Dentistry and Dental Hygiene: Roles, Regulations, and Procedures, Exams of Nursing

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FLORIDA LAWS & RULES

(DENTAL EXAM ADEX CDCA)

COMPLETE STUDY REVIEW

GUIDE

Florida Laws & Rules (Dental Exam ADEX CDCA)

Complete Study Review Guide

1. Dentistry: the healing art which is concerned with the exam, diagnosis, treat- ment planning, and care of conditions within the human oral cavity and adjacent tissues and structures
2. Dental Hygiene: the rendering of educational, preventative, and therapeutic dental services and any related extra-oral procedure required in the performance of services
3. Governor of Florida: Who appoints the board of dentistry members?
4. Irremediable tasks: Intraoral treatment tasks which are irreversible and create unaltered changes within the oral cavity
5. Remediable tasks: Intraoral treatment tasks which are reversible and do not create unalterable changes within the oral cavity or structures and do not cause an increased risk to the patient
6. Irremediable: Applying topical with jet spray is what type of task?
7. Remediable: A dental hygienist who applies bleaching solution, activates light source, monitors and removes in office bleaching materials is performing a

task

8. Re-cementing temp crowns with temp cement: The practicing dentist is out of the country and a patient comes into the office with an emergency.

What is a remediable task is the hygienist/assistant able to perform?

9. Irremediable: The use of a laser or laser type device is considered to be what type of task?

10. Dental hygienists & assistants: Who may perform emergency remediable tasks under conditions specified in the laws?
11. 50 min: How many minutes are equivalent to one hour of continuing education?
12. Chemotherapeutic agents: What is not an appropriate topic for continuing education?
13. Board approved individual study: What is an appropriate educational activity or topic for continuing education?
14. Pt stress management: What is an example of a CE a dental hygienist would take?
15. 1st biennium of licensure: When are licensees excused from CE?
16. Practicing hygienist or dentist: Who of the following are required to take CE credits?
    17. Writing within the scope of dentistry: Which of the following is legal of a dentist writing prescriptions?
17. False: If 40 hours of CE are taken in 1 biennium, the remaining hours taken can count toward renewal requirement for the next biennium. True/False
18. True: A dentist or hygienist takes a 10 hr HIV/AIDs course. The remaining 9 hours could count for their remaining 24 or 30 hours required for licensure renewal. True/False
19. Dental license #: What must be included in a prescription for a prescription strength fluoride gel?
20. True: If the dentist uses anesthesia in his office, his/her staff has to be properly trained in anticonvulsants. T/F

22. Board of Dentistry: Who grants sedation permits?
23. NO: A dental hygienist under the supervision of a dentist may administer local anesthesia, including intraoral block anesthesia, soft tissue infiltration anes- thesia, or both, to a non-sedated patient who is 15 or older, if they meet criteria outlined in the laws manual
24. Altered state of consciousness: Nitrous oxide produces:
25. Pt's physical ability: With conscious sedation, it must not effect what?
26. 25%: What is the minimum oxygen level required when administering nitrous oxide anesthesia?
27. All of these: oxygen tank, EKG machine, bronchodilator, defibrillator, thermometer, and BP cuff: What equipment should be present in the ER/recovery rooms when using sedation?
28. False: Oral antibiotics are needed in the recovery room when performing sedation in the dental office - T/F
29. Pt of Record: A patient who has received radiographs, an exam from dentist and treatment plan is considered:
30. Dentist: Who owns the patient records or chart?
31. To another licensed Fl dentist: In the event that the dentist dies, where do all the patient of record files go?
32. Disinfecting may leave open the possibility of infection: The major differ- ence between sterilization and disinfection is:

