learning catalytics for medicine

Question 1

true or false

Statement 1: In obstructive sleep apnea patient struggles to breathe but there’s no closing of the airway.
Statement 2: Dental professionals manage patients with central sleep apnea.

Answer 1

both false
- in obstructive sleep apnea patient struggles to breathe because of obstruction of the airway. Dental professionals like yourself manage obstructive sleep apnea. Central sleep apnea is managed completely differently.

Question 2

Most common symptom of nighttime obstructive sleep apnea is:

Answer 2

Snoring is hallmark of obstructive sleep apnea

Question 3

All of the following are physical characteristics of obstructive sleep apnea EXCEPT:

Answer 3

A Macroglossia
B retrognathia
Ctonsillar hypotrophy
D inferior displacement of hyoid bone
answer is C= Tonsillar hypotrophy is the answer here because it tonsillar HYPERTROPHY is a physical characteristic of OSA.

Question 4

Where is the most common site of obstruction in Obstructive sleep apnea?

Answer 4

base of the tongue

Question 5

How long after delivering a sleep oral device do you bring a patient in for the first follow up visit?

Answer 5

2 weeks

Question 6

true or false

Statement 1: Sjogrens syndrome is a chronic, autoimmune, inflammatory disorder of only lacrimal and salivary glands.

Statement 2: 1 or more foci of 100 lymphocytic concentration in 4mm2 area is needed for a positive lip biopsy

Answer 6

Both statements are false. Sjogren’s can affect any exocrine glands including the sweat glands. the criteria for a positive lip biopsy is 1 or more foci of 50 lymphocytic concentration in 4mm2 area.

Question 7

The normal rate of unstimulated saliva flow rate in an individual is:

Answer 7

Normal is 0.3ml/min, this was said in lecture.

Question 8

true or false
Statement 1: Xerostomia is the subjective sensation of dryness in the mouth.
Statement 2: Complaint of dry mouth occurs when the volume if saliva is ⅓ the normal volume of unstimulated saliva.

Answer 8

Both statements are true. xerostomia is what the patient perceives to be dryness in the mouth, regardless of the actual volumetric saliva produced. 75% reduction of unstimulated saliva is lost when patients experience sensation of dry mouth.

Question 9

At Tufts, what is the minimum white blood cell count necessary to provide dental treatment for a patient (undergoing chemotherapy or bone marrow transplant) with antibiotic coverage?

Answer 9

1000 cells

Question 10

How long before a patient undergoes chemotherapy or a bone marrow transplant should they be evaluated for necessary dental treatment?

Answer 10

1 mos