Question 1

Common side effects of Dilantin,the drug used to control epileptic seizures,include:

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. D

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 same preventive program that is 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 same preventive program that is 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

Which of the following treatment plan modifications should be made for a patient with heart disease,with regard to the administration of local anesthetic by injection?

Accepted Answer

A) No modification in treatment plan is necessary. 
B) Epinephrine and other vasoconstrictors are contraindicated, and may not 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 may not 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. C

Question 4

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 expects to maintain them 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 expects to maintain them throughout their lives. 
D) This segment of the population tends to have medical conditions that are reflected in their oral health.

Question 5

Which of the following is not considered to be a major factor in hypertension?

Accepted Answer

A) Stress 
B) Exercise 
C) Smoking 
D) Heredity 
A) Stress 
B) Exercise 
C) Smoking 
D) Heredity

Question 6

In which type of diabetes mellitus (DM) 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 7

What percentage of older people may be affected by periodontal disease?

Accepted Answer

A) 25% 
B) 30% 
C) 15% 
D) 50% 
A) 25% 
B) 30% 
C) 15% 
D) 50%

Question 8

Depression is:

Accepted Answer

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

Question 9

The most commonly reported oral-related health conditions affecting older persons include:

Accepted Answer

A) xerostomia and periodontal disease, but not tooth decay, which peaks at about age 18. 
B) excessive salivation and periodontal disease, but not tooth decay, which peaks at about age 18. 
C) xerostomia, periodontal disease, and tooth decay. 
D) excessive salivation and periodontal disease due to osteoporosis. 
A) xerostomia and periodontal disease, but not tooth decay, which peaks at about age 18. 
B) excessive salivation and periodontal disease, but not tooth decay, which peaks at about age 18. 
C) xerostomia, periodontal disease, and tooth decay. 
D) excessive salivation and periodontal disease due to osteoporosis.

Question 10

Which of the following is not a recommendation for treating hypertension?

Accepted Answer

A) Handle more stress. 
B) Limit salt intake. 
C) Follow a particular diet. 
D) Perform exercise. 
A) Handle more stress. 
B) Limit salt intake. 
C) Follow a particular diet. 
D) Perform exercise.

Question 11

Diabetes mellitus is a:

Accepted Answer

A) metabolic disorder characterized by high blood glucose and an absolute or relative insufficiency of insulin. 
B) form of progressive mental deterioration occurring in middle to older age. 
C) condition resulting from excessive activity of the thyroid gland. 
D) condition resulting from severe thyroid hormone insufficiency. 
A) metabolic disorder characterized by high blood glucose and an absolute or relative insufficiency of insulin. 
B) form of progressive mental deterioration occurring in middle to older age. 
C) condition resulting from excessive activity of the thyroid gland. 
D) condition resulting from severe thyroid hormone insufficiency.

Question 12

The _____ regulates metabolism in the body's cells.

Accepted Answer

A) liver 
B) thyroid gland 
C) spleen 
D) brain 
A) liver 
B) thyroid gland 
C) spleen 
D) brain

Question 13

Patients can be categorized into five specific areas for treatment purposes.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 14

Xerostomia,"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

Symptoms of more than _____ diseases can indirectly affect a patient by causing a person to be less capable of caring for his or her mouth.

Accepted Answer

A) 100 
B) 75 
C) 50 
D) 20 
A) 100 
B) 75 
C) 50 
D) 20

Question 16

A condition that occurs when red blood cells are deficient in hemoglobin can cause:

Accepted Answer

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

Question 17

An excessive increase in white blood cells may be the result of an infection or _____,among other causes.

Accepted Answer

A) leukemia 
B) anemia 
C) emphysema 
D) hemophilia 
A) leukemia 
B) anemia 
C) emphysema 
D) hemophilia

Question 18

The most common oral-related health condition(s) that affects older patients is(are):

Accepted Answer

A) xerostomia. 
B) periodontal disease. 
C) dark and brittle teeth. 
D) all of the above. 
A) xerostomia. 
B) periodontal disease. 
C) dark and brittle teeth. 
D) all of the above.

Question 19

What may cause teeth to darken and become more brittle because of aging?

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

Question 20

In treating a patient with diabetes,which of the following is not a treatment plan that should
Be followed?

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.

Exam 29: The Special Needs and Medically Compromised Patient

Common side effects of Dilantin,the drug used to control epileptic seizures,include:

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

Which of the following treatment plan modifications should be made for a patient with heart disease,with regard to the administration of local anesthetic by injection?

Which of the following statements is true concerning "Functionally Independent Older Adults"?

Which of the following is not considered to be a major factor in hypertension?

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

What percentage of older people may be affected by periodontal disease?

Depression is:

The most commonly reported oral-related health conditions affecting older persons include:

Which of the following is not a recommendation for treating hypertension?

Diabetes mellitus is a:

The _____ regulates metabolism in the body's cells.

Patients can be categorized into five specific areas for treatment purposes.A category III patient involves:

Xerostomia,"dry mouth" caused by a decreased flow of saliva,can be a result of:

Symptoms of more than _____ diseases can indirectly affect a patient by causing a person to be less capable of caring for his or her mouth.

A condition that occurs when red blood cells are deficient in hemoglobin can cause:

An excessive increase in white blood cells may be the result of an infection or _____,among other causes.

The most common oral-related health condition(s) that affects older patients is(are):

What may cause teeth to darken and become more brittle because of aging?

In treating a patient with diabetes,which of the following is not a treatment plan that should Be followed?

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