33. Radiation or wiping down with alcohol: What is not a sterilization process
34. Using regular exam gloves: When handling soiled instruments - what's not appropriate?
35. CDC: Who would be the enforcement of making guidelines and rules for contaminants pertaining to blood, saliva, and other bodily fluids?
36. Eye Wear: Which personal protective equipment is not required?
37. Washing prosthodontic appliances with soap and water before giving to patient: What is not consistent with the CDC recommendations?
38. Hold or deny license: A person holding a dental hygiene license in the state of Fl has been ruled by a court of law that they are delinquent on their child support. The Board of dentistry has the right to?
39. Referring dentist: A patient is referred to a specialist, and at that location, the patient also received treatment from the hygienist. Who is ultimately responsible?
40. This can happen only if the patient's interest is in the best interest: A dentist refers a patient to another dentist due to financial interest
41. Dentist: If a dental hygienist injures a patient, who is primarily responsible?
42. Direct supervision: A dentist diagnoses the condition to be treated, autho- rizes the procedure to be performed, remains on the premises while the proce- dures are performed, and approves the work performed
43. indirect supervision: A dentist examines the patient, diagnoses, authorizes the procedure and remains on premises while the procedures are performed

44. General supervision: A dentist authorizes the procedures but need not be present with the procedure is being performed
45. Board of Dentistry: Who defines the levels of supervision?
46. General Supervision: If the dentist is out of the country and calls his office to instruct his staff to do a procedure on a patient, what supervision is this?
47. Indirect: What is the supervision level for making bleaching trays for dental hygienist?
48. General: A dental hygienist may polish clinical crowns with what level of supervision?
49. Direct: A dental assistant may polish clinical crowns with
50. General: A dental hygienist may apply topical anesthetic with
51. Direct: A dental assistant may apply topical anesthetic with
52. General: If a hygienist is in a non-health access setting and a patient is in need of sealants, the hygienist must perform sealants under which supervision?
53. Indirect: A dental hygienist may place subgingival chlorhexidine with
54. Indirect: A dental hygienist may marginate restorations with
55. General: A dental hygienist performing home care on a patient who is now in an assisted living center is working under which supervision level
56. After radiographs: When does the dentist see the patient
57. Another dentist: If a doctor of record is out of town and a patient comes to the office with acute conditions, who can diagnose the patient?
58. Analgesia: Absence of pain without loss of consciousness

59. Anesthesia: The loss of feeling or sensation, especially the loss of sensation of pain
60. Local anesthesia: The loss of sensation of pain in a specific area of the body, generally produced by a topically applied agent or injected agent without causing the loss of consciousness
61. General Anesthesia: Controlled state of unconsciousness, produced by phar- macologic agent, accompanied by a partial or complete loss of protective reflexes, including the inability to independently maintain airway and respond purposefully to physical stimulation or verbal command. This modality includes administration of medications via parenteral routes; that is oral, rectal or transmucosal
62. DA - direct, hygienist - indirect: What are the supervision levels for nitrous oxide? Dental assistant; dental hygienist
63. Sterilization: The process by which all forms of life within an environment are totally destroyed
64. Disinfection: The destruction or inhibition of most pathogenic bacteria while they are in their active growth phase and the inactivation of some viruses
65. Misdemeanor: Is using the name RDH or Dental Hygienist if not licensed - misdemeanor or felony?
66. Misdemeanor; 1st: The penalty for using another's license is a in the degree
67. Felony, 3rd degree: The penalty for using a suspended/expired license is a in the degree
68. Felony, 3rd degree: The penalty for unlicensed dentistry/practicing outside of the scope of practice is a in the degree

69. Misdemeanor, 2nd Degree: The penalty for the lab not keeping original Rx is a in the degree
70. Misdemeanor; 2nd: The penalty for operating as a lab is a in the

degree

71. Phone or visit to office monthly: A monitor for hep B can/does all the following except
72. treat as infectious materials: Impressions for appliances or models sent to labs must be labeled as:
73. A handwriting sample: In accepting a license to practice, you must consent to:

In investigations you have to provide these:

74. All of these: placing pre-treatment separators; selecting bands, arch wires, or expansion appliances; removing excess cement with non-mechan- ical hand instruments: Which of the following are remediable tasks?
75. Placing sealants & removing sutures: What is under general supervision for RDH?
76. Root planing if pt hasn't been pre-examined: In an emergency, what is a violation of the law?
77. maintain own airway: In conscious sedation, the patient must be able to:
78. Monitoring and turning the unit off: Which of the following is allowed when an auxiliary is utilizing N2O2?

