CSCE, Dental Hygiene CSCE Practice Exam, Radiography anatomy, Dental Hygiene Prometric 2,, Exams of Nursing

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CSCE, Dental Hygiene CSCE Practice Exam,

Radiography anatomy, Dental Hygiene

Prometric 2, Prometric Review, Dental Hygiene

Prometric Exam, CSCE, CSCE, 2 Dental Hygiene

Prometric 2, Computer Simulated Dental

Hygiene Exam, Dental Hygiene Prometric

Exam/ 1,432 Quizzes & Verified Ans

IO picture of a white mark on the mandibular labial mucosa. What is this caused by? - Answer: Granulation tissue presence Cleft palate - Answer: Fibroma - Answer: Caused by trauma or habitual cheek biting

Dense connective tissue May be firm or soft Tx-surgery Periapical Abscess (acute) - Answer: Radiolucent area at apex Inflammation of pulp composed of pus that creates a fistula Tx- drainage, RCT, extraction Dental/Periapical Granuloma (Chronic apical periodontitis) - Answer: Localized mass of chronic granulated tissue forms if a periapical abscess if left untreated ~ no symptoms Dense connective tissue and epithelial rests of Malassez Asymptomatic Radiolucency at apex and slight widening of PDL Radicular (periapical) Cyst - Answer: Most common cyst in the oral cavity Develops from pre-existing periapical granuloma More common in males Fluid filled sac lined by stratified squamous epithelium Associated with the root of a non-vital tooth Need biopsy to differentiate btwn this and a periapical granuloma Residual Cyst - Answer: Forms when a tooth is extracted and or part of the periapical cyst is left behind Radiolucency at the sight of extraction Takes months/years Tx- surgically removed Class III - Prognathic - Answer:

Dens in Dente OR Dens invaginatus - Answer: "tooth within a tooth" rare dental malformation found in teeth where there is an infolding of enamel into dentine. Dens evaginatus - Answer: accessory enamel cusp found on the occlusal surface most often in mand premolars There is erosion on the man linguals. What should you advise a bulimic patient to do? - Answer: rinse with sodium bicarbonate Angles classification - Answer: Class I - mesognathic Class II- retrognathic: Division I - all anteriors are flared Division 2- lateral incisors are flared Class III- prognathic Sublingual folds - Answer: Materia Alba - Answer: What is the cause of a child having an open bite? - Answer: thumb sucking Amelogenesis Imperfecta - Answer: Radiograph of a crown fracture - Answer: make sure to know it was not the patient that moved Coronoid process - Answer:

Articular eminence - Answer: Radiograph of Zygomatic Process - Answer: palatal papillary hyperplasia - Answer: Can be caused by poor hygiene of denture or ortho appliance that sits on roof of mouth Aspirin burn - Answer: Can be wiped away Ophthalmic herpes zoster - Answer: reactivation of dormant varicella zoster virus residing within the ophthalmic nerve (the first division of the trigeminal nerve) Eruption pattern of permanent max teeth - Answer: 1st molar 6- Centrals 7- Laterals 8- 1st premolar 10- 2nd premolar 10- Canines 11- 2nd molar 12- 3rd molars 17- Eruption pattern of permanent mand teeth - Answer: 1st molar 6- Centrals 6- Laterals 7- Canines 9- 1st premolar 10- 2nd premolar 11- 2nd molar 11-

3rd molars 17- Will a hypoglycemic patient have a slow or fast heartbeat? - Answer: accelerated heart rate. What can cause a diastema - Answer: heredity/genetics missing/malaligned teeth Jaw Discrepancies large labial frenum Lamina Dura - Answer: How to calculate CAL - Answer: CAL is calculated by adding the probing depth to the gingival recession How to calculate WAG - Answer: Subtract the probing depth from the outside measurement of the gingiva, Gingival recession - Answer: What medication would you use to treat median rhomboid glossitis - Answer: Antifungals affects filiform papilla How long does Oraquix last? - Answer: 14-21 minutes Examples of ASA II - Answer: Mild systemic diseases Stage 1 hypertension Well controlled type 2 diabetes

Well controlled epilepsy Well controlled hyper/hypo thyroid Well controlled asthma Pregnant Heart murmur

