Quiz Questions Flashcards

1
Q

T/F
Hypersensitivity is easy to diagnose because the presenting symptoms are always the same as the etiologies

A

False

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2
Q

T/F
Management of hypersensitivity can be a challenge because there are numerous treatment approaches w/ varying degrees of efficacy

A

True

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3
Q

What are 4 stimuli that elicit a pain reaction in individuals w/ hypersensitivity?

A

Tactile
Thermal
Evaporative
Chemical

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4
Q

What type of lesions appears as a wedge-shaped cervical notch?

A

Abfraction

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5
Q

A patients is in your operatory for the first time. She has a negative medical history and her complete dental examination 6 months ago did not reveal any concerns. Before you begin checking her, she holds up her hand and tells you that two teeth (#24 and #25) have been driving her crazy the last month or so. The pain happens when she touches the gum line area of both teeth with her nail or a toothbrush. You notice a small hole in her tongue. Mrs. Smith said she had a tongue piercing that she recently removed because it bothered her. What is the most logical explanation for the potential sensitivity on teeth #24 and #25?

A

Metal jewelry from the tongue piercing

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6
Q

T/F
Hydrodynamic theory is the currently accepted explanation for transmission of stimuli from the outer surface of the dentin to the pulp

A

True

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7
Q

What are the identifying characteristics of dentin hypersensitivity?

A
  • Sharp, short or transient pain of rapid onset
  • Cessation of pain upon removal of stimuli
  • Presentation as a chronic conditions w/ acute episodes
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8
Q

T/F
A differential diagnosis can rule out other causes of pain before treating for hypersensitivity

A

True

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9
Q

T/F
Skilled interviewing and diagnostics contribute to the differential diagnosis

A

True

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10
Q

Where should the dental office emergency kit be kept?

A

Should be kept separate from other office supplies and be clearly marked

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11
Q

T/F
Gingival recession is more prevalent with aging. However, dentinal hypersensitivity is not more prevalent with aging

A

True

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12
Q

Desensitizing agents that reduce depolarization of teh nerve cell membrane and transmission of teh nerve impulse. These agents are the only agents that are theorized to work by depolarization

A

Potassium salts

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13
Q

How wide should doorways be in order to accommodate a wheelchair?

A

32 inches

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14
Q

What do you need from the patient or guardian when using restraints for body stabalization?

A

Written consent

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15
Q

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:

A

Low functioning

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16
Q

A self-care aid must have what characteristics?

A

Able to be disinfected
Durable
Replaceable
Inexpensive

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17
Q

T/F
An early morning appointment may be difficult for a patient who requires a long time for moring preparation such as a pt. with a spinal cord injury

A

True

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18
Q

T/F
The cooperation of the patient may decrease if basic routines are disturbed

A

True

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19
Q

To prevent startling a patient, introduce each procedure and sound by following the basic instruction rule:

A

Show, tell, do

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20
Q

Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim’s mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day. What could be done to Jim’s toothbrush to enable him to brush more effectively?

A

Lengthen the handle of the brush

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21
Q

What are some barriers to accessing dental services for patients who are residence-bound?

A
  • Lack of transportation
  • High cost
  • Negative attitudes of practitioners
  • Patients health attitudes and beliefs
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22
Q

In preparing to provide care for a patient on a residential visit, the patients medica history should be reviewed when?

A

In advance of the appointment

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23
Q

What are some reasons to schedule more than one visit for a patient who is residence-bound who needs extensive scaling?

A
  • To avoid tiring the patient
  • To observe a tissue response
  • To provide encouragement and to reinforce biofilm control procedures
24
Q

Which of the following is a behavioral risk factor for dental caries?
* Family history of caries
* Immune response
* Xerostomia
* Inadequate biofilm removal

A

Inadequate biofilm removal

25
Q

T/F
Alzheimers disease gradually destroys the ability to rmember, reason, learn and imagine

A

True

26
Q

All of the following are characteristics of hypersensitivity except:
* Rapid onset
* Pain remains upon removal of stimuli
* Sharp, short pain
* Chronic condition, acute episodes

A

Pain remains upon removal of stimuli

27
Q

A custom fabricated framework that rests over bone is which type of implant?