79. It is reversible and does not create unalterable changes within the oral cavity and does not cause an increased risk to the patient: What is the definition of a remediable task?
80. CPR certification with defib: For licensure renewal an RDH needs 24 hours of CE plus:
81. A statement of specific services and authorized frequency: A prescription for the services of an RDH must contain
82. Grounds for disciplinary action: Being unable to practice with reasonable skill and safety during an illness or use of drugs/narcotics is a
83. Given to the patient: The original Rx for DH services is
84. A qualified anesthetist performing a dental operation with a licensed dentist: All of the following are exempt from chapter 466 except
85. See a DDS within 3 days: After having an emergency task performed on him/her, a patient must
86. Submit a sworn affidavit listing the date, location, sponsor, subject mat- ter, and hours of completed education: In applying for renewal, the RDH shall
87. Completed a clinical exam, charted pathological conditions, prepared a treatment plan, and completed medical history: A patient of record is a patient that the DDS has
88. Dental office redecorating: An unacceptable CE is
89. Felony: Practicing without a valid Fl license would constitute a
90. Indirect: Root planning for a dental hygienist is performed under which super- vision

91. Governor: Who appoints BoD?
92. Person who gave the tx: If anyone other than the dentist of record treats a patient, who must initial the chart?
93. making adjustments & turning it off: The scope of dental hygienist involve- ment in N2O administration is limited to
94. for the practice of dentistry: Pharmacists in Fl can fill prescriptions of legally licensed dentists for any drug
95. dentist of record responsible for all tx: In a multi-dentist practice, the patient of record must have
96. direct: curettage is performed under which supervision
97. Display a copy of the license in each office in a conspicuous place with the original in the main office of employment: A dental hygienist or dentist who works in more than one office must
98. No supervision: To provide educational programs in elementary institutions, an RDH needs
99. The BoD cannot limit in an HRS institution: The BoD can limit the number of hygienists in an HRD program to
100. A rebuttable presumption of guilts to underlying criminal charges: A plea of no lo contender creates
101. Ensure that every dentist and hygienist in the state meets the minimum requirements for safe practice: The legislative purpose of chapter 466 is to

102. Jane Doe, DMD, general dentist, practice limited to orthodontics: The correct wording for a non-specialist, limiting his/her practice to orthodontics is
103. Null & void: After 4 years, an inactive license becomes
104. Advertising dentist may claim he/she gives superior treatment: Which of the following is not allowed
105. Flame burs: When polishing an amalgam restoration, the hygienist may not use
106. At the time when the dentist of record cannot pre-examine the patient- : When a patient is in discomfort due to the loss of a periodontal dressing, when can the hygienist replace the dressing?
107. Full discipline over a licensee but no disciplinary power over an appli- cant: The board has
108. Direct supervision/formal training: Dental assistants can cement temp crown and bridges with temp cement under
109. No: Can the BoD put a dentist or hygienist in jail?
110. None: How many times in a biennium can one become inactive, reactive, and inactive again?
111. Oxygen only: What can be mixed with N2O2 for inhalation analgesia?
112. Dept of Dentistry: Any violations of the rules and laws are reported to the
113. No: If John Doe comes to the office for his first visit and the dentist is out of town, can the hygienist prophy?

