Compromised Patient Quizzes 1-3
Which of the following is a clinical sign/symptom of cleft palate or cleft lip? Anodontia Malocclusion Lack of muscle coordination of the lips, tongue, cheeks, and floor of mouth All of the above
All of the above
Which of the following may occur as a result of xerostomia? Root caries Candidiasis Periodontal disease All of the above
All of the above
Which of the following is not included in documentation of the home visit? Location where treatment is provided Summary of assessment data Patient's ability to provide self care All are included
All are included
Which of the following is NOT a consideration in the type and magnitude of a planned procedure? Blood loss Length of procedure Invasiveness of procedure All are involved
All are involved
The patient with which of the following is most at risk for kidney disease? Hypertension Diabetes Over 65 All of the above
All of the above
To reduce stress and anxiety, which of the following is recommended post-treatment? Prescribe appropriate analgesia Provide post operative instructions Post treatment evening call to check patient's status All of the above
All of the above
Which is a problem encountered in critically or terminally ill patients? Dental caries Inadequate nutritional intake Denture problems All of the above
All of the above
Which of the following will help to reduce gingival enlargement due to drugs? Frequent prophylaxis Meticulous oral hygiene Anti-plaque measures All of the above
All of the above
Who is most likely to have kidney disease? Native Americans Asian Americans African Americans All of the above
All of the above
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. What is the most probable reason that Mary's gums bleed when she brushes and flosses? Length of time since her last appointment An inflammatory response to increased hormones during pregnancy Overzealous brushing on the part of the patient Poor oral hygiene related to the swelling in the premolar region
An inflammatory response to increased hormones during pregnancy
Louis's health history indicates a past history of hepatitis. How should the dental hygienist proceed? Defer treatment until Mr. Louis is cured of hepatitis Assume is it Hep A because he did not indicate another type Ask additional questions to ascertain what type, how long ago it was contracted, treatment, and resolution Refuse to treat Mr. Louis and get him out of the office as soon as possible to prevent transmission to staff and other patients
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? Dental treatment can take place on the same day At least 24 hours 48 hours One week
At least 24 hours
When using restraints for body stabilization, you: Must use a mouth prop Only use it on the arms Need more than one dental personnel Need written consent from a guardian or the patient
Need written consent from a guardian or the patient
Which of the following refers to providing relief but not a cure. Teledentistry Sordes Palliative Triage
Palliative
What is the safest time during her pregnancy to provide dental care to a pregnant patient? First trimester Second trimester Third trimester Anytime is safe
Second trimester
Which of the following is NOT recommended in reducing a patient's level of stress? Early morning appointment Oral sedative premedication Explain treatment prior to appointment Show patient syringe and explain type of anesthetic to be used
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? Early morning appointment Oral sedative premed Explain treatment prior to appointment Show patient syringe, needle and type of anesthetic to be used
Show patient syringe, needle and type of anesthetic to be used
Another term for cerebrovascular accident (CVA) is: Stroke Akinesia Sclerosis Pallidotomy
Stroke
If a patient has difficulty swallowing, which of the following would be most useful for the dental patient? Waterpik Power toothbrush Suction toothbrush Whitening trays
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. Palliative care Teledentistry Custodial care Direct access
Teledentistry
Power toothbrushes may be a beneficial brushing aid for patients with disabilities. Which of the following is a disadvantage of power toothbrushes? Motivates patient Provides independence Ineffective biofilm removal Vibrations may be intolerable
Vibrations may be intolerable
At what age is palate surgery completed in a patient with cleft palate? 3 months 12 months 18 months 24 months
18 months
How wide should walkways be in order to accommodate a wheelchair? 32 inches 3 feet 5 feet 8 feet
3 feet
For those with which classification of chronic kidney disease (CKD) should a physician be consulted before dental care is provided? 1 2 3 4
4
After having a stroke, elective dental treatment should be postponed for: 1 month 3 months 6 months 1 year
6 months
How many classes of cleft lip and cleft palate are there? 3 5 7 12
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 full physician consult prior to the patient's appointment A telephone screening interview prior to the patient's appointment There was nothing that could have been done prior to the appointment Speaking with Mr. Louis's wife prior to the appointment
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 call back A phone consult The physician to speak to Mr. Louis A written statement concerning the necessity for antibiotic premedication
A written statement concerning the necessity for antibiotic premedication
A patient's functional capacity is assessed through which of the following? Age Social Status ASA Classifcation General appearance
ASA Classification
Which ASA classification would describe a patient with moderate to severe systemic disease that is not incapacitating but may alter daily activity? ASA I ASA II ASA III ASA IV
ASA III
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. What actions could have been taken in her youth to prevent Mrs. Nyguen's osteoporosis? Unlimited alcohol use Limiting load bearing exercise Increased use of coffee and tea Adequate calcium intake during adolescence and early adulthood
Adequate calcium intake during adolescence and early adulthood
Which of the following best describes atrophic glossitis? Facial bruising Geographic tongue Bald and burning tongue Angular Chelitis of the commissures
Bald and burning tongue
What may be the best explanation for Mr. Louis's facial paralysis? Myxedema Bell's Palsy Acromegaly Cushing's Syndrome
Bell's Palsy
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. Which of the following is the most important procedure to complete during Mary's initial dental hygiene appointment? Biofilm control Completing full periodontal probing Taking a full mouth series of radiographs Scaling and root planing in the area of the gingival swelling
Biofilm control
Which of the following is something we can assess on a patient that could indicate CVA? Temperature Blood pressure Respiration Pulse
Blood pressure
Cleft lip occurs more frequently in females, while cleft palate occurs more frequently in males. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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 true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
Both statements are false
