10 Pre- and Post-operative Advice

10  Pre- and Post-operative Advice

Multiple choice questions

1. A patient attends the surgery with a discoloured lower left central incisor and a radiograph shows that no root filling is present. The dentist arranges to test the vitality of the tooth using gutta percha. Which one of the following sensations should the patient be told to expect if the tooth is vital?

(a) Cold
(b) Hot
(c) No sensation
(d) Pain
(e) Tingling
2. A male patient is to attend the surgery for dental treatment under intravenous sedation. Which one of the following is the preoperative advice he should receive before undergoing this procedure?

(a) Arrange an adult escort
(b) Bring cash for a taxi home
(c) Do not take usual medications
(d) Drive to the surgery
(e) Starve for 6 hours beforehand
3. A female patient is to receive an inferior dental nerve block injection for the first time and has asked you to explain what it will feel like once given. Which one of the following effects of a local anaesthetic would you tell the patient to expect?

(a) It does not affect the soft tissues
(b) It is painful
(c) It is permanent
(d) It lasts a few hours
(e) It lasts a few minutes
4. A female patient has attended the surgery with a missing upper left lateral incisor, which she wishes to have replaced. Which one of the following dental treatments will not be discussed in this case?

(a) Acrylic partial denture
(b) Chrome partial denture
(c) Porcelain bonded cantilever bridge
(d) Porcelain bonded crown
(e) Titanium implant
5. A teenage patient is considering whether to undergo orthodontic treatment to correct his malocclusion and has asked what is likely to be done at the initial assessment appointment. Which one of the following treatments will not be carried out at this appointment?

(a) Bonding
(b) Impression taking
(c) Oral hygiene instruction
(d) Photographs
(e) Radiographs
6. When patients attend the surgery for a dental examination, their level of knowledge and skill in relation to their own oral health will be assessed by the dental team. Which one of the following is the most likely issue that can be altered by the team?

(a) Disability
(b) Health condition limiting plaque removal
(c) Level of interest shown
(d) Previous advice given
(e) Serious medical problem
7. A patient has had an upper chrome partial denture fitted and is receiving her wearing and maintenance instructions from the dentist. Which one of the following instructions will not be given to this patient?

(a) Attend recall appointments
(b) Clean with toothpaste and water
(c) Handle over bowl of water
(d) Immerse in hypochlorite
(e) Remove at night
8. A patient attends the surgery as an emergency, following fracture of the lower left second molar tooth. The dentist recommends that the tooth is extracted and arranges to take a radiograph of the tooth first. Which one of the following is the reason for taking the radiograph?

(a) Check for bone loss
(b) Check for caries
(c) Check for root curvatures
(d) Check for root filling
(e) Check the number of roots
9. Information received from patients about their attitudes to oral health issues, and their motivation to improve their oral health, will vary between age groups. Which one of the following difficulties must be overcome by the dental team before progress can be made with adult patients?

(a) Bad habits already present
(b) Immature attitude
(c) Parental influence
(d) Peer pressure
(e) Short attention span
10. A patient has attended the surgery for the cementation of a three unit fixed–fixed bridge to replace the missing upper right central incisor. Which one of the following oral health products should be recommended to the patient for regular use now the bridge has been fitted?

(a) Dental tape
(b) Interspace brush
(c) Mouthwash
(d) Superfloss
(e) Toothbrush
11. A teenage patient has attended the surgery for an orthodontic assessment, with a view to having orthodontic treatment. Which one of the following reasons for orthodontic treatment is appropriate in this case?

(a) Improve aesthetics
(b) Improve functional occlusion
(c) Improve oral hygiene
(d) Patient request
(e) Reduce caries incidence
12. A patient attends the surgery with a discoloured upper right central incisor, and a radiograph shows that no root filling is present. The dentist arranges to test the vitality of the tooth using ethyl chloride. Which one of the following sensations should the patient be told to expect if the tooth is vital?

(a) Cold
(b) Hot
(c) No sensation
(d) Pain
(e) Tingling
13. A patient attends the surgery with the upper left incisor teeth fractured at the gingival margin following a car accident. Which one of the following medical conditions would persuade the dentist to recommend extraction rather than root canal therapy in order to avoid bacteraemia?

