Which of the following is true regarding Recurrent Aphthous Ulcers (RAU)?
These lesions commonly present as a single painful ulcer that resolves after two months.
RAUs have been associated with vitamin deficiencies.
Most lesions require immediate treatment with topical steroids.
These lesions typically occur on keratinized mucosal surfaces such as the gingival and hard
palates. - ✔✔RAUs have been associated with vitamin deficiencies.
Two months later Tanya returns with similar complaints. She has developed recurrent painful
month sores that resemble her previous lesions. The lesions have been present for almost 2
weeks. In the past, her pain was minimal, but she now reports that it has become painful to eat,
drink and speak. She has tried over the counter mouth rinses without much improvement.
Which of the following is the most appropriate next step in management?
Refer Tanya to an oral surgeon for biopsy of her lesion.
Prescribe Thalidomide.
Prescribe topical steroids.
Prescribe an antiviral medication. - ✔✔Prescribe topical steroids.
James, a 57-year-old man, presents to the community clinic to establish care. He complains of a
loose tooth and oral pain. He reports a history of hypertension and type 2 diabetes. He takes
lisinopril and metformin. Laboratory tests and examination findings demonstrate that he is in
poor glycemic control with his current medication regimen.
You are a member of a health care team that works collaboratively to provide James with
appropriate and timely oral health care. Which of the following behaviors best exemplifies the
mutual respect and trust that are foundational to interprofessional collaborative practice?
,1. Inform the patient that diabetes has no direct effect on his oral health, but seeing a dietician
is important to help control his diabetes.
2. Involve dental and primary care providers in the management of James' oral health.
3. Explain to James that a dentist will take care of his teeth but will not be inv - ✔✔Involve
dental and primary care providers in the management of James' oral health.
During the initial visit with James, you perform an oral health history. You determine that he
has not had consistent access to quality health care and has only seen dental providers for
acute problems. Additionally, he reports eating frequent sugary snacks and brushing his teeth
infrequently. These factors place him at high risk for oral disease.
Which of the following behaviors best exemplifies the acknowledgement of roles and
responsibilities of participating members of the healthcare team?
1. Seek solutions to the patients' oral health needs that primarily involve medical professionals,
as to avoid interprofessional conflicts.
2. Remind your staff that the patient centered medical home must be the anchor for any
meaningful interprofessional work.
3. Explain your role and responsibilities and how you will work as part of a team to provide the
best possible care for your patient.
4. Do as much as you can for James - ✔✔3. Explain your role and responsibilities and how
you will work as part of a team to provide the best possible care for your patient.
You perform an oral examination and encounter the following. You determine that James
requires the urgent intervention of a dentist for gingivitis and periodontitis.
Which behavior best exemplifies effective communication among participating members of the
healthcare team?
1. Encourage patient to establish care by a dentist and return to the clinic for medical
treatment, as needed.
2. Be available to discuss concerns with dental providers involved in the patients' medical care if
they choose to contact you.
,3. Discuss your medical findings and opinions to dental providers involved in James' care only if
he requests that you do so.
4. Encourage dental providers to share ideas and opinions regarding the patients' care. -
✔✔4. Encourage dental providers to share ideas and opinions regarding the patients' care.
What constitutes a tooth's outer layer?
Enamel
Dentin
Pulp
Cementum - ✔✔Enamel
What is a full complement of adult teeth?
26
28
30
32 - ✔✔32
A caregiver asks you how many teeth her 3 year old child should have. What is the most
appropriate response?
20
22
24
28 - ✔✔20
At what age do teeth typically begin to emerge in children?
, Before 6 months of age
6-15 months of age
15-21 months of age
21-27 months of age - ✔✔6-15 months of age
Oral cancer is most common in which area of the mouth?
Hard palate
Top of tongue
Inside of cheek
Posterolateral surface of tongue - ✔✔Posterolateral surface of tongue
When performing the "knee-to-knee" oral exam on a young child, in what position should the
child start?
Facing the examiner
Standing up
Sitting on the exam table
Facing the caregiver - ✔✔Facing the caregiver
All of the following are needed by a primary care clinician to conduct a thorough oral exam on
an adult EXCEPT?
An exam light to illuminate key features in the mouth
Tongue depressors to lift the lip and retract the cheek
A mouth mirror to view the lingual surfaces of teeth
Gauze pad to grasp the tongue - ✔✔A mouth mirror to view the lingual surfaces of teeth
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