6 months post myocardial infarction What diseases require pre-med? - Answer: Prosthetic cardiac valve Previous infective endocarditis Congenital Heart disease -unrepaired CHD -repaired CHD w/ residual effects Cardiac transplant Dental pre-med Regimen - Answer: Take one hour prior to appt Amox- 4 , 500mg (2g) ~ child 50 mg/kg Clindamycin- 2 , 300 mg tabs ~ child 20 mg/kg Blood Pressure - Answer: Normal (ASA I ) <120/< Pre-Hyper (ASA I ) 120-139 / 80- Stage 1 Hyper (ASA II) 140-159 / 90- Stage 2 Hyper (ASA III) 160-179 / 100- Stage 2 Hyper (ASA IV) >180/>110 NO TX**

A lesion is found on the tongue. What question should you ask in order to provide optimal treatment? - Answer: How long has it been there? Radiograph of Incomplete root formation - Answer: Radiolucency around apices Patient presents with Epstein barr virus. Symptoms are similar to what? - Answer: Mononucleosis What is the antibiotic treatment for MRSA - Answer: IV vancomycin Why would a probe be tipped interproximally while measuring posterior teeth? - Answer: to determine furcation involvements How long should a Fl tray stay in the mouth - Answer: 4 minutes What is a possible effect of APF fluoride - Answer: etching Where should APF fluoride be avoided - Answer: Recession Tobacco staining - Answer: What could occur from having a food trap between teeth? (contacts not touching) - Answer: caries A client previously had a knee replacement. What should you do before treatment - Answer: Contact surgeon and see if pt needs pre-med

Pt received SRP and put on a 2 week re-eval. All the tissue was healthy except one area. what should you do? - Answer: explore and rescale if needed A patient with long term steroid use will experience what? - Answer: decreased healing Fordyce spots - Answer: No TX necessary After laying supine for a long period of time, the patient feels light headed when sat up. What is occuring? - Answer: orthostatic hypotension Overhang restoration - Answer: Which permanent teeth replace primary molars? - Answer: pre molars Are permanent molars considered succedaneous teeth - Answer: No, they do not follow a primary tooth Burnishing calculus - Answer: Would gingivitis cause the max incisors to flare? - Answer: NO What do you do if the patient is experiencing an acute asthma attack? - Answer: give pt inhaler Dental Fluorosis - Answer: Should instruments be transported with regular exam gloves? - Answer: NO What toothbrushing method should be used on a patient with braces? - Answer: Charters

Plavix is a blood thinner in which will increase.. - Answer: the risk of bleeding Retained primary tooth - Answer: What medications can cause gingival hyperplasia - Answer: Anticonvulsants (phenytoin/dilantin, phenobarbital, lamotrigine, vigabatrin, ethosuximide, topiramate, and primidone) Antihypertensives (calcium channel blockers such as nifedipine, amlodipine, and verapamil) Immunosuppressant (cyclosporine) High frenum attachment - Answer: can cause recession due to constant irritation Urticaria - Answer: Dental Class restorations - Answer: Class I - occlusal or buccal/lingual pits Class II - posterior interproximal Class III - anterior interproximal Class IV - ant interprox including incisal edge Class V - cervical 1/3 of the buccal or lingual Class VI - cusp tips Muscles of Mastication - Answer: Innervated by V Masseter - Elevates the mandible

Temporalis - Elevates/retracts mandible Medial Pterygoid - Elevates the mandible Lateral Pterygoid - side to side motion Branches of the Trigeminal Nerve - Answer: V1 - sensory V2- sensory V3- motor Cranial Nerve VII - Answer: innervates muscles of facial expression Cranial nerve XII - Answer: Hypoglossal nerve - motor innervates muscles of the tongue What innervates that muscles of the soft palate and pharynx - Answer: Pharyngeal Plexus which is a grouping of glossopharyngeal IX, vagus X, spinal accessory XI Which cranial nerve determines gag reflex - Answer: Glossopharyngeal IX Chorda Tympani - Answer: branch of facial nerve VII sensory taste to anterior 2/3 of tongue Sensory taste to posterior 1/3 of tongue - Answer: Glossopharyngeal IX

What is the longest cranial nerve - Answer: Vagus X Which anterior tooth is most likely to be bifurcated? - Answer: mand canine What layer does enamel come from? - Answer: ectodermal What is special about the max pre-molars? - Answer: mesial interradicular groove What is special about the mesial root of the max and mand molars - Answer: may have 2 root canals ASA nerve - Answer: Innervates anterior teeth pulp and mucosa IO effect when taking Pepcid (Famotidine ~ H2 antagonist) and Acetaminophen (Analgesic) - Answer: Decreased salivary flow What is the minimum time required to wash hands in between patients - Answer: 15 seconds What method of infection control does not prevent biofilm accumulation in the dental water lines - Answer: flushing with tap water Focal sclerosing osteitis / Condensing osteitis - Answer: radiopaque change in bone at apex of tooth Associated with low grade fever Most commonly occurs at mand 1st molar

