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DEH1800 Hygiene II > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

The four basic steps to be considered when planning patient care are:

A) Develop a formal plan for care.

B) Select treatment and education interventions.

C) Establish the diagnosis

D) Collect and analyze assessment information.

A

D) Collect and analyze assessment information.

C) Establish the diagnosis

B) Select treatment and education interventions.

A) Develop a formal plan for care.

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2
Q

Is a systematic approach used to help the clinician determine changes and modifications needed when providing dental hygiene patient care.

A) OSCAR

B) ADPIED

C) Evidence-based care

D) Dental Hygiene Care Plan

A

A) OSCAR

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3
Q

What does OSCAR stands for?

A) Oral, Systemic, Capability, Autonomy, Reality

B) Oral, Systemic, Capability, Autonomy, Reliability

C) Oral, Systemic, Care, Autonomy, Reality

D) Oral, Systemic, Capability, Assessment, Reality

A

A) Oral, Systemic, Capability, Autonomy, Reality

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4
Q

Teeth, restorations, prostheses, periodontium, pulpal status, oral mucosa, occlusion, saliva, tongue, and alveolar bone are listed under what factors of concern in OSCAR?

A) Oral

B) Systemic

C) Reality

D) Autonomy

E) Capability

A

A) Oral

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5
Q

In OSCAR, normative age changes, medical diagnoses, pharmacologic agents and interdisciplinary communication are all examples of:

A) Systematic

B) Capability

C) Oral

D) Autonomy

E) Reality

A

A) Systematic

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6
Q

In OSCAR, functional ability, self-care, caregivers, oral hygiene, transportation to appointments, and mobility within the dental office are examples of:

A) Reality

B) Capability

C) Systematic

D) Oral

E) Autonomy

A

B) Capability

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7
Q

In OSCAR, decision-making ability, and dependence on alternative or supplemental decision makers are examples of:

A) Reality

B) Capability

C) Systematic

D) Oral

E) Autonomy

A

E) Autonomy

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8
Q

In OSCAR, prioritization of oral health, financial ability or limitations, and significance of anticipated life span are examples of:

A) Reality

B) Capability

C) Systematic

D) Oral

E) Autonomy

A

A) Reality

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9
Q

OSCAR is a systematic approach to identifying dental, medical/pharmacologic, functional, ethical, and fiscal factors that need to be evaluated and weighed when planning treatment for GERIATRIC individuals or those with DISABILITIES.

True

False

A

True

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10
Q

___________ is the cornerstone to developing a patient-centered care plan.

A) OSCAR

B) Risk Assessment

C) Evidence-Based care

D) ADPIED

A

B) Risk Assessment

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11
Q

Risk factors modulate the onset, severity, and prognosis of periodontal diseases, dental caries, and oral cancer.

True

False

A

True

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12
Q

The most significant periodontal risk factors are: Choose all that apply:

A) Alcohol use

B) Smoking

C) Genetics

D) Diabetes

E) HPV

A

B) Smoking

C) Genetics

D) Diabetes

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13
Q

The most significant oral cancer risk factors are: Choose all that apply

A) Diabetes

B) Tobacco use

C) HPV

D) Alcohol use

A

B) Tobacco use

C) HPV

D) Alcohol use

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14
Q

Reduction of risk factors improves therapy outcomes and prognosis.

True

False

A

True

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15
Q

________________________ and _________________ are important factors for the prevention or treatment of oral infectious diseases.

A

Patient compliance to self care regimens; reduction of risk

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16
Q

All of the following are NON-MODIFIABLE RISK FACTORS. Choose all that apply

Select the Correct Answers

A) HIV/AIDS

B) Immunosupression

C) Leukemia

D) Age

E) Race

F) Sex

G) Genetics

H) History of Disease

A

D) Age

E) Race

F) Sex

G) Genetics

H) History of Disease

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17
Q

Which of the following are NOT considered MODIFIABLE RISK FACTORS. Choose all that apply:

