571.4 The location of pyogenic granulomas is most commonly
a. the lip
b. the buccal mucosa
c. the gingiva
d. could be any of the above
c. the gingiva
571.4 Pyogenic granulomas
a. can occur from overhanging restorations
b. are treated by conservative surgical excision
c. recurrence is more common if excised during pregnancy
d. both b and c
e. all of the above
d. both b and c
571.4 What is more effective during the prodome period of herpes labialis?
a. 1% pencyclovir
b. watchful waiting
c. oral meds
d. both a and c
c. oral meds
571.4 - Biennial mammograms should begin for women at what age? This is different from previous guidelines.
A) 40
B) 45
C) 50
D) 55
C according to McPhee pg 15
USPSTF. Article on Preventive services states USPSTF says q1-2 years for 40 and up.
American Cancer Society Early Detection article states mammos starting at 40.
571.4 -T/F: Gingivitis is the mildest form of gum disease and is reversible with good oral hygiene, such as daily flossing and brushing.
T
571.4 Apthous stomatitis (canker sores) are
a. mostly minor and heal within 10-14 days
b. treated with topical corticosteroids if necessary
c. can be aggrivated by toothpaste
d. all of the above
e. a and b
d. all of the above
571.4 Salagen and Evoxac are used in
a. periodontal disease
b. xerostomia
c. gingival hyperplasia
d. both b and c
b. xerostomia
571.4 - What trimester is the PREFERRED one for dental procedures?
A) first
B) second
C) third
D) none; dental procedures are unsafe in pregnancy
B
571.4 T/F: The USPSTF recommends against teaching breast self examination for average risk adults.
T
571.4 - T/f: Often times alcoholism isn't identified in the primary provider's office due to time restraints and patient denial.
T
571.4 What OTC agent can help with sensitivity related to root caries?
a. oragel
b. sensodyne
c. flouride gels
d. all of the above
B
After giving the Mini-COG test, you pt scored a 2 on the recall and had a normal clock test. This pt would be considered
a. demented
b. nondemented
c. further testing would need to be done
d. this is not the correct test
b. nondemented
571.4 Primary treatment of periodontitis is
a. good hygiene
b. dental root scaling
c. antibiotics
d. all of the above
d. all of the above
571.4 - Which food item is a very common culprit in gum disease?
A) popcorn
B) apples
C) Ritz crackers
D) cheese
A) popcorn
571.4 Which drug can cause cleft lip and palate?
Tobacco or alcohol
Tobacco
571.4 T/F Adult caries risk factors are some of the same as children's.
T
571.4 Which drug can cause oral or throat cancer?
a. alcohol
b. tobacco
c. both
d. neither
c. both
571.4 Major cardiovascular risk factors include:
A) hypertension
B) cigarette smoking
C) obesity
D) physical inactivity
E) dyslipidemia
F) DM
G) microalbuminuria
H) men older than 55 and women older than 65
I) family history of premature cardiovascular di
J. All
571.4 Components of lifestyle modification as recommended by JNC7 for HTN includes all of the following EXCEPT:
A) DASH eating plan
B) dietary sodium reduction
C) aerobic physical activity
D) abstinence from alcohol consumption
D) abstinence from alcohol consumption
571.4 T/F Evaluation of patients with documented hypertension has 3 objectives: 1) assess lifestyle and identify other cardiovascular risk factors or concomitant disorders that may affect prognosis and guide treatment. 2) reveal identifiable causes of hig
T
571.4 A dialysis pt states he will have a tooth extraction tomorrow. You would
a. communicate with his dentist that he is a dialysis pt
b. wish him luck
c. prescribe the appropriate antibiotic for the procedure
d. both a and c
d. both a and c
571.4 T/f some meds may induce or stimulate dental caries.
T
571.4 Osteonecrosis is
a. commonly caused by biphosphonates
b. is caused by poor hygiene
c. most commonly occurs in cancer patients
d. both a and c
d. both a and c
571.4 Which of the following does NOT require prophylactic antibiotics?
a. prosthetic heart valves
b. suture removal
c. ventricular septal defect
d. aortic septal defect
B
571.4 (T/F) Cancer screening in women is a form of primary prevention.
