Geriatric Oral Health Pre-test

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Question 1 of 10

1. Question
What is the most common site for recurrent caries in the elderly?
- The site of a previous restoration (filling)
- On an root that is exposed due to gingival recession
- On the coronal surface of a tooth
- On the buccal surface of the molars
Question 2 of 10

2. Question
Which of the following is an absolute contraindication for placing dental implants?
- Diabetes mellitus that is controlled
- Root caries in the teeth that are to be replaced
- The use of IV bisphosphonates
- The use of medication known to cause xerostomia
Question 3 of 10

3. Question
Calcium channel blockers are most associated with which adverse intraoral effect?
- Stomatitis
- Thrush
- Gingival hyperplasia
- Osteonecrosis of the mandible
Question 4 of 10

4. Question
Which statement is true regarding dental prostheses?
- Implants are commonly placed in a jaw to replace teeth lost due to severe osteoporosis
- Dentures should be removed and cleaned daily
- Bridges should be removed daily to facilitate cleaning of teeth
- A partial denture is permanently fixed to adjacent teeth and therefore does not need to be removed to perform a complete oral assessment
Question 5 of 10

5. Question
HPV influenced oral cancers have which of the following characteristics?
- Account for the rise in oral cancers in younger individuals, ages 40-64
- Are usually seen in the anterior portion of the mouth, especially the buccal mucosa or lips
- Epidemiologically related to exposure to HPV 5
- Less likely to be associated with oral cancer than other sexually transmitted infections such as syphilis and gonorrhea
Question 6 of 10

6. Question
What is the most likely reason why complete tooth loss has declined in the U.S. from 50% to 18% over the last 60 years?
- Increased use of dental insurance among the elderly
- The increased use of bottled and filtered water products among adults
- The addition of fluoride to most community water systems
- The increased use of multiple prescription medications in the elderly
Question 7 of 10

7. Question
While performing an oral exam on a 72 year old patient, you observe the finding in the photograph below. How should you manage this finding?

Robert Henry, DMD, MPH
- Refer the patient to an oral surgeon for immediate biopsy of a probable oral cancer.
- Schedule the patient to return in 2 weeks to reassess the lesion. If the lesion is still present, you should then refer the patient for biopsy.
- Treat the patient with an antifungal solution and reassess in 2 weeks.
- Document this finding as sublingual varicosities that are normal in this age group and require no further evaluation.
Question 8 of 10

8. Question
Which of the following statements is true regarding the oral health of elderly patients with dementia?
- Age alone is the major contributor to poor oral health of older individuals with dementia
- Medications used to treat hypertension, depression, and behavioral disturbances seen in this population have little effect on their oral health
- Since this population struggles with Activities of Daily Living (ADLs), they are at high risk for poor oral health unless caregivers assist with oral care
- Reminding these individuals to brush their teeth each day is adequate to achieve and maintain good oral health
Question 9 of 10

9. Question
After a hip fracture, a 76 year old woman is admitted to a long-term care facility for rehabilitation. While examining her mouth shortly thereafter, you see the condition in the photograph below. What is the most likely cause of what you see?

Robert Henry, DMD, MPH
- The patient developed cellulitis of her palate during her recent hospital stay
- The patient's palate was damaged during intubation for anesthesia
- The patient's dentures were improperly cleaned while she was in the hospital
- The patient probably has oral cancer
Question 10 of 10

10. Question
Elderly with poor oral hygiene, missing teeth, and dental pain are at risk for worsening oral health due to which of the following nutritional factors?
- Lack of foods rich in vitamins such as vitamin C and beta carotene
- Compensating for taste alteration due to prescribed medication with soft, sugared foods such as ice cream, pudding and white bread which can lead to caries in remaining teeth
- Use of mints or sweetened beverages to relieve dry mouth
- All of the above

Geriatric Oral Health Pre-test

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