Question 1

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

Accepted Answer

Eating disorders are primarily related to issues surrounding body image, the need for control (which can relate to food intake and oral health), and understanding oneself and one's body. Ethical conduct is not directly related to the psychological dynamics of eating disorders.

Question 2

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

Accepted Answer

D

Question 3

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

Accepted Answer

Parotid gland enlargement can occur due to regular vomiting, often seen in conditions like bulimia nervosa. Diminished taste acuity is not typically associated with binging behavior; instead, it might result from other factors.

Question 4

Binge-eating disorder is characterized by which of following?

Accepted Answer

Binge-eating disorder is characterized by episodes of eating large quantities of food in a short period of time without the compensatory behaviors (such as purging, excessive exercise, or laxative use) that are seen in other eating disorders like bulimia nervosa.

Question 5

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

Accepted Answer

Wearing a mouthguard can help lessen the direct impact of gastric acids on the enamel of the teeth, which can be eroded by frequent vomiting.

Question 6

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

Accepted Answer

Speech therapists primarily focus on treating communication disorders, swallowing disorders, and related issues, which are not typically central to the management of eating disorders. Management of eating disorders usually involves professionals who address the psychological, medical, and nutritional aspects of the condition.

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?

Accepted Answer

APF gel is not recommended for patients with bulimia nervosa due to the potential for further erosion of dental enamel already compromised by frequent vomiting. Neutral fluoride sources are preferred.

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?

Accepted Answer

Physical fitness routines are typically introduced later in the treatment process for anorexia nervosa, after addressing more immediate health concerns and establishing a stable nutritional baseline. This is because engaging in physical activity too early can be risky for clients who are medically unstable or have not yet developed a healthier relationship with exercise, which might have been part of the disorder's pathology.

Question 9

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

Accepted Answer

Lanugo, which is fine, soft hair that can appear on the body, is more commonly associated with anorexia nervosa, not bulimia. The other options listed are physical findings that can be associated with bulimia due to behaviors such as induced vomiting.

Question 10

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

Accepted Answer

Eating disorders are often described as an eclipse of the person's thinking because they overshadow healthy thought processes, making it difficult for the individual to maintain a balanced perspective on food and body image.

Question 11

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

Accepted Answer

Thorough documentation of the appointment discussion and decisions is crucial for legal purposes, ensuring that there is a clear record of the interaction and any advice or decisions made during the appointment.

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?

Accepted Answer

Communicating satisfaction when the client seeks evaluation or therapy is important as it provides positive reinforcement and support for their decision to seek help. This approach fosters a supportive environment and encourages the client to continue with their treatment.

Question 13

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

Accepted Answer

Anorexia nervosa primarily affects the cardiovascular, gastrointestinal, renal, and hematologic systems due to malnutrition and its effects on the body. Respiratory complications are not typically direct systemic complications of untreated anorexia nervosa.

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?

Accepted Answer

The DSM-IV categorizes anorexia nervosa into two subtypes: the Restricting type, where weight loss is achieved through dieting, fasting, or excessive exercise, and the Binge-Eating/Purging type, where the individual engages in binge eating or purging behaviors.

Question 15

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

Accepted Answer

Substance abuse is commonly comorbid with anorexia nervosa, as individuals may use substances to control weight or cope with emotional distress related to their eating disorder.

Question 16

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

Accepted Answer

Gastrointestinal factors are not typically considered a direct cause in the development of eating disorders. Eating disorders are more commonly associated with neurochemical, genetic, sociocultural, and psychodevelopmental factors.

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.

Accepted Answer

Dental hygienists do not diagnose eating disorders; their role is to manage oral health issues, which can include addressing oral sequelae associated with eating disorders once a diagnosis is made by a qualified healthcare professional.

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.

Accepted Answer

The answer of In comparison with other medical conditions,bulimia nervosa...

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.

Accepted Answer

Enamel erosion is indeed a common finding in individuals with bulimia due to repeated exposure to stomach acid from vomiting. However, the second statement is false because enamel erosion can also result from other conditions, such as acid reflux disease or certain dietary habits.

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?

Accepted Answer

Suppressed humor is not typically associated with or indicative of an eating disorder. The other options (loss of eye contact, discomfort with questioning, and tearfulness) can be nonverbal indicators of distress or discomfort, which may be present in individuals struggling with an eating disorder.

Quiz 52: Eating Disorders