DH Process of Care Flashcards
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
D Insurance carrier
Attrition can occur with:
Choose only ONE best answer.
A Plaque accumulation
B Grinding
C Stomach acid
D Aggressive tooth brushing
B Grinding
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 0.04 mg per appointment
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 Entries are legal documents
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
C The first statement is true and the second is false
All of the following medications may cause gingival hyperplasia EXCEPT:
Choose only ONE best answer.
A Cyclosporine
B Tetracycline
C Nifedipine
D Phenytoin
B Tetracycline
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
D Advise patient to rinse with water after inhaler use
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
C Acidulated phosphate fluoride
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
B Twice a day with a powered toothbrush
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 Dental treatment is most recommended during the first trimester
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
D Can be used daily over a year
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
C Look directly into the patient’s eyes
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
D Various colors
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
C Bimanual
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 Bilateral palpation
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
D Caries
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
B Raise the dental chair above wheelchair height
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
D Application requires light curing
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 Class I caries
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
C The first statement is true and the second is false
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
B 0.24% sodium fluoride
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
D Interdental brushes, toothpicks, and end-tuft brushes
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
B Tetracycline
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
B Calcium carbonate
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
D Palatal surfaces of maxillary anteriors
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.
C The first statement is true and the second is false.
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
B Oral candidiasis
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
D Advanced age
At which concentration is chlorhexidine prescribed?
Choose only ONE best answer.
A .02%
B 0.12%
C 1%
D 11%
B 0.12%
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 Hydrochlorothiazide
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
D Patient shows premature loss of deciduous teeth
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
C Minocycline
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
C Use abdominal strength to lift the patient
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.
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.
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
D At each office visit
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
B Triclosan
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
C Class III carious lesions
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.
C The first statement is true and the second is false.
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
D All of the above
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
C To achieve a smooth glassy root surface
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
B Cracked teeth
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
C Removes stain
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 Deep occlusal pits
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 The cusp tip of a molar
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 Seat patient upright at a 45° angle
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.
C The first statement is true and the second is false.
