Pt. & Special Needs Exam 1 Quiz Review

What actions could have been taken in her youth to prevent Mrs. Nyguen's osteoporosis?

Adequate calcium intake during adolescence and early adulthood

Which of the following is not included in documentation of the home visit?

All are included (Location where treatment is provided, Summary of assessment data, Patient's ability to provide self care)

Which of the following is NOT a consideration in the type and magnitude of a planned procedure?

All are involved (Blood loss, Length of procedure, Invasiveness of procedure)

Which of the following is a clinical sign/symptom of cleft palate or cleft lip?

All of the Above (Anodontia, Malocclusion, Lack of muscle coordination of the lips, tongue, cheeks, and floor of mouth)

Which is a problem encountered in critically or terminally ill patients?

All of the Above (Dental caries, Inadequate nutritional intake, Denture problems)

Which of the following will help to reduce gingival enlargement due to drugs?

All of the Above (Frequent prophylaxis, Meticulous oral hygiene, Anti-plaque measures)

The patient with which of the following is most at risk for kidney disease?

All of the Above (Hypertension, Diabetes, Over 65)

Who is most likely to have kidney disease?

All of the Above (Native Americans, Asian Americans, African Americans)

Why is good oral health education especially important for adolescents?

All of the Above (They are at a critical learning period to form good habits, The onset of puberty has hormonal changes that affect oral health, They may not be learning good oral health care habits at home)

To reduce stress and anxiety, which of the following is recommended post-treatment?

All of the above (Prescribe appropriate analgesia, Provide post-operative instructions, Post-treatment evening call to check on patient's status)

Which of the following may occur as a result of xerostomia?

All of the above (Root caries, Candidiasis, Periodontal disease)

What is Cushing's Syndrome?

An autoimmune disorder associated with hyperadrenalism

What is the most probable reason that Mary's gums bleed when she brushes and flosses?

An inflammatory response to increased hormones during pregnancy

Which of the following identifies the master endocrine gland that regulates the output of hormones by other glands?

Anterior pituitary

Which of the following provide information to parents regarding their child's current and future oral needs so they can be anticipated and properly managed?

Anticipatory guidance

Louis's health history indicates a past history of hepatitis. How should the dental hygienist proceed?

Ask additional questions to ascertain what type, how long ago it was contracted, treatment, and resolution

After dialysis, how long should a patient wait to have dental treatment?

At least 24 hours

Which of the following is imperative when completing Dental Hygiene therapy on a patient with Bell's Palsy?

Patient always wears protective eyewear because eyelids lack natural ability to close for protection

When using restraints for body stabilization, you:

Need written consent from a guardian or the patient

Which of the following is characteristic of the Human Papilloma Virus?

Oral warts

Which of the following refers to providing relief but not a cure.

Palliative

Which of the following will NOT help minimize the risk of adrenal crisis?

Schedule treatment late in the morning before a meal

What is the safest time during her pregnancy to provide dental care to a pregnant patient?

Second trimester

Which of the following is NOT recommended in reducing a patient's level of stress?

Show patient syringe and explain type of anesthetic to be used

Which of the following is NOT recommended in reducing a patient's stress level?

Show patient syringe, needle, and type of anesthetic to be used

Another term for cerebrovascular accident (CVA) is:

Stroke

If a patient has difficulty swallowing, which of the following would be most useful for the dental patient?

Suction toothbrush

Which of the following refers to healthcare delivery using web-based technology to send radiographs and patient history to an offsite practitioner for collaborative practice.

Teledentistry

Power toothbrushes may be a beneficial brushing aid for patients with disabilities. Which of the following is a disadvantage of power toothbrushes?

Vibrations may be intolerable

Which of the following is also known as "the kissing disease"?

Mononucleosis

At what age is palate surgery completed in a patient with cleft palate?

18 months

How wide should walkways be in order to accommodate a wheelchair?

3 feet

For those with which classification of chronic kidney disease (CKD) should a physician be consulted before dental care is provided?

4

After having a stroke, elective dental treatment should be postponed for:

6 months

At what age would a dental hygienist notice hard and soft oral tissue conditions such as eruption cysts and mucocele in a child?