A) Lupus

B) Smoking and tobacco use

C) Oral health status and bleeding

D) Local contributing factors

E) Diabetes mellitus

F) Osteoperosis

G) Obesity

H) Medications

I) Xerostomia

J) Immunosupression

K) History of disease

A

A) Lupus

K) History of disease

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18
Q

Bacteria (periodontal pathogens) associated with Periodontal Disease that has STRONG evidence includes: Choose all that apply:

Select the Correct Answers

A) Aggregatibacter actinomycetemcomitans

B) Porphyromonas gingivalis

C) Prevotella melaninogenica

D) Tannerella forsythia

A

A) Aggregatibacter actinomycetemcomitans

B) Porphyromonas gingivalis

D) Tannerella forsythia

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19
Q

All of the following are PUTATIVE PATHOGENS. Choose all that apply.

Select the Correct Answers

A) Tannerella forsythia

B) Fusobacterium nucleatum

C) Aggregatibacter actinomycetemcomitans

D) Prevotella melaninogenica

E) Eubacterium spp

F) Prevotella intermedia

G) Porphyromonas gingivalis

H) Peptostreptococcus micros

A

B) Fusobacterium nucleatum

D) Prevotella melaninogenica

E) Eubacterium spp

F) Prevotella intermedia

H) Peptostreptococcus micros

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20
Q

Determining a dental hygiene diagnosis, formulating a treatment plan, and completely and accurately documenting all aspects of the dental hygiene process of care are elements of the standards for clinical dental hygiene practice

True

False

A

True

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21
Q

___________ refers to the ability to recognize or identify a disease.

A) Diagnosis

B) Assessment

C) Documentation

D) Implementation

C) Evaluation

D) Planning

A

A) Diagnosis

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22
Q

Diagnosis is based on: Choose all that apply:

Select the Correct Answers

A) Recognizing ethical and legal responsibilities of record keeping

B) Recording legible, concise, and accurate information.

C) Signs and symptoms

D) Interview with the patient and/or family

E) other pertinent health assessments

F) Physical examination

A

C) Signs and symptoms

D) Interview with the patient and/or family

E) other pertinent health assessments

F) Physical examination

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23
Q

All of the following are Key Areas of Assessment Data (10). Choose all that apply.

Select the Correct Answers

A) Scaling

B) General systemic

C) Dental Charting

D) Chief complaint

E) Nutrition

F) Periodontal

G) Hard tissue

H) Soft tissue

I) Oral Hygiene

J) Dental history

K) Radiographic survey

L) Oral habits

M) Air polishing

A

B) General systemic

D) Chief complaint

E) Nutrition

F) Periodontal

G) Hard tissue

H) Soft tissue

I) Oral Hygiene

J) Dental history

K) Radiographic survey

L) Oral habits

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24
Q

The dental hygiene treatment plan is based on: Choose all that apply:

Select the Correct Answers

A) Dental Hygiene diagnosis

B) Patient’s health history

C) Assessment findings

D) Current scientific evidence

E) Patient’s goal’s values and lifestyle

F) Patient wants

A

A) Dental Hygiene diagnosis

B) Patient’s health history

C) Assessment findings

D) Current scientific evidence

E) Patient’s goal’s values and lifestyle

25
Q

Financial implications should be included in a treatment plan.

True

False

A

True

26
Q

HIPPA Stands for: CHOOSE ALL THAT APPLY:

Select the Correct Answers

A) Act

B) Patient

C) Portability

D) Health

E) Accountability

F) Investment

G) Insurance

H) Ammendment

A

A) Act

C) Portability

D) Health

E) Accountability

G) Insurance

27
Q

__________________ has been referred to as one of the most chronic and painful dental conditions that occurs often in the general population but is more prevalent in periodontal patients.

A) Dentin hypersensitivity

B) Enamel hypersensitivity

C) Pulpal hypersensitivity

D) Root hypersensitivity

A

A) Dentin hypersensitivity

28
Q

What ensures greater success in managing, preventing, and relieving symptoms of dentin hypersensitivity?

A) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with evidence based-care

B) Patient education of dentin hypersensitivity in conjunction with evidence based-care

C) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with patient education.

