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Patient Care III > Important Mock Info 1.9 > Flashcards

Important Mock Info 1.9 Flashcards

1
Q

What is the concentration of alcohol in therapeutic Listerine?
a. 10%
b. 12%
c. 20%
d. 27%
e. 33%

A

d. 27%

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2
Q

Which of the following is strictly a supragingival instrument?
a. 4R/4L curet
b. Anterior sickle scaler
c. Periodontal explorer
d. 1/2 curet
e. 13/14 curet

A

b. Anterior sickle scaler

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3
Q

Which of the following statements is false?
a. Betel leaf can cause brown staining
b. Aerosols created from ultrasonic scalers may contain blood even if it’s not visible
c. Pre-brush rinses, like PLAX, are not effective at removing plaque
d. Polishing both improves esthetics and makes teeth healthier and stronger (polishing is purely esthetic)
e. The Fones technique of brushing is good to teach kids and people with limiteddexterity

A

d. Polishing both improves esthetics and makes teeth healthier and stronger (polishing is purely esthetic)

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4
Q

The best type of toothbrush to use has:
a. Synthetic, rounded, and soft bristles
b. Natural, blunted, and soft bristles
c. Synthetic, rounded, and medium bristles
d. Synthetic rounded, and hard bristles
e. Natural, rounded, and medium bristles

A

a. Synthetic, rounded, and soft bristles

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5
Q

Which of the following statements regarding dentifrice is false?
a. The ADA seal of approval is not given to baking soda toothpaste because of the presence of baking soda
b. Binders are added to prevent hardening and increase the shelf life of toothpaste
c. Polishing agents like aluminum and tin are added to smooth out the effect of abrasives
d. Sodium lauryl sulfate is the primary surfactant used in toothpaste
e. No ADA-accepted toothpaste contains cariogenic sugar

A

b. Binders are added to prevent hardening and increase the shelf life of toothpaste (Humectants)

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6
Q

Anti-caries toothpaste has a minimum fluoride concentration of:
a. 250 ppm
b. 500 ppm
c. 1000 ppm
d. 1500 ppm

A

c. 1000 ppm

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7
Q

What is false regarding dentinal hypersensitivity?
a. The smear layer protects the tubules by sealing them closed
b. Sensitivity from gingival recession can be due to both poor and excessive oral hygiene
c. Diagnosing hypersensitivity means ruling out other possible conditions
d. Loss of enamel due to erosion typically does not affect dentin and cause hypersensitivity (loss of enamel opens up dentin tubules, making hypersensitivity worse)
e. All of the above are true

A

d. Loss of enamel due to erosion typically does not affect dentin and cause hypersensitivity (loss of enamel opens up dentin tubules, making hypersensitivity worse)

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8
Q

What is the function of CPP-ACP paste as a hypersensitivity treatment?

a. Replaces lost calcium/phosphate due to demineralization
b. Reduces dentin permeability
c. Creates a protective barrier over dentin
d. Blocks dentin tubules
e. Depolarizes nerve endings in dentin tubules

A

a. Replaces lost calcium/phosphate due to demineralization

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9
Q

A patient has been smoking 40 cigarettes a day for 5 years. What is their Pack Year
number?
a. 2 years
b. 5 years
c. 10 years
d. 15 years
e. 20 years

A

c. 10 years

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10
Q

What is the single most important tool for diagnosing periodontal disease?
a. Radiographs
b. Periodontal explorer
c. Universal curets
d. Periodontal probe
e. Visual cues

A

d. Periodontal probe

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11
Q

What is the main advantage of using flavored floss?
a. Its stiffness is good for use with ortho appliances and fixed abutments
b. It can fit easily within tight spaces
c. It moves smoothly around irregular, rough surfaces
d. It provides a visual cue for plaque and debris
e. None of the above (it is purely motivational)

A

e. None of the above (it is purely motivational)

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12
Q

What is not a contraindication for use of magnetostrictive ultrasonic scalers?
a. Porcelain restoration
b. A patient susceptible to pneumonia
c. Titanium implants
d. A patient with a pacemaker
e. A patient with severe periodontitis

A

e. A patient with severe periodontitis

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13
Q

Which of the following statements is false regarding interproximal plaque removal?
a. A see-saw motion should be used with floss to move below the contact
b. There is no difference between waxed and unwaxed floss in terms of plaque removal
c. Oral irrigators alone are effective at reducing gingivitis and removing calculus (must be used with brushing to be effective)
d. Floss holders should be used with individuals with dexterity issues or with limited mouth opening
e. Rubber-tipped stimulators have limited plaque-removing ability

A

c. Oral irrigators alone are effective at reducing gingivitis and removing calculus (must be used with brushing to be effective)

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14
Q

What is true regarding various nicotine cessation medications?

