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cassiedh
on FreezingBlue Flashcards.
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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
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what is the most common oral condition for a pt with HIV/AIDS?
candidiasis
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how is kaposi's scaroma identified?
biopsy
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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
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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
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what are five immunosuppresive drugs?
- protease inhibitors (PI)
- nucleoside reverse transcriptase inhibitors (NRTIs)
- non-nucleoside reverse transcriptase inhibitors (NNRTI's)
- Nucleotides
- Fusion inhibitors (FIs)
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immunosuppressive drugs are usially used in combination know as what?
HAART-highly active antiretroviral therapy
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foreign substances that trigger hypersensitivy reactions
antigen
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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
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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
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when can a pt with AIDs be dismissed from tx?
if dentist and pt agree
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if a dentist has AIDs what must be done?
inform pt of their status and receive signed consent to perform invasive tx
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what is the reaction most often associated with LA?
toxic reaction
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when does a toxic reaction usually result with an LA?
inadvertent intravenous injection of the anesthetic solution
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what are the two main groups of LA in dentistry?
- Ester-procaine, tetracaine
- amides-lidocaine, mepivacinae, prilocaine
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t/f esters and amides cross react with each other
false-the DO NOT cross react with each other
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what are the adverse reactions to LA?
- toxicity
- central nervous system stimulation
- central nervous system depression
- vasoconstriction effects
- anxiety
- allergic reaction
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signs and sympts of a toxic reaciont to LA?
- talkativenss
- slurred vision
- dizziness
- nausea
- depression
- euphoria
- excitement
- convulsions
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what LA is associated with the highest incidence of allergic reactions
procaine
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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
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what disease is an autoimmune disease of connective tissue characterized by an overproduction of collagen
scleroderma
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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
scleroderma
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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
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what are the radiographic findings for a pt with scleroderma?
wideing of perio ligament spaces (pathognomonic for scleroderma)
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what is the DH care for a pt with scleroderma?
make every effort to preserve teeth/gingiva avoiding and preventing need for extensive tx
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t/f the preparation/wearing of dentures is difficult if not impossible as scleroderma progresses
true-disease becomes more severe
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what is a pt with sceroderma sens to?
- cold
- dampness
- stress
- undue emotion tension and fatigue
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last module...for comp pt..are you excited?
HELLS YES! the semester is almost over!
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