Misc

Question 1

How would you pre-operatively assess/plan for a patient with OSCC scheduled for surgery and post-operative radiotherapy?

Answer 1

1. Patient education on potential oral side effects and strategies to prevent/mitigate occurrence
2. Comprehensive oral examination several weeks before radiation begins to provide enough time if invasive procedures are necessary.
3. Development of a dental treatment plan that anticipates possible complications during radiation
4. Extractions done 10-21 days earlier to avoid risk of ORN.
5. OH and dietary counselling
6. Fluoride treatment

Question 2

What structures are affected by radiotherapy?

Answer 2

• Skin- long term
• Mucosa
• Salivary glands- long term
• Bone- long term

Question 3

What are side effects of radiotherapy dependent on?

Answer 3

• Dose
• Technique
• Tumour location

Question 4

What are issues with xerostomia?

Answer 4

• Dental/mucosal issues
• Difficulty eating
• Infection
• Mucosa becomes atrophic

Question 5

When is bone marrow recovered after chemotherapy?

Answer 5

3-4 weeks

Question 6

How do we classify bone disorders on radiograph?

Answer 6

• Anatomic
• Artifact
• Pathologic

Question 7

What condition does sterile bone inflammation mimic?

Answer 7

Mimic osteomyelitis on imaging and biopsy

Question 8

What are some autoinflammatory disorders of bone associated with?

Answer 8

Chronic recurrent multifocal osteomyelitis

(skin, gut disorders OR NSAIDS, MTX, antiresorptive agents)

Question 9

How can we prevent complaints being made?

Answer 9

• Routine practice
• Practice within limits
• Clear communication
• Seek assistance (profession association, peers, professional indemnity insurer)
• Maintain good records

Question 10

What is the role of national boards?

Answer 10

• Protect public by ensuring only trained and qualified health practitioners who are suitably trained and qualified to practice.
• Facilitate provision of high quality education and training of health practitioners
• Assessment of trained health practitioners

Question 11

What are reasons for unsuitability to hold general registration?

Answer 11

• Impairment
• Criminal hx
• Part 8 proceedings
• English competency
• Suspended or cancelled elsewhere
• Not sufficient recent of practice

Question 12

What are the actions open to the board?

Question 12

What are the actions open to the board?

Question 13

How to tell difference btw MM pemphigoid and Pemphigus Vulgaris on histological slide

Answer 13

MM Pemphigoid will be seen in linear spaces UNDER the basal cells

• Btw the basement membrane and epithelium

Question 14

How to tell difference btw MM pemphigoid and Pemphigus Vulgaris on immunofluorescence

Answer 14

MM Pemphigoid will be linear along the junction of basement tissue and epithelium

Pemphigus vulgaris will be intracellular → between cells

Question 15

Answer 15

MM pemphigoid

Question 16

Answer 16

Pemphigus vulgaris

Question 17

Answer 17

Pemphigus vulgaris

Question 18

Answer 18

Erythroleukoplakia

Question 19

Answer 19

Dysplasia

• Tear shaped rete ridges
• Abnormally superficial mitosis
• Increased number of mitotic figures

Question 20

What questions would you ask this patient to come to a diagnsosis? (5)

Answer 20

• Have you started taking any medications recently?
  
  • (anti-things, NSAIDS, anti-hypertensives)
• Do you have any skin lesions present on your wrists/ankles?
• Do you smoke?
• Does it hurt? If so, what do you take to relieve?
• When did it appear?