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Dental Hygiene Parametric Exam CSCE
CSCE- 2 Dental Hygiene Parametric 2
Computer Simulated Dental Hygiene Exam
Dental Hygiene Parametric Exam CDCA
Dental Hygiene Computer Simulated Case
Test
What is an oral side effect of Prozac? - Correct Answers xerostomia How does steroids effect wound healing? - Correct Answers 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? - Correct Answers refer the patient to their physician immediately Premedication regimen - Correct Answers 2g Amoxicillin 600 mg Clindamycin Patient comes in for appointment that needs premed, and they took 300 mg 1 hour prior to their appointment. What would you do? - Correct Answers 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? - Correct Answers - look at location of 3rd molars
- Impactions
- Pathology
- NOT FOR BONE LOSS Items containing fluoride? - Correct Answers - tea
- Pork
- Fish What type of water does not contain fluoride? - Correct Answers well water Know the papilla of the tongue - Correct Answers - fusiform (most numerous, very small)
- Fungiform (mushroom shape, contain taste buds)
- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus terminals)
- Foliate (leaf shaped, lateral border of tongue) What is hairy tongue caused by? - Correct Answers elongation of the fusiform papillae Delayed eruption may be caused by - Correct Answers delayed exfoliation Identify mandibular canal radio graphically - Correct Answers 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? - Correct Answers - caused by trauma
- Not normal Know film errors - Correct Answers - elongation: too little vertical angulation
- foreshortening: too much vertical angulation
- Cone cut: PID not aligned with censor
- Overlap: incorrect horizontal angulation Identify median rhomboid glossaries - Correct Answers rhombus shaped, central denuded area of the tongue with red appearance What is the treatment for black hair tongue? - Correct Answers brush it What is a vitality test used for? - Correct Answers 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? - Correct Answers Syphilis, NOT biting on bobby pins Identify lingual varicosities... are they normal? - Correct Answers yes they're normal How long ultrasonic units should be flushed? - Correct Answers 20 seconds What provides proof of sterilization? Spore test or autoclave tape? - Correct Answers Spore test What does autoclave tape tell you? - Correct Answers that it has reached proper temperature Hip B vaccination also protects you from? - Correct Answers Hip D
What degree should the shank of the instrument be when scaling subgingivally? - Correct Answers 70 degrees What should be done with safety glasses after each patient? - Correct Answers washed Does lingual candidiasis of lateral tongue wipe off? - Correct Answers yes What does leukoedema look like? - Correct Answers white spot of buccal mucosa disappears when the cheek is stretched What type of drug is Procardia? - Correct Answers calcium channel blocker What is Procardia used for? - Correct Answers for high blood pressure What does procardia cause intraoral? - Correct Answers gingival enlargement What would mandibular anterior, facial, bright pink and enlarged gingiva indicate? - Correct Answers pregnancy gingivitis Are bifurcated mandibular premolars normal? - Correct Answers yes What drink can cause facial erosion? - Correct Answers fruit juice What does median rhomboid glossaries look like? - Correct Answers red lump in center of posterior portion of tongue What is the treatment for median rhomboid glossaries? - Correct Answers antifungals Know what cross bite looks like - Correct Answers... Know classes of occlusion - Correct Answers 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 anterior and chin on a PAN? - Correct Answers If the mouth looks smiley then the chin was too low, if the mouth looked frowning then the chin was too high FDA regulates - Correct Answers fluoride content in bottled water
Medications that cause increased bleeding? - Correct Answers anticoagulants (warfarin, heparin), antiplatelet (aspirin, Plavix), blood modifiers (xarelto, liquids, paradox) Medications that cause gingival hyperplasia? - Correct Answers - anti-seizure: Dilantin
- Calcium channel blockers: Norvasc, Procardia (used to control BP)
- Cyclosporine (used an immunosuppressant) Determine age of patient by teeth present - Correct Answers... Determine which tooth is present in mixed dentition - Correct Answers... Distinguishing between leukoplakia and candida? - Correct Answers candida wipes off but leukoplakia doesn't Clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes? - Correct Answers ill-fitting denture, tobacco, stain, linear Alba A patient on an anti-hypertensive is most likely to experience what problem in the dental chair? - Correct Answers orthostatic hypotension What causes a diatom? - Correct Answers genetics X-ray pit falls - Correct Answers - patient moves
- Cone moves
