ABDSM EXAM Latest Update 2025-2026 390

ABDSM EXAM Latest Update 2025-2026 390 Questions and 100% Verified Correct Answers Guaranteed A+

"CPAP intolerant patient with severe OSA is a candidate for trial of OAT with expectation of less than complete disease eradication from OAT alone" would best fit in this category of the SOAP note.

• Subjective
• Objective
• Assessment

d. Plan - CORRECT ANSWER: c. Assessment

A 48 year old man is treated with OAT for his moderate OSA. On repeat sleep testing, his apnea-hypopnea index (AHI) has decreased to 3 events per hour, and he reports resolution of snoring and daytime sleepiness. What is the most reasonable dental- medical sleep medicine follow up regimen for this patient?

• As needed
• Every 6 months for the first year, then annually
• Monthly for the first 6 months, then every 6 months
• Every other year - CORRECT ANSWER: B. Every 6 months for the first year, then

annually

A new patient presents with a class III anterior bite that she believes was caused by use of an oral appliance for her moderately severe OSA. She explains that she is CPAP

intolerant. You should immediately:

• Refer the patient to an orthodontist 1 / 4

• Advise the patient to discontinue her use of OAT
• Ask the name of her treating DSM provider so you can make a complaint to the state

dental association

• Gather subjective and objective data until you have enough information to consider

an assessment and plan - CORRECT ANSWER: D. Gather subjective and objective

data until you have enough information to consider an assessment and plan

A patient presents for an evaluation to determine their candidacy for an oral appliance to treat their mild OSA. During your examination, you note the presence of TMD. This

might include the following:

• Pain in the TMJ
• Pain in the muscles of mastication
• Anomalies in mandibular movement

D. All of the above - CORRECT ANSWER: D. All of the above

A patient presents to consult with you regarding oral appliance therapy for their moderate OSA. They report intermittent "jaw pain" for the past 6 weeks. You should

explain that:

• It is best to postpone treatment until the pain has resolved
• An oral appliance is contraindicated for a patient that has active TMD
• A comprehensive oral-facial evaluation is necessary to ID the source of their jaw pain

before considering or proceeding with oral appliance therapy

• An oral appliance will improve their jaw pain if the source of the pain is muscular, and

not originating from the TMJ - CORRECT ANSWER: C. A comprehensive oral-facial

evaluation is necessary to ID the source of their jaw pain before considering or proceeding with oral appliance therapy

A patient that presents with symptoms indicating a risk for moderate to severe OSA and a history of stroke and insomnia. The AASM recommends: 2 / 4

• The patient submits for HST since it has high sensitivity and specificity for detecting

OSA

• The patient submits for HST since PSG is likely to aggravate the insomnia
• The patient submits for PSG in conjunction with a sleep evaluation
• All patients should have PSG if their insurance will cover it - CORRECT ANSWER: C.

The patient submits for PSG in conjunction with a sleep evaluation

A patient that you are treating for OSA with OAT presents to your office complaining that her upper and lower back teeth no longer touch when she tries to bite them together.She reports that she can only feel her front teeth touching. After examination, you conclude that this is related to contracture of her lateral pterygoid muscles bilaterally with resultant forward posturing of the mandible. Which of the following will best determine how successful you'll be in helping her re-establishment of her original occlusion?

• Degree of original overbite
• Length of time her muscles have been in contracture
• Degree of original overjet
• Class of dental occlusion at the start of treatment - CORRECT ANSWER: B. Length

of time her muscles have been in contracture

A predictor of poor outcomes of adenotonsillectomy procedures for children with OSAS

is:

• Early treatment
• Mallampati scores of I or II
• Low pretreatment AHI

D. High arched palate - CORRECT ANSWER: D. High arched palate

• / 4

A study design where one or more population samples are followed prospectively to determine which participant's exposure characteristics (risk factors) are associated with

a disease or outcome is called a:

• Randomized control trial
• Non-randomized control trial
• Cohort study

D. Case control study - CORRECT ANSWER: C. Cohort study

A study in which the experiences of individuals with and without a particular disease are analyzed retrospectively to identify putative causative events (exposures) is called a:

• Systematic Review
• Meta-analysis
• Case reports

D. Case-control studies - CORRECT ANSWER: D. Case-control studies

According to Caples, et al, risk of fatal and non-fatal cardiovascular events is

significantly increased in patients with:

• Mild OSA
• Severe OSA
• Severe OSA on CPAP therapy

D. Both A and B - CORRECT ANSWER: B. Severe OSA

Accreditation of a facility represents that the DSM services provided exemplify all of the

following except:

• Proficiency
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