Geriatric Dentistry 6DD
Geriatric Dentistry Quiz
Test your knowledge on Geriatric Dentistry with our comprehensive quiz. Designed for dental professionals and students, this quiz covers a range of topics including oral health, elderly physiology, and the implications of aging on dental care.
Key topics include:
- Classification of geriatric dental patients
- Common dental issues in the elderly
- Physiological changes impacting oral health
Another term refers to Geriatric Dentistry
Pediatrics
Pharmacology
Geriodontics
Geriatric Medicine
Classification of Geriatric Dental Patients
2
3
4
5
What are dental caries treatments
Filling & RCT
RCT, Crowns & Dentures
Implants
All of them
Change in nervous system in elderly
Nerve cells may begin to pass messages as normal
Nerve cells may begin to pass messages faster
Brain and spinal cord gain nerve cells and weight
Slowing of thought, memory, and thinking
Change in urinary system in elderly
Number and size of nephrons decrease and narrowed arteries
Inability to concentrate or dilute urine and to excrete acid
Dehydration
All of them
The bladder becomes less flexible means:
It can hold less urine
It becomes more difficult to squeeze to get rid of all the urine
It becomes easier to squeeze to get rid of all the urine
It can hold less urine & it becomes more difficult to squeeze to get rid of all the urine
It can hold less urine & it becomes easier to squeeze to get rid of all the urine
What is Urethral sphincter
Muscular ring that controls the passage of urine out of the body
Bladder
It stimulates the sensation of having to urinate
Muscular ring that regulate the balance of salts and other chemicals
The respiratory system comprises of:
Thoracic cage, lungs
Lungs, and diaphragm
All of them
None of them
The most common cause of kyphosis in older adults is:
Osteoporosis
Poor posture
Birth defects
Cancer and cancer treatments
What is kyphosis
Abnormal lateral curvature of the spine.
An abnormally hollowed back
Excessive outward curvature of the spine
Forward head position
Changes which is not related to respiratory system in elderly:
Decreases in measures of lung function such as vital capacity
Decline in the effectiveness of lung defense mechanisms
Stiffening of the thoracic cage from calcification of the rib cage
Increasing in chest wall compliance
Changes which is not related to circulatory system in elderly:
The muscles of the left ventricle get thicker
The volume of the left ventricle may decline
The heart may both fill and empty more slowly
The heart may decrease slightly in size
Differences between young and old hearts
Older heart speed up as quickly or pump as fast or as much blood as a younger heart
Older heart cannot speed up as quickly or pump as fast or as much blood as a younger heart
Older heart can speed up quickly but cannot pump as much blood as a younger heart
Older heart cannot speed up quickly but can pump as much blood as a younger heart
Changes which is not related to Endocrine System in elderly:
The levels and activity of some hormones, produced by endocrine glands, decrease.
Growth hormone levels decrease, leading to decreased muscle mass.
Aldosterone levels decrease, making dehydration more likely.
More insulin may be produced
Changes in Digestive system in elderly:
Lactase levels decrease
The pancreas gains in overall weight
Constipation becomes more common
Lactase levels decrease and the pancreas gains in overall weight
Lactase levels decrease and Constipation becomes more common
Dimensions comprising oral health-related quality of life(OHRQoL):
4
5
6
7
Total volume of saliva per day is:
0.5 L
0.5-1L
1L
1.5L
For mineralization, some of the difference between people who have the same diet and same exposure to fluoride is explained by a different of each individual’s saliva
Buffering ability
Volume
PH
Stimulation
The subjective feeling of oral dryness:
Xerostomia
Hyposalivation
Remineralisation
Sialosis
Indirect cause increases dental caries:
Xerostomia
Hyposalivation
Remineralisation
Sialosis
Medication causes Xerostomia or hyposalivation
Antibiotics
Aspirin
Anti-histamine
Anti-coagulant
Normal unstimulated saliva flow rate (ml/min)
0.1
0.3-0.5
0.5
0.7
Unstimulated saliva flow rate in Hyposalivation (ml/min):
˂ 0.1
0.3-0.5
˂ 0.5
˂ 0.7
Stimulated saliva flow rate in male hyposalivation patient (ml/min):
˂ 0.1
0.3-0.5
˂ 0.5
˂ 0.7
Stimulated saliva flow rate in female hyposalivation patient (ml/min):
˂ 0.1
0.3-0.5
˂ 0.5
˂ 0.7
Causes of salivary gland hypofunction:
Diseases
Infection
Medication
All of them
Minimum time using for testing hyposalivation:
30 seconds
1 minute
2 minutes
5 minutes
Dry mouth management:
Drink water often
Brush as usual
