Question 1

Which of the following terms best defines difficulty in breathing?&#10;A) Dyspnea&#10;B) Cavitation&#10;C) Status asthmaticus&#10;D) Xerostomia

Accepted Answer

Dyspnea is defined as difficulty or discomfort in breathing, often accompanied by a sensation of suffocation. Cavitation refers to the formation of a cavity or hole in an organ or tissue. Status asthmaticus is a severe and potentially life-threatening asthma attack. Xerostomia is the medical term for dry mouth.

Question 2

Which of the following dental drugs often contains sulfite preservatives that may cause sensitivity in people with asthma?&#10;A) Chlorhexidine&#10;B) Epinephrine&#10;C) Xylocaine&#10;D) Nitrous oxide

Accepted Answer

Epinephrine, used in dental procedures often as a vasoconstrictor in local anesthetic solutions, can contain sulfite preservatives. These preservatives are added to prevent oxidation and prolong the shelf life of the solution. However, sulfites can trigger sensitivity reactions or exacerbate asthma in susceptible individuals.

Question 3

If asthma symptoms persist after administering a client's bronchodilator,what action should be taken?&#10;A) Administer oxygen and epinephrine,monitor vital signs,and call for assistance.&#10;B) Lay the client supine,administer epinephrine,and release the client to travel to the hospital.&#10;C) Check the client's airway,breathing,and circulation;monitor vital signs;and call for assistance.&#10;D) Ask the client to lean over the back of a chair;monitor vital signs,and call for assistance.

Accepted Answer

Administering oxygen and epinephrine, monitoring vital signs, and calling for assistance are the appropriate actions to take if asthma symptoms persist after administering a client's bronchodilator.

Question 4

What is the most vital component of a protocol for dental hygiene care of the ventilated client?&#10;A) Irrigation with an antiplaque agent&#10;B) Use of a toothbrush without toothpaste&#10;C) Continuous suctioning throughout the procedure&#10;D) Scrupulous infection-control procedures

Accepted Answer

Scrupulous infection-control procedures are crucial in the care of ventilated clients to prevent ventilator-associated pneumonia and other infections. Proper infection control includes the use of personal protective equipment, sterilization or appropriate disinfection of dental instruments, and adherence to hand hygiene protocols.

Question 5

Under what conditions should a client with active tuberculosis be treated?&#10;A) Using nitrous-oxide sedation in a dental office for routine procedures&#10;B) Using strict infection-control procedures in a dental office especially equipped for clients with tuberculosis&#10;C) In a dental office using universal precautions&#10;D) In a hospital setting,for emergency dental care only

Accepted Answer

Active tuberculosis is a highly contagious disease, and patients with active TB should receive dental care in a hospital setting where strict infection control measures can be implemented, and the risk of spreading the disease is minimized. This is especially important for emergency dental care, where treatment cannot be postponed.

Question 6

What is the major concern associated with treating a patient with tuberculosis?&#10;A) Disease transmission&#10;B) Proper patient positioning to avoid symptom exacerbation&#10;C) Stress prevention&#10;D) Use of local anesthesia with epinephrine

Accepted Answer

The major concern associated with treating a patient with tuberculosis is disease transmission. Tuberculosis (TB) is a highly contagious disease caused by the bacterium Mycobacterium tuberculosis, which primarily affects the lungs but can also affect other parts of the body. The primary mode of transmission is through airborne particles expelled when an infected person coughs, sneezes, speaks, or sings. Therefore, preventing the spread of the disease is a critical concern when treating a patient with TB.

Question 7

Which of the following drugs should the asthmatic patient avoid?&#10;A) Aspirin-containing medications&#10;B) Steroidal antiinflammatory drugs&#10;C) Topical anesthetics&#10;D) Acetaminophen

Accepted Answer

Asthmatic patients should avoid aspirin-containing medications as they can trigger asthma attacks in some individuals, which is known as aspirin-exacerbated respiratory disease (AERD) or aspirin-induced asthma (AIA).

Question 8

Which of the following is an appropriate precaution to be taken when treating a client with chronic obstructive pulmonary disease (COPD)?&#10;A) Place client in supine position.&#10;B) Use nitrous oxide as a sedative to reduce stress-induced reactions.&#10;C) Assess salivary flow related to medication-induced xerostomia.&#10;D) Plan fewer,longer appointments to reduce anxiety.

Accepted Answer

COPD patients often take medications that can cause dry mouth (xerostomia), so assessing salivary flow is important to manage oral health and comfort.

Question 9

Which of the following terms has been associated with chronic bronchitis?&#10;A) Blue bloater&#10;B) Barrel chest&#10;C) Mantoux skin screening&#10;D) Cavitation

Accepted Answer

"Blue bloater" is a term often used to describe patients with chronic bronchitis who have a bluish discoloration of their skin due to hypoxia and chronic carbon dioxide retention. "Barrel chest" is associated with emphysema, not chronic bronchitis. "Mantoux skin screening" is a diagnostic test for tuberculosis, not chronic bronchitis. "Cavitation" is a term associated with pulmonary tuberculosis, not chronic bronchitis.

