what hormone diminishes causing ovarian function to decline (menopausal)
estrogen
what are the changes in taste perception during menopause
salty
peppery
sour
why might menopausal gingivostomatitis develop?
removal or radiation to ovaries
appearance and sypmptoms of mucous membrane and tongue resembe what vitamin deficiency during menopause
vitamin B
what is the age range for adolescent
10-21
define perimylolysis
chemical erosion of tooth surfaces by acid from the regurgitation of stomach contents
what is the chemical erosion of tooth surfaces by acid from the regurgitation of stomach contents?
primylolysis
with bulimia what gland gets enlarged from a binge and for how many days after the binge?
parotid gland
2-6 dyas
t/f the enlargement of the parotid gland increases with the frequency of vomiting
true
t/f there are several oral manifestations that are signs of autism such as deep impinging over bite, supranumerary teeth, congenitally missing teeth and anklyglossia
FALSE! no specific oral manifestations unless combine with developmental disability
with a pt with autism what ist he best way to give OH instruction?
show tell do
what is an antipsychotic med used with pt with autism
risperidone
what is a collection of conceptual, social, and practical skills that have been learned by people in order to function in everyday life
adaptive behavior
what is an aspect of dental science that relates and applies dental facts to legal problems, encompasses dental identificaiton, malpractice litigation, legislation, peer review and dental licensure
forensic dentistry
what is a clinical presentation of an initial HSV infection from HSV1 or HSV2 that can appear as multiple ulcerations on both keratinizing and gland bearing mucosa?
primary herpetic gingivostomatitis
what is an area of balndess on the head caused by pulling out the hair at the roots?
traumatic alopecia
what is alopecia
baldness
what is defined as ill health, malnutrition wasting
cachexia
what is defined as a discoloration on the skin that is blue-black with irregularly formed hemorrhagic areas. color changes with tiem to yellow or greenish brown
umm umm so its like a bruise?
ecchymosis
during what phase of DH tx is best to identify abuse?
during initial assessment of pt, particularly during the extraoral and intraoral exam
skull injuries, edema, ecchymosis of varying stages, bald spots, racoon signs, nose fractures, lip bruises, lacerations, angular bruising, lincheification to mouth, and marks on the skin are all what kind of signs of abuse?
extraoral CHILD abuse
what are the most frequently involved arease for domestic partner abuse
face
eyes
neck
lacerations of the tongue, buccal mucosa or palate, lingual and labial frenal tears, teeth that are fractured, dispalced avulsed or nonvital and radiographic evidence of fractures at different egrees of healing are all signs of what kind of abuse?
intraorla signs of CHILD abuse
t/f domestic partner abuse and elderly abuse share many of the same intra and extraoral signs?
true
what are sexually transmitted genital lesions found intraorally in children?
condyloma acuminatum
primary herpetic gingivostomatitis
t/f the majority of domestic partner abuse is seen in males
False, females
what is defined as ability to endure without effect or injury. increased amount of the drug is neede to achieve the same effect
tolerance
what is the defined as the feeling of well being elation or without feer or worry
euphoria
what is a condition of deteriorated mentality characterized by a mark decline of intellectual functioning
dementia
what is defined as the involuntary rapid rhythmic movements of the eyeball
nystagmus
a sensory impression that has no basis in external stimulation maybe have psychological causes or may result from the use of drugs, barin tumor, senility or exhaustion
hallucination
how much of alcohol is absorbed by the liver
90%
t/f alcohol freely passes across the placenta. alcohol does not have an effect on breastfeeding
1st is TRUE
2nd is FALSE-alcohol passes thru breastmilk
what is an aura
warning before a seizure
what should happen when an aura is felt?
pt seek safe place to sit or lie
procedures terminated
what can be a special sensory stimulus, sensation of numbness, tingling or twitching or stiffness of certain muscles?
aura
what are four triggers for seizures
psychological stress (apprehension)
fatigue; sleep deprivation
sensory stimuli sucha as flashing light, noises, odor
use or withdrawal of alcohol or addivctive drugs
t/f with a petite mal seizure the pt can quickly return to full awareness and resume activity and be unaware a seizure occured
true
how long does a petie mal seizure last
5 to 30 seconds
t/f petite mal seizure is a complete and sudden loss of consciousness
false! tonic clonic
how long does a tonic clonic seizure last?
1-3 minutes
felbatol, neurontin, lamictal, topamax, gabitril, keppra, trileptal, zonegran are all what?
examples of antiseizure drugs
what is the primary task of the clinician whiile the pt is having a seizure
prevent injury or accident
what is the chair position during a seizure
supine
when do you call the EMS during a seizure
if lasts more than 5 minutes
t/f once a pt starts having a seizure EMS should be called immediately
false if seizure lasts more than 5 minutes
what drug is associated with gingival overgrowth?
phenytoin
t/f a primary seizure is idiopathic.
true
what type of seizure (primary or secondary) is genetic predisposition to siezures or to other neurologic abnormalities for which a seizure may be a symptom
primary
what type of seizure (primary or secondary) arises during neurologic and nonneurologic medical conditions
secondary
what should you do for photosensitivity management for a seizure pt
avoid shinging light in pt eyes
offer sunglasses
what is the involuntary movements of mouth, lips, tongue and jaws usually assocaiated with long term use of antipsychotic medications?
tardive dyskinesia
what is an impairment in uttering words due to disease that affect oral and pharyngeal muscles
dysarthria
what is akathisia
restlessness
t/f there should be no dental treatment for a schizophrenic pt during acute exacerbation
true
what are four types of anxiety disorders?
panic attack
panic disorder
posttraumatic stress disorder
generalized anziety disorder
what type of anxiety disorder is recurrent panic attacks that are usually unexpected?
panic disorder
t/f panic disorder can occur alone or with agoraphobia
true
what type of anxiety disorder is a flashback of traumatic experiences (destruction to home or familiy, manmade disaster, war, imprisonment, torture, rape)
posttraumatic stress disorder
what type of anxiety disorder is persistent pervasive anxiety and excessive worry but not associated with life threatening fears or attacks, complicated by depression, alcohol abuse or medical condition
generalized anxiety disorder
shortness of breath, dizziness, unsteady feeling or faintness, palpiations or accelerated heart rate, trembling or shaking, sweaty or clammy hands, choking, nausea or abdominal stress, numbness or tingling sensation, flushes or chills, chest pain or discomfor, fear of dying, fear of going crazy or losing control. what are these symptoms of