FNP 2 Mouth Exam Questions with Complete
Solutions| Verified Answers
common oropharynx findings - ANSWER caries
thrush
pharyngitis
tonsilities
peritonsillar abscess
the common chronic disease in children in the US? - ANSWER caries
According to 1999-2004 National Health an Nutrition Examination Survey,
approximately 43% of children ages 2-11 have dental caries of the primary teeth
Still prevalent in low-income children and children from developing countries
Decrease likely due to advances in prevention and use of fluorides
Still, over half of U.S. children have dental caries
where do caries being? - ANSWER pits and fissures
larger lesions present as cavitation of occlusal surface
Early childhood caries, or nursing bottle caries common, prevalence of 30-50% in low
socioeconomic children
May occur in the first 12 months of life
If left untreated, caries usually destroys the tooth and invades the dental pulp
,caries tx - ANSWER Dental treatment using silver amalgam or plastic
restorations/crowns can restore teeth
If pulp involved, needs pulpotomy or pulpectomy
If extraction is needed, a space maintainer will be used
dental abscess - ANSWER Results from untreated dental caries
Occurs when dental pulp is invaded
Pulpitis progresses to necrosis
Bacterial invasion of the alveolar bone occurs = abscess
thrush
common in which age group?
due to infection with?
can interfere with what? - ANSWER Common in neonates
Due to infection with Candida albicans
Neonates have usually been colonized when they pass through the birth canal
Lesions appear as white plaques covering all or part of the oropharyngeal mucosa
Can interfere with feeding
Ten percent of normal infants are colonized in the GI and respiratory tract at 5 days of
age and this rate increases in preterm infants. The skin is usually colonized at 2 weeks of
age.
, what can oral candidiasis be associated with? - ANSWER may be associated with diaper
candidiasis, so remember to check for diaper rash when thrush is present.
tx of thrush? - ANSWER Treat with po Nystatin oral suspension 100,000 u/ml qid (1/2 to
1 ml per dose)
Clinical Pearl:
Always wear gloves when applying gentian violet.
Pharyngitis/Tonsillitis - ANSWER URIs very common in children
Occur 6-10 times per year
Pharyngitis is part of most URIs
Acute pharyngitis is the condition in which the principal involvement is the throat
Disease is uncommon in children less than 1 year of age
Peaks at 4-7 years, continues throughout later childhood and adult life
What causes most acute pharyngitis episodes? - ANSWER Rhinovirus, coronavirus,
adenovirus: 30%
Epstein Barr: 1%
Influenza and parainfluenza: 4%
Group A beta-hemolytic strep: (GABHS) the most common bacterial causative agent,
accounts for 37% of cases of acute pharyngitis in children older than 5 (NIH, 2011)
Group C strep: 5%
C pneumoniae: 1%
M. pneumoniae: 1%
Anaerobes: 1%
Solutions| Verified Answers
common oropharynx findings - ANSWER caries
thrush
pharyngitis
tonsilities
peritonsillar abscess
the common chronic disease in children in the US? - ANSWER caries
According to 1999-2004 National Health an Nutrition Examination Survey,
approximately 43% of children ages 2-11 have dental caries of the primary teeth
Still prevalent in low-income children and children from developing countries
Decrease likely due to advances in prevention and use of fluorides
Still, over half of U.S. children have dental caries
where do caries being? - ANSWER pits and fissures
larger lesions present as cavitation of occlusal surface
Early childhood caries, or nursing bottle caries common, prevalence of 30-50% in low
socioeconomic children
May occur in the first 12 months of life
If left untreated, caries usually destroys the tooth and invades the dental pulp
,caries tx - ANSWER Dental treatment using silver amalgam or plastic
restorations/crowns can restore teeth
If pulp involved, needs pulpotomy or pulpectomy
If extraction is needed, a space maintainer will be used
dental abscess - ANSWER Results from untreated dental caries
Occurs when dental pulp is invaded
Pulpitis progresses to necrosis
Bacterial invasion of the alveolar bone occurs = abscess
thrush
common in which age group?
due to infection with?
can interfere with what? - ANSWER Common in neonates
Due to infection with Candida albicans
Neonates have usually been colonized when they pass through the birth canal
Lesions appear as white plaques covering all or part of the oropharyngeal mucosa
Can interfere with feeding
Ten percent of normal infants are colonized in the GI and respiratory tract at 5 days of
age and this rate increases in preterm infants. The skin is usually colonized at 2 weeks of
age.
, what can oral candidiasis be associated with? - ANSWER may be associated with diaper
candidiasis, so remember to check for diaper rash when thrush is present.
tx of thrush? - ANSWER Treat with po Nystatin oral suspension 100,000 u/ml qid (1/2 to
1 ml per dose)
Clinical Pearl:
Always wear gloves when applying gentian violet.
Pharyngitis/Tonsillitis - ANSWER URIs very common in children
Occur 6-10 times per year
Pharyngitis is part of most URIs
Acute pharyngitis is the condition in which the principal involvement is the throat
Disease is uncommon in children less than 1 year of age
Peaks at 4-7 years, continues throughout later childhood and adult life
What causes most acute pharyngitis episodes? - ANSWER Rhinovirus, coronavirus,
adenovirus: 30%
Epstein Barr: 1%
Influenza and parainfluenza: 4%
Group A beta-hemolytic strep: (GABHS) the most common bacterial causative agent,
accounts for 37% of cases of acute pharyngitis in children older than 5 (NIH, 2011)
Group C strep: 5%
C pneumoniae: 1%
M. pneumoniae: 1%
Anaerobes: 1%
