Dental Hygiene Assessments and Care Planning, Exams of Advanced Education

Download Dental Hygiene Assessments and Care Planning and more Exams Advanced Education in PDF only on Docsity! CT III Practice Test #2 Questions With 100% Correct Answers | Verified | Updated 2023- 2024 Patient Histories 1. Collecting a complete health history allows the dental practitioner to: a)determine the need for oral procedures. b)assess the client's level of oral and systemic wellness. c)provide evidence-based treatment procedures. d)gain historical information on client health. b 2.When the medical history includes a history of myocardial infarction, which of the following assessments is used to determine when it is safe to provide oral care? a)Six months of time have passed since the event b)Three months of time have passed since the event c)The client has functional capacity to run a short distance and climb stairs d)Either a or b c 3. All of the following are related to clinical issues of liver disease except one. Which is the exception? a)Bleeding problems b)Oral ulcerations c)Risk of blood-borne contagion b 4. Which of the following conditions requires antibiotic prophylaxis before oral procedures? a)Heart murmur b)Mitral valve prolapse c)Prior infective endocarditis d)Heart transplant c Vital Signs 5. The pulse is usually determined by palpating which of the following? a)Radial artery b)Carotid artery c)Brachial artery d)Femoral artery a 6. If a client's blood pressure is abnormal the first time you take it, you should do which of the following? a)Inform the dentist. b)Re-take the blood pressure. c)Call the client's medical doctor. b 7. You have taken the client's blood pressure and your readings taken 10 minutes apart are 150/116. When the client came in last week, the blood pressure was 120/80. According to blood pressure guidelines, what will the dentist recommend to the client? a)The client should be referred for a medical consult before dental treatment. b)The client should be referred for a medical consult after dental treatment. (see table 14.6) c)No medical consult is needed; treat as usual. a 8. If you have taken the client's blood pressure and the reading is abnormal, you should: a)tell the client that they need to take medication for their high blood pressure. b)ask the client about environmental factors. c)take the blood pressure again. d)do nothing. c Pharmacologic history 9. What type of effect is seen in a client who experiences a response to a drug that is qualitatively different from the usual or expected response? a)Drug toxicity b)Hypersensitivity reaction c)Drug idiosyncrasy d)Pathologic influence c 10. What term is used to describe the need for an increasingly larger dose to produce the desired clinical effect? a 21. The tonsillar tissue located in the oral cavity and pharynx consists of _____ tissue. a)layers of connective b)masses of lymphoid c)layers of muscular d)masses of nerve b 22. Which of the following can be noted of a client during initial appraisal that gives an indication of deafness or stroke history? a)Wearing long pants b)Increased weight gain c)Slurred speech d)Wearing clear glasses c 23. Which of the following conditions is necessary for an effective extraoral assessment by a dental hygienist of a client in a dental office setting? a)Subdued lighting b)Supine patient c)Upright patient d)Tight tie c Hard Tissue Examination 24. Which of the following descriptions refers to a Class I molar relationship? a)Buccal groove of mandibular first permanent molar is distal to the mesiobuccal cusp of the maxillary first permanent molar. b)Buccal groove of mandibular first permanent molar is mesial to the mesiobuccal cusp of the maxillary second permanent molar. c)Mesiobuccal cusp of maxillary first permanent molar occludes with buccal groove of mandibular first permanent molar. d)Mesiobuccal cusp of maxillary first permanent molar occludes with buccal groove of mandibular second permanent molar. c 25. In normal occlusion, the maxillary incisors vertically overlap the mandibular incisors. This vertical overlap is known as the "overjet." a)Both statements are true. b)Both statements are false. c)The first statement is true, and the second statement is false. d)The first statement is false, and the second statement is true. c 26. In normal occlusion, the maxillary incisors are lingual to the mandibular incisors. The horizontal distance between the incisal edges of the maxillary and mandibular teeth is known as the overbite. a)Both statements are true. b)Both statements are false. c)The first statement is true, and the second statement is false. d)The first statement is false, and the second statement is true. b 27. According to Angle's classification, how would you classify the following occlusion in which the buccal groove of the mandibular first molar is distal to the mesiobuccal cusp of the maxillary first molar by at least the width of a premolar and the maxillary central incisors retrude? a)Class I b)Class II, division 1 c)Class II, division 2 d)Class III c 28. When measuring for furcation involvement, which of the following classes is described by the probe passing completely through the furcation, but the furcation is not clinically visible? a)Class I b)Class II c)Class III d)Class IV c 29. How is the term crossbite defined? a)Localized absence of occlusion b)Abnormal buccolingual relationship of teeth c)Torsiversion is present d)Excessive vertical overlap of the incisors b 30. Abrasion is the wearing of tooth by what mechanism? a)By dissolution of organic matrix b)By tooth to tooth contact c)By forces other than mastication d)By wearing of tooth by a chemical process c 31. Which bite situation can be produced from thumbsucking? a)End to end b)Crossbite c)Open bite d)Overbite c 32. What is Black's