Planning and Managing Dental Hygiene Care
QUESTIONS
1. A program for tobacco use cessation is an essential component of the dental hygiene care plan for appropriate patients. The first step for tobacco dependence intervention is to:
A advise users about using tobacco products.
B ask patients about their current tobacco use habits.
C suggest the use of a nicotine replacement gum or lozenges.
D educate patients about the risks of tobacco use to themselves and others.
2. The normal respiration rate range, in breaths per minute, for an adult is
3. A blood pressure reading of 146/90 mm Hg would be classified as
4. The first course of action in the dental hygiene process of care is to
A recognize any deviations or abnormalities.
B identify the presence of plaque deposits.
5. Which of the following is another name for hypoglycemia?
6. During an epileptic seizure, the patient should be placed in which position in the dental chair?
7. Body core temperature exceeding 37.5 °C (99.1 °F) but less than 41.0 °C (105.8 °F) is termed
8. All of these factors are associated with increased respiration, pulse, and blood pressure EXCEPT one. Which one is the EXCEPTION?
9. Caries management by risk assessment (CAMBRA) is an evidence-based approach to the prevention and management of caries, which assesses levels of risk and serves as a guideline for interventions. Current research indicates that the most important factor in dental caries prevention and treatment is to modify and correct the dental biofilm and transform oral factors to favor dental health.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
10. The highest pH level at which demineralization occurs in enamel is between
11. A caries management by risk assessment (CAMBRA) protocol for enamel remineralization involves chewing of xylitol gum or mints because xylitol reduces the levels of Streptococcus mutans and promotes remineralization.
A Both the statement and reason are correct and related.
B Both the statement and reason are correct and NOT related.
C The statement is correct, but the reason is NOT.
13. If a patient is taking phenytoin (Dilantin), it is usually an indication that he or she is being treated for
14. For a patient who is classified as being at moderate to extreme risk for caries, all of the following are recommended risk-reduction and treatment strategies EXCEPT one. Which one is the EXCEPTION?
A Topical and systemic fluoride use
B Chewing an antacid before bedtime
C Using a 0.12% chlorhexidine gluconate rinse
15. Hyposalivation may develop into all of these oral conditions EXCEPT one. Which one is the EXCEPTION?
16. Hand washing is recommended after removal of gloves because
A regloving is easier with damp hands.
B hand washing prevents allergic reactions with gloves.
C microorganisms can penetrate the glove after a certain amount of time.
D organisms on the hand multiply rapidly inside the warm, moist environment of the glove.
17. Which percentage of ethanol or isopropanol should an alcohol-based hand rub contain to be effective in removing transient microorganisms and reducing resident flora?
18. Which type of modifications should be made when scheduling dental appointments for a patient with significant manifestation of autism spectrum disorder?
A Longer appointments in the morning
B Every 2 weeks until the patient is familiar with the staff
C Several short, frequent appointments with the same staff members
D Frequent appointments with different members of the dental team
19. Biologic monitoring tests evaluate the effectiveness of the sterilization cycle. These monitoring tests should be performed monthly to verify effective functioning of the sterilization equipment.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
20. Which is the MOST effective test for a steam under pressure sterilization unit?
21. A patient who indicates a food allergy to avocados, chestnuts, and papayas may be at risk for which type of sensitivity?
22. Which is the MOST commonly administered agent for a patient in a hypoglycemia emergency?
23. Which pulse is palpated to check for circulation during administration of adult cardiopulmonary resuscitation (CPR)?
24. The vestibular mucosa exhibits superficial anesthesia from a topical anesthetic agent more rapidly than the hard palate because nonkeratinized tissues absorb the drug more rapidly.
A Both the statement and reason are correct and related.
B Both the statement and reason are correct and NOT related.
C The statement is correct, but the reason is NOT.
25. Which topical anesthetic would be MOST effective and offer the longest duration during scaling and root planing procedures?
26. An apparently healthy 35-year-old female presents for her first restorative appointment in 7 years. After placing topical anesthetic, prior to the injection, the patient complains of a racing heart rate and is breathing rapidly and perspiring. Which is the likely cause?
27. A patient does not want to undergo dental radiography because of a hypersensitive gag reflex and expresses anxiety related to dental procedures. Which of the following is the optimal way to suppress the gag reflex to obtain a periapical dental image?
28. The most comprehensive infection control procedures used to ensure the safe delivery of oral care are commonly referred to as
29. The CDC has identified four principles of infection control to protect all individuals. Which of the following principles is the EXCEPTION?
A Take action to stay healthy.
B Dispose of all instruments that come in contact with an infected person.
C Limit the spread of blood and other body substances that can transmit infection.
D Avoid contact with blood and other body substances that can transmit infection.
30. As identified by the CDC, which category falls under transmission-based precautions?
31. Parents of infants with high caries risk should use a xylitol-containing gum four to five times daily. Use of xylitol gum by the parent will reduce the transfer of caries-causing bacteria to the infant.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
32. All of the following are symptoms of myocardial infarction EXCEPT one. Which one is the EXCEPTION?
33. If a patient is hyperventilating at the dental appointment, the provider should reassure the patient and encourage him or her to take slow, deep breaths. Hundred-percent oxygen should be quickly administered to a patient who is hyperventilating.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
34. All of the following are symptoms of hypoglycemia EXCEPT one. Which one is the EXCEPTION?
35. After the active phase of periodontal treatment is completed, the patient’s needs are assessed and timed intervals for which procedure are planned?
