Flashcards: Perio quiz questions
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Created by:
JHuguelet 
on April 22, 2011
Subjects:
Groups:
Intro to Perio, Intro to Perio
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Terms | Definitions |
|---|---|
 Which of the following medications is the MOST likely to cause gingival overgrowth?a. Calcium Channel Blockers b. Anticonvulsants c. Immunosuppressants d. Insulin | b. Anticonvulsants |
| Men are more likely to have periodontal disease BECAUSE men live longer than women. a. both statements are true b. both statements are false c. first statement true; second false d. first statement false; second true | c. first statement true; second false |
| Medications such as cough syrups and vitamins may contribute to periodontal disease due to the ingredient of sugar contributing to bacterial growth. T/F? | TRUE |
| Oral symptoms of cancer such as xerostomia and burning tongue may be mimicked by which of the following conditions? a. meopause b. epilepsy c. liver disease d. cardiovascular disease | a. menopause |
| Which of the following patients is up to 20 times more likely to have severe periodontal problems? a. smoker b. epileptic smoker c. diabetic smoker d. diabetic smoker over age 40 | d. diabetic smoker over age 40 |
| Your patient indicates on the health history that they are experiencing swollen lymph nodes. Which of the following could be a PERIODONTAL cause for this symptom? a. strep throat b. mononucleosis c. NUG or NUP d. smokeless tobacco use | c. NUG or NUP |
| Osteoporosis can initiate alveolar destruction AND osteoporosis can aggravate the progression of periodontal disease. a. both statements are true b. both statements are false c. first statement true; second false d. first statement false; second true | d. first statement false; second true |
| Your pregnant patient states: "The baby book told me that bleeding gums are normal during pregnancy" Your response is: a. "That's true! Increased hormone production can cause bleeding in otherwise healthy gums" b. "That's a lie! I can't believe pregnancy books still publish this rubbish!!" c. "I have no idea what you are talking about. Healthy gums never bleed." d. "Your book is partially right. Pregnancy hormones can cause an exaggerated reaction to bacterial plaque. However, healthy gums shouldn't bleed even during pregnancy." | d. "Your book is partially right. Pregnancy hormones can cause an exaggerated reaction to bacterial plaque. However, healthy gums shouldn't bleed even during pregnancy." |
| What percentage of refractory periodontal disease are smokers? a. 90% b. 75% c. 50% d. 25% | a. 90% |
| Intravenous (IV) administration of bisphosphonates (such as Boniva, Actonel, or Fosamax) can increase a patient's risk of developing osteonecrosis of the jaw. Oral administration of the class of medications carries the same level of risk a. both statements are true b. both statements are false c. first statement true; second false d. first statement false; second true | c. first statement true; second false |
| FYI | In real life, osteoporosis may be found on a panoramic radiograph |
| Which of the following is an intraoral finding that may have periodontal significance? a. linea alba b. fordyce spots c. torus palatinus d. palatine rugae e. palatine tonsil | c. torus palatinus |
| When describing the "color" aspect of periodontitis, which of the following descriptive terms are correct? a. pale pink b. bright red c. purplish red d. red e. all of the above | e. all of the above |
| palpable or visible movement of a tooth when it is in function is defined as: a. overbite b. overjet c. fremitus d. high frenum attachment e. functional occlusion | c. fremitus |
| all of the following are periodontally significant findings when observing a patient's hands EXCEPT: a. dry cuticles b. clubbing c. cyanosis d. nicotine staining e. arthritis | a. dry cuticles |
| Stenson's and Wharton's duct examinations are periodontally significant BECAUSE decreased salivary flow can impact periodontal disease a. both statements are true b. both statements are false c. first statement true; second false d. first statement false; second true | a. both statements are true |
| breath malodor is always indivative of periodontal disease T/F? | False |
| Which of the following structures is least likely to offer signs of periodontal significance when examined? a. buccal mucosa b. hard palate c. lips d. tongue e. all of these structures may exhibit periodontally significant findings | e. All of these structures may exhibit periodontally significant findings |