Question 10

Which of the following is the most common risk factor for COPD?&#10;A) Air pollutants&#10;B) Occupational irritants&#10;C) Cigarette smoking&#10;D) Underdeveloped lungs

Accepted Answer

Cigarette smoking is the most common risk factor for COPD, accounting for about 80-90% of all cases. Air pollutants and occupational irritants also contribute to the development of COPD, but to a lesser extent. Underdeveloped lungs may be a risk factor in rare cases, but it is not considered a common risk factor.

Question 11

When treating a client with a history of asthma,the dental hygienist must be mindful of precipitating factors reported by the client and avoid the factors during professional care.For prevention of decreased lung function,the client should be placed in a supine position.

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

Accepted Answer

The answer of When treating a client with a history...

Question 12

Which of the following is not normally a symptom of an asthma attack?&#10;A) Dyspnea&#10;B) Perspiration&#10;C) A need to lie down&#10;D) Feeling of pressure or tightness in the chest

Accepted Answer

The answer of Which of the following is not normally...

Question 13

Children who have asthma should be closely monitored for malocclusion because of the correlation of posterior crossbite and which of the following conditions?&#10;A) Mouth breathing&#10;B) Bronchospasm&#10;C) Deviated septum&#10;D) Xerostomia

Accepted Answer

The answer of Children who have asthma should be closely...

Question 14

Which condition is considered a severe asthmatic attack that does not respond to treatment?&#10;A) Dyspnea&#10;B) Extrinsic asthma&#10;C) Intrinsic asthma&#10;D) Status asthmaticus

Accepted Answer

The answer of Which condition is considered a severe asthmatic...

Question 15

Which of the following terms is associated with tuberculosis?&#10;A) Blue bloater&#10;B) Barrel chest&#10;C) Status asthmaticus&#10;D) Cavitation

Accepted Answer

The answer of Which of the following terms is associated...

Question 16

Bacteria associated with periodontal disease may be directly related to the potential for respiratory infection.These bacteria,along with epithelial changes in lung tissue associated with the inflammatory process,may increase the patient's susceptibility to a lower respiratory infection.

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

Accepted Answer

The answer of Bacteria associated with periodontal disease may be...

Question 17

Which of the following statements is true about chronic bronchitis?&#10;A) Chronic bronchitis is most prevalent in children and teenagers.&#10;B) Chronic bronchitis is the same as a &#34;smoker's cough.&#34;&#10;C) Persons with chronic bronchitis are in less danger of developing heart failure.&#10;D) Chronic bronchitis is more prevalent in females.

Accepted Answer

The answer of Which of the following statements is true...

Question 18

Multi-drug-resistant tuberculosis is a mild form of tuberculosis.It is often caused by low patient compliance.&#10;A) Both the statement and reason are correct,and they are related.&#10;B) Both the statement and the reason are correct,but they are not related.&#10;C) The statement is correct,but the reason is not.&#10;D) The statement is not correct,but the reason is correct.&#10;E) Neither the statement nor the reason is correct.

Accepted Answer

The answer of Multi-drug-resistant tuberculosis is a mild form of...

Question 19

Another name for hospital-acquired pneumonia is which of the following?&#10;A) Bacterial pneumonia&#10;B) Community-acquired pneumonia&#10;C) Nosocomial pneumonia&#10;D) Viral pneumonia

Accepted Answer

The answer of Another name for hospital-acquired pneumonia is which...

Question 20

The management of COPD begins with reducing the risk factors associated with COPD.As the disease progresses,a client's physician must implement a plan to manage exacerbations.&#10;A) Both statements are true.&#10;B) Both statements are false.&#10;C) The first statement is true;the second statement is false.&#10;D) The first statement is false;the second statement is true.

Accepted Answer

The answer of The management of COPD begins with reducing...

Question 21

Which of the following has been found to be an occupational irritant for some dental office personnel?&#10;A) Methacrylates&#10;B) Scents and house sprays&#10;C) Dust mites&#10;D) Pollens and molds

Accepted Answer

The answer of Which of the following has been found...

Question 22

All of the following produce asthma symptoms except which one?&#10;A) Decreased secretions&#10;B) Mucosal inflammation&#10;C) Contraction of smooth muscles&#10;D) Generalized narrowing of bronchi and bronchioles

Accepted Answer

The answer of All of the following produce asthma symptoms...

Question 23

Chronically ill patients or those confined to nursing homes often are unable to carry out proper oral health self-care.This lack of oral care may result in the teeth and periodontium serving as reservoirs for respiratory infection.

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

Accepted Answer

The answer of Chronically ill patients or those confined to...

Question 24

All of the following are reasons to request a medical consultation except which one?&#10;A) Cases of persistent moderate to severe asthma&#10;B) Reported symptoms suggesting poorly controlled asthma&#10;C) Clients taking systemic corticosteroids,such as prednisone&#10;D) None of the above;these are all reasons to request a medical consultation.

Accepted Answer

The answer of All of the following are reasons to...

Question 25

Which of the following best describes the onset of most asthma attacks?&#10;A) Chest tightness and pressure&#10;B) Extreme dyspnea&#10;C) Mild wheezing and coughing&#10;D) Feeling of suffocation

Accepted Answer

The answer of Which of the following best describes the...

Deck 49: Respiratory Diseases