MEDICATION-RELATED DAMAGE TO SOFT AND HARD DENTAL STRUCTURES Final Examination Questions Select the best answer for each question complete your test online at EliteLearning.com/Book
137. Dental fluorosis is best defined as the: a. Hypomineralization of enamel during the pre-eruptive development of teeth. b. Hypermineralization of enamel during the posteruptive development of teeth. c. Hypomineralization of dentin during the pre-eruptive development of teeth. d. Hypermineralization of dentin during the posteruptive development of teeth. 138. Based on the Dean fluorosis index, a score of 4 indicates a presentation of fluorosis that is: a. Questionable. b. Mild. c. Moderate. d. Severe. 139. Prenatal exposure to anticonvulsants may significantly increase the mesiodistal crown dimensions of the: a. Posterior mandibular teeth. b. Anterior mandibular teeth. c. Posterior maxillary teeth. d. Anterior maxillary teeth. 140. Medication-related osteonecrosis of the jaw (MRONJ) is a potential complication of treatment with: a. Aromatase inhibitors. b. Bisphosphonates. c. Leukotriene receptor antagonists. d. Long-acting ß2-agonists. 141. The etiology of drug-induced gingival enlargement involves: a. Increased proliferation of gingival osteoblasts. b. Accumulation of extracellular matrix. c. Proliferation of basement membrane. d. Swelling of lamina propria. 142. Drug-induced gingival enlargement initially manifests as: a. Beadlike enlargement of interdental papilla. . b. Enlargement of facial and lingual gingival margins. c. Pitting of interdental papilla. . d. Migration of the mucogingival junction. . 143. A commonly prescribed calcium channel blocker implicated in causing gingival enlargement is: a. Atorvastatin. b. Valsartan. c. Alprazolam. d. Nifedipine. 144. Initial treatment approaches for drug-induced gingival enlargement consist of: a. Good plaque control and avoidance of abrasive foods. b. Gingivectomy and extraction. c. Drug substitution and good plaque control. d. Drug substitution and avoidance of acidic foods. 145. In its early stages, chemotherapy-induced mucositis can appear clinically as erythema: a. Immediately after the start of chemotherapy. b. 4 to 5 days after the start of chemotherapy. c. 2 to 3 weeks after the start of chemotherapy. d. After the bullae stage. 146. One of the most common sites for chemotherapy-induced mucositis is the:
147. According to results from a Cochrane analysis, all levels of chemotherapy-induced mucositis can be prevented by: a. Rinsing the mouth with warm saline.
b. Using viscous lidocaine rinses. c. Holding ice chips in the mouth. d. Sucking on antacid tablets.
148. Topical agent-induced oral ulceration is most likely to be caused by directly applying over-the-counter medications such as: a. Aspirin. b. Omeprazole. c. Acetaminophen. d. Iron tablets. 149. Which of the following drug classes are the most common culprits in drug-induced erythema multiforme? a. Barbiturates. b. Calcium channel blockers. c. Nitrates. d. Corticosteroids. 150. Hemorrhagic ulceration and crusting of the labial vermilion zone is common in: a. Pemphigoid-like reactions. b. Pemphigus-like reactions. c. Lichenoid-like reactions. d. Erythema multiforme-like reactions. 151. Drugs most commonly implicated in pemphigoid-like reactions include:
a. Sulfonamide derivatives. b. Bacteriostatic antibiotics.
c. Alkaloids. d. Opiates. 152. Candidiasis infection is often characterized as: a. Synergistic. b. Opportunistic.
c. Symbiotic. d. Malignant. 153. Common prescription topical treatments for oral candidiasis include clotrimazole troches or lozenges and:
a. Topical benzocaine. b. Topical glucophage. c. Nystatin suspension. d. Famotidine suspension. 154. Oral leukoplakia is considered to be a: a. Premalignant lesion.
b. Benign lesion. c. Normal finding. d. Stage IV malignancy. 155. Salivary fluid contains approximately 99%: a. Protein. b. Water. c. Potassium. d. Enzymes. 156. In more severe xerostomia, the tongue may appear erythematous, cobblestoned, or: a. Edematous.
b. Fissured. c. Smooth. d. Pale.
a. Lateral surface of the tongue. b. Dorsal surface of the tongue.
c. Hard palate. d. Soft palate.
Course Code : DFL02DS
Page 142
Book Code: DFL3024
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