A

Subperiosteal

28
Q

Which of the following is considered a modifiable risk factor?
* Systemic condition
* Smoking
* Genetics
* Host response

A

Smoking

29
Q

The type of jaw fracture that has no communication with the outside is:

A

Simple

30
Q

The type of midfacial fracture that extends over the middle of the nose and down medial nose of orbits is:

A

Le Fort 2

31
Q

All of the following are components of the DH process of care except:
* Assessment
* Dental diagnosis
* Treatment planning
* Implementation

A

Dental diagnosis

32
Q

When using OSCAR as a treatment plan for DH care, what does the “S” stand for?

A

Systemic

33
Q

When you provide care based on relevant, scientfically sound research, it is called:

A

Evidence-based care

34
Q

What is the primary objective of the DH plan for perio therapy?

A

To restore and maintain health of teh periodontal tissues

35
Q

The DH care plan is part of which phase of the total dental treatment plan?

A

Phase I Therapy and IV maintenance

36
Q

What are sonice scalers driven by?

A

Compressed air

37
Q

The onset of schizophrenia is usually between the ages of:
- 8 and 12
- 16 and 30
- 25 and 35
- 40 and 50

A

16 and 30

38
Q

A side effect of antipsychotic medication that causes involuntary mouth and jaw movement is called:

A

Tardive dyskinesia

39
Q

Depression is defined as:

A

A disturbance marked by apathy, fear, sadness, and loss of mobility and energy

40
Q

The major oral problem associated with antidepressive medications is:

A

Xerostomia

41
Q

A patient with photosensitivity should be given ____ during dental hygiene therapy

A

Tinted protective glasses

42
Q

The 6 week period after childbirth in which the body undergoes physical and physiological changes is called:

A

Postpartum

43
Q

All of the following are anxiety disorders except:
- Posttraumatic stress disorder
- Panic attack
- Depression
- Generalized anxiety disorder

A

Depression

44
Q

Which of the following is not a symptom of a panic attack?
- Chills
- Palpitations
- Nausea
- Excessive motor activity

A

Excessive motor activity

45
Q

Individuals who engage in self-induced vomiting have ____ times greater risk of dental erosion

A

5 times

46
Q

Parotid gland enlargement from self-induced vomiting usually occurs how many days after a binge?

A

2 to 6 days

47
Q

An autoimmune neuromuscular disease characterized by weakness and abnormal fatigue due to defective transmission of nerve impulses to the skeletal muscles is called?

A

Myasthenia Gravis

48
Q

Which factor should a hygienist consider when planning dental hygiene care fo the patient with multiple sclerosis?
- Xerostomia
- Poor nutrition
- Decubitus ulcers
- Impaired motor ability

A

Impaired motor ability

49
Q

Weakness of eye movements with double vision are initial symptoms of ____. If generalized, it involves muscles of the face, mastication and tongue.
- MS
- Scleroderma
- Myasthenia Gravis
- Sjogren’s syndrome

A

Myasthenia gravis

50
Q

____ is a chronic systemic autoimmune disease in which autoantibodies attack healthy cells in the exocrine glands followed by many other organs

A

Sjogren’s Syndrome

51
Q

T/F
Endocrine glands are responsible for producing moisture for the mouth, eyes, nose, throat and skin

A

True

52
Q

T/F
RA is an autoimmune disease resulting in joint inflammation and ultimately destruction of the joint and loss of cartilage

A

True

53
Q

What is the most common thyroid disorder that occurs when the thyroid does not produce enough thyroid hormone?

A

Hypothyroidism

54
Q

T/F
Immunologic tolerance is the body’s ability to discriminate between its own antigens and foreign antigens

A

True

55
Q

T/F
Autoimmune disease affects women 75% more than men and are among the top 10 causes of death for women under 65

A

True

56
Q

When providing DH care to a patient with Myasthenia Gravis, which of the following does not apply?
- Mouthprop may be needed
- Dark glasses
- Potential respirtory risk- be ready for emergency
- Utilize power scalers to comeplete scaling faster

A

Utilize power scalers to complete scaling faster

57
Q

Each of the following is an endocrine gland or organ except:
- The pituitay gland
- Parotid gland
- Adrenal glands
- Pancreas
- Thyroid

A

The parotid gland