Deck 11: Vitamins Required for Oral Soft Tissues and Salivary Glands

Question 1

Each oral structure is lined with keratinized mucosa,except one.Which is the exception?

A) Floor of the mouth
B) Gingiva surrounding the teeth
C) Dorsum of the tongue
D) Hard palate

Answer 1

Floor of the mouth

Question 2

The most common vitamin deficiency among the B-complex vitamin is usually due to low intake of:

A) vitamin B1.
B) vitamin B2.
C) pantothenic acid.
D) folate.

Answer 2

folate.

Question 3

Systemic disease often manifests in the oral cavity first.Disease within the oral cavity can cause systemic complications.

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 3

Both statements are true.

Question 4

Consistent high doses of folate can:

A) mask a deficiency of vitamin B12.
B) act as an antioxidant.
C) increase the risk of heart disease.
D) increase the need for other B vitamins.

Question 5

Each accurately describes physiologic roles of thiamin,except one.Which is the exception?

A) Thiamin functions as a coenzyme in the Krebs cycle.
B) The main effects of thiamin deficiency are disturbances of protein and lipid metabolism.
C) Thiamin is an essential component in synthesis of niacin.
D) Also known as vitamin B1, thiamin helps regulate appetite.

Question 6

A deficiency of riboflavin can lead to pellagra.Riboflavin is not known to be toxic,but there is no benefit from high doses.

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 7

Patients older than age 70 are encouraged to choose fortified sources of vitamin B₁₂ because the synthetic form is better absorbed than naturally occurring vitamin B₁₂ in foods.

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

Question 8

Which meat is an exceptionally good source of thiamin?

A) Chicken
B) Turkey
C) Pork
D) Beef

Question 9

Which condition is least likely to be caused by a deficiency of riboflavin?

A) Glossitis
B) Bilateral cheilosis
C) Dermatitis
D) Anemia

Question 10

During early phases of nutritional deficiency,which epithelial tissue is the first to be affected?

A) Gingival
B) Lips
C) Glossal
D) Palatal

Question 11

The system most likely to be responsible for excessive salivation in a nervous dental patient is the:

A) Krebs cycle.
B) TCA cycle.
C) parasympathetic autonomic nervous system.
D) sympathetic autonomic nervous system.

Question 12

Beriberi manifests with impairment of the autonomic nervous system.Other symptoms include bradycardia and decreased size of the heart.

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

Which does NOT decrease or destroy thiamin content in food?

A) Baking soda added to cooking water of vegetables
B) Overcooking and high temperatures
C) Olive oil added to vegetables during cooking
D) Consumption of raw fish
E) Use of antacids as a calcium supplement

Question 14

Changes in taste acuity are associated with the loss of which papilla?

A) Circumvallate and foliate
B) Foliate and fungiform
C) Circumvallate and fungiform
D) Fungiform and filiform
E) Filiform and foliate

Question 15

Fungiform papillae are pale pink because they are covered in with keratinized mucosa and have a rich blood supply.

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

Question 16

Patients taking medications for bradycardia (low heart rate)exhibit increased salivary flow because such medications affect salivary secretion control by cholinergic parasympathetic nerves.

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

Question 17

Vitamin deficiencies,especially the B-complex vitamins,seldom occur in isolation.Folate,a B-complex vitamin,is the exception because it functions separately from other vitamins.

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

Conditions such as burns and growth spurts lead to additional riboflavin requirements because this nutrient acts as a coenzyme in the syntheses of carbohydrates,proteins,and fats.

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

Question 19

Milk purchased in waxy containers contains less riboflavin because the components of the container have the potential to decompose riboflavin.

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

Question 20

Although milk and milk products are excellent sources of riboflavin,approximately 30% of the dietary intake is furnished by foods in the grain group.Meat,poultry,and fish also provide about one fourth of the dietary requirement.

