Final Study Guide Flashcards

1
Q

The practice of pediatric dentistry for the child patient includes measures that are:

A

Preventative
Restorative
Corrective
Nutritional

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2
Q

To provide a favorable environment for the apprehensive child patient, the child’s appointment should be:

A

After nap time or early in the morning

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3
Q

Objective fears are hindrance when treating a child patient because they are:

A

real

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4
Q

Preformed stainless steel crowns are indicated for teeth that are

A

Badly decayed
Fractured
Malformed

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5
Q

In a vital pulpotomy, _______ is/are applied over the calcium hydroxide

A

Zinc-oxide eugenol cement

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6
Q

Which instruments are used to remove pupal debris from canals?

A

Broachers

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7
Q

Which instrument would be used to enlarge, shape, and smooth the pulp canal?

A

Files

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8
Q

Non-specific chemicals such as formocresol and or sodium hypochlorite are used for ____ and are applied into the tooth with ____

A

Irrigating the canal- syringes

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9
Q

Which of the following refers to necrotic pulp?

A

Non-vital

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10
Q

A pulpotomy involves:

A

Removal of the pulp chamber only

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11
Q

The tooth that is discolored (darkened) following endo. Treatment may be:

A

Bleached

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12
Q

An opening on the mucosa that provides drainage from a site of injection is called:

A

Fistula

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13
Q

Intracanal instruments and materials can be sterilized during the endodontic procedure by:

A

(The answer should be glass bead sterilizer)

Placing in a hot bead/salt sterilization prior to use

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14
Q

Radiographs are an essential part of endodontic treatment because

A

Teeth may be maloccluded
Tooth involved may be vital
Accurate measurement of the canal must be made

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15
Q

Which of the following are separators used to separate teeth prior to orthodontic banding:

A

Elastics
Steel spring wire
Brass wire

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16
Q

Which of the following classification of malocclusion describes the protruding mandible?

A

Mesioocclusion

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17
Q

Which of the following orthodontic tasks may be delegated to a dental hygienist?

A

Alginate impression for study casts
Placing head gear
Removing excess cement supra and subgingivally
Placing and removing arch wires and ligature wires

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18
Q

_____ is when bone cells disappear b/c it tension (pressure) is applied to a tooth/teeth… think cellulary

A

Osteoclastic process

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19
Q

The metabolic process that causes osteoblasts to be generated within a space around a tooth is known as:

A

deposition

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20
Q

Pedodontics is the speciality devoted to which of the following?

A

Preventative treatment of individuals from birth through stages of mixed and perm dentition

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21
Q

The principle ingredient of reversible hydrocolloid is:

A

agar

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22
Q

When converting from sol to a gel, a reversible hydrocolloid undergoes what type of reaction?

A

chemical

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23
Q

If left in water, an alginate impression may swell and will undergo what process?

A

imbibition

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24
Q

What do you do first if you suspect a patient has swallowed a toxic amount of fluoride?

A

Have them consume calcium binding agent, water, or milk

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25
Q

When a restorative or endodontic procedure is performed, the rubber dam is used to:

A

Isolate the tooth

Prevent chemicals from entering the oral cavity

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26
Q

A ___ is an artificial wall used to replace and restore normal contour of a prepared tooth while the restorative material is being placed.

A

matrix band

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27
Q

The matrix band extends approx. ___ to __ beyond the gingival margin of a prep.

A

1mm to 1.5mm

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28
Q

The final step in an amalgam procedure is:

A

Carving anatomic detail

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29
Q

A wedge is sometimes used to:

A

Stabilize the band

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30
Q

The smaller circumference of a matrix band goes toward:

A

Gingiva

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31
Q

T/F: The tofflemire retainer and matrix bands are removed from a tooth as one unit

A

False

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32
Q

T/F: A tofflemire retainer and band are always necessary in the restoration of a class I cavity

A

False

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33
Q

If your patient has a history of asthma, you will:

A

Keep their inhaler out during treatment

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34
Q

____ is added to small quantities to local anesthetic solutions to increase the duration of the anesthetic effect.

A

Epinephrine - VASOCONSTRICTOR

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35
Q

Nitrous oxide and oxygen can be used during procedures to induce:

A

General anesthesia
Conscious sedation
Local anesthesia

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36
Q

Epinephrine is an

A

vasoconstrictor

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37
Q

The nitrous oxide canister is ____ and the oxygen is ____ color :

A

Blue-green

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38
Q

____ anesthetics are used for their ability to only penetrate the oral mucosa and depend upon diffusion to be effective:

A

Topical

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39
Q

_____ types of local anesthic agents are more likely to cause an allergic reaction:

A

Ester

40
Q

An anesthetic carpule contains approx.

A

1.8 cc

41
Q

Local anesthesia with epinephrine may be contraindicated for patients with a history of:

A

Heart disease

Hypertension

42
Q

To operate on the maxillary second and third molars the dentist would anesthetize the ___ nerve

A

PSA

43
Q

In order to replace a minor chipped restoration on a mand anterior, the dentist would most likely would give a :

A

Mandibular infiltration injection

44
Q

Most commonly the short needle is used for block anesthesia and long needle for infiltration anesthesia

A

true

LONG NEEDLE = ~32MM - INFILTRATION
SHORT NEEDLE = ~20MM - BLOCKS

45
Q

Because of its accessibility the ____ artery is most commonly used for determining the pulse rate

A

radial

46
Q

_____ rate usually increases with pain, fever, or excitement. The normal adult rate averages between 16 and 20

A

respiration

47
Q

Ingestion of stimulants and or depressants will most importantly effect the

A

BP

48
Q

A dental assistant who provides direct patient care is not protected by the doctrine “respondant superior” (let the master answer) therefore he/she protect themselves by:

A

Carrying malpractice insurance

49
Q

A hygienist or assistant who performs “expanded functions” that are not legal in the state in which he/she practices:

A

Considered guilty of criminal act

Considered guilty of the unlicensed practice of dentistry

50
Q

A patient has a carious lesion on the distal surface of tooth 30 and the mesial surface of tooth 31. The patient has class ____ cavities and needs ___ restorations

A

2- M and D

51
Q

Which of the following is NOT normal or ideal occlusion?