A

C) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with patient education.

29
Q

The _______________ elicit a well-localized sharp pain considered responsible for dentin hypersensitivity

A) myelenated A-delta fibers

B) myelinated C-delta fibers

C) myelinated D-delta fibers

D) myelinated B-delta fibers

A

A) myelenated A-delta fibers

30
Q

Which are more responsive to electrical stimulation

A) C-fibers

B) A-beta fibers

C) A-delta fibers

A

B) A-beta fibers

31
Q

The likelihood that a patient will experience dentin hypersensitivity is directly proportionate to the number of exposed dentin tubules.

True

False

A

True

32
Q

The role of __________ is to cover the tubules and reduces sensitivity

A) smear layer

B) dentin

C) enamel

D) pulp cap

A

A) smear layer

33
Q

What are the predisposing factors of dentin hypersensitivity?

Select the Correct Answers

A) Enamel loss (erosive dissolution with pH below 5.5)

B) Parafunctional oral habits (excessive brushing, poor oral hygiene, grinding, abrasion of root surfaces, etc.)

C) Anatomical abnormality (Malpositioned teeth, enamel and cementum do not meet at the cementoenamel junction)

D) Periodontal (gingival recession, exposed dentin, extensive tooth and root instrumentation)

A

A) Enamel loss (erosive dissolution with pH below 5.5)

B) Parafunctional oral habits (excessive brushing, poor oral hygiene, grinding, abrasion of root surfaces, etc.)

C) Anatomical abnormality (Malpositioned teeth, enamel and cementum do not meet at the cementoenamel junction)

D) Periodontal (gingival recession, exposed dentin, extensive tooth and root instrumentation)

34
Q

he prevalence of dentin hypersensitivity is about:

A) 50-80%

B) 40-50%

C) 60-70%

D) 4-74%

A

D) 4-74%

35
Q

The Basic Erosive Wear Examination (BEWE) of Hard tissue loss < 50% of surface area is:

A) 2

B) 5

C) 0

D) 3

E) 4

F) 1

A

A) 2

36
Q

The Basic Erosive Wear Examination (BEWE)

Match the following:

0, 1, 2, 3

A) Hard tissue loss < 50% of surface area

B) No erosive tooth wear

C) Hard tissue loss > 50% of surface area

D) Initial loss of surface texture

A

0 - B) No erosive tooth wear

1 - D) Initial loss of surface texture

2 - A) Hard tissue loss < 50% of surface area

3 - C) Hard tissue loss > 50% of surface area

37
Q

Treament options for managing dentin hypersensitivity includes: Choose all that apply:

A) Plug/block and occlude dentin tubules

B) Interrupt the transmission of neural impulses

A

A) Plug/block and occlude dentin tubules

B) Interrupt the transmission of neural impulses

38
Q

Which desensitizing agents is classified as a nerve hyperpolarization, which interrupt nerve conduction?

A) Fluoride

B) Calcium sodium phosphosilicate

C) Silver nitrate

D) Potassium nitrate

A
39
Q

Fluorides, oxalates, sodium citrates, and calcium compounds that Precipitate calcium fluoride or other compounds to block exposed or open tubules are classified as:

A) Calcium phosphate technology

B) Protein precipitants

C) Nerve hyperpolarization

D) Tubule obtundants

A

D) Tubule obtundants

40
Q

Which of the following stains may be removed by scaling or polishing. (Discolorations of the teeth and restorations occur in three general ways)

Select the Correct Answers

A) Contained within calculus and soft deposits

B) Adheres directly to the surfaces

C) Incorporated within the tooth structure or the restorative material.

A

A) Contained within calculus and soft deposits

B) Adheres directly to the surfaces

41
Q

The significance of stains is primarily the appearance or cosmetic effect.

True

False

A

True

42
Q

Thick deposits of stain conceivably can provide a rough surface on which dental biofilm can collect and irritate the adjacent gingiva.

True

False

A

True

43
Q

__________ occur on the external surface of the tooth and may be removed by procedures of toothbrushing, scaling, and/or polishing.

