RDA FINAL Flashcards
The patient record is a permanent document of whom
Patient
The dental history portion of the patient record provides the dental team with information regarding
Previous dental care and treatment
What charting symbol best indicates a tooth not visible in the mouth
X through the tooth
Why is a base placed
A measure of protection for the pulp, because Decay or trauma was close to the pulp, on the floor of the tooth preparation
Calcium hydroxide is used in dentistry as a
Liner
What product contains calcium hydroxide
Dycal
What are the two types of temporary sedative dressing materials
IRM and Cavit
What is the smear layer
A protective secretion produced by the layers of the teeth
What benefit does etchant provide during the bonding process
Roughens up the enamel and/or dentinal layers in preparation for bonding
A self etching adhesive eliminates the need to
Rinse etchant from the tooth
What is the main effective ingredient in tooth whitening material
Carbamide peroxide
On the California RDA written examination, only the clinical name, not the brand-name, of a material will be used
True
ZPC should always be mixed on a cool, glass slab incorporating the powder into the liquid in small, but steady, increments
True
When mixing a material, make sure all the powder is incorporated into the liquid prior to adding more powder
True
The most commonly used method of polymerization is the dual cure method
False
According to the dental board regulations, how long should sterilization monitoring records be kept
One year
According to the dental board regulations, what is the proper method for decontaminating impressions before sending them to the laboratory
Clean and disinfect using an intermediate level disinfectant
Which set of precautions is intended to prevent exposure to all body fluids
Standard
The majority of the spray produced by dental handpieces consist of
Saliva
Routine handwashing removes
Most of the transient microbes and some of the resident microbes
Instrument cassette should be wrapped
After cleaning and before sterilization
What agency regulates the registration of disinfectants and chemical sterilants used in dentistry
EPA
Which of the following is the best infection control practice for clinical contact surfaces that are difficult or impossible to clean
Covering surfaces with and impervious barrier
Routine handwashing for dental healthcare professional is the use of
Water and plain liquid soap
A surgical mask must be changed
After every patient
When putting on personal protective equipment which item should be put on last just before patient care begins
Gloves
In accordance with California regulations, the high-speed handpiece line and air water syringe should be flushed with water
After each patient
What is an example of a clinical contact surface
Countertops
According to California regulations biological indicators for assessing sterilization are to be used
Weekly
The purpose of dating packages of sterilize instruments is to
Retrieve packs in the event of the sterilization failure
What is the proper management for work surfaces that become contaminated with blood
Clean and then disinfect
Solutions use for cooling and irrigating during oral surgical procedures are best delivered through
A sterile delivery device
Give an example of an OSHA required sharp with engineered injury protection
A self-sheathing needle attached to a dental anesthetic syringe
Employees must receive training regarding hazardous chemicals at what intervals
Upon hire, whenever a new hazard is introduced, and at least annually
The OSHA Hazard Communication Standard is based on the premise that an employee has the right to know about the
Chemicals in the office
What viral infection can be prevented through immunization
Hep B
What most accurately defines engineering controls
Materials and devices that prevent employee exposure to hazardous or infectious substances
According to the OSHA Bloodborne Pathogens Standard, each dental office must have an exposure control plan that is
Written and reviewed at least once every year
What is regulated under OSHA Hazard Communication Standard
Bonding etchant
The primary active agent in the solution used for unsaturated chemical vapor sterilization is
Formaldehyde
Which microorganism is used to identify a disinfectant as intermediate level
M. Tuberculosis var bovis
Photochemical waste is defined as
Radiographic lead foil and fixer
Universal/recyclable waste is defined as
Batteries and fluorescent lamps
Why is clear sealant material less desirable
More difficult to evaluate
What is the difference between filled and unfilled sealants regarding retention rates
No difference
What is the range of shelf life of sealant materials
18-36 months
What is done first if an adult patient does not have a pulse
Call for emergency assistance
Elevating the patients feet above the head to increase blood flow to the brain is the response to what medical condition
Syncope
Clinical considerations for patients with bronchial asthma should include
Shorter appointments to reduce stress
What kind of patient would benefit from prophylactics sublingual nitroglycerin
Cardiovascular disorders
What is one sign of anaphylactic shock
Respiratory distress
What is a blood pressure reading of 142/96 classified as
Hypertension
What is an analgesic prescribe for
Pain relief
What’s an example of an anabiotic
Erythromycin
What is a drug that slows the clotting of blood
