Question 1

Dental hygiene considerations for patients with anemia include

Accepted Answer

A)  Nutritional counseling and oral health instruction 
B)  Short appointments and small procedural areas 
C)  Discontinuation of medication and physician consultation 
D)  Review of international normalized ratio values and physician consultation 
A)  Nutritional counseling and oral health instruction 
B)  Short appointments and small procedural areas 
C)  Discontinuation of medication and physician consultation 
D)  Review of international normalized ratio values and physician consultation A

Question 2

Which blood disorder is characterized by crescent-shaped red blood cells and abnormal hemoglobin?

Accepted Answer

A)  Celiac sprue 
B)  von Willebrand disease 
C)  Pernicious anemia 
D)  Sickle cell anemia 
A)  Celiac sprue 
B)  von Willebrand disease 
C)  Pernicious anemia 
D)  Sickle cell anemia D

Question 3

Lack of intrinsic factor causes pernicious anemia,resulting in fatigue and shortness of breath.Patients with pernicious anemia require vitamin B12 injections.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. A

Question 4

Each of the following are dental hygiene considerations for hemophilia patients EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Physician consultation for international normalized ratio 
B)  Physician consultation for replacement factor 
C)  Full mouth scaling to reduce number of appointments 
D)  Desmopressin acetate for minor bleeds 
A)  Physician consultation for international normalized ratio 
B)  Physician consultation for replacement factor 
C)  Full mouth scaling to reduce number of appointments 
D)  Desmopressin acetate for minor bleeds

Question 5

Vitamin K is utilized by the body to produce enzymes that

Accepted Answer

A)  Convert to fibrin 
B)  Produce red blood cells 
C)  Alter blood cell anatomy 
A)  Convert to fibrin 
B)  Produce red blood cells 
C)  Alter blood cell anatomy

Question 6

The most common inherited bleeding disorder is

Accepted Answer

A)  Hemophilia 
B)  von Willebrand disease 
C)  Anemia 
D)  Celiac sprue 
A)  Hemophilia 
B)  von Willebrand disease 
C)  Anemia 
D)  Celiac sprue

Question 7

Each of the following deficiencies may cause anemia EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Iron 
B)  Vitamin K 
C)  Vitamin D 
D)  Folic acid 
A)  Iron 
B)  Vitamin K 
C)  Vitamin D 
D)  Folic acid

Question 8

Spontaneous bleeding may occur if the platelet count is below

Accepted Answer

A)  50,000 to 60,000 cells/mm 
B)  70,000 to 80,000 cells/mm 
C)  140,000 to 150,000 cells/mm 
D)  150,000 to 160,000 cells/mm 
A)  50,000 to 60,000 cells/mm 
B)  70,000 to 80,000 cells/mm 
C)  140,000 to 150,000 cells/mm 
D)  150,000 to 160,000 cells/mm

Question 9

International normalized ratio values are requested prior to scaling and root planning procedures for the patient taking which medication?

Accepted Answer

A)  Plavix 
B)  Coumadin 
C)  Aspirin 
D)  Amoxicillin 
A)  Plavix 
B)  Coumadin 
C)  Aspirin 
D)  Amoxicillin

Question 10

Each of the following is an oral manifestation of leukemia EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Enlarged tonsils 
B)  Enlarged parotid gland 
C)  Enlarged lymph nodes 
D)  Enlarged gingiva 
A)  Enlarged tonsils 
B)  Enlarged parotid gland 
C)  Enlarged lymph nodes 
D)  Enlarged gingiva

Question 11

A condition in which the blood platelet count is below 150,000 is called

Accepted Answer

A)  Thrombocytopenia 
B)  Prothrombin deficiency 
C)  Hypothrombin disorder 
D)  Partial thromboplastin deficiency 
A)  Thrombocytopenia 
B)  Prothrombin deficiency 
C)  Hypothrombin disorder 
D)  Partial thromboplastin deficiency

Question 12

The dental hygienist should recommend which of the following for the patient in active treatment for leukemia?

Accepted Answer

A)  Floss at least three times per day. 
B)  Postpone dental hygiene care until treatment is complete. 
C)  Use fluoride gel after meals and before bedtime. 
D)  No modifications in oral hygiene care are needed. 
A)  Floss at least three times per day. 
B)  Postpone dental hygiene care until treatment is complete. 
C)  Use fluoride gel after meals and before bedtime. 
D)  No modifications in oral hygiene care are needed.

Question 13

Dental hygiene considerations for a patient who is on a low-dose aspirin regimen who experiences increased bleeding during periodontal therapy procedures include

Accepted Answer

A)  Discontinuing use of aspirin 1 week prior to next appointment 
B)  Frequent suctioning of blood so as not to alarm patient 
C)  Applying firm pressure to bleeding sites and patient education 
D)  Obtaining the prescribing physician's clearance for treatment 
A)  Discontinuing use of aspirin 1 week prior to next appointment 
B)  Frequent suctioning of blood so as not to alarm patient 
C)  Applying firm pressure to bleeding sites and patient education 
D)  Obtaining the prescribing physician's clearance for treatment

