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Dental Hygiene Prometric Exam
1.What is an oral side effect of Prozac?: xerostomia 2.How do steroids effect wound healing?: causes delayed wound healing 3.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?: refer the patient to their physician immediately 4.Premedication regimine: 2g Amoxicillin 600 mg Clindamycin 5.Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior to their appointment. What would you do?: administer another 300 mg and wait 1 hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to treatment) 6.What is a PAN used for?: - look at location of 3rd molars
- impactions
- pathology
- NOT FOR BONE LOSS 7.Items containing fluoride?: - tea
- pork
- fish 8.What type of water does not contain fluoride?: well water 9.Know the papilla of the tongue: - 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) 10.What is hairy tongue caused by?: elongation of the filiform papillae 11.Delayed eruption may be caused by: delayed exfoliation 12.Identify mandibular canal radiographically: radiolucent, long dark area out- lined with dense cortical bone, located above or parallel to the inferior border of the mandible 13.What is thickened lamina dura caused by? is this appearance normal?:
- caused by trauma
- not normal 14.Know film errors: - elongation: too little vertical angulation
- foreshortening: too much vertical angulation
- cone cut: PID not aligned with censor
- overlap: incorrect horizontal angulation 15.Identify median rhomboid glossitis: rhombus shaped, central denuded area of the tongue with red appearance
2 / 16.What is the treatment for black hair tongue?: brush it
- What is a vitality test used for?: 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) 18.What are Hutchinson's incisors caused by?: Syphilis, NOT biting on bobby pins 19.Identify lingual varicosities.. are they normal?: yes they're normal 20.How long should ultrasonic units be flushed?: 20 seconds 21.What provides proof of sterilization? Spore test or autoclave tape?: Spore test 22.What does autoclave tape tell you?: that it has reached proper temperature 23.Hep B vaccination also protects you from?: Hep D 24.What can chlorhexidine cause?: staining, increased calculus deposits
- What instrument should you use to work on mandibular anterior gingiva?: - 1/2 gracey
- columbia
- sickle ultrasonic 26.What drug causes bleeding?: Aspirin 27.What does the 2nd premolar replace?: the 2nd deciduous molar 28.What would you do for fordyce granules?: leave alone; normal 29.is a bifurcated maxillary canine normal?: yes 30.What would you do for lingual erosion?: rinse with sodium bicarbonate 31.Stannous fluoride is not found in which of the following? tea, pork, well water, or fish?: well water 32.Which is the only root that would be incomplete at age 15?: the second molar 33.Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant?:? 34.what is the panorex best used for?: position of 3rd molars 35.What is wrong with the PANO picture?: patient should not have on a thyroid collar when taking a PAN 36.What can prednisone cause?: delayed wound healing 37.How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted?: 11 years old 38.Does ankylosis of the tongue result in nutrition issues?: no 39.What would recession to the apex of #24-25 be a result of?: AIDS 40.Exaggerated gingival enlargement could be the result of what?: uncon- trolled diabetes
3 / 41.What degree should the shank of the instrument be when scaling subgin- givally?: 70 degrees
4 / 42.What should be done with safety glasses after each patient?: washed 43.Does lingual candidiasis of lateral tongue wipe off?: yes 44.What does leukoedema look like?: white spot of buccal mucosa disappears when the cheek is stretched 45.What type of drug is Procardia?: calcium channel blocker 46.What is procardia used for?: for high blood pressure 47.What does procardia cause intraorally?: gingival enlargement 48.What would mandibular anterior, facial, bright pink and enlarged gingiva indicate?: pregnancy gingivitis 49.Are bifurcated mandibular premolars normal?: yes 50.What drink can cause facial erosion?: fruit juice 51.What does median rhomboid glossitis look like?: red lump in center of posterior portion of tongue 52.What is the treatment for median rhomboid glossitis?: antifungals 53.Know what cross bite looks like: ... 54.Know classes of occlusion: 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 55.Why would there be a white triangle covering all the mandibular anteriors and chin on a PAN?: If the mouth looks smiley then the chin was too low, if the mouth looked frowning then the chin was too high 56.FDA regulates: fluoride content in bottled water 57.medications that cause increased bleeding?: anticoagulants (warfarin, he- parin), antiplatelets (aspirin, plavix), blood modifiers (xarelto, eliquis, pradaxa) 58.medications that cause gingival hyperplasia?: - anti-seizure: Dilantin
- calcium channel blockers: Norvask, Procardia (used to control BP)
- Cyclosporine (used an immunosuppressant) 59.Determine age of patient by teeth present: ... 60.Determine which tooth is present in mixed dentition: ... 61.distinguishing between between leukoplakia and candida?: candida wipes off but leukoplakia doesn't 62.clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes?: ill-fitting denture, tobacco, stain,
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6 / 63.a patient on an anti-hypertensive is most likely to experience what problem in the dental chair?: orthostatic hypotension 64.what causes a diastema?: genetics 65.x-ray pit falls: - patient moves
- cone moves
- film moves 66.aspirin burn: - chemical injury
