Deck 52: Alcohol and Substance Abuse Problems

Question 1

Use of local anesthetic is contraindicated when treating:

A) recovering alcoholics.
B) a cocaine user.
C) a marijuana user.
D) an anabolic steroid user.

Answer 1

a cocaine user.

Question 2

Select all intraoral methamphetamine mouth signs.

A) Rampant decay
B) Xerostomia
C) Bruxism
D) Severe gingivitis

Answer 2

Rampant decay
Xerostomia
Bruxism
Severe gingivitis

Question 3

Select all intraoral signs of methamphetamine use.

A) Bruxism
B) Macroglossia
C) Xerostomia
D) Attrition
E) Erosion
F) Rampant decay
G) Pericoronitis

Answer 3

Bruxism
Xerostomia
Rampant decay

Question 4

Select all intraoral signs of marijuana use.

A) Extrinsic green stain
B) Halitosis
C) Bloodshot eyes
D) Slurred speech

Question 5

A client presents with a history of alcoholism. The dental hygienist should consider all of the following except:

A) expect wound healing delay.
B) expect prolonged bleeding for invasive procedures.
C) consult client's primary care physician before invasive therapy.
D) refer client to a treatment facility.

Question 6

Localized gingival and alveolar necrosis adjacent to maxillary premolars is a sign of _____ use.

A) marijuana
B) cocaine
C) PCP
D) alcohol

Question 7

The legitimate medical use for methamphetamine is:

A) option for weight loss.
B) none; there is no known medical use.
C) treatment for insomnia.
D) used for attention deficit disorder.

Question 8

Substances that slow down the central nervous system (CNS) include:

A) alcohol, codeine, nicotine, and methamphetamine.
B) Adderall, PCP, and LSD.
C) benzodiazepines, barbiturates, and alcohol.
D) nitrous oxide, alcohol, and cocaine.

Question 9

Hallucinogens are abused because of:

A) desired repeated experience.
B) physical need to abuse substance.
C) psychologic need to abuse substance.
D) they cannot be detected in system.

Question 10

A dental hygienist who suspects the client is under the influence of cocaine or methamphetamine should:

A) refuse to treat client.
B) alert police.
C) call primary care physician for premedication.
D) delay professional oral care for 24 hours after last reported substance use.

Question 11

Intraoral signs of inhalant use include all of the following except:

A) stained teeth.
B) sores or burns around mouth.
C) inflamed gingiva.
D) erythematous oropharynx.

Question 12

When treating clients with chemical dependency, the dental hygienist's primary goal is to:

A) identify substance abuse and refer client to appropriate treatment facility.
B) diagnose substance dependence and document in dental record.
C) provide treatment facility options.
D) educate client on need for routine professional oral health care, good self-care, and proper nutrition.

Question 13

If a chemically dependent client is not ready to change unwanted behavior, the dental hygienist should:

A) alert the police.
B) dismiss client from the practice.
C) refer to primary care physician.
D) refer to intervention treatment facility.
E) state concerns and modify dental treatment.

Question 14

According to the National Household Survey on Drug Abuse, the age reporting the highest drug use is:

A) 12 to 14.
B) 18 to 25.
C) 20 to 35.
D) 40 to 55.
E) 50 to 59.

Question 15

Select all extraoral signs of alcohol abuse.

A) Swollen eyes
B) Eyelid tremors
C) Angular cheilitis
D) Petechiae on nose
E) Glossodynia
F) Yellow tint to skin

Question 16

Substance abuse can best be defined as:

A) chronic compulsive use of a substance.
B) unlawful and improper use of a substance.
C) the use of any substance that deviated from approved medical uses.
D) the use of natural and synthetic substances as well as psychoactive drugs.

Question 17

The dental hygienist should modify treatment to include all of the following for clients recovering from substance abuse except:

A) use of nonalcoholic preprocedural rinse.
B) consult with primary care physician on pain control choices.
C) schedule short, multiple appointments.
D) use of nitrous oxide for pain control.