Title: Chapter 49: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Providing oral health information to parents related to the child's stage of development to better meet the child's needs is known as:
- oral health planning
- oral health education
- preventive dental education
- anticipatory guidance
- assessment and preventive care
A: anticipatory guidance

Q: All of the following are dietary considerations that impact early childhood oral disease except:
- use of a nonfluoridated toothpaste
- giving the baby sweetened liquids in a bottle
- insufficient fluoride in the water supply
- diet high in fermentable carbohydrates
- prolonged breast/bottle feeding
A: use of a nonfluoridated toothpaste

Q: The appropriate time for scheduling the child's first visit to the dental office is:
- after the first tooth appears in the mouth
- at 1 year of age
- after the primary dentition has fully erupted
- when the child is able to sit upright in a dental chair
- when the parent feels that the child is ready to be cooperative
A: after the first tooth appears in the mouth

Q: All of the following are behaviors associated with teething except:
- excessive drooling
- change in appetite
- interrupted sleep patterns
- irritability and crying
- diarrhea
A: diarrhea

Q: The microorganism most commonly found in the saliva of children who present with early childhood caries is:
- Treponema denticola
- Bacterioids forsythus
- Fusobacterium nucleatum
- Prevotella intermedia
- Streptococcus mutans
A: Streptococcus mutans

Q: The progressive tooth pattern for baby bottle caries to appear in the mouth is:
- mandibular anterior teeth, then to erupted molars, and last to maxillary anterior teeth
- maxillary anterior teeth, then to the molars as they erupt
- mandibular molars, then to mandibular anterior teeth, last to maxillary anterior teeth
- maxillary anterior teeth, then to mandibular anterior teeth, last to the molars
- canine teeth, then to mandibular anterior teeth, then to the molars
A: maxillary anterior teeth, then to the molars as they erupt

Q: According to tooth development and eruption patterns, the last primary teeth to fully develop in the mouth including the root and the enamel layer are the:
- central incisors
- lateral incisors
- canines
- first molars
- second molars
A: canines

Q: According to the American Dental Association, infants who receive their total dietary intake through breastfeeding should receive ______ mg of sodium fluoride supplement?
- 0
- 0.25
- 0.50
- 1.0
- 1.5
A: 0.25

Q: A primary tooth that appears as a bifid crown on a single root is known as:
- enamel hypoplasia
- fused tooth
- neonatal tooth
- dilaceration
- gemination
A: gemination

Q: For fluorosis to develop in primary teeth, excessive fluoride intake occurs:
- during fetus growth in the uterus
- through prolonged breastfeeding
- through excessive intake during the first year
- through the ingestion of toothpaste
- through prolonged use of fluoride supplements
A: through excessive intake during the first year

Q: The best type of fluoride application for treating white spot lesions on primary teeth is:
- burnishing the area with fluoridated toothpaste
- a fluoride rinse product
- painting acidulated phosphate fluoride on the area
- a tray application of neutral sodium fluoride
- applying a sodium fluoride varnish to the area
A: applying a sodium fluoride varnish to the area

Q: To prevent malpositioning of the anterior permanent teeth due to thumb sucking, parents should intervene and stop the process by what age?
- 1 year
- 18 months
- 24 months
- 3 years
A: 3 years

Q: Radiographs are completed to examine primary teeth for all of the following reasons except:
- to examine primary teeth that are crowded and not permitting visual assessment
- to assess traumatized teeth
- to assess interproximal caries
- to diagnosis suspected pathology
- to examine growth and development patterns
A: to assess interproximal caries

Q: Case Study 1
Ryan is a 3-year-old child who presents for his first dental appointment. His mother accompanies him to the operatory room. He willingly climbs into the dental chair sporting a big smile. You observe that he has an open bite and his maxillary right central incisor is dark in appearance. He is very cooperative as you begin the dental hygiene appointment. The examination reveals several teeth with caries on the occlusal surfaces.

Reference: Ref 49-1

Open and read the attached case to answer the following question. Appropriate anticipatory guidance for the parent should focus on all of the following risk factors except:
- discussion of the caries process
- oral hygiene instruction for removing biofilm
- use of a fluoride mouthrinse for caries prevention
- suggestions for limiting sugar in the child's diet
- discussion of eliminating the nonnutritive sucking habit
A: use of a fluoride mouthrinse for caries prevention

Q: Case Study 1
Ryan is a 3-year-old child who presents for his first dental appointment. His mother accompanies him to the operatory room. He willingly climbs into the dental chair sporting a big smile. You observe that he has an open bite and his maxillary right central incisor is dark in appearance. He is very cooperative as you begin the dental hygiene appointment. The examination reveals several teeth with caries on the occlusal surfaces.

Reference: Ref 49-1

Open and read the attached case to answer the following question. Ryan's mother informs you that their water system in nonfluoridated. She had the water tested and the report indicated less than 0.2 ppm present in the water. A fluoride supplement is recommended. The appropriate dosage schedule (mg/day) based on his age would be:
- 0.25
- 0.50
- 0.75
- 1.0
- 1.25
A: 0.50

Q: Case Study 1
Ryan is a 3-year-old child who presents for his first dental appointment. His mother accompanies him to the operatory room. He willingly climbs into the dental chair sporting a big smile. You observe that he has an open bite and his maxillary right central incisor is dark in appearance. He is very cooperative as you begin the dental hygiene appointment. The examination reveals several teeth with caries on the occlusal surfaces.

Reference: Ref 49-1

Open and read the attached case to answer the following question. Ryan's open bite is most likely related to:
- prolonged use of the bottle
- delayed development of the mandible
- continued use of the pacifier
- prolonged thumb sucking
- a high narrow palatal vault
A: prolonged thumb sucking

Q: White-spot lesions along the cervical areas an don proximal tooth surfaces indicates which of the following:
- caries
- extrinsic stain
- demineralization
- bruxism
- thumb sucking
A: demineralization

Q: Child development milestones indicate a three-year-old should be able to hold a toothbrush and brush his teeth on his own. Parent involvement in brushing is not needed at this stage of development.
- 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