Title: Chapter 63: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: The onset of schizophrenia in females is usually between the ages of:
- 8 and 12 years old
- 15 and 24 years old
- 25 and 35 years old
- 40 and 50 years old
A: 25 and 35 years old

Q: Which of the following is an active-phase positive symptom of schizophrenia?
- Hallucinations
- Flat affect
- Speechlessness
- Marked impairment in personal hygiene
A: Hallucinations

Q: A side effect of antipsychotic medication that causes involuntary mouth and jaw movements is called what?
- Akathisia
- Dysarthria
- Muscle dystonia
- Tardive dyskinesia
A: Tardive dyskinesia

Q: Dental hygiene therapy should be completed at what time for a patient with schizophrenia?
- In the morning
- When symptoms are controlled by medication
- During the prodromal phase
- During an acute exacerbation
A: When symptoms are controlled by medication

Q: Depression is defined as:
- severe mood swings
- severe loss of cognitive and intellectual functions
- a disturbance marked by apathy, fear, sadness, and loss of mobility and energy
- abnormal or exaggerated sense of well-being
A: a disturbance marked by apathy, fear, sadness, and loss of mobility and energy

Q: Case Study 1
Beth, an attractive 16-year-old, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.

Reference: Ref 63-1

Open and read the attached case to answer the following question. What is the eating disorder that Beth has?
- Anorexia nervosa
- Bulimia nervosa purging type
- Anxiety disorder
- Bulimia nervosa nonpurging type
A: Bulimia nervosa purging type

Q: Case Study 1
Beth, an attractive 16-year-old, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.

Reference: Ref 63-1

Open and read the attached case to answer the following question. What is the chemical erosion of tooth surface by acid from regurgitation called?
- Lanugo
- Prodrome
- Perimylolysis
- Euphoria
A: Perimylolysis

Q: Case Study 1
Beth, an attractive 16-year-old, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.

Reference: Ref 63-1

Open and read the attached case to answer the following question. Which surface of teeth most often shows signs of perimylolysis in a patient who has bulimia?
- Maxillary anterior linguals
- Mandibular anterior linguals
- Maxillary posterior buccals
- Mandibular occlusals
A: Maxillary anterior linguals

Q: Case Study 1
Beth, an attractive 16-year-old, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.

Reference: Ref 63-1

Open and read the attached case to answer the following question. Beth indicates that she is seeing a doctor for her eating disorder. What dental advice should the hygienist give her?
- Have more frequent dental prophylaxis
- Brush teeth as much as possible
- Avoid mouthrinses with fluoride
- Do not brush teeth after vomiting
A: Do not brush teeth after vomiting

Q: Case Study 1
Beth, an attractive 16-year-old, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.

Reference: Ref 63-1

Open and read the attached case to answer the following question. Parotid gland enlargement usually occurs how many days after a binge?
- 1 to 2
- 2 to 3
- 2 to 6
- 7 to 9
A: 2 to 6

Q: Which of the following is not a characteristic of a major depressive episode?
- Significant weight loss
- Fatigue
- Insomnia
- More talkative than usual
A: More talkative than usual

Q: The major oral problem associated with antidepressive medications is:
- facial grimacing
- xerostomia
- Candida infection
- gingivitis
A: xerostomia

Q: During dental hygiene therapy a patient with photosensitivity should be given what?
- Saliva substitutes
- Fluoride
- Local anesthesia
- Tinted protective glasses
A: Tinted protective glasses

Q: A patient with bipolar disorder who takes lithium may complain of:
- bleeding when brushing
- tooth hypersensitivity
- metallic taste in mouth
- sores in the mouth
A: metallic taste in mouth

Q: The 6-week period after childbirth in which the body undergoes physical and physiological changes is called:
- puerperium
- postpartum
- prenatal
- postmenopausal
A: puerperium

Q: All of the following are anxiety disorders except:
- posttraumatic stress disorder
- panic attack
- depression
- generalized anxiety disorder
A: depression

Q: Generalized anxiety disorder is characterized by:
- feelings of depression and panic attacks after a traumatic life event
- persistent, pervasive anxiety and excessive worry not associated with life-threatening fears
- recurrent unexpected panic attacks
- fear of open spaces, crowds, or going outside the home alone
A: persistent, pervasive anxiety and excessive worry not associated with life-threatening fears

Q: The best time to provide dental hygiene therapy for a patient with an anxiety disorder is:
- after a meal
- in the morning
- as the last appointment of the day
- for long appointments to complete all treatment at once
A: in the morning

Q: Which of the following is not a symptom of a panic attack?
- Chills
- Palpitations
- Nausea
- Excessive motor activity
A: Excessive motor activity

Q: Anorexia nervosa is characterized by:
- self-induced vomiting
- recurrent episodes of binging and purging
- refusal to maintain normal body weight
- abuse of laxatives
A: refusal to maintain normal body weight