Special Needs Final

Question 1

How wide should your hallway turn areas be to have a handicap accessible office?

Answer 1

64 inches wide turn

48 inch wide hallway

Question 2

How wide should your waiting room aisles be to allow wheel chair access?

Answer 2

36 inches wide

Question 3

What caries risk level would a child with a diagnosed disability “special needs” have?

Answer 3

moderate

Question 4

What causes Down Syndrome children exhibit short stature, muscle hypotonia and be overweight?

Answer 4

Congenital hypothyroidism

Question 5

Why should a Down Syndrome patient never have their head turned or pulled?

Answer 5

Atlantoaxial instability

Question 6

What dental concern do we watch for in Down Syndrome children?

Answer 6

Delayed eruption of teeth. 1st tooth may not erupt until age 2.

Low caries risk

Question 7

Why are airway problems one of the conditions associated with cerebral palsy?

Answer 7

Muscle control

Question 8

Why is an open bite or posterior cross bite a common finding in cerebral palsy children?

Answer 8

Long term mouth breathing

Question 9

When treating children with cerebral palsy, why should they always be removed from their wheel chair and placed in your dental chair?

Answer 9

They should not always be removed from their wheel chair

Question 10

What dental concerns would we expect for a child with Treacher-Collins?

Answer 10

Misaligned, crowded teeth

Question 11

Treacher-Collins is characterized by

Answer 11

Hypoplasia of the zygomatic arch

Question 12

At what age in utero is the palate forming?

Answer 12

9-11 weeks

Question 13

What part of the anatomy needs to move “out of the way” for the palate to fuse?

Answer 13

Tongue

Question 14

Some of the craniofacial syndromes have large mandibles and some have very deficient mandibles. Which of these syndromes is characterized with a very deficient mandible?

Answer 14

Treacher-Collins

Question 15

In which syndrome do the children have a very happy, talkative, party-like attitude?

Answer 15

Williams Syndrome

Question 16

What dental findings would we expect to find on a Williams Syndrome child?

Answer 16

Hypodontia

Question 17

What aspect of Williams Syndrome makes dental treatment uncomfortable for the patient?

Answer 17

Hyperactivity

Question 18

Does a cyanotic congenital heart defect need antibiotic prophylaxis?

Answer 18

No

Question 19

What is the pediatric dosage for Amoxicillin for antibiotic prophylaxis?

Answer 19

50 mg/kg

Question 20

What dental finding would we expect to see in the mouth of a child with Cleidocranial Dysostosis?

Answer 20

Numerous supernumerary teeth

Question 21

Would you expect to find mental disability in a child with Cleidocranial Dysostosis?

Answer 21

No

Question 22

Would you expect to find mental disability in a child with Fetal Alcohol Syndrome?

Answer 22

Yes

Question 23

What is the definition of developmental disability?

Answer 23

Mental retardation

Question 24

What is Coarctation of the Aorta?

Answer 24

Constriction of the aorta

Question 25

Symptoms of a malfunctioning shunt would be?

Answer 25

Nausea and Vomiting

Question 26

If a patient with a history of tonic-clonic seizures starts to get ridged while you are treating him, what should you do?

Answer 26

Remove everything from the patient’s mouth

Question 27

What should you do for a patient that has just had a tonic-clonic seizure?

Answer 27

Apply oxygen

Question 28

Attention Deficient Hyperactivity Disorder has three components that make up the disorder for most patients. They are lack of attention, hyperactivity, and ….

Answer 28

Impulsive Behavior

Question 29

Why do we want to know about the medications that an ADHD patient might be taking?

Answer 29

Xerostomia

Question 30

Anemia can be caused by three events. These three events are hemorrhage, ineffective hematopoiesis, and

Answer 30

Hemolysis

Question 31

What is the life span of a RBC?

Answer 31

90-120 days

Question 32

What minimum platelet count should a patient have to receive routine dental treatment without medical support?

Answer 32

75,000/microliter

Question 33

What recommendation would you have for a leukemia patient with radiation xerostomia?

Answer 33

alcohol-free oral rinses

Question 34

What does the R in CHARGE syndrome stand for?

Answer 34

Retardation of growth

Question 35

What kind of problems would a child with mucopolysaccharidosis exhibit?

Answer 35

Delayed development

Question 36

If a 3 year old child presented with mobile lower anterior teeth and no history of trauma, what would diagnosis be?

Answer 36

Hypophosphatasia

Question 37

What is the pH at which enamel starts to break down?

Answer 37

5.2

Question 38

What should a patient do after an erosive episode?

Answer 38

Rinse with tap water

Question 39

One of the signs and symptoms that allow an early diagnosis of Autism would be

Answer 39

Avoiding eye contact

Question 40

Autistic children can have seizures. What can act as a trigger fro seizures for an Autistic child?

Answer 40

lack of sleep

Question 41

Why do children with Achondroplasia present with hypoplasia of the mid-face?

Answer 41

Hypoplasia of the zygomatic arch

Question 42

Would you expect a child with Achondroplasia to have a mental disability?

Answer 42

No

Question 43

How would you restrain a child with Ehlers-Danlos Syndrome?

Answer 43

Can’t restrain

Question 44

How would you restrain a child with Osteogenesis Imperfects?

Answer 44

Can’t restrain

Question 45

What is the dental presentation of a patient with Dentinogensis Imperfects?

Answer 45

Normal enamel, dark dentin

Question 46

Which children need a Dental Home with Anticipatory Guidance and treatment plans developed with the use of Caries Risk Assessment?

Answer 46

All children