Smiles For Life A National Oral Health Curriculum-PDF Free Download

Smiles for Life A National Oral Health Curriculum

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Smiles for Life: A National Oral Health Curriculum The Society of Teachers of Family Medicine (STFM) Group on Oral Health - Third Edition Module 4: Dental Emergencies 1. Which antibiotic is the drug of choice for intra-oral infections? A. Ciprofloxacin B. Doxycycline C. Penicillin D. Cefuroxime 2. When should an avulsed tooth in a 35 year old ...



Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 1 The Relationship of Oral to Systemic Health continued
6 Which class of medications is NOT generally associated with decreased salivary
A Antihistamines
B Antibiotics
C Corticosteroids
D Anticholinergics
E Diuretics
7 A patient undergoing chemotherapy for cancer is at risk for which of these oral
complications due to the effects of chemotherapy
A Osteonecrosis of alveolar bone
B Gingival hyperplasia
C Oral mucositis
D Tooth fractures
8 Which of the following infections is NOT potentially caused by direct extension
from a dental source
A Otitis media
B Sinusitis
C Brain abscess
D Facial cellulitis
9 What is the suggested common pathway linking chronic periodontitis and
conditions such as diabetes coronary artery disease and adverse pregnancy
A Direct bacterial extension
B Poor nutrition
C Circulating antibodies
D Inflammation
10 Which of the following is NOT a mechanism for inter relationships between oral and
systemic disease
A Behavioral
B Iatrogenic
C Neurologic
D Inflammatory
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 2 Child Oral Health
1 What is Early Childhood Caries
A Dental decay in children from 2 10 years of age
B An infectious chronic disease
C Deformities in a child s teeth caused by excessive fluoride ingestion
D Dental decay caused by a lack of fluoride in a child s diet
2 Oral bacteria and dietary sugars are two of the three parts of the Etiology Triad of
Early Childhood Caries What is the third part of the triad
A The enamel and dentine of teeth which is vulnerable to demineralization
B Bacterial toxins which attach the teeth s calcium matrix
C Saliva which provides a moist environment for the cariogenic oral bacteria
D Genetic predisposition to colonization by cariogenic oral bacteria
3 What is a risk factor for developing Early Childhood Caries
A High fat diet
B A patient s age
C Excessive levels of fluoride
D Caries in siblings or caretakers
4 How can primary care clinicians prevent Early Childhood Caries
A Counsel a child s caregivers about the child s diet
B Apply dental sealants to the teeth of young patients
C Prescribe fluoride to every young patient
D Refer children to a dentist at age 5
5 The mother of your 10 month old patient asks for a prescription for supplemental
fluoride She reports that the family obtains their water from a well What is your
best course of action
A Prescribe a dietary fluoride supplement as well water does not contain fluoride
B Test the well s fluoride level prior to prescribing a dietary fluoride supplement
C Do not prescribe a dietary fluoride supplement as the child has neither white
spots nor caries
D Obtain the fluoride level in wells near the family s home from the local health
department before prescribing a dietary fluoride supplement
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 2 Child Oral Health continued
6 What does this photograph of a child s mouth depict
A Fluorosis
B White spots
C Moderate Early Childhood Caries
D Iron staining
7 To what is the arrow on this photograph of a child s mouth pointing
A A normal tooth
B Fluorosis
C White spot lesions
D Severe Early Childhood Caries
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 2 Child Oral Health continued
8 What is the first step in performing a knee to knee oral examination of a child s
A Have the caregiver hold the child on their lap facing the examiner
B Have the caregiver hold the child facing them in a straddle position
C The examiner looks in the child s mouth
D Have the caregiver separate the child s jaws
9 What guidance about teething should a primary care clinician provide to a toddler s
A Teething can cause ear infections and diarrhea
B The caregiver should bring the toddler to the office if the child starts to drool
C Teething sometimes causes upper respiratory infections
D A child who is teething may be fussy
10 The arrow is pointing to a darkened feature in a child s mouth What is this finding
A Fluorosis
B An avulsed tooth
C An eruption hematoma
D Early childhood caries in an unerupted tooth
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 3 Adult Oral Health
1 Which dental procedure does NOT require prophylaxis for individuals at high risk of
bacterial endocarditis
A Dental extractions
B Periodontal procedures
C Post operative suture removal
D Prophylactic cleaning of teeth if bleeding is anticipated
E Re implantation of avulsed teeth
2 Periodontal disease can be clinically distinguished from gingivitis in which of the
following ways
A Inflammation of the gums
B White discoloration of the permanent teeth
C Enlarged pockets at the gum base
D Gingival hypertrophy
3 Which of the following is NOT a common site for oral cancers
A The tongue
B Floor of mouth
C Hard palate
D Lower lip
4 Which of the following is most likely to lead to poorer oral health in the elderly
A Alzheimer s dementia
B Coronary artery disease
C Hypothyroidism
D All of the above
5 Risk factors for adult caries may include all the following EXCEPT
A Low socioeconomic status
