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 Case #28 (Questions 87-88) Age: 72 Sex:  male Race: Native American Medical History: Client has a history of osteoarthritis Medication: Celebrex® Social History: heavy pipe smoker for several years Clinical Appearance: A generalized white appearance of the hard palate is seen.  Inflamed openings of the salivary ducts are surrounded by raised, keratotic nodules. Picture28.jpg 88. When is this client likely to experience pain in the joints, including the TMJ?

Case #32 (Questions 96-97) Age: 48 Sex: male Race: Hispanic Dental History: This client hasn’t been to the dentist for years Chief Complaint: Slight swelling on the mandibular right facial tissue  Picture32.jpg  96. What radiopaque lesions seen in this panoramic film could lead to a referral to a physician for Gardner syndrome?

Case #10 (Questions 33-36) Age: 23 Sex: female Race: Caucasian Medical History: Turner syndrome Chief Complaint: Client recently noticed a “lump” on the left side of the floor of her mouth. Clinical Appearance: A bluish, soft, compressible, fluid-filled, dome-shaped swelling is noted.  Picture10(1).jpg 36. What causes malocclusion in individuals with Turner syndrome?

Case #10 (Questions 33-36) Age: 23 Sex: female Race: Caucasian Medical History: Turner syndrome Chief Complaint: Client recently noticed a “lump” on the left side of the floor of her mouth. Clinical Appearance: A bluish, soft, compressible, fluid-filled, dome-shaped swelling is noted.  Picture10(1).jpg 35. Since the client has Turner syndrome, which of the following features may you notice?

Case #14 (Questions 51-55) Age: 35 Sex: female Race: Caucasian Medical History: Client has been under higher levels of stress due to a divorce.  She has gained 9 pounds in the past five months, but was specifically trying to avoid overeating due to stress. Chief Complaint: “I have had headaches off and on for the past three weeks.  My right ear hurts when I chew.” Clinical Appearance: Scooped out appearances on the occlusal and incisal cusp tips of the teeth. Radiographic Appearance: The right condyle appears to be flattened off in areas.  Picture14(1).jpg 53. What therapy could you recommend to alleviate the pain while she is at home?

Case #6 (Questions 19-22) Age: 6 Sex: male Race: Caucasian Medical History: This child has had a low-grade fever for the past three days.  The child also has painful bilateral lymphadenopathy.  This child recently recovered from the chickenpox infection.  His sister has contagious lesions present today at this appointment. Dental History: Parent states, “The child is unable to eat due to sores in his mouth and on his tongue.  His gums also hurt.”  Clinical Appearance: Multiple tiny vesicles and ulcers are accompanied by generalized painful, edematous and erythematous gingiva.  Picture6(1).jpg  19. It is evident that this child has a primary herpetic gingivostomatitis outbreak. What topic listed below must be included when you counsel the mother or caregiver and child about the condition?

Case #6 (Questions 19-22) Age: 6 Sex: male Race: Caucasian Medical History: This child has had a low-grade fever for the past three days.  The child also has painful bilateral lymphadenopathy.  This child recently recovered from the chickenpox infection.  His sister has contagious lesions present today at this appointment. Dental History: Parent states, “The child is unable to eat due to sores in his mouth and on his tongue.  His gums also hurt.”  Clinical Appearance: Multiple tiny vesicles and ulcers are accompanied by generalized painful, edematous and erythematous gingiva.  Picture6(1).jpg 21. How do the current symptoms differ from the symptoms of the chickenpox infection?

Case #4 (Questions 11-14) Age: 17 Sex: male Race: Native American Medical History: Affected by Fetal Alcohol Syndrome Dental History: A well-defined unilocular radiolucent lesion that is located in place of a third molar. Picture4(2).jpg 13. The cyst is found most commonly in place of a third molar or posterior to an unerupted third molar. It is most likely a…

Case #15 (Questions 56-59) Age: 77 Sex: male Race: Caucasian Social History: Smoked 2 pk/day cigarettes for 31 years, but quit 18 years ago Medical History: Corticosteroid therapy for rheumatoid arthritis Dental History: Client wears a full upper denture and a lower partial Clinical Appearance: A diffuse, flat, white lesion covering the right ventral of the tongue and extending onto the floor of the mouth.  The lesion is asymptomatic and does not rub off. Picture15.jpg  56. Taking corticosteroids for a chronic illness predisposes this individual to which disorder?

Case #4 (Questions 11-14) Age: 17 Sex: male Race: Native American Medical History: Affected by Fetal Alcohol Syndrome Dental History: A well-defined unilocular radiolucent lesion that is located in place of a third molar. Picture4(1).jpg  11. Since this individual is affected by FAS, what might you notice when you look at his face?