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Polysaccharides such as rice, potatoes, and corn (starches) are less cariogenic than monosaccharides because the physical and chemical properties of starches render complex carbohydrates less damaging to enamel.


A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

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

Correct Answer

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Probiotics are live bacteria that are beneficial to the host. Emerging research indicates consumption of probiotics may have properties that interrupt caries formation.


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.

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

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While assessing the quality of a patient's meal pattern and eating habits, which of the following are components the dental hygienist should include? (Select all that apply.)


A) A food diary
B) MyPlate used as a guide
C) Asking patient to highlight all fermentable carbohydrates on the food diary
D) Classify each fermentable carbohydrate as high quality or low quality
E) Suggesting cariogenic snacks that provide the longest oral clearance time

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

Correct Answer

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Which is the least significant factor influencing development of dental caries?


A) Susceptibility of the host or tooth
B) A sufficient quantity of cariogenic microorganisms in the mouth
C) An adequate supply of saliva
D) The presence of fermentable carbohydrates

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

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Each of the following groups represent situations presenting high caries risk except one. Which one is the exception?


A) Parents of young children
B) Periodontal patients
C) Polypharmacy
D) Orthodontic patients
E) Vegans

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

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Tooth surfaces have remineralization potential because the plaque biofilms in saliva provide a buffering action.


A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

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

Correct Answer

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Primary bacteria involved in initiation of dental caries are:


A) Streptococcus mutans and Lactobacillus species.
B) Salmonella and Listeria species.
C) Streptococcus, Lactobacillus, and Salmonella species.
D) Listeria and Botulinum species and Escherichia coli.

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

Correct Answer

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Demineralization of enamel occurs when the critical pH of 5.5 is reached. In interproximal areas or in deep pits and fissures, the pH can decrease to 5 and remain at that pH for 30 minutes.


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.

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

Correct Answer

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Increasing low-fat milk intake as a saliva substitute can offer protection against caries for patients experiencing xerostomia, because physical properties of milk are comparable to saliva.


A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

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

Correct Answer

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Although cheeses contain caries inhibitive casein, chewing hard cheeses increase caries potential because lactose is cariogenic.


A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but are not related.
C) The statement is correct, but the reason is not correct.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

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

Correct Answer

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Xylitol-containing chewing gums reduce caries rates by inhibiting microbial growth. The dental hygienist should recommend antacids and cough drops as salivary substitutes because they have anticariogenic properties.


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.

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

Correct Answer

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An excellent snack for dental hygienists to recommend is raisins. The pH of diet and regular soft drinks, bottled teas, and sports drink ranges from 2.5 to 3.5.


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.

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

Correct Answer

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Which of the following accurately describe aspects of genetically modified foods? (Select all that apply.)


A) The United States is the leading producer of genetically modified (GM) foods.
B) Developing countries are planting GM crops at a more rapid rate than rich countries.
C) A high percentage of fresh fruits and vegetables are GM.
D) Foods derived from GM microorganisms or GM animals may be introduced in the near future.
E) Highly processed foods contain a low percentage of GM ingredients.

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

Correct Answer

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Participants in the Vipeholm study who ate foods high in sugar between meals had a significantly higher decay rate than participants who consumed these foods at mealtime only. This result supports the concept that parents should refrain from giving between meal snacks to children.


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.

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

Correct Answer

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Which food selection has the most fermentable carbohydrate?


A) Dairy desserts
B) Cookies
C) Sodas or sugar sweetened fruit drinks
D) Cakes
E) Candy

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

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The timing of an acidic food within a meal has little effect on cariogenicity. Cariogenic foods create less risk of enamel demineralization if followed by a noncariogenic or cariostatic food.


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.

E) None of the above
F) All of the above

Correct Answer

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Each of the following is true regarding oral exposure to fermentable carbohydrates except one. Which one is the exception?


A) Longer exposure leads increases risk of demineralization.
B) Longer exposure increases opportunity for remineralization.
C) The Stephan curve shows pH changes within plaque after rinsing with a sugar solution.
D) The critical pH at which enamel decalcification occurs is 5.5 or less.
E) Frequency of carbohydrate consumption increases caries risk.

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

Correct Answer

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Energy drinks cause all of the following conditions except one. Which one is the exception?


A) Nervousness
B) Bradycardia
C) Seizures
D) Dental caries
E) Cardiac arrest

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

Correct Answer

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Which of the following accurately describe cariogenic potential of foods, habits, and digestion? (Select all that apply.)


A) Fresh fruits are highly cariogenic.
B) Fruit juice can cause dental caries in toddlers.
C) Slow oral clearance of a fermentable carbohydrate prolongs the exposure of a tooth to oral acids.
D) Sharing eating utensils with another person can transmit Streptococcus mutans.
E) An acidic saliva, measured by a high pH level, protects teeth from decay.

F) None of the above
G) All of the above

Correct Answer

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