6. Which of the following are oral complications of long-term 9. Topical steroid therapy for oral mucosal disorders is bisphosphonate use in cancer therapy? characterized by which of the following?

❏^a rampant caries ❏^a generally safe

❏^b xerostomia ❏^b a short-term course of treatment

^{❏c microfractures of the maxilla and mandible} ❏^c ultra-potency topical steroids can be absorbed sy- ❏^d lichen planus _stemically

^{❏e all of the above} ❏^d custom trays and adhesive vehicles can be used to enhance the effect of intraorally-applied topical steroids

7. Which of the following is true regarding patients on _{❏e all of the above} chronic steroid therapy?

❏^a this type of patient is not frequently encountered in the 10. Which of the following is an effect of systemic steroid dental office _therapy?

❏^b inappropriate management can lead to life-threatening _{❏a inflammation is reduced} ^{adrenal insufficiency} ❏^b white blood cell production is inhibited

^{❏c the patient’s medical history is not important} ❏^c prostaglandin and leukotriene production is reduced ^{❏d the patient should not receive dental care} ❏^d cyclooxygenase synthesis is suppressed, leading to de- ^{❏e all of the above} creased neutrophil and monocyte chemotaxis

❏^e all of the above

8. Which of the following is true regarding systemic steroid therapy for oral conditions?

❏^a should be prescribed at high dose for a short period of time

❏^b should never be prescribed by a dentist

❏^c does not affect any existing systemic diseases/conditions

❏^d has no associated side effects

❏^e adverse reactions only occur after many years of continuous therapy

Questions are based on a manuscript by Douglas E. Peterson, DMD, PhD, Michael A. Siegel, DDS, MS, and Jon B. Suzuki, DDS, PhD, MBA, entitled, “Medications Influencing Immune Response and Wound Healing”.

Name:_______________________________________________

Address:_____________________________________________

E-mail address:________________________________

City:___________________________________

State:___________________

Zip:___________

Day Telephone:__________________________

Cost is $45. Payment by check or credit card is acceptable. If paying by check, please make payable to: Grand Rounds in Oral-Systemic Medicine. If paying by credit card, please complete the following information:

❏ MasterCard
❏ Visa
❏ Discover
❏ American Express

Name on card: ________________________________________________

Account #: ________________________________________________

Exp. date:______________________________

Participants scoring at least 70% will receive verification of 3 credits.

Penn Well Corporation is an ADA CERP Recognized Provider