Quality Resource Guide
l
Introduction to Patients with Special Healthcare Needs
7
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POST-TEST
Internet Users: This page is intended to assist you in fast and accurate testing when completing the “Online Exam.”
We suggest reviewing the questions and then circling your answers on this page prior to completing the online exam.
(1.0 CE Credit Contact Hour) Please circle the correct answer. 70% equals passing grade.
1.
Why is access to dental care the greatest unmet need
people with intellectual disabilities face?
a. Barriers to communication, culture, regulations and accountability
b. Lack of provider participation due to their comfort level
c. Continuing education courses for dental professions rarely offered
d. All of the above
2. What leads to a special needs patient being mislabeled
as uncooperative or combative?
a. Inability to express chronic pain and constantly yells
b. Traumatic experience with treatment of past dental pain
c. The dental provider is anxious and impatient with the patient’s
idiosyncrasies
d. All of the above
3. The most important keys to treating special needs
patients are:
a. Knowledge over willingness
b. Focusing on what the patient can’t do
c. Evaluate, understand and modify treatment techniques to accomplish
a procedure
d. All of the above
4. The role of a provider for patients with SHCN is to:
a. Seek to understand the patient’s past treatment experiences, in
order to provide safer more effective care
b. To reinforce positive behavior, the dental team should be
businesslike with appropriate communication for the patient
c. Modify appointment scheduling based on the complexity of the case
and the patient’s cognitive limitations
d. All of the above
5. The office dental team can best function when:
a. The philosophy regarding special needs populations is known
primarily by the dentist only
b. The entire staff knows the treatment goals and understands the
limitations of the patient
c. The dental team changes the routine procedures to distract and
confuse the patient into compliance
d. All of the above
6.
To control the risks and enhance the protective factors
in order to avoid dental caries formation in patients with
SHCN, the dentist must recognize the following patterns:
a. The extreme risk special needs patients have in increased dental
caries due to poor oral hygiene and medications that reduce saliva
b. Due to low dexterity or the inability to comprehend the technique,
patients may not be able to accomplish effective oral hygiene practices
c.
Saliva is one of the most important variables in the oral health due to
its protective mechanism and role in remineralization
d. All of the above
7.
Strategies to decrease acids in the mouth include:
1) Rinsing with water or modified water with baking soda whenever a
person’s mouth is dry
2) Rinses that have an alcohol base
3) A diet low in acidic foods and beverages with an emphasis in water
rehydration during the day
a. 1 only
b. 2 & 3 only
c. 1 & 3 only
d. 1, 2, & 3
8. The process of remineralization is built on:
a. A neutral or basic environment where there are sufficient building
blocks of fluoride, calcium and phosphate present
b. Fluoride varnish applied in a dental office setting in conjunction with a
daily application of fluoride toothpaste
c. Familiarity with the total exposure of fluoride to a patient when making
a treatment plan to avoid toxicity
d. All of the above
9. Silver Diamine Fluoride is effective in:
a. Caries arrest and remineralization
b. Chemically treating multiple caries in children geriatric and special
needs populations
c. Desensitizing teeth
d. All of the above
10. Indications and application of Silver Diamine Fluoride
include:
a. Asymptomatic teeth with pulpal involvement and irreversible symptoms
b. Use of local anesthesia
c. Use as an adjunct to fluoride toothpaste, to remineralize incipient
caries and lesions of permanent teeth where esthetics is not a concern
d. All of the above