Use Case a to Answer the Following Questions

question 8

Multiple Choice

Use Case A to answer The Following questions
CASE A
Ms. Ivory is a 45-year-old female who has just arrived for her first dental hygiene care visit in 11 years. Ms. Ivory recently acquired dental insurance and is interested in improving her oral health. Her physician is treating her for anxiety, hypertension, type 2 diabetes, and seasonal allergies. She takes Xanax (alprazolam) for anxiety and migraines; Atenolol (tenormin) for hypertension; Glucotrol (glipizide) for diabetes and an over-the-counter antihistamine product for seasonal allergy relief. She occasionally experiences dry mouth; she reports brushing twice per day, flossing occasionally, and using Parodontax toothpaste without fluoride. In addition, she states that her gums bleed every time she brushes and flosses her teeth. Ms. Ivory has moderate levels of cervical plaque biofilm. She reports using a soft toothbrush but cannot remember the brand name. She also experiences sensitivity to cold, sweets, and pressure in the mandibular right posterior quadrant. She is missing teeth #1, #3, #14, #16, #17, and #32. A class I furcation involvement is present on the buccal surface of tooth #19, and generalized 2- to 3-mm recession throughout her mouth, with class II embrasure spaces. Radiographs show moderate horizontal bone loss and moderate subgingival and supragingival calculus, especially in the interproximal areas. She has three new class I and two class II and IV carious lesions. In five previously restored teeth, recurrent caries can be seen.
-What follow-up questions will the dental hygienist ask regarding Ms. Ivory's type 2 diabetes?

• A)What was your most recent A1c (HbA1c) test result?
• B)When did you last eat?
• C)Is your diabetes controlled or uncontrolled?
• D)All of the above

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Definitions:

Neurotransmitters

Chemicals found in the brain and nervous system that transmit signals across synapses from one neuron to another.

Schizophrenia

A chronic and severe mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior.

Dopamine

A neurotransmitter associated with pleasure, movement, and attention, crucial for both cognitive and physical functioning.

Schizophrenic Disorder

A long-term mental disorder involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception and inappropriate actions or feelings.