Question 1

Which of the following statements is true concerning "functionally independent older adults"?

Accepted Answer

A) Persons in this age group have fewer natural teeth and believe that tooth loss is an inevitable part of aging. 
B) Some persons in this age group have retained their natural teeth, but more of them have fixed and removable prostheses. 
C) This group has retained more of their natural teeth, and they expect to maintain their teeth throughout their lives. 
D) This segment of the population tends to have medical conditions that are reflected in their oral health. 
A) Persons in this age group have fewer natural teeth and believe that tooth loss is an inevitable part of aging. 
B) Some persons in this age group have retained their natural teeth, but more of them have fixed and removable prostheses. 
C) This group has retained more of their natural teeth, and they expect to maintain their teeth throughout their lives. 
D) This segment of the population tends to have medical conditions that are reflected in their oral health. C

Question 2

When an assistant is asked to work with a medically and physically compromised patient and family in developing and implementing a preventive program:

Accepted Answer

A) it should be tailored to the needs of the patient. 
B) it should be the standard preventive program presented to all patients. 
C) he or she should respond that this is not a delegable function for an assistant. 
D) he or she should transfer the patient to the dental hygienist for instructions. 
A) it should be tailored to the needs of the patient. 
B) it should be the standard preventive program presented to all patients. 
C) he or she should respond that this is not a delegable function for an assistant. 
D) he or she should transfer the patient to the dental hygienist for instructions. A

Question 3

The cause of dark and brittle teeth in an older adult is:

Accepted Answer

A) reduced size of the pulp chamber. 
B) deposits of secondary dentin. 
C) large caries. 
D) both a and b 
A) reduced size of the pulp chamber. 
B) deposits of secondary dentin. 
C) large caries. 
D) both a and b D

Question 4

A direct side effect of Dilantin,which used to control epileptic seizures,is:

Accepted Answer

A) gingival hyperplasia. 
B) overgrowth of the gingival tissue. 
C) severe tooth decay. 
D) both a and b 
A) gingival hyperplasia. 
B) overgrowth of the gingival tissue. 
C) severe tooth decay. 
D) both a and b

Question 5

The role of the dental assistant in caring for the medically and physically compromised patient includes all of the following except:

Accepted Answer

A) aid in diagnosis and treatment planning. 
B) aid dentist in providing treatment. 
C) make the patient more comfortable and reduces anxiety. 
D) serve as a source of information to patient and the patient's family. 
A) aid in diagnosis and treatment planning. 
B) aid dentist in providing treatment. 
C) make the patient more comfortable and reduces anxiety. 
D) serve as a source of information to patient and the patient's family.

Question 6

A deficiency of red blood cells in the hemoglobin can cause:

Accepted Answer

A) leukemia. 
B) hemophilia. 
C) anemia. 
D) excessive bleeding. 
A) leukemia. 
B) hemophilia. 
C) anemia. 
D) excessive bleeding.

Question 7

Depression is:

Accepted Answer

A) a feeling that "all is not well." 
B) a disturbance in thinking and perception. 
C) hallucinations. 
D) an emotional feeling of rejection and withdrawal. 
A) a feeling that "all is not well." 
B) a disturbance in thinking and perception. 
C) hallucinations. 
D) an emotional feeling of rejection and withdrawal.

Question 8

In which type of diabetes mellitus is the patient insulin dependent?

Accepted Answer

A) Type II 
B) Type I 
C) Type III 
D) None of the above 
A) Type II 
B) Type I 
C) Type III 
D) None of the above

Question 9

All of the following can be manifestations of heart disease except:

Accepted Answer

A) diabetes. 
B) hypertension. 
C) angina. 
D) congestive heart failure. 
A) diabetes. 
B) hypertension. 
C) angina. 
D) congestive heart failure.

Question 10

All the following are recommendations for treating hypertension except:

Accepted Answer

A) handling more stress. 
B) limiting salt intake. 
C) following a particular diet. 
D) exercising. 
A) handling more stress. 
B) limiting salt intake. 
C) following a particular diet. 
D) exercising.

Question 11

According to the five specific patient treatment categories,a category III patient involves:

Accepted Answer

A) no special modifications. 
B) medical conditions with lifelong implications and requires modifications to treatment. 
C) scheduling changes and shorter appointments. 
D) serious medical conditions that require only limited care to eliminate serious oral disease. 
A) no special modifications. 
B) medical conditions with lifelong implications and requires modifications to treatment. 
C) scheduling changes and shorter appointments. 
D) serious medical conditions that require only limited care to eliminate serious oral disease.

Question 12

An older patient complains that his neck hurts when reclined in a dental chair.This patient most likely suffers from:

Accepted Answer

A) muscular dystrophy. 
B) lower back pain. 
C) arthritis. 
D) atrophy. 
A) muscular dystrophy. 
B) lower back pain. 
C) arthritis. 
D) atrophy.

Question 13

A stroke is caused by a sudden vascular lesion of the brain,such as:

Accepted Answer

A) an embolism. 
B) a ruptured aneurysm. 
C) a hemorrhage. 
D) all of the above. 
A) an embolism. 
B) a ruptured aneurysm. 
C) a hemorrhage. 
D) all of the above.

Question 14

Xerostomia (or dry mouth)caused by a decreased flow of saliva can be a result of:

Accepted Answer

A) alcoholism. 
B) diabetes. 
C) adverse drug effects. 
D) all of the above. 
A) alcoholism. 
B) diabetes. 
C) adverse drug effects. 
D) all of the above.

Question 15

"Stable" angina is a sharp pain in the chest that is:

Accepted Answer

A) usually predictable. 
B) unpredictable. 
C) unstable. 
D) none of the above. 
A) usually predictable. 
B) unpredictable. 
C) unstable. 
D) none of the above.

