Dental Hygiene III Midterm Review
Dental Hygiene III Midterm Review
Prepare for your Dental Hygiene III Midterm with this comprehensive quiz designed to enhance your knowledge and understanding of crucial topics related to dental care during pregnancy, childhood dental issues, and geriatric oral health.
Test your expertise and reinforce your learning with questions covering:
- Pregnancy and dental procedures
- Childhood dental health
- Cleft palate implications
- Oral health in the elderly
All of the following dental procedures are contraindicated during the first trimester of pregnancy, except:
Completing scaling and preventive procedures.
Using nitrous oxide sedation for dental procedures without physician cleara
Completing routine radiographs to check for caries.
Performance of routine restorative work.
A malformation of the palate in the form of a cleft can be detected by the __________ week of pregnancy
4th
6th
8th
12th
Cleaning a pacifier in the parent's/caregiver's mouth:
Is safe and effective.
Can transfer caries-producing bacteria to the infant.
Can give malodor to the infant.
All these are correct.
Drugs of abuse and dependence during pregnancy is related to all of the following adverse conditions, except:
Spontaneous abortion.
Reduced birth weight.
Convulsions.
Sudden infant death syndrome.
The safest time for providing dental care to a pregnant patient is during the:
First 4 weeks of pregnancy.
First trimester.
Second trimester.
Third trimester.
The tooth buds of the fetus form by the __________ week of pregnancy.
2nd
4th
6th
8th
Use of fluoride supplementation can begin at:
Birth
3 months
6 months
9 months
Which of the following is not true of bottle feeding?
Encourage parents to have the infant drink from a cup by 2 years of age.
Encourage parents to hold the child during feeding.
Encourage parents to put the infant to bed w/ a bottle containing fluoride
Tell parents not to use the bottle as a pacifier.
According to tooth development and eruption patterns, the last primary teeth to fully develop in the mouth are:
Central incisors.
Lateral incisors.
Molars
Canines.
Biofilm-induced gingivitis:
May increase in severity during puberty.
Is associated with clinical changes related to increased dental biofilm.
Is associated with hormonal changes related to increased dental biofilm.
All of the above
The appropriate time for scheduling the child's first visit to the dental office is:
After the first tooth appears in the mouth.
At 1 year of age.
When the child is able to sit upright in a dental chair.
When the parent feels that the child is ready to be cooperative.
The best type of fluoride application for treating white spot lesions on primary teeth is:
Foam
Gel
Rinse
Varnish
The microorganism most commonly found in the saliva of children who present with early childhood caries is:
Treponema denticola.
Streptococcus mutans.
Fusobacterium nucleatum.
Bacterioids forsythus.
The progressive tooth pattern for baby bottle caries to appear in the mouth is:
Mand anterior teeth, then to erupted molars, and last to max anteriors
Max anterior teeth, then to the molars as they erupt
Mand molars, then to mand anterior teeth, last to max anteriors
Canine teeth, then to mand anterior teeth, then to the molars.
White-spot lesions along the cervical areas and on proximal tooth surfaces indicates which of the following?
Caries
Stain
Demineralization
Bruxism
All of the following are atrophic changes in the oral mucosa of the elderly, except:
Thinner tissue
Increased vascularity
Loss of elasticity.
Smooth shiny appearance.
All of the following would be important treatment considerations with Alzheimer patients except:
Power toothbrushes may improve dental biofilm removal.
Do not allow the caregiver in the treatment area to avoid distraction.
Establish an aggressive preventive program including 3-month recalls.
Provide repeated reinforcement.
Xerostomia is prevalent in the elderly but is not a consequence of age
True
False
Radiation therapy is the most common cause of xerostomia.
True
False
Candidiasis is associated with all of the following except:
Head and neck radiation
Immunosuppressive drugs
Use of antibiotics
Sialolith
Communication with the older adult patient includes all the following, except:
Calling them by their first name.
Allowing sufficient time for reviewing complex histories.
Eliminating distracting background music.
Sitting facing the patient.
The older population has more of which type of caries than any other age group?
Occlusal
Proximal
Root
Lingual
A child with a cleft palate is more likely to have a mental disability.
