1) What is the MOST nutritionally demanding time of a women's life? a) childhood b) adolescence c) pregnancy d) lactation 2) What time in a woman's life nutritionally is greater than any other time in life except pregnancy and lactation? a) childhood b) adolescence c) infancy d) geriatrics 3) Morning sickness puts a woman at risk for a) Gestational Diabetes b) Periodontal Disease c) Dental Caries/Dental Erosion d) High Blood Pressure 4) What is the most important concept for pregnant women to understand regarding nutrition? a) Proper Increase in Calories b) Nutrient Dense Food c) More Fiber in their Diet d) Nutrient Dense Food & Pre-natal Vitamin 5) All are benefits of breast feeding over formula except one. Which is the exception? a) Vitamins/Minerals are abundant in breast milk b) Breast milk helps the immune system c) Vitamin D, Iron, Fluoride might need to be supplemented d) Breast milk proteins are more difficult to digest than proteins in formula 6) Hormone changes during pregnancy, puberty, and menopause can contribute to gingivitis. a) True b) False 7) Periodontal disease in pregnancy can result in a) hypothyroidism b) high birth weight c) premature delivery d) rheumatoid arthritis 8) Nutritional deficiencies during pregnancy can result in all the following except one. a) cleft palate b) cleft lip c) shortened mandible d) fluorosis 9) Possible side effects of radiation therapy may affect nutritional status include a) Bruxism b) Dental Hyposensitivity c) Mucositis d) Hypersalivation 10) What contributes to the formation of dental caries? a) areas of stagnate plaque b) hyposalivation c) eating ferm carbs many times a day d) acidic plaque e) all of these 11) Factors that can contribute to Type 2 Diabetes a) Gestational Diabetes b) Obesity c) Age d) All of them 12) Fruity-smelling breath is more common in what type of diabetes? a) Type 1 b) Type 2 13) Which status of diabetes has less dental and periodontal changes in diabetes? a) uncontrolled disease state b) well-controlled disease state 14) Which is not a common sign of an eating disorder? a) Tooth sensitivity b) Increased salivary flow c) Gingival recession d) Dental Caries 15) What is not a common change in elderly patients? a) difficulty swallowing b) changes in taste c) changes in the ability to smell d) Increased ability to taste smell 16) Physiologic changes associated with aging in the elderly include a) increase in lean body mass b) decrease in lean body mass c) increase availability of vitamins/minerals d) increased total energy expenditure 17) Which one is not a factor contributing to malnutrition in the elderly? a) apathy b) lack of food c) increased energy needs d) loneliness 18) MOST important benefit of breastfeeding over formula feeding? (BM = Breast Milk) a) BM is lower in fat than formula b) BM is higher in protein than formula c) BM provides more iron than formula d) BM transmits important immune antibodies to the baby 19) The DMFT is for children and added up per tooth surface. a) True b) False 20) DMFT stands for a) Delayed & Misunderstood For Today b) # of Teeth that are Decay, Missing, Filled c) Deep, Missing, Free, Tough d) Decay, Missing, Follow-up 21) Location of the tooth typically with most plaque a) smooth surfaces of tooth surfaces b) incisal edge of maxillary anteriors c) facial surfaces of lower anteriors d) occlusal surfaces of posterior teeth 22) Caries susceptibility of the enamel is greatest immediately after eruption. a) True b) False 23) Loss of saliva function has no association with rampant caries. a) True b) False 24) Which physical trait of foods equals the great risk of caries? a) soft/mushy b) liquid c) hard/brittle d) sticky 25) Why does snacking more increase caries risk? a) Just one snack makes pH acidic for a LONG time b) Snacks that are ONLY retentive causes caries c) Reason is unknown d) increasing frequency of sugar extends duration of acid exposure 26) Which minerals are lost when demineralization occurs? a) Calcium/Phosphate b) Calcium/Potassium c) Chloride/Phosphate d) Chloride/Potassium 27) Which one does not cause demineralization? a) Reduction of saliva b) Acidic saliva c) Diet + plaque (bacteria) d) Topical Fluoride 28) Life Cycle of the Caries Process a) Pellicle Formation, Bacteria Colonization, Biofilm Maturation, Cellular Detachment b) Bacteria Colonization, Pellicle Formation, Cellular Detachment, Biofilm Maturation c) Biofilm Maturation, Pellicle formation, cellular detachment, biofilm maturation d) Pellicle formation, biofilm maturation, bacteria colonization, cellular detachment. 