DH201 M4 Quiz #2 Chapters 48-51 UPDATED ACTUAL
Questions and CORRECT Answers
Ch48 - Mrs. Wong is a 65-year-old patient in your Calcium channel blocker
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with Treatment medications:
stooped posture. She smokes one pack of cigarettes per -- Bisphosphonates is a medication used to treat osteoporosis because it slows
day, claims that she does not drink, and takes no bone metabolism/increasing bone density
medications. Your employer has asked you to contact this -- Parathyroid hormones are used to stimulate bone formation
patient's physician to see if any particular medications have -- Selective estrogen receptor modulators (SERM) and Calcitonin inhibit bone
been suggested/prescribed. All of the following are resorption
possible medications used in the treatment of 3 multiple choice options
osteoporosis EXCEPT one. Which one is the EXCEPTION?
Bisphosphonate
Calcitonin
Calcium channel blocker
Selective estrogen receptor modulator (SERM)
Parathyroid hormone
Ch48 - An older person's health status is influenced by Lifestyle factors
many factors that fall under one of four groups. Biologic,
environmental, and psychosocial are three of the four Biologic, environmental, psychosocial, psychologic, and lifestyle factors influence
groups of factors. Which of the following groups of factors longevity
should be added to this list? 3 multiple choice options
Genetic factors
Lifestyle factors
Inherited factors
Immunologic factors
Geographic factors
,CH48 - Mrs. Wong is a 65-year-old patient in your The hygienist should provide extra time for positioning and provide cushioning.
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with Dental hygiene management considerations:
stooped posture. She smokes one pack of cigarettes per –Do not rush the appointment; try to prevent falls
day, claims that she does not drink, and takes no –Provide extra time for positioning; provide cushioning
medications. What appointment management –Taking bisphosphonates is a contraindication for dental surgery due to increased
considerations should the clinician consider at this patient's risk for osteonecrosis (bone destruction) of the jaw
visit? – Encourage: Smoking cessation, Limiting alcohol consumption and Healthy
lifestyles involving adequate calcium and vitamin D intake and regular physical
The hygienist should encourage the patient to limit alcohol activity
consumption. 3 multiple choice options
The hygienist should invite the patient to an exercise class
at her health club.
The hygienist should talk the patient into quitting smoking.
The hygienist should provide extra time for positioning and
provide cushioning.
The hygienist should suggest that the patient take plenty of
vitamin D and calcium.
CH48 - Mrs. Wong is a 65-year-old patient in your Periodontal microorganisms can more easily break down osteoporotic bone.
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with A relationship exists between the reduced bone density of osteoporosis and oral
stooped posture. She smokes one pack of cigarettes per bone loss in skeletal and mandibular bone.
day, claims that she does not drink, and takes no
medications. Mrs. Wong would like to know if osteoporosis Relationship to Periodontal Disease
can have an effect on her gum disease. What would be the A relationship exists between the reduced bone mineral density of osteoporosis and
best answer to give this patient? oral bone loss in skeletal and mandibular bone.
3 multiple choice options
Exercise and medications have a beneficial effect on bone
mass.
There is evidence of residual ridge resorption in the
mandible.
Osteoporosis has no effect on the bone in the oral cavity.
Periodontal microorganisms can more easily break down
osteoporotic bone.
The increased bone density can have an effect on gum
disease.
C48 - Mrs. Jones is a new patient in your office. She "Tooth loss increases with age, but not because of age."
explains that she does not want to have radiographs or a 3 multiple choice options
dental examination, just a cleaning. She goes on to say: "I
do not want to spend all of that extra money because I am
old. You know that people lose their teeth because they
get old." What would be the best response for Mrs. Jones?
"Tooth loss increases with age, but not because of age."
"Yes, I could not agree with you more."
"If you refuse the exam and radiographs, it will save you
money."
"The doctor will get mad if you do not have the exam and
radiographs."
"This happens because older people think fluoride is bad
for you."
