Article 1: Managing the Care of Patients Receiving Antiresorptive Therapy for Prevention and Treatment of Osteoporosis: Executive Summary of Recommendations from the American Dental Association Council on Scientific Affairs
1. What is the highest prevalence estimate for osteonecrosis of the jaw in a large sample of patients who do not have cancer?
A. about 2.00 percent
B. about 1.00 percent
C. about 0.10 percent
D. about 0.01 percent
2. Which one of the following statements about the risk of developing osteonecrosis of the jaw is not correct?
A. Antiresorptive therapy places a patient at low risk.
B. Receiving regular dental care may be the optimal approach for lowering risk.
C. No validated diagnostic technique is available for determining which patients are at increased risk.
D. Discontinuing antiresorptive therapy will eliminate the risk for a typical patient.
3. In a clinical trial in which investigators compared patients treated with bisphosphonates with patients who were not treated with bisphosphonates, what was the implant success rate among patients receiving bisphosphonate treatment?
A. 99.2 percent
B. 96.8 percent
C. 93.5 percent
D. 90.7 percent
4. Which one of the following was not noted by the expert panel as having potential for use in preventing antiresorptive agent–induced osteonecrosis of the jaw?
A. placement of semipermeable membranes over extraction sites
B. twice-daily chlorhexidine rinsing for four to eight weeks after surgical procedures
C. antibiotic prophylaxis before and after dental procedures
D. use of teriparatide, a recombinant form of parathyroid hormone
Article 2: A retrospective review of clinical international normalized ratio results and their implications
1. What is the target therapeutic range for international normalized ratio (INR) in patients who are receiving anticoagulation therapy after undergoing heart valve replacement surgery?
A. 3.5 to 4.5
B. 2.5 to 3.5
C. 1.5 to 2.5
D. 0.5 to 1.5
2. What percentage of all patients in this study had INR values that were within the therapeutic range for the condition being managed?
A. 91.4 percent
B. 83.1 percent
C. 56.7 percent
D. 48.8 percent
3. The highest percentage of patients with INR values not within the therapeutic range for their particular condition had which one of the following conditions?
A. atrial fibrillation
B. deep venous thrombosis
C. cardiac valve replacement
4. What was the average INR value for all patients in this study?
Article 3: Controlling bacterial contamination of dental impression guns
1. After three weeks of routine use of the four impression guns, what percentage of bacterial isolates from the impression guns did Staphylococcus aureus compose?
A. 14.7 percent
B. 9.2 percent
C. 6.1 percent
D. 3.3 percent
2. After three weeks of routine use of the four impression guns followed by disinfection, what percentage of bacterial isolates from the impression guns did methicillin-resistant S. aureus (MRSA) compose?
A. 4.0 percent
B. 2.9 percent
C. 1.3 percent
D. 0.9 percent
3. Compared with impression guns that were only disinfected, by what percentage was bacterial contamination reduced in guns that were steam sterilized, used with plastic covers and then disinfected after each use?
A. approximately 95 percent
B. approximately 85 percent
C. approximately 75 percent
D. approximately 65 percent
4. Which of the following protocols yielded no MRSA on any of the impression guns?
A. Experiment II only
B. Experiment V only
C. Experiments II and V
D. Experiments IV and V
Article 4: Knowledge and beliefs regarding oral health among pregnant women
1. What percentage of the pregnant women in this sample reported having fair or poor oral health?
A. 53.4 percent
B. 41.1 percent
C. 30.7 percent
D. 22.8 percent
2. Which one of the following accurate knowledge items was correctly identified as “true” by the lowest percentage of women?
A. Sugary foods and drinks may cause cavities.
B. Cavities and gum disease are caused by an infection in the mouth.
C. Fluoride helps prevent cavities.
D. It is important to wipe a baby’s gums after he or she drinks milk from the breast or bottle.
3. Which one of the following accurate beliefs produced the largest percentage of “disagree” responses from women in the study?
A. It is important for adults to go to the dentist, even when they do not have problems with their teeth.
B. It is important to brush your child’s teeth as soon as they come in.
C. Cavities in a child’s teeth can lead to other health problems.
D. It is important to take a child to the dentist when the first tooth comes in.
4. What percentage of Hispanic women believed that routine dental care is unsafe during pregnancy?
A. 32.7 percent
B. 25.3 percent
C. 16.8 percent
D. 8.1 percent
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