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 first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
Both statements are 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. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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 The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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 Heart attack Diabetes mellitus Multiple sclerosis
CVA
Dentifrice containing fluoride should not be used by patients who: Have epilepsy Require a caregiver to brush Have developmental disabilities Cannot control saliva, rinse, or expectorate
Cannot control saliva, rinse, or expectorate
Which of the following is not characteristic of a barrier-free environment in the dental office? Lightweight doors Chairs without arms Floors with throw rugs Handrails along the sides of passageways
Chairs without arms
What is the next step after reviewing Mr. Louis's health history? Extra oral exam Expose radiographs Begin patient education Consult the patient's physician regarding the knee joint replacement
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? Iritis Hepatitis Bell's Palsy Coronary artery disease
Coronary artery disease
Which of the following is suspected when the patient presents with an acetone breath odor? Diabetes Kidney failure Alcohol abuse
Diabetes
Which of the following is an artificial means (machine) of removing toxins and extra water from the body? Transfusion Teledentistry Dialysis Suction toothbrush
Dialysis
Which of the following is an objective for taking vital signs on your new patient? Diagnose hypertension Determine patients weight Identify periodontal condition Establish baseline values for the patient
Establish baseline values for the patient
When taking your patient's blood pressure, how might an undersized cuff affect the reading? False low reading No effect on reading Falsely elevated reading
Falsely elevated reading
Which of the following best describes the function of the kidneys? Filter toxins from the heart Filter fatty acids from the body Filter blood to remove toxins from the body All of the above
Filter blood to remove toxins from the body
Which of the following is NOT a common site for basal cell carcinoma? Ears Front of neck Bridge of nose Back of hand
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 Antibacterial mouth wash Placement of sealants Brush teeth twice a day with a hard bristle toothbrush
Gently clean the teeth, tongue and oral mucosa daily
If a patient with a disability has a legal guardian, the legal guardian must: Be the caregiver for the patient Be present in the treatment room Translate what the patient is saying Give consent for treatment, including signing consent forms
Give consent for treatment, including signing consent forms
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? Candidiasis Halitosis Hairy tongue Parotid infection
Halitosis
Which of the following would result in optimal aging? Wrinkly skin Heart disease Healthy diet and exercise Anatomic/physiologic age determined by changes in organism structures and function
Healthy diet and exercise
Which of the following conditions may exist when a patient presents with eyelid retraction and wide eyes? Cirrhosis Hypothyroidism Hyperthyroidism Bacterial endocarditis
Hyperthyroidism
Which of the following would NOT be suspected when a patient presents with rapid weight loss? Diabetes Malignancy Tuberculosis Hypothyroidism
Hypothyroidism
In preparing to provide care for a patient on a home visit, when should the patient's medical history be reviewed? After radiographs are taken In advance of the appointment At the time of the appointment At any time during or after treatment
In advance of the appointment
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: Independent High functioning Low functioning Moderate functioning
Low functioning
While examining your patient, you observe a yellowing of the fingernails. Which of the following might you suspect? Cirrhosis Malignancy Bacterial endocarditis
Malignancy
Which teeth are NOT commonly missing in a patient with cleft? Maxillary lateral incisors Maxillary premolar Mandibular second premolars Maxillary 1st molars
Maxillary 1st molars
Which of the following is imperative when completing Dental Hygiene therapy on a patient with Bell's Palsy? Patient brings a caregiver to the appointment Two people are available for a wheelchair transfer Patient takes premedicative antibiotic prior to treatment Patient always wears protective eyewear because eyelids lack natural ability to close for protection
Patient always wears protective eyewear because eyelids lack natural ability to close for protection
When evaluating the emotional status of a patient, what is your main consideration for treatment? Patients age Patients stress level Patients breath odor Patients outward appearance
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? Osteoporosis has no effect on the bone in the oral cavity There is evidence of residual ridge resorption in the mandible Increased bone density will have an effect on her gum disease Periodontal microorganisms can more easily breakdown osteoporotic bone
Periodontal microorganisms can more easily breakdown osteoporotic bone
Which of the following is the most efficient method of consulting with your patient's physician? Fax request Phone consultation Information request letter
Phone consultation
What is the most important consideration in treating a patient with a cleft lip and/or cleft palate? Preserving their teeth Daily fluoride treatments 6-month recare appointments Being careful not to brush around the cleft area
Preserving their teeth
Which of the following is not considered an alternative care site? Private dental practice Hospice Skilled nursing facility Private home
Private dental practice
When transferring a mobile patient from the wheelchair to the dental chair, you lift them by: Pulling them up by their waist You do not assist with transfer Pulling them up by their shoulders Grasping their hands and pulling them up
Pulling them up by their waist
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. What is the most likely diagnosis of the swelling in the premolar area? Periodontal abscess Pyogenic granuloma Not anything to worry about Inflamed tissue due to vigorous brushing
Pyogenic granuloma
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. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
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. Both statements are true The first statement is true and the second statement is false The first statement is false and the second statement is true Both statements are false
The first statement is true and the second statement is false
According to the American College of Obstetricians and Gynecologists, when is the best time to expose radiographs on a pregnant patient? During the first trimester During the second trimester During the third trimester When the information to be obtained from them is necessary for the care of the patient and cannot be obtained by other means
When the information to be obtained from them is necessary for the care of the patient and cannot be obtained by other means