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DGPD 711 2008

Introduction to Pediatric Dentistry


Mid-term Examination
March 28, 2008
1.

Mrs. Jones brings her five-year-old daughter, Abby, in for her first dental
visit. Which of the following would you expect to be true regarding her
daughters development?
A.
B.
C.
D.
E.

2.

doing a prophylaxis
placing sealants
placing a composite resin
administering topical fluoride gel
none of the above

The Frankel Rating Scale is an indication of the childs


A.
B.
C.
D.
E.

5.

2 months
3 months
6 months
7 months
one year

Three-year-old Tommy comes into your office with his mother, Ethel, for
his first dental visit. In explaining procedures to him, you note that you
will be placing some cavity fighter on his teeth. In reality, you are
A.
B.
C.
D.
E.

4.

actively says please and thank you


plays with peers cooperatively
has a limited vocabulary
independent with self-help skills
has a very active imagination

Mrs. Jones (question 1, above) also has a son, Ryan, who weighed in at
eight and one-half pounds at birth. In chatting with her, she said he has
been growing like a weed and now can sit alone by himself. You would
expect him to be approximately how old?
A.
B.
C.
D.
E.

3.

Name______________________

age
behavior
ability to understand
intelligence
socio-economic status

The major difference(s) in treating children and adults relate to

A.
B.
C.
D.
E.
6.

Tangible rewards such as gifts for children following dental appointments


A.
B.
C.
D.
E.

7.

should serve as a reward for good behavior


recognizes any childhood behavior as age appropriate
is a promise to induce good behavior
should not be given under any circumstances
is a bribe for positive behavior

Which of the following primary teeth resembles its permanent tooth


counterpart?
A.
B.
C.
D.
E.

8.

the dentists relationship with the patient


the treatment triangle
socioeconomic status
all of the above
only (A) and (B)

maxillary first molar


maxillary second molar
mandibular first molar
mandibular second molar
none of the above

Which of the following is true?


A.
B.
C.
D.
E.

The crowns of the primary teeth are wider mesiodistally in


comparison with crown length than are those of the permanent
teeth.
The roots of primary anterior teeth are narrow and short compared
with crown width and length.
The cervical ridge of enamel at the cervical third of the anterior
crowns is much more prominent mesiodistally in the primary than in
the permanent teeth.
The crowns and roots of primary molars are more wider
mesiodistally at the cervical third than those of permanent molars.
The primary teeth are usually darker in color than the permanent
teeth.

9.

Zack, a five-month-old tough guy, comes to your office with his mother,
Blanche, for infant oral health care. According to Lunt and Law, you would
expect to see how many teeth in his mouth?
A.
B.
C.
D.
E.

10.

This is Mary Susans first visit to your office. She is now 2 years old.
According to Law and Lunt, how many primary teeth does she have?
A.
B.
C.
D.
E.

11.

none
four
eight
sixteen
all 20 primary teeth

The pulp chambers of primary molars


A.
B.
C.
D.
E.

12.

none
two
four
eight
all 20 primary teeth

do not follow the outline of the crown


increase in size under the influence of function
increase in size under the influence of abrasion of the surfaces
increase in size as age increases
none of the above.

You see Henry, a six-year-old big time cowboy with two ponies on the
south forty, for a first visit. His mother noted that he had # B removed
three years ago because of a large cavity. You explain to her that as a
result of early loss of this tooth
A.
B.
C.
D.
E.

# 4 will come in early


# 4 will come in at the normal time
# 4 will be delayed in eruption
# 13 will be malformed
# 13 will be delayed in eruption.

13.

According to Moyers, the most common sequence of eruption in the


mandibular arch is
A.
B.
C.
D.
E.

14.

Lori is seven years old and has the most Barbie dolls on the street. During
her dental recall visit, her mother, Ethel, asks about the lingual eruption of
her mandibular permanent central incisors. You explain to her that
A.
B.
C.
D.
E.

