Assessment#1
Salivary gland duct obstructions in the floor of the mouth that increase/ decrease in size and resemble mucoceles or mucous cysts are called?
A. Irritation fibromas
B. Radicular cysts
C. Sialoliths
D. Pyogenic granulomas
E. Ranulas
What are Sialoliths?
What ASA classification would MOST accurately describe a patient with well-controlled hypertension and type 1 diabetes requiring insulin 4 times per day?
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
What is ASA III?
All of the following curettes are used on the posterior dentition expect one. Which of the following is the exception?
A. Gracey 17/18
B. Gracey 5/6
C. Gracey 13/14
D. Gracey 7/8
What is Gracey 5/6?
The acid-etch procedure with dental sealant placement accomplishes what?
A. increased moisture control
B. decreased biological bacterial load
C. increased mechanical retention
D. increased chemical retention
What is increased mechanical retention?
A patient’s blood pressure reads at 136/82. What stage should this patient be classified as?
A. elevated BP
B. hypertension stage I
C. hypertension stage II
D. hypertensive crisis
What is hypertension stage I?
Clinical evidence supporting the need for non-surgical periodontal therapy includes
A. bleeding on probing
B. dental history
C. diagnostic study casts
D. gingival recession
What is bleeding on probing?
During a periodontal assessment of this patient, a 4mm pocket is detected on the distal surface of tooth #27. The gingival margin is located 2 mm occlusal to the CEJ. Which of the following correctly identifies the periodontal condition of this tooth?
A. pseudopocket
B. periodontal abscess
C. periodontal necrosis
D. clinical attachment loss
What is pseudopocket?
What type of scaler is best to use on implants?
A. Titanium
B. Metal
C. Ceramic
D. Stainless steel
What is Titanium?
Due to the patient’s immunocompromised medical state, the dental hygienist decides to administer a pre-procedural rinse. Which of the following chemotherapeutic rinses would be MOST effective?
A. essential oils
B. chlorhexidine
C. stannouse fluoride
D. hypertonic saline solution
What is chlorhexidine?
How long should you wait to treat a patient after they have experienced a stroke or myocardial infarction?
A. 4 months
B. 6 months
C. 12 months
D. 18 months
What is 6 months?
During the intraoral assessment, a clinician notes a small (less than 1cm), raised growth present on the retromolar pad distal to tooth #31. Which of the following descriptions would be correct when documenting this discovery?
A. nodule
B. pustule
C. vesicle
D. papule
What is papule?
Which of the following findings would necessitate retreatment with active periodontal therapy if discovered on a reevaluation during a periodontal maintenance care visit?
A. Generalized bacterial plaque biofilm
B. Gingival inflammation
C. Gingival recession
D. Localized attachment loss of 2mm or more
E. Gingival bleeding
What is localized attachment loss of 2mm or more?
Which of the following is a contraindication of the use of an ultrasonic scaler?
A. implant
B. artificial joint
C. organ transplant
D. pacemaker
What is Pacemaker?
Which of the following tooth surfaces would be LEAST benefit from topical fluoride application?
A. lingual
B. mesial
C. distal
D. occlusal
What is occlusal?
What is the maximum recommended dose (MRD) of epinephrine for a healthy patient (ASA I)?
A. 0.1 mg
B. 0.2 mg
C. 0.3 mg
D. 0.4 mg
What is 0.2 mg?
During a periodontal assessment, a dental hygienist observes BOP at more than 30% of the sites, indicating generalized gingival inflammation. Which of the following is the MOST direct cause of this bleeding?
A. antibody migration into the gingival sulcus
B. increased vascular permeability due to inflammatory cell infiltration
C. loss of collagen fibers in the periodontal ligament
D. apical migration of the junctional epithelium
What is increased vascular permeability due to inflammatory cell infiltration?
While performing an intra oral exam on a patient, a distinct 2 to 3mm band of erythema is present along the free gingival margin. The patient has a history of HIV. What oral pathology is present in the oral cavity?
A. Erythema multiforme
B. Linear gingival erythema
C. Verruca vulgaris
D. Leukoedema
What is linear gingival erythema?
At what angle should you use an anterior sickle scaler?
A. 30-40 degrees
B. 50-60 degrees
C. 70-80 degrees
D. 90 degrees
What is 70-80 degrees?
Angular cheilitis is a result of a deficiency of which vitamin?
A. Thiamin
B. Niacin
C. Folate
D. Riboflavin
What is Riboflavin?
Which of the following is a contraindication for dental treatment?
A. valvue replacement
B. COPD
C. stage I hypertension
D. uncontrolled arrhythmias
What is uncontrolled arrhythmias?
Which of the following is NOT a common oral manifestation of older adult patients?
A. abrasion
B. decreased pulp chamber size
C. increased sensitivity
D. decreased sensitivity
What is increased sensitivity?
A tooth demonstrates moderate bone loss, and a probe can enter the furcation but cannot pass though the roots. What is the classification of this furcation?
A. Class I
B. Class II
C. Class III
D. Class IV
What is Class II?
When should you utilize the After-Five's?
A. when scaling supragingivally
B. when scaling large calculus deposits
C. with 1-3 mm pockets
D. with 5+ mm pockets
What is 5+ mm pockets?
Handwashing is the most effective strategy in the prevention of:
A. Environmental surface contamination
B. Instrument contamination
C. Infection and disease transmission
D. Occupational hazards
What is Infection and disease transmission?
An anxious patient is at a high risk for which of the following conditions?
A. Cardiac problems from increased sympathetic epinephrine
B. Syncope
C. Hyperventilation
D. All of the above
What is all of the above?
(Cardiac problems from increased sympathetic epinephrine, Syncope, Hyperventilation)