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NBDHE March 2021 > DH Process of Care > Flashcards

DH Process of Care Flashcards

1
Q

Which of the following is NOT a component of the dental history?

Choose only ONE best answer.

A Previous dental treatments

B Chief complaint

C Pain in the oral cavity

D Insurance carrier

A

D Insurance carrier

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2
Q

Attrition can occur with:

Choose only ONE best answer.

A Plaque accumulation

B Grinding

C Stomach acid

D Aggressive tooth brushing

A

B Grinding

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3
Q

What is the MRD for epinephrine in local anesthesia for patients with hypertension?

Choose only ONE best answer.

A 0.04 mg per appointment

B 0.4 mg per appointment

C 4.0 mg per appointment

D 40 mg per appointment

A

A 0.04 mg per appointment

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4
Q

Which of the following statements on dental records is CORRECT?

Choose only ONE best answer.

A Entries are legal documents

B Record all information in detail including conversations with patients and their responses

C Correct an error by crossing the area with one line and marking the patient’s name next to it

D Use white-out to mask an error

A

A Entries are legal documents

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5
Q

Ultrasonic scalers are safe to use with shielded pacemakers. Both older and newer pacemakers are shielded.

Choose only ONE best answer.

A Both statements are true

B Both statements are false

C The first statement is true and the second is false

D The first statement is false and the second is true

A

C The first statement is true and the second is false

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6
Q

All of the following medications may cause gingival hyperplasia EXCEPT:

Choose only ONE best answer.

A Cyclosporine

B Tetracycline

C Nifedipine

D Phenytoin

A

B Tetracycline

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7
Q

When treating a patient with chronic obstructive pulmonary disease, the clinician should:

Choose only ONE best answer.

A Use ultrasonic scalers to reduce time of procedure

B Use nitrous oxide to relieve anxiety

C Put the patient in a supine position

D Advise patient to rinse with water after inhaler use

A

D Advise patient to rinse with water after inhaler use

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8
Q

Which fluoride should be avoided with composite and porcelain restorations?

Choose only ONE best answer.

A Sodium fluoride

B Hydrogen fluoride

C Acidulated phosphate fluoride

D Stannous fluoride

A

C Acidulated phosphate fluoride

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9
Q

Nancy, a 67-year-old woman has osteoarthritis and started to have some difficulty brushing her teeth. How many times a day should Nancy brush and which type of toothbrush should she use?

Choose only ONE best answer.

A Twice a day with a manual toothbrush

B Twice a day with a powered toothbrush

C Twice a day, using manual and powered toothbrushes alternately

A

B Twice a day with a powered toothbrush

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10
Q

Which one of the following statements is INCORRECT regarding pregnant patients?

Choose only ONE best answer.

A Dental treatment is most recommended during the first trimester

B If local anesthetic is needed, lidocaine should be used

C Patient may experience hormone-induced gingivitis

D Patient should be educated on early childhood dental health

A

A Dental treatment is most recommended during the first trimester

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11
Q

All of the following are CORRECT regarding chlorhexidine mouth rinse EXCEPT:

Choose only ONE best answer.

A Active against gram-positive microorganisms

B Active against gram-negative microorganisms

C Can create staining on teeth surfaces

D Can be used daily over a year

A

D Can be used daily over a year

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12
Q

When giving care for a patient with autism, the clinician should do all the following EXCEPT:

Choose only ONE best answer.

A Create a routine

B Provide a quiet environment

C Look directly into the patient’s eyes

D Instruct caregiver in oral hygiene

A

C Look directly into the patient’s eyes

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13
Q

Bruising associated with habitual physical abuse is most likely to be,

Choose only ONE best answer.

A Purple

B Green

C Yellow

D Various colors

A

D Various colors

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14
Q

The floor of the mouth is inspected by pressing a finger from one hand on the floor of the mouth and putting the other fingers of the other hand under the chin area. This type of palpitation is called:

Choose only ONE best answer.

A Digital

B Bidigital

C Bimanual

D Bilateral

A

C Bimanual

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15
Q

To inspect the TMJ, the clinician should use:

Choose only ONE best answer.

A Bilateral palpation

B Bimanual palpation

C Percussion

D Bidigital palpation

A

A Bilateral palpation

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16
Q

Xerostomia occurring as a result of radiation therapy or medication puts the patient at a higher risk for:

Choose only ONE best answer.

