Title: Chapter 61: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Abuse by one individual of another in an intimate relationship is called:
- physical violence
- domestic violence
- sexual abuse
- self-neglect
- psychological abuse
A: domestic violence

Q: During what phase of treatment can abuse be most recognized?
- Gathering medical and dental history
- Periodontal assessments
- Intraoral and extraoral exam
- Scaling and root planing
A: Intraoral and extraoral exam

Q: A parent who willfully fails to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection is committing what?
- Dental maltreatment
- Psychological child abuse
- Dental abuse
- Dental neglect
A: Dental neglect

Q: PANDA is a program designed to do what?
- Provide abused children a safe place to live
- Train dental personnel to recognize and report suspected abuse of children
- Create harsher penalties for parents who are guilty of dental neglect
- Teach women how to prevent domestic violence
A: Train dental personnel to recognize and report suspected abuse of children

Q: Which of the following could be a physical sign of abuse or neglect of a child?
- Infestation of lice
- Wearing a hat
- Proper weight
- Extremely clean appearance
A: Infestation of lice

Q: Case Study 1
Amy, a young patient, presents for a maintenance appointment. She states that she was married a few months ago. When she comes into the treatment room she seems very quiet and avoids eye contact with the dental hygienist, which is unlike her normal personality. The hygienist also notes that Amy looks very tired. The hygienist notices when Amy is sitting with her back to the therapist that some of her hair is missing. Upon completion of the oral assessment the following was noted: generalized moderate gingivitis; Class II mobility on #6, 7, and 8; distoincisal edge fracture on #7; and a 4-mm scar on the vermillion border of the upper lip. Amy explains that she slipped and fell on a wet kitchen floor and the hair loss is caused by some hormonal changes. She could not remember how she got the scar. The dental hygienist is not sure that Amy is telling the truth and has some concerns about sexual abuse.

Reference: Ref 61-1

Open and read the attached case to answer the following question. Injuries related to intimate partner abuse often involve what part of the body?
- Face
- Arms
- Torso
- Back
A: Face

Q: Case Study 1
Amy, a young patient, presents for a maintenance appointment. She states that she was married a few months ago. When she comes into the treatment room she seems very quiet and avoids eye contact with the dental hygienist, which is unlike her normal personality. The hygienist also notes that Amy looks very tired. The hygienist notices when Amy is sitting with her back to the therapist that some of her hair is missing. Upon completion of the oral assessment the following was noted: generalized moderate gingivitis; Class II mobility on #6, 7, and 8; distoincisal edge fracture on #7; and a 4-mm scar on the vermillion border of the upper lip. Amy explains that she slipped and fell on a wet kitchen floor and the hair loss is caused by some hormonal changes. She could not remember how she got the scar. The dental hygienist is not sure that Amy is telling the truth and has some concerns about sexual abuse.

Reference: Ref 61-1

Open and read the attached case to answer the following question. How should the dental hygienist proceed with Amy?
- Ignore the injuries and continue treatment
- Call the proper legal authorities
- Discuss the clinical findings in a nonjudgmental manner
- Fail to write down the injuries on the oral exam
A: Discuss the clinical findings in a nonjudgmental manner

Q: Case Study 1
Amy, a young patient, presents for a maintenance appointment. She states that she was married a few months ago. When she comes into the treatment room she seems very quiet and avoids eye contact with the dental hygienist, which is unlike her normal personality. The hygienist also notes that Amy looks very tired. The hygienist notices when Amy is sitting with her back to the therapist that some of her hair is missing. Upon completion of the oral assessment the following was noted: generalized moderate gingivitis; Class II mobility on #6, 7, and 8; distoincisal edge fracture on #7; and a 4-mm scar on the vermillion border of the upper lip. Amy explains that she slipped and fell on a wet kitchen floor and the hair loss is caused by some hormonal changes. She could not remember how she got the scar. The dental hygienist is not sure that Amy is telling the truth and has some concerns about sexual abuse.

