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

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 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-

• when do mandibular centrals erupt? - Answer: 6-
• when do maxillary laterals erupt? - Answer: 8-
• when do mandibular laterals erupt? - Answer: 7-
• when do maxillary canines erupt? - Answer: 11-
• when do mandibular canines erupt? - Answer: 9-
• when do maxillary first premolars erupt? - Answer: 10-
• when do mandibular first premolars erupt? - Answer: 10-
• when do maxillary second premolars erupt? - Answer: 10-
• when do mandibular second premolars erupt? - Answer: 11-
• when do maxillary first molars erupt? - Answer: 6-
• when do mandibular first molars erupt? - Answer: 6-
• when do maxillary second molars erupt? - Answer: 12-
• when do mandibular second molars erupt? - Answer: 11-
• when do maxillary third molars erupt? - Answer: 17-

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 according to CDCA all need to be medical waste except - Answer: tissue treatment for angular cheilitis? - Answer: antifungal APF can cause - Answer: etching of porcelain crowns when should spore test biological monitoring be done? - Answer: 1 week which tooth will replace the primary second molar? - Answer: permanent second premolar when the gingival margin is at the CEJ what calculation is needed to calculate the CAL? - Answer: none, the CAL is the same as the prime depth Tooth #24 has a 6mm pocket with 2 mm of recession, what is the CAL? - Answer: 8 mm

what tooth will replace tooth K? - Answer: # Teeth with a periodontal abscess are vital whereas teeth with a periapical abscess are non-vital, T or F? - Answer: True An irritation fibroma is composed of - Answer: dense fibrous connective tissue and giant cells In periodontal disease, the lamina dura is - Answer: - thinner

• the thin radiopaque line that lines the tooth root
• the lamina dura is thicker when the tooth is erupting
• thinning or absence of it is a sign of periodontal disease What medications do NOT cause xerostomia? - Answer: antitussives What does not matter regarding a mask? - Answer: HEPA filter How long should you flush your lines between patients? - Answer: 20 seconds Dens-invaginatus - Answer: occur mainly on mandibular premolars remember "invag" = "inside" the tooth Periodontal probe that is taking a measurement but is not perpendicular to the long axis of the tooth - Answer: checking a furcation- nabers probe What dose it mean if panoramic radiograph is darker on one side? - Answer: exposing it to light concrescence - Answer: condition where the cementum overlying the roots of at least two teeth join together

cyclosporine causes - Answer: gingival enlargement PAN radiograph of tooth #3 and you see a ghost image of anterior teeth - Answer: double exposed palatine fovea or fovea palatinii - Answer: Two orifices one each side of the midline, distal to the vibrating line. They act as collecting ducts for a group of minor palatine salivary glands hypodontia - Answer: having less than 6 congenitally missing teeth oligodontia - Answer: having 6 or more congenitally missing teeth Leukoedema - Answer: appears as a filmy, opaque, white to slate gray discoloration of mucosa, chiefly buccal mucosa,It is stated to be seen in 90% of Blacks Nikolsky's sign - Answer: Fragile mucosa may be induced to blister or slough when pressure is applied sign is particularly useful in differentiating pemphigus vulgaris, which causes a positive sign, from bullous pemphigoid, in which the sign is usually absent. Ankylosis - Answer: of primary molars has been reported to be associated with various anomalies in permanent dentition, is usually associated with hypodontia and occurs most time when a tooth fails to exfoliate. median rhomboid glossitis - Answer: fungal condition treated with an antifungal drug. It is a form of chronic atrophic candidiasis characterized by an asymptomatic, elongated, erythematous patch of atrophic mucosa of the posterior mid-dorsal surface of the tongue due to a chronic Candida infection

Does the FDA regulate fluoride in bottled water? - Answer: Yes. The federal Food, Drug, and Cosmetic Act provides FDA with broad regulatory authority over food, including bottled water, that is introduced or delivered for interstate commerce (produced and sold in more than one state). Bottled water that is in intrastate commerce (produced and sold only in one state) is under the jurisdiction of the state in which the bottled water is produced and sold. You need to contact the manufacturer to ask if their product is under FDA jurisdiction or state jurisdiction. Does the EPA have jurisdiction over the quality of bottled water? - Answer: The EPA does not have jurisdiction over the quality of bottled water. The U.S. Environmental Protection Agency (EPA) and the FDA have a 1979 Memorandum of Agreement specifying that the EPA regulates safe drinking water in accordance with the Safe Drinking Water Act, and the FDA regulates bottled water as a consumer beverage under the Food, Drug, and Cosmetic Act (Federal Register, Volume 44, No. 141, July 20, 1979). The FDA has its own regulations on standards of quality, identity, and good manufacturing practices that bottled water must meet. Hemostasis - Answer: can refer to the physiologic process whereby bleeding is halted, thus protecting the integrity of the vascular system after tissue injury. It is responsible for minimizing blood loss. It is commonly referred to as stoppage of bleeding, however, coagulation is only one type of hemostatic process. Your patient is taking aspirin, and you will be performing scaling and root planing on 2 quadrants with local anesthetic and placing 3 sites of Arestin. What could be a possible problem? - Answer: prolonged bleeding Prozac causes - Answer: xerostomia Claritin causes - Answer: xerostomia Cyclosporine causes - Answer: gingival enlargement

