NBDHE NBDHE Management of Special Needs Patients 3

Question 1

A patient with epilepsy is taking phenytoin (Dilantin). Which oral manifestation is most commonly associated with long-term use of this medication?

Accepted Answer

Gingival hyperplasia

Answer

Phenytoin-induced gingival hyperplasia is a well-documented side effect, occurring in up to 50% of patients, especially with poor plaque control.

Question 2

During treatment, a patient with a known seizure disorder has a generalized tonic-clonic seizure. What is the dental hygienist's FIRST action?

Accepted Answer

Clear the area, protect the patient from injury, and note the time

Answer

The immediate priority is patient safety: clear the area, cushion the head, never restrain the patient, and time the seizure.

Question 3

Which of the following is the most appropriate oral hygiene aid recommendation for a patient with severe rheumatoid arthritis affecting hand dexterity?

Accepted Answer

Electric toothbrush with a wide-grip handle

Answer

An electric toothbrush with a wide-grip handle compensates for reduced manual dexterity and requires less fine motor control.

Question 4

A patient with HIV/AIDS presents with a white, removable lesion on the lateral border of the tongue that wipes off easily. What is the most likely diagnosis?

Accepted Answer

Pseudomembranous candidiasis

Answer

Pseudomembranous candidiasis (thrush) presents as a white, cottage cheese-like coating that wipes off easily, revealing an erythematous base.

Question 5

A 70-year-old patient on bisphosphonate therapy for osteoporosis requires a tooth extraction. What is the primary concern?

Accepted Answer

Medication-related osteonecrosis of the jaw (MRONJ)

Answer

Bisphosphonate therapy suppresses osteoclast activity, impairing bone healing and creating risk for MRONJ following invasive oral procedures.

NBDHE Test Practice Test

NBDHE Test Practice Test

NBDHE NBDHE Management of Special Needs Patients 3