Midterm Practice

Question 1

if patient shoes up with sores, what must you do

Answer 1

report to clinic supervisor and dismiss patient

Question 2

what are findings determined from examination

Answer 2

signs

Question 3

what is a precise term used to describe a deviation from normal, derived from examination findings thru deductive reasoning

Answer 3

diagnosis

Question 4

information gathering/patient interview must be what? why?

Answer 4

systematic and consistent. do it the same way every time so you won’t miss anything

Question 5

what is the best way to avoid medical emergencies

Answer 5

patient history

Question 6

trasillumination is best for what caries

Answer 6

class III

Question 7

what diagnosis has high certainty

Answer 7

definitive

Question 8

T/F: when doing clinical exam, you should tell the patient what you are doing before you do it and have assistant present

Answer 8

TRUE

Question 9

T/F: the dentist owes the patient that degree of skill, care, and judgement possesed by a resonable dentist

Answer 9

true

Question 10

are patients POOR judges of clinical excellence

Answer 10

yes

Question 11

should you ever give patient original charts

Answer 11

never! give them copies

Question 12

what is the failure to do what a reasonable persona would do

Answer 12

negligence

Question 13

what is the right of competent adults to make decision

Answer 13

consents

Question 14

age of consent in NE

Answer 14

19

Question 15

what are exceptions to not getting consent

Answer 15

life threatening emergeny and treatment that patent has previously consented to

Question 16

what is the primary resource for determining the patient fitness for tx

Answer 16

medical history

Question 17

why should you ask if patient if theyre on birth control

Answer 17

because antibiotics decreaseses its effectiveness

Question 18

swollen ankles on patient means what

Answer 18

congestive heart failure and arrythmias

Question 19

do not treat patient with systemic disease if BP is what

Answer 19

> 159/95

Question 20

defer elective tx if bp is what

Answer 20

> /= 170/104

Question 21

defer emergency tx if bp is what

Answer 21

> /= 180/110

Question 22

what BP should get immediate MD consult

Answer 22

> 210/120

Question 23

do you need to premedicate for suture removal

Answer 23

no

Question 24

if patient is allergic to penicillin (amoxicillin) what do dyou give them

Answer 24

erhythromycin

Question 25

how much amox? when

Answer 25

500 mg, ammox, 4 tabs, 1 hour before ppt

Question 26

how much clinda? when

Answer 26

150 mg clindamycin, 4 tabs, 1 hour before appt

Question 27

question about IV

Answer 27

do same amounts as antibiotic questions?

Question 28

what is the rule of twos

Answer 28

supplemental steroid dosage for patients who have taken 20 mg cortisone or more or equibalent dose another steroid for 2 or more weeks in the last two years. may cause adrenal insufficiency which may cause patient inability to tolerate stressful situations

Question 29

what is ADA 2 and 4

Answer 29

2 = pregnant
4 = severe systemic disease constant threat to life

Question 30

___% of sqamous cell carcinoma found where

Answer 30

80% on lateral boder of tongue

Question 31

T/F: decision to order radiographs based on pt hx, clinical exam, past/current path

Answer 31

true

Question 32

order radiographs when

Answer 32

ater clinical exam

Question 33

what are considerations in prescribing radioraphs

Answer 33

risk of exposure, cost, yield

Question 34

if patient swallows and swelling moves, what is wrong

Answer 34

tyroid

Question 35

use ___ with radiographas

Answer 35

clinical judgement

Question 36

what is most indicative of ordering radiographs

Answer 36

caries experience

Question 37

what provides more detailed image and less anatomical coverage

Answer 37

FMX

Question 38

what xray for interproximal caries

Answer 38

BW

Question 39

if an xray is shown without the apex of tooth for PA can you use it for diagnose?

Answer 39

no, PA must capture apex of tooth

Question 40

if xray is shown of BW with lots of overlap, can you use it to diagnose

Answer 40

no

Question 41

occlusal radiographs are indicated for what

Answer 41

1. supernumerary teeth
2. salivary stones
3. dental development pre-eruption
4. boney expansion

Question 42

what is most important funciton of fluoride

Answer 42

precipitation of calcium and phosphate

Question 43

is quality or frequency of sugar intake most important

Answer 43

frequency

Question 44

is remineralization faster or slower than demin

Answer 44

SLOWER

Question 45

all carioues lesions start as what spot

Answer 45

white spot

Question 46

if there is a dark spot with a halo around it, what do you have to do?

Answer 46

there is caries in dentin so need to restore with restoration

Question 47

know the radiograph classifications

Answer 47

E0-2, D1-3

Question 48

white spot lesion on dry tooth is __ way thru enamel

Answer 48

<1/2

Question 49

white spot lesion on wet tooth is __ way thru enamel

Answer 49

> 1/2

Question 50

if patient has multiple severe caries that can’t be treated in one visit, what can you use

Answer 50

SDF

Question 51

is SDF single use?

Answer 51

no! reapplied 2x a year

one month follow-up to check for lesion hardness. if soft, reapply following protocol.
in six month, reapply if lesion remains asymptomatic