Use fluoride mouthrise
Drink water often and brush as usual
Drink water often and use fluoride mouthrinse
Cervical burnout is:
Common radiographic artefact on PBWs which is not real
Aproximal caries
Root caries
Unclear x-ray
Acid etch for root caries filling:
Enamel 20 s and dentine 10 s
Enamel 10 s and dentine 20 s
Etch for 20 s
Etch for 10 s
Light-curing time for root lesion filling:
20 s each time and 20 s for finishing
20 s every time
40 s every time
20 s each time and 40 s for finishing
Which filling material is the most inappropriate for root caries treatment
Glass-ionomer
1 step self-etch (composite)
2 step self-etch (composite)
3 step self-etch (composite)
Symptoms of Chronic Adult Periodontitis:
Bleeding after brushing, halitosis, and a bad taste
Normally painless until very advanced but sometimes root sensitivity is a problem
Loose teeth when advanced and majority of bone has been lost
All of them
Formula to calculate combined Attachment Loss (CAL):
Gingival Recession (GR) + Pocket Depth (PD)
PD - GR
Clinical crown length + Pocket Depth
Anatomical crown length + Pocket Depth
Risk Factors for Chronic Adult Periodontitis:
Plaque and aging
Age and smoking
Smoking and Diabetes
Diabetes
All of them
Plaque control in elderly
Toothbrush handle bigger
Brush for 2 minutes, 2 times per day
Toothbrush handle smaller
Toothbrush handle bigger and brush for 2 minutes, 2 times per day
Brush for 2 minutes, 2 times per day and toothbrush handle smaller
When do you have to keep the tooth for periodontal treatment in elderly
A periapical abscess
Pain because of mobility
No function
Prior to bridge
Most dementia victims survive approximately:
1 year
3 years
7 years
13 years
Alzheimer’s disease can be divided into multiple phases:
2 phases
3 phases
4 phases
5 phases
What is amnesia
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
What is aphasia
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
What is apraxia
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
What is agnosia
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
How do you manage Amnestic patients
Frequent reminders during the dental procedure
Non-verbal communication
The practitioner should talk with family
Manage as normal patient
�……………..may worsen confusion rather than improve dementia patient for dental procedure.
Gas or other major sedatives
Oral Sedation
Lorazepam
Topical anesthetics
Blood glucose levels usually range within:
60 to 150 mg/dL
90 to 110 mg/dL
75 to 115 mg/dL
70 to 150 mg/dL
What do you need to ask Diabetes patients
Recent blood glucose levels and frequency of hypoglycemic episodes
Antidiabetic medications
Dosages and times of administration should be determined
All of them
What is the alternative term for Oesophageal reflux
Heartburn
Digestion
Dysphagia
Haematemesis
�…………………..should avoided in the first trimester and last month of pregnancy.
GA or IV sedation
LA
Topical Anesthesia
GA
Weight gain is the sign of:
Hypertension
Hyperthyroidism
Hypothyroidism
Hypotension
The involuntary or habitual grinding and clenching of the teeth, typically during sleep.
Bruxism
Snoring
Chewing
Smiling
A substance that causes damage or wear by dubbing or scraping
Abrasive
Attrition
Erosion
Abfraction
There are ……. Types of toothwear.
3
4
5
2
Abrasion is:
Wear of the necks of teeth
Wear of the dental crown
Wear of the root
Wear of the occlusal surface
Attrtion is:
Wear due to grinding – affects the surfaces where the teeth contact
Wear due to acidic substance
Wear due to toothbrushing
Wear due to stress on the cervical dentine tissue
Erosion is:
Wear due to acidic substance
Wear due to grinding – affects the surfaces where the teeth contact
Wear due to toothbrushing
Wear due to stress on the cervical dentine tissue
Direct tooth restoration
Involves placing a filling into a prepared tooth cavity immediately
Involves placing a filling with silicone index.
Involves placing bonding immediately after etching application
Involves light curing after composite placing
Indirect tooth restoration
. Involves placing a filling into a prepared tooth cavity immediately
Involves placing a filling with silicone index.
Involves placing bonding immediately after etching application.
Involves light curing after composite placing
Aetiology of Abrasion:
Smokers toothpaste
Hardness of toothbrush bristles
Flexure of the teeth
All of the above.
Which is the right statement?
Bruxism is usually impossible to prevent.
Bruxism is the main cause of severe attrition in old people.
Bruxists cannot break your fillings and fracture cusps.
Bruxists may not have pain of their mastication muscles on waking.
What are the options of choice for attrition?