- Film moves Aspirin burn - Correct Answers - chemical injury
- White plaque lesion
- can be wiped off
- leaving a bleeding raw base
- will heal once chemical is removed Gametogenesis imperfect - Correct Answers - 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 - Correct Answers - sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa Enamel projection (enamel pearl) - Correct Answers - misplaced ameloblasts migrate to the root area
- produces enamel pearl on CEJ or furcation area Pyogenic granuloma - Correct Answers - benign
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? - Correct Answers 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? - Correct Answers 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? - Correct Answers 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? - Correct Answers 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? - Correct Answers 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? - Correct Answers 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? - Correct Answers 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? - Correct Answers none Complication with high blood pressure medications? - Correct Answers orthostatic hypotension Dental caries and relation most with diet? - Correct Answers frequency Advantage of digital x-rays? - Correct Answers reduce exposure What is the most effective method of sterilization? - Correct Answers steam vapor What kind of treatment is needed for a bulimic patient? - Correct Answers rinse with bicarbonate solution According to CDCA all need to be medical waste except - Correct Answers tissue Treatment for angular chelates? - Correct Answers antifungal APF can cause - Correct Answers etching of porcelain crowns When should spore test biological monitoring be done? - Correct Answers 1 week Which tooth will replace the primary second molar? - Correct Answers permanent second premolar
When the gingival margin is at the CEJ what calculation is needed to calculate the CAL? - Correct Answers 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? - Correct Answers 8 mm What tooth will replace tooth K? - Correct Answers # Teeth with a periodontal abscess are vital whereas teeth with a periodical abscess are non-vital, T or F? - Correct Answers True An irritation fibroma is composed of - Correct Answers dense fibrous connective tissue and giant cells In periodontal disease, the lamina Dura is - Correct Answers - 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? - Correct Answers antitussives What does not matter regarding a mask? - Correct Answers HEPA filter How long should you flush your lines between patients? - Correct Answers 20 seconds Dens-invariants - Correct Answers occur mainly on mandibular premolars Remember "invar" = "inside" the tooth Periodontal probe that is taking a measurement but is not perpendicular to the long axis of the tooth - Correct Answers checking a furcation- numbers probe What does it mean if panoramic radiograph is darker on one side? - Correct Answers exposing it to light Concrescence - Correct Answers condition where the cemented overlying the roots of at least two teeth join together Cyclosporine causes - Correct Answers gingival enlargement PAN radiograph of tooth #3 and you see a ghost image of anterior teeth - Correct Answers double exposed Palatine fovea or fovea palatine - Correct Answers 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
Your patient is taking aspirin, and you will be performing scaling and root planning on 2 quadrants with local anesthetic and placing 3 sites of Arresting. What could be a possible problem? - Correct Answers prolonged bleeding Prozac causes - Correct Answers xerostomia Claritin causes - Correct Answers xerostomia Cyclosporine causes - Correct Answers gingival enlargement parasympathetic nerves (cholinergic action) - Correct Answers produces an increase in fluid volume (serous saliva). sympathetic nerves (sympathomimetic action) - Correct Answers produces less volume and viscous saliva drugs that have an anticholinergic action - Correct Answers reduce the volume of serous saliva, including antihypertensive, antihistamines, antidepressants, antipsychotics, and antiemetic’s, antispasmodics, and anti-parkinsonian drugs. Iraqi® - Correct Answers (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® - Correct Answers provides anesthesia after an application time of 30 seconds, with a mean duration of action of about 17 to 20 min. Hand washing - Correct Answers 25 Seconds Orquix last? - Correct Answers 14-21 minutes Parotid goes with which duct? - Correct Answers Stensen HPV 16 &18 viruses causes? - Correct Answers Verruca vulgaris What condition doesn't need a Premed? - Correct Answers Pacemaker Alcohol percentage in hand sanitizer - Correct Answers 60% Class III occlusion - Correct Answers Prognthic Cold sterilization last? - Correct Answers 8 hours What causes prolonged bleeding(hemostasis) blood thinner? - Correct Answers Warfarin