- white plaque lesion
- can be wiped off
- leaving a bleeding raw base
- will heal once chemical is removed 67.amelogenesis imperfecta: - enamel is found to be defective
- discolorations, pitting, thinner enamel, "flakes off"
- etiology: genetics
- defect in the mineralization, deposition, and hardening of enamel layers 68.mucogingival junction: - sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa 69.enamel projection (enamel pearl): - misplaced ameloblasts migrate to the root area
- produces enamel pearl on CEJ or furcation area 70.pyogenic granuloma: - 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 71.etiology of diastema?: genetic 72.when do maxillary centrals erupt?: 7- 8 73.when do mandibular centrals erupt?: 6- 7 74.when do maxillary laterals erupt?: 8- 9 75.when do mandibular laterals erupt?: 7- 8 76.when do maxillary canines erupt?: 11- 12 77.when do mandibular canines erupt?: 9- 10 78.when do maxillary first premolars erupt?: 10- 11 79.when do mandibular first premolars erupt?: 10- 12 80.when do maxillary second premolars erupt?: 10- 12 81.when do mandibular second premolars erupt?: 11- 12 82.when do maxillary first molars erupt?: 6- 7 83.when do mandibular first molars erupt?: 6- 7 84.when do maxillary second molars erupt?: 12- 13
7 / 85.when do mandibular second molars erupt?: 11- 13 86.when do maxillary third molars erupt?: 17- 21 87.when do mandibular third molars erupt?: 17- 21 88.How much fluoride supplementation should be given to a 6 month old or younger?: none 89.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?: .25mg/day 90.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?: none 91.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?: none 92.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?: 0.50 mg/day 93.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?: 0.25 mg/day 94.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?: none 95.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?: 1 mg/day 96.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?: 0.25 mg/day 97.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?: none 98.complication with high blood pressure medications?: orthostatic hypoten- sion 99.dental caries and relation most with diet?: frequency
- advantage of digital x-rays?: reduce exposure
- What is the most effective method of sterilization?: steam vapor
- what kind of treatment is needed for a bulimic patient?: rinse with bicar- bonate solution
- according to CDCA all need to be medical waste except: tissue
- treatment for angular cheilitis?: antifungal
- APF can cause: etching of porcelain crowns
- when should spore test biological monitoring be done?: 1 week
- which tooth will replace the primary second molar?: permanent second premolar
- when the gingival margin is at the CEJ what calculation is needed to calculate the CAL?: none, the CAL is the same as the prime
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- Tooth #24 has a 6mm pocket with 2 mm of recession, what is the CAL?: 8 mm
- what tooth will replace tooth K?: #
- Teeth with a periodontal abscess are vital whereas teeth with a periapical abscess are non-vital, T or F?: True
- An irritation fibroma is composed of: dense fibrous connective tissue and giant cells
- In periodontal disease, the lamina dura is: - 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?: antitussives
- What does not matter regarding a mask?: HEPA filter
- How long should you flush your lines between patients?: 20 seconds
- Dens-invaginatus: 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: checking a furcation- nabers probe
- What dose it mean if panoramic radiograph is darker on one side?: expos- ing it to light
- concrescence: condition where the cementum overlying the roots of at least two teeth join together
- cyclosporine causes: gingival enlargement
- PAN radiograph of tooth #3 and you see a ghost image of anterior teeth- : double exposed
- palatine fovea or fovea palatinii: 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: having less than 6 congenitally missing teeth
- oligodontia: having 6 or more congenitally missing teeth
- Leukoedema: 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: 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.
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- Ankylosis: 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.
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- median rhomboid glossitis: fungal condition treated with an antifungal drug. It is a form of chronic atrophic candidiasis characterized by an asymptomatic, elon- gated, 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?: 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?: 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: 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?: prolonged bleeding
- Prozac causes: xerostomia
- Claritin causes: xerostomia
- Cyclosporine causes: gingival enlargement
- parasympathetic nerves (cholinergic action): produces an increase in fluid volume (serous saliva).
- sympathetic nerves (sympathomimetic action): produces less volume and viscous saliva
- drugs that have an anticholinergic action: reduce the volume of
12 / serous saliva, including antihypertensives, antihistamines, antidepressants, antipsychotics, antiemetics, antispasmotics, and anti- parkinsonian drugs.
- Oraqix: (lidocaine and prilocaine periodontal gel) 2.5%/2.5% Periodontal Gel is supplied in dental cartridges that provide 1.7 g gel.
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- duration of Oraqix: provides anesthesia after an application time of 30 sec- onds, with a mean duration of action of about 17 to 20 min.