Angular Cheilitis Symptoms and Etiology

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Which medication is administered intravenously for deep and systemic candidosis?

Nystatin suspension

Amphotericin Lozenges (correct)

Nystatin pastille

Amphotericin 3% ointment

Which of the following is a contraindication for using Ketoconazole?

Antacids

Resistant candidal infection

Pregnancy

Acute liver disease (correct)

What should patients on antacids do when taking Ketoconazole?

Take the drug 2 hours after antacids (correct)

Take the drug before antacids

Take the drug with antacids

Take the drug 1 hour after antacids

Which of the following anti-fungal agents is available as an oral gel under the brand Daktarin?

Miconazole (B) Signup and view all the answers

What is the mode of action of Nystatin and Amphotericin?

Formation of holes in fungal cell membranes causing cell lysis (B) Signup and view all the answers

Which anti-fungal agent is used with caution in patients taking anticoagulants, antiepileptics, and antidiabetics?

Fluconazole (A) Signup and view all the answers

What is the daily dose of Fluconazole?

$100 mg/day (D) Signup and view all the answers

Which medication is available as a 200 mg tablet once daily for resistant candidal infection?

$200 mg tablet of Ketoconazole (B) Signup and view all the answers

What type of infections are Imidazole anti-fungal agents effective against?

Both superficial and deep/systemic (C) Signup and view all the answers

How many times a day should Nystatin suspension be held in the patient's mouth?

Four times a day (C) Signup and view all the answers

Which condition is associated with an increase in glycogen in the vagina and high estrogen and progesterone levels?

Acute atrophic candidosis (B) Signup and view all the answers

What is the most common form of candida encountered in children and immuno-compromised adults?

Acute pseudomembranous candidosis (A) Signup and view all the answers

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 (A) Signup and view all the answers

Which condition may present with localized inflammation, pin point or localized areas of erythema, and palatal inflammation associated with papillary hyperplasia?

Angular chielitis (A) Signup and view all the answers

What is the recommended treatment for denture sore mouth?

Topical antifungal drugs (D) Signup and view all the answers

Which clinical feature is associated with acute pseudomembranous candidosis?

Raised, soft, white gelatinous or creamy adherent plaques (B) Signup and view all the answers

Which condition may be associated with generalized redness and soreness of the oral mucosa along with angular chielitis?

Acute erythematous candidosis (D) Signup and view all the answers

What is the most common form of candida associated with denture sore mouth?

Chronic atrophic candidosis (D) Signup and view all the answers

What may appear on the oral mucosa following systemic corticosteroid therapy?

Painful eroded areas with atrophy of papilla on the tongue (C) Signup and view all the answers

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 (C) Signup and view all the answers

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 (D) Signup and view all the answers

What is the most common etiology of angular chielitis?

Nutritional deficiency e.g. vit. B complex, folate & iron (A) Signup and view all the answers

Which type of candidosis is potentially malignant?

Chronic hyperplastic candidosis (Candidal leukoplakia) (B) Signup and view all the answers

What is the recommended treatment for Chronic Mucocutaneous Candidosis (CMCC)?

Systemic antifungal therapy only if symptomatic (A) Signup and view all the answers

What is a characteristic feature of Median Rhomboid glossitis?

Devoid of lingual papillae on the dorsal surface of the tongue (B) Signup and view all the answers

What is a common treatment for Chronic hyperplastic candidosis (Candidal leukoplakia)?

Topical application of Miconazole gel (B) Signup and view all the answers

Which systemic disease is Median Rhomboid glossitis associated with?

Diabetes mellitus (B) Signup and view all the answers

What type of infection characterizes Chronic Mucocutaneous Candidosis (CMCC)?

Deep candidal invasion of the epidermis & may reach the corium (A) Signup and view all the answers

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. (C) Signup and view all the answers

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. (B) Signup and view all the answers

What is the most common fungal infection in the mouth?

Candida albicans (D) Signup and view all the answers

What percentage of healthy mouths have a normal persistence of Candida albicans?

50% (C) Signup and view all the answers

What factor limits the proliferation of Candida albicans in the mouth?

Acid production by lactobacillus acidophilus (B) Signup and view all the answers

What is another name for oral candidiasis?

Moniliasis (C) Signup and view all the answers

What percentage of healthy people carry Candida infection without any clinical manifestations?

90% (A) Signup and view all the answers

Which of the following is NOT a predisposing factor to candidal infection?

Aerobic exercise (A) Signup and view all the answers

Which type of immunity defends against Candida infections?

Cell-mediated immunity (C) Signup and view all the answers

Which type of fungus causes oral candidiasis?

Candida species (B) Signup and view all the answers

Which factor favors the presence of Candida albicans in the mouth?

Symbiotic relationship with lactobacillus acidophilus (A) Signup and view all the answers

What is the aim of the lecture on fungal infections of the mouth?

To detail the clinical aspects of fungal infections of the mouth (C) Signup and view all the answers