When patient is taking warfarin what do we need to find out? - Correct Answers (INR) international normalized ratio from physican IV antibiotic used to treat MRSA - Correct Answers Vancomycin What is wrong with this image - Correct Answers Fractured tooth Inflammation around gingival margin of #8? - Correct Answers Restoration irritation Gingival irritation around two weeks? - Correct Answers Re-scale and re-evaluate Recession is ___ apical to the CEJ - Correct Answers 3 Acetaminophen (Tylenol)- causes? - Correct Answers Xerostomia Diastema is? - Correct Answers Genetic What is on the baby's hand? - Correct Answers Urtucaria What is the position do you put a patient going into syncope? - Correct Answers Trendelenburg Bitewing for child is? - Correct Answers 12 years old What do you not recommend for a child with braces? - Correct Answers Stimudent What is wrong with the guy standing by the pano machine? - Correct Answers Thyroid collar is on Tooth has pus coming out around tooth, tooth passes vitality test is what? - Correct Answers Perio abscess Patient took 300 mg of Clindamycin, what do you do? - Correct Answers Administer 300mg more and then wait 1 hour Someone with an artificial Joint needs? - Correct Answers Medical consult Anti-depressant drug - Correct Answers Prozac & fluoxetine Blood thinners (anti-coagulant) - Correct Answers Warfarin - Coumadin, Clopidogrel - Plavix Periodontal abcess (lateral periodontal cyst) - Correct Answers Radiolucency on the lateral side of the tooth Furcation reduces? - Correct Answers reduced chance if increased root trunk length
Blood pressure over 180/100 - Correct Answers Recheck blood pressure in 5 minutes. If still elevated, immediate medical attention is needed Emphysema patients may not be able to breathe easily in supine position need? - Correct Answers Supplemental oxygen What is parotid papilla? - Correct Answers small elevation at the opening of the parotid salivary gland duct, opposite of maxillary second molars. After you dismiss your patient and you are transferring and processing instruments, all are required but: - Correct Answers Wear mask and safety glasses No regular exam gloves Which side of the instrument is placed on the stone for sharpening? - Correct Answers Junction of the face and lateral surface Chlorhexidine is? - Correct Answers 0.12% Probe at the facial of the molar is looking for? - Correct Answers Furcation A patient who is going through hypoglycemia needs? - Correct Answers Glucose tablet Median rhomboid glottis is treated with? - Correct Answers Anti-fungal medication The teeth look longer than normal. What should the clinician do to prevent such errors next time? - Correct Answers Increase vertical angulation What needs a pre-med? - Correct Answers Artificial heart valve Which of the following medications does NOT cause xerostomia? - Correct Answers Anti-jussives- tranquilizers what heart conditions require premed? a: anything repaired b: artificial heart valves c: hex of infectious endocarditis d: heart transplant - Correct Answers all of above What do you use as premed and how much - Correct Answers Amoxicillin, 2000 mg how long before appointment should premed be taken - Correct Answers 30 minutes- hour when do you premed for joints? - Correct Answers less than 2 years, previous infection, and multiple replacements
what do you use as premed if you are allergic to amoxicillin - Correct Answers cephalexin, clindamycin photograph of a geriatric patient, one side of face appears to have bumps and redness by the eye would most likely be a: her angina b: herpes simplex c: herpes zoster d: measles - Correct Answers c, herpes zoster herpes zoster aka - Correct Answers shingles what causes herpes zoster - Correct Answers varicella-zoster virus you are more likely to develop shingles if - Correct Answers you are older than 60, you had chickenpox before age 1, your immune system is weakened by meds or disease what is measles - Correct Answers infection of the respiratory system measles aka - Correct Answers morbidly Kalpaks Spots inside the mouth appear during which condition - Correct Answers measles characteristics of measles - Correct Answers flat, discolored areas and solid, red, raised areas that later join together measles is primarily in which age group - Correct Answers children her angina - Correct Answers involves ulcers and sores inside the mouth. sore throat and fever her angina most common in which age group - Correct Answers children #8 and #9 are present along with first molars, about how old is the person - Correct Answers 6 years old if lower permanent canines are in the patient is most likely how old? - Correct Answers 9-10 years warfarin(Coumadin, Liquids), aspirin, Plavix, seizure meds, chemotherapy drugs, diuretics, antihistamines, immunosuppressant drugs can all cause - Correct Answers dry mouth and bleeding a pt. with infective endocarditis has no contraindications of premed, when would they need to be premeditated?
