Geriatric Patient Case 1
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This patients blood pressure category is
a. Hypotension
b. Normal
c. Prehypertension
d. Hypertension stage I
e. Hypertension stage II
What is the classification of furcation involvement of the mandibular right first molar?
a. Grade I
b. Grade II
c. Grade III
d. Grade IV
Which of the following is the most likely assessment of the condition seen on this patient’s
palate?
a. Primary herpetic gingivostomatitis
b. Chronic atrophic candidiasis
c. Herpetiform aphthous ulcer
d. Melanin pigmentation
e. Torus palatinus
What is the interpretation of the radiopaque circle, identified by the arrow, seen on the
mandibular central incisor periapical radiograph?
a. Genial tubercles
b. Symphysis
c. Mental foramen
d. Retrocuspid papilla
e. Trabeculae
What is the scalloped radiopaque line visible radiographically across the mandibular central
incisors?
a. Cementoenamel junction
b. Dense enamel layer
c. Calculus buildup
d. Composite resin
e. Cementicles
Which of the following is the most likely reason for the radiopaque appearance of the nasal
fossa?
a. Soft tissue of the nose imaged
b. Film fog artifact
c. Sinus infection
d. Deviated septum
e. Conchae present
7. Which of the following is the most likely interpretation of the radiolucency observed t eh distal
surface of the mandibular right first premolar?
a. Toothbrush abrasion
b. Cervical burnout
c. Root fracture
d. Abfraction lesion
e. Caries
8. Which of the following medical conditions predisposes this patient for the need to premedicate
with antibiotic coverage?
a. Bronchitis
b. Hepatitis C
c. Congestive heart failure
d. Spontaneous gingival bleeding
e. None of the above
9. The best time to schedule appts for this patient is
a. First apt in the morning
b. Early morning, 8-10am
c. Midmorning, 11am-2pm
d. Late afternoon, after 3pm
e. Last apt of the day
10. Each of the following will help avoid an emergency situation when treating this patient EXCEPT
one.
a. Use anesthesia with vasoconstrictor
b. Avoid orthostatic hypotension
c. Use a semisupine or upright position for treatment
d. Follow stress reduction protocol
e. Monitor vital signs
11. Which of the following interdental devises should NOT be recommended for this patient?
a. Wooden interdental cleaner
b. Tufted dental floss
c. Interdental tip
d. Saline irrigation
e. Toothpick in holder
12. This patient is at increased risk for each of the following EXCEPT one.
a. Halitosis
b. Nicotine stomatitis
c. Periodontal disease
d. Extrinsic tooth stains
e. Oral cancer
13. Which of the following best describes the type of periodontal pocketing found on the mesial
aspect of the mandibular left second premolar?
a. Gingival sulcus
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b. Gingival pocket
c. Pseudopocket
d. Periodontal intraboney pocket
e. Periodontal supraboney pocket
Based on extent and severity, how would this patient’s periodontal disease be classified?
a. Localized moderate
b. Localized advanced
c. Generalized early
d. Generalized moderate
e. Generalized advanced
Which of the following instruments should be selected to begin removal of supragingival
calculus from the lingual surfaces of this patient’s mandibular anterior teeth?
a. Universal curette
b. Area-specific curette
c. Anterior sickle scaler
d. Standard ultrasonic tip
e. Periodontal ultrasonic tip
Which of the following teeth presents with the poorest prognosis?
a. Mand RT 2nd molar
b. Mand RT 1st premolar
c. Mand RT central incisor
d. Mand LF lateral incisor
e. Mand LF 2nd premolar
This patient presents with each of the following risk factors for periodontal disease EXCEPT one.
a. Age
b. Gender
c. Ciagerette smoking
d. Poor home care habits
e. Socioeconomic status
Following her 6-wk reevaluation apt, what should be scheduled next for this patient?
a. Periodontist referral
b. Pulp vitality testing
c. Pit and fissure sealants
d. Dental restorations
e. Desentization
Which one of the following interventions is most appropriate for this patient?
a. Dietary counseling
b. Oral cancer referral
c. Dental implant evaluation
d. Tobacco cessation program
e. Advanced infection control procedures
20. Considering the clinical appearance of the maxillary denture, what dental material’s was used to
manufacture it?
a. Bis-phenol A-glycidal methacrylate (bis-GMA)
b. Urethane dimethacrylarte (UEDMA)
c. Poly methyl metacrylate (MMA) resin
d. Hydroxyethyl methacrylate (HEMA)
e. Dipentaerythiol penta-acrylate monophosphate (PENTA-P)
21. To prevent stain accumulation on her new denture, which of the following home care regimens
should be recommended?
a. Soak weekly in mouthrinse
b. Brush daily with dentifrice using a denture brush
c. Immerse in sodium hypochlorite overnight
d. Brush once a month using a household scouring powder
e. Clean by placing in the dishwasher once every 6mo
22. Each of the following will help improve communication with this patient EXCEPT one.
a. Face patient, make eye contact, speak clearly
b. Be nonjudgmental in recommending that she steps to improve her health
c. Eliminate distracting background noise and music
d. Repeat self-care instructions and give her written take-home instructions
e. Use endearing terms such as “Honey” and “dear” to address her in an accepting manner
23. A throw rug and reduced hallway lightening can be physical barriers and potential hazards for
the older patient with impaired vision or motor control. Altering the oral health care treatment
facility for the older adult patient may be viewed as discriminatory.
a. The first statement is true, the second is false
b. The first statement is false, the second is true
c. Both statements are true and related
d. Both statements area true but not related
e. Both statements are false
24. Dental hygiene care for this patient should be based on palliative treatment. Long-term
periodontal health maintenance is important for the medically compromised older adult.
a. The first statement is true, the second is false
b. The first statement is false, the second is true
c. Both statements are true
d. Both statements are false
ANSWERS
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D
C
B
A
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C
E
B
E
C
A
D
B
E
E
C
C
B
A
D
C
B
E
A
B