True
False
A child with a cleft palate is more prone to ear infections.
True
False
A child with a cleft palate is at greater risk for all of the following, except:
Upper respiratory infections.
Middle ear infections.
Tissue overgrowth.
Inadequate speech development.
A cleft of the soft palate that includes a cleft lip on the same side of the premaxilla is what classification?
Class II
Class III
Class IV
Class V
At what stage of prenatal development does clefting of the lip take place?
4 to 8 weeks
8 to 12 weeks
13 to 18 weeks
19 to 24 weeks
A removable appliance designed to close off the opening in a cleft palate case is called a(n):
Prosthodontic retainer.
Obturator.
Orthopedic appliance.
Scaffold.
Every attempt is made to avoid the need to remove teeth, especially around the cleft area.
True
False
The presence of teeth encourages optimum arch growth.
True
False
About 1 in __________ children are identified with ASD.
36
46
53
68
A collection of conceptual, social, and practical skills needed to function in everyday life is referred to as:
Intellectual ability.
Adaptive behavior.
Intelligence quotient.
Context dimension.
All of the following are risk factors for intellectual disorder, except:
Lack of access to prenatal care.
Chromosomal disorders.
Parental drug use.
Early diagnosis.
Another term for Down syndrome is:
Epicanthus.
Disomy 15.
Autism.
Trisomy 21.
A patient with an IQ of 40 has what level of intellectual disorder?
Mild
Moderate
Severe
Profound
Intellectual disorder is characterized by which of the following?
Impairment in verbal skills and social interaction
Normal intellectual functioning
Significant limitations in adaptive behavior
Origination after age 21
Which of the following best describes autism spectrum disorder?
Developmental disability affecting verbal and nonverbal communications
Restricted interest and activities
Lack of spontaneous behaviors and avoidance of emotional interaction
Developmental disability usually diagnosed later in life
Which of the following oral features are frequently associated with Down syndrome?
Deeply fissured tongue, mouth breathing, thickened lips
Angle's Class II occlusion, macrodontia, narrow palate
Gingivitis, supernumerary teeth, microglossia
Atrophic lips, drooling, linear gingival erythema
Alternative methods for pain control for the disabled patient includes all of the following, except:
Pharmacological-induced sedation.
Administration of valerian root 1 hour before the appointment.
General anesthesia.
All of these are alternative methods of pain control.
An estimated __________ of persons between 17 and 64 years of age are affected by a disability.
3%
5.5%
10.5%
16%
How wide should walkways be in order to accommodate a wheelchair?
2 feet
3 feet
5 feet
6 feet
A self-care aid must be have all of the following characteristics, except:
Be able to be disinfected.
Be durable.
Be inexpensive.
Be absorbent.
Dentifrice should not be used by patients who:
Require a caregiver to brush.
Have developmental disabilities.
Have epilepsy.
Cannot control saliva, rinse, or expectorate.
The rubber mouth prop can fall out. What is the best solution to prevent this from occurring?
Use a rubber dam to prevent swallowing.
Use floss to tie it down.
Have an assistant hold it in place.
All of these are correct.
In preparing for a wheelchair transfer, what should you do first?
Move chair padding to dental chair.
Place the wheelchair parallel to the dental chair.
Find someone else in the office to help with the transfer.
Clear the area of any items that may be in the way.
All of the following are true about Steinert's disease, except:
It can appear in early adulthood.
It affects both men and women.
It is usually worse in cold temperatures.
It also effects the CNS.
Many diseases of the neuromuscular system leave the patient with a physical impairment.
True
False
Most patients with a physical impairment also have mental impairment.
True
False
Another term for cerebrovascular accident is:
Kyphosis.
Akinesia.
Stroke.
Pallidotomy.
Bell's palsy is paralysis of what cranial nerve?
4
5
6
7
Parkinson's disease:
Is controlled by dopamine.
Causes tremor in the feet and flexibility in the arms.
Affects as many as 500,000 middle-aged and older persons in the United Stat
Has approximately 30,000 new diagnosed cases each year.
Which factor should a hygienist consider when planning dental hygiene care for the patient with multiple sclerosis?
