New questions oral med in 2014

Highlight are the answer i put, not sure if its right

Which of the following is not feature of oral vascular pin
- deep throbbing pain
- alcohol precipitated
- associated with lacrimal and nasal discharge
- steady, intermittent, boring pain
- last minutes to hours

A.
B.
C.
D.
E.

What is not a dermatological disease that causes oral

complications?
lichen planus
Pemphigus
Crohn disese
Erythema multiform
Coealis disease

Features of ulcerative colitis, pick 3

-

mucosal tag
lip swelling
pyostomatitis vegetan
persistant diarrhea
snail track ulcer

SAQ
what is sjogren syndrome
Sjogrens syndrome is an autoimmune disease that mainly affects
elderly females. It is an autoimmune inflammatory exocrinopathy in
which destruction of exocrine glands happens under the mediation of
lymphocytes. Aetiological factors include: viral and possibly genetic.
Clinical features
-

xerostomia, xerophthalmia, xeroderma, vaginal dryness

denture wearers difficulty in speech, swallowing
difficulty eating (cracker sign)

soreness
unpleasant sense of taste
clicking sound while speech
frothy viscous saliva

10 oral features of xerostomia

-

difficulty in swallowing (dry food, cracker sign)

denture wearing difficulties and speech and swallowing
mouth soreness
unpleasant taste
lip adherence
dental mirror sticking to the mucosa and with debris
lipstick sticking to anterior teeth
lack of pooling of saliva in the vestibule, floor of mouth
frothy saliva
lack of expressible saliva from the duct (parotid)
lobulated tongue, redness, depapillation (partial or complete)

classify cause of oral facial pain and list 2 example each

-

neurological
o trigeminal neuralgia
o glossopharyngeal neuralgia
vascular
o migraine
o cluster headaches
psychogenic
o atypical facial pain
o burning mouth syndrome
referred
o ischaemic heart disease (angina)
o nasopharyngeal

explain pathogenesis and clinical feature of herpes simplex infection

for both primary and secondary infection, and give a systemic anti-viral
prescription for this
Mode of transmission:
-

HSV-1: oral, saliva

HSV-2: genital/sexual

Antibody to one reduce the chance for the other and less severe
clinically
Virus use axons of sensory nerve to travel back and forth
autonomic ganglia

Predisposing factors
-

Old age
Pregnancy
Menstruation
UV light
Allergy
Respiratory illness
Emotional stress
Systemic diseases and malignancy

Primary exposure
- Early exposure: gingviostomatitis
- Late exposure: pharygnotomsilitis
Non-infectious
- Erythema multiforme
- Aphthous ulcers