Title: Chapter 41: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: The clinical appearance of NUP is manifested as gingival inflammation limited to the free gingiva with ulceration of one or more interdental papilla tips; other clinical signs include pain and bleeding. The clinical appearance of NUG is manifested as destructive infection of periodontal tissues with ulceration of interdental papillae, cratering of interdental bone and soft tissue, and clinical attachment loss.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is 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 false and the second statement is false

Q: An increased incidence of NUG/NUP has been diagnosed in HIV-positive patients. In necrotizing stomatitis the necrosis may extend beyond the tooth-supporting tissues and cause bone destruction and sequestration.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is 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 true

Q: The patient with NUG or NUP reports:
- gradual onset
- pain and soreness caused by slight pressure, such as during chewing and toothbrushing
- increased appetite
- sweet taste
A: pain and soreness caused by slight pressure, such as during chewing and toothbrushing

Q: Factors contributing to the onset of NUG include which of the following?
- Obesity
- Inadequate personal oral care with general neglect
- Diabetes
- Lack of exercise
A: Inadequate personal oral care with general neglect

Q: Signs of systemic involvement related to NUG include which of the following?
- Malaise
- Lymphadenopathy of submandibular and cervical nodes
- Slight elevation in body temperature
- All of the above
A: All of the above

Q: In NUG, ulceration and necrosis begin in the col area with epithelial and connective tissue involved; the disease process progresses to involve the entire papilla and, eventually, the marginal gingiva on the facial and lingual surfaces. The pseudomembrane covering the lesion is a necrotic slough of the surface epithelium; it contains leukocytes, bacteria, epithelial cells, and fibrin.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is 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 true

Q: General debridement in the initial appointment for the acute phase of NUG incorporates which of the following?
- Application of 3% hydrogen peroxide
- Application of topical and/or local anesthetic for the pain
- Scaling with manual instruments
- All of the above are part of treatment
A: All of the above are part of treatment

Q: Diet is altered in posttreatment. Which of the following is indicated for a patient with NUG after the first visit?
- Small, frequent nutritious meals
- A liquid or soft diet
- No alcoholic beverages or highly spiced foods
- All of the above
A: All of the above

Q: Posttreatment rinsing is indicated following initial debridement for NUG. Which of the following statements is true regarding rinsing recommendations?
- Vigorous rinsing with warm water or weak saline solution is necessary every hour during the period of acute symptoms
- Use 3% hydrogen peroxide with equal parts of water for only a few days and then discontinue
- Rinse with chlorhexidine (0.12%) twice daily, swishing between the teeth for 1 minute
- All of the above are correct recommendations for rinsing
A: All of the above are correct recommendations for rinsing

Q: Incomplete scaling in the depth of a pocket may allow the tissue at the opening of the pocket to heal, tighten, and prevent drainage from the infectious material deep in the pocket; plaque and calculus remaining in the sealed-off part of the pocket attract the collection of more bacteria and PMNs, and an abscess develops. Gingival and periodontal abscesses occur within the periodontal tissues; an abscess is called gingival when it is located in the marginal area and periodontal when it is in the deeper periodontal tissues.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is 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 true

Q: Case Study 1
Mrs. Delle, who is a heavy smoker and an extreme type A person, presented to the dental office with classic signs of NUG. The RDH presents the clinical findings to the patient as well as the care plan to arrest this situation.

Reference: Ref 41-1

Open and read the attached case to answer the following question. What are the signs and symptoms of NUG?
- Sudden onset
- Bleeding
- Poor appetite
- All of the above
A: All of the above

Q: Case Study 1
Mrs. Delle, who is a heavy smoker and an extreme type A person, presented to the dental office with classic signs of NUG. The RDH presents the clinical findings to the patient as well as the care plan to arrest this situation.

Reference: Ref 41-1

Open and read the attached case to answer the following question. All of the following are included in the first appointment of dental hygiene care except:
- patient instruction
- general debridement
- scaling and root debridement
- introduction of tobacco cessation
A: scaling and root debridement

Q: Case Study 1
Mrs. Delle, who is a heavy smoker and an extreme type A person, presented to the dental office with classic signs of NUG. The RDH presents the clinical findings to the patient as well as the care plan to arrest this situation.

Reference: Ref 41-1

Open and read the attached case to answer the following question. All of the following are included in the second appointment except:
- patient examination
- scaling and root debridement
- patient instruction
- tobacco cessation
A: tobacco cessation

Q: All are characteristics of the development of a periodontal abscess except:
- pus collects in the tissue as a result of bacterial infection
- complication of an existing periodontal disease
- pus is thick
- doesn't form a fistula
A: doesn't form a fistula

Q: Primary herpetic gingivostomatitis occurs most often in which age group?
- 6 months to 6 years
- 13 to 18 years
- 25 to 45 years
- older than 70 years
A: 6 months to 6 years