Title: Chapter 33: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Which of the following is not another name for second-hand smoke?
- Sidestream
- Environmental tobacco smoke
- Secondary
- Passive
- Mainstream
A: Mainstream

Q: Smoking is not a primary risk factor for which of the following?
- Lung cancer
- Chronic obstructive lung disease
- Oral cancer
- Heart disease
- Plantar warts
A: Plantar warts

Q: What is the single most preventable cause of disease and premature death in the world?
- Sexually transmitted diseases
- Tobacco use
- Auto accidents
- Diabetes
- Obesity
A: Tobacco use

Q: What effect does tobacco use by parents have on their children?
- Children of smokers are less likely to use tobacco
- Children of tobacco users are more likely to die before the age they would use tobacco
- Children of smokers are more likely to become smokers
- Children of smokers are more likely to use spit tobacco
- There is no appreciable difference in children of smokers and nonsmokers
A: Children of smokers are more likely to become smokers

Q: What is the most addictive substance in tobacco?
- The tobacco itself
- Pesticides
- Nicotine
- Formaldehyde
- Hydrogen cyanide
A: Nicotine

Q: What are the "5 A's" of a tobacco cessation program?
- Arrange, ask, assess, argue, advise
- Ask, advise, assess, assist, arrange
- Ask, advise, assess, angle, arrange
- Advise, argue, awful habit, advise
- Ask, allocate, arrange, avenge, assess
A: Ask, advise, assess, assist, arrange

Q: The “advise” component of the 5 A's includes which of the following?
- Patients should refrain from tobacco use
- The provider collects data regarding tobacco use
- The team discusses concerns relating to cessation
- Ask the patient, “Are you ready to quit?”
- The 5 R's
A: Patients should refrain from tobacco use

Q: Which of the following is not an extraoral sign of tobacco use?
- Halitosis
- A greenish discoloration of the fingertips and/or fingernails
- Extensive facial wrinkling
- Possible precancerous lip lesions
A: A greenish discoloration of the fingertips and/or fingernails

Q: Which of the following is not a term used to describe spit tobacco?
- Smokeless tobacco
- Snuff
- Chewing tobacco
- Quid
- Cigarettes
A: Cigarettes

Q: Which of the following is a true statement?
- Individuals exposed to environmental tobacco smoke are at risk for the same health problems as are active smokers
- Individuals exposed to environmental tobacco smoke are at a decreased risk for the same health problems as are active smokers
- Individuals exposed to environmental tobacco smoke are at an increased risk for the same health problems as are active smokers
- A nonsmoker may be less sensitive to the toxic effects of environmental smoke than the habitual smoker.
A: Individuals exposed to environmental tobacco smoke are at risk for the same health problems as are active smokers

Q: Which of the following is not a true statement concerning environmental tobacco smoke and children?
- Nicotine and carbon monoxide cross the placenta and reach the fetus
- Adverse risks during pregnancy include miscarriage and low birth weight
- Cleft lip and cleft palate have also been associated with maternal smoking
- Chemicals are not passed through breast milk in mothers who smoke
- Young children exposed to ETS are at an increased risk for asthma
A: Chemicals are not passed through breast milk in mothers who smoke

Q: Which of the following is not true for tobacco users?
- The degree of inflammatory response is reduced
- The severity of periodontal destruction is greater
- They have decreased healing time
- Tobacco use is a major risk factor for periodontal diseases
- There is no effect on the rate of dental biofilm accumulation
A: They have decreased healing time

Q: When users of nicotine products stop abruptly, within 24 hours they will likely experience maximal physical and/or psychological withdrawal symptoms that may include all of the following except one. Which one is the exception?
- Insomnia
- Drowsiness
- Restlessness
- Increased appetite/weight gain
- Anxiety
A: Drowsiness

Q: Which of the following is not true for the clinical treatment of tobacco users?
- Patients who use tobacco have less calculus buildup
- Patients who use tobacco have more stain
- Patients who use tobacco usually require longer and more frequent appointments
- Immaculate oral hygiene is required for this high-risk group
- Self-care for daily dental biofilm removal is a first priority
A: Patients who use tobacco have less calculus buildup

Q: As stated in your text, which of the following is true for smokeless tobacco?
- Smokeless tobacco users experience lower nicotine blood plasma levels than smokers
- Most smokeless tobacco products are sweetened with sugar or molasses
- Smokeless tobacco is a safe substitute for smoking
- No tobacco is swallowed when smokeless tobacco is used
A: Most smokeless tobacco products are sweetened with sugar or molasses

Q: Case Study 1
Zachary Tyler is a 24-year-old male. He presents at the dental office for a prophylaxis and exam. A review of the medical and dental histories establishes that he is taking no medication. He reports that his last dental visit was 6 years ago. His social history reveals that he has been using smokeless tobacco for 5 years and has recently starting smoking cigarettes. While Claire, the RDH, performs the intra- and extraoral exam, she observes a white filmy patch on the right side of Zachary's oral mucosa. Tooth abrasion is noted on the cervical areas of teeth #24, 25, and 26, as well as localized gingival recession with periodontal attachment loss on the facial surfaces of teeth #6, 7, 8, and 24.

Reference: Ref 33-1

Open and read the attached case to answer the following question. Claire tells Zachary that smoking may mask the early signs of periodontal disease due to the suppression of the inflammatory response.
- The statement and reason are both correct
- The statement is true, but the reason is not
- Both the statement and reason are incorrect
- The statement is false, but the reason is true
A: The statement and reason are both correct

Q: Case Study 1
Zachary Tyler is a 24-year-old male. He presents at the dental office for a prophylaxis and exam. A review of the medical and dental histories establishes that he is taking no medication. He reports that his last dental visit was 6 years ago. His social history reveals that he has been using smokeless tobacco for 5 years and has recently starting smoking cigarettes. While Claire, the RDH, performs the intra- and extraoral exam, she observes a white filmy patch on the right side of Zachary's oral mucosa. Tooth abrasion is noted on the cervical areas of teeth #24, 25, and 26, as well as localized gingival recession with periodontal attachment loss on the facial surfaces of teeth #6, 7, 8, and 24.

Reference: Ref 33-1

Open and read the attached case to answer the following question. Claire advises Zachary to have which of the following procedures to determine whether the white lesions are cancer?
- Prophylaxis
- Biopsy
- Pulp test
- Photograph
A: Biopsy

Q: Case Study 1
Zachary Tyler is a 24-year-old male. He presents at the dental office for a prophylaxis and exam. A review of the medical and dental histories establishes that he is taking no medication. He reports that his last dental visit was 6 years ago. His social history reveals that he has been using smokeless tobacco for 5 years and has recently starting smoking cigarettes. While Claire, the RDH, performs the intra- and extraoral exam, she observes a white filmy patch on the right side of Zachary's oral mucosa. Tooth abrasion is noted on the cervical areas of teeth #24, 25, and 26, as well as localized gingival recession with periodontal attachment loss on the facial surfaces of teeth #6, 7, 8, and 24.

Reference: Ref 33-1

Open and read the attached case to answer the following question. Which of the following is the first thing Claire will do for Zachary?
- Teach Zachary daily dental biofilm removal
- Show Zachary how to do a self-biopsy of his white lesion
- Instruct Zachary to discontinue all tobacco use
- Reappoint Zachary for a gingival graft in the area adjacent to #24
A: Teach Zachary daily dental biofilm removal