perioral area resembling rosacea and acne, most commonly in young women
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Perioral dermatitis
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Q. What is perioral dermatitis made worse by?
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Made worse by fluorinated steroids, acne preparations
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Q. Coxsackie Viruses:
1. Family? 2. What SXM may procede? |
1. Member of enterovirus family
2. Flu-like symptoms may precede |
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Q. NAME THE DISEASE: 1-2 mm gray apulovesicular with erythematous areolas,
may appear as ulcers on posterior pharynx, soft palate and tonsils. |
Herpangina
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Q. What are sxm of herpangina?
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Viral SXM plus dysphagia
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Q. NAME THE DISEASE?
-Coxsackie Virus A16 Enterovirus -Common in young children -Yellow ulcer surrounded by red halos primarily on tongue, uvula, anterior tonsillar pillars, gums and palate. |
Hand Foot and Mouth Disease
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Q. Inflammation of the tongue?
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Glossitis
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Q. Name the tongue: Pale and smooth enlarged tongue
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Iron Def Tongue
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Q. NAME THE DISEASE: Profuse overgrowth of filiform
papillae (glossitis), brownish black discoloration of papillae usually asymptomatic? |
Hairy Tongue
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Q. What can hairy tongue be caused by?
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Antibiotics, fever, O2 liberating mouthwashes or reduction in salivary flow
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Q. NAME THE DISEASE?
Swollen tongue, fixed white plaques on edges of tongue, looks hairy. |
Hairy Leukoplakia
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Q. Precancerous lesion that occurs on the tongue or inside cheek due to chronic irritation.
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Oral Leukoplakia
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Q. 1. What percent of oral leukoplakia develop into cancer?
2. Locations? |
1. <5% develop into cancer
2. Mouth floor, ventral/lateral tongue, soft palate including uvula, tobacco chewer-buccal mucosa |
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Q. What stage of Leukoplakia is white?
Red? Ulceration? |
1. White: usually benign, rarely raised or indurated
2. Red: usually malignant carcinoma in situ 3. Ulceration: sign of progression to squamous cell CA |
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Q. NAME THE DISEASE: Uncontrolled growth of candida, causing white patches in the mouth with inflammation.
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Oral Thrush
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Q. The population affected by Oral Thrush?
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Immunocompromised
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Q. NAME THE DISEASE: dry mouth related to decreased salivary flow and/or changes in saliva composition.
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Xerostomia
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Q. What are causes of Xerostomia?
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Medications
Cancer Therapy Sjogren’s |
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Q. SXM of Xerostomia?
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-Oral dryness
-Burning or irritation of tongue, -Difficulty eating and swallowing |
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Q. What is the cause of hypertrophy of tonsils?
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-Repeated respiratory infections or allergies
-Bulimia -Chronic nasal obstruction -Eustachian tube dysfunction |
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Q. WHAT IS THIS PATIENT DEALING WITH?
-Mouth breathing -Recurrent pharyngeal infections -Recurrent respiratory infections -Chronic Sinusitis |
Nasal Obstruction
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Q. WHAT IS THIS PATIENT DEALING WITH?
-Recurrent acute otitis -OME with hearing loss -Chronic suppurative otitis media |
Eustachian tube dysfunction
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Q. NAME THE DISEASE:
No cough, fever, anterior cervical adenopathy, enlarged tonsils with or without exudate. Most common 5-15 yr. Incubation 2 to 5 days. Direct contact transmission. |
Beta hemolytic Strep Group A Pharyngitis
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Q. How to test for strep?
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1. Must perform throat culture (gold standard) and/or rapid strep.
2. Negative rapid strep should be confirmed by throat culture. |
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Q. What are 2 complications of Beta hemolytic Strep Group A Pharyngitis?
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1. Rheumatic Fever
2. Scarlett Fever |
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Q. NAME THE DISEASE: Hand contact, nasal discharge transmission. Rhinitis, low grade fever, lymphadenopathy, non-exudative pharyngeal erythema. Incubation: 24-72 hr
Duration: 5-7 days. |
Viral Pharyngitis
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Q. NAME THE DISEASE: Rapid onset throat pain. Swollen erythematous mucosa pharynx, tonsils red, enlarged, with or without exudate.