| Which of the following would best be defined as continuous or intermittent forceful closure? a. functional occlusion b. parafunctional occlusion c. overjet d. overbite | b. parafunctional occlusion |
| The facial surface of tooth #28 exhibits 2 mm of recession and a 2 mm probing depth. This surface is exhibiting: a. health b. mild periodontitis c. moderate periodontitis d. severe periodontitis e. severe gingivitis | c. moderate periodontitis |
| Intrinsic staining is often periodontally significant T/F? | False |
| Calculus is considered a local risk factor because a. the surface of calculus is irregular and provides a place for bacteria to grow undisturbed b. the bacteria derive many of their needed nutrients from the hard calculus deposits c. the surface of calculus can damage the adjacent soft tissue through direct trauma d. calculus is the primary cause of periodontal disease | a. the surface of calculus is irregular and provides a place for bacteria to grow undisturbed |
| which of the following is NOT a mechanism for attachment of calculus to a tooth surface? a. attachment by means of pellicle b. attachment to the blood clots that can form on the tooth c. attachment to irregularities that occur in the surface of a tooth d. attachment by direct contact of the calcified component and the tooth surface | b. attachment to the blood clots that can form on the tooth |
| the term overhanging restoration is best described as a. a restoration accidentally placed on the wrong tooth b. a restoration not perfectly smooth with the adjacent tooth surface c. a restoration that "hangs over" onto the occlusal surface of the adjacent tooth d. a restoration that will cause periodontal disease | b. a restoration not perfectly smooth with the adjacent tooth surface |
| which of the following is NOT a local contributing factor for periodontal disease? a. enamel pearl b. lingual groove or fossa c. smoking d. dental calculus e. class V caries | c. smoking |
| Pathogenicity of plaque refers to a. the ability of plaque to contribute to tooth staining b. the likelihood that the patient will be able to detect the plaque c. damage to the periodontium from occlusal forces d. disease causing potential of the plaque | d. disease causing potential of the plaque |
| Parafunctional occlusal forces are forces placed on the teeth that a. occur only during the act of chewing food b. occur from repeated use of chewing gum c. can cause reversible damage to a healthy periodontium d. can be detected only after occlusal adjustment e. can cause reversible damage to an unhealthy periodontium | c. can cause reversible damage to a healthy periodontium |
| a crown margin closer than 2 mm to the creat of alveolar bone can result in resorption of bone, as the body attempts to restore: a. PDL attachment b. bone c. biologic width d. gingival health | c. biologic width |
| dental calculus begins to form a. 6 weeks after removal b. immediately after removal c. after 9 days but before 12 weeks after removal d. from 48 hours to 2 weeks after removal | d. from 48 hours to 2 weeks after removal |
| the local risk factor of a root concavity is expected to be found on which tooth? a. #3 b. #12 c. #24 d. #31 e. #7 | b. #12 |
| time should be taken to carefully assess the following to screen for potential areas of food impaction a. enamel pearls b. tongue thrusting c. class V caries d. trauma from occlusion e. open/ poor contacts | e. open/ poor contacts |
| which of the following would best be described as a radiolucent periodontal structure filled with PDL tissue? a. alveolar crest b. periodontal ligament space c. cortical bone d. lamina dura | b. periodontal ligament space |
| If the above structure appears widened, the expected clinical finding would be: a. decay b. health c. gingivitis d. tooth mobility | d. tooth mobility |
| The very earliest signs of periodontitis are best detected radiographically. T/F? | False |
| Which of the following signs of periodontitis IS visible radiographically? a. direction of bone loss b. periodontal pockets c. early furcation involvement d. disease activity e. bone loss of 3 mm or less | a. direction of bone loss |
| furcation involvement will always be visible on a radiograph once it is a class III or IV furcation T/F? | False |
| All of the following are early radiographic signs of bony change, except one. a. fuzziness in the crest of the interdental bone b. widening of the periodontal ligament space at the crestal margin c. vertical bone loss d. radiolucent lines in the interseptal bone | c. vertical bone loss |
| Radiographic images can indicate disease activity T/F? | False |
| Treatment of emergency conditions | Assessment phase/ preliminary phase |
| Minor orthodontic treatment | Phase I/ Nonsurgical Periodontal Therapy |
