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HIV AIDS Clinical Care - Oral Health

Oral Health

1. All of the following are possible systemic etiologies of burning mouth syndrome, except for:

A. Chronic alcoholism

B. Excessive use of certain toothpastes or mouthwashes

C. Diabetes mellitus

D. Gastric reflux


2. Aphthous ulcers tend to present on keratinized tissues such as the roof of the mouth and gingival tissues.

A. True

B. False


3. Which of the following is found in meth mouth?

A. The enamel on all teeth or multiple teeth is grayish-brown to black in color.

B. The enamel on all teeth or multiple teeth appears “soft.”

C. The gingiva appears red or inflamed, and there may be spontaneous bleeding of the gingiva around the teeth.

D. All of the above.


4. Chronic facial or jaw pain, sensitive teeth, earache, or waking up with a headache or facial pain may all be signs of:

A. Dental Caries

B. Oral cancer

C. Bruxism

D. Maxillary Tori


Oral Ulceration

5. Herpetic ulcerations tend to appear on which of the following?

A. The hard palate

B. Buccal mucosa

C. Lingual surface of the tongue

D. All of the above


6. Herpetic lesions >72 hours old usually will not yield a positive culture.

A. True

B. False


7. A topical steroid with or without a concomitant oral HSV antiviral should be used if the lesion is of possible herpetic etiology.

A. True

B. False


Oral Warts

8. The frequency of oral warts may increase, at least temporarily, in patients treated with antiretroviral therapy.

A. True

B. False


Oral Hairy Leukoplakia

9. Which of the following is true with regard to OHL?

A. OHL is caused by Epstein-Barr virus.

B. OHL is common in people with HIV infection, particularly in those with advanced immunosuppression (CD4 count <200 cells/uL), and may serve as a marker for HIV.

C. OHL often is confused with candidiasis.

D. All of the above are true with regard to OHL.


Necrotizing Ulcerative Periodontitis and Gingivitis

10. All of the following are the focus of the maintenance phase of NUP and NUG, except for:

A. Reducing the burden of potential pathogens

B. Preventing further tissue destruction

C. Controlling pain

D. Promoting healing


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