What is the minimum % of alcohol needed in hand sanitizer for it to effectively sanitize between donning gloves - Answer: 60 % Target Lesion / Bull's Eye Lesion - Answer: typical lesion of erythema multiforme (EM) A vesicle is surrounded by an often hemorrhagic maculopapule. If a patient is taking Isonazid and Rifampin, what condition do they have - Answer: Tuberculosis What class furcation is involved when the interradicular fibers are effected but the alveolar bone is still present - Answer: Class II What is angular chelitits caused by? - Answer: Candida Albicans Traumatic Ulcer on the hard palate - Answer: How do you fix an elongated radiograph - Answer: Increase the vertical angulation Should a Stimudent be recommended for a patient with braces - Answer: NO Oral Carcinoma - Answer: Firm red lesion Been there for a while Does not appear to be uniform in color What IO lesion is associated with Epstein Barr Virus - Answer: Hairy Leukoplakia Are anticoagulants associated with xerostomia? - Answer: NO What instrument would you use to scale the Distal surface of the Mesial root of a max molar - Answer: 13/14 OR 17/

Where would you use an instrument with a contra angle and short tip? - Answer: deeper posterior pockets What is the optimal way to sharpen an instrument - Answer: Place stone at junction between the face and lateral surface What should you do if your diabetic patient begins to show signs of hypoglycemia - Answer: give them a sugary drink Which of the following requires pre-med A breast implants B aggressive perio C renal dialysis port D coronary bypass - Answer: Renal Dialysis Port What do you do when your patient begins to feel light headed as if they are going to pass out - Answer: Trendelenburg laying the patient supine with the feet slightly higher than the head How long should a contaminated instrument stay submerged in cold sterile - Answer: 8 hours What is the necessary treatment for a thyroid nodule - Answer: surgical excision found at the foramencecum What plaque control aid should be used for a Class III furction - Answer: Super floss What IO effect does Congenital Syphilis cause - Answer: notched incisal edge

Patient in the waiting room is unconscious. You check the pulse and respiration, what should you do next - Answer: summon EMS How to you treat a client that is choking from a clogged air way - Answer: the Heimlich Patient is allergic to Penicillin and needs pre-med. He took 300mg of Clindamycin 1 hour before his TX. What should you instruct him to do - Answer: take another 300 mg and wait 30 minutes There is am image of materia alba in sextant 5 What is the best instrument to clean this? - Answer: Ultrasonic White, cottage cheese like accumulation of plaque Patient presents with swollen gingiva above #8, what is the cause - Answer: PFM crown impinging 15 y/o patient gets BWs taken and 3rd molar appear unerupted. WHY are they unerupted? - Answer: bc he is only 15 Frequency of caries is closely related to what? - Answer: Frequency of carbohydrates Abfraction - Answer: "wedge" shaped condition There is an ulcer on the parotid papilla, what duct is it associated with? - Answer: Stensons duct What antibiotic should be prescribed if the patient is allergic to Penicillin - Answer: Clindamycin There is inflammation in sextant 5. What caused the inflammation - Answer: Toxins present in plaque attached to calculus

What should a refusal of treatment form contain - Answer: detailed explanation of the importance of the procedure and its benefits to the patient All of the following are important characteristics of an ultrasonic insert tip except one. What is the exception - Answer: a sharp tip What kind of instrument should you use to clean an implant? - Answer: Plastic tip on low Should there be a thyroid collar present while taking a pan? - Answer: No MSA - Answer: Innervates max premolars and MB root of first molar PSA - Answer: Innervates max molars except MB root of first molar Greater palatine nerve - Answer: Innervates hard palate from premolars back Nasopalatine nerve - Answer: innervates mucosa behind max anteriors Incisive nerve - Answer: innervates mand anteriors Inferior Alveolar - Answer: innervates premolars and molars Inferior dental plexus - Answer: innervates gingiva of mand anteriors and premolars Long buccal nerve - Answer: buccal mucosa of mand Lingual nerve - Answer: lingual mucosa of mand What does pre-med do? - Answer: prevent bacteremia

