40 Questions
Which medication is administered intravenously for deep and systemic candidosis?
Amphotericin Lozenges
Which of the following is a contraindication for using Ketoconazole?
Acute liver disease
What should patients on antacids do when taking Ketoconazole?
Take the drug 2 hours after antacids
Which of the following anti-fungal agents is available as an oral gel under the brand Daktarin?
Miconazole
What is the mode of action of Nystatin and Amphotericin?
Formation of holes in fungal cell membranes causing cell lysis
Which anti-fungal agent is used with caution in patients taking anticoagulants, antiepileptics, and antidiabetics?
Fluconazole
What is the daily dose of Fluconazole?
$100 mg/day
Which medication is available as a 200 mg tablet once daily for resistant candidal infection?
$200 mg tablet of Ketoconazole
What type of infections are Imidazole anti-fungal agents effective against?
Both superficial and deep/systemic
How many times a day should Nystatin suspension be held in the patient's mouth?
Four times a day
Which condition is associated with an increase in glycogen in the vagina and high estrogen and progesterone levels?
Acute atrophic candidosis
What is the most common form of candida encountered in children and immuno-compromised adults?
Acute pseudomembranous candidosis
Which factor contributes to denture sore mouth, making it more common in the upper jaw?
Constant flushing of the gum with saliva in the lower jaw
Which condition may present with localized inflammation, pin point or localized areas of erythema, and palatal inflammation associated with papillary hyperplasia?
Angular chielitis
What is the recommended treatment for denture sore mouth?
Topical antifungal drugs
Which clinical feature is associated with acute pseudomembranous candidosis?
Raised, soft, white gelatinous or creamy adherent plaques
Which condition may be associated with generalized redness and soreness of the oral mucosa along with angular chielitis?
Acute erythematous candidosis
What is the most common form of candida associated with denture sore mouth?
Chronic atrophic candidosis
What may appear on the oral mucosa following systemic corticosteroid therapy?
Painful eroded areas with atrophy of papilla on the tongue
What is a common symptom of acute pseudomembranous candidosis that extends to the pharynx and esophagus?
May extend to the pharynx & esophagus leading to feeding problem
Which of the following is a common feature of Chronic Mucocutaneous Candidosis (CMCC)?
Thick, white leathery plaque with rough or nodular surface on the buccal mucosa
What is the most common etiology of angular chielitis?
Nutritional deficiency e.g. vit. B complex, folate & iron
Which type of candidosis is potentially malignant?
Chronic hyperplastic candidosis (Candidal leukoplakia)
What is the recommended treatment for Chronic Mucocutaneous Candidosis (CMCC)?
Systemic antifungal therapy only if symptomatic
What is a characteristic feature of Median Rhomboid glossitis?
Devoid of lingual papillae on the dorsal surface of the tongue
What is a common treatment for Chronic hyperplastic candidosis (Candidal leukoplakia)?
Topical application of Miconazole gel
Which systemic disease is Median Rhomboid glossitis associated with?
Diabetes mellitus
What type of infection characterizes Chronic Mucocutaneous Candidosis (CMCC)?
Deep candidal invasion of the epidermis & may reach the corium
What is the recommended duration for maintaining antifungal drugs in chronic oral candidosis?
2 weeks after clinical resolution of lesion in acute oral lesions, and at least 4 weeks in chronic oral candidosis.
What is the main feature of Chronic mucocutaneous candidiasis?
Impaired cell-mediated immunity against Candida species leading to deep candidal invasion of the epidermis & may reach the corium.
What is the most common fungal infection in the mouth?
Candida albicans
What percentage of healthy mouths have a normal persistence of Candida albicans?
50%
What factor limits the proliferation of Candida albicans in the mouth?
Acid production by lactobacillus acidophilus
What is another name for oral candidiasis?
Moniliasis
What percentage of healthy people carry Candida infection without any clinical manifestations?
90%
Which of the following is NOT a predisposing factor to candidal infection?
Aerobic exercise
Which type of immunity defends against Candida infections?
Cell-mediated immunity
Which type of fungus causes oral candidiasis?
Candida species
Which factor favors the presence of Candida albicans in the mouth?
Symbiotic relationship with lactobacillus acidophilus
What is the aim of the lecture on fungal infections of the mouth?
To detail the clinical aspects of fungal infections of the mouth
Test your knowledge of the symptoms and etiology of angular cheilitis, including the spread of inflammation, presence of infections, and associated dental factors. This quiz covers key aspects of angular cheilitis presentation and causes.
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