Deck 53: Womens Health and the Health of Their Children

Question 1

Perimylolysis (acid erosion of teeth)is rare in pregnancy but may occur if a woman vomits repeatedly.Pregnant women who vomit frequently because of morning sickness should be advised to brush immediately after vomiting.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Answer 1

The first statement is true,the second is false.

Question 2

Lactating mothers should avoid all of the following except which one?

A) Aspirin
B) Tetracycline
C) Nitrous oxide-oxygen analgesia
D) Ciprofloxacin
E) Barbiturates

Answer 2

Nitrous oxide-oxygen analgesia

Question 3

Historically,research on drugs and diseases has been performed primarily on human participants (human subjects):

A) Based on their age and ethnicity
B) Based on their life span and disease risk
C) Who were middle-aged white males
D) Who were vulnerable and easily coerced to participate

Answer 3

Who were middle-aged white males

Question 4

Prostaglandins,mediators (facilitators)of the inflammatory process,have been shown to increase significantly in the presence of high concentrations of estrogens and progesterones.However,this does not occur during pregnancy.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 5

The body reacts to bacterial challenges differently,depending on the integrity of the immune system.The host response appears to be altered in the presence of increased sex steroid hormones.

A) Both the statement and the reason are correct,and they are related.
B) Both the statement and the reason are correct,but they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 6

All of the following contribute to pregnancy-associated gingivitis except which one?

A) High levels of sex steroid hormones in circulating plasma
B) Gestational diabetes
C) Higher levels of periodontal pathogens that thrive on sex hormones
D) Immunosuppression during pregnancy

Question 7

Endogenous sex steroid hormone gingival disease is exacerbated by hormonal and vascular changes and the presence of increased anaerobic bacteria that proliferate in the high-progesterone environment during pregnancy.Therefore clients should be advised to rinse with water prior to brushing teeth.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 8

The first trimester of pregnancy is the period of organogenesis when vital organs form and the fetus can be seriously affected by environmental influences.All of the statements below are correct except which one?

A) No illegal drugs or substances should be used during this time.
B) Drugs used during this time should be prescribed at the highest effective dose and duration.
C) A pregnant woman can have dental hygiene treatment during this time.
D) FDA Category A and B drugs can be prescribed if needed.

Question 9

During puberty and menses,sex steroid hormone effects may be transient.Only reversible oral damage will result if proper daily oral self-care is lacking.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true

Question 10

The amount of drug excreted in breast milk is usually 1% to 2% of the maternal dose.It is likely that most drugs taken by the lactating mother will have pharmacologic significance for the infant.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 11

One should practice excellent daily oral self-care because periodontal disease causes systemic illness,such as heart and respiratory diseases.

A) Both the statement and the reason are correct,and they are related.
B) Both the statement and the reason are correct,but they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 12

The oral manifestations of puberty and menses can be disconcerting and uncomfortable.The oral manifestations cannot be managed with topical analgesics.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true

Question 13

Dental hygiene interventions to prevent inflammatory disease during puberty and menses include which of the following?

A) Topical corticosteroids
B) Less frequent periodontal debridement
C) No antimicrobial mouth rinses with alcohol
D) Only fluoride rinses and gels
E) Only manual toothbrushing

Question 14

Use of nitrous oxide-oxygen analgesia in pregnancy has been assigned a rating by the Food and Drug Administration (FDA).Studies demonstrate increased congenital anomalies,altered immune responses,spontaneous abortion,and increased birth defects when nitrous oxide-oxygen analgesia is used frequently throughout pregnancy.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 15

Each of the following is a typical sign of a heart attack in a woman,except one.Which one is this exception?

A) Indigestion
B) Nausea
C) Vomiting
D) Chest pain
E) Dizziness

Question 16

What is sex-based biology?

A) The study of favoring members of one gender over another
B) The study of gender in the history of medicine and healthcare
C) The study of biologic and physiologic differences between men and women
D) The preference of using males as research subjects

Question 17

The developing fetus is especially susceptible to effects of radiation.No radiographs should be exposed during pregnancy.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 18

Oral contraceptives alleviate folate deficiency,which in turn inhibits oral tissue repair and decreases blood clotting.This occurs in women over 35 years of age who smoke.

A) Both the statement and the reason are correct,and they are related.
B) Both the statement and the reason are correct,but they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 19

Scavenging systems are effective in reducing ambient nitrous oxide concentration in the oral care environment.Therefore frequent use of nitrous oxide-oxygen analgesia is safe during pregnancy.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 20

In the third trimester of pregnancy,the enlarged uterus compresses the inferior vena cava if the woman is placed in a semireclined or supine position during dental care.This client position may cause maternal hypertension.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true

Question 21

Bisphosphonates are a class of drugs used primarily to increase bone mass and reduce risk for fracture in persons with osteoporosis.The Food and Drug Administration (FDA)has deemed this class of drugs as safe and effective in all women.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 22

There are positive and similar effects from the hormone replacement therapy (HRT)pill and the patch on clinical parameters such as tightness or constriction of blood vessels,total cholesterol,and low-density-lipoprotein (LDL)cholesterol (the "bad" cholesterol).Women using either the estrogen pill or the patch experience higher blood pressure during psychologic stress.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 23

All of the following indicate how infertility treatment may affect the oral cavity except which one?

A) Infertility treatment exacerbates gingival inflammation.
B) Infertility treatment decreases gingival crevicular fluid (GCF)volume.
C) Infertility treatment and the duration of the usage of infertility drugs are strongly associated with severity of gingival inflammation.
D) Educating clients to control gingival inflammation can possibly protect them from giving birth to a premature,low-birthweight baby.

Question 24

Treatment for burning mouth syndrome (BMS)is usually directed at correction of detected organic causes.Treatment also involves the use of tricyclic antidepressants,such as chlorpromazine,used to treat depression.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true,the second is false.
D) The first statement is false,the second is true.

Question 25

All of the following statements about burning mouth syndrome are incorrect except one.Which one is this exception?

A) It is synonymous with glossitis.
B) Its cause is well understood.
C) It can be controlled by diet and nutrition.
D) The pain lasts at least 6 months,is continuous and progressive,and has no apparent cause.
E) Temporomandibular joint (TMJ)pain,face pain,and oral sores are not associated with this syndrome.