| Smoking cessation counseling | Phase I/ Nonsurgical Periodontal Therapy |
| Dental Implant placement | Phase II/ Surgical Therapy |
| Fixed and removable prosthesis | Phase III/ Restorative Therapy |
| When assigning a periodontal diagnosis, the second basic diagnostic question is: a. what type of gingivitis/ periodontitis does the patient have? b. Is the disease gingivitis or periodontitis? c. How will the patient respond to treatment? d. Does the assessment indicate health or disease? | b. Is the disease gingivitis or periodontitis? |
| Which of the following descriptive terminologies will ONLY be used when diagnosing gingivitis? a. distribution b. duration c. extent d. severity e. disease | a. distribution |
| The patient who accepts the proposed periodontal treatment plan must do so in writing. T/F? | False |
| All of the following are considered "signs" of periodontal disease except one. Identify the "symptom" of periodontal disease. a. change in color of gingival tissue b. exudate c. bleeding on probing d. gums that "itch" e. puffy, swollen gingival tissue | d. gums that "itch" |
| Periodontal assessment of a new patient with poorly controlled diabetes mellitus reveals localized moderate chronic periodontitis. The patient's plaque control is poor, and there are light calculus deposits on supragingival and subgingival tooth surfaces. There is a large overhang on a restoration in a premolar tooth. What should be the first recommended phase of the periodontal treatment plan? a. assessment phase and preliminary therapy b. nonsurgical periodontal therapy c. surgical therapy d. restorative therapy e. periodontal maintenance | a. assessment phase and preliminary therapy |
| A behavior change that occurs because the patient has made an informed decision to change is termed: a. adherence b. compliance | a. adherence |
| an example of "show" from the "tell, show, do" approach would be: a. explain that the bleeding is cuased by biofilm b. show the patient what woven floss looks like c. use an intraoral camera so that the patient can see his inflamed tissue d. demonstrate correct use of a proxybrush | c. use an intraoral camera so that the patient can see his inflamed tissue |
| Your patient has seen the biofilm left behind on his teeth using disclosing solution and the corresponding inflammation. Learning this information will certainly motivate your patient to floss daily. T/F? | False |
| your patient asks if you have any additional information about dental implants. This patient is exhibiting which stage of change? a. precontemplation b. contemplation c. preparation d. action e. maintenance/ relapse | b. contemplation |
| your patient states "I have decided that I am giving up smoking on my birthday, which is March 17." this patient is demonstrating which stage of change? a. precontemplation b. contemplation c. preparation d. action e. maintenance/ relapse | c. preparation |
| Your patient is a new mother of six-month-old twins. She states "I know it's my fault for neglecting my 3 month maintenance appointments, but I'm just exhausted all of the time. I barely have time to brush my teeth, let alone floss." This patient is exhibiting which stage of change? a. precontemplation b. contemplation c. preparation d. action e. maintenance/ relapse | e. maintenance/ relapse |
| an appropriate intervention for the above patient would be: a. explain the effects of periodontal disease on her systemic health b. ask the patient if it would be helpful to schedule appointments in advance c. encourage the patient to discuss past successes in treating her pregnancy gingivitis d. point our the patient's still lingering pregnancy gingivitis and ask: "wouldn't you like to get rid of these ugly, puffy gums?" e. Tell the patient that if she doesn't keep her appointments, there will be a $25 charge | c. encourage the patient to discuss past successes in treating her pregnancy gingivitis |
| a person's belief or self-assurance in his or her ability to succeed is termed: a. importance b. confidence c. compliance d. adherence | b. confidence |
| Your patient has been using a rubber tip daily for the last 3 years. This patient is in the "action" stage of change. T/F? | True |
| The value or interest that a person assigns to a behavior is termed: a. importance b. confidence c. compliance d. adherence | a. importance |
| Vasodilation takes place due to the release of: a. gingival crevicular fluid b. PMN's c. histamine d. phagocytes e. macrophages | c. histamine |
| which of the following cells plays an important role in chronic periodontitis? a. PMN b. macrophage c. T-lymphocytes d. B-lymphocytes | b. macrophage |
