Title: Module 4 Quiz
Course: DEH 2821 Medically-Compromised Patient > Section: Module 4 - Developmental or Behavioral Disorders

Q: Intellectual disorder is characterized by which of the following?
- Impairment in verbal skills and social interaction
- Normal intellectual functioning
- Significant limitations in adaptive behavior
- Origination after age 21
A: Significant limitations in adaptive behavior

Q: A patient with an IQ of 40 has what level of intellectual disorder?
- Mild
- Moderate
- Severe
- Profound
A: Moderate

Q: All of the following are risk factors for intellectual disorder except:
- chromosomal disorders
- lack of access to prenatal care
- parental drug use
- traumatic brain injury
- early diagnosis
A: early diagnosis

Q: Parental smoking is what type of risk factor for intellectual disorder?
- Behavioral
- Educational
- Social
- Biomedical
A: Behavioral

Q: Factors effective in the control of dental caries in patients with intellectual disorder:
- do not work as well as in the general population
- are drastically different than in the general population
- are the same as in the general population
- cannot be taught in the same ways
A: are the same as in the general population

Q: Case Study 1
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated.

Reference: Ref 60-1

Open and read the attached case to answer the following question. Which of the following is an oral manifestation of autism?
- Severe gingivitis
- Congenitally missing teeth
- Mouth breathing
- There are no oral manifestations of autism
A: There are no oral manifestations of autism

Q: Case Study 1
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated.

Reference: Ref 60-1

Open and read the attached case to answer the following question. The high rate of decay that John has is most likely related to what?
- The fact that he has autism
- Lack of fluoride
- The sweet foods given as a reward for behavior
- Absence of verbal communication
A: The sweet foods given as a reward for behavior

Q: Case Study 1
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated.

Reference: Ref 60-1

Open and read the attached case to answer the following question. In order to have the most success during this appointment and future appointments, the dental hygienist should do what?
- Provide a predictable and consistent experience
- Turn off all lights in the room
- Schedule more frequent visits
- Require that a parent be present during the appointment
A: Provide a predictable and consistent experience

Q: Case Study 1
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated.

Reference: Ref 60-1

Open and read the attached case to answer the following question. What technique should be used to show John and his caregiver how to reach the posterior teeth?
- Verbal explanation
- Repetitive show-tell-do
- Instructions on a video
- A pamphlet with detailed instructions
A: Repetitive show-tell-do

Q: Case Study 1
John, a 13-year-old male, presents to the dental office for the first time. John comes with his mother and a caregiver. John's medical history indicates that he has autism and is nonverbal. The dental hygienist completes initial assessments and notes that John has moderate gingivitis and has heavy biofilm accumulation on the buccal surfaces of posterior teeth. Tooth #7 is congenitally missing. John has eight carious lesions. His caregiver reports that his favorite food is gummy bears and that they are often used as a reward when he behaves well. When questioned about fluoride use, his mother reports that they drink the city water, which is optimally fluoridated.

Reference: Ref 60-1

Open and read the attached case to answer the following question. A pharmacologic treatment for autism is:
- Lipitor
- applied behavior analysis
- Risperidone
- speech therapy
A: Risperidone

Q: A collection of conceptual, social, and practical skills needed to function in everyday life is referred to as:
- intellectual ability
- adaptive behavior
- intelligence quotient
- context dimension
A: adaptive behavior

Q: Which of the following oral features are frequently associated with Down syndrome?
- Deeply fissured tongue, mouth breathing, thickened lips
- Angle's Class II occlusion, macrodontia, narrow palate
- Gingivitis, supernumerary teeth, microglossia
- Atrophic lips, drooling, linear gingival erythema
A: Deeply fissured tongue, mouth breathing, thickened lips

Q: Which of the following best describes autistic spectrum disorder?
- Developmental disability affecting verbal and nonverbal communications
- Restricted interest and activities
- Lack of spontaneous behaviors and avoidance of emotional interaction
- Developmental disability usually diagnosed later in life
A: Developmental disability affecting verbal and nonverbal communications

Q: In which of the following groups does autism occur more frequently?
- Higher socioeconomic groups
- Hispanic populations
- Males
- Females
A: Males

Q: An adult who can conform to a daily routine, do small household tasks, but is likely to be in need of continuous support has what level of intellectual disorder?
- Mild
- Moderate
- Severe
- Profound
A: Severe