No treatment
Acrylic Splints
Full Coverage Crowns
All of the above
Heartburn patient might have:
Erosion
Attirtion
Abrasion
Abfraction
PH of acidic drinks such as Coke and other soft drink:
PH 2.3-3
2-4
5.5
7
How many patterns of crack formation?
5
6
7
4
What is Cracked line?
Involve the enamel only and almost always asymptomatic
May result in cuspal fracture
Complete fracture from mesial to the distal
The depth of the crack is variable and runs in a mesio-distal direction
What is Cracked cusp?
May result in cuspal fracture
Involve the enamel only and almost always asymptomatic
complete fracture from mesial to the distal
The depth of the crack is variable and runs in a mesio-distal direction
What is Split tooth?
Complete fracture from mesial to the distal
May result in cuspal fracture
The depth of the crack is variable and runs in a mesio-distal direction
Involve the enamel only and almost always asymptomatic
An incomplete fracture of a vital posterior tooth that involves the dentine and occasionally extends into the pulp.
There must be symptoms of pain on biting
Acute pain particularly when the pressure is released
Cracks are invisible on dental radiographs.
All of the above
What is not the appropriate way to Diagnose Cracked tooth syndrome?
Take a careful history
Ask the patient to localise the pain
Test the teeth on that side with air
Scaling
PH of acidic fruit:
PH 2-4
PH 2.3-3
5.5
7
Cracks can sometimes be stained by painting ……. On the surface and washing after 2 minutes
Iodine
Chlorhexidine
Bonding
Etching
Methods to test tooth vitality:
Electronic pulp tester
Drilling the tooth without LA
Remove old filling without LA
All of the above
Cracked Tooth Syndrome – What is the inappropriate Treatment?
For Cuspal Fractures not involving the pulp: lined with GIC and a direct composite or amalgam restoration
Inlay or crown
Scaling
Full metal crown
What is the best choice for Cracked tooth?
Full gold crown
Composite filling
Scaling
Root canal treatment
Between ……… of RCT teeth with MO, DO or MOD amalgam restorations fractured over a 20 year period.
26% and 72%
36% and 72%
46% and 72 %
56% and 72%
What is the common solution for Vertical Root fracture?
Extraction
scaling
Root Canal Treatment
Composite Filling
What is the best choice for Diabetes Type 1?
Insulin
Chlorpropamide
Acarbose
Anti-diabetic medication
What will you ask your diabetic patients about?
Recent blood glucose levels and frequency of hypoglycemic episodes.
Antidiabetic medications
Dosages and times of administration should be determined.
All of the above
If the patient skips breakfast owing to the dental appointment but still takes the normal dose of insulin, the risk of a ………… is increased.
Hypoglycemic episode
Hyperglycemic episode
Hypertension
hypotension
What dentist have to give patient before treatment to minimize the risk of a hypoglycemic event?
Oral carbohydrate
Coke
Acidic solution
Salt
Oesophageal reflux, indigestion, and heartburn are alternative terms.
T
F
Vitamin K deficiency may not lead to a bleeding tendency.
T
F
Gastro-intestinal cause of clubbing include inflammatory bowel disease (especially Crohn's), cirrhosis, malabsorption and GI lymphoma.
T
F
Aluminium hydroxide reduces the excretion of aspirin and can increase the plasma concentration of the analgesic to nontherapeutic levels.
T
F
The anti-muscarinic drug propantheline bromide delays the absorption of paracetamol.
T
F
Side effects of Proton pump inhibitors include erythema multiforme, stomatitis and dry mouth.
T
F
Plasma levels of the long-acting local anaesthetic bupivacaine (which may be used to reduce post-operative pain in third molar surgery) are increased by cimetidine.
T
F
H2 receptor antagonists (cimetidine) may (rarely) cause blood disorders such as thrombocytopaenia, agranuloctytosis and aplastic anaemia.
T
F
The sclera is a good site for examining for the yellow tint of jaundice.
T
F
The term inflammatory bowel disease refers to ulcerative colitis.
T
F
2 dental procedures that we cannot do on patient with Cardiac Pace Maker are Electrosurgery, Ultrasonic scaling.
T
F
Apraxia patients will forget symptoms and instructions.
T
F
Amnesia refers to inability to perform complicated motor tasks.
T
F
Non-verbal communication with significantly aphasic patients is not helpful.
T
F
Gas or other major sedatives may worsen confusion rather than improve dementia patient management.
T
F
Dental procedures are not always predictable and anxiety, stress and anger are common feelings for dentists.
T
F
A short acting benzodiazepine e.g. 7.5-15mg midazolam is taken in reception one hour before dental appointment.
T
F
Early stages (first 3 years) are characterized by mild forgetfulness and must patients should not be able to maintain reasonable oral care.
