Geriatrics Final Exam Newest 2024 With Complete Solutions

Geriatrics Final Exam Newest 2024 With Complete Solutions

What is the number one preventable cause of death and disease in the U.S? Smoking
What percentage of cases of oral and throat cancer occur in persons 40 plus? 95%
What is the average age of diagnosis of oral and throat cancer? 60 years old
What percentage of U.S. adults smoke? 20%
What percentage of adults that smoke are over 45? 42%
What percentage of Lung cancer deaths are cause by smoking? 90%
What are the Risks of Smoking? Heart disease, Cancer,COPD, fertility problems, Hypercholestrolemia, gastric and duodenal ulcer, lower bone mass density, cataracts and macular degeneration, and ALZHEIMER'S DISEASE
What are the Physical signs of smoking? Smoking odor, halitosis, couging, shortness of breath, tire easily, wrinkles
What percentage of oral cancer is related to tobacco use? 75%
What are the oral manifestations of tobacco use? caries, perio disease, recession, leukoplakia, nicontinic stomatitis, smoker's melanosis, candidiasis, leukoedema, kerototic patches, hairy tongue
After oral sugary or SRP a tobacco user may experience? impaired healing process, increased post-op complications

What are the risks of alcohol dependency in the geriatric patient? Decreases hepatic mass and blood flow, decreases renal function, decreased gastric alcohol dehydrogenase and lower volume of distribution, Increase alcohol sensitivity in the CNS
What percentage of geriatric patients may be experiencing health risks from either the amount of alcohol they consume alone OR the combination of alcohol use with medications? 15%
Alcohol and prescription drug misuse affects what percentage of older americans? 17%
What percentage of the geriatric population consume alcohol? 50% / half
What percentage of the geriatric population are classified with a drinking problem? 15%
Alcohol Oral Manifestations include the following: higher risk of periodontal disease, salivary gland enlargement, glossitis, angular cheilosis, increased gingival bleeding, calculus, CAL, alveolar bone loss, xerostomia
Alcohol and tobacco use combined with xerostomia raises the risk of oral cancer by? 74%
Alcohol consumption combined with xerostomia raises the risk of oral cancer by? 58%
Alcohol use before/after oral surgery causes: Excessive bleeding, poor wound healing, osteomylitis, and increased fractures of the mandible
Drinking how many alcoholic beverage per day increases the risk for? three, head and neck cancers
What chronic conditions can alcohol trigger or worsen? Cirrhosis/liver conditions, go bleeding, ulcers, gerd, gout, hypertension, diabetes, insomnia, gait disorders, depression, anxiety or other mental conditions.
True or False? Older individuals have a dramatically higher risk of being alcohol dependent at a given level of consumption than do younger adults. True
CAGE Questions: Cut down, Annoyed, Guilty, Eye opener
Is advising patients to quit a professional responsibility? Yes
What are the two main barriers that dentist perceive from tobacco cessation? patient resistance and possibility of patients leaving the practice
What are the Five A's? Ask, advise/assess, assist,arrange
What percentage of patients interested in quitting are more likely to set a quit date when encouraged by a dental professional? 59.7%
What is defined as the pathologic wearing away of tooth structure through an abnormal mechanical process? Abrasion
What is defined as the pathological loss of tooth structure under the CEJ caused by flexure forces. enamel rods fracture. Abfraction
How does enamel change with age? becomes less hydrated, superficial increases in fluoride content form toothpaste and water, decline in thickness of enamel, volume of dentin increases,pupal recession
Aged dentin is? more brittle, less soluble, less permeable and darker
Is acute throbbing pain a common symptom in the older adult? NO
Why is treatment often sought? food impaction in caries, tooth fracture
What percentage of debate Americans over 65 have measurable CAL? 95%
What is the most prevalent cause of tooth loss in old age? periodontal disease and caries
True or False? Incidence of root caries increases with age, but not because of age? True
What is necessary for root caries? recession
How many car pules of local anesthetic should be given for older adults with CVD. 2 car pules of 2% lidocaine 1:100,00 epi