B Existing tooth restoration
C Decreased salivary flow
D A vegetarian diet
E Physical disabilities
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 3 Adult Oral Health continued
6 Which of the following patients require bacterial endocarditis antibiotic prophylaxis
A A 26 year old woman with mitral valve prolapse undergoing routine
teeth cleaning with no anticipated bleeding
B A 64 year old man with a prosthetic mitral valve who is undergoing a
tooth extraction
C A 16 year old boy with a ventricular septal defect completely repaired in
infancy who requires extraction of an impacted wisdom tooth
D A 32 year old man who had bacterial endocarditis 5 years ago who
is undergoing orthodontic appliance adjustment
7 Which of the following is NOT a normal age related tooth change
A Gingival recession
B Root caries
C Yellowing of teeth
D Wearing away of teeth with exposed dentin
8 Which of the following statements concerning xerostomia or dry mouth is NOT
A Xerostomia is caused by a decrease in the production of saliva
B Xerostomia can cause a burning sensation change in taste and
difficulty swallowing
C Medications can contribute to xerostomia
D Xerostomia can increase the development of caries
E Xerostomia is rarely a problem for patients wearing complete dentures
9 Which of the following has been implicated in the development of
recurrent aphthous ulcers
B Vitamin C deficiency
C Sickle Cell Anemia
D Herpes simplex virus infection
10 Which of the following factors is NOT involved in the development of Meth Mouth
A Poor oral hygiene
B Increased carbohydrate consumption
C Night time mouth breathing
D Teeth grinding
E Xerostomia
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 4 Dental Emergencies
1 Which antibiotic is the drug of choice for intra oral infections
A Ciprofloxacin
B Doxycycline
C Penicillin
D Cefuroxime
2 When should an avulsed tooth in a 35 year old patient be optimally re implanted
A It should not be re implanted
B Within 5 minutes
C Within 1 hour
D Within 12 hours
E Within 24 hours
3 Tongue piercings put patients at risk for all of the following conditions EXCEPT
A Mucositis
B Periodontal disease
C Abscessed teeth
D Tooth fractures
4 When should an avulsed tooth in a 3 year old be optimally re implanted
A It should not be implanted
B Within 5 minutes
C Within 1 hour
D Within 12 hours
E Within 24 hours
5 Which of the following is an indication for hospitalization of a child with
facial cellulitis
A Localized facial swelling
C Tracking of swelling into the neck
D Difficulty chewing
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 4 Dental Emergencies continued
6 Which type of mouth guard provides the most protection against oral injury
B Self adapted boil and bite
C Custom made
7 Which of the following requires treatment with antibiotics
A Peri apical abscess
B Cellulitis
D Pulpitis
8 What is the appropriate treatment for a chipped tooth
A Routine referral to a dentist to smooth or restore the chip
B Emergent referral to a dentist
C Go to the emergency department immediately
D Application of iodine to prevent a root infection
9 What would you do first in evaluating a patient with facial trauma
A Find any missing teeth
B Determine if any teeth have been fractured
C Evaluate the gum line for bleeding
D Assess the patient s airway breathing and circulation
10 The treatment of choice for an abscessed tooth is
A Oil of Clove
B Oral antibiotics
C Pain medication
D Dental referral for extraction or root canal treatment
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 5 Oral Health in Pregnancy
1 Which of the following is a FALSE statement
A Gingivitis is very common in pregnancy
B Periodontitis is associated with preterm birth
C Treatment of periodontitis in pregnancy decreases the risk of preterm birth
D Deep root scaling to improve periodontitis is safe during pregnancy
2 Which of the following is a TRUE statement
A Mothers with caries pass their genetic predisposition for caries on to their
B Mother with caries pass caries causing bacteria to their babies in utero
C Mother with caries pass caries causing bacteria to their infants early in life via
saliva transmission
D All of the above
3 A pregnancy granuloma
A Has malignant potential and should be biopsied
B Should be excised during pregnancy even if asymptomatic to avoid
complications
C Can be observed
D Is not likely to recur if excised
4 A pregnant patient asks you for guidance about having dental treatment during
her pregnancy What would you say
A Dental treatment should only be performed during the second and third
trimesters
B Dental treatment should only be performed during the third trimester
because organogenesis is complete
C Dental treatment should only be performed during the second trimester for
comfort and safety reasons
D Dental treatment can be performed during any trimester
5 What guidance should you give a pregnant patient about having dental X
rays during her pregnancy
A Dental x rays should be avoided during pregnancy
B Dental x ray should be limited to only one film per pregnancy
C Dental x rays should be taken as necessary to reach a full diagnosis
D Dental x rays are rarely needed during pregnancy
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 5 Oral Health in Pregnancy continued
6 What oral health guidance should you give a pregnant patient
A Brush twice daily with fluoridated toothpaste
B Use chlorhexidene mouthwash three times per day
C Avoid sugary drinks and snacks between meals
D Take fluoride dietary supplements
E A and C only
