1. Oral thrush develops in infants at______?

A. 3days
B. 2-6 weeks
C. 10-12 weeks
D. 18 mouths

Answer:B

Oral thrush in infants
– 6th and 10th day after birth
– Infection from maternal vaginal canal
– Soft white/bluish whit, adherent patches on oral mucos
– Painless
– Removed with little difficulty

2. Thrush______?

A. Occurs only in elderly
B. Is caused by a gram -ve bacteria
C. Is seen clinically as a proliferative lesion
D. Responds to nystatin

Answer:D
Thrush

• Caused by Candida albician
• Superficial infection of upper layer of oral mucous membrane
• Fungal growth – desquamation of epithelial cell and accumaltion of bacteria, keratin and necrotic tissue forming pseudomembrane
• Affect both infants and adults

3. Denture sore mouth is cased by______?

A. Actinomyces
B. candida albicans
C. Blastomyces
D. None of the above

Answer:B
Denture stomatitis

• Bright red palatal tissue – edematous and granular
• Sharply outline of redness
• Multiple pinpoint foci of hyperemia usually involving the maxilla

4. Candid infection is not seen in_____?

A. Median rhomboid glossitis
B. Geographic tongue
C. Oral thrush
D. Denture stomatitis

Answer: B

5. Oral candidiasis is divided into primary and_____?

A. Secondary infections
B. Subsidiary infections
C. Subclinical infections
D. All of the above

Answer:A
Classification of candidiasis
Primary Oral Candidiasis

• ACUTE

• Pseudomembranous
• Erythematous

• CHRONIC

• Hyperblastic
• Erythematous
• Pseudomembranous

• CANDIDA ASSOCIATED LESSION

• Denture stomatitis
• Angular stomatitis
• Median rhomboid glositis

• Keratinized primary lesion super infected with candida

• Leukaplakia
• Lichen planus
• Lupus erythematous

Secondary candidiasis

• Manifestation of Systematic mucocutaneous candidiasis – thymic aplasia and candida endocrinopathy syndrome

6. Which type of candidiasis is associated with leukoplakia is______?

A. Acute pseudomembranous candidiasis
B. Acute atrohpic candidiasis
C. Chronic atrophic candidiasis
D. Chronic hyperplastic candidiasis

Answer:D
CHRONIC HYPERPLASTIC CANDIDIASIS

• Candidal leukoplakia
• Persist without any pain for years
• Doesn’t rubs off with lateral pressure
• Slightly white to dense white with cracks and fissures occasionally
• Vague border – epithelial dysplasia

7. Candida infection is involved in______?

A. migrating geographic tongue
B. median rhomboidal glossitis
C. Prolonged tetracycline therapy
D. All of the above

Answer:B

8. Clinical diagnosis of candidiasis is confirmed by_____?

A. Characteristic odour
B. Demonstration of mycelia and spores in scrapping
C. Response to injection of vitamin B12
D. Demonstration of ray fungus in granules

Answer:B

9. Thrush refers to_____?

A. Acute atrophic candidiasis
B. Acute pseudomembranous candidiasis
C. chronic atrophic candidiasis
D. chronic hyperplastic candidiasis

Answer:B

10. ID reaction is associated with______?

A. apthous ulcer
B. herpetic stomatitis
C. syphilis

D. candidiasis

Answer:D
ID REACTION
• Secondary response characterized by localized or generalized sterile vesicopapular rash that is believed to be allergic response – candida antigen (monoloids)