Reference: Ref 61-1

Open and read the attached case to answer the following question. The majority of victims of intimate partner violence are:
- male
- female
- under age 20
- over age 40
A: female

Q: Case Study 1
Amy, a young patient, presents for a maintenance appointment. She states that she was married a few months ago. When she comes into the treatment room she seems very quiet and avoids eye contact with the dental hygienist, which is unlike her normal personality. The hygienist also notes that Amy looks very tired. The hygienist notices when Amy is sitting with her back to the therapist that some of her hair is missing. Upon completion of the oral assessment the following was noted: generalized moderate gingivitis; Class II mobility on #6, 7, and 8; distoincisal edge fracture on #7; and a 4-mm scar on the vermillion border of the upper lip. Amy explains that she slipped and fell on a wet kitchen floor and the hair loss is caused by some hormonal changes. She could not remember how she got the scar. The dental hygienist is not sure that Amy is telling the truth and has some concerns about sexual abuse.

Reference: Ref 61-1

Open and read the attached case to answer the following question. What intraoral finding indicates signs of abuse?
- Missing hair
- Lack of eye contact
- Fracture on #7
- Gingivitis
A: Fracture on #7

Q: Case Study 1
Amy, a young patient, presents for a maintenance appointment. She states that she was married a few months ago. When she comes into the treatment room she seems very quiet and avoids eye contact with the dental hygienist, which is unlike her normal personality. The hygienist also notes that Amy looks very tired. The hygienist notices when Amy is sitting with her back to the therapist that some of her hair is missing. Upon completion of the oral assessment the following was noted: generalized moderate gingivitis; Class II mobility on #6, 7, and 8; distoincisal edge fracture on #7; and a 4-mm scar on the vermillion border of the upper lip. Amy explains that she slipped and fell on a wet kitchen floor and the hair loss is caused by some hormonal changes. She could not remember how she got the scar. The dental hygienist is not sure that Amy is telling the truth and has some concerns about sexual abuse.

Reference: Ref 61-1

Open and read the attached case to answer the following question. Amy's missing hair is termed:
- cachexia
- thrombocytopenia
- ecchymosis
- alopecia
A: alopecia

Q: What type of abrasions and lacerations may indicate child abuse?
- Deep lacerations requiring sutures
- Skinned knees and elbows
- Varying degrees of healing
- Bluish coloring on face
A: Varying degrees of healing

Q: Which of the following is an extraoral sign of abuse?
- Lingual frenal tear
- Raccoon sign
- Laceration of tongue
- Fractured teeth
A: Raccoon sign

Q: When completing oral assessments on a 5-year-old the hygienist notes red and edematous gingival tissue with multiple ulcerations present on the labial mucosa. This describes what?
- Verruca vulgaris
- Condyloma acuminatum
- Severe gingivitis
- Primary herpetic gingivostomatitis
A: Primary herpetic gingivostomatitis

Q: Which of the following is not a parental factor involved in dental neglect?
- Lack of education
- Rampant dental caries
- Limited finances
- Family isolation
- Religious beliefs
A: Rampant dental caries

Q: Who is the primary abuser of the elderly?
- Nursing home workers
- Scam artists
- Hospital staff
- Family members
A: Family members

Q: All of the following are signs of sexual abuse in a child except:
- bruising of palate
- lack of personal daily care
- difficulty sitting
- extreme fear of oral examination
A: lack of personal daily care

Q: When documenting a case of suspected abuse, all of the following should be recorded except:
- date, time, and location of exam
- dental treatment plan
- all questions asked to the patient and their answers
- photographs
- detailed description of all lesions
A: dental treatment plan

Q: Forensic dentistry is defined as:
- a highly controversial form of dentistry not used in the United States
- dentistry performed on victims of natural disasters
- dental science that relates and applies dental facts to legal problems
- dental science related to child abuse
A: dental science that relates and applies dental facts to legal problems