Final Preclinic Post Lecture Quiz

Angulation when a curette is closed for insertion

0-40 degrees

T/F: 1. For posterior sickle (204S), you may find the working end by using the "V to the D" method. 2. For posterior sickle (204S), you may find the working end by using the "packman" method.

1. is correct, 2. is false.

The adult range of normal for respiration is

12-20, or 14-20

Tachypnea is a breathing rate of more than how many respirations per minute (RPM)?

20

During what ages would you expect to see mixed dentition

6 years trough 12 years

The pulse is a measurement of the number of heartbeats in

60 seconds

Angulation when curette is opened on cementum:

60-70 degrees

For sickle scalers the relationship between the face of the blade and the terminal shank:

60-80 degrees

Angulation when curette is opened on enamel:

70-80 degrees

Working angle for sickle scalers, both the posterior sickle (204S) and the anterior sickle (H5).

70-80 degrees

Human body temperature average is 37 degrees celcius or

97 degrees Fahrenheit

Patient with a mild controlled systemic disease.

ASA II

Enamel loss at the gingival margin, often in a "v" shape. The etiology is unknown, but it is thought due to microfractures from traumatic occlusion.

Abfraction

Fracture at the gingival margin theorized to be caused by traumatic occlusion.

Abfraction

Loss of tooth structure due to wear from a structure that is not a tooth, such as a hard bristle toothbrush.

Abrasion

Manipulating the instrument on a fulcrum to produce a working stroke on the tooth surface.

Activation

Utilizing the correct part of the working end, typically the side of the terminal third of the blade, called the tip or toe.

Adaptation

Teratogen:

Agent that may cause abnormalities in fetal development.

A patient has no allergies and is able to swallow oral medication. The prophylactic antibiotic that would be prescribed to them:

Amoxicillin 2 Grams (Four 500mg pills)

Angle of the face of the blade of the instrument to the tooth surface.

Angulation

FDA Pregnancy Category B indicates

Animal studies show no risk to fetus in first trimester, no well controlled studies on pregnant women.

Chronic hypertension is due to thickening and loss of elasticity in the walls of

Arteries

How often is it recommended to take blood pressure in a dental setting?

At every appointment

Loss of tooth structure due to tooth-to-tooth wear.

Attrition

What is the correct acronym: A- HIPAH B- HIPAA C- HIPPA D- HIPA

B- HIPAA

Which palpation method is used to palpate the lips?

Bidigital palpation

T/F: Hydroxyapatite may be found in enamel and dental calculus. Both teeth and calculus may be fluoridated.

Both statements are true

T/F: Non-cancerous lesions usually have well-defined borders and are mainly round or ovoid. Cancers have poorly defined borders and, thus, an irregular shape.

Both statements are true

T/F: The posterior one-third of the tongue is its base, which attaches to the floor of the mouth. The anterior two-thirds of the tongue is its body, which lies within the oral cavity.

Both statements are true

The ASA classification originated from the American Society of Anesthesiologists to categorize patients based on their health and health risks. Dental Hygiene use the ASA classification to determine if modifications are required for safe patient care.

Both statements are true

In healthy clients, lymph nodes are usually small structures that are soft and mobile in the surrounding tissue and ______ be visualized and _____ be felt when palpated.

Cannot; cannot

Drug that has been shown safe in animal trials, but not human trials:

Category B

This FDA Pregnancy Category has shown adverse effects to a fetus in animal trials. Though, the potential benefit of the drug may warrant the use of the drug in pregnant women despite potential risk.

Category C

Human studies show risk to a developing fetus but the benefits of this drug may warrant use despite those risks.

Category D

Decay in pits and fissures would fall under

Class I

The Blacks Classification of Decay for the below restoration:

Class II

A curette, since it it used beneath the gingival margin, would need to be sterilized and would be an example of which instrument management categorization

Critical

A dental hygiene curette is considered a

Critical instrument

Musculoskeletal or nervous system injuries caused by repeated, awkward, or forceful motion, mechanical stress, vibration, and/or cold temperatures:

Cumulative trauma

Emergencies such as fainting, blood loss, and shock will cause blood pressures to

Decrease

A patient voluntarily sitting in the dental chair gives on implied consent for:

Dental assessments

Basic immunizations recommended for the dental hygienist include all of the following except: A- MMR B- Hepatitis B C- Varicella D- DTP E- Leprosy

E- leprosy

Loss of tooth structure due to chemical degradation.

Erosion

Each of the following is a reason why a lesion may be erythematous EXCEPT one. Which is the EXCEPTION?

Excess keratin in superficial epithelium

T/F- An intermediate-level disinfectants inactivate bacterial endospores and all forms of bacteria, fungi, and viruses.

False

T/F: Antibiotic premedication should be taken immediately after the dental procedure.

False

T/F: Subgingival calculus is less mineralized and easier to remove, as compared to supragingival calculus.

False

T/F: You must wear gloves and a face shield to take vitals in our clinic.

False

Which digit(s) should be used to assess the radial pulse?

Fingertips of first two or three fingers

Which bacteria is used to test an autoclave?