A Oral cancer

B Calculus

C Angular cheilitis

D Caries

A

D Caries

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17
Q

All of the followings are appropriate steps to take when transferring a patient from a wheelchair to a dental chair EXCEPT:

Choose only ONE best answer.

A Clear the area of any obstacles

B Raise the dental chair above wheelchair height

C Stabilize the patient’s legs

D Secure the breaks of the wheelchair

A

B Raise the dental chair above wheelchair height

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18
Q

Which of the following is INCORRECT regarding fluoride varnishes?

Choose only ONE best answer.

A They are not easily washed away by saliva

B Application requires less cooperation from the patient

C Usually contains sodium fluoride

D Application requires light curing

A

D Application requires light curing

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19
Q

A sealant is usually placed on permanent molars as soon as they erupt to prevent:

Choose only ONE best answer.

A Class I caries

B Class II

C Class III caries

D Class IV

E Class V caries

A

A Class I caries

20
Q

Substantivity is the ability of a drug to be released slowly over time. Listerine has higher substantivity compared to chlorhexidine.

Choose only ONE best answer.

A Both statements are true

B Both statements are false

C The first statement is true and the second is false

D The first statement is false and the second is true

A

C The first statement is true and the second is false

21
Q

The over-the-counter toothpaste usually contains:

Choose only ONE best answer.

A No fluoride content

B 0.24% sodium fluoride

C .1% sodium fluoride

D 5% fluoride

A

B 0.24% sodium fluoride

22
Q

Furcations are BEST cleansed with:

Choose only ONE best answer.

A Dental floss and interdental brushes

B Dental floss and toothpick

C Interdental brushes and toothpicks

D Interdental brushes, toothpicks, and end-tuft brushes

A

D Interdental brushes, toothpicks, and end-tuft brushes

23
Q

Which medication is contraindicated during pregnancy because of its potential to cause intrinsic teeth staining in the child’s teeth?

Choose only ONE best answer.

A Metronidazole

B Tetracycline

C Chlorhexidine

D Lidocaine

A

B Tetracycline

24
Q

Abrasive agents are usually added to toothpastes. Which of the following serve as this abrasive ingredient?

Choose only ONE best answer.

A Sodium laurel

B Calcium carbonate

C Sodium fluoride

D Sorbitol

A

B Calcium carbonate

25
Q

In the early stages of bulimia, perimolysis is most likely to appear on the:

Choose only ONE best answer.

A Lingual surfaces of mandibular anteriors

B Lingual surfaces of mandibular posteriors

C Buccal surfaces of maxillary anteriors

D Palatal surfaces of maxillary anteriors

A

D Palatal surfaces of maxillary anteriors

26
Q

Air-powder polishing is useful for removing heavy stains. It is safe to use for patients with asthma as long as the intensity is reduced.

Choose only ONE best answer.

A Both statements are true

B Both statements are false.

C The first statement is true and the second is false.

D The first statement is false and the second is true.

A

C The first statement is true and the second is false.

27
Q

Patients who routinely use a corticosteroid inhaler are advised to rinse their mouth after using it to prevent the formation of:

Choose only ONE best answer.

A Caries

B Oral candidiasis

C Aphthous ulcer

D Periodontitis

A

B Oral candidiasis

28
Q

All of the followings are risk factors for dental caries EXCEPT:

Choose only ONE best answer.

A Medications

B Increased intake of simple carbohydrates

C iminished dexterity

D Advanced age

A

D Advanced age

29
Q

At which concentration is chlorhexidine prescribed?

Choose only ONE best answer.

A .02%

B 0.12%

C 1%

D 11%

A

B 0.12%

30
Q

Which of the following drugs is more likely to cause xerostomia?

Choose only ONE best answer.

A Hydrochlorothiazide

B Cyclosporine

C Calcium channel blocker

D Metronidazole

A

A Hydrochlorothiazide

31
Q

Which of the following is NOT a characteristic of hypothyroidism?

Choose only ONE best answer.

A Patient cannot tolerate cold

B Patient can have enlarged thyroid glands

C Patient has malocclusion

D Patient shows premature loss of deciduous teeth

A

D Patient shows premature loss of deciduous teeth

32
Q

What is the active ingredient of Arestin?

Choose only ONE best answer.

