Geriatric all 100!!!!!
Geriatric Dental Knowledge Quiz
Test your knowledge on geriatric dental care with our comprehensive quiz! Assess your understanding of dental wear, restoration types, and the effects of systemic conditions on oral health.
Topics covered include:
- Tooth wear types
- Direct and indirect restorations
- Cracked tooth syndromes
- Managing diabetic patients in dental practice
The involuntary or habitual grinding and clenching of the teeth, typically during sleep.
Bruxism
Snoring
Chewing
Smiling
52. A substance that causes damage or wear by dubbing or scraping.
Abrasive
Attrition
Erosion
Abfraction
53. There are ……. Types of toothwear.
3
4
5
2
54. Abrasion is:
wear of the necks of teeth
Wear of the dental crown
Wear of the root
Wear of the occlusal surface
55. 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
56. 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
57. 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.
58. 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.
59. Aetiology of Abrasion:
Smokers toothpaste
Hardness of toothbrush bristles
Flexure of the teeth
All of the above.
60. 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.
61. What are the options of choice for attrition?
No treatment
Acrylic Splints
Full Coverage Crowns
All of the above
62. Heartburn patient might have:
Erosion
Attirtion
Abrasion
Abfraction
63. pH of acidic drinks such as Coke and other soft drink:
PH 2.3-3
2-4
5.5
7
64. pH of acidic fruit:
PH 2-4
pH 2.3-3
5.5
7
65. How many patterns of crack formation?
4
5
6
7
66. 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
67. 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
68. 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
69. What are the Cracked Tooth Syndromes:
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.
T. All of the above
70. 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
71. Cracks can sometimes be stained by painting ……. On the surface and washing after 2 minutes:
Iodine
Chlorhexidine
Bonding
Etching
72. Methods to test tooth vitality:
Electronic pulp tester
Drilling the tooth without LA
remove old filling without LA
All of the above
73. 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
Full metal crown
Inlay or crown
Scaling
74. What is the best choice for Cracked tooth?
Full gold crown
composite filling
Scaling
Root canal treatment
75. 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%
76. What is the common solution for Vertical Root fracture?
Extraction
Scaling
Root Canal Treatment
Composite Filling
77. What is the best choice for Diabetes Type 1?
Insulin
Chlorpropamide
Acarbose
Anti-diabetic medication
78. 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
79. 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
80. What dentist have to give patient before treatment to minimize the risk of a hypoglycemic event?
Oral carbohydrate
Coke
Acidic solution
Salt
1. Oesophageal reflux, indigestion, and heartburn are alternative terms.
T
F
2. Vitamin K deficiency may not lead to a bleeding tendency.
T
F
3. Gastro-intestinal causes of clubbing include inflammatory bowel disease (especially Crohn’s), cirrhosis, malabsorption and GI lymphoma.
T
F
4. Aluminium hydroxide reduces the excretion of aspirin and can increase the plasma concentration of the analgesic to nontherapeutic levels.
T
F
5. The anti-muscarinic drug propantheline bromide delays the absorption of paracetamol.
T
F
6. Side effects of Proton pump inhibitors include erythema multiforme, stomatitis and dry mouth.
T
F
7. 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
8. H2 receptor antagonists (cimetidine) may (rarely) cause blood disorders such as thrombocytopaenia, agranuloctytosis and aplastic anaemia.
T
F
9. The sclera is a good site for examining for the yellow tint of jaundice.
T
F
10. The term inflammatory bowel disease refers to ulcerative colitis.
T
F
11. 2 dental procedures that we cannot do on patient with Cardiac Pace Maker are Electrosurgery, Ultrasonic scaling.
T
F
12. Apraxia patients will forget symptoms and instructions.
T
F
13. Amnesia refers to inability to perform complicated motor tasks.
T
F
14. Non-verbal communication with significantly aphasic patients is not helpful.
T
F
15. Gas or other major sedatives may worsen confusion rather than improve dementia patient management.
T
F
16. Dental procedures are not always predictable and anxiety, stress and anger are common feelings for dentists.
T
F
17. A short acting benzodiazepine e.g. 7.5-15mg midazolam is taken in reception one hour before the dental appointment.
T
F
18. Early stages (first 3 years) are characterized by mild forgetfulness and most patients should not be able to maintain reasonable oral care.
T
F
19. Although Alzheimer's disease is the most common cause of dementia (65%), other causes include vascular (15%), alcoholic (15%) as well as multiple rare diseases.
