Question 1

The tongue is commonly infected (in as many as 83%)with _________ in patients with Sicca syndrome (SS).

Accepted Answer

A)  Borrelia burgdorferi 
B)  Candida albicans 
C)  Streptococcus mutans 
D)  Helicobacter pylori 
A)  Borrelia burgdorferi 
B)  Candida albicans 
C)  Streptococcus mutans 
D)  Helicobacter pylori B

Question 2

Which of the following is the most common form of arthritis?

Accepted Answer

A)  rheumatoid arthritis (R
A)  
B)  osteoarthritis (O
A)  
C)  juvenile rheumatoid arthritis (jR
A)  
D)  psoriatic rheumatoid arthritis (pR
A)  
A)  rheumatoid arthritis (R
A)  
B)  osteoarthritis (O
A)  
C)  juvenile rheumatoid arthritis (jR
A)  
D)  psoriatic rheumatoid arthritis (pR
A)  B

Question 3

Which of the following characteristics is used to distinguish fibromyalgia (FM)from myofascial pain syndrome (MFP)?

Accepted Answer

A)  Regional rather than widespread muscular pain is associated with FM. 
B)  The pain in FM is relatively stable and consistent in contrast to MFP. 
C)  When the muscle pain is primarily due to the FM, it may not respond as well as the jaw pain from MFP because FM is a systemic and not a local condition. 
D)  a and b 
E)  b and c 
A)  Regional rather than widespread muscular pain is associated with FM. 
B)  The pain in FM is relatively stable and consistent in contrast to MFP. 
C)  When the muscle pain is primarily due to the FM, it may not respond as well as the jaw pain from MFP because FM is a systemic and not a local condition. 
D)  a and b 
E)  b and c E

Question 4

Secondary Sjögren syndrome (SS-2)is characterized by a triad of clinical conditions that consist of keratoconjunctivitis sicca,a connective tissue disease (usually rheumatoid arthritis),and ________.

Accepted Answer

A)  xerostomia 
B)  facial palsy 
C)  a "pencil-in-cup" deformity in patients with interphalangeal joint disease 
D)  transient ischemic attacks (TIAs) 
A)  xerostomia 
B)  facial palsy 
C)  a "pencil-in-cup" deformity in patients with interphalangeal joint disease 
D)  transient ischemic attacks (TIAs)

Question 5

Which of the following is true regarding antibiotic prophylaxis for dental treatment of a patient with osteoarthritis (OA)?

Accepted Answer

A)  Patients with OA will require antibiotic prophylaxis for the rest of their lives. 
B)  Patients with OA usually do not require antibiotic prophylaxis for dental treatment except for the first 2 years. 
C)  Patients with OA will require antibiotic prophylaxis if a concomitant condition exists or if the patient is immune suppressed. 
D)  Patients with osteoarthritis do not require antibiotic prophylaxis at all. 
E)  Both b and c 
A)  Patients with OA will require antibiotic prophylaxis for the rest of their lives. 
B)  Patients with OA usually do not require antibiotic prophylaxis for dental treatment except for the first 2 years. 
C)  Patients with OA will require antibiotic prophylaxis if a concomitant condition exists or if the patient is immune suppressed. 
D)  Patients with osteoarthritis do not require antibiotic prophylaxis at all. 
E)  Both b and c

Question 6

For patients with osteoarthritis (OA)with a temporomandibular joint reducing anterior disk displacement,about a __% chance exists that no progression of the disorder will occur.

Accepted Answer

A)  10 
B)  25 
C)  50 
D)  75 
A)  10 
B)  25 
C)  50 
D)  75

Question 7

What is synovial fluid derived from?

Accepted Answer

A)  osteoblasts 
B)  plasma 
C)  lysosome 
D)  fibroblasts 
A)  osteoblasts 
B)  plasma 
C)  lysosome 
D)  fibroblasts

Question 8

Which of the following is/are true of systemic lupus erythematosus (SLE)?

Accepted Answer

A)  SLE is due to wheat gluten allergy. 
B)  SLE is more common in women than in men. 
C)  These patients should be premedicated with antibiotics prior to invasive dental treatment. 
D)  a and b 
E)  b and c 
A)  SLE is due to wheat gluten allergy. 
B)  SLE is more common in women than in men. 
C)  These patients should be premedicated with antibiotics prior to invasive dental treatment. 
D)  a and b 
E)  b and c

Question 9

The "gold standard" agent for treatment of patients with early rheumatoid arthritis is ________.

