severe and dnagerous leukopenia (lowered white blood cell count)
agranulocytosis
an acute reaction involving smooth muscle of bronchi
anaphylaxis
substances made by the body's immune systme in response to bacteria, viruses, fungus, animal dander, or cancer cells. these are attached to foreign substances so the immune system can destroy them
antibodies
ability to induce immune resonse
antigenicity
inflammation in joints
arthritis
thype III hypersensitivity. local vasculitis due to deposition of immune complexes in dermal blood vessels
arthus reaction
tends to be inherited
atopic
swelling of conjunctiva of eye
conjunctivitis
difficulty swallowing
dysphagia
breathlessness air hunger diffuculty breathing
dyspnea
tearing or wearing of skin
exoriation
buring tongue
glossodynia
antibody
immunoglobulin
dry eye syndrom-produces fewer tears
keratoconjunctivitis sicca
abnormally low number of neutrophils
neutropenia
facilitates phagocytosis by neutrophils
opsonizing
digestion of proteins by cellular enzymes called proteases
proteolysis
runny nose
rhinorrhea
the presence of relatively few platelets in blood
thrombocytopenia
hives, welts, itchy swollen skin rash
urticaria
inflammatory destruction of blood vessels
vasculitis
viruses enter the bloodstream and have access to the rest of hte body, similar to bacteremia
viremia
t/f a dentist may refuse to treat a patient that refuses to be tested for HIV/AIDS. Postexposure treatment for AIDS needs to occur within hours.
the first statement is false and the second is true
typical causes of allergy important to dentistry include all of the following except one. which is the exception.
A. triclosan
which hypersensitivity reaction is also known as a delayed reaction?
type IV
t/f treatment considerations in a pt with RA inculde short appointments and attention to comfort. Prophylactic antibiotics are always recommended for patients with RA.
first statement is true and the second statement is false
symptoms accompanying Sjogren's Syndrom typically include all of the follwing except one.
C. vasculitis
what is the most common oral maifestation of HIV?
candidiasis
which LA is associated with the highest incidence of allergic reactions?
procaine
what is the most common manifestations of SLE (systemic lups erythematosus)
arthritis
during what stage of post transplant considerations are patients susceptible to fungal infections
stable trnasplant period
t/f before the american rheumatism association will diagnose a patient with SLE (systemic lupus erythematosus) 3 out of hte 5 criteria must be met.
false (4 out of 11)
what are the clinical stages of AIDS? 5
recent infection
acute seroconversion syndrome
latent period
early symptomatic HIV infection
AIDS
t/f there are no signs and symptoms during the recent infection stage of AIDS
true
how long may the latent period of AIDS last?
8-10 years
what are the opportunistic infections that occur with a pt with AIDS ? 5
pneumonia
cryptocaccosis
tuberculosis
toxoplamosis
histoplasmosis
can the dentist refuse tx becasue a pt refuses to be tested for AIDS but is assumed to be infected?
no- tx with standard precautions
t/fif a pt has AIDS and needs emergency care the dentist cannot refuse to tx because the dentist does not want to tx a pt with AIDS
true
what must happen for a dentist to refer a pt to someone else if the pt ahs AIDS
dentist and pt must agree
if a Dr has AIDS what must be done?
they gotta quit..wait no...inform pt of their status and receive signed consent to perform invasive tx
symptomatic AIDS pts in early stages have increased susceptibility to what?
opportunistic infection
t/f when prescribing medications to a person with AIDS a consultation with the physician is mandatory
true
what drug should not be given to a pt being treated with zidovudine (retrovir)
APAP
what drug shouldn't be given to a pt with thrombocytopenia?
ASA
what four drugs should not be given to a pt being treated with ketoconazole?
antacids
phenytoin
cimetidine
rifampin
what is the main objective for a pt with severe sypmptoms of AIDS?
prevent infection and keep pt free of oral pain
what is the most common oral compliation with a pt with HIV/AIDS?
candidiasis
how is kaposi's sarcoma identified?
biopsy
if azole drugs fail for treatment of oral lesions found in an AIDS pt what can be given?
intravenous amphotericin B
what is the treatment for NUG?
debridement, chlorhexidine rinses, metronidazole, follow-up care and long term maintenance
what drug can be given for an HSV pt?
Acyclovir
what drug can be given to a severe immunosuppressed pt with varciella zoster virus?
acyclovir
what is the treatment for kaposi's sarcoma?
radiation and systemic chemo
what drug has a good response when used for apthous ulcerations btu shold only be short term due to its aid in HIV replication?
thalidomide
what is the treatment of choice for HPV of an AIDS pt?
surgical removal
what is the most common endemic respiratory fungal infection in the US?
histoplasmosis
what is HAART?
highly active antiretroviral therapy
what % of HIV infected individuals have thrombocytopenia?
10
with an HIV pt what gland is the most common to see swollen?
parotid gland
what drug is given to an HIV pt with salivary gland disease?