Coumadin
A scavenger unit is used for respiratory protection during the use of
Nitrous oxide
Of the common medical emergencies in a dental setting, the emergency were a patient experiences nausea, pounding heartbeat and feeling warm is
Syncope
Of the common medical emergencies in a dental setting, the emergency were a patient experiences a bad mood, anxiety and appears sWetty is
Hypoglycemia
What is a measurement of how hard the heart must work to pump blood through the body
Blood pressure
What is a substance that causes an immune response
Antigen
An effective product from the office emergency kit when needing to treat a patient experiencing a fainting episode is
Ammonia inhalant
What is a contraindication for a patient when a procedure calls for gingival retraction cord impregnated with epinephrine
Cardiovascular disease
Spreaders and pluggers are used in the
Obturation of a root canal
What endodontic procedure would be performed to partially remove the pulp
Pulpotomy
When a tooth has avulsed it has
Come out
Another term for necrotic
Dead and non vital
What portion of the pulp would the dentist remove in a pulpotomy
Coronal portion
The irrigation material most commonly used during root canal therapy is
sodium hypochlorite
What is the surgical procedure that involves the removal of the apex of a root
Apicoectomy
What could be a contraindication to a patient receiving fixed prosthodontics
Poor oral hygiene
What is an example of a contaminated item commonly found in the dental lab
Impression
Which instrument is ideal for carving occlusal amalgams
Discoid cleoid carver
The dental unit provides necessary electricity and hoses with air and water to the patient chair but what delivery system is positioned behind the patients head
Rear
What instrument is used to place and remove elastic ties and remove ortho separators
Orthodontic scaler
When working with a left handed dentist the instrument transfer zone is where
Between 5 and 8
Motions are categorized into how many categories depending upon the extent of the motion and the nature of the movement
5
Which classification of movement is defined as movement of fingers only suggest picking up a single item from a flat surface
Class one
Dental instruments used in general dentistry are divided into how many categories of restorative procedures
4
For a right-handed Dentist, where is the static zone located
12 to 2 o’clock
For a left-handed Dentist, the assistance zone is located
Between 8 and 10
What grasp is when the instrument is held in the palm of the operators hand
Palm grasp
What is the best way to remain approachable to an anxious patient
Encourage questions
Who legally owns a patient’s dental radiographs
The dentist
According to California regulations, who is legally allowed to place a base during a restorative procedure
Dentist, RDA
What is a temporary sedative dressing
A temporary filling
According to California regulations, who is legally allowed to place a liner during a restorative procedure
Dentist, RDA
When using etchant, how long is it left on the tooth structure
15–20 seconds
Etchant material is
Typically electric blue in color, 37 - 39% phosphoric acid, very bitter tasting
According to California regulations, who is legally allowed to place etchant on tooth structure for purposes of a restoration or dental sealants
Dentist, RDA
The term polymerization means to
Cure, set, Harden
If a material notes that it is “dual cure” that means
The material will enter the initial setting phase on its own, but needs the curing light to complete the setting process
A provisional coverage also could be called
A temporary restoration
The two types of temporary crowns are
Custom or preformed
A custom temporary is made out of what material
Acrylic
According to California regulations, who is legally allowed to fabricate and cement a provisional restoration
Dentist, RDA
What can be used as both a provisional coverage for adult patients in a permanent restoration for pediatric patients
Stainless steel crown
The term festooning means to
Trim
What are used to trim around the margin of a stainless steel crown
Crown and bridge scissors
What is a luting agent
And adhesive, like a cement, that holds two structures together
Once a permanent restoration is cemented in place with permanent cement the only way to remove it is with
A handpiece and Bur
Zinc oxide and Eugenol is what type of cement
Permanent and temporary
According to California regulations, who is legally allowed to remove cement
Dentist, RDA
A digital impression is
A picture or image of the prepped tooth
The material placed in a denture that will pinpoint sore spot is called
PIP paste
It is except a bowl and customary to trim a provisional intraorally
False
When fabricating a provisional it is important to check the mesial and distal contacts
True
Prior to sterilization, loose contaminated instruments our process in an ultrasonic cleaner to
Remove debris and bioburden
What type of mechanical device is used to clean contaminated instruments prior to sterilization
Ultrasonic
The primary reason is surgical facemask must be used during a dental procedure is to
Protect the dental healthcare professional from exposure to spatter, spray or splash
When using the air/water syringe during dental treatment, which of the following personal protective equipment items is required by the dental board regulations
Gloves, mask, gown, and Eye protection