F
571.4 What is the leading cause of tooth loss after caries?
a. gingivitus
b. oral effects of medicines
c. periodontitis
d. none of the above
C
CME - Questions from Does a Healthy Diet Prevent Chronic Disease? - handout
1. You are seeing a 25-year-old woman with a body mass index (BMI) of 32 kg/m2. She is interested in a dietary approach to weight loss but is confused about what type of diet she
D. Increased consumption of low-fat dairy products
571.4 Primary prevention of skin cancer includes:
A. restricting exposure to UV light by wearing sunscreen
B. Wearing appropriate clothing in the sun
C. Skin self examination
D. Both A & B
E. All of the above.
D
571.4 T/F if the pt scored 0 on the recall test, there is no reason to give the CDT (clock draw test).
T.
A score of 0 on the recall test is positive for cognitive impairment. There is no need to do the CDT unless they only recall 1-2 words. The CDT clarifies whether they are demented or not in that situation.
571.4The most significant risk factor for periodontitis is
a. diabetes
b. pregnancy
c. smoking
d. poor oral hygiene
c. smoking
571.4 T/F The Mini-COG test takes 7-10 minutes, has only adequate sensitivity, and suffers from both educational and cultural biases.
The MMSE (Mini-Mental Status Examination) is all of those things listed. The Mini-COG is now preferred die to decreased time (2-3 min), it requires minimal training, has high specificity and sensitivity, and has less educational and cultural biases than t
571.4 A 77yr old female pt with HTN and DM is in the office for a Rx refill. The daughter is concerned and states that her mom is not taking her meds coorectly and has recently mismanaged her money by drawing a large sum out of her account for no apparent
d. Mini-COG. Less time, more sensative
571.4 Concerning GERD & hyperemesis of pregnancy the PCP should advise the client to
A-brush firmly after emesis
B-rinse with bicarbonate
C-drink cupcake wine
D-limit fluid intake
B-rinse with bicarbonate
571.4 T/F: transmission of mutans step causing dental carries is passed equally to the child from both parents
F primarily from mother.
____most common chronic disease of childhood
A-asthma
B-HTN
C-dimentia
D-dental caries
D-dental caries
571.4 The Mini-COG test includes
a. a recall test of 3 unrelated words
b. a detailed questionairre
c. a clock drawing test
d. both a and c
d. both a and c
571.4 - Which of the following are true regarding AAA screening?
A) does not appear to be beneficial in women
B) most of the benefit in men appears to accrue among current and former smokers
C) it should be done for men ages 65-75 years old as a one time
D) all are true
571.4 T/F Acupuncture has proven to be helpful in xerostomia.
T
571.4 - Which body shape would have the highest risk of CV disease and largest decrease in life expectancy?
A) hour glass shape
B) pear shape
C) apple shape
D) banana shape
C) apple shape. (Especially when they look like an apple standing on 2 toothpick legs. They carry nothing but visceral fat and and are almost walking heart attacks! Courtesy of Heather...lol)
571.4 - Which of the following agents used in smoking cessation is associated with a black box warning for its deleterious effects on mood?
A) varenicline (Chantix)
B) bupropion (Wellbutrin)
C) Nicotene patch
D) Nicotene spray
A) varenicline (Chantix)
571.4 The USPSTF recommends against routine Pap screening in who?
A. Age over 65 with no risk of cervical CA
B. Age over 65 even with risk of cervical CA
C. They don't recommend against routine Pap screening
D. None of the above
A. Age over 65 with no risk of cervical CA.
They (USPSTF) recommend against routinely screening women older than 65 if they have had adequate recent screening with normal Pap tests and are not otherwise at high risk for cervical CA.
571.4 - An overweight person losing weight and exercising would be considered:
A) tertiary prevention
B) primary prevention
C) secondary prevention
D) none of the above
B) primary prevention
571.4 What age does the USPSTF recommend biennial mammography screening?
A. 30-80
B. 40-74
C. 50-74
D. 30-75
B. 40-74
571.4 - Which of the following is considered a modifiable risk factor for cardiovascular disease?
A) HTN
B) race
C) genetics
D) cigarette smoking
E) a & d
E) a & d
571.4 Factors associated with successful cessation of smoking include
A) Rule against smoking in the house
B) Being older
C) Having greater education
D) All of the above
D) All of the above
571.4 The US Preventive Services Task Force (USPSTF) recommends the use of aspirin for the prevention of MI and ischemic stroke in which of the following populations
A) Men age 45-79
B) Women age 55-79
C) Men and women over 80
D) A and B
D) A and B
Which of the following pharmacological therapies should be offered to your patient who wants to quit smoking but is very concerned about weight gain?