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

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Capable of inducing an immune response with specific antibodies

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 22

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Large,mushroom-shaped structures forming a "V" shape on dorsal surface of tongue

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 23

Which are vegan sources of vitamin B₁₂? (Select all that apply.)

A) Kelp
B) Eggplant
C) Tofu
D) Dulse

Question 24

Vitamin E not only prevents inflammation of the periodontium,but it also promotes integrity of mucosal cell membranes.A deficiency of vitamin E is associated with parotid gland enlargement.

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

Vitamin B₁₂ is associated with which of the following? (Select all that apply.)

A) Excessive amounts are bound to protein and stored in the liver for 3 to 4 years.
B) It functions as a coenzyme in folate metabolism in DNA synthesis.
C) It is essential to the formation and regeneration of red blood cells.
D) Its full name is biotin.
E) After gastric surgery, vitamin B12 levels are of concern.

Question 26

Thiamin is crucial for normal functioning of the: (Select all that apply.)

A) brain.
B) muscles.
C) intestines.
D) salivary glands.
E) heart.

Question 27

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
The "morale vitamin"

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 28

A vitamin megadose is a misnomer because at these levels,the vitamin is functioning as a drug rather than a nutrient.

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

Question 29

Rich sources of folate include which of the following? (Select all that apply.)

A) Legumes
B) Pork
C) Green leafy vegetables
D) Fortified cereals and grain products
E) Grapefruit and oranges

Question 30

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Oral contraceptives may reduce maternal levels during pregnancy and lactation

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 31

Which are associated with thiamin deficiency? (Select all that apply.)

A) Flushing of the skin
B) Involuntary rapid movement of the eyeballs
C) Beriberi
D) Depression and fatigue
E) Burning feelings of the feet

Question 32

A recent evaluation by ConsumerLab.com,often called the "watchdog of the supplement industry," found that more than 90% of multivitamins tested contained essentially the ingredients and proportions listed on the product label.The presence of a United States Pharmacopeia (USP)symbol on a label means testing of the product has confirmed that the supplement is safe for everyone.

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

Question 33

Taste buds are located within which papillae? (Select all that apply.)

A) Foliate
B) Filiform
C) Circumvallate lingual
D) Fungiform

Question 34

Some nutrients may compete or block the action or absorption of another nutrient.Most time-released supplements counteract this problem.

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 35

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Associated with malnourished alcoholics

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 36

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Increased incidence of dental caries and susceptibility to oral infections

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 37

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Niacin deficiency

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 38

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
The only vitamin that contains a mineral

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 39

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Cracks in epithelium around the corners of the mouth

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 40

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Smooth,threadlike structures on the dorsal surface of the tongue

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 41

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
Deficiency produces squamous metaplasia in salivary gland ducts

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated

Question 42

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
Deficiency produced by ingestion of raw egg whites

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated

Question 43

The oral cavity is a barometer for systemic disease. During evaluative and treatment procedures, assessment of oral tissues with regard to both oral and systemic health is a critical service dental hygienists can provide. Match the nutrient or condition with the appropriate description or action.
Common nutritional deficiency after bariatric surgery

A)Antigenic
B)Filiform papillae
C)Vitamin B6
D)Circumvallate lingual papillae
E)Angular cheilosis
F)Xerostomia
G)Cobalamin
H)Thiamin
I)Folate
J)Wernicke-Korsakoff syndrome
K)Pellagra

Question 44

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
Ensures optimal activity of white blood cells

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated

Question 45

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
Broken down similar to other supplements

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated

Question 46

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
May suppress chemically induced oral neoplasias

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated

Question 47

Because there is no standardization of content and efficacy of multivitamin-multimineral (MVM) supplements, educating patients about nutritional supplements is an important aspect of dental hygiene therapy. Match the nutrient or condition with its appropriate deficiency, description, or action.
Likely inadequate in adolescent girls and women of childbearing years

A)Biotin
B)Vitamin C
C)Vitamin A
D)Antioxidants
E)Iron and folic acid
F)Chelated