Radiograph of mandibular tori - Answer: What toothpaste ingredient is causing recurrent ulcers - Answer: sodium laurly sulfate What is a concern with a patient with bells palsy - Answer: Difficulty swallowing What do you need to know prior to Tx for a patient taking Warfarin? - Answer: INR Cementoma - Answer: Ranula - Answer: What is an oral side effect of Prozac? - Answer: xerostomia How do steroids effect wound healing? - Answer: causes delayed wound healing What should be done with a patient with a previous history of high blood pressure and comes in for their appointment with reading of 160/116? - Answer: refer the patient to their physician immediately Premedication regimine - Answer: 2g Amoxicillin 600 mg Clindamycin Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior to their appointment. What would you do? - Answer: administer another 300 mg and wait 1 hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to treatment) What is a PAN used for? - Answer: - look at location of 3rd molars

• impactions
• pathology
• NOT FOR BONE LOSS Items containing fluoride? - Answer: - tea
• pork
• fish What type of water does not contain fluoride? - Answer: well water Know the papilla of the tongue - Answer: - filiform (most numerous, very small)
• fungiform (mushroom shape, contain taste buds)
• circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus terminalis)
• foliate (leaf shaped, lateral border of tongue) What is hairy tongue caused by? - Answer: elongation of the filiform papillae Delayed eruption may be caused by - Answer: delayed exfoliation Identify mandibular canal radiographically - Answer: radiolucent, long dark area outlined with dense cortical bone, located above or parallel to the inferior border of the mandible What is thickened lamina dura caused by? is this appearance normal? - Answer: - caused by trauma
• not normal Know film errors - Answer: - elongation: too little vertical angulation
• foreshortening: too much vertical angulation

• cone cut: PID not aligned with censor
• overlap: incorrect horizontal angulation Identify median rhomboid glossitis - Answer: rhombus shaped, central denuded area of the tongue with red appearance What is the treatment for black hair tongue? - Answer: brush it What is a vitality test used for? - Answer: testing to see if the pulp is vital or not (applying cold air on cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would not feel anything) What are Hutchinson's incisors caused by? - Answer: Syphillis, NOT biting on bobby pins Identify lingual varicosities.. are they normal? - Answer: yes they're normal How long should ultrasonic units be flushed? - Answer: 20 seconds What provides proof of sterilization? Spore test or autoclave tape? - Answer: Spore test What does autoclave tape tell you? - Answer: that it has reached proper temperature Hep B vaccination also protects you from? - Answer: Hep D What can chlorhexidine cause? - Answer: staining, increased calculus deposits What instrument should you use to work on mandibular anterior gingiva? - Answer: - 1/2 gracey
• columbia
• sickle ultrasonic

What drug causes bleeding? - Answer: Aspirin What does the 2nd premolar replace? - Answer: the 2nd deciduous molar What would you do for fordyce granules? - Answer: leave alone; normal is a bifurcated maxillary canine normal? - Answer: yes What would you do for lingual erosion? - Answer: rinse with sodium bicarbonate Stannous fluoride is not found in which of the following? tea, pork, well water, or fish? - Answer: well water Which is the only root that would be incomplete at age 15? - Answer: the second molar Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant? - Answer:? what is the panorex best used for? - Answer: position of 3rd molars What is wrong with the PANO picture? - Answer: patient should not have on a thyroid collar when taking a PAN What can prednisone cause? - Answer: delayed wound healing How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted? - Answer: 11 years old

Does ankylosis of the tongue result in nutrition issues? - Answer: no What would recession to the apex of #24-25 be a result of? - Answer: AIDS Exaggerated gingival enlargement could be the result of what? - Answer: uncontrolled diabetes What degree should the shank of the instrument be when scaling subgingivally? - Answer: 70 degrees What should be done with safety glasses after each patient? - Answer: washed Does lingual candidiasis of lateral tongue wipe off? - Answer: yes What does leukoedema look like? - Answer: white spot of buccal mucosa disappears when the cheek is stretched What type of drug is Procardia? - Answer: calcium channel blocker What is procardia used for? - Answer: for high blood pressure What does procardia cause intraorally? - Answer: gingival enlargement What would mandibular anterior, facial, bright pink and enlarged gingiva indicate? - Answer: pregnancy gingivitis Are bifurcated mandibular premolars normal? - Answer: yes What drink can cause facial erosion? - Answer: fruit juice