A) bupropion (Wellbutrin)
B) Nicotene replacement patch
C) Nicotene replacement gum
D) varenicline (Chant
A) bupropion (Wellbutrin)
571.4 - All of the following are true regarding CV disease except:
A) the absolute benefit of screening for - and treating - abnormal lipid levels depend on the presence and number of risk factors
B) lower LDL and higher HDL are associated with an increas
B) lower LDL and higher HDL are associated with an increased risk of coronary heart disease
571.4 - What is the #1 cause of preventable death in the U.S.?
A) physical inactivity
B) smoking
C) alcoholism
D) illicit drug use
B) smoking
CME - Questions from Does a Healthy Diet Prevent Chronic Disease? - handout
Which of the following foods is the best source of omega-3 polyunsaturated fatty acids?
A. Almonds
B. Avocados
C. Safflower oil
D. Walnuts
D. Walnuts
CME - Questions from Does a Healthy Diet Prevent Chronic Disease? - handout
3. The patient has several questions about the content of fat in her diet and is confused regarding the different types of dietary fat. What can you tell her?
A. Higher saturated
D. She should avoid foods containing "partially hydrogenated oil" to reduce her consumption of trans fat
CME - Questions from Does a Healthy Diet Prevent Chronic Disease? - handout
2. What proportion of the plate should be occupied by fruit and non-starchy vegetables in the DASH diet?
A. Three quarters
B. Two thirds
C. One half
D. One quarter
C. One half
571.4 Recommendations for the screening for abdominal aortic aneurysm (AAA) in pts who have ever smoked currently are
A) Men age 65-75
B) Women age 65-75
C) Both A and B
A) Men age 65-75
571.4 (T/F) Tertiary prevention is treating complications or limiting the impact of established disease.
True Pg. 1706 Mcphee...
For 571: You should suspect the use of _______ anytime you see a young person with unexplained acceleration of dental caries, particularly in the setting of weight loss and behavioral changes.
1) ecstasy
2) methamphetamine (aka "meth" "crystal" "ice" "spe
2) methamphetamine (aka "meth" "crystal" "ice" "speed" and "crank")
571.4 T/F Women at high risk for ovarian cancer should consider using oral contraceptives as long as possible.
true, pg 1710 McPhee
571.4 T/f If aphtous stomatitis is severe, pt should get steroid injections and be referred to a dermatologist for patch testing.
T
571.4 - Pregnancy related gingivitis affects 30-75% of pregnant women. It it typically identified in the 2nd month and peaks in the 8th month. Which gram negative anaerobe is more common in pregnancy and uses ovarian hormones as a nutritional source inste
B) Prevotella intermedia. Dental ppt, slide 9
571.4 - T/F: Pregnancy related gingivitis is secondarily caused by a combination of immunosuppression, hormonal changes, and the presence of increased bacterial and plaque levels. Treatment is frequent brushing and flossing.
T. Dental ppt, slide 9
571.4 - Which of the following are clues to elder mistreatment or abuse?
A) patient's appearance
B) recurrent urgent care visits
C) missed appointments
D) suspicious physical findings
E) implausible explanations for I juries
E) all are clues
E) all are clues
571.4 - The general population of adults should perform 30 minutes a day of moderate exercise on most days of the week (approx 150 min a week). How many minutes of moderate intensity exercise should adults perform in order to lose weight and prevent signi
C) 60 min
571.4 - Which of the following are associated with violent deaths?
A) tobacco use
B) alcohol use
C) illicit drug use
D) b & c
E) all
D) b & c
571.4 - Your overweight diabetic patient agrees that she needs to lose weight. You write out an exercise plan with her and go over goals and safety. Which of the following would be provided in the education?
A) the patient should keep her hear rate under
C) the patient should decrease the amount of insulin used before vigorous exercise because hypoglycemia can result
571.4 - To reduce exercise induced musculoskeletal injuries and prevent cardiovascular complications, which recommendation should be made to the patient?
