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All of the following management strategies should be considered when planning treatment care and education for the client with bulimia nervosa except one. Which is the one exception?


A) Provide palliative care for dentinal hypersensitivity.
B) Discuss stain-inducing food products.
C) Apply acidulated phosphate fluoride (APF) gel.
D) Rinse with sodium bicarbonate following an oral purge.
E) Avoid diet carbonated beverages.

F) A) and B)
G) None of the above

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Binge eating disorder is characterized by which of following?


A) Restriction following a purge
B) Binging without purging
C) Restricting eating to nighttime only
D) Excessive exercise before a purge
E) Laxative use following a binge

F) C) and D)
G) None of the above

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Which one of the following describes the psychosocial dimension of bulimia nervosa?


A) Feelings of grandeur and superiority
B) Shy and socially inept
C) Expressive and loud
D) Blame-oriented and opinionated
E) Guilt and shame

F) C) and E)
G) None of the above

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Perimylolysis is commonly characterized by each of the following criteria except one. Which is the one exception?


A) Pitting appearance on the incisal edges of maxillary anterior teeth
B) Glossy appearance of enamel
C) Dished out shape of lingual surface of teeth
D) Vertical reduction of tooth height
E) Amalgams appear raised above the surrounding enamel

F) B) and C)
G) A) and E)

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During the dental hygienist-client discussion, all of the following nonverbal clues may provide additional evidence to support the suspicion of an eating disorder except one. Which is the one exception?


A) Loss of eye contact
B) Absolute denial
C) Discomfort with questioning
D) Tearfulness
E) Suppressed humor

F) D) and E)
G) A) and B)

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E

In comparison to other medical conditions, bulimia nervosa is known to have a high mortality rate, whereas anorexia nervosa has a low mortality rate.


A) The first part of the statement is true, and the second part of the statement is false.
B) The first part of the statement is false, and the second part of the statement is true.
C) Both parts of the statement are true.
D) Both parts of the statement are false.

E) A) and D)
F) All of the above

Correct Answer

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D

Common systemic complications that can arise from anorexia nervosa include all of the following conditions except one. Which is the one exception?


A) Respiratory
B) Cardiovascular
C) Hematologic
D) Gastrointestinal
E) Renal

F) A) and B)
G) A) and D)

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All of the following factors are considered possible etiologies in the development of an eating disorder except one. Which is the one exception?


A) Neurochemical
B) Genetic
C) Gastrointestinal
D) Sociocultural
E) Psychodevelopmental

F) B) and E)
G) C) and D)

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Psychopharmacologic treatment is effective for the treatment of anorexia nervos a. Clients with eating disorders who are receiving psychopharmacologic treatment are at risk for xerostomi a.


A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

E) A) and D)
F) B) and D)

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All of the following physical findings are commonly found in individuals with bulimia except one. Which is the one exception?


A) Lanugo
B) Calluses on the knuckles
C) Commissure lesions
D) Palatal trauma
E) Parotid enlargement

F) C) and D)
G) B) and D)

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Of the following therapies for anorexia nervosa, which one of the interventions is likely a therapy included later in the client's recovery care plan?


A) Psychotherapy
B) Family counseling
C) Antidepressant medications
D) Physical fitness routine
E) Dental treatment

F) None of the above
G) A) and D)

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Anorexia nervosa may be comorbid with which one of the following conditions?


A) Sociopathology
B) Substance abuse
C) Autism
D) Alcoholism
E) Brain injury

F) All of the above
G) B) and E)

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Which of the following statements best describes the initial professional response of the dental hygienist whose client states that he or she has begun active treatment for an eating disorder?


A) Expect client will make steady progress with the disorder.
B) Commend the client for seeking therapy.
C) Suggest tooth prophylaxis for removal of stains.
D) Inform the client of evidence of dental trauma.
E) Tell the client to cease all purging behaviors.

F) C) and D)
G) A) and B)

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The use of study models for a client with an eating disorder serves the assessment and evaluation of which of the following oral concerns related to bulimia nervosa?


A) Temporomandibular joint positioning
B) Perimylolysis or dental erosion
C) Clinical attachment loss
D) Palatal tissue trauma
E) Abfraction

F) C) and E)
G) D) and E)

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Which of the following statements best describes the epidemiology of anorexia nervosa?


A) Prevalence rate is the same for both genders
B) Most common eating disorder
C) Recovery only occurs with treatment
D) Onset primarily occurs in prepuberty, adolescents, and young adulthood
E) Low mortality and low morbidity rate

F) B) and E)
G) A) and D)

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Parotid gland enlargement may be a sign of regular vomiting. Diminished taste acuity is a sign of binging behavior.


A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

E) All of the above
F) A) and B)

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Enamel erosion is the most common oral finding in individuals with bulimi a. Enamel erosion is unlikely to result from other systemic illnesses or physical conditions.


A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

E) None of the above
F) B) and C)

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Dental hygienists enhance care for clients with eating disorders through interprofessional collaboration. Eating disorders as complex mental health illnesses require many health professionals' expertise to help the client recover from the illness.


A) The first statement is true, and the second statement is false.
B) The first statement is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

E) A) and B)
F) A) and C)

Correct Answer

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All clients with bulimia nervosa present with some evidence of perimylolysis; clients with binge-eating disorder sometimes present with perimylolysis.


A) The first part of the statement is true, and the second part of the statement is false.
B) The first part of the statement is false, and the second part of the statement is true.
C) Both parts of the statement are true.
D) Both parts of the statement are false.

E) None of the above
F) A) and B)

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D

All of the following health professionals are important in managing the individual with an eating disorder except one. Which is the one exception?


A) Speech language pathologist
B) Psychologist
C) Physician
D) Exercise therapist
E) Dental hygienist

F) A) and B)
G) All of the above

Correct Answer

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