What does median rhomboid glossitis look like? - Answer: red lump in center of posterior portion of tongue What is the treatment for median rhomboid glossitis? - Answer: antifungals Know what cross bite looks like - Answer: ... Know classes of occlusion - Answer: Class I: mesiobuccal cusp of maxillary first molar occludes with buccal groove of mandibular first molar Class II: buccal groove of mandibular first molar is distal to the mesiobuccal cusp of maxillary fits molar Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of maxillary first molar Why would there be a white triangle covering all the mandibular anteriors and chin on a PAN? - Answer: If the mouth looks smiley then the chin was too low, if the mouth looked frowning then the chin was too high FDA regulates - Answer: fluoride content in bottled water medications that cause increased bleeding? - Answer: anticoagulants (warfarin, heparin), antiplatelets (aspirin, plavix), blood modifiers (xarelto, eliquis, pradaxa) medications that cause gingival hyperplasia? - Answer: - anti-seizure: Dilantin

• calcium channel blockers: Norvask, Procardia (used to control BP)
• Cyclosporine (used an immunosuppressant)

Determine age of patient by teeth present - Answer: ... Determine which tooth is present in mixed dentition - Answer: ... distinguishing between between leukoplakia and candida? - Answer: candida wipes off but leukoplakia doesn't clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes? - Answer: ill-fitting denture, tobacco, stain, linea alba a patient on an anti-hypertensive is most likely to experience what problem in the dental chair?

• Answer: orthostatic hypotension what causes a diastema? - Answer: genetics x-ray pit falls - Answer: - patient moves
• cone moves
• film moves aspirin burn - Answer: - chemical injury
• white plaque lesion
• can be wiped off
• leaving a bleeding raw base
• will heal once chemical is removed amelogenesis imperfecta - Answer: - enamel is found to be defective
• discolorations, pitting, thinner enamel, "flakes off"
• etiology: genetics
• defect in the mineralization, deposition, and hardening of enamel layers

mucogingival junction - Answer: - sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa enamel projection (enamel pearl) - Answer: - misplaced ameloblasts migrate to the root area

• produces enamel pearl on CEJ or furcation area pyogenic granuloma - Answer: - benign
• tissue response to trauma, local irritation, hormonal changes
• appear in pregnancy due to increase in hormones
• puberty and pregnancy
• composed of hyper plastic granulation tissue etiology of diastema? - Answer: genetic when do maxillary centrals erupt? - Answer: 7-8 when do mandibular centrals erupt? - Answer: 6-7 when do maxillary laterals erupt? - Answer: 8-9 when do mandibular laterals erupt? - Answer: 7-8 when do maxillary canines erupt? - Answer: 11-12 when do mandibular canines erupt? - Answer: 9-10 when do maxillary first premolars erupt? - Answer: 10-11

when do mandibular first premolars erupt? - Answer: 10-12 when do maxillary second premolars erupt? - Answer: 10-12 when do mandibular second premolars erupt? - Answer: 11-12 when do maxillary first molars erupt? - Answer: 6-7 when do mandibular first molars erupt? - Answer: 6-7 when do maxillary second molars erupt? - Answer: 12-13 when do mandibular second molars erupt? - Answer: 11-13 when do maxillary third molars erupt? - Answer: 17-21 when do mandibular third molars erupt? - Answer: 17- 21 How much fluoride supplementation should be given to a 6 month old or younger? - Answer: none How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with less than 0.3 ppm in their water? - Answer: .25mg/day How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with 0.3-0.6 ppm in their water? - Answer: none How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with more than 0.6 ppm in their water? - Answer: none

How much fluoride supplementation should be given to a 3-6 year old in a community with less than 0.3 ppm in their water? - Answer: 0.50 mg/day How much fluoride supplementation should be given to a 3-6 year old in a community with 0.3-.0.6 ppm in their water? - Answer: 0.25 mg/day How much fluoride supplementation should be given to a 3-6 year old in a community with more than 0.6 ppm in their water? - Answer: none How much fluoride supplementation should be given to a 6-16 year old in a community with less than 0.3 ppm in their water? - Answer: 1 mg/day How much fluoride supplementation should be given to a 6-16 year old in a community with 0.3-0.6 ppm in their water? - Answer: 0.25 mg/day How much fluoride supplementation should be given to a 6-16 year old in a community with more than 0.6 ppm in their water? - Answer: none complication with high blood pressure medications? - Answer: orthostatic hypotension dental caries and relation most with diet? - Answer: frequency advantage of digital x-rays? - Answer: reduce exposure What is the most effective method of sterilization? - Answer: steam vapor what kind of treatment is needed for a bulimic patient? - Answer: rinse with bicarbonate solution