clinic quiz 54 55

The typical age of onset of type 2 diabetes in children is among those who are older than __________ of age. a) 6 years b) 8 years c) 10 years d) 12 years

12 years

Which grade of the World Health Organization Oral Mucositis Scale does this description fall under? Patient has oral ulcers but solid foods are tolerated. a) 0 b) 1 c) 2 d) 3 e) 4

2

Systematic reviews suggest patients with diabetes are at a __________ times greater risk for more severe periodontal disease than individuals without diabetes. a) 1 to 2 b) 2 to 3 c) 2 to 4 d) 2 to 6

2 to 4

For the first 6 months after head and neck radiation therapy, recall the patient every __________ as needed for nonsurgical periodontal therapy. a) 2 to 4 weeks b) 4 to 8 weeks c) 8 to 12 weeks d) 4 to 6 months

4 to 8 weeks

Dental hygiene treatment should be postponed during chemotherapy treatment when the platelet count is less than: a) 20,000/mm. b) 30,000/mm. c) 50,000/mm. d) 60,000/mm.

50,000/mm.

Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself an insulin shot daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. The patient has what type of diabetes? a) Type 1 b) Type 2 c) Juvenile diabetes d) Gestational diabetes

Type 1

Which of the following is an extra/intraoral finding associated with diabetes? a) Oral cancer b) Lichen planus c) Hypogeusia d) Both lichen planus and hypogeusia e) All of these are correct.

Both lichen planus and hypogeusia

A) Internal radiation therapy involves placing radioactive implants or seeds within the body. B) More radiation is delivered to surrounding tissues by internal radiation than by external radiation. a) Statement A is true and statement B is false. b) Statement A is false and statement B is true. c) Both statements are true. d) Both statements are false.

Both statements are true

All of the following factors impact the need for insulin, except: a) food intake. b) alcohol intake. c) infection. d) variations in exercise.

alcohol intake

Which of the following is a complication related to hematopoietic cell transplantation that involves the donor's T-lymphocytes interpreting the host cell antigens as foreign and reacting against the host tissue? a) Graft-versus-host disease b) Jaundice c) Mucositis d) Leukemia

graft-versus-host disease

Peripheral neuropathy in diabetics may result in loss of sensation in the: a) tongue. b) eyes. c) hips. d) hands.

hands

Patients with diabetes mellitus type 1: a) have increased insulin in the blood. b) have non-insulin-dependent diabetes. c) can control their insulin level through proper diet. d) have decreased insulin production by the pancreas.

have decreased insulin production by the pancreas.

Which type of treatment is used to treat a variety of blood diseases, including leukemia? a) Surgery b) Hematopoietic cell transplantation c) Radiation therapy d) Vaccine therapy

hematopoietic cell transplantation

A1c measures the quantity of the end product of high glucose bound to a(n) __________ molecule. a) ATP b) hemoglobin c) deoxyribonucleic acid d) oxygen

hemoglobin

Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself an insulin shot daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. The presence of xerostomia is most likely caused by: a) her medication. b) her diet. c) an allergic reaction. d) impaired renal function.

her medication

A patient is taking sulfonylureas to control type 2 diabetes. What potential diabetic emergency should you watch for during dental treatment? a) Hypoglycemia b) Hyperglycemia c) Ketoacidosis d) Hyperapnea

hypoglycemia

The 15/15 Rule is used to treat: a) hyperglycemia. b) hypoglycemia. c) glycosuria. d) metabolic acidosis.

hypoglycemia

The most common type of dental emergency associated with a person having diabetes is: a) hyperapnea. b) hypoglycemia. c) hyperglycemia. d) ketoacidosis.

hypoglycemia

All of the following conditions are to be expected due to radiation therapy, except: a) increased bone loss. b) mucositis. c) xerostomia. d) trismus.

increased bone loss

All of the following are possible complications of diabetes, except: a) increased susceptibility to infection. b) increased risk for cardiovascular disease. c) increased risk for kidney dysfunction. d) increased rate of blood disorders.

increased rate of blood disorders.

A patient has an acetonic, fruity smelling breath. This is a classic symptom of: a) insulin shock. b) hypoglycemia. c) glucose intolerance. d) ketoacidosis.

ketoacidosis

Insulin is produced in the: a) stomach. b) pancreas. c) liver. d) intestines.

pancreas

A) Uncontrolled diabetes contributes to the severity of periodontal infection. B) A periodontal infection can complicate the control of blood glucose levels in diabetics. a) Statement A is true and statement B is false. b) Statement A is false and statement B is true. c) Both statements are true. d) Both statements are false.

Both statements are true.

True or False : Pancytopenia means normal depression in all cellular elements of the blood

False

All of the following are types of radiation therapy, except: a) implants placed within the body. b) seed therapy. c) IMRT. d) IPRT.

IPRT

When treating a patient with diabetes, one should do all of the following, except: a) schedule appointments before a meal. b) consult with the treating physician. c) limit the length of appointment. d) be prepared for a diabetic-related emergency.

Schedule appointments before a meal

A) Well-controlled diabetes is a contraindication to placement of a dental implant. B) Insulin directly or indirectly affects every organ in the body. a) Statement A is true and statement B is false. b) Statement A is false and statement B is true. c) Both statements are true. d) Both statements are false.

Statement A is false and statement B is true.

A) Patients with uncontrolled glucose levels are at higher risk for periodontal disease. B) Routine dental procedures, including deep scaling procedures, can be completed when the uncontrolled diabetic has received antibiotic premedication. a) Statement A is true and statement B is false. b) Statement A is false and statement B is true. c) Both statements are true. d) Both statements are false.