15.

this is abnormal and that these teeth should be removed as soon


as possible to prevent crowding
by eight years and two months the primary teeth should exfoliate
and the permanent incisors begin to move labially
a conservative approach should be ruled out as these teeth can
cause future orthodontic problems
it is common for these teeth to erupt lingually and this is considered
essentially normal
both (B) and (D)

Mrs. White calls you and is concerned about the eruption of teeth in her
seven-month-old infant son, Tommy. She specifically wants to know if any
of the following is related to this process. Which are indeed related to this
process?
A.
B.
C.
D.
E.

16.

31, 30, 29, 28, 27, 26, 25


30, 25. 26, 27, 28, 29, 31
25, 26, 27, 28, 29, 30, 31
30, 25, 26, 28, 29, 27, 31
25, 26, 27, 29, 28, 27, 31

daytime restlessness
diarrhea
fever
drooling
both (A) and (D)

Which of the following is true?


A.
B.
C.
D.
E.

teething is a normal physiologic process


inflammation of the gingival tissues before complete emergence of
the crown may cause a temporary painful condition that subsides
within a few days
in general, surgical removal of tissue covering the tooth to facilitate
eruption is a normal practice
teething can cause fevers, coughing, and sleep disturbances
both (A) and (B)

17.

Enamel hypoplasia of a permanent incisor resulting from a traumatic injury


in the primary dentition occurs during what stage in the life cycle of tooth
development?
A.
B.
C.
D.
E.

18.

Odontomas occur during what stage in the life cycle of tooth


development?
A.
B.
C.
D.
E.

19.

initiation
proliferation
morphodifferentation
apposition
calcification

Nine-year-old Joey comes to your office for a recall exam. A routine


maxillary periapical radiograph indicates that there is congenital absence
of #7. You explain to his mom, Gladys, that this missing tooth failed to
form in what stage/s of tooth development?
A.
B.
C.
D.
E.

20.

initiation
proliferation
histodifferentation
apposition
calcification

initiation stage
proliferation stage
histo/morpho stage
apposition stage
both (A) and (B)

Kerry is 10 years old and is a star field hockey player. She comes in to
the office because her mother has noticed that # 10 is small and funny
shaped. You examine her and tell mom that this is a peg lateral, a form
of microdontia, and occurred during what stage of tooth development?
A.
B.
C.
D.
E.

initiation stage
proliferation stage
histo/morpho stage
apposition stage
calcification stage

21.

Epstein pearls, Bohn nodules, and dental lamina cysts


A.
B.
C.
D.
E.

22.

Mrs Broom brings into the office her sixteen-month-old son, John,
because she is concerned about a bluish-purple elevated area of tissue
developing over the right mandibular first primary molar area. After your
exam, you tell Mrs. Broom
A.
B.
C.
D.
E.

23.

this may be serious and must be referred to an oral surgeon for a


biopsy
this is an eruption cyst and must be excised
this is likely an eruption hematoma and usually within a few
days after eruption of the tooth the hematoma will subside
this is likely an odontogenic cyst and will require excision following
the eruption of the tooth (both the tooth and the cyst)
both (A) and (D)

Local and systemic factors that influence eruption of teeth include


A.
B.
C.
D.
E.

24.

are inclusion cysts


are classified as odontogenic tumors
develop histologically from the same tissue
should be excised
none of the above

hypopituitarism
trisomy 21
cleidocranial dysplasis
all of the above
only (A) and (C)

During an office visit with her twelve-year-old-daughter, Mrs Blakewell


asks you which permanent teeth erupt last in the mouth? You note that the
last teeth to erupt are the
A.
B.
C.
D.
E.

maxillary canines
maxillary and mandibular second molars
maxillary and mandibular third molars
mandibular canine
premolars

25.

Features of Down Syndrome include


A.
B.
C.
D.
E.

26.

Streptococcus Mutans is the most virulent caries producing bacteria


because it possesses three characteristics often called the three As of
Streptococcus Mutans. Which of the following is not one of the three As
of Streptococcus Mutans?
A.
B.
C.
D.

27.

B.
C.
D.

CAT provides a means of classifying what a childs caries risk will


be during infancy only and can not be applied to any child older
than 3 years of age.
CAT renders a diagnosis
CAT can be used by both dental and non-dental personnel.
A childs Caries-risk Assessment does not change and once a child
is assigned a risk level that level cannot change.