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Acute Tonsillitis
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Q. BOTANICALS:
1. Anti-bacterials 2. Anti-inflammatory 3. Lymphatic drainage |
1. Baptisia tinctoria, Echinacea, Hydrastis, Berb spp, Thymus vulg, Capsicum frutescens, Usnea barbata
2. Glycerrhiza, Zingiber off, Phytolacca amer, Calendula off, Berb sp 3. Galium aparine, Phytolacca, Baptisia |
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Q. NAME THE DISEASE: Oropharyngeal secretions, blood transfusion transmission.
SXM: 1-2 weeks: non-specific malaise, fatigue, low grade fever, myalgia. May be severe with POSSIBLE EXUDATIVE with tonsillitis LYMPHADENOPATHY UNIVERSAL 1-2 week, esp POST NODES |
Infectious Mononucleosis
(EBV) |
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Q. What labs would you run for Infectious Mononucleosis?
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CBC: Leukocytosis, Lymphocytosis. Heterophile Ab titer.
EBV VCA-IgM Ab (acute, decrease after 3-6 mo up to 1 yr), EBV VCA-IgG Ab (lifelong) |
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Q. NAME THE DISEASE: Infectious spread typically of bacterial tonsillitis to peritonsillar space between tonsillar capsule and superior constrictor muscle. SXM: typically unilateral pharyngeal pain, progressing in severity, radiating to the ear.
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Peritonsillar Abscess
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Q. 1. Peritonsillar Abscess is most common in what age group? 2. What are the complications?
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1. Most common in 20-40 y/o.
2. Airway obstruction, carotid artery erosion, septicemia, meningitis, retropharyngeal abscess |
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Q. NAME THE DISEASE: Usually occurs in infants and young children Complications of suppurative retropharyngeal lymph nodes.
SXM: Painful swallowing, fever, and cervical lymphadenopathy. Possible airway obstruction: stridor, dyspnea and hyperextension of the neck. |
Retropharyngeal Abscess
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Q. Treatment of Retropharyngeal Abscess?
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Refer to ED
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Q. NAME THE DISEASE: an acute inflammatory condition of the supraglottic larynx. Usually children age 2-8, but may occur in adults. Caused by H. FLU?
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Epiglottitis
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Q. What is the classic TRIAD of Epiglottitis?
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1. Abrupt onset of dysphagia
2. Drooling 3. Respiratory distress: |
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Q. NAME THE DISEASE: Inflammation of the larynx for greater then 3 weeks?
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Chronic Laryngitis
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Q. What can Chronic Laryngitis be caused by?
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GERD, Irritant, Cancer, Autoimmune
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Q. NAME THE DISEASE: Enlargement of the thyroid gland, may be diffuse or nodular.
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Goiter
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Q. Name the three types of Goiter and give 1 example?
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1. Nontoxic: Euthyroid, diffuse or multinodular (Hashimotos’s, early Graves, iodine def. or excess, goitrogens
2. Toxic: Hyperthyroid 3. Dietary: Nontoxic |
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Q. Name 3 SXM of goiter?
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Neck swelling
Local compression Pain Asymptomatic |
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Q. NAME THE DISEASE: Caused by Tobacco, smoking, HPV, toxins.
SXM: Sore throat, lump in throat, dysphagia, chronic hoarseness, hemoptysis |
Throat Cancer
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Q. NAME THE DISEASE: Inflammation of the gingiva or periodontium usually caused by chronic bacterial infection.
CX: Poor dental hygiene, excessive sugar, poor dental work. |
Periodontal Disease
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Q. Possible complications of periodontal disease?
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Bone loss, higher risk of preterm baby and cardiovascular disease
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Q. NAME THE DISEASE; Acute or chronic suppurative process of periapical region
From infection of the dental pulp, usually staph or strep. |
Periapical Abscess
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Q. 2 DX for periapical Abcess?
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1. Radiolucent on x-ray
2. Aspiration, c and s |
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Q. NAME THE DISEASE: Symptoms: pain, otalgia, difficulty chewing, dizziness, tinnitus
Signs: Clicking, decreased ROM, flattened molars |
Temporomandibular Joint Dysfunction Syndrome
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Q. What are SXM of TMJ Syndrome?
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1. Location: Depression below zygomatic arch, 1-2 cm anterior to tragus.
2. Click, POP, SNAP 3. HEADACHES which are resistant to treatment |
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Q. Name 3 conditions in which you refer to a surgeon or ENT specialist?
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1. NECK INFECTION OR MASS
2. HOARSENESS > 3 WEEKS 3. STRIDOR/AIRWAY COMPROMISE |