36. Chronic periodontitis typically responds predictably to periodontal treatment. Treatment response is unpredictable in the case of aggressive periodontitis.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
37. A patient presents with necrotizing ulcerative periodontitis (NUP) and complains of pain. Each of the following procedures should take place on the first appointment EXCEPT one. Which one is the EXCEPTION?
A Completing restorative treatment
B Providing home plaque control instruction
C Scaling and debriding the mouth as much as possible
D Reviewing the health history for an underlying health condition
E Having the patient rinse with a mixture of 3% hydrogen peroxide and water
38. To control high levels of Streptococcus mutans in an individual with existing decay and high caries activity, which of the following protocols is recommended to control the microorganisms?
A Daily lidocaine oral rinse for 1 week
B Daily chlorhexidine rinse for 2 weeks
39. Chlorhexidine gluconate rinse is effective in the reduction of caries-causing bacteria along with the pathogens associated with periodontal disease. Chlorhexidine gluconate is a broad-spectrum antibacterial agent.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
40. Recaldent is a complex of casein phosphopeptide (CPP) and amorphous calcium phosphate (ACP) that precipitates the calcium and phosphate ions needed to remineralize teeth. CPP and ACP are used in place of fluoride products.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
41. Which of the following conditions presents as a contraindication for the use of nitrous oxide/oxygen conscious sedation?
42. Which of the following items can be adapted to aid in oral care for a patient who has difficulty holding objects because of severe arthritis? (Choose all that apply.)
43. A patient with an unshielded cardiac pacemaker requires antibiotic premedication before treatment. Ultrasonic scaling systems are safe in patients with an unshielded cardiac pacemaker.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
44. Patients with uncontrolled diabetes mellitus are at increased risk for all of the following oral conditions EXCEPT one. Which one is the EXCEPTION?
45. Which of the following emergency situations is the primary concern when a patient with diabetes presents with confusion, pallor, hunger, fatigue, blurred vision, headache, and irritability?
46. Chemotherapeutic drugs used in the treatment of cancer may cause mucositis in the oral cavity. Mucositis can be prevented or lessened by the use of sodium bicarbonate and saline water rinses to hydrate and soothe the tissue.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
47. For a patient undergoing cancer treatment and has demineralization and xerostomia, which strategy would be MOST effective for caries management?
A Xylitol-containing chewing gum
C Custom-fit fluoride gel trays
48. Oral candidiasis is the most common oral lesion associated with human immunodeficiency virus (HIV). An individual with HIV should be instructed to rinse with hydrogen peroxide daily to lessen the chance that he or she will develop candidiasis.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
49. Which of the following emergency situations is the primary concern when an individual reports a feeling of warmth, flushing of skin, and nausea and starts to perspire?
50. Which of the following actions would be MOST appropriate for the patient with a history of seizures who is experiencing an aura?
B Leaving the patient alone in the room
C Terminating the procedure and restraining the patient
D Terminating the procedure and not restraining the patient
E Placing a bite block so that the patient avoids biting his or her tongue
51. Which of the following is the primary concern when a patient experiencing blurred vision, light headedness, slurred speech, anxiety, bradycardia, tachypnea, and tinnitus after administration of four carpules of local anesthesia?
52. Which of the following options is MOST appropriate for a patient experiencing severe dentinal hypersensitivity during instrumentation at the prophylaxis appointment?
53. Each of the following agents may be effective in relieving dentinal hypersensitivity EXCEPT one. Which one is the EXCEPTION?
54. In individuals with Down syndrome, conditions that may require special care include all of the following oral manifestations EXCEPT one. Which one is the EXCEPTION?
55. The need for antibiotic premedication should be considered for an individual with a history of intravenous (IV) drug use. Damage to the tricuspid valve of the heart between the right atrium and ventricle may be associated with substance abuse.
C The first statement is true, and the second statement is false.
D The first statement is false, and the second statement is true.
56. Which of the following is the BEST choice for a prescribed postoperative pain medication for a recovering chemically dependent patient who is experiencing moderate pain?
57. Candidiasis is the most common oral characteristic of
58. Parotid enlargement, xerostomia, commissure lesions, and perimolysis are common oral characteristics of which condition?
59. Planning a home care routine for a patient with an eating disorder may include all of the following suggestions EXCEPT one. Which one is the EXCEPTION?
60. Pregnant women with poor oral health are at increased risk of
61. Recommendations for a patient with burning mouth syndrome include all of the following suggestions EXCEPT one. Which one is the EXCEPTION?
62. Individuals who have undergone radiation to the head and neck are at increased risk for all of the following conditions EXCEPT one. Which one is the EXCEPTION?
63. Health care workers diagnosed with any of the following conditions, EXCEPT one, should refrain from direct patient contact. Which one is the EXCEPTION?
64. During disinfection of the treatment room the light handles should be disinfected. Semicritical items penetrate tissue and should be autoclavable.
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