When using the Caries Risk Assessment Tool (CAT) a child must score
high in how many categories to be considered High caries-risk?
A.
B.
C.
D.

29.

Appositional
Adherence
Acidogenicity
Acidouricity

Which of the following statements is correct regarding the Caries-risk


Assessment Tool (CAT)?
A.

28.

delayed eruption of teeth


normal exfoliation of primary teeth
presence of three #21 chromosomes
normal facial pattern
both (A) and (C)

1
3
5
7

Early childhood caries often demonstrates a typical pattern of carious


involvement. Which of the following teeth are generally not involved?
A.
B.
C.
D.

Maxillary central incisors


Mandibular central incisors
Maxillary primary first molars
Mandibular primary first molars

30.

Which brushing technique do children most easily adopt?


A.
B.
C.
D.

31.

At what age does the American Academy of Pediatric Dentists


recommend that a dental home be established for each child?
A.
B.
C.
D.

32.

Within 12 months of the eruption of the first tooth and no later than
6 months of age.
Within 6 months of the eruption of the first tooth and no later
than 12 months of age.
Within 12 months of the eruption of the first tooth and no later than
24 months of age.
Within 24 months of the eruption of the first tooth and not later than
12 months of age.

A two year old child can be prescribed 0.25 mg supplemental fluoride if


she is receiving how much dietary fluoride?
A.
B.
C.
D.

33.

Modified Stillman
Bass
Horizontal Scrubbing
Circular

greater than 0.6 ppm


less than 0.3 ppm
0.03 0.06 ppm
0.3 0.6 ppm

All of the following statements regarding fluoride are true except one.
Which of the following statements is not true?
A.
B.
C.
D.

Historically fluoride has shown a 55 60 % reduction in caries


rates.
Excessive levels may lead to fluorosis, nausea and brain damage.
Fluoride used in conjunction with other preventative measures is
more effective than with fluoride alone.
When considering prescribing supplemental fluoride, only the
amount of fluoride ingested through drinking water must be
considered.

34.

How much fluoride would you prescribe to a four year old child presently
receiving no dietary fluoride?
A.
B.
C.
D.

35.

The American Academy of Pediatric Dentistry recommends that parents


should have infants drink from a cup as they approach their first birthday.
Infants should be weaned from the bottle at 12 to 14 months of age.
A.
B.
C.
D.

36.

C.
D.
E.

Sealants are indicated in patients with rampant caries.


Sealants are bonded to the tooth and therefore do not require any
type of follow-up care.
A dental assistant can diagnose and prepare a tooth to receive a
sealant.
All of the above are false
Only A and C are false

Which of the following have been demonstrated by powered toothbrushes


when compared to manual toothbrushes when used properly by a child?
A.
B.
C.
D.

38.

The first statement is true, and the second statement is true.


The first statement is false, and the second statement is false.
The first statement is true, and the second statement is false
The first statement is false, and the second statement is true.

Which of the following statements is/are false regarding the placement of


sealants?
A.
B.

37.

0.25 mg
0.50 mg
2.5 mg
5.0 mg

40% improvement in plaque removal


15% reduction in gingivitis
20% reduction in occlusal caries
Both A and B are correct

Which of the following would be the appropriate age specific oral home
care for an 18 month old child?
A.
B.
C.
D.

Soft bristle toothbrush, with non-fluoridated toothpaste.


Soft bristle toothbrush, with fluoridated toothpaste.
Moistened cloth wrapped around the parents finger to remove
plaque.
Powered toothbrush with pea-sized amount of fluoridated
toothpaste.

39.

When should a child begin flossing?


A.
B.
C.
D.

40.

When the second primary molar erupts.


When adjacent posterior teeth are in contact.
At age six when manual dexterity is sufficient.
When the second permanent molar erupts.

Which of the following is true regarding sealants?


A.
B.
C.
D.

Research shows that sealants have been effective in the


prevention of dental caries
The National Institute of Health Consensus Panel found that
sealants are highly effective in the prevention of interproximal
carious lesions.
Sealants are not effective in children with decreased salivary flow.
Both A and B are true

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