, Ch48 - Deep, red or bluish nodular dilated vessels on the sublingual varicosities.
ventral surface of the tongue in the elderly are called:
Sublingual varicosities- deep, red or bluish nodular vessels on both sides of the
sublingual carunculae. midline on the ventral surface and DO NOT have a direct relation to systemic
sublingual varicosities. conditions
sublingual veins. 3 multiple choice options
submandibular lymph nodes.
sublingual fossae.
Ch48 - Communication with the older adult patient calling them by their first name.
includes all the following, except:
• Suggestions for good communication include the following:
calling them by their first name. –Allow sufficient time for reviewing complex histories
allowing sufficient time for reviewing complex histories. –Eliminate distracting background music or sounds
eliminating distracting background music –Sit facing the patient and speak clearly with a low tone of voice
sitting facing the patient. –Speak directly to the patient even when a caregiver is present
–Do not call the patient by his/her first name unless the patient suggests doing so
3 multiple choice options
Ch48 - Xerostomia is prevalent in the elderly but is not a Statement A is true and statement B is false.
consequence of age. Radiation therapy is the most
common cause of xerostomia. Xerostomia is prevalent in the elderly but is not a consequence of age.
Both statements are true. Xerostomia can cause oral discomfort and caries because saliva is a natural buffer
Both statements are false to our mouth
Statement A is true and statement B is false.
Statement A is false and statement B is true. Causes of Xerostomia:
1 – Systemic medications (MAIN CAUSE)
2 – Autoimmune diseases such as Sjogren’s syndrome
3 – Rheumatoid arthritis
4 – Systemic lupus erythematosus
5 – Diabetes
6 – Radiation to head and neck for cancer therapy: permanent damage to the
salivary glands can result
3 multiple choice options
How are the course and severity of disease altered in older decreased healing ability
adults?
What changes are associated with the periodontium? Bone - osteoporosis, decreased vascularity and metabolism, healing inability
Cementum - thicker cementum
Gingiva - recession is more common, lack of attached gingiva
Ch48 - The older population has more of which type of Root caries
caries than any other age group?
• Older adults have more root caries than any other age group, except in
Occlusal communities with natural fluoride or community water fluoridation
Root 3 multiple choice options
Deciduous
Proximal
Lingual
Questions and CORRECT Answers
Ch48 - Mrs. Wong is a 65-year-old patient in your Calcium channel blocker
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with Treatment medications:
stooped posture. She smokes one pack of cigarettes per -- Bisphosphonates is a medication used to treat osteoporosis because it slows
day, claims that she does not drink, and takes no bone metabolism/increasing bone density
medications. Your employer has asked you to contact this -- Parathyroid hormones are used to stimulate bone formation
patient's physician to see if any particular medications have -- Selective estrogen receptor modulators (SERM) and Calcitonin inhibit bone
been suggested/prescribed. All of the following are resorption
possible medications used in the treatment of 3 multiple choice options
osteoporosis EXCEPT one. Which one is the EXCEPTION?
Bisphosphonate
Calcitonin
Calcium channel blocker
Selective estrogen receptor modulator (SERM)
Parathyroid hormone
Ch48 - An older person's health status is influenced by Lifestyle factors
many factors that fall under one of four groups. Biologic,
environmental, and psychosocial are three of the four Biologic, environmental, psychosocial, psychologic, and lifestyle factors influence
groups of factors. Which of the following groups of factors longevity
should be added to this list? 3 multiple choice options
Genetic factors
Lifestyle factors
Inherited factors
Immunologic factors
Geographic factors
,CH48 - Mrs. Wong is a 65-year-old patient in your The hygienist should provide extra time for positioning and provide cushioning.
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with Dental hygiene management considerations:
stooped posture. She smokes one pack of cigarettes per –Do not rush the appointment; try to prevent falls
day, claims that she does not drink, and takes no –Provide extra time for positioning; provide cushioning
medications. What appointment management –Taking bisphosphonates is a contraindication for dental surgery due to increased
considerations should the clinician consider at this patient's risk for osteonecrosis (bone destruction) of the jaw
visit? – Encourage: Smoking cessation, Limiting alcohol consumption and Healthy
lifestyles involving adequate calcium and vitamin D intake and regular physical
The hygienist should encourage the patient to limit alcohol activity
consumption. 3 multiple choice options
The hygienist should invite the patient to an exercise class
at her health club.