T
F
Although Alzheimer's disease is the most common cause of dementia (65%), other cause include vascular (15%), alcoholic (15%) as well as multiple rare diseases.
T
F
Alzheimer's disease is dementia.
T
F
Normal sinus rhythm tachycardia:
Pulse>100
Pulse>120
Pulse≤100
Pulse˂100
Supraventricular Tachycardia episodes
Pulse from 60 to >200
Pulse from 60 to 100
Pulse from 60 to 90
Pulse >100
Systolic Blood Pressure:
Is the peak pressure when the heart pumps blood out through the aorta and into the arteries.
Is the pressure in the arteries when the heart relaxes
Is a normal physiological response to exercise, emotional stress or an intra-vascular injection of adrenaline.
Is not normally life threatening and often will stop spontaneously.
The narrowing of arteries by atheroma plaques which causes: myocardial infarcts in the heart, strokes in the brain, pulmonary embolism in the lungs and deep vein thrombosis in the legs is:
Atherosclerosis
Cirrhosis
Hypertension
Hypotension
Everyone can take ….concrete steps to help prevent high blood pressure:
5
4
6
7
The steps to help prevent high blood pressure are:
Having healthy diet and avoid alcohol
Doing exercise and having healthy diet
Managing stress in healthy way and doing exercise.
All of the above
Oral side effects of antihypertensive medications are:
Xerostomia (diuretics),
Gingival hyperplasia (nifedipine)
Salivary gland swelling (clonidine)
All of the above
What is it?
Atheroma plaque
Muscle
Dental plaque
Artery
�…….is the acute symptom of Ischaemic Heart Disease and is more likely to occur during exercise or stress (e.g. dentistry) when there is an increased heart rate.
Angina
Hypertension
Myocardial infarct
Ischaemic Heart Disease
A coronary artery stent is:
A device with a mesh tube and a balloon is inserted into the coronary artery via the femoral artery in the groin to open the blockage
Veins from the leg which is cut to insert into the coronary artery
Coronary artery atheroma
None of the above
Criteria for the diagnosis of diabetes is:
A casual plasma glucose level (taken at any time of day) of =200mg/dL when the symptoms of diabetes include polydipsia(thirsty), polyuria and unexplained weight loss.
A fasting plasma glucose level of 126 mg/dL or less.
An oral glucose tolerance test value in the blood of ≥200mg/dL when measured at the 2h interval.
None of the above
There are ….types of Insulin preparation.
4
3
5
6
There are ….mechanism of actions of antidiabetic medications.
4
3
5
6
What is the effect duration of rapid acting insulin?
3-4 hours
5-8 hours
16-24 hours
24-48 hours
What is the effect duration of short acting insulin?
5-8 hours
3-4 hours
16-24 hours
24-48 hours
What is the effect duration of intermediate acting insulin?
16-24 hours
3-4 hours
5-8 hours
24-48 hours
What is the effect duration of long acting insulin?
24-48 hours
3-4 hours
5-8 hours
16-24 hours
What is not the mechanism of action of antidiabetic medication?
Increase gastro-intestinal absorption of cabohydrates
Stimulation secretion of insulin
Decrease glycogenolysis and hepatic glucose production
Enhance tissue sensitivity to insulin
Patients with diabetes at medium risk group:
Fasting blood glucose level ˂180-240 mg/dl
Fasting blood glucose level ˂ 180 mg/dl
Fasting blood glucose level ≥ 240 mg/dl
Fasting blood glucose level ˃ 180 mg/dl
Patients with diabetes at low risk group:
Fasting blood glucose level ˂ 180 mg/dl
Fasting blood glucose level ˂180-240 mg/dl
Fasting blood glucose level ≥ 240 mg/dl
Fasting blood glucose level ˃ 180 mg/dl
{"name":"Geriatric Dentistry 6DD", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Test your knowledge on Geriatric Dentistry with our comprehensive quiz. Designed for dental professionals and students, this quiz covers a range of topics including oral health, elderly physiology, and the implications of aging on dental care.Key topics include:Classification of geriatric dental patientsCommon dental issues in the elderlyPhysiological changes impacting oral health","img":"https:/images/course2.png"}
More Quizzes
Dental Hygiene III Final Review - Part I
97480
Geraitric #DrKang @PinUpdatedVersion
10050257
Dental hygiene 102
100500
Dental Hygiene Final
10050151
Film interpretation Rx 5
10571
Intro
8475
Dental emergency midterm
5025106
Pharmacology Quiz
1588
4DD/ Pediatric Dentistry/
50250
Cardiovascular Brand and Generic II
1587
Pharmaceutical Knowledge Quiz
13611
Kdental phamaco
111560