DH Theory II Exam 1 SQ's (1, 2...)

What body organ produces insulin? A) Pancreas B) Stomach C) Liver D) Intestines

A

Mr. Herman presents to the dental office as a new patient. On completion of the initial examination, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness. Mark all true statements listed below. A) Periodontal debridement should be included in his dental hygiene treatment plan. B) Oral hygiene instructions should be included at each dental hygiene appointment C) Subgingival irrigation with a minocycline should be included in his treatment. D) The dental hygiene care plan should include full mouth NSPT in one appointment.

A & B

Mrs. Carson is in the process of initial therapy with the RDH. She has completed four quadrants of her nonsurgical treatment with the RDH. Mark all true statements listed below. A) Elimination of BOP should be the expected clinical end point after NSPT. B) The RDH should expect increased probing depths. C) The RDH should expect decreased CAL. D) Ongoing evaluation should include observation of any gingival changes.

A & D

A variety of antimicrobial agents have been researched for professional irrigation with varying results; products used include chlorhexidine gluconate and fluoride. An antimicrobial agent can aid in reducing the numbers of microorganisms to prevent aerosol contamination during instrumentation. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

A) Both statements are true.

Dental hygiene care aims to prevent, arrest, control, or eliminate the infection in the gingiva. The long-range success of treatment depends on the control of the dental biofilm by the patient basis. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

A) Both statements are true.

In contrast to locally delivered antibiotic agents placed directly into a pocket, antibiotics administered systemically reach the pathogens in the pocket through the circulation. The specific microorganism that is causing a periodontal infection should be determined first, and the antibiotic selected should be specific for that organism. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

A) Both statements are true.

The water spray in ultrasonic scaling devices penetrates to the base of the pocket to provide a continuous flushing of debris, bacteria, and endotoxin. Oscillation of the ultrasonic tip causes hydrodynamic waves to surround the tip; this acoustic turbulence is believed to have a disruptive effect on the surface bacteria. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

A) Both statements are true.

Two essential components of successful therapy are complete subgingival scaling with root debridement by the dental hygienist and effective daily dental biofilm control by the patient. The objective is to eliminate or at least suppress the pathologic microorganisms in the subgingival area to promote healing and hence control the infection. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

A) Both statements are true.

Mark all the clinical manifestations of hyperglycemia listed below A) Polyuria B) Polydipsia C) Polyarthritis D) Polyphagia E) All the above

A, B, & D

T/F Uncontrolled diabetes contributes to the severity of periodontal infection. A periodontal infection can complicate the control of blood glucose levels in diabetics.

Both statements are true

Your diabetic patient has gone into insulin shock. What is the first step in addressing the emergency? A) Call 911 B) Give the pt insulin C) Give the pt glucose D) Recline the pt and monitor vital signs

C

What condition do diabetes mellitus type 1 patients have? A) Increased insulin in the blood B) Non-insulin dependent diabetes C) Can control insulin level through proper diet D) Decreased insulin production by the pancreas E) All the above

D

Which one of the following is a common oral manifestation of a person who is diabetic? A) Increased salivary flow B) Whiteish patches on oral mucosa C) Petechia on the hard palate D) Candidiasis

D

In the dental hygiene care plan, the expected outcome for nonsurgical therapy includes which of the following? A) Interrupt or arrest the progression of disease B) Create an environment that encourages tissue resolution and elimination of inflammation. C) Educate and motivate the patient. D) All of the above

D) All of the above

Mechanical vibrations is the mode of action in ultrasonic scaling include which of the following? A) Power-driven scaling devices convert electrical energy into high-frequency sound waves. B) Sound waves produce rapid vibrations in the specially designed scaling tips. C) Calculus is incrementally shattered from the tooth surface when the vibrations are applied to the deposit. D) All of the above

D) All of the above

Periodontal debridement includes which of the following therapeutic interventions? A) Scaling to remove calculus and all soft deposits B) Root planing to eliminate subgingival calculus and smooth the tooth surface C) Root debridement to eliminate subgingival biofilm and mineralized deposits D) All of the above

D) All of the above

Preventive services performed by the RDH include which of the following? A) Desensitization of teeth B) Implant maintenance C) Dietary analysis D) All of the above

D) All of the above

When is a single appointment adequate for instrumentation appointment sequencing? A) The diagnosis may be gingivitis or early periodontics with small areas of deposits readily accessible; anesthesia may not be needed. B) Only a few teeth present; limited areas of anesthesia may be needed. C) Patient acts responsibly in keeping appointments for maintenance and continued monitoring for disease control. D) All of the above.