The hygienist should talk the patient into quitting smoking.
The hygienist should provide extra time for positioning and
provide cushioning.
The hygienist should suggest that the patient take plenty of
vitamin D and calcium.
CH48 - Mrs. Wong is a 65-year-old patient in your Periodontal microorganisms can more easily break down osteoporotic bone.
periodontal practice. She suffers from osteoporosis and
moderate periodontal disease. She walks slowly with A relationship exists between the reduced bone density of osteoporosis and oral
stooped posture. She smokes one pack of cigarettes per bone loss in skeletal and mandibular bone.
day, claims that she does not drink, and takes no
medications. Mrs. Wong would like to know if osteoporosis Relationship to Periodontal Disease
can have an effect on her gum disease. What would be the A relationship exists between the reduced bone mineral density of osteoporosis and
best answer to give this patient? oral bone loss in skeletal and mandibular bone.
3 multiple choice options
Exercise and medications have a beneficial effect on bone
mass.
There is evidence of residual ridge resorption in the
mandible.
Osteoporosis has no effect on the bone in the oral cavity.
Periodontal microorganisms can more easily break down
osteoporotic bone.
The increased bone density can have an effect on gum
disease.
C48 - Mrs. Jones is a new patient in your office. She "Tooth loss increases with age, but not because of age."
explains that she does not want to have radiographs or a 3 multiple choice options
dental examination, just a cleaning. She goes on to say: "I
do not want to spend all of that extra money because I am
old. You know that people lose their teeth because they
get old." What would be the best response for Mrs. Jones?
"Tooth loss increases with age, but not because of age."
"Yes, I could not agree with you more."
"If you refuse the exam and radiographs, it will save you
money."
"The doctor will get mad if you do not have the exam and
radiographs."
"This happens because older people think fluoride is bad
for you."
, Ch48 - Deep, red or bluish nodular dilated vessels on the sublingual varicosities.
ventral surface of the tongue in the elderly are called:
Sublingual varicosities- deep, red or bluish nodular vessels on both sides of the
sublingual carunculae. midline on the ventral surface and DO NOT have a direct relation to systemic
sublingual varicosities. conditions
sublingual veins. 3 multiple choice options
submandibular lymph nodes.
sublingual fossae.
Ch48 - Communication with the older adult patient calling them by their first name.
includes all the following, except:
• Suggestions for good communication include the following:
calling them by their first name. –Allow sufficient time for reviewing complex histories
allowing sufficient time for reviewing complex histories. –Eliminate distracting background music or sounds
eliminating distracting background music –Sit facing the patient and speak clearly with a low tone of voice
sitting facing the patient. –Speak directly to the patient even when a caregiver is present
–Do not call the patient by his/her first name unless the patient suggests doing so
3 multiple choice options
Ch48 - Xerostomia is prevalent in the elderly but is not a Statement A is true and statement B is false.
consequence of age. Radiation therapy is the most
common cause of xerostomia. Xerostomia is prevalent in the elderly but is not a consequence of age.
Both statements are true. Xerostomia can cause oral discomfort and caries because saliva is a natural buffer
Both statements are false to our mouth
Statement A is true and statement B is false.
Statement A is false and statement B is true. Causes of Xerostomia:
1 – Systemic medications (MAIN CAUSE)
2 – Autoimmune diseases such as Sjogren’s syndrome
3 – Rheumatoid arthritis
4 – Systemic lupus erythematosus
5 – Diabetes
6 – Radiation to head and neck for cancer therapy: permanent damage to the
salivary glands can result
3 multiple choice options
How are the course and severity of disease altered in older decreased healing ability
adults?
What changes are associated with the periodontium? Bone - osteoporosis, decreased vascularity and metabolism, healing inability
Cementum - thicker cementum
Gingiva - recession is more common, lack of attached gingiva
Ch48 - The older population has more of which type of Root caries
caries than any other age group?
• Older adults have more root caries than any other age group, except in
Occlusal communities with natural fluoride or community water fluoridation
Root 3 multiple choice options
Deciduous
Proximal
Lingual