T
F
20. Alzheimer's disease is dementia.
T
F
1. Another term refers to Geriatric Dentistry
σ½ Pediatrics
σ½ Pharmacology
σ¾ Geriodontics
σ½ Geriatric Medicine
2. Classification of Geriatric Dental Patients
2
3
4
5
3. What are dental caries treatments
σ½ Filling & RCT
σ½ RCT, Crowns & Dentures
σ½ Implants
σ¾ All of them
4. Change in nervous system in elderly
σ½ Nerve cells may begin to pass messages as normal
σ½ Nerve cells may begin to pass messages faster
σ½ Brain and spinal cord gain nerve cells and weight
σ¾ Slowing of thought, memory, and thinking
5. Change in urinary system in elderly
σ½ number and size of nephrons decrease and narrowed arteries
σ½ Inability to concentrate or dilute urine and to excrete acid
σ½ Dehydration
σ¾ All of them
6. The bladder becomes less flexible means:
σ½ it can hold less urine
σ½ it becomes more difficult to squeeze to get rid of all the urine
σ½ it becomes easier to squeeze to get rid of all the urine
σ¾ it can hold less urine & it becomes more difficult to squeeze to get rid of all the urine
σ½ it can hold less urine & it becomes easier to squeeze to get rid of all the urine
7. What is Urethral sphincter
σ¾ muscular ring that controls the passage of urine out of the body
σ½ bladder
σ½ it stimulates the sensation of having to urinate
σ½ muscular ring that regulate the balance of salts and other chemicals
8. The respiratory system comprises of:
σ½ thoracic cage, lungs
σ½ lungs, and diaphragm
σ¾ all of them
σ½ none of them
9. The most common cause of kyphosis in older adults is:
σ¾ osteoporosis
σ½ poor posture
σ½ Birth defects
σ½ Cancer and cancer treatments
10. What is kyphosis
σ½ abnormal lateral curvature of the spine.
σ½ an abnormally hollowed back
σ¾ excessive outward curvature of the spine
σ½ Forward head position
11. Changes which is not related to respiratory system in elderly:
σ½ Decreases in measures of lung function such as vital capacity
σ½ Decline in the effectiveness of lung defense mechanisms
σ½ Stiffening of the thoracic cage from calcification of the rib cage
σ¾ Increasing in chest wall compliance
12. Changes which is not related to circulatory system in elderly:
σ½ The muscles of the left ventricle get thicker
σ½ the volume of the left ventricle may decline
σ½ the heart may both fill and empty more slowly
σ¾ the heart may decrease slightly in size
13. Differences between young and old hearts
σ½ older heart speed up as quickly or pump as fast or as much blood as a younger heart
σ¾ older heart cannot speed up as quickly or pump as fast or as much blood as a younger heart
σ½ older heart can speed up quickly but cannot pump as much blood as a younger heart
σ½ older heart cannot speed up quickly but can pump as much blood as a younger heart
14. Changes which is not related to Endocrine System in elderly:
σ½ The levels and activity of some hormones, produced by endocrine glands, decrease.
σ½ Growth hormone levels decrease, leading to decreased muscle mass.
σ½ Aldosterone levels decrease, making dehydration more likely.
σ¾ More insulin may be produced
15. Changes in Digestive system in elderly:
σ½ lactase levels decrease
σ½ the pancreas gains in overall weight
σ½ Constipation becomes more common
σ½ lactase levels decrease and the pancreas gains in overall weight
σ¾ lactase levels decrease and Constipation becomes more common
16. Dimensions comprising oral health-related quality of life(OHRQoL):
4
5
6
7
17. Total volume of saliva per day is:
σ½ 0.5 L
σ¾ 0.5-1L
σ½ 1L
σ½ 1.5L
18. 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
σ¾ buffering ability
σ½ volume
PH
σ½ stimulation
19. The subjective feeling of oral dryness:
σ¾ Xerostomia
σ½ Hyposalivation
σ½ Remineralisation
σ½ sialosis
20. Indirect cause increases dental caries:
σ¾ Xerostomia
σ½ Hyposalivation
σ½ Remineralisation
σ½ sialosis
21. Medication causes Xerostomia or hyposalivation
σ½ Antibiotics
σ½ Aspirin
σ½ Anti-coagulant
σ¾ anti-histamine
22. Normal unstimulated saliva flow rate (ml/min)
σ½ 0.1
σ¾ 0.3-0.5
σ½ 0.5
σ½ 0.7
23. Unstimulated saliva flow rate in Hyposalivation (ml/min):
σ¾ Ë‚ 0.1
σ½ 0.3-0.5
σ½ Ë‚ 0.5
σ½ Ë‚ 0.7
24. Stimulated saliva flow rate in male hyposalivation patient (ml/min):
