Deck 47: Persons With Neurologic and Sensory Deficits

Question 1

Individualized home dental care for a stroke client is most similar to that of the client with which other condition?

A) Arthritis
B) Diabetes
C) Epilepsy
D) Infective endocarditis
E) All of the above

Answer 1

Arthritis

Question 2

All of the following are common causes of age-related vision loss except which one?

A) Glaucoma
B) Macular degeneration
C) Maternal mumps
D) Diabetes
E) Cataracts

Answer 2

Maternal mumps

Question 3

All of the following are barriers to care for the patient with multiple sclerosis except which one?

A) Quiet background music
B) Lack of accessibility to a nearby restroom
C) Lack of air conditioning in hot weather
D) Lengthy appointments to accomplish all dental work at one visit

Answer 3

Quiet background music

Question 4

The symptoms of multiple sclerosis are related to:

A) age of disease onset.
B) specific cause of demyelination.
C) site of lesions in the central nervous system.
D) site of lesions in the peripheral nervous system.
E) site of deposition of immune complexes.

Question 5

Which of the following is important when a hearing-impaired or deaf client is treated?

A) Speak slowly and articulate clearly the diagnosis and procedures needed.
B) Give patient a written recall card.
C) Establish communication preferences before working in the client's mouth.
D) Use visible expressions. Speak with your hands, your face, and your eyes.
E) All of the above are important.

Question 6

The clinician may be able to control an asymmetric tonic neck reflex of a cerebral palsy patient by doing which of the following?

A) Bringing arms forward
B) Preventing foot from touching floor
C) Stabilizing head in midline position
D) Separating legs
E) Massaging shoulders

Question 7

Symptoms of AD include all of the following except which one?

A) Forgetfulness
B) Headaches
C) Personality changes
D) Impairment of judgment
E) None of the above

Question 8

All of the following are risk factors for cerebrovascular accidents except one. Which is the one exception?

A) Diabetes
B) Hypertension
C) Drug abuse
D) Cerebral palsy
E) Cigarette smoking

Question 9

The physiologic effects of spinal cord injury depend on which of the following?

A) The level of injury to the spinal cord
B) The bacteria levels in the spinal column fluid
C) The external trauma to the extremities
D) The genetic predisposition to this type of injury
E) The extent of demyelination of the nerve fibers

Question 10

Which of the following best characterizes trigeminal neuralgia (tic douloureux)?

A) Paralysis of one side of the face
B) Uncontrollable twitching of one eye
C) Prolonged episodes of pain in one side of the face
D) Dull pain when pressure is applied over the affected area
E) Sudden, brief, severe shooting pain over the affected area

Question 11

Which of the following best characterizes Bell palsy?

A) Facial paralysis caused by a cranial nerve deficit
B) Malformation resulting from an incomplete neural tube formation
C) Uncoordinated ambulation and seizures that lead to frequent falls
D) Developmental disturbance resulting in a distorted facial appearance

Question 12

Which of the following is the most common cause of spinal cord dysfunction?

A) Bone cancer
B) Diving accidents
C) Polio
D) Spina bifida

Question 13

Approximately what percentage of persons receiving phenytoin experience gingival enlargement?

A) 1%
B) Less than 25%
C) 50%
D) More than 75%
E) 100%

Question 14

What distinguishes Parkinson's disease from cerebral palsy?

A) Drooping of one corner of the mouth
B) Loss of postural stability
C) Muscular rigidity
D) Stooped posture with a slow, shuffling gait
E) Tremors

Question 15

All of the following statements are true about Parkinson's disease except which one?

A) It is a chronic progressive disorder of the motor system.
B) Common onset is in the fourth decade.
C) The incidence is higher among whites than among African Americans.
D) Bradykinesia is common in patients.
E) Patients exhibit a soft, barely audible voice and monotony of speech.

Question 16

Which of the following is the best recommendation for providing oral hygiene instruction to the blind client?

A) Client demonstrates toothbrushing on the typodont.
B) Client listens to the clinician's verbal instructions.
C) Clinician guides blind client's hand position and movement.
D) Clinician provides audiotapes and materials prepared in Braille.

Question 17

Clients with which manifestation of cerebral palsy are the more challenging to treat because of their constant uncontrollable involuntary movements?

A) Spasticity
B) Athetosis
C) Ataxia
D) Rigidity
E) All are equally challenging.

Question 18

Dental hygiene care is extremely important for clients with epilepsy because:

A) they are unable to perform their own oral hygiene.
B) it minimizes the effect of phenytoin on the gingiva.
C) good oral hygiene can prevent seizures.
D) of all of the above.

Question 19

When treating a client with a hearing aid the operator should decrease extraneous noise, because loud noises may elicit seizure activity.

A) Both parts of the statement are true.
B) Both parts of the statement are false.
C) The first part of the statement is true, and the second part of the statement is false.
D) The first part of the statement is false, and the second part of the statement is true.

Question 20

The patient with Alzheimer's disease (AD) has a degenerative disorder of the brain that gradually destroys the ability to remember, reason, learn, and imagine. A person with AD generally has no more gingivitis than the normal elderly patient.

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

Question 21

Which of the following may be a problem related to a spinal cord injury?

A) Deficiency of dopamine
B) Blood pressure control
C) Depth perception
D) Facial nerve pain
E) Hearing loss

Question 22

When treating a client with epilepsy, it is advised not to perform which of the following?

A) Nitrous oxide and oxygen sedation
B) Scaling instrumentation
C) Placement of sealants
D) Coronal polishing
E) Fluoride tray delivery

Question 23

Oral self-care instructions for the client with Bell palsy should include which of the following?

A) Using a brushing pattern so no areas are missed
B) Rinsing with water after eating
C) Using an oral irrigator
D) All of the above

Question 24

Performing dental hygiene care for a client with difficulty in swallowing may require which of the following?

A) Using a mouth prop or bite
B) Seating client in an upright position
C) Securing patient in dental chair with restraint devices
D) Recommending home-use of a fluoride rinse

Question 25

All of the following are direct causes of extensive plaque biofilm and food debris in clients with common neurologic deficits except which one?

A) Lack of self-cleaning mechanisms of tongue, cheek, and lips
B) No sensation of debris in vestibule
C) Consumption of retentive foods
D) Xerostomia from medications
E) Fatigue hindering frequent toothbrushing

Question 26

Which of the following is not a common risk factor for a cerebrovascular accident?

A) Diabetes mellitus
B) Transient ischemic attack
C) Chronic hypertension
D) Chronic petit-mal seizures
E) Cigarette smoking

Question 27

Which of the following is not a characteristic of Parkinson's disease?

A) Akinesia
B) Muscle rigidity
C) Blinking eyes
D) Expressionless face
E) Hand tremors

Question 28

Which of the following neurologic diseases has the greatest incidence in persons over the age of 65?

A) Alzheimer's disease (AD)
B) Cerebrovascular accident
C) Epilepsy
D) Parkinson's disease
E) Multiple sclerosis

Question 29

Special considerations for the client with trigeminal neuralgia should include which of the following?

A) An upright client position with the clinician performing stand-up hygiene
B) Avoidance of local anesthetic because the client is already numb
C) Short appointments
D) Protective eyewear to prevent foreign matter from entering the eye

Question 30

When treating stroke survivors, it is best to wait on any elective dental care for which period of time after the incident?

A) 3 months
B) 6 months
C) 12 months
D) 3 years
E) Delaying treatment is not necessary.