classification for a Mesiolingual restoration on tooth 1.2? a. Class I b. Class II c. Class III d. Class IV c 33. What is Blacks classification for caries on the lingual pit of tooth 2.2? a.Class I b.Class II 41. All of the following factors are protective factors for children 0 to 5 years of age except one. Which is the one exception? a)Mother or caregiver who uses xylitol mints or gum 4 to 5 times daily b)Mother or caregiver who has no more than one carious lesion c)Residence in a fluoridated water community d)Dental examination for a child with oral hygiene instruction for the parent b 42. Placement of restorations reduces the bacterial challenge. Bacterial challenge can be reduced by antibacterial therapy. a)Both statements are true. b)Both statements are false. c)The first statement is true, and the second statement is false. d)The first statement is false, and the second statement is true. d 43. Which caries risk case requires an acid neutralizing rinse after snacks and meals for patients 6 years and older to adult? a)Low risk b)Moderate risk c)High risk d)Extreme risk d 44. Which caries risk classification requires use of 1.1% sodium fluoride toothpaste rather than an over-the-counter (OTC), fluoride-containing toothpaste for patients age 6 years and older to adult? a)Low risk b)Moderate risk c)High risk d)Extreme risk c Periodontal Assessments 45. The client exhibits a periodontal pocket of 6 mm. The amount of recession is 3 mm and the distance from the gingival margin to the mucogingival junction is 9 mm. What is the amount of attached gingiva present? a)2 mm b)3 mm c)4 mm d)8 mm b 46. Which of the following is a moveable tissue loosely attached to underlying alveolar bone? a)Gingival papilla b)Attached gingiva c)Alveolar mucosa d)Junctional epithelium c 47. The fibrous connective tissue that surrounds and attaches the tooth roots to the alveolar bone is: a)cementum. b)dentin. c)unattached gingiva. d)periodontal ligament (PDL) d 48. When the junctional epithelium has migrated below (apical to) the cementoenamel junction (CEJ), but remains above the crest of alveolar bone, what type of defect is present? a)Furcation b)Intrabony pocket c)Gingival dehiscence d)Suprabony pocket d 49. Which mobility classification describes a tooth that can be moved more than 1 mm in any direction but is not depressible in the socket? a)Class I b)Class II c)Class III b 50. All of the following conditions can be observed on radiographs except one. Which is the one exception? a)Status of the lamina dura b)Tooth crown to root ratio c)Height of the facial bony plate d)Changes in the PDL space c 51. where do most periodontal infections begin? a)col. b)junctional epithelium. c)alveolar mucosa. d)attached gingiva. a 52. Which of the following is a local contributing factor to periodontal disease? a)Subgingival margin placement of a crown b)Bleeding on probing c)Financial stress d)Past history of periodontitis a 53. The term periodontal disease includes both gingivitis and periodontitis. Gingivitis is characterized by inflammation with no loss of attachment. a)The first statement is true, and the second statement is false. b)The first sentence is false, and the second statement is true. c)Both statements are true. d)Both statements are false. c Oral and Systemic Link 54. Chronic periodontitis has been suggested as a risk factor for all of the following systemic problems except: a)preterm birth. b)hemorrhagic stroke. c)Alzheimer's disease. d)coronary heart disease. e)type 2 diabetes mellitus. b)is derived from the data collected during assessment. c)requires the signature of the dentist. d)is necessary for planning and implementing dental hygiene care. c 63. The dental hygiene diagnosis is made after which phase of the process of care? a)Assessment b)Planning c)Implementation d)Evaluation a 64. Dental hygienists are cautioned not to make a dental diagnosis but rather to identify client problems or conditions for the dentist, who will then make a dental diagnosis. Which of the following statements on the client record demonstrates that the dental hygienist is making a dental diagnosis rather than communicating a problem in need of a dental diagnosis? a)Mr. Smith has a 5 mm of attachment loss in the periodontal areas on teeth 2, 3, 14, 15, 17-18, and 30-32. b)Mr. Smith has severe necrotizing ulcerative periodontitis. c)Mr. Smith has signs of periodontal disease around tooth 12. d)There is a radiolucent area on Mr. Smith's radiograph around tooth 5. b Dental Hygiene Care Plan 65. Each of the following statements represents the purpose of a client-centered dental hygiene care plan except one. Which is the one exception? a)Resolution of an oral health problem amenable to dental treatment services b)Prevention of a problem c)Promotion of oral health d)Supports the dental treatment plan a 66. Which of the following will ensure that a dental hygiene care plan will be focused on comprehensive client needs? a)Formulating the dental hygiene care plan from client oral symptoms b)Formulating the dental hygiene care plan from client-centered goals c)Formulating the dental hygiene care plan from the dental hygiene diagnosis d)Formulating a dental hygiene care plan that addresses both preventive and therapeutic dental hygiene services c 67. Which component of the dental hygiene care plan defines the client's desired outcome of care? a)Dental hygiene diagnosis b)Client-centered goals c)Dental hygiene intervention strategies d)Appointment schedule b 68. A well-defined client-centered goal will reflect the evidence of the diagnosed unmet human need. Upon which component of the dental hygiene diagnosis are the client-centered goals defined? a)Statement of the problem b)Statement of cause/etiology c)Statement of signs and symptoms d)Statement of chief complaint c