Statement A is true and statement B is false.

Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself an insulin shot daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. A) Susan's dental appointment should be scheduled during early morning to ensure that she is treated soon after a full meal. B) The ideal time for the appointment when considering her insulin intake is during the peak time of her insulin dosage. a) Statement A is true and statement B is false. b) Statement A is false and statement B is true. c) Both statements are true. d) Both statements are false.

Statement A is true and statement B is false.

Which one of the following is not a chemotherapy agent? a) Acilating agent b) Antibiotics c) Antimetabolites d) Plant alkaloids

Acilating agent

Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself an insulin shot daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. Which of the following etiologic factors is related to the development of this type of diabetes? a) Insulin resistance b) Autoimmune destruction of beta cells c) Hormone imbalance d) High carbohydrate intake

Autoimmune destruction of beta cells

Which of the following oral manifestations is common in persons who are diabetic? a) Increased salivary flow b) Whitish patches on oral mucosa c) Candidiasis d) Petechia on the hard palate

Candidiasis

The type of bone marrow transplant when the tissue comes from one's own body is: a) allogeneic. b) autologous. c) hematopoietic. d) syngeneic.

autologous

All of the following are systemic side effects of chemotherapy, except: a) alopecia. b) bone necrosis. c) nausea. d) anemia.

bone necrosis

During head and neck radiation therapy all the following should be avoided, except: a) high-sucrose foods. b) broths. c) lemon glycerin swabs. d) spicy foods.

broths

Which of the following is an indication for chemotherapy, as opposed to other modalities, for treatment of cancer? a) Tumors that are small, localized, and easy to remove b) Debulk or remove portions of large tumors before other treatment c) Cancer that has metastasized to other parts of the body d) Tumors that are radiosensitive

cancer that has metastasized to other parts of the body

Bone marrow for transplantation is typically aspirated from all of the following sources, except the: a) iliac crest. b) carpals. c) ribs. d) sternum.

carpals

Which of the following is a characteristic of a benign neoplasm? a) Metastasizes to other areas of the body b) Causes generalized effects such as anemia, weakness, and weight loss c) Does not recur when removed d) Cells bear little resemblance to the normal cells of the tissue from which they arose

does not recur when removed

Which of the following is not a symptom of hypoglycemia? a) Headache b) Dizziness c) Hunger d) Dry hot skin

dry hot skin

Your patient with diabetes has gone into insulin shock. What is the first step in addressing this emergency? a) Give the patient glucose. b) Give the patient insulin. c) Call 911. d) Recline the patient and monitor vital signs.

give the patient glucose

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. All of the following dental procedures are indicated prior to head and neck radiation, except: a) periodontal scaling and root planing. b) extraction of teeth with questionable prognosis. c) restoration or repair of indicated teeth. d) periodontal surgery to eliminate pockets.

periodontal surgery to eliminate pockets

All of the following are clinical manifestations of hyperglycemia, except: a) polyuria. b) polydipsia. c) polyarthritis. d) polyphagia.

polyarthritis.

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. The patient complains about having a dry mouth. The best solution to this problem is to: a) tell the patient to avoid using sugar-free gum or candy. b) recommend lemon glycerin swabs. c) tell the patient to stop smoking. d) recommend a saliva substitute spray or gel.

recommend a saliva substitute or a gel

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. The patient's cervical caries most likely resulted from which of the following? a) Existing periodontal condition b) Change in types of oral bacteria c) Presence of partial denture d) Salivary gland hypofunction

salivary gland hypofunction

Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself an insulin shot daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. The peak action of Susan's insulin is reached between 2 and 3 hours. This range of action indicates the insulin is what classification? a) Rapid acting b) Short acting c) Intermediate acting d) Long acting

short acting

Polydipsia is excessive: a) hunger. b) thirst. c) urination. d) None of these are correct.

thirst

uggestions for the dental hygiene care plan for patients with cancer include all of the following, except: a) providing positive reinforcement. b) verbally reviewing their homecare instruction. c) demonstrating acceptance and empathy. d) practicing active listening skills.

verbally reviewing their home care instruction.

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. Which of the following is the greatest single risk factor for oral and pharyngeal cancer? a) Viruses b) Genetics c) Tobacco d) Diet

tobacco

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. During assessment of your patient, you notice signs of severe xerostomia. You would expect him to have all of the following other symptoms of radiation therapy, except: a) impaired taste. b) inability to open mouth completely. c) tooth mobility. d) oral mucositis.

tooth mobility

A 55-year-old man with Stage III squamous cell carcinoma of the left retromolar area and left lateral tongue, with metastasis to the left neck, presents for a cleaning appointment prior to his continuing radiation therapy. The radiation field includes the entire neck, mandible, TMJ, and posterior of the maxilla. The examination reveals multiple teeth with cervical caries. The patient has a well-fitting maxillary partial denture, replacing teeth #1 to #5 and #12 to #15. Periodontal involvement includes pocketing ranging from 5 to 7 mm on the maxillary anterior teeth and generalized on the mandibular arch. The plaque level is moderate, with heavy calculus and stain. The patient drinks occasionally and smokes two packages of cigarettes daily. He brushes his teeth twice daily and rinses with Listerine once each day. Cancer staging is based on the following: a) type of cell and mode of growth of the tumor. b) rate of growth of tumor and if metastasis has occurred. c) tumor size, lymph node involvement, and if metastasis has occurred. d) tumor type, tumor size, and rate of growth of tumor.

tumor size, lymph node involvement, and if metastasis has occurred.