Geraitric #DrKang @PinUpdatedVersion
Geriatric Dentistry Knowledge Quiz
Test your knowledge in Geriatric Dentistry with this comprehensive quiz designed for healthcare professionals and students alike. Challenge yourself with questions about dental care for elderly patients, changes in their anatomy, and common oral health issues.
This quiz covers:
- Key topics in Geriatric Dentistry
- Cognitive and physiological changes in the elderly
- Oral health-related quality of life
- Management of common dental issues
1. Another term refers to Geriatric Dentistry
σ½ Pediatrics
σ¾ Geriodontics
σ½ Pharmacology
σ½ Geriatric Medicine
2. Classification of Geriatric Dental Patients
2
3
4
5
3. What are dental caries treatments
Filling & RCT
RCT, Crowns & Dentures
Implants
All of them
4. 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
5. Change in urinary system in elderly
σ½ Inability to concentrate or dilute urine and to excrete acid
Dehydration
All of them
Number and size of nephrons decrease and narrowed arteries
6. The bladder becomes less flexible means:
σ½     it can hold less 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 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
7. What is Urethral sphincter
it stimulates the sensation of having to urinate
Muscular ring that regulate the balance of salts and other chemicals
Bladder
Muscular ring that controls the passage of urine out of the body
8. The respiratory system comprises of:
Thoracic cage, lungs
none of them
Lungs, and diaphragm
All of them
9. The most common cause of kyphosis in older adults is
Birth defects
Cancer and cancer treatments
Osteoporosis
Poor posture
10. What is kyphosis
excessive outward curvature of the spine
Forward head position
An abnormally hollowed back
Abnormal lateral curvature of the spine
11. Changes which is not related to respiratory system in elderly:
Decreases in measures of lung function such as vital capacity
Increasing in chest wall compliance
Stiffening of the thoracic cage from calcification of the rib cage
Decline in the effectiveness of lung defense mechanisms
12. Changes which is not related to circulatory system in elderly:
The muscles of the left ventricle get thicker
The heart may decrease slightly in size
The heart may both fill and empty more slowly
The volume of the left ventricle may decline
13. 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 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
Older heart cannot speed up as quickly or pump as fast or as much blood as a younger heart
14. Changes which is not related to Endocrine System in elderly:
The levels and activity of some hormones, produced by endocrine glands, decrease
Aldosterone levels decrease, making dehydration more likely
More insulin may be produced
Growth hormone levels decrease, leading to decreased muscle mass
15. Changes in Digestive system in elderly:
lactase levels decrease
The pancreas gains in overall weight
Lactase levels decrease and Constipation becomes more common
Constipation becomes more common
lactase levels decrease and the pancreas gains in overall weight
16. Dimensions comprising oral health-related quality of life(OHRQoL):
7
4
5
6
17. Total volume of saliva per day is:
1.5L
1L
0.5-1L
0.5 L
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
Buffering ability
pH
Stimulation
volume
19. The subjective feeling of oral dryness:
Xerostomia
Remineralisation
Sialosis
Hyposalivation
20. Indirect cause increases dental caries:
Xerostomia
Remineralisation
sialosis
Hyposalivation
Medication causes Xerostomia or hyposalivation
Antibiotics
Anti-histamine
Anti-coagulant
Aspirin
Normal unstimulated saliva flow rate (ml/min)
0.1
0.3-0.5
0.7
0.5
23. Unstimulated saliva flow rate in Hyposalivation (ml/min):
Ë‚ 0.1
Ë‚ 0.5
Ë‚ 0.7
0.3-0.5
24. Stimulated saliva flow rate in male hyposalivation patient (ml/min):
Ë‚ 0.1
Ë‚ 0.5
Ë‚ 0.7
0.3-0.5
25. Stimulated saliva flow rate in female hyposalivation patient (ml/min):
Ë‚ 0.1
Ë‚ 0.5
Ë‚ 0.7
0.3-0.5
26. Causes of salivary gland hypofunction:
Diseases
Infection
All of them
Medication
27. Minimum time using for testing hyposalivation:
30 seconds
2 minutes
5 minutes
1 minute
28. Dry mouth management:
Drink water often
Use fluoride mouthrise
Drink water often and use fluoride mouthrinse
Drink water often and brush as usual
Brush as usual
29. Cervical burnout is:
Common radiographic artefact on PBWs which is not real
Aproximal caries
unclear x-ray
Root caries
30. Acid etch for root caries filling:
Enamel 20 s and dentine 10 s
Etch for 20 s
Etch for 10 s
Enamel 10 s and dentine 20 s
31. Light-curing time for root lesion filling:
20 s each time and 20 s for finishing
40 s every time
20 s each time and 40 s for finishing
20 s every time
Which filling material is the most inappropriate for root caries treatment
Glass-ionomer
2 step self-etch (composite)
3 step self-etch (composite)
1 step self-etch (composite)
33. 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
All of them
Loose teeth when advanced and majority of bone has been lost
34. Formula to calculate combined Attachment Loss (CAL):
Gingival Recession (GR) + Pocket Depth (PD)
Clinical crown length + Pocket Depth
Anatomical crown length + Pocket Depth
PD - GR
35. Risk Factors for Chronic Adult Periodontitis:
Plaque and aging
Diabetes
All of them
Smoking and Diabetes
Age and smoking
36. Plaque control in elderly
Toothbrush handle bigger  brush for 2 minutes, 2 times per day
Toothbrush handle bigger and brush for 2 minutes, 2 times per day
Brush for 2 minutes, 2 times per day and toothbrush handle smaller
Toothbrush handle smaller
37. When do you have to keep the tooth for periodontal treatment in elderly
A periapical abscess
Pain because of mobility
Prior to bridge
No function
38. Most dementia victims survive approximately:
1 year
7 years
13 years
3 years
39. Alzheimer’s disease can be divided into multiple phases:
2 phases
3 phases
5 phases
4 phases
40. What is amnesia
Memory loss
communication difficulties
inability to recognize previously learned sensory input
Inability to perform complicated motor tasks
41. What is aphasia
Memory loss
communication difficulties
inability to recognize previously learned sensory input
Inability to perform complicated motor tasks
42. What is apraxia
Memory loss
Inability to perform complicated motor tasks
inability to recognize previously learned sensory input
communication difficulties
43. What is agnosia
Memory loss
Inability to recognize previously learned sensory input
Inability to perform complicated motor tasks
communication difficulties
44. How do you manage Amnestic patients
Frequent reminders during the dental procedure
The practitioner should talk with family
manage as normal patient
Non-verbal communication
45. ………………..may worsen confusion rather than improve dementia patient for dental
Gas or other major sedatives
Lorazepam
topical anesthetics
Oral Sedation
46. Blood glucose levels usually range within:
60 to 150 mg/dL
90 to 110 mg/dL
70 to 150 mg/dL
75 to 115 mg/dL
47. What do you need to ask Diabetes patients
Recent blood glucose levels and frequency of hypoglycemic episodes
Dosages and times of administration should be determined
All of them
Antidiabetic medications
48. What is the alternative term for Oesophageal reflux
Heartburn
Dysphagia
Haematemesis
digestion
49. ……………………..should avoided in the first trimester and last month of pregnancy.