σ½ Ë‚ 0.1
σ½ 0.3-0.5
σ½ Ë‚ 0.5
σ¾ Ë‚ 0.7
25. Stimulated saliva flow rate in female hyposalivation patient (ml/min):
σ½ Ë‚ 0.1
σ½ 0.3-0.5
σ¾ Ë‚ 0.5
σ½ Ë‚ 0.7
26. Causes of salivary gland hypofunction:
σ½ diseases
σ½ infection
σ½ Medication
σ¾ All of them
27. Minimum time using for testing hyposalivation:
σ½ 30 seconds
σ½ 1 minute
2minutes
σ½ 5 minutes
28. Dry mouth management:
σ½ drink water often
σ½ brush as usual
σ½ use fluoride mouthrise
σ½ drink water often and brush as usual
σ¾ drink water often and use fluoride mouthrinse
29. Cervical burnout is:
σ¾ common radiographic artefact on PBWs which is not real
σ½ aproximal caries
σ½ root caries
σ½ unclear x-ray
30. Acid etch for root caries filling:
σ¾ enamel 20 s and dentine 10 s
σ½ enamel 10 s and dentine 20 s
σ½ Etch for 20 s
σ½ etch for 10 s
31. Light-curing time for root lesion filling:
σ½ 20 s each time and 20 s for finishing
σ½ 20 s every time
σ½ 40 s every time
σ¾ 20 s each time and 40 s for finishing
32. Which filling material is the most inappropriate for root caries treatment
σ½ Glass-ionomer
σ¾ 1 step self-etch (composite)
σ½ 2 step self-etch (composite)
σ½ 3 step self-etch (composite)
33. Symptoms of Chronic Adult Periodontitis:
σ½ Bleeding after brushing, halitosis, and a bad taste
σ½ Normally painless until very advanced but sometimes root sensitivity is a problem
σ½ Loose teeth when advanced and majority of bone has been lost
σ¾ All of them
34. Formula to calculate combined Attachment Loss (CAL):
σ¾ Gingival Recession (GR) + Pocket Depth (PD)
σ½ PD - GR
σ½ Clinical crown length + Pocket Depth
σ½ Anatomical crown length + Pocket Depth
35. Risk Factors for Chronic Adult Periodontitis:
σ½ Plaque and aging
σ½ Age and smoking
σ½ Smoking and Diabetes
σ½ Diabetes
σ¾ All of them
36. Plaque control in elderly
σ½ toothbrush handle bigger
σ½ brush for 2 minutes, 2 times per day
σ½ toothbrush handle smaller
σ¾ toothbrush handle bigger and brush for 2 minutes, 2 times per day
σ½ brush for 2 minutes, 2 times per day and toothbrush handle smaller
37. When do you have to keep the tooth for periodontal treatment in elderly
σ½ A periapical abscess
σ½ Pain because of mobility
σ½ No function
σ¾ Prior to bridge
38. Most dementia victims survive approximately:
σ½ 1 year
σ½ 13 year
σ½ 7 year
σ½ 3year
39. Alzheimer’s disease can be divided into multiple phases:
σ½ 2 phases
σ½ 3 phases
σ½ 5 phases
σ½ 4phases
40. What is amnesia
σ¾ memory loss
σ½ communication difficulties
σ½ inability to perform complicated motor tasks
σ½ inability to recognize previously learned sensory input
41. What is aphasia
σ½ memory loss
σ¾ communication difficulties
σ½ inability to perform complicated motor tasks
σ½ inability to recognize previously learned sensory input
42. What is apraxia
σ½ memory loss
σ½ communication difficulties
σ¾ inability to perform complicated motor tasks
σ½ inability to recognize previously learned sensory input
43. What is agnosia
σ½ memory loss
σ½ communication difficulties
σ½ inability to perform complicated motor tasks
σ¾ inability to recognize previously learned sensory input
44. How do you manage Amnestic patients
σ¾ frequent reminders during the dental procedure
σ½ Non-verbal communication
σ½ The practitioner should talk with family
σ½ manage as normal patient
45. ………………..may worsen confusion rather than improve dementia patient for dental procedure.
σ¾ Gas or other major sedatives
σ½ Oral Sedation
σ½ Lorazepam
σ½ topical anesthetics
46. Blood glucose levels usually range within:
σ¾ 60 to 150 mg/dL
σ½ 90 to 110 mg/dL
σ½ 75 to 115 mg/dL
σ½ 70 to 150 mg/dLv
47. What do you need to ask Diabetes patients
σ½ Recent blood glucose levels and frequency of hypoglycemic episodes
σ½ Antidiabetic medications
σ½ Dosages and times of administration should be determined
σ¾ All of them
48. What is the alternative term for Oesophageal reflux
Heartburn
σ½ Dysphagia
σ½ digestion
σ½ Haematemesis
49. ……………………..should avoided in the first trimester and last month of pregnancy.
σ¾ GA or IV sedation
σ½ Topical Anesthesia
σ½ LA
GA
50. Weight gain is the sign of:
Hypertension
σ½ hyperthyroidism
Hypothyroidism
Hypotension
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