a. Nicotine replacement gums or lozenges block the function of nicotine receptors
b. Bupropion SR (Zyban) can be used alongside nicotine replacement therapy
c. Adverse effects of nicotine replacement patches include dyspepsia and jaw soreness
d. Varenicline (Chantix) can be used alongside nicotine replacement therapy
e. More than one of the statements above is true

A

b. Bupropion SR (Zyban) can be used alongside nicotine replacement therapy

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15
Q

What is false regarding the technique for using ultrasonic scalers?
a. The tip should never touch the tooth
b. Strokes should go from coronal to apical
c. The working end is determined by matching the curve of the root to the curve ofthe tip
d. One long stroke across the tooth surface is effective at removing calculus (requires multiple overlapping strokes)
e. All of the above are true

A

d. One long stroke across the tooth surface is effective at removing calculus (requires multiple overlapping strokes)

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16
Q

What is not indicated for a patient with large embrasure spaces to remove interproximal plaque?
a. Proxybrush
b. Waxed floss
c. Gauze
d. Waxed tape
e. All of the above are indicated

A

b. Waxed floss

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17
Q

Instruments should be kept 45-90 ̇ to the tooth surface. If the angle is less than 45˙, then tissue laceration will occur.
a. Both statements are true
b. The first statement is true, the second statement is false
c. Both statements are false
d. The first statement is false, the second statement is true

A

b. The first statement is true, the second statement is false

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18
Q

All of the following are bad brushing techniques/habits except:

a. Scrubbing in a horizontal pattern
b. Using excessive pressure
c. Brushing for 2 minutes twice a day
d. Using an abrasive toothpaste
e. Using a hard-bristled brush

A

c. Brushing for 2 minutes twice a day

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19
Q

T/F: when providing oral hygiene instruction, it is critical to show the patient areas of plaque accumulation and how to remove the plaque.

a. True
b. False

A

a. True

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20
Q

What is true about the regulation of therapeutic oral hygiene products?

a. The FDA evaluates claims made by companies in advertisements about products
b. All products are required to apply for the ADA Seal of Approval
c. Products with an ADA Seal of Approval have shown significant reductions of plaque and/or gingivitis in controlled studies
d. Advocacy groups like the FTC help protect consumers
e. None of the above are true

A

c. Products with an ADA Seal of Approval have shown significant reductions of plaque and/or gingivitis in controlled studies

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21
Q

Sanguinarine was used as an active ingredient in Viadent, but was eventually removed because it was found to cause leukoplakia. This is an example of a:

a. Side effect
b. Adverse effect
c. Compliant effect
d. Cosmetic effect
e. Substantive effect

A

b. Adverse effect

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22
Q

Which of the following statements is false?

a. C fibers are primarily activated with sharp hypersensitivity pain (A-delta fibers)
b. Erosion is the most common factor for enamel loss leading to hypersensitivity
c. The periodontal probes used in the clinic are marked at 3 mm increments
d. The Bass technique angles the brush to get within the sulcus and clean it out
e. Soft bristle brushes are recommended for all patients

A

a. C fibers are primarily activated with sharp hypersensitivity pain (A-delta fibers)

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23
Q

What is true regarding probing technique?

a. The probe only needs to measure 6 individual spots at each of the 6 locations
b. The probe needs to be angled into the col
c. The probe should be kept supragingival
d. The tip should never be in contact with the tooth
e. More than one of the above is true

A

b. The probe needs to be angled into the col

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24
Q

Which of the following antimicrobials has the highest substantivity?
a. Cetylpyridinium chloride
b. Triclosan
c. PLAX
d. Thymol
e. Chlorhexidine

A

e. Chlorhexidine

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25
Q

Which of the following facts is not true about chlorhexidine?
a. It typically contains 12% alcohol
b. Its substantivity is 12-24 hours
c. It can cause staining and altered taste
d. Its therapeutic level is at 0.12%
e. It results in a plaque reduction of 18-25%

A

e. It results in a plaque reduction of 18-25%

26
Q

__________ is the process in which water droplets are formed with vacuums that suddenly collapse to release energy that cleanses and flushes debris.
a. Cavitation
b. Scaling
c. Ultrasonicity
d. Lavage
e. None of the above

A

a. Cavitation

27
Q

Toothbrushes should be replaced every:
a. 3 weeks
b. Month
c. 2 months
d. 3 months
e. 6 months

A

d. 3 months

28
Q

A surface of the tooth has 6 mm of attachment loss and has 1 mm of gingival recession. What should be the measured pocket depth?
a. 1 mm
b. 3 mm
c. 5 mm
d. 6 mm
e. 7 mm

A

c. 5 mm

29
Q

Which brushing technique involves moving the brush in large circles over the teeth and gingiva, keeping the brush perpendicular to the teeth?

