Title: Chapter 34: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: What are Recommended Dietary Allowances (RDAs)?
- Caloric recommendations based on activity level
- Standards reflecting adequate nutrient intake for healthy individuals
- References for the amount of vitamins and minerals needed daily
- Guidelines on how to lose weight and be more active
A: Standards reflecting adequate nutrient intake for healthy individuals

Q: The MyPlate Food Guidelines developed by the USDA provide information on all of the following except:
- four food groups
- proportions
- moderation
- physical activity
- varieties of food
A: four food groups

Q: Severe deficiencies are rare in developed countries. Nutritional deficiencies cause periodontal disease.
- The first statement is true and the second statement is false
- The first statement is true and the second statement is true
- The first statement is false and the second statement is true
- The first statement is false and the second statement is false
A: The first statement is true and the second statement is false

Q: Which group has the highest rate of periodontal disease?
- Older overweight patients
- Patients at a healthy weight
- Younger obese patients
- Older underweight patients
A: Younger obese patients

Q: Delayed wound healing can be caused by what vitamin and mineral deficiency?
- Riboflavin and vitamin B_12
- Folate, niacin, and thiamin
- Vitamin A, vitamin C, and calcium
- Riboflavin, zinc, vitamin A, and vitamin C
A: Riboflavin, zinc, vitamin A, and vitamin C

Q: Case Study 1
Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and exam. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily.

Reference: Ref 34-1

Open and read the attached case to answer the following question. Nancy states that she drinks soda all day in order to keep up with her grandchildren; this is a problem because:
- the teeth are exposed to a cariogenic liquid for a long period of time
- the pH level is very high in the oral cavity when drinking soda
- it may cause xerostomia
- she may gain weight
A: the teeth are exposed to a cariogenic liquid for a long period of time

Q: Case Study 1
Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and exam. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily.

Reference: Ref 34-1

Open and read the attached case to answer the following question. Angular cheilosis can be a sign of what nutrient deficiency?
- Niacin
- Vitamin D
- Vitamin C
- Folate
- Magnesium
A: Folate

Q: Case Study 1
Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and exam. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily.

Reference: Ref 34-1

Open and read the attached case to answer the following question. Nancy is only eating nutrients from the grains and dairy groups on the MyPlate food diagram. What other groups should she be eating from?
- Vegetables only
- Protein only
- Fruits, vegetables, and protein
- Fruits and vegetables only
A: Fruits, vegetables, and protein

Q: Case Study 1
Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and exam. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily.

Reference: Ref 34-1

Open and read the attached case to answer the following question. Until her partial can be repaired, what can Nancy do to prevent caries?
- Rinse vigorously with fluoridated water after eating cariogenic food
- Use a mouthrinse after every meal
- Stop eating soft foods
- Continue drinking five cans of soda daily
A: Rinse vigorously with fluoridated water after eating cariogenic food

Q: Case Study 1
Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and exam. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily.

Reference: Ref 34-1

Open and read the attached case to answer the following question. What food can be eaten after sweets to prevent the decrease in pH and production of acids?
- Granola bar
- Yogurt
- Whole grain breads
- Cheese
A: Cheese

Q: What type of food can encourage biofilm accumulation?
- High calorie
- Fibrous
- Soft, sticky
- Food made with artificial sweeteners
A: Soft, sticky

Q: The purpose of a dietary assessment includes all of the following except:
- analyze the diet to prevent obesity
- study the patient's food habits and snacking patterns
- identify the patient who may be at a nutritional and oral health risk
- determine the overall consistency of the diet
A: analyze the diet to prevent obesity

Q: For how many days should a patient fill out the dietary analysis recording form?
- 3 to 7 days including a weekend day
- 10 consecutive days
- 1 month
- 1 day
A: 3 to 7 days including a weekend day

Q: Cariogenic foods listed in the dietary analysis recording form should be categorized as:
- solid or artificial
- natural, liquid, or solid
- highly cariogenic or no risk
- solid, liquid, or slowly dissolving
A: solid, liquid, or slowly dissolving

Q: The term cariogenic means:
- a condition resulting from a lack of vitamins
- poor nourishment resulting from an improper diet
- foods that lower the pH and are conducive to dental caries
- foods that encourage remineralization
A: foods that lower the pH and are conducive to dental caries

Q: In analyzing a food diary, firm and fibrous foods include:
- pretzels
- broccoli and carrots
- whole grain bread
- cupcakes
A: broccoli and carrots

Q: Dietary counseling should take place:
- after all clinical treatment is completed in the treatment room
- in the waiting room
- before doing an extraoral and intraoral exam in the treatment room
- with the entire family
- apart from the clinical treatment room
A: apart from the clinical treatment room

Q: Which statement gives the best example of how to elicit information from the patient?
- Why did you have dessert that night?
- Did you eat breakfast today?
- Did you eat any snacks between meals?
- Tell me what was the first thing you ate today.
A: Tell me what was the first thing you ate today.

Q: What pH level is the critical level for demineralization of enamel?
- below 5.5
- above 5.5
- 0
- 1
- 3.5
A: below 5.5

Q: Which sugar substitute can promote remineralization?
- Sorbitol
- Xylitol
- Sucralose
- Aspartame
A: Xylitol