6 months to 5 years

How many classes of cleft lip and cleft palate are there?

7

A new patient, John Louis, presents to your office. Upon initial meeting you notice that one side of Mr. Louis's face is drooping. Upon reviewing the health history, you notice that the patient has indicated having a knee joint replacement. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated a history of hepatitis. What would have prevented Mr. Louis from coming to his appointment with an unknown condition, which possibly requires antibiotic premedication, thus delaying or postponing treatment?

A telephone screening interview prior to the patient's appointment

After speaking with Mr. Louis's orthopedic doctor on the phone, what do you need to request from the physician?

A written statement concerning the necessity for antibiotic premedication

Which ASA classification would describe a patient with moderate to severe systemic disease that is not incapacitating but may alter daily activity?

ASA III

A patient's functional capacity is assessed through which of the following?

ASA classification

Which of the following is also known as Primary Adrenal Insufficiency?

Addison's Disease

Which of the following best describes atrophic glossitis?

Bald and burning tongue

What may be the best explanation for Mr. Louis's facial paralysis?

Bell's Palsy

Which of the following is the most important procedure to complete during Mary's initial dental hygiene appointment?

Biofilm control

Which of the following is something we can assess on a patient that could indicate CVA?

Blood pressure

Why are vertical bitewings indicated for women who have undergone menopause?

Both B and C (You are likely to begin seeing alveolar bone loss from hormonal changes, Increased age correlates with bone loss)

Cleft lip occurs more frequently in females, while cleft palate occurs more frequently in males.

Both statements are false

When communicating with a disabled patient who has a caregiver, it is best to direct all questions to the caregiver. Post treatment instructions should be given only verbally and only to the patient.

Both statements are false

Acne vulgaris is a chronic skin disorder with increased production of oil from the sebaceous glands. Hormones are a chemical product of an organ within the organ that has a specific regulatory effect upon cells elsewhere in the body.

Both statements are true

Mal-positioned teeth, problems with mastication, and dental biofilm retention are intensified for cleft palate patients. These predisposing factors are also related to a higher incidence rate of caries in children with a cleft palate.

Both statements are true

The majority of patients with adrenal dysfunction undergo routine dental treatment without the need for supplemental glucocorticoids. Hyperadrenalism increases the likelihood of hypertension, osteoporosis, and peptic ulcer disease.

Both statements are true

The term "handicap" defines a person who has a disadvantage from an impairment or disability that limits or prevents fulfillment of a role that is within their normal range. The term "disability" defines as a person who has a lack of ability to perform an activity that is within their normal range.

Both statements are true

Which of the following may be prevented by early detection of a calcification of the carotid artery on a panoramic radiograph?

CVA

Dentifrice containing fluoride should not be used by patients who:

Cannot control saliva, rinse, or expectorate

Which of the following oral conditions has the highest prevalence in adolescence than any other age group?

Caries

Which of the following is not characteristic of a barrier-free environment in the dental office?

Chairs without arms

Which of the following is NOT a psychosocial developmental factor experienced by adolescents during puberty?

Concern for diet and nutrition

What is the next step after reviewing Mr. Louis's health history?

Consult the patient's physician regarding the knee joint replacement

Which of the following may be suspected when the patient presents with an earlobe crease?

Coronary artery disease

All of the following are physical changes that may occur as part of the premenstrual syndrome except:

Decreased appetite

Which of the following is suspected when the patient presents with an acetone breath odor?

Diabetes

Which of the following is an artificial means (machine) of removing toxins and extra water from the body?

Dialysis

What is macrognathia?

Enlargement or elongation of the jaw

Which of the following is an objective for taking vital signs on your new patient?

Establish baseline values for patient

The decline of which of the following hormones can lead to the general symptoms of menopause?

Estrogen

When taking your patient's blood pressure, how might an undersized cuff affect the reading?

Falsely elevated reading

Which of the following best describes the function of the kidneys?

Filter blood to remove toxins from the body

Which of the following is NOT a common site for basal cell carcinoma?

Front of neck

Which of the following types of care may be delivered to the unconscious patient?

