Exam 2015, questions - term 2 PDF

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Examination Period: Academic Institution: Academic Group: Academic Career: Examination Type:

AFFIX STUDENT ID STICKER HERE

2015 Term 2 Central Queensland University Higher Education Division Undergraduate Standard

I have read and understood the penalties involved if I do not abide by the rules outlined on the back of this examination paper. Student Signature: Student ID Number Course: Subject Area: Catalog Number: Paper Number: Component:

Oral Pathology and Diagnosis ORAL 11003 1 ALL Components

Duration: Perusal Time: First Contact: Second Contact:

180 minutes 15 minutes Leonie Short Ceinwen Fay

Restrictions:

Closed Book

Contact Number: Contact Number:

0407694874 0749232031

Office Use: Release examination paper via the CQ University Past Exams website two weeks after the DE/SE examination period? Yes

Instructor Authorised/Allowed Materials Dictionary - non-electronic, concise, direct translation only (dictionary must not contain any notes or comments). No Calculators Permitted

Special Instructions to Students: Please see instruction sheet on first page of the examination paper.

Examination Office Supplied Materials 4 x Rough Paper 4 x Exam Answer Booklet

QUESTIONS ANSWERED

MARKS

QUESTIONS ANSWERED

MARKS

Number of examination answer booklets used: Number of separate sheets attached (Do not include rough paper):

This examination paper is not to be released to the student at the conclusion of the examination. Central Queensland University considers improper conduct in examinations to be a serious offence. Penalties for cheating are exclusion from the University and cancellation with academic penalty from the course concerned.

Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS

Instruction Sheet 1.

Write all answers in the Examination Answer Booklet provided.

2.

Write your answers clearly; use numbered headings or subheadings to show which part of your answer refers to which question. Example: Question 2 (a).

3.

You must answer all questions.

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Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS TOTAL

120 MARKS

Each question is worth 10 mark (12 x 10 = 120 marks).

Question 1 (Week 1)

10 Marks

This question relates to the Oral Health therapist’s role in the management of patients with medical conditions. a) List five examples of special medical needs common in our elderly patients that are significant to dental treatment.

(2 marks)

b) List and briefly discuss the steps that could be taken by the Oral Health Therapist to minimise stress-induced medical emergencies?

(4 marks)

c) Describe the actions you would take if your patient experienced chest pains whilst lying in the supine position in the dental chair.

Question 2 (Week 2)

(4 marks)

10 Marks

A 14 year old male has fallen off his bike and has injuries to his lip and knee. His lip has a deep cut almost through the body of the lip, the result of his upper incisor piercing the skin. He is missing a large piece of skin from his knee. This wound is deep and wide, imbedded with dirt and small rocks. With your knowledge of wound healing compare the two injuries. a) Explain which injury could be described as healing by primary intention and which could be described as healing by secondary intention.

(1 mark)

b) List and discuss the factors which affect wound healing in the head and on the knee. (8 marks) c) Which wound is more likely to heal with a scarring? Explain your answer. (1 mark)

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Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS

Question 3 (Week 3

10 Marks

This question relates to medical conditions which influence dental treatment and management. a) Describe the facial, oral and dental features of a child or adult with Down Syndrome. (7 marks) b) Patients with Down Syndrome are more likely to have which common dental disease?

(1 mark)

c) Patients with Down Syndrome may suffer from particular cardiac conditions. What type of heart condition is likely? d) Which chromosome is involved in Down Syndrome?

Question 4 (Week 4)

(1 mark) (1 mark)

10 Marks

There are a number of medical conditions and therapies which may affect the oral mucosa and teeth or influence dental treatment and management. Write brief notes on the associated risks or effects on the following: a) Patients with Gastro Intestinal disease and Reflux.

(2 marks)

b) Patients on Bisphosphonate therapy for Osteoporosis.

(2 marks)

c) Patients with Epilepsy on Dilantin medication.

(2 marks)

d) Patients on Anticoagulant therapy following a Stroke.

(2 marks)

e) Patients who use inhaled Corticosteroids for Asthma management.

(2 marks)

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Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS

Question 5 (Week 5)

10 Marks

This question relates to mucoceles. a) What is a mucocele?

(1 mark)

b) What other name could this lesion be described as?

(2 marks)

c) What is the most common cause of a mucocele?

(1 mark)

d) In what area of the mouth would you commonly see these lesions?

(1 mark)

e) Describe the appearance by colour and texture.

(2 marks)

f)

Compare the appearance between a mucocele which is deep in the tissues or close to the surface.

(2 mark)

g) What is the most common outcome of a mucocele?

Question 6 (Week 6)

(1 mark)

10 Marks

This question relates to the classification of periodontal diseases. Answer all of the following: a) What year was the currently used classification of periodontal diseases introduced? (1 mark) b) Select four of these classifications and briefly explain the difference between each? (8 marks) c) What are the benefits of having a classification system for periodontal disease? (1 mark)

Question 7 (Week 7)

10 Marks

CQUniversity Students are asked to undergo Tuberculosis (TB) screening before being placed in clinical facilities to treat their peers or patients. Discuss why an oral health therapist may be at risk of contracting or infecting others with Tuberculosis and then provide three reasons why screening for Tuberculosis is required.

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Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS Question 8 (Week 8)

10 Marks

This question relates to dental caries. a) Describe the appearance of an initial caries lesion in enamel.

(1 mark)

b) How do you distinguish between an initial caries lesion and enamel fluorosis? (1 mark) c) Describe the changes which take place in the structure and composition of surface enamel which contribute to this appearance.

(2 marks)

d) As the initial lesion progresses describe what happens to the enamel surface. (1 mark) e) Once bacteria reach the Dentino Enamel Junction (DEJ), what happens to the shape of the progressing caries lesion? f)

(2 marks)

As the caries lesion progresses into dentine describe the changes in structure and composition, as well as the reactive changes which may occur.

Question 9 (Week 9)

(3 marks)

10 Marks

This question relates to enlargements of the soft and hard tissues of the oral cavity. Describe the appearance, location, symptoms, aetiology, treatment and prognosis for two (2) only in the following list:

(5 marks each)

a) Denture induced hyperplasia b) Traumatic neuroma c) Bacterial sialadenitis d) Generalise gingival hyperplasia e) Torus mandibularis

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Standard Examination - Term 2 2014 ORAL11003 ORAL PATHOLOGY and DIAGNOSIS

Question 10 (Week 10)

10 Marks

This question relates to pulp and periapical disease. a) List the methods by which the pulp can be damaged.

(3 marks)

b) Briefly explain why tooth cutting and preparation prior to restoration can injure the pulp.

(3 marks)

c) Explain the difference between reversible and irreversible inflammation of the pulp by symptoms and the microscopic changes in the pulp tissue.

(4 marks)

Question 11 (Week 11)

10 Marks

The following terms describe abnormalities of teeth. Describe the appearance of the following and discuss the implications for dental treatment. a) Gemination

(2 marks)

b) Hypercementosis

(2 marks)

c) Dilacerations

(2 marks)

d) Dens in dente

(2 marks)

e) Fluorosis

(2 marks)

Question 12 (Week 12)

10 Marks

If you were to ask a patient only ten questions, which questions would you ask to identify the medical history information that is relevant for dental treatment. Please list your ten questions in the order in which you would ask them, that is from general to specific. (10 marks)

- End of paper -

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