Question 16

All of the following considerations need to be made when treating a patient with diabetes except:

Accepted Answer

A) schedule a long appointment for late in the day. 
B) maintain normal dietary intake. 
C) minimize stress. 
D) minimize the risk of infection. 
A) schedule a long appointment for late in the day. 
B) maintain normal dietary intake. 
C) minimize stress. 
D) minimize the risk of infection.

Question 17

Which of the following is true of seizures?

Accepted Answer

A) Epilepsy can affect up to 10% of the general population. 
B) Petit mal seizures typically last 5 to 10 minutes. 
C) Grand mal seizures may be preceded by an aura. 
D) Antiepileptic medications such as Dilantin cause increased salivary flow. 
A) Epilepsy can affect up to 10% of the general population. 
B) Petit mal seizures typically last 5 to 10 minutes. 
C) Grand mal seizures may be preceded by an aura. 
D) Antiepileptic medications such as Dilantin cause increased salivary flow.

Question 18

Before treating an older patient,it is essential to complete a:

Accepted Answer

A) social history. 
B) genetic profile. 
C) mobility profile. 
D) medication profile. 
A) social history. 
B) genetic profile. 
C) mobility profile. 
D) medication profile.

Question 19

What treatment plan modification should be made to the anesthetic regimen for a patient with cardiovascular disease?

Accepted Answer

A) No modification in treatment plan is necessary. 
B) Epinephrine and other vasoconstrictors are contraindicated, and they cannot be administered to patients with mild to moderate cardiovascular disease. 
C) Epinephrine and other vasoconstrictors can be administered within limits to patients with mild to moderate cardiovascular disease. 
D) Local anesthetic by injection is contraindicated for patients with mild to moderate cardiovascular disease. 
A) No modification in treatment plan is necessary. 
B) Epinephrine and other vasoconstrictors are contraindicated, and they cannot be administered to patients with mild to moderate cardiovascular disease. 
C) Epinephrine and other vasoconstrictors can be administered within limits to patients with mild to moderate cardiovascular disease. 
D) Local anesthetic by injection is contraindicated for patients with mild to moderate cardiovascular disease.

Question 20

Treatment modifications for hearing-impaired patients include:

Accepted Answer

A) leaning toward the patient's ears while speaking directly into them. 
B) talking with a family member rather than the patient. 
C) using written information to supplement communication. 
D) shouting when they do not respond. 
A) leaning toward the patient's ears while speaking directly into them. 
B) talking with a family member rather than the patient. 
C) using written information to supplement communication. 
D) shouting when they do not respond.

Exam 29: The Special Needs and Medically Compromised Patient

Which of the following statements is true concerning "functionally independent older adults"?

When an assistant is asked to work with a medically and physically compromised patient and family in developing and implementing a preventive program:

The cause of dark and brittle teeth in an older adult is:

A direct side effect of Dilantin,which used to control epileptic seizures,is:

The role of the dental assistant in caring for the medically and physically compromised patient includes all of the following except:

A deficiency of red blood cells in the hemoglobin can cause:

Depression is:

In which type of diabetes mellitus is the patient insulin dependent?

All of the following can be manifestations of heart disease except:

All the following are recommendations for treating hypertension except:

According to the five specific patient treatment categories,a category III patient involves:

An older patient complains that his neck hurts when reclined in a dental chair.This patient most likely suffers from:

A stroke is caused by a sudden vascular lesion of the brain,such as:

Xerostomia (or dry mouth)caused by a decreased flow of saliva can be a result of:

"Stable" angina is a sharp pain in the chest that is:

All of the following considerations need to be made when treating a patient with diabetes except:

Which of the following is true of seizures?

Before treating an older patient,it is essential to complete a:

What treatment plan modification should be made to the anesthetic regimen for a patient with cardiovascular disease?

Treatment modifications for hearing-impaired patients include:

History of Dentistry

The Professional Dental Assistant

The Dental Healthcare Team

Dental Ethics

Dentistry and the Law

General Anatomy

General Physiology

Oral Embryology and Histology

Head and Neck Anatomy

Landmarks of the Face and Oral Cavity

Overview of the Dentitions

Tooth Morphology

Dental Caries

Periodontal Disease

Preventive Dentistry

Nutrition

Oral Pathology

Microbiology

Disease Transmission and Infection Prevention

Principles and Techniques of Disinfection

Principles and Techniques of Instrument Processing and Sterilization

Regulatory and Advisory Agencies

Chemical and Waste Management

Dental Unit Waterlines

Ergonomics

The Patient Record

Vital Signs

Oral Diagnosis and Treatment Planning

Principles of Pharmacology

Assisting in a Medical Emergency

The Dental Office

Delivering Dental Care

Dental Hand Instruments

Dental Handpieces and Accessories

Moisture Control

Anesthesia and Pain Control

Foundations of Radiography, Radiographic Equipment, and Radiation Safety

Digital Imaging, Dental Film, and Processing Radiographs

Legal Issues, Quality Assurance, and Infection Prevention

Intraoral Imaging

Extraoral Imaging

Restorative and Esthetic Dental Materials

Dental Liners, Bases, and Bonding Systems

Dental Cements

Impression Materials

Laboratory Materials and Procedures

General Dentistry

Matrix Systems for Restorative Dentistry

Fixed Prosthodontics

Provisional Coverage

Removable Prosthodontics

Dental Implants

Endodontics

Periodontics

Oral and Maxillofacial Surgery

Pediatric Dentistry

Coronal Polishing

Dental Sealants

Orthodontics