Deck 17: Risk Assessment

Question 1

Which of the following is NOT considered a nonmodifiable risk factor?

A) Gender
B) Diabetes
C) Race
D) Age

Answer 1

Diabetes

Question 2

Why is it important to consider nonmodifiable risk factors if you cannot change them?

A) It is not important to treatment or the patient.
B) All risk factors can be modified.
C) They make periodontal treatment ineffective.
D) They can impact treatment decisions and prognosis.

Answer 2

They can impact treatment decisions and prognosis.

Question 3

Patients may not think that it is important to reveal some diseases because they do not know the connection to the oral cavity.Which of the following may compromise dental treatment and prognosis?

A) Autoimmune diseases
B) Organ transplant recipients
C) Patients undergoing chemotherapy
D) All of the above

Answer 3

All of the above

Question 4

Why is it important for the patient to provide accurate and detailed information about his or her medical and dental history?

A) It is not that important because the dental hygienist can figure it out by doing an oral examination.
B) A patient's medical history helps the dental hygienist understand whether the individual will be compliant.
C) It provides an understanding of how the patient lives and his or her socioeconomic status.
D) It will help identify risks that will need to be addressed or discussed prior to developing a treatment plan.

Question 5

Prevalence is the number of cases of a disease or condition per population at risk at a particular point in time.Incidence is the number of new cases of a disease or condition over a specified period of time.

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 6

Why is osteoporosis considered a potential risk factor for periodontal disease?

A) They are both bone resorptive diseases.
B) Studies are conclusive that if you have osteoporosis you will have periodontal disease.
C) Osteoporosis will lead to osteonecrosis if left untreated.
D) It is not a potential risk factor.

Question 7

Which of the following is NOT an example of a risk indicator?

A) Age
B) Sex
C) Race
D) Tobacco habit

Question 8

Longitudinal studies provide information about prevalence.Cross-sectional studies assess incidence of a particular disease.

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 9

Bleeding alone is not a predictor of periodontal breakdown or future attachment loss.Bleeding in conjunction with other clinical signs of breakdown,such as increased attachment loss or pocket depth,does show a potential for continued periodontal destruction.

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

Which of the following is NOT a clinical finding in smokers?

A) Greater alveolar bone loss
B) Deeper periodontal pockets
C) Increased furcation involvement
D) Decreased tooth loss

Question 11

Kaposi sarcoma is associated with which disease?

A) Diabetes
B) Lupus
C) HIV/AIDS
D) Leukemia

Question 12

Only patients 18 years and older should be screened for tobacco use.Children and adolescents who begin smoking or are exposed to second-hand smoke are not at risk for periodontal disease since their immune systems are stronger.

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

Children and adolescents with a high consumption of soft drinks,juice,and other sweetened beverages are at risk for enamel erosion and caries.Children who have higher milk consumptions have a higher tendency for decay compared to children who consume high amounts of juice.

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 14

What risk factors may impact the timing of periodontal therapy?

A) It is important to do periodontal therapy immediately regardless of risk factors.
B) If a patient has uncontrolled diabetes it may be best to consult the physician and postpone therapy until the condition is under control.
C) A patient must stop smoking before periodontal therapy or it will not be successful.
D) None of the above

Question 15

Is it worth recommending a smoking cessation program if the patient has been smoking for more than 20 years?

A) Yes.Studies show that people who quit smoking can respond well to periodontal therapy.
B) No.There is a cumulative effect that does not go away.
C) It does not matter.The damage has already been done to the gingival tissue.
D) Maybe.It depends on how many packs of cigarettes the individual smokes per day.

Question 16

Which local conditions increase the risk for oral disease?

A) Open margins between tooth and restorative material
B) Temporary anchor device and orthodontic appliances
C) Retained cement around crown or implant
D) All of the above

Question 17

Which question(s)will help the dental team make a decision about purchasing a new device or tool for measuring the patient's risk for disease?

A) Will it impact diagnosis or treatment?
B) Does the research support the validity and accuracy of the tool?
C) Is it cost effective and easy to use?
D) All of the above

Question 18

Why is the relationship between obesity and periodontal disease under investigation in clinical studies?

A) There is no clinical evidence that there is a relationship.
B) The increase in obesity in the United States makes it a health risk.
C) Obesity increases the inflammatory burden and periodontal disease is an inflammatory disease.
D) Cross-sectional studies prove that obesity increases the incidence of periodontal disease.

Question 19

Which of the following is NOT a putative pathogen bacteria associated with periodontal disease?

A) Prevotella intermedia
B) Eikenella corrodens
C) Treponema denticola
D) Tannerella forsythia

Question 20

Which of the following statements in regard to the prevalence of oral cancer is NOT true?

A) Older individuals have a greater risk for oral cancer.
B) Women have twice the rate of oral cancer compared to men.
C) Oral cancer increases with the amount and duration of smoking.
D) Human papillomavirus is associated with 20% to 30% of oral cancer.