Deck 52: Eating Disorders

Question 1

The psychologic dynamics of an eating disorder are strongly related to the following human needs except for which one?

A) Wholesome body image
B) Responsibility for oral health
C) Conceptualization and understanding
D) Ethical conduct

Answer 1

Ethical conduct

Question 2

Early perimylolysis is commonly characterized by each of the following criteria except which one?

A) Pitting appearance on the incisal edges of maxillary anterior teeth
B) Loss of normal anatomic features of enamel
C) Glossy appearance of enamel
D) Amalgams that appear raised above the surrounding enamel

Answer 2

Amalgams that appear raised above the surrounding enamel

Question 3

Parotid gland enlargement may be a sign of regular vomiting.Diminished taste acuity is a sign of binging behavior.

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

Answer 3

The first statement is true;the second statement is false.

Question 4

Binge-eating disorder is characterized by which of following?

A) Restriction after a purge
B) Binging without purging
C) Excessive exercise before a purge
D) Laxative use while binging

Question 5

Which of the following statements describes the rationale for wearing a mouthguard while orally purging?

A) Protect the dentition from trauma due to digital stimulation.
B) Avoid aspiration of foreign object.
C) Inhibit the gag reflex.
D) Lessen the direct impact of gastric acids on enamel.

Question 6

All of the following health professionals are important in managing the individual with an eating disorder except which one?

A) Exercise therapist
B) Psychologist
C) Physician
D) Speech therapist
E) Dental hygienist

Question 7

Each of the following management techniques should be considered when planning treatment care and education for the client with bulimia nervosa except which one?

A) Providing palliative care for dentinal hypersensitivity
B) Recommending daily use of acidulated phosphate fluoride (APF)gel
C) Recommending use of sodium bicarbonate or magnesium hydroxide rinses following purging episodes
D) Constructing an oral mouth guard for protection during vomiting episodes

Question 8

Of the following therapies for anorexia nervosa,which one would be the last one to be included in the client's care plan?

A) Psychotherapy
B) Family counseling
C) Antidepressant medications
D) Physical fitness routine
E) Dental treatment

Question 9

All of the following physical findings are commonly found in individuals with bulimia except which one?

A) Lanugo
B) Knuckle callus
C) Commissure lesions
D) Palatal trauma
E) Parotid enlargement

Question 10

Which of the following statement best describes why eating disorders have been referred to as an eclipse of the person's thinking?

A) Transient mental illnesses of youth
B) Reoccur throughout the client's lifetime
C) Overshadowing of healthy thought process
D) Imbalance of hormones

Question 11

After the initial confrontation appointment,which of the following actions should be taken initially by the dental hygienist for legal purposes?

A) Refer client to a health professional with expertise in eating disorders for evaluation.
B) Appoint the client for restorative dental care.
C) Thoroughly document appointment discussion and decisions.
D) Obtain a signed release form to contact other healthcare providers.

Question 12

Which of the following statements best characterizes the role of the hygienist during the period after the initial confrontation and referral for a client with a suspected eating disorder?

A) Expect that the client will make steady progress with the disorder,and do not make references to the problem in the future.
B) Communicate satisfaction when the client seeks evaluation or therapy.
C) Reward only major accomplishments by the client during recovery.
D) Encourage the client to cease all purging behaviors.

Question 13

Possible systemic complications that can arise from untreated anorexia nervosa include all of the following conditions except which one?

A) Renal
B) Cardiovascular
C) Hematologic
D) Gastrointestinal
E) Respiratory

Question 14

According to the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition (DSM-IV),anorexia nervosa can be subcategorized into two distinct subtypes.Which of the following categories represent these subtypes of anorexia?

A) Restricting and Excessive Exercise
B) Excessive Exercise and Binge-Eating/Purging
C) Dieting and Restricting
D) Binge-Eating/Purging and Restricting

Question 15

Anorexia nervosa may be comorbid with which one of the following conditions?

A) Substance abuse
B) Sociopathology
C) Autism
D) Brain injury

Question 16

All of the following factors are considered possible causes in the development of an eating disorder except which one?

A) Neurochemical
B) Genetic
C) Sociocultural
D) Gastrointestinal
E) Psychodevelopmental

Question 17

The primary role of the dental hygienist is diagnosis of the eating disorder.Management of associated oral sequelae should occur after a firm diagnosis has been made.

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

Question 18

In comparison with other medical conditions,bulimia nervosa is known to have a high mortality rate,whereas anorexia nervosa has a low mortality rate.

A) The first part of the statement is true;the second part of the statement is false.
B) The first part of the statement is false;the second part of the statement is true.
C) Both parts of the statement are true.
D) Both parts of the statement are false.

Question 19

Enamel erosion is the most common oral finding in individuals with bulimia.Enamel erosion is unlikely to result from other systemic illnesses or physical conditions.

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

Question 20

During the professional confrontation,all of the following nonverbal clues may provide additional evidence to support the suspicion of an eating disorder except which one?

A) Loss of eye contact
B) Discomfort with questioning
C) Tearfulness
D) Suppressed humor