DPOJW Examination

(Examination is a work in progress)

1. OJW does not include:
   a. Getting Informed Consent from the would -be patient
   b. Periodic examination and rewiring
   c. Teaching the patient/their significant other how to rewire the patient.
   d. Charting your work on them
   e. Taking their vital signs when the return for examination

2. How much weight might a patient expect to lose in 6-9 months:
   a. 25-30 pounds
   b. 35-35 pounds
   c. 45-55 pounds
   d. 50-75 pounds
   e. 85-95 pounds

3. What is BMI an acronym for?
   a. Body Mass Index
   b. Basal Metabolism Index
   c. Building Muscle "I" Units
   d. Bicep Mass Indices
   e. Back Muscle Index

4. The BMI is:
   a. Is a measure of muscle mass based on height and weight
   b. Is a measure obesity based on the thickness of a fold of fat pinched on the hips
   c. Is measure of metabolism at the basal rest position.
   d. Index of the patient's breathing rate after a measured interval of time
   e. A measure of body fat based on height and weight that applies to both adult men and women.

5. Obesity is defined by a BMI
   a. <18.5
   b. 18.5 24.9
   c. 25-29.9
   d. 30 and above but less than 40
   e. 40 45

6. Which statement is true
   a. Overweight is a disease
   b. Over weight causes new diseases
   c. There are some diseases that cause you to gain weight
   d. Weight loss is a complicated issue

e. Dentists are not professionals who can help the overweight
T or F

7. Rothstein's OJW position of rest© can be best described as:
   a. Light intercuspation of the teeth
   b. Mandibular suspension
   c. Mandibular Rest Position
   d. Centric Occlusal
   e. Physiologic rest

8. Which is not a possible harm of of OJW
    a. Joint may become stiff if not properly exercised
    b. Aspiration of vomitus
    c. Bruxing
    d. Mobile teeth
    e. Regain of weight

9. Choose the correct answer
    a. Dentists are allowed fit devices to help people who snore
    b. Dentists may diagnose overweight
    c. Dentist can treat the obese
    d. Dentists can fit and place devices recommended by Physicians
    e. Some Obese eat compulsively

10. The speech of patients who are jaw wired is:
    a. Rather muffled
    b. Indistinct
    c. Well understood in most cases
    d. Is troubled all the time
    e. Less clear but understandable

11. In Rothstein's OJW Position of rest the mandible is free to move:
    a. 1.5-2.0 mm in every direction
    b. 2.0-3.0 mm to the right and the left
    c. 2:0 vertically
    d. 2.0-2.5 mm in all directions
    e. 3.0 mm in all directions

12. Which of these patients could you accept
    a. Referred by a physician
    b. Referred by a Bariatric Surgeon
    c. Referred by a registered dietician
    d. Referred by the oral surgeon
    e. Referred by psychotherapist

13. Wiring both right and left sides in OJW takes about
    a. Under one minute
    b. 1 - 2 minutes
    c. 3 - 4 minutes
    d. 5-6depends on the operators skills and experiences
    e. None of these

14. Doctor's chairtime for placing OJW is about:
    a. 15-30 minutes most times
    b. 30-45 minutes most times
    c. 45-60 minutes most times
    d. 60-90 minutes most times
    e. >90 minutes most times

15. Brackets are typically placed
    a. Canines and first premolars alone
    b. On the premolars
    c. On canines and premolars
    d. On the molars and premolars.
    e. On the molars and premolars

16. Regarding the Informed Consent which is not true
    a. The OJW provider is responsible if the patient does not lose weight
    b. The patient must get clearance from their Dr. to begin a liquid diet.
    c. Weight loss is typically 1.5 to 2.0 pounds/week
    d. The patient does not need to carry a wire cutter at all times
    e. Sudden illness causing nausea is not a reason to release the wiring

17. Which statement is not true regarding orthodontic jaw wiring for weight loss
    a. Until now there is never been a protocol for this service
    b. What is new about OJW is the use of bonding brackets to the teeth
    c. Has a mortality rate of 0.00%
    d. Jaw stiffening is possible if the wiring is not removed periodically to exercise.
    e. All of the above are true.

18. The protocol for release of the jaw wiring to allow the patient to exercise is:
    a. Every week for 1day
    b. Every 2 weeks for 2 days
    c. Every 3 weeks for 3 days
    d. every 4-6 weeks for 4-6 days
    e. None of the above

19. The normal maximum comfortable opening of the mouth is about
    a. The combined height of the patient's middle three fingers
    b. About 40-48mm?
    c. About 5 mm more than the thickness of the patient's tongue sticking out
    d. Varies extensively from person to person
    e. Varies extensively depending on the time of dayl

20. When choosing patents which criteria does not apply their
    a. Height
    b. Weight
    c. Health
    d. Periodontium
    e. BMI

21. Who would not be considered part of the patient's overweight health team
    a. His chirorpactor
    b. Psychotherapist
    c. His registered dietician
    d. His chirorpactor
    e. His dentist

22. At then end of 5 weeks of OJW which item is optional when checking the patient.
    a. Checking for stiffness of the TMJ
    b. Checking for mobility of teeth
    c. Checking for gingival health
    d. Checking for maximum mouth opening
    e. Checking the patient's weight.

