Title: Chapter 56: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Which of the following does not describe the term disability?
- Can be permanent or temporary
- Any loss or abnormality of psychologic, physiologic, or anatomic structure or function
- Affects motor, sensory, or mental function
- A reduction in a person's activity resulting from a health condition
A: Any loss or abnormality of psychologic, physiologic, or anatomic structure or function

Q: One of _______ persons is affected by a disability.
- 3
- 5
- 10
- 20
A: 5

Q: A patient who does not comprehend the importance of dental health and does not brush displays what type of barrier to dental care?
- Financial
- Physical
- Attitude
- Professional
A: Attitude

Q: If a patient with a disability has a legal guardian, the legal guardian must:
- give consent for treatment, including signing consent forms
- translate what the patient is saying
- be the caregiver for the patient
- be present in the treatment room
A: give consent for treatment, including signing consent forms

Q: How wide should walkways be in order to accommodate a wheelchair?
- 32 inches
- 3 feet
- 5 feet
- 8 feet
A: 3 feet

Q: Case Study 1
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day.

Reference: Ref 56-1

Open and read the attached case to answer the following question. The gingival overgrowth indicated may be caused by which of the following medications?
- Depakote
- Phenytoin
- Aspirin
- Benadryl
A: Phenytoin

Q: Case Study 1
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day.

Reference: Ref 56-1

Open and read the attached case to answer the following question. What could be done to Jim's toothbrush to enable him to brush more effectively?
- Make a handle Jim could slide his hand into
- Make the diameter of the handle larger
- Lengthen the handle of the brush
- Make the handle softer
A: Lengthen the handle of the brush

Q: Case Study 1
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day.

Reference: Ref 56-1

Open and read the attached case to answer the following question. Why is it important for Jim to have adequate daily biofilm removal?
- To prevent halitosis
- He may experience trauma to his teeth and soft tissue
- He may experience xerostomia
- Effective daily biofilm removal is associated with less gingival enlargement
A: Effective daily biofilm removal is associated with less gingival enlargement

Q: Case Study 1
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day.

Reference: Ref 56-1

Open and read the attached case to answer the following question. The hygienist is concerned that Jim drinks bottled water and makes some recommendations to his mother. What recommendation may she make?
- Jim should stop drinking so much water
- Jim's mother should be sure that the bottled water contains fluoride
- Jim should drink more water
- Jim should drink water with the candy and sweets
A: Jim's mother should be sure that the bottled water contains fluoride

Q: Case Study 1
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim's mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day.

Reference: Ref 56-1

Open and read the attached case to answer the following question. How could Jim's mom lengthen his toothbrush?
- Add a Styrofoam ball
- Attach a Velcro strap to the handle
- Put the toothbrush into a bicycle handle
- Tape tongue depressors to the brush handle
A: Tape tongue depressors to the brush handle

Q: In preparing for a wheelchair transfer, what should you do first?
- Move chair padding to dental chair
- Place the wheelchair parallel to the dental chair
- Find someone else in the office to help with the transfer
- Clear the area of any items that may be in the way
A: Clear the area of any items that may be in the way

Q: When is it appropriate to use the stand and pivot mobile patient transfer technique?
- When the patient can support his or her own weight
- When the patient cannot support his or her own weight
- When there are two people to complete the transfer
- When the patient uses a walker
A: When the patient can support his or her own weight

Q: When doing a sliding board transfer, the seat of the dental chair should be positioned how?
- 90 degrees to the wheelchair seat
- Equal height to the wheelchair seat
- Higher than the wheelchair seat
- Slightly lower than the wheelchair seat
A: Slightly lower than the wheelchair seat

Q: A patient with quadriplegia who shifts his or her weight every 20 minutes does so in order to:
- prevent cramping
- feel more comfortable in the dental chair
- maintain good circulation
- prevent spasms
A: maintain good circulation

Q: When using restraints for body stabilization, you:
- need more than one dental personnel
- need written consent from a guardian or the patient
- have to use a mouth prop
- only use it on the arms
A: need written consent from a guardian or the patient

Q: Patients with developmental disabilities have an increased incidence of congenital malformations, which include all of the following except:
- cleft lip
- dentinogenesis imperfecta
- enamel hyperplasia
- periodontal disease
- malocclusion
A: periodontal disease

Q: A patient who is unable to complete brushing and flossing on his or her own and depends on someone else to attend to his or her oral care would be classified as:
- high functioning level
- moderate functioning level
- low functioning level
- self-care
- partial care
A: low functioning level

Q: Dentifrice should not be used by patients who:
- require a caregiver to brush
- have developmental disabilities
- have epilepsy
- cannot control saliva, rinse, or expectorate
A: cannot control saliva, rinse, or expectorate

Q: A self-care aid must be have all of the following characteristics except:
- cleanable
- durable
- replaceable
- inexpensive
- absorbent
A: absorbent

Q: When presenting an in-service education program to caregivers, you should address all of the following except:
- the participants' own biofilm control
- complex issues in oral care
- facts about causes and prevention of oral disease
- instructions on completing an oral examination
- biofilm control techniques
A: complex issues in oral care