Accepted Answer

A)  penicillamine 
B)  methotrexate 
C)  infliximab 
D)  sulfasalazine 
A)  penicillamine 
B)  methotrexate 
C)  infliximab 
D)  sulfasalazine

Question 10

Which of the following is the most common manifestation of systemic lupus erythematosus (SLE)?

Accepted Answer

A)  psychosis 
B)  renal abnormalities 
C)  heart murmur 
D)  arthritis 
A)  psychosis 
B)  renal abnormalities 
C)  heart murmur 
D)  arthritis

Question 11

What is a pannus?

Accepted Answer

A)  It is excessive proliferative and invasive granulation tissue. 
B)  It is a drug interaction that interferes with platelet function and causes excessive bleeding. 
C)  It is a sudden retrognathia and anterior open bite caused by destruction of the condylar heads and loss of condylar height. 
D)  It is worn subchondral bone that becomes polished and sclerotic. 
A)  It is excessive proliferative and invasive granulation tissue. 
B)  It is a drug interaction that interferes with platelet function and causes excessive bleeding. 
C)  It is a sudden retrognathia and anterior open bite caused by destruction of the condylar heads and loss of condylar height. 
D)  It is worn subchondral bone that becomes polished and sclerotic.

Question 12

Which of the following is the causative agent of Lyme disease?

Accepted Answer

A)  Hodgkin disease 
B)  dust mites 
C)  Borrelia burgdorferi 
D)  Helicobacter pylori 
A)  Hodgkin disease 
B)  dust mites 
C)  Borrelia burgdorferi 
D)  Helicobacter pylori

Question 13

The 2003 joint advisory statement by the American Dental Association (ADA)and the American Academy of Orthopedic Surgeons (AAOS)indicated that antibiotic prophylaxis prior to dental treatment can be considered for ________.

Accepted Answer

A)  all prosthetic joint patients to prevent prosthetic joint infection (PJI) 
B)  patients with pins, plates, and screws in joints 
C)  most patients with total joint replacement 
D)  patients whose joint replacement has been in place for less than 2 years 
A)  all prosthetic joint patients to prevent prosthetic joint infection (PJI) 
B)  patients with pins, plates, and screws in joints 
C)  most patients with total joint replacement 
D)  patients whose joint replacement has been in place for less than 2 years

Question 14

Which of the following is recommended as a first-line drug for the treatment of osteoarthritis (OA)?

Accepted Answer

A)  methotrexate 
B)  acetaminophen 
C)  celecoxib (Celebrex) 
D)  cyclosporine 
A)  methotrexate 
B)  acetaminophen 
C)  celecoxib (Celebrex) 
D)  cyclosporine

Question 15

Which of the following is the most common form of psoriatic arthritis?

Accepted Answer

A)  selective targeting of the distal interphalangeal joints 
B)  psoriatic spondylitis 
C)  an asymmetric oligoarthritis that may involve both large and small joints 
D)  a symmetric polyarthritis that mimics rheumatoid arthritis except for the absence of rheumatoid nodules and rheumatoid factor 
A)  selective targeting of the distal interphalangeal joints 
B)  psoriatic spondylitis 
C)  an asymmetric oligoarthritis that may involve both large and small joints 
D)  a symmetric polyarthritis that mimics rheumatoid arthritis except for the absence of rheumatoid nodules and rheumatoid factor

Question 16

What is the primary difference between aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)in regard to platelets?

Accepted Answer

A)  Aspirin has no effect on platelets, in contrast to the other NSAIDs, which have a marked effect on platelets. 
B)  The effects of aspirin are irreversible for the life of the platelet, whereas the effect of the other NSAIDs on platelets is reversible. 
C)  Aspirin will cause prolonged bleeding, while the other NSAIDs will shorten bleeding time. 
D)  There are no differences between aspirin and other NSAIDs in regard to bleeding time. 
A)  Aspirin has no effect on platelets, in contrast to the other NSAIDs, which have a marked effect on platelets. 
B)  The effects of aspirin are irreversible for the life of the platelet, whereas the effect of the other NSAIDs on platelets is reversible. 
C)  Aspirin will cause prolonged bleeding, while the other NSAIDs will shorten bleeding time. 
D)  There are no differences between aspirin and other NSAIDs in regard to bleeding time.

