Angular Cheilitis Symptoms and Etiology
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Questions and Answers

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?

    <p>Miconazole</p> Signup and view all the answers

    What is the mode of action of Nystatin and Amphotericin?

    <p>Formation of holes in fungal cell membranes causing cell lysis</p> Signup and view all the answers

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

    <p>Fluconazole</p> Signup and view all the answers

    What is the daily dose of Fluconazole?

    <p>$100 mg/day</p> Signup and view all the answers

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

    <p>$200 mg tablet of Ketoconazole</p> Signup and view all the answers

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

    <p>Both superficial and deep/systemic</p> Signup and view all the answers

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

    <p>Four times a day</p> Signup and view all the answers

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

    <p>Acute atrophic candidosis</p> Signup and view all the answers

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

    <p>Acute pseudomembranous candidosis</p> Signup and view all the answers

    Which factor contributes to denture sore mouth, making it more common in the upper jaw?

    <p>Constant flushing of the gum with saliva in the lower jaw</p> 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?

    <p>Angular chielitis</p> Signup and view all the answers

    What is the recommended treatment for denture sore mouth?

    <p>Topical antifungal drugs</p> Signup and view all the answers

    Which clinical feature is associated with acute pseudomembranous candidosis?

    <p>Raised, soft, white gelatinous or creamy adherent plaques</p> Signup and view all the answers

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

    <p>Acute erythematous candidosis</p> Signup and view all the answers

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

    <p>Chronic atrophic candidosis</p> Signup and view all the answers

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

    <p>Painful eroded areas with atrophy of papilla on the tongue</p> Signup and view all the answers

    What is a common symptom of acute pseudomembranous candidosis that extends to the pharynx and esophagus?

    <p>May extend to the pharynx &amp; esophagus leading to feeding problem</p> Signup and view all the answers

    Which of the following is a common feature of Chronic Mucocutaneous Candidosis (CMCC)?

    <p>Thick, white leathery plaque with rough or nodular surface on the buccal mucosa</p> Signup and view all the answers

    What is the most common etiology of angular chielitis?

    <p>Nutritional deficiency e.g. vit. B complex, folate &amp; iron</p> Signup and view all the answers

    Which type of candidosis is potentially malignant?

    <p>Chronic hyperplastic candidosis (Candidal leukoplakia)</p> Signup and view all the answers

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

    <p>Systemic antifungal therapy only if symptomatic</p> Signup and view all the answers

    What is a characteristic feature of Median Rhomboid glossitis?

    <p>Devoid of lingual papillae on the dorsal surface of the tongue</p> Signup and view all the answers

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

    <p>Topical application of Miconazole gel</p> Signup and view all the answers

    Which systemic disease is Median Rhomboid glossitis associated with?

    <p>Diabetes mellitus</p> Signup and view all the answers

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

    <p>Deep candidal invasion of the epidermis &amp; may reach the corium</p> Signup and view all the answers

    What is the recommended duration for maintaining antifungal drugs in chronic oral candidosis?

    <p>2 weeks after clinical resolution of lesion in acute oral lesions, and at least 4 weeks in chronic oral candidosis.</p> Signup and view all the answers

    What is the main feature of Chronic mucocutaneous candidiasis?

    <p>Impaired cell-mediated immunity against Candida species leading to deep candidal invasion of the epidermis &amp; may reach the corium.</p> Signup and view all the answers

    What is the most common fungal infection in the mouth?

    <p>Candida albicans</p> Signup and view all the answers

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

    <p>50%</p> Signup and view all the answers

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

    <p>Acid production by lactobacillus acidophilus</p> Signup and view all the answers

    What is another name for oral candidiasis?

    <p>Moniliasis</p> Signup and view all the answers

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

    <p>90%</p> Signup and view all the answers

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

    <p>Aerobic exercise</p> Signup and view all the answers

    Which type of immunity defends against Candida infections?

    <p>Cell-mediated immunity</p> Signup and view all the answers

    Which type of fungus causes oral candidiasis?

    <p>Candida species</p> Signup and view all the answers

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

    <p>Symbiotic relationship with lactobacillus acidophilus</p> Signup and view all the answers

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

    <p>To detail the clinical aspects of fungal infections of the mouth</p> Signup and view all the answers

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