Oral Health / HPDP UPDATED ACTUAL Questions and CORRECT Answers
1. What is the most common Dental caries
chronic disease of childhood?
2. The Patient Centered Medical Extraction of loose or abscessed teeth
Home is the ideal place for all
of the following EXCEPT?
Application of Flouride Var-
nish
Extraction of loose or ab-
scessed teeth
Triage of oral emergencies
Managing diabetes mellitus
to improve periodontal health
3. Which condition is associated Preterm labor
with periodontal disease?
4. Which medication is linked to Phenytoin
gingival hyperplasia?
5. What can a primary care Collaborate with dental and other health professionals
clinician do to promote oral
health?
6. Which of these classes of Antibiotics
medications is NOT general-
ly associated with decreased
salivary flow?
Antihistamines
Antibiotics
Corticosteroids
, Anticholinergics
Diuretics
7. A patient undergoing Oral mucositis
chemotherapy for cancer is at
risk for which of these oral
complications?
Osteonecrosis of alveolar
bone
Gingival hyperplasia
Oral mucositis
Tooth fractures
8. Which of the following in- Otitis media
fections is NOT potentially
caused by direct extension
from a dental source?
Otitis media
Sinusitis
Brain abscess
Facial cellulitis
9. What is the suggested com- D. Inflammation
mon pathway linking chron-
ic periodontitis and conditions
such as diabetes, coronary
artery disease and adverse
pregnancy outcomes?
A. Direct bacterial extension
B. Poor nutrition
, C. Circulating antibodies
D. Inflammation
10. Which of the following is NOT C. Neurologic
a mechanism for inter-rela-
tionships between oral and
systemic disease?
A. Behavioral
B. Iatrogenic
C. Neurologic
D. Inflammatory
11. Which of the following state- B. Periodontitis is a chronic infectious state due to a wide range
ments describes the prob- of mostly anaerobic bacteria that produce toxins that damage
able mechanism for many gum tissue. Neutrophils attack the bacteria and macrophages
of the connections between clean up cellular debris and dead and dying neutrophils. The
oral health and systemic dis- macrophages secrete inflammatory mediators such as fatty
eases? acids, interleukin 1 and tumor necrosis factor alpha that can cir-
A. Diabetics with chronically culate beyond the oral cavity. This inflammatory cascade and the
high blood sugar levels have systemic spread of pro-inflammatory mediators is implicated in
high salivary sugar levels that the connection between periodontitis and a number of systemic
promotes tooth decay in the diseases.
same way that eating high
sugar foods does.
B. The bacterial and host re-
sponse in periodontitis releas-
es inflammatory chemical me-
diators into the bloodstream
that have remote effects.
C. Women with dental de-
cay have an increased inci-
dence of oral Group B strep
, that leads to preterm labor
and places the infant at risk
for neonatal infection.
D. The medications pre-
scribed to treat gastroe-
sophageal reflux disease
(GERD) cause dry mouth
which promotes dental decay.
12. Mrs. Peterson is a diabetic pa- C. This patient has periodontitis and should be referred to a
tient whose glucose control dentist for scaling and root planing. This process will remove the
has recently worsened. The calculus along the gumline and exposed roots and debride the
findings on her oral exam are pockets of infection beneath the gumline where the periodontal
illustrated in the photo show- ligament is being destroyed. The result will be reduction of the
ing puffy gums, and plaque chronic infection that is releasing inflammatory mediators into
build-up along the gum-line her systemic circulation and worsening her glycemic control.
with some associated reces- A 10 to 20% improvement in her glycemic control can be ex-
sion of the gingiva. pected. This case illustrates the importance of a team-based
approach to achieve optimal oral and general health.
Which of the following state-
ments is correct?
A. This patient has gingivitis
which should be treated with
brushing, flossing and an oral
antibacterial rinse.
B. This patient should be
placed on oral antibiotics to
reduce the risk of bacteremia
when brushing.