(a) Angina
(b) Emphysema
(c) Epilepsy
(d) Haemophilia
(e) Valvular heart disease
14. A patient attends the surgery with a Class II cavity in the lower right second molar tooth, with a lingual extension. Which one of the following is the dentist most likely to recommend to the patient as initial treatment for this tooth?

(a) Amalgam restoration
(b) Extraction
(c) Glass ionomer restoration
(d) Porcelain bonded crown
(e) Root canal therapy
15. Following the placement of a composite restoration under local anaesthesia in the upper right central incisor, the dentist advises the patient not to attempt to eat anything until the anaesthetic has worn off. Which one of the following is the reason for this advice?

(a) Allow the filling to set fully
(b) Avoid damage to the tooth
(c) Avoid dislodging the filling
(d) Avoid soft tissue trauma
(e) Avoid staining the filling
16. A patient attends for the extraction of an upper right first premolar tooth, and admits it is his first experience of an extraction. You explain to the patient that he should not feel which one of the following sensations?

(a) Bleeding
(b) Numbness
(c) Pain
(d) Pressure
(e) Pushing
17. A patient has had an immediate replacement acrylic denture fitted, after the extraction of the four upper incisors at the fit appointment. The dentist advises waiting for what length of time before considering a replacement denture?

(a) 3 months
(b) 6 months
(c) 12 months
(d) 18 months
(e) 24 months
18. A patient attends the surgery with a discoloured upper left lateral incisor tooth, which was root filled many years ago, and asks for advice on improving the appearance of the tooth. Which one of the following treatments is likely to be recommended by the dentist?

(a) Full gold crown
(b) Implant
(c) Porcelain bonded crown
(d) Porcelain jacket crown
(e) Porcelain veneer
19. A teenage patient has just had a fixed orthodontic appliance bonded to her upper teeth to correct a malalignment. Which one of the following oral health aids should be recommended for cleaning around the brackets?

(a) Dental floss
(b) Dental tape
(c) Interspace brush
(d) Superfloss
(e) Toothbrush
20. A patient attends the surgery with a discoloured lower right lateral incisor and a radiograph shows that no root filling is present. The dentist arranges to test the vitality of the tooth using an electric pulp tester. Which one of the following sensations should the patient be told to expect if the tooth is vital?

(a) Cold
(b) Hot
(c) No sensation
(d) Pain
(e) Tingling
21. A patient is undergoing the procedure of having a lower acrylic partial denture constructed, and the dentist has advised that stainless steel clasps are incorporated into the design. Which one of the following is the reason for their use?

(a) Avoids food trapping
(b) Avoids lisping
(c) Improved aesthetics
(d) Improved fit
(e) Improved retention
22. A patient is to attend for a crown preparation on the upper left first molar tooth, which is heavily filled. The dentist arranges to take a radiograph of the tooth beforehand. Which one of the following is the reason for taking the radiograph?

(a) Check for periapical disease
(b) Check for root curvature
(c) Check the depth of the filling
(d) Check the margins of the filling
(e) Check the number of roots
23. A patient re-attends the surgery 6 hours after having a tooth extracted that morning, complaining that the socket has started bleeding again. Which one of the following is the initial treatment?

(a) Irrigate the socket
(b) Place a bite pack
(c) Place an antiseptic dressing
(d) Prescribe antibiotics
(e) Suture the socket
24. A patient attends for root canal therapy and restoration of the upper right canine tooth, following its loss of vitality after a blow to the face. Which one of the following medical conditions must be ruled out before proceeding with the endodontic treatment?

(a) Asthma
(b) Bronchitis
(c) Eczema
(d) Latex allergy
(e) Penicillin allergy
25. A patient attends the surgery after an absence of 3 years, complaining that his upper full acrylic denture has become loose. Which one of the following is the dentist most likely to recommend that will solve the problem?

(a) Add stainless steel clasps
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Jan 8, 2015 | Posted by in Dental Nursing and Assisting | Comments Off on 10 Pre- and Post-operative Advice
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