Deck 20: Nutritional Aspects of Alterations in the Oral Cavity

Question 1

Because orthodontic patients are frequently adolescents,nutrition and oral self-care are often less than ideal.The dental hygienist may be successful in motivating noncompliant patients by reminding them that optimal nutrition and oral self-care are worthwhile endeavors that improve their appearance.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Answer 1

Both statements are true.

Question 2

The status of the alveolus may be an indicator of early osteoporosis because glossitis results in slight atrophy of the filiform and fungiform papillae.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Answer 2

Both the statement and the reason are correct but are not related.

Question 3

Loss of teeth or supporting periodontium is frequently associated with poor food selection and limited chewing ability.The patients' masticatory efficiency and biting force decline with each tooth lost.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Answer 3

Both statements are true.

Question 4

Each food should be avoided by patients experiencing xerostomia,except one.Which is the exception?

A) Saltines
B) Salsa
C) Alcohol
D) Dill pickles

Question 5

Soft drinks,energy drinks,and sports drinks with fermentable carbohydrate should be avoided during orthodontia to enhance demineralization.Foods and drinks high in citric acid should also be avoided.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 6

Xerostomia has a negative effect on oral tissues,but its effect on dietary intake is typically negligible because this condition is characterized by diminished or absent salivary flow or a change in the viscosity of saliva.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 7

Each is true of xerostomia and its effects,except one.Which is the exception?

A) More than 400 over-the-counter and prescription medications identify xerostomia as a possible side effect.
B) Patients should have frequent recare appointments to monitor oral conditions.
C) Over-the-counter antihistamines and antiinflammatories often alleviate xerostomia-related conditions.
D) Patients might compare a burning sensation to the consumption of hot peppers.
E) Burning sensations are commonly associated with taste changes.

Question 8

The ideal diet for orthodontic patients is the mechanical soft diet because it allows the ease of chewing and includes food such as cheese,mashed potatoes,boiled vegetables,and fluids.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 9

Which are appropriate food choices for the dental hygienist to recommend to a patient experiencing xerostomia? (Select all that apply.)

A) Whole-wheat muffins
B) Peanut butter
C) Gravies and sauces
D) Macaroni and cheese
E) Cottage cheese

Question 10

Each is beneficial for orthodontic patients,except one.Which is the exception?

A) Daily fluoride use
B) Alcohol-free antimicrobial rinse
C) Warm salt water rinses
D) Utility wax
E) Foods high in citric acid

Question 11

Tooth loss is a normal element of aging.Education level and race/ethnicity are the strongest determinants of tooth loss.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 12

Which is NOT an effective intervention for xerostomia?

A) Carry a water bottle around during the day.
B) Use an alcohol-based mouthwash for debridement after eating.
C) Use lip balm to help keep lips moist.
D) Use a humidifier to maintain humidity in the air.
E) Suck on ice chips between meals.

Question 13

Patients with xerostomia frequently experience: (Select all that apply.)

A) burning sensation of the tongue or oral mucous membranes.
B) inadequate intake of vitamins A and C.
C) excessive intake of fiber, fluid, and vitamin B6.
D) poor appetite.
E) increased hunger.

Question 14

If a patient complains of oral dryness,the dental hygienist can assess salivary flow by milking the major salivary glands.These include which glands? (Select all that apply.)

A) Parotid
B) Circumvallate
C) Submandibular
D) Nasopalatine
E) Sublingual

Question 15

Adequate fluid and nutrient intake is essential before oral and maxillofacial surgery.Patients who are malnourished as result of chronic disease are at increased risk because they are likely to be immunosuppressed.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 16

The term functional food is reserved for organic and natural foods because functional foods have been identified as providing benefit beyond basic nutrition.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 17

Each is a goal for patients with xerostomia,except one.Which is the exception?

A) Protect the oral cavity from the destructive effects of xerostomia.
B) Delay treatment of existing conditions until fluid levels of tissues are adequately restored.
C) Provide relief of the dryness to improve quality of the diet.
D) Provide relief of the dryness to improve quality of life.

Question 18

The area around the cementoenamel junction is particularly susceptible to root caries because if often has irregular anatomical features.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 19

The dental hygienist's main goal when making dietary recommendations for a patient with a new dental prosthesis is to:

A) promote healing and repair by ensuring an adequate and nutrient-dense diet.
B) promote healing and repair by recommending consumption of only liquids for the first week.
C) promote a balanced diet by recommending a variety of fibrous foods.
D) encourage the patient to become accustomed to prosthesis by eating as usual.

Question 20

Each is a potential effect of gingival recession,except one.Which is the exception?

A) Abrasion of enamel and cementum
B) Erosion of enamel and cementum
C) Root caries
D) Xerostomia
E) Increased calculus and biofilm

Question 21

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Benign migratory glossitis

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 22

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Ringing in the ears

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 23

Temporomandibular disorder may manifest as which of the following? (Select all that apply.)

A) Orofacial pain
B) Frequent headaches
C) Burning in the tongue
D) Lichen planus
E) Crepitus

Question 24

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Major cause of dentin hypersensitivity

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 25

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Cariostatic

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 26

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Crackling or crunching sound

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 27

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Class of biologically active plants

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 28

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Permanent depletion of tooth surface as result of wear

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 29

When educating a patient about dentin hypersensitivity,which of the following recommendations can a dental hygienist correctly make? (Select all that apply.)

A) A sudden, sharp pain in areas of exposed dentin and recession may be dentin hypersensitivity.
B) Brushing immediately after consuming acidic food minimizes exposure to exposure of teeth to acids.
C) Saliva is one of the best protective measures to counteract the demineralizing effect of acids.
D) Onset of dentin hypersensitivity is often related to warm temperatures.

Question 30

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Saliva flow test

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 31

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Caused by erosion and abrasion

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 32

Nutritional aspects of alterations in the oral cavity affect all aspects dental hygiene therapy. Match each oral and nutritional term with its most appropriate description.
Frequent headaches,impaired mandibular movement

A)Sialometric test
B)Dentin hypersensitivity
C)Erosion
D)Abrasion
E)Cheddar cheese
F)Temporomandibular disorder
G)Tinnitus
H)Crepitus
I)Geographic tongue
J)Phytochemicals

Question 33

Which recommendations would a dental hygienist make to a patient adjusting to a new dental appliance? (Select all that apply.)

A) Fortified foods can improve nutrient intake.
B) Cut food into small pieces.
C) Chew food for short periods of time to avoid trauma.
D) Chew food on one side of the mouth only.
E) Chew food in a straight up-and-down motion.