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var D = {“flashcards”:[{“front”:”Why does root surface caries progress faster than enamel caries?”,”back”:”Cementum/dentin demineralise at a higher (less acidic) pH than enamel.”},{“front”:”What communication style suits patients with cognitive impairment?”,”back”:”Short, concrete, one-step instructions with consistent phrasing and extra processing time.”},{“front”:”What defines polypharmacy?”,”back”:”Commonly five or more concurrent medications.”},{“front”:”Name a behaviour guidance technique usable across the age spectrum.”,”back”:”Tell-show-do, or desensitisation across multiple short visits.”},{“front”:”What should guide positioning/transfer decisions for a wheelchair user?”,”back”:”Patient’s own stated preference and safety, using appropriate equipment/staff.”},{“front”:”How often should medication reconciliation occur for polypharmacy patients?”,”back”:”At every visit, not only annually.”},{“front”:”What accessibility factors extend beyond physical entry?”,”back”:”Chair transfer space, appointment length/scheduling flexibility, accessible communication materials.”},{“front”:”Why involve a caregiver without excluding the patient?”,”back”:”Respects patient autonomy and dignity while still gaining necessary caregiver input.”},{“front”:”What increases xerostomia risk in polypharmacy patients?”,”back”:”Multiple concurrent medications with independent xerostomic potential compounding cumulatively.”},{“front”:”Why document successful communication adaptations?”,”back”:”So future visits can build on what worked rather than starting over each time.”}],”quiz”:[{“q”:”Root surfaces are more caries-susceptible than enamel because they:”,”options”:[“Demineralise at a lower (more acidic) pH”,”Demineralise at a higher (less acidic) pH”,”Never demineralise”,”Are always fluoride-resistant”],”answer”:1,”exp”:”Root surfaces demineralise more readily at higher pH.”},{“q”:”Communication for cognitive impairment should favor:”,”options”:[“Long, detailed explanations”,”Short, concrete, one-step instructions”,”Rapid-fire multiple instructions”,”No verbal communication at all”],”answer”:1,”exp”:”Short, concrete instructions reduce confusion.”},{“q”:”Polypharmacy is commonly defined as:”,”options”:[“One medication”,”Five or more concurrent medications”,”No medications”,”Only prescription medications, never OTC”],”answer”:1,”exp”:”Five or more is the common threshold.”},{“q”:”Tell-show-do is an example of:”,”options”:[“A radiographic technique”,”A behaviour guidance technique”,”A charting system”,”A sterilisation method”],”answer”:1,”exp”:”It is a behaviour guidance technique.”},{“q”:”Transfer/positioning decisions should prioritize:”,”options”:[“Speed only”,”Patient safety and stated preference”,”Staff convenience only”,”Ignoring patient input”],”answer”:1,”exp”:”Safety and patient preference come first.”},{“q”:”Medication reconciliation for polypharmacy patients should occur:”,”options”:[“Only annually”,”At every visit”,”Only once at intake”,”Never needed”],”answer”:1,”exp”:”Every-visit reconciliation is needed given changing regimens.”},{“q”:”Accessibility considerations include:”,”options”:[“Only ramps”,”Chair transfer space, scheduling, and accessible materials”,”Only restroom access”,”Only door width”],”answer”:1,”exp”:”Accessibility spans multiple practice dimensions.”},{“q”:”Involving a caregiver appropriately means:”,”options”:[“Excluding the patient entirely”,”Including the patient respectfully alongside the caregiver”,”Speaking only to the caregiver”,”Ignoring the caregiver entirely”],”answer”:1,”exp”:”Respectful inclusion of both is correct.”},{“q”:”Cumulative xerostomia risk in polypharmacy patients results from:”,”options”:[“A single medication only”,”Multiple medications with independent xerostomic potential”,”No medications”,”Only antibiotics”],”answer”:1,”exp”:”Multiple contributing medications compound the risk.”},{“q”:”Documenting successful communication strategies helps by:”,”options”:[“Adding unnecessary chart length”,”Allowing future visits to build on what worked”,”Having no practical use”,”Replacing the need for care planning”],”answer”:1,”exp”:”Documentation supports continuity of successful strategies.”},{“q”:”A patient using a wheelchair who prefers to remain in it for treatment should:”,”options”:[“Always be forced to transfer”,”Be accommodated with in-chair treatment when appropriate”,”Be denied treatment”,”Have care delayed indefinitely”],”answer”:1,”exp”:”Accommodating the patient’s preference when safe is appropriate.”},{“q”:”Desensitisation as a behaviour guidance technique typically involves:”,”options”:[“A single overwhelming visit”,”Multiple short visits building familiarity gradually”,”No patient interaction”,”Immediate full treatment regardless of anxiety”],”answer”:1,”exp”:”Gradual exposure across visits is the technique’s basis.”},{“q”:”A key risk of exposed root surfaces in older adults is:”,”options”:[“No caries risk exists”,”Increased root caries susceptibility requiring active prevention”,”Only cosmetic concern”,”Automatic tooth loss”],”answer”:1,”exp”:”Active caries risk requires targeted prevention.”},{“q”:”An accessibility audit should be conducted:”,”options”:[“Never, assuming current setup is adequate”,”Proactively, not only when a gap becomes apparent”,”Only after a complaint”,”Only for new patients”],”answer”:1,”exp”:”Proactive auditing identifies gaps before they cause problems.”},{“q”:”Extra processing time for patients with cognitive impairment helps by:”,”options”:[“Confirming non-response means non-comprehension”,”Respecting the patient’s pace rather than assuming failure to understand”,”Speeding up the appointment”,”Being unnecessary”],”answer”:1,”exp”:”Extra time respects processing pace, avoiding false assumptions.”},{“q”:”Behaviour guidance technique selection should be:”,”options”:[“The same default for every ‘difficult’ patient”,”Individualized to the specific patient’s triggers and profile”,”Skipped entirely”,”Based on age alone”],”answer”:1,”exp”:”Individualisation is key to effective behaviour guidance.”},{“q”:”Fluoride-based prevention is especially important for patients with:”,”options”:[“No recession”,”Significant gingival recession exposing root surfaces”,”Only paediatric patients”,”No medication use”],”answer”:1,”exp”:”Recession increases root caries risk requiring fluoride focus.”},{“q”:”A caregiver communication script should:”,”options”:[“Exclude the patient from discussion”,”Include the patient respectfully in the conversation”,”Only address the caregiver’s concerns”,”Avoid caregiver involvement entirely”],”answer”:1,”exp”:”Respectful inclusion of the patient is the goal.”},{“q”:”Assistive device modifications for home care might include:”,”options”:[“No modifications ever needed”,”Adapted grips or electric toothbrushes for reduced dexterity”,”Removing all home care recommendations”,”Ignoring caregiver assistance needs”],”answer”:1,”exp”:”Adaptive devices support effective home care despite limitations.”},{“q”:”Why is polypharmacy relevant beyond a simple medication list?”,”options”:[“It has no clinical relevance”,”It compounds oral risk cumulatively across multiple mechanisms”,”It only matters for billing”,”It only affects appointment length”],”answer”:1,”exp”:”Cumulative effects across mechanisms matter clinically.”}]};
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