HPDP Exam Questions with Correct Answers
What is the most common chronic disease of childhood?
Dental caries
The Patient Centered Medical Home is the ideal place for all of the following EXCEPT?
Application of Flouride Varnish
Extraction of loose or abscessed teeth
Triage of oral emergencies
Managing diabetes mellitus to improve periodontal health
Extraction of loose or abscessed teeth
Which condition is associated with periodontal disease?
Preterm labor
Which medication is linked to gingival hyperplasia?
Phenytoin
What can a primary care clinician do to promote oral health?
Collaborate with dental and other health professionals
Which of these classes of medications is NOT generally associated with decreased salivary
flow?
Antihistamines
,Antibiotics
Corticosteroids
Anticholinergics
Diuretics
Antibiotics
A patient undergoing chemotherapy for cancer is at risk for which of these oral
complications?
Osteonecrosis of alveolar bone
Gingival hyperplasia
Oral mucositis
Tooth fractures
Oral mucositis
Which of the following infections is NOT potentially caused by direct extension from a
dental source?
Otitis media
Sinusitis
Brain abscess
Facial cellulitis
Otitis media
,What is the suggested common pathway linking chronic 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
D. Inflammation
Which of the following is NOT a mechanism for inter-relationships between oral and
systemic disease?
A. Behavioral
B. Iatrogenic
C. Neurologic
D. Inflammatory
C. Neurologic
Which of the following statements describes the probable mechanism for many of the
connections between oral health and systemic diseases?
A. Diabetics with chronically high blood sugar levels have high salivary sugar levels that
promotes tooth decay in the same way that eating high sugar foods does.
B. The bacterial and host response in periodontitis releases inflammatory chemical
mediators into the bloodstream that have remote effects.
C. Women with dental decay have an increased incidence of oral Group B strep that leads
, to preterm labor and places the infant at risk for neonatal infection.
D. The medications prescribed to treat gastroesophageal reflux disease (GERD) cause dry
mouth which promotes dental decay.
B. Periodontitis is a chronic infectious state due to a wide range of mostly anaerobic bacteria that
produce toxins that damage gum tissue. Neutrophils attack the bacteria and macrophages clean
up cellular debris and dead and dying neutrophils. The macrophages secrete inflammatory
mediators such as fatty acids, interleukin 1 and tumor necrosis factor alpha that can circulate
beyond the oral cavity. This inflammatory cascade and the systemic spread of pro-inflammatory
mediators is implicated in the connection between periodontitis and a number of systemic
diseases.
Mrs. Peterson is a diabetic patient whose glucose control has recently worsened. The
findings on her oral exam are illustrated in the photo showing puffy gums, and plaque
build-up along the gum-line with some associated recession of the gingiva.
Which of the following statements 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
improvement in Mrs. Peterson's glycemic control.
D. This patient has root caries and should be referred to a dentist for extraction of the
affected teeth.
What is the most common chronic disease of childhood?
Dental caries
The Patient Centered Medical Home is the ideal place for all of the following EXCEPT?
Application of Flouride Varnish
Extraction of loose or abscessed teeth
Triage of oral emergencies
Managing diabetes mellitus to improve periodontal health
Extraction of loose or abscessed teeth
Which condition is associated with periodontal disease?
Preterm labor
Which medication is linked to gingival hyperplasia?
Phenytoin
What can a primary care clinician do to promote oral health?
Collaborate with dental and other health professionals
Which of these classes of medications is NOT generally associated with decreased salivary
flow?
Antihistamines
,Antibiotics
Corticosteroids
Anticholinergics
Diuretics
Antibiotics
A patient undergoing chemotherapy for cancer is at risk for which of these oral
complications?
Osteonecrosis of alveolar bone
Gingival hyperplasia
Oral mucositis
Tooth fractures
Oral mucositis
Which of the following infections is NOT potentially caused by direct extension from a
dental source?
Otitis media
Sinusitis
Brain abscess
Facial cellulitis
Otitis media
,What is the suggested common pathway linking chronic 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
D. Inflammation
Which of the following is NOT a mechanism for inter-relationships between oral and
systemic disease?
A. Behavioral
B. Iatrogenic
C. Neurologic
D. Inflammatory
C. Neurologic
Which of the following statements describes the probable mechanism for many of the
connections between oral health and systemic diseases?
A. Diabetics with chronically high blood sugar levels have high salivary sugar levels that
promotes tooth decay in the same way that eating high sugar foods does.
B. The bacterial and host response in periodontitis releases inflammatory chemical
mediators into the bloodstream that have remote effects.
C. Women with dental decay have an increased incidence of oral Group B strep that leads
, to preterm labor and places the infant at risk for neonatal infection.
D. The medications prescribed to treat gastroesophageal reflux disease (GERD) cause dry
mouth which promotes dental decay.
B. Periodontitis is a chronic infectious state due to a wide range of mostly anaerobic bacteria that
produce toxins that damage gum tissue. Neutrophils attack the bacteria and macrophages clean
up cellular debris and dead and dying neutrophils. The macrophages secrete inflammatory
mediators such as fatty acids, interleukin 1 and tumor necrosis factor alpha that can circulate
beyond the oral cavity. This inflammatory cascade and the systemic spread of pro-inflammatory
mediators is implicated in the connection between periodontitis and a number of systemic
diseases.
Mrs. Peterson is a diabetic patient whose glucose control has recently worsened. The
findings on her oral exam are illustrated in the photo showing puffy gums, and plaque
build-up along the gum-line with some associated recession of the gingiva.
Which of the following statements 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
improvement in Mrs. Peterson's glycemic control.
D. This patient has root caries and should be referred to a dentist for extraction of the
affected teeth.