Gently clean the teeth, tongue and oral mucosa daily

If a patient with a disability has a legal guardian, the legal guardian must:

Give consent for treatment, including signing consent forms

Which auto immune disease is hyperthyroidism associated with?

Graves Disease

Which of the following oral manifestations of kidney disease is due to due to the body's inability to remove urea from the blood, which is broken down into ammonia?

Halitosis

Which of the following would result in optimal aging?

Healthy diet and exercise

Which of the following STD's are contained in the DNA?

Human papilloma virus (HPV)

Which of the following conditions may exist when a patient presents with eyelid retraction and wide eyes?

Hyperthyroidism

Which of the following would NOT be suspected when a patient presents with rapid weight loss?

Hypothyroidism

Which of the following is NOT considered a sexually transmitted disease?

Mononucleosis

In preparing to provide care for a patient on a home visit, when should the patient's medical history be reviewed?

In advance of the appointment

Which of the following STD's remain latent for the life of the host?

Infectious Mononucleosis

A patient who is unable to complete brushing and flossing on his or her own and depends on someone else to attend to his or her oral care would be classified as:

Low functioning

While examining your patient, you observe a yellowing of the fingernails. Which of the following might you suspect?

Malignancy

Which teeth are NOT commonly missing in a patient with cleft?

Maxillary 1st molars

When evaluating the emotional status of a patient, what is your main consideration for treatment?

Patient's stress level

Mrs. Nyguen is a 65-year old patient in your periodontal practice. She presents with a full dentition. She suffers from osteoporosis and moderate periodontal disease. She walks slowly with stooped posture. She smokes one pack of cigarettes per day, indicates that she does not drink alcohol, and takes no medications. Nyguen would like to know if the osteoporosis can have an effect on her "gum disease". What would be the MOST accurate answer to give this patient?

Periodontal microorganisms can more easily breakdown osteoporotic bone

Which of the following is the most efficient method of consulting with your patient's physician?

Phone consultation

What is the most important consideration in treating a patient with a cleft lip and/or cleft palate?

Preserving their teeth

Which of the following is not considered an alternative care site?

Private dental practice

What appointment management considerations should the clinician consider at this patient's visit?

Provide extra time for positioning and proper patient comfort

When transferring a mobile patient from the wheelchair to the dental chair, you lift them by:

Pulling them up by their waist

What is the most likely diagnosis of the swelling in the premolar area?

Pyogenic granuloma

What is the "dental home"?

Relationship between the dentist and patient including all aspects of oral health care delivered in a comprehensive and continuous, family-centered way

A patient with a herpetic lesion that is in blisterform is safe to treat that day. A herpes lesion must be crusted over ("scabby") in order for dental treatment to proceed.

The first statement is false and the second statement is true

All patients with cerebral palsy also have brain damage causing mental impairment. 30-50% of patients with cerebral palsy also have brain damage causing mental impairment.

The first statement is false and the second statement is true

It is best to provide dental hygiene care to a resident in a care facility when they have visitors. The dental hygienist must coordinate with the patient or caregiver to assure visit is scheduled around nursing care and meals.

The first statement is false and the second statement is true

The best time to treat a patient who is on kidney dialysis is the same day they have dialysis treatment. Pre-medicative antibiotics are not typically necessary for the kidney dialysis patient.

The first statement is false and the second statement is true

Children with a cleft palate or lip are at a higher risk for dental caries. The cleft lip and palate fail to fuse in the second trimester.

The first statement is true and the second statement is false

Cushing's Disease is caused by an overproduction of cortisol. This is also called hypoadrenalism.

The first statement is true and the second statement is false

When they are federally funded, a care facility is required to assist residents in obtaining certain services. All states provide the same Medicaid services mandated by the federal government.

The first statement is true and the second statement is false

Which is the condition following a sudden release of large amounts of thyroid hormone?

Thyrotoxic crisis (thyroid storm)

Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. Her health history indicates that she is 5 months pregnant. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it. According to the American College of Obstetricians and Gynecologists, when is the best time to expose radiographs on a pregnant patient?

When the information to be obtained from them is necessary for the care of the patient and cannot be obtained by other means