Question 14

Each of the following are oral manifestations of celiac sprue EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Loss of papilla on the tongue 
B)  Burning tongue syndrome 
C)  Ulcerated oral mucosa 
D)  Stomatitis 
A)  Loss of papilla on the tongue 
B)  Burning tongue syndrome 
C)  Ulcerated oral mucosa 
D)  Stomatitis

Question 15

The most common cancer in children is also a white blood cell disorder called

Accepted Answer

A)  Leukemia 
B)  Polycythemia 
C)  Hodgkin disease 
D)  Aplastic anemia 
A)  Leukemia 
B)  Polycythemia 
C)  Hodgkin disease 
D)  Aplastic anemia

Question 16

Hepatitis reduces the liver's ability to produce fibrin,resulting in large blood clot formation and an increased risk of stroke.Hepatitis is often characterized by jaundice.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 17

The clotting of blood is called

Accepted Answer

A)  Homeostasis 
B)  Hemostasis 
C)  Hemosiderosis 
D)  Hemorrhoids 
A)  Homeostasis 
B)  Hemostasis 
C)  Hemosiderosis 
D)  Hemorrhoids

Question 18

Each of the following tests measure clotting time EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  International normalized ratio 
B)  Prothrombin time 
C)  Complete blood count 
D)  Partial thromboplastin time 
A)  International normalized ratio 
B)  Prothrombin time 
C)  Complete blood count 
D)  Partial thromboplastin time

Question 19

The sticky substance that forms on blood platelets after an injury occurs,causing the platelets to stick to each other,is known as

Accepted Answer

A)  Plaque 
B)  Fibrin 
C)  Hemoglobin 
D)  Statin 
A)  Plaque 
B)  Fibrin 
C)  Hemoglobin 
D)  Statin

Question 20

Each of the following drugs affects clotting EXCEPT one.Which one is the EXCPETION?

Accepted Answer

A)  Aspirin 
B)  Plavix 
C)  Warfarin 
D)  Metformin 
A)  Aspirin 
B)  Plavix 
C)  Warfarin 
D)  Metformin

Exam 44: Hematological Considerations

Dental hygiene considerations for patients with anemia include

Which blood disorder is characterized by crescent-shaped red blood cells and abnormal hemoglobin?

Lack of intrinsic factor causes pernicious anemia,resulting in fatigue and shortness of breath.Patients with pernicious anemia require vitamin B12 injections.

Each of the following are dental hygiene considerations for hemophilia patients EXCEPT one.Which one is the EXCEPTION?

Vitamin K is utilized by the body to produce enzymes that

The most common inherited bleeding disorder is

Each of the following deficiencies may cause anemia EXCEPT one.Which one is the EXCEPTION?

Spontaneous bleeding may occur if the platelet count is below

International normalized ratio values are requested prior to scaling and root planning procedures for the patient taking which medication?

Each of the following is an oral manifestation of leukemia EXCEPT one.Which one is the EXCEPTION?

A condition in which the blood platelet count is below 150,000 is called

The dental hygienist should recommend which of the following for the patient in active treatment for leukemia?

Dental hygiene considerations for a patient who is on a low-dose aspirin regimen who experiences increased bleeding during periodontal therapy procedures include

Each of the following are oral manifestations of celiac sprue EXCEPT one.Which one is the EXCEPTION?

The most common cancer in children is also a white blood cell disorder called

Hepatitis reduces the liver's ability to produce fibrin,resulting in large blood clot formation and an increased risk of stroke.Hepatitis is often characterized by jaundice.

The clotting of blood is called

Each of the following tests measure clotting time EXCEPT one.Which one is the EXCEPTION?

The sticky substance that forms on blood platelets after an injury occurs,causing the platelets to stick to each other,is known as

Each of the following drugs affects clotting EXCEPT one.Which one is the EXCPETION?

Dental Hygiene As a Profession

Legal and Ethical Considerations

Communication Skills

Health Education and Promotion

Immunology and the Oral Systemic Link

Evidence-Based Care

Exposure and Infection Control

Comprehensive Medical and Oral Health History

Assessment Instruments

Extraoral and Intraoral Examination

The Periodontal Examination

Hard Tissue Examination

Biofilm,calculus,and Stain

Indices

Radiology

Dietary Assessment and Nutritional Counseling

Risk Assessment

Dental Hygiene Diagnosis,treatment Plan,documentation,and Case Presentation

Devices

Dentifrices and Mouthrinses

Cariology and Caries Management

Sealants

Prostheses and Appliances,therapeutic Treatment

Ergonomics

Power Scaling

Instrumentation Principles and Techniques

Nonsurgical and Surgical Periodontal Therapy

Management of Dentin Hypersensitivity

Polishing

Esthetics

Dental Fear and Anxiety Management

Nitrous Oxideoxygen Sedation

Local Anesthesia

Evaluation

Maintenance

Introduction to Special Needs

Cardiovascular Disease

Respiratory

Sensory Disability: Vision and Hearing Impairment

Mental Health

Neurological Impairments

Endocrine System

Immune System

Cancer

Pediatric Patient

Mens and Womens Health Issues

The Elderly

Physical Impairment

Alternative Practice Settings

Dental and Medical Emergencies

Practice Management

Career Development

Lifelong Learning

Filters

Lack of intrinsic factor causes pernicious anemia,resulting in fatigue and shortness of breath.Patients with pernicious anemia require vitamin B₁₂ injections.