parasympathetic nerves (cholinergic action) - Answer: produces an increase in fluid volume (serous saliva). sympathetic nerves (sympathomimetic action) - Answer: produces less volume and viscous saliva drugs that have an anticholinergic action - Answer: reduce the volume of serous saliva, including antihypertensives, antihistamines, antidepressants, antipsychotics, antiemetics, antispasmotics, and anti-parkinsonian drugs. Oraqix® - Answer: (lidocaine and prilocaine periodontal gel) 2.5%/2.5% Periodontal Gel is supplied in dental cartridges that provide 1.7 g gel. duration of Oraqix® - Answer: provides anesthesia after an application time of 30 seconds, with a mean duration of action of about 17 to 20 min. maxillary sinus - Answer: Identify the landmark incisive foramen - Answer: Identify the landmark median palatine suture - Answer: Identify the landmark nasal fossae - Answer: Identify the landmark maxillary tuberosity - Answer: Identify the landmark coronoid process of the mandible - Answer: Identify the landmark

zygomatic process - Answer: Identify the landmark mandibular canal - Answer: Identify the landmark Border of the mandible - Answer: Identify the landmark external oblique ridge - Answer: Identify the landmark genial tubercles - Answer: Identify the landmark incisive foramen of maxilla - Answer: Identify the landmark superior foramina of the incisive canal - Answer: Identify the landmark median palatal suture - Answer: Identify the landmark nasal cavity - Answer: Identify the landmark nasal septum - Answer: Identify the landmark floor of nasal cavity - Answer: Identify the landmark anterior nasal spine - Answer: Identify the landmark inferior nasal conchae - Answer: Identify the landmark lateral fossa - Answer: Identify the landmark maxillary sinus - Answer: Identify the landmark

maxillary tuberosity - Answer: Identify the landmark hamulus - Answer: Identify the landmark nutrient canal - Answer: Identify the landmark zygomatic process of the maxilla - Answer: Identify the landmark zygoma - Answer: Identify the landmark genial tubercles - Answer: Identify the landmark lingual foramen - Answer: Identify the landmark nutrient canals - Answer: Identify the landmark mental ridge - Answer: Identify the landmark mental fossa - Answer: Identify the landmark mental foramen - Answer: Identify the landmark mylohyoid ridge (internal oblique ridge) - Answer: Identify the landmark mandibular canal - Answer: Identify the landmark external oblique ridge - Answer: Identify the landmark

coronoid process - Answer: Identify the landmark Submandibular fossa - Answer: Identify the landmark cancellous bone - Answer: What type of bone is seen? corticol bone - Answer: What type of bone is seen? supernumerary tooth - Answer: What anomaly can be seen? external auditory meatus - Answer: Identify landmark 1 Pterygomaxillary Fissure - Answer: Identify landmark 2 infraorbital foramen - Answer: Identify landmark 3 orbit - Answer: Identify landmark 4 anterior nasal spine - Answer: Identify landmark 5 nasal septum - Answer: Identify landmark 6 nasal conchae - Answer: Identify landmark 7 hard palate - Answer: Identify landmark 8 zygomatic process of maxilla - Answer: Identify landmark 9 glenoid fossa - Answer: Identify landmark 1

Articular eminence - Answer: Identify landmark 2 maxillary tuberosity - Answer: Identify landmark 3 maxillary sinus - Answer: Identify landmark 4 zygoma - Answer: Identify landmark 5 lateral pterygoid plate - Answer: Identify the landmark Condyle - Answer: Identify landmark 1 sigmoid notch - Answer: Identify landmark 2 coronoid process - Answer: Identify landmark 3 mandibular foramen - Answer: Identify landmark 4 mental foramen - Answer: Identify landmark 5 genial tubercles - Answer: Identify landmark 6 styloid process - Answer: Identify landmark 7 mandibular canal - Answer: Identify landmark 1 hyoid - Answer: Identify landmark 2