A) jump right into cardio and make sure to stretch for 5-10 min after
B) do weight lifting first, the
C) warm up for 5-10 min before exercise, cool down after, and gradually increase intensity
571.4 T/F Bony tori is a developmental anomaly that doesn't show up until adulthood.
T
571.4 - T/f: The USPSTF does not recommend screening for ovarian cancer.
T
571.4 -At what age has it been recommended by the USPSTF that women get their bone mineral density checked?
A) 45 years older
B) 55 years and older
C) 65 years and older
D) there has been no recommendation made for or against BMD screening at any age
C) 65 years and older. Pg 1710 McPhee
571.4 - Ideal cholesterol is defined as a total cholesterol of _______ and an HDL cholesterol of _______.
A) between 200-240; >40
B) >240; <50
C) <200; >50
D) <300; >30
C) <200; >50
571.4 Elevated cholesterol is defined as a total cholesterol > ___.
A. 200
B. 220
C. 240
D. 260
C. 240
Pg 1706 McPhee
571.4 - Prophylactic aspirin (81-325mg) use has been shown to reduce risk of MI in men 45-75 years old, but not for women. For women ages 55-79, prophylactic aspirin use has been shown to reduce the risk of strokes.
T
571.4 - When discussing exercise with patients, clinicians can use the 5 A's approach. This includes:
A) Ask (identify those who can benefit)
B) Assess (current activity level)
C) Advise (individualize plan)
D) Assist (provide a written exercise prescript
F) All are part of the 5 A's!
571.4 - Smoking increases the risk of which of the following:
A) age-related macular degeneration and cataracts
B) mouth, throat, cervical, kidney, pancreatic, bladder, and lung cancers
C) altered olfaction (taste)
D) increased facial wrinkles
E) fracture
H) All!
571.4 - What is the leading cause of death among women?
A) breast cancer
B) lung cancer
C) ovarian cancer
D) cardiovascular disease
D) cardiovascular disease
571.4 a Young pt presents with dental erosion. She is frail and thin. Her mom is concerned about her weight and the friend she has been hanging out with. You might suspect
a. Meth use
b. normal teenager trying to fit in
c. bulimia
d. increased consumption
e. both a and c
571.4 Ideal cholesterol is defined as
A. TC < 200
B. LDL < 130
C. HDL > 50
D. All of the above
D. All of the above
571.4 - What is the most commonly detected cancer is the second leading cause of cancer death?
A) lung cancer
B) bladder cancer
C) skin cancer
D) breast cancer
D) breast cancer
571.4 - What is the most common cause of cancer death in men and women?
A) skin cancer
B) lung cancer
C) bladder cancer
D) pancreatic cancer
B) lung cancer
571.4 Which is more predictive of CHD risk in women?
A. LDL
B. HDL
C. Total Cholesterol
D. A and B
B. HDL
571.4 A fissured tongue can cause
a. infection
b. irritation
c. halitosis
d. none of the above
c. halitosis
571.4 T/F fissured tongue is present with xerostomia and geographic tongue.
T.
Fissured tongue worsens with xerostomia and 10-20% also have geographic tongue
571.4 T/F There is a higher dose of inactivated flu vaccine available for adults aged 65 and older. Adults in this age group can use the standard dose or high dose formula.
T.
McPhee, pg 3
he USPSTF recommends which screening for lung cancer?
A-CT scan yearly for smokers
B-CXR every other year in current and former smokers over age 50.
C- yearly chest X-ray for high risk populations at any age
D- USPSTF does not recommend any of these modal
D- USPSTF does not recommend any of these modalities
571.4 The flu vaccine is in short supply this year. According to McPhee, you would prioritize administration in your clinic to the following groups of patients: (Choose all that apply)
a. Adults, > 50 yo
b. Kids
c. Preggers
d. Immunocompromised individual
A,C, D
McPhee, pg 3
What is the most common adverse effect of daily ASA therapy
A- gastrointestinal upset
B-gastrointestinal bleeding
C-allergic sensitivity development
D-there are no adverse effects
B-gastrointestinal bleeding
571.4- Which is TRUE of trans fat? (healthy diet/ chronic dz article)
a. decreases LDL
b. increases HDL
c. decreases inflammation
d. none of these are correct
d. none of these are correct
T/F- ASA therapy in women who do NOT have CHD will decrease the risk of stroke
T. ASA use in women age 55 and older decreases risk of stroke not CHD.
USPSTF recommends ASA in women aged --- when the benefits of therapy to reduce ischemic stroke outweigh the potential harm?
