Title: Chapter 59: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: The Americans with Disabilities Act defines a person with a disability as a person who:
- has a physical impairment that substantially limits a major life activity
- has a physical or mental impairment that substantially limits a major life activity
- has a mental impairment that substantially limits a major life activity
- is trained in the identification, diagnosis, measurement, and rehabilitation of hearing impairment
A: has a physical or mental impairment that substantially limits a major life activity

Q: Legal blindness is defined as:
- having no sight
- having central vision of not more than 20/140 with correction
- having peripheral fields of no more than 40-degree diameter or 25-degree radius
- having central vision of not more than 20/200 with correction
A: having central vision of not more than 20/200 with correction

Q: Which of the following is a visual impairment?
- Diplopia
- Otitis media
- Vertigo
- Tinnitus
- Sensorineural loss
A: Diplopia

Q: When treating a patient with a visual impairment, you should do what before leaving the treatment area?
- Make the guide dog aware of your absence by petting it
- Have another person present in the treatment room during your absence
- Explain your absence
- Sit the patient upright
A: Explain your absence

Q: Personal factors to consider for a person who is blind may include all of the following except:
- assistance to complete medical history
- describing each step of treatment in detail
- modifying imitation aspect of home care delivery
- translator or sign language assistance
A: translator or sign language assistance

Q: Case Study 1
Nancy, a 73-year-old patient, presents for her routine visit. On her new medical history she indicates she has diabetes, high blood pressure, high cholesterol, and arthritis. She takes medication for diabetes, high blood pressure, and high cholesterol and reports managing these conditions quite well. She also takes ibuprofen occasionally when her arthritis flares up. Nancy indicates that she has hyperopia and wears glasses to correct this. Upon further questioning she reports that her vision has been changing lately and that she should probably make an appointment with her ophthalmologist. She says that recently she has noticed that she has trouble reading the newspaper. The dental hygienist tilts back the chair and begins the intra- and extraoral assessments. After a few minutes Nancy asks if she can be set upright because she is feeling some pressure and pain around her eyes. She claims it is probably related to her sinuses.

Reference: Ref 59-1

Open and read the attached case to answer the following question. The definition of hyperopia is:
- nearsightedness
- farsightedness
- night blindness
- double vision
A: farsightedness

Q: Case Study 1
Nancy, a 73-year-old patient, presents for her routine visit. On her new medical history she indicates she has diabetes, high blood pressure, high cholesterol, and arthritis. She takes medication for diabetes, high blood pressure, and high cholesterol and reports managing these conditions quite well. She also takes ibuprofen occasionally when her arthritis flares up. Nancy indicates that she has hyperopia and wears glasses to correct this. Upon further questioning she reports that her vision has been changing lately and that she should probably make an appointment with her ophthalmologist. She says that recently she has noticed that she has trouble reading the newspaper. The dental hygienist tilts back the chair and begins the intra- and extraoral assessments. After a few minutes Nancy asks if she can be set upright because she is feeling some pressure and pain around her eyes. She claims it is probably related to her sinuses.

Reference: Ref 59-1

Open and read the attached case to answer the following question. The pain Nancy feels when tilting back in the dental chair may indicate what problem?
- Retinitis
- Astigmatism
- Glaucoma
- Cataracts
A: Glaucoma

Q: Case Study 1
Nancy, a 73-year-old patient, presents for her routine visit. On her new medical history she indicates she has diabetes, high blood pressure, high cholesterol, and arthritis. She takes medication for diabetes, high blood pressure, and high cholesterol and reports managing these conditions quite well. She also takes ibuprofen occasionally when her arthritis flares up. Nancy indicates that she has hyperopia and wears glasses to correct this. Upon further questioning she reports that her vision has been changing lately and that she should probably make an appointment with her ophthalmologist. She says that recently she has noticed that she has trouble reading the newspaper. The dental hygienist tilts back the chair and begins the intra- and extraoral assessments. After a few minutes Nancy asks if she can be set upright because she is feeling some pressure and pain around her eyes. She claims it is probably related to her sinuses.