7 All of the following conditions can cause worsening gingivitis EXCEPT
A Onset of puberty
B Monthly menses
C Menopause
D Use of oral contraceptives
E Pregnancy
8 If a pregnant woman has an oral abscess in the first trimester what should she do
regarding treatment
A Take antibiotics and pain medication only and wait until her second trimester to
see the dentist
B Avoid x rays for further diagnosis
C Have the tooth treated or extracted under local anesthesia immediately
D Delay definitive treatment until after delivering her baby
9 Amalgam restorations placed during pregnancy can lead to which negative
outcome in the fetus
A Birth defects
B Neurologic sequelae
C Spontaneous abortions
D None of the above
10 What can pregnant women do after vomiting to reduce the risk of enamel erosion
A Swish with baking soda and water
B Vigorously brush her teeth
C Immediately take a dose of a proton pump inhibitor
D Immediately take 3 4 antacid tablets
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 6 Caries Risk Assessment Fluoride Varnish and Counseling
1 The mother of a 9 month old patient asks what causes early childhood
caries ECC Which of the following is the most accurate reply
A The majority of ECC results from thin or weak tooth enamel inherited from the
B Bacteria in the child s mouth break down dietary sugars into acids which wear
away the tooth enamel
C A lack of protective saliva is the most common cause of ECC
D A calcium deficiency during the time teeth are formed produces teeth that lack a
sufficiently thick covering of enamel
2 Which of the following factors places a child at the most risk for developing early
childhood caries
A Having a diagnosis of severe asthma
B Living with family members who smoke tobacco or drink excessive amounts of
C Breast feeding for longer than six months
D Having plaque on the teeth
3 Which of the following is NOT a mechanism of action for topical fluoride
A It inhibits demineralization of the teeth
B It promotes remineralization of the teeth
C It inhibits bacterial metabolism
D It promotes the release of saliva
4 Which of the following is a benefit of fluoride varnish
A Fluoride varnish permanently seals the pits and fissures of teeth
B Fluoride varnish decreases the need for routine dental care
C Fluoride varnish can reverse early decay i e the white spots and slow
enamel destruction
D Fluoride varnish replaces the need to take systemic fluoride supplements
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 6 Caries Risk Assessment Fluoride Varnish and Counseling continued
5 While performing an exam on one of your young patients you observe
following see photograph Describe what you see
A The teeth are normal and have no white spots or tooth decay
B The gingiva are pathologically pigmented
C The tooth s enamel is thin so fluoride varnish must be applied to strengthen the
D The color of the tooth indicates that the child is at risk for developing fluorosis
6 What guidance would you provide the mother of your 20 month old patient who
expresses concern about her child developing fluorosis The family lives in a town
that adds fluoride to the water supply and the child has already had 2 cavities
A Tell the mother to use only a small smear of fluoridated toothpaste when
brushing the child s teeth
B Tell the mother to use a non fluoridated toothpaste
C Brush the child s teeth every other day
D Only give bottled drinking water to the child
7 Which children under the age of 5 should receive fluoride varnish in the
medical office
A All children at high risk for caries
B High risk children without a dental home
C Low risk children
D All children
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 6 Caries Risk Assessment Fluoride Varnish and Counseling continued
8 While performing an exam on one of your young patients you observe the teeth
indicated by the yellow arrows see photograph Describe the tooth s condition
A The teeth are normal and have no visible decay
B The brown areas represent caries where loss of overlying enamel has exposed
underlying dentin
C The brown areas indicate that the child has chipped his teeth
D The brown color indicates that the child has developed fluorosis
9 When applying fluoride varnish to an infant what is the gauze used for
A The gauze is the vehicle used to apply the flourish varnish to the teeth
B The gauze is used to hold the tongue out of the way
C The gauze is used to dry the child s teeth and to remove gross plaque
D The gauze is shown to the child to stimulate her to open her mouth
10 What guidance do you give the grandmother of a child who has just had
fluoride varnish applied to his teeth
A The child s teeth will be discolored for about a week
B Do not brush the child s teeth for at least 48 hours
C Brush the child s teeth in about one hour
D Avoid giving the child hot sticky or hard foods for at least 6 hours after varnish
application
Last Updated August 2016
Smiles for Life A National Oral Health Curriculum
The Society of Teachers of Family Medicine STFM
Group on Oral Health Third Edition
Module 7 The Oral Examination
1 What constitutes a tooth s outer layer
2 What is a full complement of adult teeth
3 A caregiver asks you how many teeth her 3 year old child should have What would
you respond
4 At what age do teeth typically begin to erupt in children
A 3 9 months
B 9 15 months
C 15 21 months
D 21 27 months
5 Oral cancer is most common in which area of the mouth
A Hard palate
B Surface of tongue
C Inside of cheek
D Posterolateral tongue


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