Question

1- which of the following groups of older adults should pay the most attention to their oral hygiene- Retired dentists and dental hygienist b- retired physicians and nurses. c- Those living in urban areas where the water is supplemented with fluoride. d- Nursing home residents

2- which of the following statement regarding influenza vaccination made is incorrect? a- Flu immunizations are associated with an increase in mood. b- Reaction to the vaccines are rare. c- A high-dose influenza vaccine is preferable for older adults. do- On rare occasions the vaccine may cause the flu.

3- a nursing home resident presents with a painful, blistering skin rash on the trunk and face. Her medical record reveals no childhood illnesses and no recent vaccinations. What is most likely cause of these symptoms? a- A side effects of statin drugs. b- Chickenpox. c- shingles. d- insulin reaction

Answer 1

1. Retired dentists and dental hygienist, retired physicians and nurses, nursing home residents should pay attention to oral hygiene but are not at risk to develop oral health problems. So these options are incorrect.

Fluoride helps keep teeth healthy and prevent tooth decay. But many a times excess amount of fluoride can result in weakening of teeth and discolouration of the teeth. Excess fluoride can cause dental fluorosis.
so the older adults that need to pay most attention to oral hygiene are (c) Those living in urban areas where the water is supplemented with fluoride.
2. Influenza vaccine is used protect people from flu.
Influenza vaccine is associated with mood as the flu vaccine is more effective in people with better moods.
Influenza vaccine can sometimes cause reactions like localised rash and pain, fever and body aches but it is rare.
In elderly people the immune system becomes weak. So a higher dose flu vaccine recommended to provide better immunity.
so statements (a),(b),(c) are correct.
Influenza vaccine never causes a flu. So statement (d) is incorrect

3. A rash caused by statin drug and insulin allergy are widespread and appear all over the body.

Rash caused by chickenpox also appear all over the body but are not in the form of blisters.
so option(a),(b),(d) are incorrect.

Rash seen in shingles or herpes zoster is painful, appears as blister and affects the dermatome. Thus it can appear on face and trunk.
so the answer is (c) shingles