comp pt final

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comp pt final
2011-04-30 18:52:44

immunologic diseases
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  1. what are high risk exposures for a pt with HIV/AIDS
    • exposure to large volume of infected fluid
    • deep penetrating injury with sharp device covered with visible blood from infected pt
    • needle stick injury during injection of the infect pt
  2. what is the most common oral condition for a pt with HIV/AIDS?
  3. how is kaposi's scaroma identified?
  4. what are the clinical findings for those at high risk HIV/AIDS? 5
    • condidiasis
    • blusih/purple or red lesions
    • kaposi's sarcoma
    • hairy leukoplakia of laterla borders of tongue
    • non hodgkins lymphoma
  5. what are the oral lesions associated with HIV infection? 11
    • HSV herpes zoster
    • recurrent apthous ulcerations
    • linear gingival erythematic
    • NUP
    • necrotizing stomatitis
    • oral warts
    • facial palsy
    • trigeminal neuropathy
    • salivary gland enlargement
    • xerostomia
    • melantonic pigmentation
  6. what are five immunosuppresive drugs?
    • protease inhibitors (PI)
    • nucleoside reverse transcriptase inhibitors (NRTIs)
    • non-nucleoside reverse transcriptase inhibitors (NNRTI's)
    • Nucleotides
    • Fusion inhibitors (FIs)
  7. immunosuppressive drugs are usially used in combination know as what?
    HAART-highly active antiretroviral therapy
  8. foreign substances that trigger hypersensitivy reactions
  9. t/f a pt presents in the office and has AIDS, tx can be declined to pt.
    false-tx cannot be withheld-tx with standard precautions
  10. can tx be withheld if a pt who is assumed to have AIDS refuses to be tested?
    no-just assume they are infected and tx with standard precautions
  11. when can a pt with AIDs be dismissed from tx?
    if dentist and pt agree
  12. if a dentist has AIDs what must be done?
    inform pt of their status and receive signed consent to perform invasive tx
  13. what is the reaction most often associated with LA?
    toxic reaction
  14. when does a toxic reaction usually result with an LA?
    inadvertent intravenous injection of the anesthetic solution
  15. what are the two main groups of LA in dentistry?
    • Ester-procaine, tetracaine
    • amides-lidocaine, mepivacinae, prilocaine
  16. t/f esters and amides cross react with each other
    false-the DO NOT cross react with each other
  17. what are the adverse reactions to LA?
    • toxicity
    • central nervous system stimulation
    • central nervous system depression
    • vasoconstriction effects
    • anxiety
    • allergic reaction
  18. signs and sympts of a toxic reaciont to LA?
    • talkativenss
    • slurred vision
    • dizziness
    • nausea
    • depression
    • euphoria
    • excitement
    • convulsions
  19. what LA is associated with the highest incidence of allergic reactions
  20. when do you refer a pt to an allergist?
    if they have an allergic reaction to LA and you need to know specific agetn they are allergic to
  21. what disease is an autoimmune disease of connective tissue characterized by an overproduction of collagen
  22. what disease is characterized by immobility and rigidity of skin, imflammation/sclerosis throughout the body, cause is unknown, no hereditary factors and is associated with immunologic disorders/collagen syntehsis irregulartis and microvascular ablnomalities
  23. what are the oral characteristics for slceroderma? (lips, mucosa, gingiva, teeth, masticaion, tongue)
    • lips:thin, ridgid, difficulty in opening/closing
    • mucosa: thin, pale, tender, rigid, poor healing capacity
    • gingiva: pale, unuslally firm
    • teeth: increased mobility
    • mastication: difficultion, TMJ movement limited
    • tongue: may be immbole/difficult speech
  24. what are the radiographic findings for a pt with scleroderma?
    wideing of perio ligament spaces (pathognomonic for scleroderma)
  25. what is the DH care for a pt with scleroderma?
    make every effort to preserve teeth/gingiva avoiding and preventing need for extensive tx
  26. t/f the preparation/wearing of dentures is difficult if not impossible as scleroderma progresses
    true-disease becomes more severe
  27. what is a pt with sceroderma sens to?
    • cold
    • dampness
    • stress
    • undue emotion tension and fatigue
  28. last module...for comp pt..are you excited?
    HELLS YES! the semester is almost over!