Chapter 54 Wilkins: The Patient with Diabetes Mellitus

d

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

a

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

a

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.

c

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.

b

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.

a

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.

d

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

d

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

c

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

a

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.

b

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

d

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.

d

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

b

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

a

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

b

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

a

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.

b

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

c

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

b

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

b

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

d

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

b

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

c

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

d

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.

b

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