Title: Chapter 67: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: White blood cells comprise approximately _____% of the blood cell component of blood plasma.
- 1
- 5
- 10
- 30
- 60
A: 1

Q: Blood plasma is composed of _____% water and _____% proteins, salts, gases, and transported substances.
- 60, 40
- 70, 30
- 80, 20
- 90, 10
A: 90, 10

Q: All of the following symptoms may be signs of a blood disorder except:
- spontaneous gingival bleeding upon gentle probing
- interproximal bleeding during flossing
- numerous petechiae
- glossodynia
- tendency to bruise easily
A: interproximal bleeding during flossing

Q: Neutrophils are the most numerous of all the white blood cells. Neutrophils are the primary white blood cell to respond to an allergic reaction.
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are true
- Both statements are false
A: The first statement is true and the second statement is false

Q: Pernicious anemia is caused by a deficiency of:
- vitamin A
- vitamin B_12
- vitamin D
- vitamin K
- folate
A: vitamin B_12

Q: The primary organ important in control of blood clotting due to its function in producing clotting factors is:
- pancreas
- stomach
- spleen
- liver
A: liver

Q: Prothrombin time is a test of blood coagulation during blood clotting. Use of aspirin decreases prothrombin time in patients with clotting disorders.
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- Both statements are true
- Both statements are false
A: The first statement is true and the second statement is false

Q: A stepladder trabecular bone pattern with large marrow spaces interproximally is a characteristic radiograph finding for which disease?
- Hemophilia
- Pernicious anemia
- Polycythemia
- Sickle cell disease
A: Sickle cell disease

Q: Bruising, spontaneous intraoral bleeding, and hemarthroses are all classic signs of which blood disorder?
- Pernicious anemia
- Hemophilia
- Sickle cell disease
- Polycythemia
A: Hemophilia

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. Von Willebrand disease is a disorder associated with:
- increases in leukocytes in the blood
- abnormally large red blood cells
- platelet dysfunction
- lack of hemoglobin in the blood
A: platelet dysfunction

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. The patient's platelet count is important in treatment planning because platelets:
- transport hemoglobin to the tissues
- assist in fighting infection
- are essential for blood clotting
- increase the body's potential for healing
A: are essential for blood clotting

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. What would be the major concern in splinting the mandibular anterior teeth to stabilize the mobile teeth for this patient?
- Patient's platelet count
- Overall health status
- Patient's oral hygiene care
- Periodontal status
A: Periodontal status

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. The most important consideration in planning treatment for this patient would be?
- His HIV status
- Increased healing time
- His blood disorder
- Multiple short appointments because of his health history
A: His blood disorder

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. You are trying to set the time frame for dental hygiene continued care (recare) appointments for this client. Which of the following is the most important factor in determining the frequency of these appointments?
- Amount of alveolar bone loss at re-evaluation
- Client motivation
- Amount of calculus present at re-evaluation
- State of health or disease present at the re-evaluation visit
A: State of health or disease present at the re-evaluation visit

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. After treatment, the patient indicates that his mouth is sore and he is in pain. The best pain medication to prescribe for this patient is:
- aspirin
- acetaminophen
- ibuprofen
- NSAIDs
A: acetaminophen

Q: Case Study 1
Mr. Landis, a 35-year-old white male, presents for dental care and has Von Willebrand disease and is HIV positive. The patient is concerned with his bleeding gums and increased tooth mobility of his mandibular anterior teeth. The patient presents with ecchymosis on his right forearm and reports his blood test results performed the previous day revealed a platelet count of 110,000/mm. His last dental appointment was over a year ago. Vital signs were within normal limits.

Reference: Ref 67-1

Open and read the attached case to answer the following question. This client returns 4 weeks after scaling and root planing procedures are completed for re-evaluation. Which of the following is the best criterion for evaluating the success of your treatment?
- All calculus is removed
- Root surfaces are smooth and glass-like
- There is no evidence of bleeding on probing
- Plaque index is lower
A: There is no evidence of bleeding on probing