| The PMN is short-lived, dies upon engorgement, and secretes _______ upon death a. endotoxins b. exotoxins c. cytokines d. prostaglandins e. matrix metalloproteinases | a. endotoxins |
| Plasma cells that secrete antibodies | B-lymphocyte |
| cell protein that transmits information | IL-1 or TNF alpha |
| in disease, will cause extensive collagen breakdown | MMPs |
| Initiate most of alveolar destruction seen in perio | Prostaglandin E |
| opsonize pathogens | compliment system |
| Increased permeability of the blood vessels will create swelling in the tissues, also known as a. rubor b. calor c. tumor d. dolor e. functio laesa | c. tumor |
| incomplete scaling can lead to which of the following problems? a. dentinal hypersensitivity b. formation of long junctional epithelium c. patient misunderstanding d. formation of new cementum | c. patient misunderstanding |
| NSPT is NOT the treatment of choice for which type of periodontal disease? a. aggressive periodontitis b. gingivitis c. chronic periodontitis d. severe periodontitis | a. aggressive periodontitis |
| Which of the following best matches the ADA definition of "instrumentation of the crown and root surfaces of teeth to remove plaque, calculus, and stain"? a. scaling b. root planing c. periodontal debridement d. deplaquing | a. scaling |
| the endpoint of instrumentation is: a. return of stippling b. return of soft tissue health c. 3 mm or less pocket depth d. a smooth root/ tooth surface | b. return of soft tissue health |
| a patient with severe chronic periodontitis SHOULD NOT be treatment planned for nonsurgical therapy; they should be referred directly to a periodontitist for evaluation T/F? | false |
| the primary pattern of healing after periodontal debridement is: a. regeneration/ reattachment of Sharpey's Fibers b. formation of new cementum c. formation of new periodontal ligament d. formation of a long junctional epithelium | d. formation of a long junctional epithelium |
| all of the following are goals of NSPT EXCEPT ONE. a. control the bacterial challenge to the patient b. minimize the impact of systemic factors c. eliminate or control local risk factors d. establish gains in attachment levels e. stabilize attachment levels | d. establish gains in attachment levels |
| sites that show continued loss of attachment or exhibit signs of inflammation/ bleeding following NSPT are termed: a. acute sites b. chronic sites c. inflammatory sites d. repeat debridement sites e. nonresponsive sites | e. nonresponsive sites |
| the odontoblastic process is located primarily in which of the following structures? a. cementum b. dentinal tubules c. pulp chamber d. long junctional epithelium e. enamel rods | b. dentinal tubules |
| the most important factor in prevention and control of dentinal hypersensitivity is: a. use of fluoride b. rest c. thorough daily plaque removal d. use of calcium hydroxide e. use of cavity varnishes | c. thorough daily plaque removal |
| swollen gingival and capillary fragility are signs of a possible deficiency of which of the following? a. Vitamin A b. Vitamin C c. Vitamin D d. Vitamin E e. Vitamin K | b. vitamin C |
| surveys have shown a causal relationship between Vitamin C deficiency and the prevalence and severity of periodontal disease. T/F? | False |
| A dietary deficiency in copper can result in: a. reduced calcium absorption b. pellagra c. reduced tensile strength of collagen d. increased cell migration and chemotaxis | c. reduced tensile strength of collagen |
| Eating fibrous foods serves all of the following functions except one. a. increases salivary production b. exercises the PDL space and creates a stronger attachment c. assists with oral clearance d. functions as "Nature's Toothbrush" | d. functions as "Nature's Toothbrush" |
| The rate of turnover of sulcular epithelium is: a. 1 day b. 3 days c. 10 days d. 2 weeks e. 30 minutes | b. 3 days |
| A deficiency in this vitamin can cause distortion of the growth pattern of alveolar bone a. Vitamin A b. Vitamin C c. Vitamin D d. Vitamin E e. Vitamin K | c. Vitamin D |
| A deficiency in vitamin D can increase the severity of periodontal disease. Vitamin D aids in calcium absorption. a. both statements are true b. both statements are false c. first statement true; second false d. first statement false; second true | a. both statements are true |
| gingivitis can be caused by a vitamin B deficiency T/F? | False |
| Angular cheilitis can be affected by all of the following except: a. loss of vertical dimension b. candidiasis c. vitamin B deficiency d. vitamin K deficiency | d. vitamin K deficiency |
| "Ascorbic acid gingivitis" could also be known as: a. pellagra b. rickets c. scurvy d. pregnancy gingivitis | c. scurvy |