Xerostomia
Poor nutrition
Decubitus ulcers
Impaired motor ability
Which condition requires antibiotic premedication before dental and dental hygiene treatment?
Autonomic dysreflexia
Ventriculoperitoneal shunt
Ventriculoatrial shunt
Spina bifida occulta
All of the following are physical changes that may occur as part of the premenstrual syndrome, except:
Bloating.
Decreased appetite.
Skin breakouts.
Fatigue.
Males generally enter into puberty before females.
True
False
The appearance of secondary sex characteristics marks the beginning of puberty.
True
False
A thyroid storm:
Is a sudden worsening of hypothyroidism symptoms.
Can be caused by an infection or stress.
Requires a possible hospital stay
All of these are correct.
The adrenal glands consist of a pair of glands that sit at the top of pancreas.
True
False
Symptoms of adrenal crisis include all the following, except:
Abdominal pain.
High fever
Loss of appetite.
Slowed respiratory rate.
Which of the following is the master endocrine gland that regulates the output of hormones by other glands?
Thyroid
Pancreas
Adrenal
Pituitary
A) Research has shown that fluoride intake during pregnancy is essential for caries prevention of the primary dentition of the child. B) Sodium fluoride treatments should be completed for the mother during pregnancy to ensure the delivery of fluoride across the placenta to the fetus.
Statement A is true and statement B is false
Both statements are true
Both statements are false
Statement A is false and statement B is true
A smear layer of fluoridated toothpaste is advised for an infant and children up to the age of:
2 years
3 years
4 years
5 years
Which of the following herbal supplements taken as a remedy for the common cold has been known to produce allergic reactions such that the patient should be advised about its use during pregnancy?
Arnica
Goldenseal
Comfrey
Valerian
Echinacea
During the third trimester of pregnancy, lying in the supine position can be uncomfortable for the pregnant woman due to the weight of the fetus pressing on circulatory vessels. Patient positioning should be adjusted by doing the following?
Having the patient lie on her right side
Having the patient lie on her left side
Taking frequent breaks to allow the patient to readjust her position
Working on the patient in an upright position
Working on the patient in a Trendelenburg position
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it. The most probable reason that Mary's gums bleed when she brushes and flosses her teeth is due to:
Overzealous brushing on the part of the patient
Poor oral hygiene related to the swelling in the premolar are
Length of time since her last appointment
An increase in hormones during pregnancy
The use of valerian as an herbal supplement
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it. The hygienist should note the use of valerian because it may alter treatment procedures due to:
Increasing bleeding during scaling procedures
Causing increased extrinsic staining to the teeth
Causing the patient to be hyperactive during treatment
Increasing the sedative effect of anesthetics
Causing tissue sensitivity
A) Child development milestones indicate that a 3-year-old should be able to hold a toothbrush and brush his teeth on his own. B) Parent involvement in brushing is not needed at this stage of development.
Statement A is false and statement B is true
Both statements are false
Statement A is true and statement B is false
Both statements are true
Providing oral health information to parents related to the child's stage of development to better meet the child's needs is known as:
Preventive dental education
Oral health education
Anticipatory guidance
Assessment and preventive care
Oral health planning
For fluorosis to develop in primary teeth, excessive fluoride intake occurs:
During fetal growth in the uterus
Through the ingestion of toothpaste
Through excessive intake during the first year
Through prolonged breastfeeding
Through prolonged use of fluoride supplements
Ryan is a 3-year-old child who presents for his first dental appointment. His mother accompanies him to the operatory room. He willingly climbs into the dental chair sporting a big smile. You observe that he has an open bite and his maxillary right central incisor is dark in appearance. He is very cooperative as you begin the dental hygiene appointment. The examination reveals several teeth with caries on the occlusal surfaces. Ryan's open bite is most likely related to:
Delayed development of the mandible
Prolonged use of the bottle
A high narrow palatal vault
Continued use of the pacifier
Prolonged thumb sucking
All of the following are dietary considerations that impact early childhood oral disease, except:
Use of a nonfluoridated toothpaste
Insufficient fluoride in the water supply
Prolonged breast/bottle feeding
Giving the baby sweetened liquids in a bottle
Diet high in fermentable carbohydrates
All of the following are barriers to dental care for the pediatric patient, except:
Irritability and crying
Language
Availability of providers
Lack of parental oral health literacy
Financial concerns
Ryan is a 3-year-old child who presents for his first dental appointment. His mother accompanies him to the operatory room. He willingly climbs into the dental chair sporting a big smile. You observe that he has an open bite and his maxillary right central incisor is dark in appearance. He is very cooperative as you begin the dental hygiene appointment. The examination reveals several teeth with caries on the occlusal surfaces. Ryan's mother informs you that their water system in nonfluoridated. She had the water tested and the report indicated less than 0.2 ppm present in the water. A fluoride supplement is recommended. Which of the following is the appropriate delivery method for his age?
