Nokea
What should be recommended to help prevent early childhood caries (ECC) in infants?
- A. Avoid giving the infant nighttime bottles
- B. Have the infant drink pasteurized skim milk
- C. Feed the infant iron-rich foods
- D. Give the infant fruit juice to drink
Correct Answer: A
Rationale: The correct answer is 'A: Avoid giving the infant nighttime bottles' because prolonged exposure to sugars in milk during the night can lead to caries. Options 'B: Have the infant drink pasteurized skim milk' and 'D: Give the infant fruit juice to drink' are not recommended as they contain sugars that can cause cavities, especially in infants. Option 'C: Feed the infant iron-rich foods' is incorrect because while a balanced diet is important, iron-rich foods do not directly prevent caries development.
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Is the loss of teeth or supporting periodontium often associated with poor food selection and limited chewing ability, and do the patients' masticatory efficiency and biting force decline with each tooth lost?
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct Answer: A
Rationale: Both statements are indeed true. The loss of teeth or supporting periodontium frequently leads to poor food selection and limited chewing ability, as these conditions can make certain foods difficult to consume. Additionally, a patient's masticatory efficiency and biting force do decline with each tooth lost, as there are fewer teeth to distribute the force of the bite. Choices B, C, and D are incorrect because they suggest that one or both of these statements are false, which is not the case.
When is Prevident indicated?
- A. High caries risk
- B. Crown and bridge work
- C. Orthodontic decalcification
- D. All of the above
Correct Answer: D
Rationale: Prevident is indicated for all the situations listed in the choices. It is recommended for patients with a high risk of caries to reduce the risk of tooth decay. It is also used in dental procedures like crown and bridge work to strengthen enamel and prevent cavities. Furthermore, it is utilized for orthodontic decalcification to aid in remineralizing the tooth structure and prevent further damage. Therefore, the correct answer is 'All of the above.' While choices A, B, and C are individually correct, selecting 'All of the above' is the most appropriate as it encompasses all the possible indications for Prevident.
What goal should an overweight woman include in her lifestyle for a healthy pregnancy?
- A. Aim to lose 11 to 20 pounds during pregnancy
- B. Increase protein intake to 35% of total calories
- C. Delay weight loss until after pregnancy
- D. Increase daily energy intake by 550 calories
Correct Answer: C
Rationale: The healthiest approach for an overweight pregnant woman is to delay weight loss until after pregnancy. During pregnancy, the body needs sufficient nutrition and energy to support the growth and development of the baby. Attempting to lose weight during pregnancy, especially significant amounts, may compromise the health of both the mother and the baby. Increasing protein intake to 35% of total calories or energy intake by 550 calories per day without professional guidance may lead to an unbalanced diet, which is not optimal for pregnancy. The focus should be on maintaining a balanced, nutrient-rich diet and appropriate weight gain during pregnancy.
What are the manifestations of nephrotic syndrome?
- A. Dehydration
- B. Uremia
- C. Infection
- D. Low blood lipids
Correct Answer: C
Rationale: Infection is a common manifestation of nephrotic syndrome. This is due to the loss of immunoglobulins in the urine, which weakens the body's immune defenses. Dehydration (Choice A) and uremia (Choice B) can be symptoms of kidney dysfunction but are not specific manifestations of nephrotic syndrome. Low blood lipids (Choice D) is incorrect as nephrotic syndrome typically results in high, not low, blood lipid levels due to the body's attempt to replace lost proteins.
Which organ produces and secretes bicarbonate ions and insulin?
- A. Stomach
- B. Pancreas
- C. Large intestine
- D. Small intestine
Correct Answer: B
Rationale: The pancreas is the correct answer because it performs two vital functions: producing bicarbonate ions to neutralize stomach acid in the small intestine and secreting insulin to regulate blood glucose levels. The stomach is incorrect because its primary function is to break down and digest food, not produce bicarbonate ions or insulin. The large and small intestines are also incorrect because their primary functions are to absorb nutrients and water from food, rather than producing bicarbonate ions or insulin.