29) Which factor does not affect the cariogenicity of starches? a) amount and frequency b) availability of the starch to be broken down c) flow rate of saliva d) ability of the bacteria to raise pH 30) If a patient has a persistent cough when questioned about their dietary habits which is more likely to have been increased? a) protein b) xylitol c) fluoride d) cough drops 31) Fluoride supplementation is recommended for all infants older than 6 weeks. a) True b) False 32) Fluoride increases the strength and acid resistance of developing tooth enamel. a) True b) False 33) Which recommendation for young children is not appropriate? a) putting the child on a low fat diet b) don't allow them to sleep with a bottle c) don't allow children to sip from juice all day d) begin cleaning children's teeth as soon as they erupt 34) People who are missing teeth (edentulous) make these food choices regularly. a) more vegetables b) low calories c) no difference d) higher in refined/soft carbs 35) What term means the patient has high cholesterol levels? a) Hypertension b) Hyperlipidemia c) Cerebrovascular Accident d) Malabsorption 36) When a patient makes their own decision regarding what they eat they are more likely to stay committed. a) True b) false 37) What factors drive patient behaviors regarding food consumption? a) Food Habits b) Readiness to Change c) Socioeconomic Factors d) All of the Above 38) RDA (Recommended Dietary Allowance) is what is recommended for each food group to prevent deficiencies. a) True b) False 39) If there is a food group that is deficient these are the areas that should be substituted for ferm carbs.  a) True b) False 40) Which one creates the most cariogenic environment? a) 7 candy bars eaten at once b) eating pie and a cup of coffee with cream and sugar  c) Cereal Snack mix with raisins and M&M's eaten all day long d) Evening snack of canned peaches and cheese 41) Which group is MOST susceptible to develop iron deficiency? a) Adult Males b) Postmenopausal Women c) Adolescent Males d) Adolescent Females 42) The most important dietary consideration when counseling a patient about diet and dental caries is the FREQUENCY of carb ingestion. a) True b) False 43) What kinds of foods do not contribute to enamel demineralization and include foods such as nuts, cheese, and meats? a) Cariogenic b) Cariostatic c) Carcinogenic d) Candy 44) Can malnutrition in older patients be made worse by xerostomia? a) Yes b) No 45) A patient with tooth mobility, missing teeth, and denture issues can make one's ______status worse.  a) nutritional b) day c) social d) holiday 46) If a patient has been recently diagnosed with diabetes who should be providing nutritional advice? a) Dental hygienist  b) Dentist c) Their Mom d) Registered Dietician 47) Which ones of the below drugs cans cause a decrease in salivary flow? a) Antihypertenisve b) Anticholinergic c) Antidepressant d) All of the Above 48) The health status of underprivileged and many racial and ethnic minority groups is poor. a) True b) False 49) Poor health status and malnutrition increases as income level increases a) True b) False 50) What is the purpose of food additive? a) Make food more appealing b) Prevent spoiling c) Improve nutritional value d) Make foods palatable e) All of the above 51) Which food restriction has a symbolic meaning? a) Social b) Religious c) Economic d) Psychological 52) Which vitamin's RDA is significantly increased during pregnancy? a) Folate b) Thiamine c) Riboflavin d) Niacin 53) What other mineral besides fluoride remineralizes the enamel? a) Magnesium b) Zinc c) Copper d) Phosphorus

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