Article 1: The Influence of Systemic Diseases on Oral Health Care in Older Adults 

1. What is the recommended minimum number of weeks needed between tooth extraction and start of radiation therapy to minimize the risk of osteoradionecrosis?
Select answer A. one week B. two weeks C. four weeks D. six weeks

2. Which one of the following poses the least risk of altering diabetes control?
Select answer A. tetracycline B. aspirin C. corticosteroids D. acetaminophen

3. What do the authors recommend as the maximum dosage per dental visit of epinephrine from local anesthetic for older adults with heart disease?
Select answer A. 0.009 milligrams B. 0.018 mg C. 0.036 mg D. 0.072 mg

4. Which one of the following is least likely to enhance the effect of a patient’s warfarin dosage?
Select answer A. aspirin B. acetaminophen C. nonsteroidal anti-inflammatory agents D. azole antifungal agents

Article 2: Dry Mouth and Its Effects on the Oral Health of Elderly People 

1. Approximately what percentage of the population 65 years and older is estimated to experience xerostomia?
Select answer A. 10 percent B. 20 percent C. 30 percent D. 40 percent

2. Which one of the following is not related directly to salivary hypofunction?
Select answer A. common medications B. Sjögren’s syndrome C. advanced age D. head and neck irradiation

3. Which one of the following medications is approved for treatment of xerostomia and salivary hypofunction?
Select answer A. lisinopril B. cevimeline C. ketoconazole D. propranolol

4. Each of the following might be a useful strategy for multidisciplinary management of xerostomia except which one?
Select answer A. replacing tricyclic antidepressants with selective serotonin reuptake inhibitors B. taking anticholinergic medications at bedtime C. dividing a single larger anticholinergic dose into two or more smaller doses D. prescribing a secretagogue

Article 3: A New Look at Erosive Tooth Wear in Elderly People 

1. Based on a study noted in this article, what percentage of people may be expected to have tooth wear severe enough to expose secondary dentin?
Select answer A. 2 percent B. 7 percent C. 10 percent D. 13 percent

2. Which one of the following terms best describes the process of wear of tooth against tooth?
Select answer A. attrition B. abrasion C. erosion D. abfraction

3. Which one of the following has the lowest potential for tooth erosion?
Select answer A. vinegar B. cola C. beer D. citrus fruit

4. To what degree was tooth erosion reduced through the use of dentin-bonding agents in a study noted by the author of this article?
Select answer A. by one-fourth B. by one-third C. by one-half D. by two-thirds

Article 4: Mucosal Lesions in Older adults 

1. What is the overall five-year survival rate for oral and pharyngeal cancer?
Select answer A. 59 percent B. 67 percent C. 74 percent D. 89 percent

2. Which one of the following represents the most definitive standard for diagnosing potentially precancerous oral lesions?
Select answer A. clinical findings and judgment B. incisional biopsy C. chemiluminescence D. cytodiagnosis

3. Each of the following is an example of an immunopathic vesiculoerosive disease except which one?
Select answer A. reticular lichen planus B. oral erythema multiforme C. oral candidiasis D. mucous membrane pemphigoid

4. Which one of the following represents the type of oral tissue typically affected by recurrent apthous stomatitis (RAS) and herpes simplex virus (HSV) infections?
Select answer A. RAS on unkeratinized epithelium, HSV on keratinized epithelium B. RAS on keratinized epithelium, HSV on unkeratinized epithelium C. Both RAS and HSV on unkeratinized epithelium only D. Both RAS and HSV on keratinized epithelium only

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