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Instructions: This Honorlock prep test—and your final exam—allow the following: Restroom breaks You may see a red X in the Honorlock sidebar next to this item; please disregard. This indicator remains active to support Honorlock’s AI tracking, but you will not be flagged for this action. Your webcam and screen will be recorded throughout the exam. You will have access to the following: Microsoft Excel ACC411 lecture notes on the Blackboard course site: https://learn.rochester.edu/ultra/courses/_108167_1/outline?Kq3cZcYS15=f3c2ccbd0acb4befa033633475ce50e0&VxJw3wfC56=1764602432&3cCnGYSz89=sS8Pop%2BKC5r%2FdsfWbMmbZuz8owuynp7pOf7%2Fyb8piGs%3D If you encounter issues you can’t resolve, start by contacting Honorlock chat support for immediate help. For further assistance, contact the Simon IT Help Desk at: phone: 585.275.4407 email: support@simon.rochester.edu in-person: Gleason 335.

Case #11 (Questions 37-42) Age: 38 Sex: female Race: African American Medical History: Client has a history of allergies to dust and pollen.  Current Medications: Takes Allegra® and receives allergy shots once a month Chief Complaint: “I get these ulcerations a few times each year.  They are painful and heal within 7-10 days.”  Clinical Appearance: A single, round ulceration with a yellow-white fibrin center surrounded by an erythematous halo; approximately 8 mm in size; located on the anterior of the floor of the mouth.  Picture11.jpg  37. The painful ulcer located on the floor of the mouth is…

Case #16 (Questions 60-62) Age: 65 Sex: female Race: Caucasian Medical History: rheumatoid arthritis Chief Complaint: “I keep biting this purplish-colored lump on the inside of my bottom left lip and it is getting bigger.” Client reported she has always had this purplish-colored lesion on her labial mucosa. Clinical Appearance: An approximately 9 X 8 X 2mm round, raised, non-ulcerated lesion is noted. Picture16.jpg 62. When will this individual have the hardest time brushing his teeth and dentures?

Case #30 (Questions 91-92) Age: 46 Sex: male Race:  Caucasian Medical History: Client noticed changes in pigmentation of his lips recently.  No other symptoms are noted. Clinical Appearance: Overall darker skin pigmentation with macules present on the facial tissues.  Lips have significantly increased in pigmentation levels over the past six months.  Picture30.jpg  92. What vital sign will be lower than normal due to untreated Addison’s disease?

Case #22 (Questions 74-75) Age: 48 Sex: male Race: Caucasian Medical History: Crohn’s disease and stage 3 HIV/AIDS disease Medications: prednisone (corticosteroid) Chief Complaint: Client complained of a sore palate, a burning sensation, and a metallic taste in his mouth.  Clinical Appearance: A diffuse, white, curd-like material is present on the hard palate.  When it is wiped away, an erythematous mucosal surface is seen. Picture22.jpg  74. The clinical characteristics of white material that wipes off, revealing an underlying erythematous mucosa is consistent with

Case #13 (Questions 47-50) Age: 26 Sex: female Race: Caucasian Chief Complaint: “Can my front tooth be capped?” Dental History: The clinical exam revealed tooth #10 resembled a peg lateral. Radiographic Appearance: A tooth-like structure appears within tooth #10.  An elongated bulb of enamel is seen within the dentin surrounded by a radiolucent area.  Periapical pathosis is observed at the apex. Picture13.jpg  47. A “tooth within a tooth” describes this developmental anomaly called…

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 59. If the lesion was due to using corticosteroids, what is it likely to be?

Case #12 (Questions 43-46) Age: 32 Sex: female Race: Hispanic Medical History: Client reported a history of alcohol use disorder and a previous episode of a sexually transmitted disease accompanied by regional lymphadenopathy. Chief Complaint: “For several weeks I have had a painless sore on my tongue that is not healing.” Clinical Appearance: A discrete round ulcer with rolled borders is located on the right border of the dorsal surface of the tongue. Picture12.gif 46. If a child is infected with syphilis in utero or during the birthing process, what dental anomaly might be present when the primary teeth erupt?

Case #5 (Questions 15-18) Age: 28 Sex: male Race: Caucasian Medical History: Ct. reports that he first tested positive for HIV 4 years ago.  He has not had any opportunistic infections Current Medications: no medications Chief Complaint: Ct. noticed a white lesion located on his tongue.  Clinical Appearance: It is an irregular shape located on the lateral and dorsal surfaces of the tongue.  It appears corrugated and cannot be wiped off.  Picture5.jpg 17. If this individual is progressing from stage 2 to stage 3, what level must his CD4+ T cells drop below to declare stage 3 infection?

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 54. Which health condition might explain why she is gaining weight?