Moritz and Mealey. Periodontal disease, insulin resistance, and diabetes mellitus: ce test questions

6. Hyperglycemia and hyperinsulinemia, hallmarks of
insulin resistance, are associated with all the following
systemic complications EXCEPT:

❏^a Stroke
❏^b Blindness
❏^c Kidney failure
❏^d Senile dementia
❏^e Increased susceptibility to infection

7. All the following are symptoms of “insulin resistance
syndrome” EXCEPT:

❏^a Obesity
❏^b Hypertension
❏^c Hyperlipidemia
❏^d Hyperglycemia
❏^e Hyperproteinemia

8. In 1993 periodontitis was proposed as the “sixth
complication of diabetes.” All of the following are
considered as complications of diabetes EXCEPT:
❏^a Retinopathy ❏^b Neuropathy
❏^c Nephropathy ❏^d Pancreatitis
❏^e Altered Wound Healing

9. Longitudinal studies have shown poorly controlled Type II diabetic patients to have a ______ times greater risk of having periodontitis and ______ times higher risk of suffering from progressive bone loss, compared with non-diabetic patients.

❏^a 0.9, 4
❏^b 1.9, 7
❏^c 2.9, 11
❏^d 3.9, 15
10. All the following are observed in collagen metabolism
in diabetic patients EXCEPT:
❏^a Inhibition of normal tissue turnover
❏^b Reduced formation of new collagen
❏^c Increased levels of metalloproteinases (such as
collagenase)
❏^d Decrease in connective tissue fibroblast populations

Questions are based on a manuscript by Alan J. Moritz and Brian L. Mealey entitled “Periodontal Disease, Insulin Resistance, and Diabetes Mellitus: A Review and Clinical Implications.”

Name:_______________________________________________
Address:_____________________________________________
E-mail address:________________________________
City:___________________________________
State:___________________
Zip:___________
Day Telephone:__________________________
❏ Payment of $________ is enclosed (checks accepted)
If paying by credit card, please complete the following information:
❏ MasterCard
❏ Visa
❏ Discover
❏ American Express

Account #: ________________________________________________

Exp. date:______________________________
Participants scoring at least 70% will receive verification of 3 CEUs.

Dental Economics/RDH is an ADA CERP Recognized Provider