G. Stearothermophilus

An indurated lesion indicates:

Hardened

HIPAA stands for

Health Insurance Portability and Accountability Act

Prophylactic antibiotic premedication is taken before dental appointments to prevent

Infective endocarditis

Why is the mercury-in-glass thermometer no longer recommended?

It is no longer recommended due to the mercury it contains.

When the bladder within the occluding cuff is deflated, the blood begins to flow intermittently through the brachial artery, producing rhythmic, knocking sounds known as

Korotkoff sounds

Auscultation is to:

Listening to sounds of the body, typically with a stethoscope

Materia Alba

Loose deposit of microorganisms, epithelial cells, and food debris that is usually a yellow-whitish color.

What is a flat, nonpalpable area that is 1 cm in diameter?

Macule

Which type of cancer is the reason why it is important to discuss all localized brownish, bluish, or black lesions with the collaborating dentist or to refer them for an evaluation of the need for removal by biopsy?

Malignant melanoma

Activation:

Manipulating the instrument on a fulcrum to produce a working stroke including wrist motion, instrument roll, and pivot.

Technique to use the patient's extrinsic and intrinsic motivation, the patient's knowledge, and the patient's plan to ultimately make a change.

Motivational Interviewing

A BP of 118/76 is ____ whereas a BP of 118/82 is _____.

Normal, Stage 1

A BP of 118/76 is ____ whereas a BP of 122/76 is _____.

Normal, elevated

Which of the following organization sets safety standards for working, including the PPE we wear and the MSDS sheet requirements?

OSHA

After a needle stick from an unknown or HIV+ patient, a healthcare provider may require:

PEP

For universal curette the relationship between the face of the blade and the terminal shank

Parallel

A symptom is subjective condition reported by the ___________. A sign is an objective condition that is observed directly by the __________.

Patient; clinician

The "P" in HIPAA stands for:

Portability

This, which is regulated on the state level, indicates permitted functions for medical professionals.

Practice Act

All of the following are the current indications for prophylactic antibiotics EXCEPT:

Prosthetic joint replacement

The most common site for measuring the pulse is which artery?

Radial

In a dental chair, pulse is typically measured from the

Radial artery

On a paper chart, the red line around the below restoration indicates what?

Recurrent decay

A patient presents with a history of a heart attack. The myocardial infarction took place 5 months ago. The ASA classification for this patient would be ASA 4 indicating:

Red flag for dental treatment. Wait for disease to be better controlled or treat patient at a hospital dental clinic in case of emergency.

Erythroplakia

Red patches on skin or oral mucosa

During a past appointment the hygienist charted a small lesion that perforated the mucosa, similar in appearance to an aphtous ulcer. 4-6 weeks later the recare appointment, the lesion persist. The most likely indication for follow up:

Refer to dermatologist or oral surgeon for biopsy.

Festooned gingiva

Ribbon-like ups and down

A dental mirror is considered a

Semicritical instrument

Classic method of instruction for pediatric patients, anxious patients, and for OHI:

Tell Show Do

What is the name for the small bulge of tissue at the most anterior part of the hard palate, and palatal to the anterior teeth?

The incisive papilla

T/F: Intrinsic stains are incorporated into the crystal structure of the tooth and can not fully be removed with polishing.

True

T/F: Patients with a positive PPD test that do not have signs or symptoms of TB may undergo dental hygiene treatment.

True

T/F: Prophylactic antibiotics will almost always be prescribed for a patient who had a previous case of infective endocarditis.

True

T/F: Smoking may affect your body temperature

True

T/F: Standard precautions apply to blood and other body fluids except for sweat and tears.

True

T/F: The endocardium is the smooth membrane the lines the inner layer of the heart. Infective endocarditis is a life-threatening infection of the endocardium.

True

What does the "T" in the TNM Staging System stand for?

Tumor

T/F: stippling is a sign of health smooth is a sign of disease

Ultimately depends on state of health: stippling can be seen in both health and disease, though loss of stippling is a sign of disease.

Adaptation

Utilizing the correct part of the working end, typically the tip or toe third.

Adaptation:

Utilizing the correct part of the working end.

The lips are outlined from surrounding skin by the

Vermillion Border

Which term is used to describe the texture of a lesino having rough wartlike surfaces with multiple irregular folds?

Verrucous

A papule is

a solid raised lesion less than 1cm in size

Angulation is:

angle of the face of the blade of the instrument to the tooth surface

Tobacco and alcohol-related oropharyngeal cancer lesions tend to favor the ________ part of the oral cavity with symptoms possible, and HPV-associated lesions tend to favor the ___________ part of oral cavity usually without the typical symptoms or signs in the oral mucosa.

anterior; posterior

Margin of the gingiva:

gingival margin from line angle to line angle on one tooth

High blood pressure is related to al of the following except:

infective endocarditis

The mortality rate for oral and oropharyngeal cancer is mainly a result of

late detection of the disease

What is normal blood pressure?

less than 120/less than 80

According to Blacks classification, Class III refers to caries on the

proximal surfaces of incisors and canines