A 78-year-old male patient reported to the hospital with the complaint of difficulty in chewing food as his teeth were not in contact during mastication

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Question 3:

A 78-year-old male patient reported to the hospital with the complaint of difficulty in chewing food as his teeth were not in contact during mastication.

There were swellings in the maxillary right and left posterior teeth region, which started 6 years ago. Similar swellings were also seen bilaterally in the malar region and in the forehead of the right side. All swellings gradually increased in size.

Maxillary radiographs showing osteosclerosis and cotton wool appearance.  Postero-anterior view of the skull reveals opacification and generalized flecks of irregularly shapedradiopacities involving the entire skull, giving a cotton wool appearance. The patient was diagnosed with a bone disorder.

1. Name the bone disorder

1. Discuss the epidemiology

1. Discuss the pathogenesis

 

Question 4:

A 40-year-old Caucasian woman of Northern European descent comes to your office with complaints of numbness on her left side and an unsteady gait.  She’s also had tingling when she bends her neck forward, fatigue, dizziness, and occasional slurred speech.  Her mother had multiple sclerosis that was diagnosed when she was 46 years old.

1. Your patient wants to know if she has multiple sclerosis.  What will you tell her regarding her symptoms, family history (genetic predisposition), triggers, etc.

1. What is the pathology of multiple sclerosis?

1. What is the long-term course of the disease?

 

 

Question 5:

What is the current thinking regarding the etiology and the pathology of addiction?  Are there brain changes that occur with addiction?  What about maternal use of substances; are there short and longterm fetal consequences?

1. You may examine the information from links below

Understanding Drug Use and Addiction

Drugs, Brains, and Behavior: The Science of Addiction

The Science of Drug Abuse and Addiction: The Basics

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