Oral and Maxillofacial Infections

Course #54034 - $45-


Study Points

  1. Review the host response and basic components of microbiology.
  2. Identify the most common odontogenic infections of various origins.
  3. Analyze the available antibiotics used in the treatment of oral and maxillofacial infections.
  4. Evaluate the prevalence and appropriate treatment of oral fungal infections.
  5. Discuss common viral pathogens of the oral/maxillofacial complex and their treatment, with special considerations for immunocompromised patients.

    1 . The most basic of the host defenses against pathogens is
    A) immunoglobulin.
    B) intact oral mucosa.
    C) the immune system.
    D) the immunomodulatory constituents in saliva.

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    2 . What percentage of odontogenic infections are comprised solely of anaerobic bacteria?
    A) 6%
    B) 22%
    C) 50%
    D) 77%

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    3 . The first stage of a bacterial odontogenic infection is
    A) abscess.
    B) cellulitis.
    C) necrosis.
    D) inoculation.

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    4 . The entire virus particle is called a
    A) hypha.
    B) virion.
    C) capsid.
    D) beta-lactam ring.

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    5 . Pathogenic bacteria may gain access to pulpal tissue through
    A) dental caries.
    B) traumatic injuries to teeth.
    C) gingival recession that exposes dentinal tubules.
    D) All of the above

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    6 . Which of the following is NOT among the most common gram-negative, strictly anaerobic bacteria isolated from endodontic infections?
    A) Prevotella intermedia
    B) Streptococcus viridans
    C) Porphyromonas gingivalis
    D) Fusobacterium nucleatum

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    7 . Upon examination, periodontal abscess usually presents with
    A) severe pain.
    B) pale and cool affected tissues.
    C) bleeding upon probing and suppuration.
    D) gingival tissue that is fluctuant in the initial stages.

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    8 . Periodontal abscesses that develop in patients without periodontal disease are usually the result of
    A) trauma.
    B) viral reactivation.
    C) poor dental hygiene.
    D) end-stage immunosuppressive disease.

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    9 . Which of the following is NOT usually a sign/symptom of pericoronitis?
    A) Halitosis
    B) Fistulous tracts
    C) Highly inflamed operculum
    D) Pain radiating toward the ear and the angle of the mandible

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    10 . Which of the following statements regarding periodontal disease in immunocompromised patients is TRUE?
    A) The progressive immunosuppression of the host results in a lower degree of virulence.
    B) Aerobic bacteria are more likely to be found in periodontal infections in patients with compromised immune systems.
    C) There are no significant differences in pathogens responsible for periodontal disease in patients with immunocompromising conditions compared to healthy patients.
    D) Periodontal disease in patients with compromised immune systems is marked by a slower progression and limited involvement of gingival tissues and alveolar bone.

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    11 . Linear gingival erythema (LGE)
    A) responds to conventional periodontal treatment.
    B) improves with a meticulous at-home oral hygiene regimen.
    C) features a distinct erythematous band involving the marginal gingiva.
    D) is associated with significant signs and symptoms, including severe pain.

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    12 . LGE is classified by the American Academy of Periodontology as a disease of
    A) viral origin.
    B) fungal origin.
    C) bacterial origin.
    D) unknown origin.

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    13 . All of the following statements regarding necrotizing ulcerative periodontitis (NUP) are true, EXCEPT:
    A) NUP is characterized by deep periodontal pockets.
    B) Patients with NUP often experience severe pain and halitosis.
    C) In NUP, the gingival tissues necrose, followed by a rapid loss of the periodontal attachment.
    D) Compared with the progression of periodontal disease in immunocompetent patients, NUP features a more rapid onset.

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    14 . When antibiotic treatment is used for NUP, the drug of choice is
    A) amoxicillin.
    B) clavulanate.
    C) clindamycin.
    D) metronidazole.

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    15 . Approximately what percentage of the population is allergic to penicillin?
    A) 0.1% to 0.5%
    B) 5% to 7%
    C) 25% to 35%
    D) 50% to 70%

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    16 . The most serious adverse effects associated with clindamycin are
    A) hepatotoxicity and liver failure.
    B) respiratory depression and syncope.
    C) Clostridioides difficile-associated diarrhea and pseudomembranous colitis.
    D) potentiation of the anticoagulant effect of warfarin and severe headache.

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    17 . Acute pseudomembranous oral candidiasis appears as
    A) painful red lesions that cannot be removed.
    B) white lesions that cannot be removed by gentle scraping.
    C) red lesions localized to the radiating fissures at the corner of the mouth.
    D) white to yellow-white plaques that are easily removed from the involved area.

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    18 . Which of the following fungi may cause disease in humans?
    A) Aspergillus spp.
    B) Coccidioides immitis
    C) Blastomyces dermatitidis
    D) All of the above

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    19 . In healthy patients, the lesions associated with herpes simplex virus-1 (HSV-1) heal without scarring in
    A) one to two days.
    B) one to two weeks.
    C) one to two months.
    D) one year.

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    20 . The oral lesions of Epstein-Barr virus are
    A) warts.
    B) Kaposi sarcoma.
    C) postherpetic lesions.
    D) oral hairy leukoplakia.

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