A) Extrinsic

B) Exogenous

C) Intrinsic

D) Endodogenous

A

A) Extrinsic

44
Q

__________ occur within the tooth substance and cannot be removed by techniques of scaling or polishing.

A) Exogenous

B) Extrinsic

C) Intrinsic

D) Endogenous

A

C) Intrinsic

45
Q

_________ develop or originate from sources outside the tooth

A) Exogenous

B) Intrinsic

C) Endogenous

D) Extrinsic

A

A) Exogenous

46
Q

Exogenous stains may be EXTRINSIC and stay on the outer surface of the tooth or INTRINSIC and become incorporated within the tooth structure.

True

False

A

True

47
Q

stains develop or originate from within the tooth.

A) Endogenous

B) Intrinsic

C) Exogenous

D) Extrinsic

A

A) Endogenous

48
Q

Endogenous stains are ALWAYS INTRINSIC and usually are discolorations of the dentin reflected through the enamel.

True

False

A

True

49
Q

Which stain is more evident when personal oral care procedures are neglected and usually caused by dietary sources.

A) Tobacco

B) Brown

C) Reduces caries

D) Black-line

C) Green

D) Orange

E) Yellow

A

E) Yellow

50
Q

This stain is frequently superimposed by soft yellow or gray debris (materia alba and food debris) and are usually cause by oral uncleanliness, chromogenic bacteria, and gingival hemorrhage.

A) Red

B) Green

C) Yellow

D) Black-line

E) Orange

F) Brown

A

B) Green

51
Q

Stains That are More common in female patients, and Frequently found in clean mouths.

A) Yellow

B) Orange

C) Brown

D) Red

E) Green

F) Black-line

G) Tobacco

A

F) Black-line

52
Q

Tobacco stains are PRIMARILY found in ____________, and most FREQUENTLY found in ____________.

A) Cervical third/interproximal surfaces

B) Cervical third/lingual surfaces

C) Cervical third/facial surfaces

A

B) Cervical third/lingual surfaces

53
Q

Chlorhexidine and alexidine which are used in mouthrinses and are effective against biofilm formation causes what type of stain?

A) Yellow

B) Tobacco

C) Red and orange

D) Metallic

E) Green

F) Brown

G) Black-line

A

F) Brown

54
Q

Stannous Fluoride, Pigmented Foods, Anti-Biofilm Agents, Betel Leaf ,Swimmer’s Stain are all __________ stains.

A) Yellow

B) Tobacco

C) Red and orange

D) Metallic

E) Green

F) Brown

G) Black-line

A

F) Brown

55
Q

More frequently on anterior than on posterior teeth and usually cause by Chromogenic bacteria.

A) Yellow

B) Tobacco

C) Red and orange

D) Metallic

E) Green

F) Brown

G) Black-line

A

C) Red and orange

56
Q

Pulpless or Traumatized Teet, Disturbances in Tooth Development, Drug-Induced Stains and Discolorations can all cause ______________.

A) Endogenous Intrinsic Stains

B) Exogenous Extrinsic Stains

C) Endogenous Extrinsic Stains

D) Exogenous Intrinsic Stains

A

A) Endogenous Intrinsic Stains

57
Q

Amelogenesis imperfecta, Dentinogenesis imperfecta, enamel hypoplasia, dental fluorosis are _____________.

A) Endogenous Intrinsic Stains

B) Exogenous Extrinsic Stains

C) Endogenous Extrinsic Stains

D) Exogenous Intrinsic Stains

A

A) Endogenous Intrinsic Stains

58
Q

Silver Amalgam and Copper Amalgam are examples of

A) Endogenous Intrinsic Stains

B) Exogenous Extrinsic Stains

C) Endogenous Extrinsic Stains

D) Exogenous Intrinsic Stains

A

D) Exogenous Intrinsic Stains

59
Q

Polishing is a technique used to remove extrinsic and intrinsic stains from the enamel surface.

True

False

A

False

DEH1800 Hygiene II (5 decks)

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