Title: Chapter 54: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Which of the following is not an objective of dental hygiene care and instruction before oral and maxillofacial surgery?
- Reduction of oral bacterial count
- Reduction of inflammation of the gingiva
- Fixation of bone fragments from a fractured jaw
- Removal of calculus deposits
A: Fixation of bone fragments from a fractured jaw

Q: Which of the following dietary components is not essential for promotion of healing following oral and maxillofacial surgery?
- Carbohydrate
- Protein
- Vitamin A
- Vitamin C
A: Carbohydrate

Q: Which of the following instructions should a dental hygienist give to a patient regarding postsurgical care?
- Place a gauze pad or cold wet teabag over the surgical area when bleeding persists
- Rinse the surgical site continually for the first 24 hours following surgery
- Avoid brushing the teeth and flossing for 7 to 10 days following surgery
- Apply a heating pad to the jaw to reduce swelling
A: Place a gauze pad or cold wet teabag over the surgical area when bleeding persists

Q: Which of the following is not a predisposing condition for fractured jaw?
- Rheumatoid arthritis
- Tumors
- Cysts
- Osteoporosis
A: Rheumatoid arthritis

Q: Which type of fracture involves shattering of a bone into many pieces and open communication with the outside (open wound)?
- Compound comminuted
- Simple comminuted
- Simple incomplete
- Compound incomplete
A: Compound comminuted

Q: An uncomplicated mandibular fracture heals in about how long?
- 6 weeks
- 8 weeks
- 4 to 6 weeks
- 12 weeks
A: 6 weeks

Q: Which of the following means the positioning of the parts on either side of the fracture so they are in apposition for healing and restoration of function?
- Fixation
- Immobilization
- Reduction
- Occlusal
A: Reduction

Q: Which of the following refers to the use of a surgical flap procedure to expose the fracture ends and bring them together for healing?
- Closed reduction
- Open reduction
- Open fixation
- Closed fixation
A: Open reduction

Q: Intermaxillary fixation is contraindicated for all of the following except one. Which one is the exception?
- Obese patient
- Patient with a mental illness
- Patient with asthma
- Patient who vomits regularly
A: Obese patient

Q: A fracture is classified by using a combination of descriptive words that include all of the following except:
- location
- direction
- nature
- severity
- size
A: size

Q: Which of the following is not a principle for treating skeletal fractures?
- Anatomic reduction
- Functionally stable fixation
- Traumatic surgical technique
- Active function
- Prevention of infection
A: Traumatic surgical technique

Q: Which of the following is not an objective in planning the diet of a patient with a fractured jaw?
- To help the patient maintain an adequate nutritional state
- To promote healing
- To prevent new carious lesions
- To promote weight loss
A: To promote weight loss

Q: A patient with a fractured jaw may exhibit the following clinical signs except:
- pain, especially on movement, and tenderness on slight pressure over the fracture area
- teeth may be displaced, fractured, or mobile
- occlusion of the teeth may be irregular
- muscle spasm
- heavy calculus deposits on the teeth in the area of the fracture
A: heavy calculus deposits on the teeth in the area of the fracture

Q: Mandibular fractures are described by the location and include all of the following except:
- alveolar process
- condyle
- angle
- pterygoid process
- symphysis
A: pterygoid process

Q: Intermaxillary fixation is accomplished by applying wires and/or elastic bands between the maxillary and mandibular arches. The advantage of this method is relative simplicity without surgical requirement.
- Both statements are correct.
- Neither statement is correct.
- The first statement is correct, but the second is incorrect.
- The first statement is incorrect, but the second is correct.
A: Both statements are correct.

Q: The Le Fort classification is used to identify the level of maxillary fractures. The Le Fort II craniofacial fracture extends across the bridge of the nose and across the orbits and the zygomatic arches and pterygoid plate.
- Both statements are true
- Both statements are false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is false