C. Scaling and root planing
performed by a dentist can be
expected to result in an im-
1. What is the most common Dental caries
chronic disease of childhood?
2. The Patient Centered Medical Extraction of loose or abscessed teeth
Home is the ideal place for all
of the following EXCEPT?
Application of Flouride Var-
nish
Extraction of loose or ab-
scessed teeth
Triage of oral emergencies
Managing diabetes mellitus
to improve periodontal health
3. Which condition is associated Preterm labor
with periodontal disease?
4. Which medication is linked to Phenytoin
gingival hyperplasia?
5. What can a primary care Collaborate with dental and other health professionals
clinician do to promote oral
health?
6. Which of these classes of Antibiotics
medications is NOT general-
ly associated with decreased
salivary flow?
Antihistamines
Antibiotics
Corticosteroids
, Anticholinergics
Diuretics
7. A patient undergoing Oral mucositis
chemotherapy for cancer is at
risk for which of these oral
complications?
Osteonecrosis of alveolar
bone
Gingival hyperplasia
Oral mucositis
Tooth fractures
8. Which of the following in- Otitis media
fections is NOT potentially
caused by direct extension
from a dental source?
Otitis media
Sinusitis
Brain abscess
Facial cellulitis
9. What is the suggested com- D. Inflammation
mon pathway linking chron-
ic periodontitis and conditions
such as diabetes, coronary
artery disease and adverse
pregnancy outcomes?
A. Direct bacterial extension
B. Poor nutrition
, C. Circulating antibodies
D. Inflammation
10. Which of the following is NOT C. Neurologic
a mechanism for inter-rela-
tionships between oral and
systemic disease?
A. Behavioral
B. Iatrogenic
C. Neurologic
D. Inflammatory
11. Which of the following state- B. Periodontitis is a chronic infectious state due to a wide range
ments describes the prob- of mostly anaerobic bacteria that produce toxins that damage
able mechanism for many gum tissue. Neutrophils attack the bacteria and macrophages
of the connections between clean up cellular debris and dead and dying neutrophils. The
oral health and systemic dis- macrophages secrete inflammatory mediators such as fatty
eases? acids, interleukin 1 and tumor necrosis factor alpha that can cir-
A. Diabetics with chronically culate beyond the oral cavity. This inflammatory cascade and the
high blood sugar levels have systemic spread of pro-inflammatory mediators is implicated in
high salivary sugar levels that the connection between periodontitis and a number of systemic
promotes tooth decay in the diseases.
same way that eating high
sugar foods does.
B. The bacterial and host re-
sponse in periodontitis releas-
es inflammatory chemical me-
diators into the bloodstream
that have remote effects.
C. Women with dental de-
cay have an increased inci-
dence of oral Group B strep
, that leads to preterm labor
and places the infant at risk
for neonatal infection.
D. The medications pre-
scribed to treat gastroe-
sophageal reflux disease
(GERD) cause dry mouth
which promotes dental decay.
12. Mrs. Peterson is a diabetic pa- C. This patient has periodontitis and should be referred to a
tient whose glucose control dentist for scaling and root planing. This process will remove the
has recently worsened. The calculus along the gumline and exposed roots and debride the
findings on her oral exam are pockets of infection beneath the gumline where the periodontal
illustrated in the photo show- ligament is being destroyed. The result will be reduction of the
ing puffy gums, and plaque chronic infection that is releasing inflammatory mediators into
build-up along the gum-line her systemic circulation and worsening her glycemic control.
with some associated reces- A 10 to 20% improvement in her glycemic control can be ex-
sion of the gingiva. pected. This case illustrates the importance of a team-based
approach to achieve optimal oral and general health.
Which of the following state-
ments is correct?
A. This patient has gingivitis
which should be treated with
brushing, flossing and an oral
antibacterial rinse.
B. This patient should be
placed on oral antibiotics to
reduce the risk of bacteremia
when brushing.
C. Scaling and root planing
performed by a dentist can be
expected to result in an im-