Reference: Ref 59-1

Open and read the attached case to answer the following question. Blindness can be secondary to what other disease?
- Diabetes
- High blood pressure
- Arthritis
- High cholesterol
A: Diabetes

Q: Case Study 1
Nancy, a 73-year-old patient, presents for her routine visit. On her new medical history she indicates she has diabetes, high blood pressure, high cholesterol, and arthritis. She takes medication for diabetes, high blood pressure, and high cholesterol and reports managing these conditions quite well. She also takes ibuprofen occasionally when her arthritis flares up. Nancy indicates that she has hyperopia and wears glasses to correct this. Upon further questioning she reports that her vision has been changing lately and that she should probably make an appointment with her ophthalmologist. She says that recently she has noticed that she has trouble reading the newspaper. The dental hygienist tilts back the chair and begins the intra- and extraoral assessments. After a few minutes Nancy asks if she can be set upright because she is feeling some pressure and pain around her eyes. She claims it is probably related to her sinuses.

Reference: Ref 59-1

Open and read the attached case to answer the following question. The best way to review proper biofilm control with Nancy is to:
- have her watch a video about biofilm control techniques
- give her a pamphlet describing the proper method of brushing
- demonstrate on a small typodont
- demonstrate in her mouth
A: demonstrate in her mouth

Q: Case Study 1
Nancy, a 73-year-old patient, presents for her routine visit. On her new medical history she indicates she has diabetes, high blood pressure, high cholesterol, and arthritis. She takes medication for diabetes, high blood pressure, and high cholesterol and reports managing these conditions quite well. She also takes ibuprofen occasionally when her arthritis flares up. Nancy indicates that she has hyperopia and wears glasses to correct this. Upon further questioning she reports that her vision has been changing lately and that she should probably make an appointment with her ophthalmologist. She says that recently she has noticed that she has trouble reading the newspaper. The dental hygienist tilts back the chair and begins the intra- and extraoral assessments. After a few minutes Nancy asks if she can be set upright because she is feeling some pressure and pain around her eyes. She claims it is probably related to her sinuses.

Reference: Ref 59-1

Open and read the attached case to answer the following question. Glaucoma is defined as:
- night blindness due to a vitamin deficiency
- disease of the eye characterized by intraocular pressure
- disease in which the eyeball is shorter behind the retina
- a clouding or opacity of the lens of the eye
A: disease of the eye characterized by intraocular pressure

Q: All of the following are causes of hearing loss except:
- heredity
- chronic inner ear infections
- trauma
- diabetic retinopathy
- toxic effects of drugs
A: diabetic retinopathy

Q: Conductive hearing loss is defined as damage to the:
- outer or middle ear conduction pathways to the inner ear
- sensory hair cells of the inner ear or the nerves of the inner ear
- nerves or nuclei of the central nervous system in the brain or the pathways to the brain
- inner, middle, and outer ear pathways
A: outer or middle ear conduction pathways to the inner ear

Q: The standards for manufacturing and distribution of hearing aids in the United States is regulated by the:
- American Council on Hearing Loss
- Centers for Disease Control
- Food and Drug Administration
- American Medical Association
A: Food and Drug Administration

Q: The modes of communication for a person who is deaf include all of the following except:
- finger spelling
- international universal sign language
- American sign language
- speech reading
A: international universal sign language

Q: When calling a deaf patient to remind him or her of an appointment, you may use which of the following?
- A tuning fork
- Telecommunication Relay Service
- An ASL translator
- An audiometer
A: Telecommunication Relay Service

Q: A patient with a hearing aid may need which modification in delivery of dental hygiene therapy?
- Remove eyeglasses
- Cover ear canal with gauze
- Speak very loudly and slowly so the patient can hear you over other noise
- Remove or turn off hearing aid when using a power-driven scaler
A: Remove or turn off hearing aid when using a power-driven scaler