median rhomboid glossaries is - Correct Answers chronic fungal (candidiasis) infection treatment for median rhomboid glossaries - Correct Answers none difference between pyogenic granulomas and peripheral giant cell granulomas - Correct Answers peripheral: more blue in comparison, usually less than 2 cm pyogenic: small, reddish bumps that bleed easily peripheral gain cell granuloma location - Correct Answers exclusively on gingiva due to irritation or trauma musicale - Correct Answers mucous cyst. painless. thin sac, fluid filled musicale location - Correct Answers inner surface of lips radula - Correct Answers swelling of connective tissue. caused by local trauma to salivary gland duct radula location - Correct Answers floor of mouth how do you know if its amelogenisis imperfecta on a radiograph - Correct Answers snowcapped white teeth how do you know if its dentin genesis imperfecta on a radiograph - Correct Answers bulbous crowns with short slender roots and absent pulp chambers and root canal. dentiogenesis imperfecta color clinically - Correct Answers grey to yellowish brown amelogenisis imperfecta color clinically - Correct Answers yellow or brown. pitting of enamel CAMBRA - Correct Answers Caries Management by Risk Assessment what is CAMBRA - Correct Answers methodology of identifying cause of disease through assessment of risk factors if a patient has a tongue piercing, all of the following can happen: a: chipped tooth b: trigeminal neuralgia c: infective endocarditis - Correct Answers all if a patient has gingivitis, the reason for the edema (bleeding) is due to a: inorganic irritant b: organic irritant c: toxins produced from biofilm
d: acids produced by biofilm - Correct Answers c, toxins inorganic components of plaque are - Correct Answers think IN which elements are IN the periodic table phosphorus, calcium, magnesium and fluoride organic components of plaque are - Correct Answers lipids, proteins and carbohydrates. people who want to eat organic foods are concerned about carbs, fats and proteins. what plaque component causes caries - Correct Answers acids produced by biofilm washing your hands between patients should be done for a: 10 seconds b: 15 seconds c: 30 seconds d: 45 seconds - Correct Answers b: 15-20 seconds what causes angular chelates - Correct Answers candida albinos (involved in the sores) riboflavin (b2) deficiency iron deficiency anemia which disease should you be on the lookout for when angular chelates is present - Correct Answers celiac disease, anorexia nerves and/or bulimia nervosa Leukoplakia, snuff keratosis and aspirin burn can or cannot be wiped off? - Correct Answers cannot pseudomembranous candidiasis is distinguished clinically by - Correct Answers white curds that can be wiped off lightly with gauze MRSA - Correct Answers methicillin resistant staphylococcus aurous what antibiotic is used to treat MRSA - Correct Answers vancomycin +Bactrim and Sentra what side of instrument is placed on the stone for sharpening? a: back b: terminal shank c: junction of face and lateral surfaced d: junction of back and lateral surface - Correct Answers c: junction of face and lateral surface thyroid collar for pan radiograph? - Correct Answers no!
when is pH level at its highest in regard to eating meals a: before a meal b: after a meal c: 4 hours after a meal d: pH is not changed with meals - Correct Answers b: after a meal digital film is a: faster than D speed film b: same as F or D speed film c: faster than F speed film d: slightly slower than F speed film - Correct Answers c: faster than f speed film edentulous patient with big ulcer on palate is due to irritation or apthous ulcer? - Correct Answers irritation superimposition of a radiograph - Correct Answers same as double exposure. results when men 2 images appear superimposed onto each other bc it has been exposed twice oblique ridge on maxillary first molar - Correct Answers runs from DB cusp to ML cusp penumbra - Correct Answers blurred edge to an image how often to patients need to sign HIPPA form a: every year b: every 3 years c: every 5 years d: just once - Correct Answers d: just once but must be provided copies of it every 3 years what is not caused by tongue piercing? a: bacteremia b: fractured tooth c: trigeminal neuralgia d: recession - Correct Answers a: bacteremia best way to sharpen an instrument to preserve the blade? a: sharpen the whole lateral surface b: honing c: dry stone d: water with stone - Correct Answers d: water with stone what would you not use for heavy deposits? a: sickle b: graceys c: ultrasonic scaler
d: piezo scaler - Correct Answers b: graceys. they are considered for fine scaling if you see a photo of something in the mouth that can't be wiped off, its most likely a: aspirin burn b: pipe tobacco c: chewing tobacco d: mouthwash astringent - Correct Answers a: aspirin burn what to do if patient had an asthma attack in the chair - Correct Answers 1: inhaler, 2: epi, 3: oxygen. in that order supererupted tooth that has caries on messiah surface, what would be the cause - Correct Answers overhanging restoration, and/or tooth not having an antagonist how do you treat MRSA if patient is allergic to penicillin - Correct Answers vacomycin
- bactrim BWX, and see permanent premolars erupting and primary molars have exfoliated or are really close, then the approximate age is - Correct Answers 10-12 years old ultrasonics are __________ and move in an _____________ pattern - Correct Answers magnetostrictive, elliptical (all sides are active) piezo instruments are ______________ and only the ____________ are active - Correct Answers linear, lateral sides how many hours for cold sterilization? - Correct Answers 8-10 hours if patient comes into office due to gum inflammation issues, what is first step - Correct Answers have dentist do complete evaluation before performing any treatment is heart rate fast or slow for hypoglycemia? - Correct Answers fast pulse, dizziness and fast heart rate hypoglycemia - Correct Answers abnormally low blood sugar usually resulting from excessive insulin or a poor diet where would you use a gray instrument with a short shank? - Correct Answers shallow pockets most important item for decay is - Correct Answers acid! not sugar mesenchyme gives rise to all but - Correct Answers enamel mesenchyme - Correct Answers
