Title: Chapter 48: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: The tooth buds of the fetus form by the ________ week of pregnancy.
- second
- fourth
- sixth
- eighth
- tenth
A: sixth

Q: A malformation of the palate in the form of a cleft can be detected by the ______ week of pregnancy.
- fourth
- sixth
- eighth
- tenth
- twelfth
A: twelfth

Q: Alcohol abuse during pregnancy is related to all of the following adverse conditions except:
- convulsions
- spontaneous abortion
- low birth rate
- mental retardation
- fetal alcohol syndrome
A: convulsions

Q: The herbal supplement that is taken as a remedy for the common cold but has been known to produce allergic reactions and the patient should be advised about its use during pregnancy is:
- goldenseal
- echinacea
- valerian
- arnica
- comfrey
A: echinacea

Q: The safest time for providing dental care to a pregnant patient is during the:
- first 4 weeks of pregnancy
- first trimester
- second trimester
- third trimester
- last month of pregnancy
A: second trimester

Q: All of the following procedures are recommended to assist the pregnant woman in dealing with nausea and vomiting associated with morning sickness except:
- eat smaller meals throughout the day
- use sodium bicarbonate rinse after vomiting to neutralize acid
- increase water intake to reduce loss of fluids
- chew sugarless gum after eating a meal
- use a low-abrasive toothpaste to assist in remineralizing tooth enamel
A: increase water intake to reduce loss of fluids

Q: The period of pregnancy during which organogenesis occurs and thus carries the greatest risk for teratogenicity to the fetus is the:
- first 2 weeks
- first month
- 6 weeks into pregnancy
- 10 weeks into pregnancy
- 14 weeks into pregnancy
A: 14 weeks into pregnancy

Q: Case Study 1
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it.

Reference: Ref 48-1

Open and read the attached case to answer the following question. The swelling in the premolar area is most likely a(n):
- inflamed tissue response due to vigorous brushing
- side effect of taking valerian
- periodontal abscess
- mucocele
- epulis gravidarum
A: epulis gravidarum

Q: Case Study 1
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it.

Reference: Ref 48-1

Open and read the attached case to answer the following question. The hygienist should note the use of valerian because it may alter treatment procedures due to:
- causing the patient to be hyperactive during treatment
- increasing bleeding during scaling procedures
- causing tissue sensitivity
- increasing the sedative effect of anesthetics
- causing increased extrinsic staining to the teeth
A: increasing the sedative effect of anesthetics

Q: Case Study 1
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it.

Reference: Ref 48-1

Open and read the attached case to answer the following question. The most probable reason that Mary's gums bleed when she brushes and flosses her teeth is due to:
- the use of valerian as an herbal supplement
- overzealous brushing on the part of the patient
- an increase in hormones during pregnancy
- length of time since her last appointment
- poor oral hygiene related to the swelling in the premolar area.
A: an increase in hormones during pregnancy

Q: Case Study 1
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it.

Reference: Ref 48-1

Open and read the attached case to answer the following question. The most important procedure to complete during the initial dental hygiene appointment is:
- biofilm control
- scaling in the area of the gingival swelling
- completing a periodontal probing
- taking a full-mouth series of radiographs
- completing a dietary analysis
A: biofilm control

Q: Case Study 1
Mary presents for her dental hygiene appointment. Her previous dental cleaning appointment was 2 years ago. She announces that she is 5 months pregnant. She reports taking the drug valerian, an herbal supplement taken for insomnia and also a multivitamin. She reports that her gums bleed when she brushes and flosses her teeth. Upon examination you notice she has a round swelling, purplish in color, located in the papilla area between the premolar teeth. Mary reports that the swelling appeared in the past month and she is concerned about it.

Reference: Ref 48-1

Open and read the attached case to answer the following question. For safety purposes, taking radiographs during pregnancy is recommended only:
- during the first trimester
- when using a lead apron with a thyroid shield at any time during pregnancy
- when determined necessary for making a diagnosis
- when the consulting physician gives approval
- during the third trimester
A: when determined necessary for making a diagnosis

Q: All of the following dental procedures are contraindicated during the first trimester of pregnancy except:
- completing scaling and preventive procedures
- using nitrous oxide sedation for dental procedures without physician clearance
- completing routine radiographs to check for caries
- routine restorative work
- elective surgical periodontal treatment
A: completing scaling and preventive procedures

Q: During the third trimester of pregnancy, lying in the supine position can be uncomfortable for the pregnant woman due to the weight of the fetus pressing on circulatory vessels. Patient positioning should be adjusted by doing the following:
- working on the patient in an upright position
- taking frequent breaks to allow the patient to readjust her position
- working on the patient in a Trendelenburg position
- having the patient lie on her right side
- having the patient lie on her left side
A: having the patient lie on her left side

Q: What vitamin is essential during pregnancy to prevent preterm birth but if taken excessively could produce birth defects?
- Vitamin A
- Vitamin B
- Vitamin C
- Vitamin D
- Folate
A: Vitamin A

Q: Research has shown that fluoride intake during pregnancy is essential for caries prevention of the primary dentition of the child. Sodium fluoride treatments should be completed for the mother during pregnancy to ensure the delivery of fluoride across the placenta to the fetus.
- Both statements are true
- Both statements are false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: Both statements are false