a. Modified Bass
b. Stillman
c. Horizontal
d. Fones
e. Charters

A

d. Fones

30
Q

Which of the following statements is false?

a. Oil pulling is not an effective method of removing plaque
b. Pre-brushing rinses like PLAX fails to loosen plaque
c. Triclosan was found to alter hormones and metabolism, resulting in a ban in rinses
d. CPC will bind to plaque, but not as strongly as CHX
e. All of the above are true

A

e. All of the above are true

31
Q

A patient has a pocket depth of 5 mm and gingival inflammation of 2 mm above the CEJ. How much attachment loss is there?

a. - 5 mm
b. -3 mm
c. 3 mm
d. 5 mm
e. 7 mm

A

c. 3 mm

32
Q

Which of the following components of dentifrice does not have more than one function? (ex: as an abrasive + a flavoring agent)

a. Sorbitol
b. Xylitol
c. Glycerin
d. Mannitol
e. All of the above have more than one use

A

b. Xylitol

33
Q

A patient comes in with a thin black stain along the gingival margin of their teeth. What is the cause of this stain?

a. Smoking tobacco
b. Smoking marijuana
c. Formation of gram-positive bacteria on the teeth
d. Chewing on betel nut
e. Enamel hypoplasia

A

c. Formation of gram-positive bacteria on the teeth

34
Q

Which of the following statements regarding stains is false?

a. Intrinsic stains are only caused by genetic malformations
b. Endogenous stains are always intrinsic stains
c. Chromogenic bacteria can cause different colored stains
d. Removal of tooth stains is purely esthetic
e. All of the above are true

A

a. Intrinsic stains are only caused by genetic malformations (can be due to exogenous sources)

35
Q

What is not a contraindication for polishing?

a. Smoothing out teeth
b. Hypersensitivity
c. Lack of stains
d. Decalcified areas
e. Complete lack of enamel

A

a. Smoothing out teeth

36
Q

Which of the following statements is false?

a. There is no superior type of floss, because the act of flossing is what removes plaque
b. 4R/4L curets are good at scaling within deep pockets
c. Magnetoelectric ultrasonic scalers produce a lot of heat
d. Nicotine is metabolized by the liver
e. Flour of pumice is used to polish gold restorations

A

e. Flour of pumice is used to polish gold restorations (tin oxide, not pumice)

37
Q

T/F: attachment level is the length between the CEJ and the crest of the gingiva.

A

False (gingival margin)

38
Q

A yellow stain indicates:

a. Smoking
b. Use of chlorhexidine
c. Use of stannous fluoride
d. Use of chewing tobacco
e. None of the above

A

e. None of the above

39
Q

What is false regarding polishing teeth?
a. Decalcified areas abrade 3 times faster than calcified enamel
b. Coarse pumice is the best abrasive to use to polish intraorally
c. Using a faster handpiece will abrade teeth more
d. Cementum will abrade 5-6 times faster than enamel
e. All of the above are true

A

b. Coarse pumice is the best abrasive to use to polish intraorally (flour of pumice is used)

40
Q

Both regular polishing and air powder polishing create aerosols. Air powder polishing should be used over regular polishing with patients on sodium-restricted diets

a. Both statements are true
b. The first statement is true, the second statement is false
c. Both statements are false
d. The first statement is false, the second statement is true

A

b. The first statement is true, the second statement is false

41
Q

What is false regarding caries prevention strategies?
a. Saliva aids, like saliva substitutes or a home-made mixture of water/lemon juice, can be used to promote remineralization
b. CPP-ACP is effective alone at remineralizing enamel
c. Fluoride is the best method of preventing caries
d. Diet modifications can be performed to prevent caries, such as limiting intake of soda to meals
e. All of the above are true

A

b. CPP-ACP is effective alone at remineralizing enamel (not effective alone)

42
Q

Which of the following statements is false?
a. Never use toothpaste to clean dentures
b. Chlorhexidine has double the alcohol and half the efficacy as phenolic compounds
c. Substantivity is the ability of a chemical to absorb to teeth and be released at therapeutic levels
d. Chlorhexidine is the most effective antimicrobial available
e. Mouthwash with 0.05% CPC is considered cosmetic

A

b. Chlorhexidine has double the alcohol and half the efficacy as phenolic compounds (the opposite is true)

43
Q

Which of the following statements regarding tobacco products is false?

a. Smokeless tobacco products have more carcinogens than smoking tobacco products
b. Second-hand exposure to tobacco smoke can cause nasal irritation, coronary heart disease, and lung cancer
c. On average, snus contains the most nicotine out of any smokeless tobacco product
d. Smoking can result in periodontal disease and delayed oral healing
e. All of the above are true

A

a. Smokeless tobacco products have more carcinogens than smoking tobacco products (the opposite is true)