23. When choosing patients which criteria is least important.
    a. The information on the patients Informed Consent
    b. The information on the patient's Dental form
    c. The information on the patient's Medical form
    d. The information on the OJW Telephone memo
    e. The information of the how to proceed when you choose OJW

24. Which of the patients would you be least likely to select as an OJW patient
    a. A person with a BMI less than 25
    b. A person with a BMI between 25-35
    c. A person with a BMI between 26 and 30
    d. A person with a BMI between 35 and 40
    e. A person with a BMI greater than 40

25. When your patient returns after 5 week to be examined an his jaw is stiff which is the poorest choice
    a. To rewire him for 5 more weeks
    b. To recommend he return for a check up in 5 more days
    c. To recommend he chew a lot of gum and return to the office in 5 days
    d. To remove the OJW brackets and discontinue the procedure
    e.   To demonstrate the extent to which his jaw is limited and advise him of that this side effect may continue to worsen

26. For health care prtactioners the most important principle is:
    a. Nil Sine Magno Labore
    b. Primum Non Nocere Gaudeamus Igitur
    c. Gaudeamus Igitur
    d. Vini Vidi Vici
    e. ???

27. Which one of the following is essential before providing OJW
    a. A note from the patient's primary health care provider saying it is ok for the patient to begin a liquid diet.
    b. A note for the patient's PCP saying OJW is permissible
    c. A note from the patient's dentist saying the TMJ and gums are in good health.
    d. A note from the patient's psychortherpaist approving OJW
    e. None of the above.

28. Which of the below choices might not be a good choice for an OJW patient.
    a. A singer and/or teacher
    b. A person with Asthma or sleep apnea
    c. A person with partial removable dentures
    d. A person with a bmi of below 20
    e. All of the above

29. It is safe to say that
    a.
    b.http://www.drted.com/DPOJW Examination.htm
    c.
    d.
    e.

30. It is safe to say there has never been a wrongful death from Jaw wiring whether associated with weight loss or trauma or pathology T or F
    a.
    b.
    c.
    d.
    e.

30. Jaw wiring is a service a dentist may provide as long as the PCP diagnoses th patient's overrweight and Oks a liquid diet for the patient. T or F
    a.
    b.
    c.
    d.
    e.

31. A dentist may diagnose obesity. Tor F
    a.
    b.
    c.
    d.
    e.

32. Which is not true of Morbid obesity:
    a. A bmi > 40
    b. Is being more than 100 pounds overweight
    c. It may precipitate Type 2 diabetes
    d. It may pricipitate Type 1 diabetes
    e. It may be accompanied by high blood pressure

33. Which document is the last one to be given to the patient on the day of the OJW.
    a. The OJW survey
    b. The OJW checkoff list
    c. The JW Informed Consent
    d. Th OJW telephone memo
    e. none of these

34. Which kind of surface requires the least preparation to insure bracket adhesion
    a. Natural tooth
    b. Prorcelain surface
    c.
    d.
    e.

35. Which document requires that the patient sigh it in four places
    a. Informed Consent
    b. OJW telephone memo
    c. How to proceed when you have chosen OJW
    d. The final check off list
    e.   None of these

36. If a bracket becomes detached and the patient cannot return to your office which is the worst advice:
    a. Help them to locate a dentist or orthodontist to rebond the bracket
    b. Advise them that for a limited time they may wire two brackets to three brackets but three is preferred
    c. Not to wire themselves at all
    d. Not to worry at all it make no difference whatsoever
    e. Use extra Listerine

37. In NY State is questionable whether OJW is a service within the scope of dentistry. T or F

38. An orthodontist can bill an insurance company for services provided related to OJW? T F

39. The OJW protocol allows for a payment schedule for the procedure.

40.    What role does staff play in the OJW procedure?
    a.       Staff will place OJW wiring
    b.      Staff will instruct patient how to rewire
    c.       Staff will prep patients for the procedure
    d.      All of the above
    e.       b & c only

41. List the essential items of an OJW take home kit

42. Staff can be instructed to make an appointment for an OJW patient at the time of their first call and doctor will collect necessary information afterward. T F

43.    The deposit for an OJW appointment is
a.       refundable
b.      non refundable
c.       refundable w/ 24 hours notice
d.      refundable w/ 7 days notice