FDM Final Exam Questions And Answers

b - ANS The patient appears very anxious during his interview (very pale and gripping the handles of the patient chair). Where would you record this information in the electronic health record? (Choose one correct answer.) a. Subjective b. Objective - in the general survey section c. Assessment Procedure/plan a - ANS The patient says he is usually very anxious when he has to see a dentist due to a traumatic experience at a dental visit as a child. Where would you record this information in the electronic health record? a. Subjective b. Objective c. Assessment Procedure/plan d - ANS The appearance of the patient's tongue and palate strongly suggest an atrophic candidiasis. Which of the medications the patient is taking would increase risk for an oral candidiasis (an opportunistic organism) because of its direct immunosuppressive effect? Check one correct answer or combination of answers. a. gabapentin b. alprazolam c. sertraline d. fluticasone inhaler abc - ANS Opportunistic organisms also flourish when salivary flow rates are low and provide less immunological protection. Which of the patient's medications cause decrease in salivary flow? Check all correct answers. a. gabapentin b. alprazolam c. sertraline d. fluticasone inhaler - 232 mcg two times a day 5 - ANS This patient had a previous problem with opioid dependence. He fought the addiction and now takes gabapentin for pain control. The following statements regarding the use of opioids are true except one. Select the one FALSE statement: 1 Opioids exert analgesic, euphoric and respiratory depression effects by binding to mu-opioid receptors in the brain, spinal cord, small intestine and peripheral terminals. 2 Tolerance means that more drug is required to achieve the same effect. 3 Tolerance is caused by counter-adaptations of the opioid receptors and their intracellular-signaling cascades 4 Tolerance to the analgesic effects of opioids develops quickly. 5 Tolerance to respiratory depression of opioids develops quickly 4 - ANS The following statements regarding addiction to opioids are true except one. Select the one FALSE statement: 1 Develops from repeated administration of any opioid substance 2 Addiction is genetically modulated (35-45 %) 3 Once it develops, it will not remit easily with opioid discontinuation 4 There is little risk for relapse for years with proper treatment. 5 The main sources for obtaining prescription drugs that are used non-medically are family members and friends or by having them prescribed for therapeutic use. d - ANS The patient is going camping in a few days and asks you for strong pain medication in case his tooth really starts hurting. How could a dentist mitigate the risk of opioid diversion and misuse? Choose ONE correct answer or combination of answers. Use the lowest effective dose for the shortest effective duration without compromising effective analgesia. 2. Dentists should register with and utilize a prescription drug monitoring program (PDMP) Screening tool to identify patients with a substance use disorder 4. Utilize single question: How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons ( 1 - increased risk) a 1, b 1, 2 c. 1, 2, 3 d 1, 2, 3, 4 e - ANS The correct techniques of assessing the frontal and maxillary sinuses include (Choose ONE correct combination of answers): 1. Percuss maxillary sinuses by tapping with one finger lateral to each nostril 2. Palpate maxillary sinuses by pressing gently lateral to the nostril 3. Percuss frontal sinuses by tapping on the glabellar area just above the medial side of the eyebrows 4. Palpate frontal sinuses by pressing gently just inferior to the glabella and below the medial side of the eyebrow 5. Ask about a history of congestion in the sinuses a. 1 b. 1 ,2 c. 1, 2, 3 d. 1, 2, 3, 4 e. 1, 2, 3, 4, 5 1 - ANS All of the following are true regarding lymph node examination technique EXCEPT one. Select the one exception.