44
Q

Which of the following statements regarding instruments is false?

a. The lower edge of a Gracey curet is the cutting edge
b. Only the terminal 2-3 mm of an instrument should contact the tooth
c. The main design difference between a universal and Gracey curet is the angle of the face
d. The proper location to start scaling for posterior teeth is the distal line angle
e. The Gracey curets should never be flipped on both anterior and posterior teeth

A

e. The Gracey curets should never be flipped on both anterior and posterior teeth (Graceys are flipped for anteriors)

45
Q

What is not a concern regarding e-cigarette use in the United States?

a. E-cig users are inhaling heavy metals that can remain in their bodies for the rest of their lives
b. The incidence of EVALIs are on the rise with no mechanisms to prevent them
c. The number of teenagers and young adults becoming addicted to nicotine is on the rise
d. E-cig use can lead to detrimental oral effects such as ulceration, periodontal disease, and bruxism
e. All of the above are concerns

A

e. All of the above are concerns

46
Q

What is the lowest percentage that component can be to be considered a therapeutic agent in toothpaste?
a. 0.5%
b. 1%
c. 2%
d. 5%
e. 10%

A

d. 5%

47
Q

Which of the following effects does nicotine have on the body?
i. Stimulates epinephrine release
ii. Hypoglycemia
iii. Hypertension
iv. Stimulates norepinephrine release
v. Tachycardia

a. i and iii
b. i, ii, iii, and v
c. i, ii, iii, iv, v
d. i, iii, v
e. i, iii, iv, and v

A

e. i, iii, iv, and v

48
Q

What is the order of the “5 A’s” for nicotine cessation?
a. Ask, advise, assess, assist, arrange
b. Ask, assess, advise, assist, arrange
c. Assess, ask, advise, assist, arrange
d. Ask, advise, arrange, assist, assess
e. Ask, advise, arrange, assess, assist

A

a. Ask, advise, assess, assist, arrange

49
Q

What is not true regarding instrumentation?
a. A modified pen grasp should be used
b. The instrument should be rolled between the thumb and index finger to rotate it
c. The wrist and forearm should be used to activate the instrument
d. The preferred fulcrum is intraoral as close to the tooth as possible
e. All of the above are true

A

e. All of the above are true

50
Q

You have a patient who receives professional fluoride treatments twice a year, uses prescription fluoridated toothpaste and rinse, has sealants on all posterior teeth, has an occlusal cavity but no restorations, and has a lingual retainer. According to CAMBRA, what level of caries risk is this patient?

a. No risk
b. Low risk
c. Medium risk
d. High risk
e. Cannot be determined

A

d. High risk

51
Q

Which scaler functions at 30-45 kHz and produces a linear vibrating motion?
a. Anterior sickle scalers
b. Magnetostrictive scalers
c. Sonic scalers
d. Piezoelectric scalers
e. Posterior sickle scalers

A

d. Piezoelectric scalers

52
Q

T/F: alcohol in mouth rinses is included as therapeutic agents for plaque reduction

A

False (they are only solvents)

53
Q

What type of patient would you not recommend rinses to?
a. A patient with a high risk of periodontal disease
b. A patient who is about to receive perio surgery
c. A patient with acute necrotizing ulcerative gingivitis
d. A patient with poor dexterity unable to brush or floss properly
e. You would recommend rinses to all patients above

A

e. You would recommend rinses to all patients above

54
Q

All of the following teeth surfaces require moving from 9 o’clock/3 o’clock to 12 o’clock
except:
a. Lingual surfaces of maxillary anteriors
b. Lingual surfaces of mandibular anteriors
c. Facial surfaces of mandibular anteriors
d. Facial surface of maxillary posteriors
e. None of the above

A

e. None of the above

55
Q

_________ is the primary ingredient in tartar-control toothpaste to minimize plaque.

A

Soluble pyrophosphate

56
Q

What is the PD value?

A

8

57
Q

What is the GM value?

A

-1

58
Q

What is the clinical attachment loss value?

A

7 mm

59
Q

Which of the following instruments has a flexible shank, not designed to remove heavy calculus?
a. Anterior sickle scalers
b. Gracey curets
c. Posterior sickle scalers
d. Universal curets
e. None of the above

A

b. Gracey curets

60
Q

Which of the following statements is false?
a. Chlorhexidine can cause staining of the teeth
b. 1-800-QUITNOW is a free, confidential government-run helpline to aid with nicotine cessation
c. A person using transdermal nicotine patches should decrease the dose over time
d. A thick smear layer typically results in less hypersensitivity
e. Gram + bacteria are the primary agent causing yellow stains

A

e. Gram + bacteria are the primary agent causing yellow stains (brown!)

Patient Care III (33 decks)

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