Dental Hygiene Prometric Exam Practice Questions and Answers, 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

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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 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 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 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 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?

• external auditory meatus - Answer Identify landmark supernumerary tooth - Answer What anomaly can be seen?
• Pterygomaxillary Fissure - Answer Identify landmark
• infraorbital foramen - Answer Identify landmark
• orbit - Answer Identify landmark
• anterior nasal spine - Answer Identify landmark
• nasal septum - Answer Identify landmark
• nasal conchae - Answer Identify landmark
• hard palate - Answer Identify landmark
• zygomatic process of maxilla - Answer Identify landmark
• glenoid fossa - Answer Identify landmark
• Articular eminence - Answer Identify landmark
• maxillary tuberosity - Answer Identify landmark
• maxillary sinus - Answer Identify landmark
• zygoma - Answer Identify landmark
• Condyle - Answer Identify landmark lateral pterygoid plate - Answer Identify the landmark
• sigmoid notch - Answer Identify landmark
• coronoid process - Answer Identify landmark
• mandibular foramen - Answer Identify landmark
• mental foramen - Answer Identify landmark
• genial tubercles - Answer Identify landmark
• styloid process - Answer Identify landmark

mandibular canal - Answer Identify landmark 1 hyoid - Answer Identify landmark 2 internal oblique ridge - Answer Identify landmark 3 angle of mandible - Answer Identify landmark 4 inferior border of mandible - Answer Identify landmark 1 submandibular fossa - Answer identify landmark 2 external oblique ridge - Answer identify landmark 3 soft tissue - Answer identify landmark 4 hyoid bone - Answer identify landmark 5 palatoglossal air space - Answer Identify landmark 1 nasopharyngeal air space - Answer Identify landmark 2 glossopharyngeal air space - Answer Identify landmark 3 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 What is the pre-medication regimen for Amoxicillin and Clindamycin? - Answer 2g Amoxicillin (adults) 600 mg Clindamycin (adults) Patient comes in for appointment who needs a pre-med, 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 pre-med is 600mg 1hr prior to treatment) What is a PAN used for? What is it NOT used for? - Answer - look at location of 3rd molars

• impactions
• pathology
• NOT FOR BONE LOSS What are some food items containing fluoride? - Answer - tea
• pork

• fish What type of water does not contain fluoride? - Answer well water What are the 4 types of papilla on the tongue? - Answer 1. filiform (most numerous, very small)

2. fungiform (mushroom shape, contain taste buds)
3. circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus terminalis)
4. 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 What does the mandibular canal appear like on a radiograph? - Answer radiolucent, long dark area outlined with dense cortical bone, located above or parallel to the inferior border of the mandible What is a thickened lamina dura caused by? Is this appearance normal? - Answer - trauma

• not normal What are the common film errors? - Answer - elongation: too little vertical angulation
• foreshortening: too much vertical angulation
• cone cut: PID not aligned with sensor
• overlap: incorrect horizontal angulation What does median rhomboid glossitis look like? - 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 What are lingual varicosities? Are they normal? - Answer veins under the tongue 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

The Hepatitis B vaccination also protects you from what other Hepatitis? - Answer Hepititis D What can chlorhexidine rinse cause? - Answer staining, increased calculus deposits What instrument should you use to work on mandibular anterior teeth? - Answer - 1/2 gracey (3/4)

• 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 Patient presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant? - Answer ranula benign What is the panorex best used for? - Answer position of 3rd molars What is wrong with the PANO picture when a large white triangle spot appears around central mandible? - 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 disease could cause recession to the apex of teeth #24-25? - Answer AIDS Exaggerated gingival enlargement could be the result of what disease? - 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 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 What does crossbite look like? - Answer mandibular teeth are more buccal than maxillary teeth What are the 3 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 first molar Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of maxillary first molar On a panoramic, if the mouth looks like a large smile, then the chin was too ____; if the mouth looks like a frown, then the chin was too _____. - Answer low high What does the FDA regulate? - Answer fluoride content in bottled water What are the medications that cause increased bleeding? - Answer 1. anticoagulants (warfarin, heparin)

2. antiplatelets (aspirin, plavix)
3. blood modifiers (xarelto, eliquis, pradaxa)

What are the medications that cause gingival hyperplasia? - Answer - anti-seizure: Dilantin

• calcium channel blockers: Norvask, Procardia (used to control BP)
• Cyclosporine (used an immunosuppressant) What are the permanent eruption years? - Answer 6-7: mandibular centrals, 1st molars 7-8: maxillary centrals, mandibular laterals 8-9: maxillary laterals 9-10: mandibular canines 10-12: maxillary canines, premolars 11-13: second molars 17-21: third molars What is the distinguishing factor between between leukoplakia and candida? - Answer candida wipes off but leukoplakia does not A patient presents with fluorosis, abrasion, pyogenic granuloma, and 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 What are some common x-ray mistakes? - Answer - patient moves
• cone moves
• film moves What does an aspirin burn appear as? - Answer - chemical injury
• white plaque lesion
• can be wiped off
• leaving a bleeding raw base
• will heal once chemical is removed Amelogenesis imperfecta:
• enamel is found to be _____
• appears as ____, ____, ____ enamel than "____ off"
• etiology: ____
• defect in the _____, ____, and ___ of enamel layers - Answer defective discolorations pitting thinner flakes genetics mineralization deposition hardening