A-40-55
B->50
C-55-79
D-all post menopausal women
C-55-79
Initial Screening for bone mineral density should begin at what age?
A- 55
B-60
C-65
D-no routine recommendations
C-65
Women who are at increased risk for osteoporosis should be screened at age?
A-60
B-62
C-64
D-any age
A, 60
The primary goal of initial drug therapy for elevated triglycerides is (according to ATP III)
a-reach target triglyceride goal of 150-199
b-bring LDL level to "goal" <100,<130, or <160 according to risk factors
c-reach HDL goal of >60
d-bring total choles
b-bring LDL level to "goal" <100,<130, or <160 according to risk factors
T/F studies have shown that walking 2.5-3 hours a week is associated with a decrease in cardiovascular disease.
T
T/F the USPSTF does not recommend screening for ovarian cancer?
T
571.4 - Your patient is reluctant to exercising because she feels it is too time consuming, and states her life is already "chaos" with work, family, and home life. She states she doesn't "know how she'll possibly fit in 150 min a week." What can you tell
E) a & b
571.4-Intake of monounsaturated fats has been linked to all of these except: (healthy diet/chornic dz article)
a. decreased LDL
b. decreased blood pressure
c. less insulin resistance
d. decreased potential for clots
b. decreased blood pressure
When would you consider placing your patient on 'statin' therapy for high cholesterol. Pt is 50 yo male who is currently on lisinopril with blood pressure of 132/80 in the office today. No other co-morbidities or risks
a- Triglycerides 110, LDL 155, HDL 6
b- Triglycerides 140, LDL 133, HDL 42
571.4 - Herpes zoster (shingles) is caused by previous infection with varicella zoster virus infection, and affects many older adults and people with immune system dysfunction. It can cause post herpetic neuralgia. A varicella vaccine is available to help
C) to persons older than 60 who are not immunocompromised
571.4 T/F: In overweight and obese persons, how much time per day should be spent in moderate-high intensity physical activity to maximize weight loss and prevent significant weight regain?
a. 30 minutes
b. 45 minutes
c. 60 minutes
d. 90 minutes
c. 60 minutes
571.4 - All of the following are considered vigorous exercise activities except:
A) jogging
B) swimming laps
C) water aerobics
D) doubles tennis
E) singles tennis
F) all
G) c & d
G) c & d
571.4 - You are discussing physical activity daily requirements with your 67 year old male patient. He is concerned with how time exercise will take away from his weekly fishing trips. He asks "Just how how much exercise do I need?" All of the following a
C) he must perform strength training exercises to work major muscle groups 4 days/week
571.4 - Which of the following waist measurements would increase a woman's risk for metabolic syndrome?
a. 30 inches
b. 34 inches
c. 35 inches
d. All of the above
c. 35 inches
571.4 what % of smokers attempt to quit each year?
A-5%
B-10%
C-30%
D-40%
D-40%
Of those that attempt to quit smoking, what % are successful?
A-1%
B-2%
C-3%
D-4%
D-4%
571.4 According to McPhee, which group should get a prescription for exercise?
a. rheumatoid arthiritis
b. unstable angina
c. siginif aortic stenosis
d. decompensated CHF
a. rheumatoid arthiritis
571.4 all of the following are effective interventions for primary prevention of HTN except?
A-decreased sodium intake
B-decreased alcohol consumption
C- weight loss
D-regular exercise
E- decreased potassium intake
E- decreased potassium intake
T/F: Calcium supplementation is necessary and often recommended to reduce risk of fractures. However, calcium supplements have not been shown to sufficiently reduce fractures on their own. Vitamin D combined with strength training exercise and adequate ca
T
571.4 ____ blood pressure is a greater indicator of morbid events
A. Systolic
B. Diastolic
A. Systolic
571.4 - At what age should a patient receive the pneumococcal polysaccharide (PPSV) vaccine?
A) 50
B) 55
C) 60
D) 65
D) 65
Effective interventions for primary prevention of HTN include all except:
A. Decreased Na intake
B. Decreased Sugary Beverages
C. Increased Fruit/Veggie Intake
D. Stress Management
D. Stress Management
571.4 - Your 67 year old male patient received the PPSV (pneumococcal polysaccharide vaccine) at age 61. He asks you today if he will need another dose. What do you tell him?