According to the board regulations, instruments, items or devices that penetrate soft tissue or bone are categorized as
Critical
Which PPE items must be removed before temporarily leaving a patient to retrieve supplies
Gloves
All disinfectants should be used
According to the manufacturers directions
When should chair side environmental barriers be changed
After every patient
What type of glove should be worn to protect the hands of dental healthcare personnel during instrument processing and operatory clean up
Utility housekeeping
The correct steps to take when a glove rips or tears during a procedure are
Remove the glove, wash and dry hands, and place on new gloves
According to regulations, protective eyewear, surgical masks, gloves, and gowns or lab coats are
Personal protective equipment
Using traditional radiographic procedures, what is considered a clinical contact surface
X-ray control panel
Instruments with the greatest risk of transmitting infection are
Critical instruments
Torn gloves should be replaced
As soon as possible
To reduce the risk of disease transmission in the dental office, it is recommended to
Use disposable items whenever possible
What best describes the appropriate container for biopsy specimen
Single use leak proof container with a biohazard symbol
What is recommended for managing contamination of digital radiographic sensors that cannot be heat sterilized
The use of impervious barriers followed by cleaning and disinfection
A critical step for healthcare workers in preventing the spread of disease is proper hygiene of one’s
Hands
When cleaning contaminated instruments, an assistant receives a percutaneous injury to the finger. The assistant should first
Wash hands with soap and water
A single use item reduces the risk of disease transmission because it is
Discarded and not reused
According to OSHA, which infection control measure is considered the most critical for reducing the transmission of microbes in the healthcare setting
Handwashing
A used dental anesthetic needle is an example of
Regulated waste
According to the occupational safety and health administration, annual blood borne pathogen’s training program should include
The modes of disease transmission
What modes of disease transmission best describes a human bite
Parenteral
Used radiograph fixer solution is usually considered
Hazardous waste
Which party is responsible for ensuring a material safety data sheet is available in the work place for each hazardous material
Employer
Material safety data sheets are required by OSHAs
Hazard communication standard
The accessibility of the exposure control plan for employees is the responsibility of the
Employer
According to the OSHA blood-borne pathogen standard, a contaminated sharps container should be
Leak proof, puncture resistant and closable
According to OSHA, safety measures that should be taken when using dental materials with potential he hazardous chemicals must be found in a
Material safety data sheet
What is an example of regulated medical waste
Biopsy tissue
A dental assistant who receives an accidental exposure on the skin from a contaminated source should first
Wash the exposed skin with soap and water
When a product is dispensed or stored in a non-original container, the item must be
Appropriately tagged and labeled with warnings for care and use
A percutaneous sharps injury refers to a
Sharps injury that does penetrate the skin and requires reporting
The air/water syringe is primarily use during the coronal polishing procedure to
Remove the remaining paste
The purpose of dental sealants is
To prevent decay from pits in fissures of teeth
Wire pits and fissures susceptible to caries
Fluoride is less effective in these areas, these areas are difficult to clean
Our sealants the only preventive measure used
No
What are the ways for sealant materials to harden
Polymerization, light cure, self cure
Sealants are placed
In pits and fissures
What patient safety precautions should be considered when one is placing sealants
Keep the etchant off the soft tissue, have the patient wear eyewear
What is the main cause of sealant failures
Moisture contamination
What is the purpose of coronal polishing
To remove stains and plaque
An oral prophylaxis includes
Removal of calculus and debris
What is the purpose of selective polishing
To polish only teeth with stain
Stains that may be removed from the surfaces of the teeth are
Extrinsic stains
Stains that cannot be removed from the surfaces of the teeth are
Intrinsic stains
What is the most common technique for stain removal
Rubber cup Polishing
Toward which direction should the polishing stroke be directed
Toward the incisal, toward the occlusal
What damage can result from using the prophy angle at high-speed
It can cause frictional heat
What world conditions contraindicate the use of an ultrasonic scaler
Patients with demineralization, narrow periodontal pockets, exposed Dentin
What is the more common term for dental prophylaxis
Prophy
Who can perform a dental prophylaxis
Dentist, dental hygienist
What is the ratio of breaths to compressions for an adult victim when CPR is performed
2 breaths/30 compressions
The most commonly used drug in a medical emergency is
Oxygen
In emergency care, the acronym AED represents
Automated external defibrillator
What does the AED provide to the heart
Jolt of an electrical current
If a patient tells you how he or she is feeling, the patient is referring to a
Symptom
What is the medical term for fainting