GA or IV sedation
Topical Anesthesia
GA
LA
50. Weight gain is the sign of:
Hypertension
hypothyroidism
hypotension
hyperthyroidism
51. The involuntary or habitual grinding and clenching of the teeth, typically during sleep.
Bruxism
Chewing
Smiling
Snoring
52. A substance that causes damage or wear by dubbing or scraping.
Abrasive
Erosion
Abfraction
Attrition
53. There are ……. Types of toothwear.
3
5
2
4
54. Abrasion is:
Wear of the necks of teeth
Wear of the root
Wear of the occlusal surface
Wear of the dental crown
55. Attrtion is:
wear due to grinding – affects the surfaces where the teeth contact
Wear due to toothbrushing
wear due to stress on the cervical dentine tissue
Wear due to acidic substance
56. Erosion is:
wear due to acidic substance
wear due to toothbrushing
Wear due to stress on the cervical dentine tissue
wear due to grinding – affects the surfaces where the teeth contact
57. Direct tooth restoration:
involves placing a filling into a prepared tooth cavity immediately
involves light curing after composite placing
Involves placing bonding immediately after etching application
Involves placing a filling with silicone index
58. Indirect tooth restoration:
involves placing a filling into a prepared tooth cavity immediately
involves placing bonding immediately after etching application
Involves light curing after composite placing
Involves placing a filling with silicone index
59. Aetiology of Abrasion:
Smokers toothpaste
Flexure of the teeth
All of the above
Hardness of toothbrush bristles
60. Which is the right statement?
Bruxism is usually impossible to prevent
Bruxists cannot break your fillings and fracture cusps
Bruxists may not have pain of their mastication muscles on waking
Bruxism is the main cause of severe attrition in old people
61. What are the options of choice for attrition?
No treatment
Full Coverage Crowns
All of the above
Acrylic Splints
62. Heartburn patient might have:
Erosion
Abrasion
Abfraction
Attirtion
63. pH of acidic drinks such as Coke and other soft drink:
pH 2.3-3
5.5
7
2-4
64. pH of acidic fruit:
PH 2-4
7
5.5
PH 2.3-3
65. How many patterns of crack formation?
5
6
7
4
66. What is Cracked line?
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
May result in cuspal fracture
67. What is Cracked cusp?
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
involve the enamel only and almost always asymptomatic
68. What is Split tooth?
complete fracture from mesial to the distal
The depth of the crack is variable and runs in a mesio-distal direction
involve the enamel only and almost always asymptomatic
may result in cuspal fracture
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.
Acute pain particularly when the pressure is released
Cracks are invisible on dental radiographs
There must be symptoms of pain on biting
All of the above
70. What is not the appropriate way to Diagnose Cracked tooth syndrome?
Take a careful history
Test the teeth on that side with air
Scaling
Ask the patient to localise the pain
71. Cracks can sometimes be stained by painting ……. On the surface and washing after 2 minutes:
iodine
Bonding
Etching
Chlorhexidine
72. Methods to test tooth vitality:
Electronic pulp tester
remove old filling without LA
All of the above
Drilling the tooth without LA
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
Scaling
Full metal crown
. Inlay or crown
74. What is the best choice for Cracked tooth?
Full gold crown
Composite filling
Root canal treatment
Scaling
75. between ……… of RCT teeth with MO, DO or MOD amalgam restorations fractured
26% and 72%
46% and 72 %
56% and 72%
36% and 72%
76. What is the common solution for Vertical Root fracture?
Extraction
Root Canal Treatment
Composite Filling
Scaling
77. What is the best choice for Diabetes Type 1?
. Insulin
Acarbose
Anti-diabetic medication
Chlorpropamide
78. What will you ask your diabetic patients about?
Recent blood glucose levels and frequency of hypoglycemic episodes
Dosages and times of administration should be determined.
All of the above
Antidiabetic medications
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
hypertension
Hypotension
hyperglycemic episode
80. What dentist have to give patient before treatment to minimize the risk of a hypoglycemic event?
Coke
Acidic solution
Salt
Oral carbohydrate
1. Oesophageal reflux, indigestion, and heartburn are alternative terms.
T
F
2. Vitamin K deficiency may not lead to a bleeding tendency.
T
F
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
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
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
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 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
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
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