A

Maxillary anterior teeth are slightly prominent and the jaw is long

52
Q

Fixed bridges can be fabricated

A

Entirely of gold
Combination of gold and porcelain facings
Porcelain facing to metal

53
Q

The function of the preliminary impression in full denture construction is to:

A

Construct a custom tray to be used to make denture

54
Q

The adaption by patients to wearing full mandibular dentures will depend upon the:

A

Age of the patient
Number of sore spots after two days
Patients desires to wear dentures
How many times they have the dentures adjusted

55
Q

The middle superior alveolar branch of the infra-orbital nerve supplies:

A

The premolars and mesiobuccal root of the 1st molar

56
Q

Which is the only emergency for which oxygen is not usually recommended

A

hyperventilation

57
Q

All of the following oral signs are usually present in a patient with a history of seizure disorders except:

A

all are correct

58
Q

If a patient with a history of toxic reaction to injection of local anesthetic, which of the following would cause the least allergic reaction

A

Mepivacaine (carbocaine)

59
Q

Nitrous oxide analgesia is NOT recommended for:

A

pregnant women

mouth breathers

60
Q

The following symptoms may be noticed by the patient who has been administered the correct amount of nitrous oxide:

A

Tingling in the extremities
Floating
Dreaminess
Relaxation, euphoria

61
Q

Orthodontics is the practice of

A

Studying the growth and development of the primary and permanent dentition
Development of the skull, facial and oral structures
Studying the swallowing and breathing patterns
Preventative and corrective techniques to promote normal occlusions

62
Q

To provide a longer work time for setting of the cement in the banding process, what procedure is followed?

A

Use a cold glass slab

63
Q

A tongue thrust or thumb sucking habit persisting past age of mixed dentition usually results in

A

open bite

64
Q

A person who has a fixed bridge should not be taught the following during home care

A

Floss holder

65
Q

Percussion is a term related to

A

Testing the vitality of a tooth
Testing the mobility of a tooth
Gently tapping a tooth

66
Q

T/F: A smear biopsy is when the entire lesion is removed

A

false

67
Q

The most accurate means for assessing the location and extent of bone loss is by

A

radiographs

68
Q

A pedodontic space maintainer is a fixed or removable device that

A

Maintains space until permanent teeth erupt

69
Q

One of the most successful methods used to create a good patient from child difficult to treat is to

A

Use a reward system for good behavior

70
Q

In order to achieve retention of a restorative material within a cavity preparation, the operator would:

A

create an undercut

71
Q

The resorption of the roots of primary teeth is the normal process of preparing those teeth for

A

exfoliation

72
Q

Which of the following procedures involves the removal of epithelial lining, granulation tissue and or damaged tissues of a perio pocket?

A

Subgingival curettage

73
Q

Probing measurements are recorded at what number of points around each tooth

A

Six

74
Q

The most significant diagnostic sign of gingival inflammation is

A

Bleeding

75
Q

A surgical procedure to remove disease gingiva thereby reducing perio pockets is

A

Gingivectomy

76
Q

A surgical procedure to remove tissue from a donor site and suture in place at a receiver site is

A

Soft tissue graft

77
Q

The surgical reshaping of the bone is

A

Osteoplasty

78
Q

A combination of the following will most effectively remove plaque

A

Brushing and flossing

79
Q

Which of the following would not be true for an undermixed amalgam?

A

It has greater strength than normal

80
Q

Cavity varnish is used to

A

Seal dentinal tubules

81
Q

Which of the following material would provide substantial thermal protection for the pulp?

A

Thin cavity liner or base

82
Q

Case Study: What disease might this patient have?

A

Hepatitis

83
Q

Case Study: The best choice of treatment at appointment

A

use universal precautions and continue treatment

84
Q

one of the most important human barriers for protection from diseases for the dental hygienist is

A

Intact skin

85
Q

On a fixed (cemented) bridge, the pontic tooth is

A

The missing tooth

86
Q

The new guideline for chest compressions and rescue breaths while preforming CPR should be:

A

30:2

87
Q

Ethical dilemma is:

A

Two ethical principles are in conflict and regardless of decision and ethical principle will be violated

88
Q

If a dental hygienist does not follow the code of ethics, he/she will

A

Loose his/her license
Loose respect from colleagues and clients
Be placed on probation

89
Q

The maximum pressure exerted against the walls of a blood vessel is called

A

Systolic pressure

90
Q

A mesial cavity in a mandibular right second premolar is classified as

A

Class II

91
Q

Which of the following dental aids would be best in an interdental area with a slight space

A

Proxibrush

92
Q

Which of the following dental aids would be most beneficial for a patient with dexterity issues

A

Floss holder

93
Q

For an ASA injection should be place at the apex of the

A

Max canine

94
Q

T or F: There has been a recent change in the blood pressure guideline for adults, 120- 129 over <80 is considered hypertension stage 1

A

(F) - 130-139

95
Q

The most frequently used medicaments for irrigation in root canal therapy are:

A

Hydrogen peroxide

Sodium hypochlorite