Caselet Two – 5 of 5 questions Bill, a 30-year-old patient, presents to the office for routine dental hygiene therapy.  Bill has always reported that he has had seizures.  This visit he indicates that he has been having a seizure about once a week.  Since his seizures have been happening more frequently, his doctor has put him on phenytoin.  The dental hygienist asks Bill about his seizures and he states that he usually notices very strong smells before his seizures.  His seizures usually last about 10 seconds, he loses consciousness, and usually his eyelids twitch.  He comes out of it quickly and usually does not remember what has happened.  During the intraoral exam the dental hygienist notes that the gingiva in the upper anterior interdental area is enlarged and is somewhat fibrotic.  Bill says he has noticed it, but it is not painful. The dental hygienist determines Bill has slight to moderate gingival enlargement.  Which of the following is not part of the dental hygiene care plan?

Which of the following has the strongest association with development of rheumatoid arthritis?

The following are manifestations of Crohn’s disease, except:

Which of the following may help control the occurrence and severity of phenytoin-induced gingival overgrowth?

Caselet Three – 4 of 4 questions Beth, a 16-year-old teenager, comes into the office complaining of tooth sensitivity.  She has not been seen in the office for 3 years.  When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months.  Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges.  She says she thinks she is obese.  Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent.  She also notes that the right parotid gland is swollen. The dental hygienist found a swollen parotid salivary gland on Beth. The following oral conditions also may be present, except:

The chronic systemic autoimmune disease in which autoantibodies attack healthy cells in the exocrine glands followed by many other organs is:

The dental chair should be in which position for patients with a respiratory disease?

Which statement is false regarding oral lichen planus?

A severe form of withdrawal, fatal in 15% of cases without treatment, and characterized by tachycardia, hyperthermia, and visual hallucinations is called:

Caselet One  Mr. Patton presents in your office for a tooth extraction.  His dental chart indicates that he has asthma.  He uses an albuterol (Ventolin) inhaler four times per day to treat the asthma.  Mr. Patton reports that his cardiologist has recently prescribed captopril (Capoten) because his blood pressure has been high.  The dentist plans on using a local anesthetic containing epinephrine.  Question 5 of 5 The best medication to advise the patient to take as an analgesic drug of choice is: