BCH4024 F2024 OC E4 Q6: During DNA replication by DNA Polymerase III, the leading strand requires __________, but the lagging strand requires _______________.

Your 72 year old, diabetic patient, with no known allergies, presents for her appointment and it has been a little over a year since you have seen her last. While going through her medical history you find out she had a joint replacement 9 months ago. You find out she didn’t take a pre-medication and and send her home after consulting with her surgeon. Before dismissing her, you complete the head exam and update the risk assessments. You notice a 5×5 mm red, raised lesion on her lower lip that she says she got from biting really hard a few days ago. She returns the next day, she took her pre-med and now you can begin the rest of your assessments. Vitals: BP-120/78, pulse 60, respirations 70.  During assessments she has generalized 5-6 mm probing depths in her posterior teeth and you determine she has a calculus level of .3. She will need full mouth SRP. You will begin the SRP on the maxillary right quadrant at the next appointment and ask her to check her glucose at the beginning of the next appointment.  QUESTION: Which would indicate the most desirable glucose level for this patient before giving anesthetic?

What specific category best describes an organism that obtains energy from producers?

Suppose you capture and mark 75 turtles at a pond. After releasing the turtles, you return a few days later and catch 10 turtles. Of the 10 turtles, 5 are already marked. How many turtles are in the total population?

You are working with a dental faculty to complete an initial appointment on a new patient during an NPE appointment. Since the patient had radiographs transferred, you had time after completing the head and neck exam to do a periodontal evaluation and record a PSR score. After completing this evaluation you enter these scores into the PSR chart and discuss your findings with your faculty member. Use this information to answer the following questions. QUESTION: Which would not be an accurate component of charting the occlusion for this patient (note that the patient is missing two anterior incisors)?

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. Use this information to answer the following questions. QUESTION: Which of the following is an inaccurate statement regarding gingival overgrowth?

Your new patient is a 20 year old college student who is slightly overdue for his 6 month recall. He had radiographs transferred that included a set of bitewings and panoramic taken 8 months ago. He does not report any health issues and only takes a multivitamin, no medications.  He reports alcohol use 4-5 times per week, smoking marijuana 2 times weekly, occasional smokeless tobacco use and using e-cigarettes for vaping daily. His vitals today are 110/72, pulse 74, respirations 16.  The risk assessments indicate a moderate risk for perio, caries and nutrition.  You have some findings on the head and neck exam to discuss with the faculty and the periodontal findings indicate 4mm probe depths posterior proximals and recession where he uses the smokeless tobacco. QUESTION: He asks if the staining on his anteriors will come off with the cleaning today?  You can see that they are on the surface, likely related to his tobacco use.

Your new patient is a 20 year old college student who is slightly overdue for his 6 month recall. He had radiographs transferred that included a set of bitewings and panoramic taken 8 months ago. He does not report any health issues and only takes a multivitamin, no medications.  He reports alcohol use 4-5 times per week, smoking marijuana 2 times weekly, occasional smokeless tobacco use and using e-cigarettes for vaping daily. His vitals today are 110/72, pulse 74, respirations 16.  The risk assessments indicate a moderate risk for perio, caries and nutrition.  You have some findings on the head and neck exam to discuss with the faculty and the periodontal findings indicate 4mm probe depths posterior proximals and recession where he uses the smokeless tobacco. QUESTION: This patient is an acquaintance from home and you are concerned about the alcohol and tobacco use, it is fine to tell his parents this information.

You are reviewing your clinic book to prepare for spring semester clinic.  Use the information that you have learned through these resources and your time in clinic to answer the following questions. QUESTION: You are finished with your periodontal therapy for the patient and now need to transfer the patient to a dental student. Where in the progress notes do you write that the patient needs to be scheduled with a dental student to complete restorations?

Your new patient is a 55 year old male. He has a medical history of hypertension, prostate cancer and has bipolar disorder. At today’s visit, his blood pressure is 152/90, has a pulse of 103, and respiratory of 20.  During the intraoral portion of the head and neck exam, it is noted that there are bilateral white lines across the occlusal plane of the buccal mucosa. The patient reports that he tends to bite on his cheeks during work. During the appointment a full periodontal charting is completed. You notice that there is occlusal and incisal wear in which the teeth look flatter than they should. There are also generalized probe depths of 2-5mm with localized recession, mostly in the posterior region, with some generalized inflammation.Use this information to answer the following questions. QUESTION: What type of restorations are visible on the posterior teeth to chart?