CH. 64 Pt with a Mental Disorder

Question 1

erosion of enamel and dentin as a result of chemical and mechanical effects?

Chemical erosion of the tooth surfaces by acid from the regurgitation of stomach contents?

Answer 1

Perimylolysis

Question 2

Which teeth are affected and show signs and symptoms of perimylolysis?

Answer 2

lingual surfaces and maximally teeth (glasslike/translucent

with time; erosion extends over the occlusal and incised edges, chipping may be seen

Question 3

What are the oral side effects of medications of anti depressive drugs?

Answer 3

Xerostomia along with poor dietary choices encourages growth of lactobacilli and increases risk for enamel and root caries

Question 4

What is the onset of schizophrenia?

Answer 4

Between the ages 16 and 30

men tend to develop the ages earlier than women

Question 5

What are the types of bulimia?

Answer 5

Purging

Nonpurging

Question 6

What has the highest mortality rate of any mental disorder?

Answer 6

Anorexia

Question 7

The refusal of the individual to maintain body weight over the minimal normal weight for age and height?

Answer 7

Anorexia

Question 8

T/F Do not brush your teeth after vomiting. Demineralization of the tooth surface by the acid from stomach starts immediately on contact. Brushing may remove additional enamel and dentin

Answer 8

True

Question 9

How many days after does the Parotid gland enlarge dealing with bulimia ?

Answer 9

May occur 2-6 days after binge.

The degree of enlargement increases with the frequency of vomiting.

Question 10

A complex, chronic mental disorder. Disturbances in feeling, thinking, and behavior significantly impair function to a level below normal for the pt?

Answer 10

Schizophrenia

Question 11

Types of Anxiety Disorders are?

Answer 11

• Generalized Anxiety Disorder
• OCD
• Panic Disorder
• PTSD

Question 12

Symptoms of General anxiety disorders?

Answer 12

• Startle easily
• Difficulty falling and staying asleep
• Difficulty concentrating
• Muscle tension

Question 13

Best time to see patients with anxiety disorders?

Answer 13

In the morning; eliminates unnecessary waiting, length of appointment minimized and prevent stress

Question 14

What are the symptoms of a pan attack?

Answer 14

• Shortness of breath
• Dizziness, faintness
• Heart racing
• shaking
• choking
• Nausea
• Numbness
• hot flashes or chills
• chest pain
• fear of dying
• fear of losing control

Question 15

Bipolar disorder, oral implications; side effects with meds

Answer 15

• Dysgeusia
• Metallic taste (Lithium)
• Loss of taste acuily
• Xersotomia
• Stomatitis and glossitis

Question 16

T/F Bipolar Disorder, Major depressive episode symptoms are the same as those described for depressive disorders

Answer 16

True

Question 17

Symptoms of major depressive episode

Answer 17

• Depressed mood or lost of interest (2 weeks)
• Feeling of hopelessness, worthlessness or guilt
• Fatigue/lack of energy
• Difficulty with concentration/memory
• Poor appetite
• Insomnia
• thoughts of suicide