Title: Module 3 Quiz
Course: DEH 2821 Medically-Compromised Patient > Section: Module 3 - Physical Impairment

Q: Many diseases of the locomotor and nervous systems leave the patient with a physical impairment. Most patients with a physical impairment also have mental impairment.
- The first statement is true and the second statement is true
- The first statement is true and the second statement is false
- The first statement is false and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is false

Q: Taking which vitamin during pregnancy can reduce the risk of having offspring with spina bifida?
- Vitamin C
- Niacin
- Riboflavin
- Folic acid
- Vitamin D
A: Folic acid

Q: A protrusion of the meninges through a defect in the skull or spinal column is called:
- meningocele
- spina bifida
- myelomeningocele
- occulta
A: meningocele

Q: Which condition requires antibiotic premedication before dental and dental hygiene treatment?
- Autonomic dysreflexia
- Ventriculoperitoneal shunt
- Ventriculoatrial shunt
- Spina bifida occulta
A: Ventriculoatrial shunt

Q: Another term for cerebrovascular accident is:
- kyphosis
- akinesia
- stroke
- pallidotomy
- sclerosis
A: stroke

Q: Case Study 1
Andrew is a 26-year-old patient who presents to the dental office for routine dental hygiene therapy. Andrew was in a car accident 2 years ago. He now uses a wheelchair because he cannot use his legs. He does have normal arm function and some hand weakness. Andrew has good oral hygiene, as he uses a power toothbrush and flosses with a floss holder. The first visit Andrew had at the office was very long, as he had neglected his oral hygiene after his accident. He developed a pressure sore and this time has brought some padding to place under him in the dental chair.

Reference: Ref 58-1

Open and read the attached case to answer the following question. Which of the following is the cause of pressure sores?
- trauma
- neoplasm
- viral infection
- ischemia
- vascular accident
A: ischemia

Q: Case Study 1
Andrew is a 26-year-old patient who presents to the dental office for routine dental hygiene therapy. Andrew was in a car accident 2 years ago. He now uses a wheelchair because he cannot use his legs. He does have normal arm function and some hand weakness. Andrew has good oral hygiene, as he uses a power toothbrush and flosses with a floss holder. The first visit Andrew had at the office was very long, as he had neglected his oral hygiene after his accident. He developed a pressure sore and this time has brought some padding to place under him in the dental chair.

Reference: Ref 58-1

Open and read the attached case to answer the following question. Andrew's spinal cord injury was most likely at what level?
- C5
- T5
- C8
- T11
- L6
A: C8

Q: Case Study 1
Andrew is a 26-year-old patient who presents to the dental office for routine dental hygiene therapy. Andrew was in a car accident 2 years ago. He now uses a wheelchair because he cannot use his legs. He does have normal arm function and some hand weakness. Andrew has good oral hygiene, as he uses a power toothbrush and flosses with a floss holder. The first visit Andrew had at the office was very long, as he had neglected his oral hygiene after his accident. He developed a pressure sore and this time has brought some padding to place under him in the dental chair.

Reference: Ref 58-1

Open and read the attached case to answer the following question. The chair angle during his appointment should not be changed abruptly because of his susceptibility to:
- postural hypotension
- respiratory distress
- decubitus ulcers
- muscle reflex spasticity
A: postural hypotension

Q: Case Study 1
Andrew is a 26-year-old patient who presents to the dental office for routine dental hygiene therapy. Andrew was in a car accident 2 years ago. He now uses a wheelchair because he cannot use his legs. He does have normal arm function and some hand weakness. Andrew has good oral hygiene, as he uses a power toothbrush and flosses with a floss holder. The first visit Andrew had at the office was very long, as he had neglected his oral hygiene after his accident. He developed a pressure sore and this time has brought some padding to place under him in the dental chair.

Reference: Ref 58-1

Open and read the attached case to answer the following question. In addition to the padding, how can a decubitus ulcer be prevented during the dental hygiene appointment?
- Using a rubber dam for applying fluoride
- Regular turning of the patient
- Keeping the dental chair upright
- Using four handed dental hygiene
A: Regular turning of the patient

Q: The onset of rheumatoid arthritis typically occurs between which ages?
- Birth to 10 years
- 20 to 40 years
- 40 to 60 years
- 60 and 80 years
A: 20 to 40 years

Q: What type of muscular dystrophy involves the facial muscles?
- Becker
- Duchenne
- Facioscapulohumeral
- Myasthenia gravis
A: Facioscapulohumeral

Q: Facial paralysis poses what dental problem?
- Patients have difficulty using a toothbrush
- Interferes with self-cleansing mechanisms
- Patients are only able to sit for short appointments in the dental chair
- Risk of oral infections
A: Interferes with self-cleansing mechanisms

Q: What receptors are reduced in number in a patient with myasthenia gravis?
- T cell
- Acetylcholine
- Insulin
- Tyrosine kinase
A: Acetylcholine

Q: 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
A: impaired motor ability

Q: A patient with constant, involuntary, unorganized muscular movement who grimaces, drools, and has trouble speaking has what type of cerebral palsy?
- Spastic
- Athetoid
- Ataxic
- Combined
A: Athetoid