Question 17

Which of the following medications is the usual initial therapy for giant cell arteritis?

Accepted Answer

A)  glucocorticoids 
B)  narcotic analgesics 
C)  antidepressants 
D)  methotrexate 
A)  glucocorticoids 
B)  narcotic analgesics 
C)  antidepressants 
D)  methotrexate

Question 18

Which of the following is the most significant oral complication of rheumatoid arthritis?

Accepted Answer

A)  salivary gland dysfunction (xerostomia) 
B)  burning tongue syndrome (glossodynia) 
C)  TMJ involvement 
D)  vesiculobullous lesions 
A)  salivary gland dysfunction (xerostomia) 
B)  burning tongue syndrome (glossodynia) 
C)  TMJ involvement 
D)  vesiculobullous lesions

Question 19

Sicca syndrome (SS)is characterized by enlargement of which of the following salivary glands?

Accepted Answer

A)  sublingual 
B)  submandibular 
C)  parotid 
D)  minor accessory 
A)  sublingual 
B)  submandibular 
C)  parotid 
D)  minor accessory

Question 20

Giant cell arteritis (GCA)most commonly affects branches of the ___________ artery.

Accepted Answer

A)  maxillary 
B)  carotid 
C)  superior thyroid 
D)  inferior thyroid 
A)  maxillary 
B)  carotid 
C)  superior thyroid 
D)  inferior thyroid

Exam 20: Rheumatologic and Connective Tissue Disorders

The tongue is commonly infected (in as many as 83%)with _________ in patients with Sicca syndrome (SS).

Which of the following is the most common form of arthritis?

Which of the following characteristics is used to distinguish fibromyalgia (FM)from myofascial pain syndrome (MFP)?

Secondary Sjögren syndrome (SS-2)is characterized by a triad of clinical conditions that consist of keratoconjunctivitis sicca,a connective tissue disease (usually rheumatoid arthritis),and ________.

Which of the following is true regarding antibiotic prophylaxis for dental treatment of a patient with osteoarthritis (OA)?

For patients with osteoarthritis (OA)with a temporomandibular joint reducing anterior disk displacement,about a __% chance exists that no progression of the disorder will occur.

What is synovial fluid derived from?

Which of the following is/are true of systemic lupus erythematosus (SLE)?

The "gold standard" agent for treatment of patients with early rheumatoid arthritis is ________.

Which of the following is the most common manifestation of systemic lupus erythematosus (SLE)?

What is a pannus?

Which of the following is the causative agent of Lyme disease?

The 2003 joint advisory statement by the American Dental Association (ADA)and the American Academy of Orthopedic Surgeons (AAOS)indicated that antibiotic prophylaxis prior to dental treatment can be considered for ________.

Which of the following is recommended as a first-line drug for the treatment of osteoarthritis (OA)?

Which of the following is the most common form of psoriatic arthritis?

What is the primary difference between aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)in regard to platelets?

Which of the following medications is the usual initial therapy for giant cell arteritis?

Which of the following is the most significant oral complication of rheumatoid arthritis?

Sicca syndrome (SS)is characterized by enlargement of which of the following salivary glands?

Giant cell arteritis (GCA)most commonly affects branches of the ___________ artery.

Patient Evaluation and Risk Assessment

Infective Endocarditis

Hypertension

Ischemic Heart Disease

Cardiac Arrhythmias

Heart Failure or Congestive Heart Failure

Pulmonary Disease

Smoking and Tobacco Use Cessation

Sleep-Related Breathing Disorders

Liver Disease

Gastrointestinal Disease

Chronic Kidney Disease and Dialysis

Sexually Transmitted Diseases

Diabetes Mellitus

Adrenal Insufficiency

Thyroid Diseases

Pregnancy and Breast Feeding

Aids, HIV Infection, and Related Conditions

Allergy

Organ and Bone Marrow Transplantation

Disorders of Red Blood Cells

Disorders of White Blood Cells

Acquired Bleeding and Hypercoagulable Disorders

Congenital Bleeding and Hypercoagulable Disorders

Cancer and Oral Care of the Cancer Patient

Neurologic Disorders

Anxiety, eating Disorders, and Behavioral Reactions to Illness

Psychiatric Disorders

Drug and Alcohol Abuse

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