Syncope
The medical term for chest pain is
Angina
The medication a patient with asthma with most commonly have with them is
Bronchodilator
What kind of allergic response could be life-threatening
Anaphylaxis
An abnormal decrease of glucose in the blood can cause
Hypoglycemia
If the medication were placed sub lingually, where would it be placed
Under the tongue
By which route is a subcutaneous injection given
Under the skin
When the body reacts negatively to a drug, what is occurring
Adverse affect
The use of nitrous oxide and oxygen gas is together is known as what
Inhalation sedation
The chair side assistant should routinely scan the patient during treatment from their head to their feet. If there is a problem with the patient that the assistant can observe, it is said to be
A sign
If epinephrine is found in the office emergency kit, it is commonly used for what purpose
Allergic reaction
It’s a bronchodilator is found in the office emergency kit, it is commonly used for what purpose
Asthma attack
Another term used to describe a systemic allergic reaction is what and is a life-threatening condition
Anaphylaxis
If the patient experiences and asthma attack while being treated, the dental team should
Remove all materials from the patient’s mouth, place the patient in an upright seated position, hand the patient their bronchodilator
The first step a dental healthcare provider should perform before providing cardiopulmonary resuscitation on an adult patient is
Checking the patient for signs of breathing, movement or circulation
What is another type of vital sign that measures the concentration of oxygen in the blood
Pulse oximetry
The “A” in the ABCD’s of basic life support stands for
Airway
The dental assistance responsibility in an emergency situation is to
Recognize the symptoms and signs of a significant medical complaint, provide appropriate support in implementing emergency procedures
An AED is used for all except to
Automatically perform CPR for 15 minutes
Oral surgical procedures require the use of
Sterile irrigating solutions using a sterile delivery system
Angles classifications are used to classify and describe
Malocclusion
To prevent alveolitis after a tooth extraction, the patient should be instructed to
Avoid drinking through a straw
The dental specialty that deals with the diagnosis and treatment of disease of supporting tissues is
Periodontics
A surgical dressing that is applied to the surgical site for protection is called a
Periodontal dressing
When a person occludes and mandibular anterior teeth cannot be seen, the diagnosis is
Over jet
What type of radiograph is most commonly exposed in endodontics
Periapical
To ease the placement of orthodontic bands, what procedure is completed to open the contact between teeth
Placement of a separator
How are brackets adhered to a tooth
Cement
In children, which teeth are most frequently injured
Maxillary anterior
What is a surgical Periodontal treatment
Gingivectomy
When the dentist taps on a tooth, what diagnostic test is being performed
Percussion
What type of radiograph would be exposed through the course of root canal therapy
Periapical
The diagnosis of inflamed pulp tissue is
Pulpitis
Obturate means to
Fill a pulpal canal
The material commonly used for filling and endodontically treated canal is
Gutta Percha
What type of moisture control is recommended for a root canal therapy
Dental dam
What surface of the posterior tooth would the dentist enter with the rotary bur when opening a canal for a root canal therapy
Occlusal
What is a removable prosthesis that replaces one or several teeth
Partial
Fixed prosthodontics is commonly referred to as
Crown and bridge
What piece of lab equipment is used to grind away plaster or stone
Model trimmer
When setting up an instrument tray or cassette with instruments, the instrument should be set up
From left to right
The portion of a dental instrument held by the operator is called the
Handle
Which instrument is not part of a basic instrument set up
College pliers
What provides removal of large amounts of fluid and debris from the patient’s mouth
HVE
What portion of a dental instrument has a blade, point or nib
Working end
Which device is used to assist in keeping a patient’s mouth open during a restorative procedure
Bite block
Which orthodontic instrument is used to snip off wire ligatures once they have been tied around a bracket
Pin and ligature cutter
During the instrument exchange process, the assistant hands off an instrument to the dentist so that the working end of the instrument is pointed toward the arch being worked on. The term used to describe this exchange method is called
Position of use
Which nonmechanical dental hand instrument is best used to remove dental caries
Spoon excavator
What instrument is categorized as a restorative instrument
Woodson plastic instrument
What instrument is categorized as an examination instrument
Cotton forceps
Similar to a hatchet, which instrument has a curved blade, is not flat and the cutting end is angled
Gingival margin trimmer
What controls dental handpieces and is attached to the dental unit via hoses
Rheostat
The assistants stool should be positioned
4 to 6 inches above the operator
What position places the patient’s head lower than their feet
Sub-supine
What technique is used by the operator to prevent injury to the patient if the operators hand or the instrument slips while in use during treatment
Fulcrum