A) no he doesn't; a one time dose is all that is needed
B) he will need to resta
C) he will need to receive 1 more dose since he received his initial dose before age 65
571.4 - Pregnant women may receive which of the following vaccines if indicated, but preferably after 20 weeks gestation?
A) MMR
B) LAIV
C) polio
D) Tdap
D) Tdap
571.4 - Your 28 year old pregnant lady is 14 weeks pregnant. You discover she has not be vaccinated against Hep A and she's planning on traveling abroad for a last "getaway before baby" in one month with her husband. What do you recommend?
A) go ahead and
A) go ahead and initiate the 2 dose series, and give her 1 dose today; tell her she should receive the next dose in 6 months
571.4 Your 32 year old pregnant female patient is 18 weeks pregnant. She has never been vaccinated with the Hep B series. Can she be vaccinated now?
A) no; the Hep B vaccine is contraindicated in pregnancy
B) yes; she will need 2 doses a minimum of 6 mont
C) yes; she will need 3 doses, with the second dose 1 month after the 1st, and the third dose 2 months after the 2nd (at least 4 months after 1st dose)
571.4 - T/F: Each adult aged 19-65 years should receive 1 dose of Tdap in substitution for a Td booster, and continue to receive a Td booster every 10 years thereafter.
T.
According to the Tdap vaccine, a dose of Tdap is recommended at ages 11 or 12, and may be given as early as age 7 for a child who missed one or more doses of the childhood DTaP series. All adults age 19 and older should get a booster of Td every 10 yea
What is the 1st line of defense against melanoma?
A) SSE
B) TBSE
C) pt education
B) TBSE
571.4 Risk factors for IPV:
A. Being 25 years old
B. Being pregnant
C. Being single
D. Being divorced
E. Being separated
F. Alcohol or drug abuse in victim or partner
G. Smoking
H. Being poor
I. All of the above
I. All of the above
571.4 An example of primary prevention measure for a 78 year old man with COPD is:
A. reviewing the use of prescribed meds
B. ensuring adequate illumination at home
C. Checking pulmonary function
D. performing a digital rectal exam and FOBT
B. ensuring adequate illumination at home
571.4 Which of the following is an example of a primary prevention activity in a 76 year old woman with osteoporosis?
A. biphosphonate therapy
B. calcium supplementation
C. home survey to identify fall hazards
D. use of a back brace
C. home survey to identify fall hazards
571.4 Ms. Giordano is a 68-year-old woman with hypertension who resides alone in a private home. Her secondary prevention needs include:
A. Administration of pneumococcal vaccine
B. Mammography
C. Discussion of home safety to minimize fall risks
D. Assess
B. Mammography
Secondary = Screening
571.4- Injuries at home are common. They most commonly occur in which groups?
a. <5 and > 75
b. > 5 and < 75
c. the sensory impaired
d. those whose homes have not been updated to increase physical safety
a. <5 and > 75
571.4 Ms. Leonard is a 72-year-old woman with chronic bronchitis who is a former cigarette smoker. Her medications include ipratropium bromide (Atrovent) and albuterol. Her primary prevention needs include:
A. Reviewing appropriate use of her medications
B. Receiving an annual influenza immunization
571.4 Primary prevention of STIs includes:
A. Postponing sexual debut
B. Limiting the number of sexual partners
C. Regular condom use
D. Getting the HPV vaccination
E. A, B, and C
F. A, B, C, and D
F. A, B, C, and D
571.4 Which cancer is higher in young women and decreases with age?
A. breast
B. colon
C. cervical
D. lung
C. cervical
The CAGE test is BEST for which groups?