Drink bottled water
Include sugar free gum twice a day
Apply a fluoride varnish
Drink the water at his home
A) The need for careful, periodic examination of the oral mucosa from the lips to the throat is especially crucial for the older adult patient because oral cancer occurs with increasing frequency with advancing years. B) Many oral lesions exist with the patient being aware of them.
Both statements are false
Both statements are true
Statement A is false and statement B is true
Statement A is true and statement B is false
Angular cheilitis is often found in the elderly patient. Although it is not an age-related lesion, the etiology is believed to be which of the following?
Xerostomia
Candidiasis and vitamin B deficiency
Polypharmacy
Increased vertical dimension
Use of anticalculus toothpaste
All of the following are physiologic changes that occur in the musculoskeletal system due to the normal aging process except one. Which one is the exception?
Reduced tolerance to temperature extremes
Loss of elasticity in the ligaments
Decrease in bone volume (mass)
Curvature of cervical vertebrae
Diminished muscular strength and speed
All of the following are associated with vitamin B deficiency, except:
Burning tongue
Gingivitis
Atrophic glossitits
Angular cheilitis
Which of the following oral manifestations is a result of normal aging?
Xerostomia
Periodontitis
Stomatitis
Attrition
Glossitis
Deep, red or bluish nodular dilated vessels on the ventral surface of the tongue in the elderly are called:
Sublingual varicosities
Sublingual carunculae
Submandibular lymph nodes
Sublingual veins
Sublingual fossae
A) Cleft lip and cleft palate are craniofacial deformities that are associated with inadequate fusing of the lip, hard and soft palates, and uvula. B) This birth defect occurs during the 22nd to the 40th week of gestation.
Both statements are false
Both statements are true
Statement A is true and statement B is false
Statement A is false and statement B is true
Class III cleft involves the:
Soft palate and the hard palate that continues through the alveolar ridge
Tip of the uvula
Soft palate
Soft and hard palates
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated. Which of the following is a pharmacologic treatment for autism?
Speech therapy
Lipitor
Applied behavior analysis
Risperidone
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated. The high rate of decay that John has is most likely related to what?
The sweet foods given as a reward for behavior
Lack of fluoride
The fact that he has autism
Absence of verbal communication
Factors effective in the control of dental caries in patients with intellectual disorder:
Do not work as well as in the general population
Cannot be taught in the same ways
Are drastically different than in the general population
Are the same as in the general population
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated. In order to have the most success during this appointment and future appointments, the dental hygienist should do what?
Require that a parent be present during the appointment
Turn off all lights in the room
Provide a predictable and consistent experience
Schedule more frequent visits
When is it appropriate to use the stand-and-pivot mobile patient transfer technique?
When the patient uses a walker
When the patient cannot support his or her own weight
When the patient can support his or her own weight
When there are two people to complete the transfer
When using restraints for body stabilization, you:
Only use it on the arms
Have to use a mouth prop
Need more than one dental personnel
Need written consent from a guardian or the patient
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day. Why is it important for Jim to have adequate daily biofilm removal?
To prevent xerostomia
To prevent halitosis
To prevent trauma to his teeth and soft tissue
To have effective daily biofilm removal, which is associated with less gingival enlargement.
A patient with impaired respiratory function, swallowing, or gag r
Coughing
Aspirating
Vomiting
Uncontrolled kicking
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