D) All of the above.

A light grasp in instrumentation during calculus removal is indicated for: A) instrument insertion and positioning B) assessment strokes C) root debridement strokes in removal of biofilm D) all of the above

D) all of the above

Which of the following is true of the direction of strokes when performing manual subgingival scaling? A) Strokes should not overlap. B) Perform horizontal strokes at the bottom of a pocket C) Only vertical strokes should be used D) apply strokes systematically

D) apply strokes systematically

T/F Patients with uncontrolled glucose levels are at higher risk for periodontal disease. Routine dental procedures including deep scaling procedures can be completed when the uncontrolled diabetic has received antibiotic premedication.

The first statement is true; The second statement is false

Which part of the endoscope is used to provide irrigation to the working field? A) Lamp B) Peristaltic pump C) Sheath D) Subgingival probe

B) Peristaltic pump

Susan is a 34-year-old teach 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. Susan has taken her insulin today at 6:00 AM and indicates that its peak action occurs between 2 and 3 hours after the injection. Mark all statements that are true A) The xerostomia is likely caused by her medication B) Autoimmune destruction of beta cells is an etiologic factor related to the development of Susan's diabetes C) Susan has juvenile diabetes D) Susan has Type 1 diabetes E) All the above

A, B, & D

Mark all the symptoms associated with hypoglycemia listed below. A) Hunger B) Dry hot skin C) Dizziness D) Headache E) All the above

A, C, & D

All of the following are possible complications of diabetes except one. what is the exception? A) Increased susceptibility to infection B) Increased rate of blood disorders C) Increased risk for cardiovascular disease D) Increased risk for kidney dysfunction

B

What are the most common type of dental emergency associated with a person with diabetes? A) Hyperapnea B) Hypoglycemia C) Hyperglycemia D) Ketoacidosis

B

All of the following factors impact the need for insulin except one. What is the exception? A) Food intake B) Alcohol Intake C) Infection D) Variations in exercise

B) Alcohol intake

Lipopolysaccharides or endotoxins, derived from the cell walls of gram-negative pathogenic microorganisms, are toxic to human tissue and cause inflammation and destruction of the periodontal attachment. Endotoxins are embedded in the cemental surface and in the superficial biofilm and cannot be removed readily. A) Both statements are true. B) The first statement is true; the second statement is false. C) Both statements are false. D) The first statement is false; the second statement is true.

B) The first statement is true; the second statement is false.

Mark all the extra/intraoral findings associated with diabetes listed below A) Oral cancer B) Candidiasis C) Lichen Planus D) Hypoguesia E) All the above

B, C, & D

When treating a patient with diabetes, which of the following should you do? Mark all that apply. 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 E) All the above

B, C, & D

Which agent for local delivery has an advantage in that it does NOT have potential for the development of bacterial resistance? A) Doxycycline polymer B) Minocycline hydrochloride C) Chlorhexidine D) Lazer

C) Chlorhexidine

Which of the following is true of a systemically administered antibiotic? A) The antibiotic is absorbed into the circulation from the stomach. B) The antibiotic is placed directly into the pocket. C) It reaches the pathogenic organisms in the pocket through the circulation. D) The antibiotic is in a diluted form by the time it reaches the pathogenic microorganism.

C) It reaches the pathogenic organisms in the pocket through the circulation.

A patient presents with an acetonic, fruity smelling breath. What is this a symptom of? A) Insulin shock B) Hypoglycemia C) Ketoacidosis D) Glucose intolerance

C) Ketoacidosis