a. the elderly who are heavy drinkers
b. women who are heavy drinkers
c. men who are heavy/chronic drinkers
d. latinos who are heavy drinkers
c. men who are heavy/chronic drinkers
571.4 Secondary prevention measures for a 78 year old man with COPD include:
A. checking stool for occult blood
B. administering influenza vaccine
C. obtaining a serum theophylline level
D. advising about appropriate use of car passenger restraints
A. checking stool for occult blood
571.4 Tertiary prevention measures for a 69 year old woman with heart failure include:
A. administering antipneumococcal vaccine
B. adjusting therapy to minimize dyspnea
C. surveying skin for precancerous lesions
D. reviewing safe handling of food
B. adjusting therapy to minimize dyspnea
571.4 When advising a patient about injectable influenza immunization, the NP considers the following about the vaccine:
A. it is contraindicated in pregnancy
B. Its use is limited to children older than 6 yrs
C. It contains a live virus
D. It is recommen
D. It is recommended for virtually all children age 6 mos to 18 years
571.4 Obesity is defined as BMI ____
A. >25
B. >30
C. >15
D. >20
B. >30
571.4 Overweight is defined as BMI = ____-_____.
<25, overweight is 25-29 and obesity is >30
571.4 Dietary Na reduction is a lifestyle modification for improving bp...the recommended dietary Na reduction is _____mmol per day
a. 200
b. 100
c. 500
d. 250
b. 100
According to JNC 7, with what two medical conditions should you treat blood pressure until it reaches <130/80 mmHg?
Diabetes & Chronic Kidney Disease
571.4 T/F Gingivitis is reversible.
T.
Chronic ______ + _______ Infection + ______ Response = Periodontitis.
Plaque, Bacterial, Inflammatory
571.4 Progesterone, nitrates, beta blockers, calcium channel blockers can cause:
A. Osteonecrosis of the jaw
B. Dental erosions
C. Yellowing of the teeth
D. Tooth loss
B. Dental erosions
571.4 name conditions requiring prophylaxis for dental procedures
Congenital Heart Dx, Previous bacterial endocarditis, Prosthetic heart valves to include allografts and homografts, Congenital Health dx,
571.4 According to our Dental ppt, gingival hyperplasia can be a a side effect of which four medications?
Anticonvulsants, methotrexate, cyclosporin, calcium channel blockers. (Calcium channel blockers also cause dental erosions)
571.4 Xerostomia is commonly caused by:
A. Antihypertensives
B. Antidepressants
C. Protease inhibitors
D. Diuretics
E. All of the above
E. All of the above
571.4 Your adult patient (NKDA) is due for a procedure that requires endocarditis prophylaxis. What will you prescribe?
A. Amoxicillin 2 g
B. Amoxicillin 3 g
C. Clarithromycin 2 g
D. Clarithromycin 3 g
A. Amoxicillin 2 g
571.4 Your pediatric patient (NKDA) is due for a procedure that requires endocarditis prophylaxis. What will you prescribe?
A. Amoxicillin 2g
B. Amoxicillin 50mg/kg po
C. Clarithromycin 50mg/kg
D. Clarithromycin 3 g
B. Amoxicillin 50mg/kg po
571.4 You have a 28 year old male patient with a history of bacterial endocarditis when he was 14 years old. He is allergic to Penicillin. He tells you he will have his wisdom teeth removed next month. What prescription will you call in for him (because h
A. Azithromycin 500 mg to take 1 hr before the procedure
571.4 Which of the following contribute to gingival hyperplasia?
A. Anti-convulsants
B. methotrexate
C. Cyclosporine
D. Calcium channel blockers
E. any of the above
E. any of the above
Monounsaturated fat has been shown to:
A. Lower LDL
B. Decrease insulin resistance
C. Increase LDL
D. Reduce HDL
E. A & B
F. C & D
E. A & B
"Does a Health Diet Prevent Chronic Disease?" article
571.4 Aphthous stomatitis can occur:
A. With an unknown etiology
B. In a Crohn's patient
C. A & B
D. None of the above
C. A & B
The gold standard for nutritional assessment is:
A. multiday food diary
B. food frequency questionnaire
C. The USPSTF says there is insufficient evidence on dietary counseling in unselected populations
D. A & B
E. A, B, C
E. A, B, C
Gold Standard in practice is a multiday food diary or food frequency questionnaire
571.4- In adults what is the most common site for caries?
a. lower incisors
b. upper incisors
c. existing restorations
d. along the gumline
c. existing restorations
571.4 What do you suspect in a 20 year old patient with unexplained acceleration of dental caries, weight loss, and behavioral changes.
A. Schizophrenia
B. Cigarette use
C. Methamphetamine usage
D. Marijuana use
C. Methamphetamine usage