A Doxycycline hyclate

B Chlorhexidine

C Minocycline

D All of the above combined

A

C Minocycline

33
Q

When transferring a patient from a wheelchair to the dental chair, which of the following ergonomic techniques can prevent injury to the clinician?

Choose only ONE best answer.

A Lock the knees when standing up

B Utilize muscles of the back to lift the patient

C Use abdominal strength to lift the patient

D Bend at the waist when helping patients from the wheelchair

A

C Use abdominal strength to lift the patient

34
Q

Mouth rinses can penetrate 2-3 mm into the gingival sulcus. Mouth rinses are considered the primary type of plaque control method for home care.

Choose only ONE best answer.

A Both statements are true

B Both statements are false.

C The first statement is false and the second is true.

D The first statement is true and the second is false.

A

B Both statements are false.

Mouth rinses penetrate less than 1 mm into the sulcus unless a water-irrigation device is used, and therefore the first statement is false. Plaque control is primarily done by mechanical means, which is via brushing.

35
Q

How often should the patient’s health history be updated?

Choose only ONE best answer.

A Yearly

B Biannually

C Only when the patient reports changes

D At each office visit

A

D At each office visit

36
Q

Which of the following agents is associated with the reduction of bacteria?

Choose only ONE best answer.

A Sodium fluoride

B Triclosan

C Baking soda

D Sodium lauryl sulfate

A

B Triclosan

37
Q

A patient presenting with decay between the maxillary central incisors is considered to have:

Choose only ONE best answer.

A Class I carious lesions

B Class II carious lesions

C Class III carious lesions

D Class IV carious lesions

E Class V carious lesions

F Class VI carious lesions

A

C Class III carious lesions

38
Q

Prior to designing a patient’s treatment plan, a prognosis is formulated. The diagnosis is formulated after prognosis.

Choose only ONE best answer.

A Both statements are true.

B Both statements are false.

C The first statement is true and the second is false.

D The first statement is false and the second is true.

A

C The first statement is true and the second is false.

39
Q

When providing oral care to a patient who has Attention Deficit Hyperactivity Disorder (ADHD), the clinician should:

Choose only ONE best answer.

A Schedule short appointments

B Never leave the patient unattended in the room

C Use the ”tell-show-do” approach

D All of the above

A

D All of the above

40
Q

All of the followings are goals of nonsurgical periodontal therapy (NSPT) EXCEPT:

Choose only ONE best answer.

A To eliminate local risk factors

B To significantly reduce bacterial level

C To achieve a smooth glassy root surface

D To stabilize the attachment level

A

C To achieve a smooth glassy root surface

41
Q

Which of the followings visual characteristics can be observed in patients who have habitual bruxism?

Choose only ONE best answer.

A Class I mobility on the maxillary first molars

B Cracked teeth

C Cold sensitivity in the maxillary premolars

D Deep periodontal pockets

A

B Cracked teeth

42
Q

The following are adverse effects of polishing EXCEPT:

Choose only ONE best answer.

A Removes the surface layer of enamel where the fluoride content is most protective

B Generates heat which could possibly damage the tooth

C Removes stain

D Removes cementum

A

C Removes stain

43
Q

Enamel sealants are indicated for:

Choose only ONE best answer.

A Deep occlusal pits

B Adults with low caries risk

C All primary teeth

D Open occlusal caries

A

A Deep occlusal pits

44
Q

According to dental caries charting and the classification of cavities, a Class VI lesion can be found on:

Choose only ONE best answer.

A The cusp tip of a molar

B The lingual surface of a molar

C The occlusal surface of a premolar

D The mesial surface of an incisor

A

A The cusp tip of a molar

45
Q

If a patient who suffered from congestive heart failure encounters difficulty breathing, how can patient positioning be modified?

Choose only ONE best answer.

A Seat patient upright at a 45° angle

B Put the patient in a supine position

C Move the patient to a wheelchair

D Raise the chair at a 20° angle

A

A Seat patient upright at a 45° angle

46
Q

Type I embrasure spaces can be successfully cleaned with dental floss. Type II embrasure spaces can also be cleaned successfully with dental floss.

Choose only ONE best answer.

A Both statements are true.

B Both statements are false.

C The first statement is true and the second is false.

D The first statement is false and the second is true.

A

C The first statement is true and the second is false.

NBDHE March 2021 (15 decks)

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