114. However many the BoD limits them to - if they choose to do so: A dentist can employ how many full time hygienists?
115. CPR certificate: Before a dental hygienist can monitor N2O2, they must have
116. Misdemeanor 2nd Degree: A firm or corporation acting as a 'dental lab' in any way other than defined in ch 466 has
117. Not at all: Obtaining bacteriological specimens involving the cutting of tissue and not involving taking endo cultures to be examined under a microscope for educational purposes can be done by an RDH when
118. Window Period: The time between infection and appearance of HIV antibod- ies is known as
119. Non biohazard: Extracted teeth can be rendered by disinfection in order to be returned to the patient
120. Impervious container: Impressions shipped to a lab are sealed in what
121. Fees from any capitation party or payment plan: During a period of sus- pension, a licensee cannot accept what
122. Gloves & mask: PPE is mandatory by chapter 64B5?
123. Placing class I restoration: Which of the following cannot be delegated to a hygienist by a dentist in Fl
124. Completed dental work: A patient of record is designated by all the following except
125. Fine, restriction, revocation of license: In the practice of dentistry, the BoD may impose

126. RDH license #: What must be on the script for the services of an RDH
127. Felony: Using false or forged evidence to obtain a license constitutes
128. initial app for licensure denied: If an applicant practices dental hygiene before obtaining a license, what action is taken
129. The licensee: If you have been issued a license by the BoD through an error, who is responsible?
130. All of these --> in the office of a Fl licensed dentist, in a public health program, in the home of a non-ambulatory patient of record, and in a gov- ernment institution: Where is a hygienist allowed to work?
131. Securing or unsecuring an archwire by attaching or removing fastening devices: Which of the following constitutes an emergency remediable task?
132. Infected with the hep-B virus surface antigen and hep-B e-antigen: Being sero-positive for HBSAG means that
133. The time when the reliability of any negative results can be diminished- : The window period is
134. Exposed to a chemical agent: All heat sensitive instruments must be
135. A qualified anesthetist giving anesthesia under supervision of a Fl licensed dentist: All of the following are exempt from chapter 466 except
136. Dept of Health: If someone violates chapter 466 and 64B5, who should it be reported to?

137. In the home of an ambulatory patient: In which of the following settings may a hygienist NOT perform her duties
138. Contour ortho bands: Which of the following can a hygienist NOT perform

139. When they are teaching full time in a school of dental hygiene: When is a hygienist exempt from CE courses
140. Assistant & hygienist: Who can remove sutures
141. Marginating restorations without changing the contour: What duty can a dentist delegate to a hygienist
142. Acceptable: A dentist asks the hygienist to perform gingival curettage - this is considered
143. The number of assistants and hygienists: Who can the BoD limit in a private practice
144. General: A patient of record is transferred to a nursing home - the family wishes the RDH to continue tx. What level of supervision must be employed
145. Suspend license until rehab - followed by other penalties upon rehabil- itation: A patient reports a dentist to the board for suspected alcohol abuse. After review, the board requests specific test to be given to verify the charges.What else can the board do to the doctor
146. No supervision necessary: Under which supervision is an RDH allowed to authorize fluoride rinse program
147. Basic CPR, infant, obstructed airway, plus either ACLS or ATLS: If a dentist performs general anesthesia, they must hold current certifications in
148. Conscious sedation: Which form of anesthesia causes a depressed level of consciousness
149. No fine or reprimand: If someone is adjudged mentally incompetent in this or any other state, what is the disciplinary action

150. Laser device: Expansion duties for an RDH include all except
151. Physician: Who would NOT see an emergency patient if the dentists is on vacation
152. Outline of course: What would a hygienist not have to include for certification for a course for a conference
153. Can be suspended until they follow the order from the board: If patient reports drug or alcohol abuse to the board and the dentist refuses to be tested
154. Provide authorized fluoride rinse programs: What can an RDH do without supervision

155. Indirect: Making impressions for creating opposing models or fabrication of bleach stents and surgical stents to be used for providing palatal coverage falls under which supervision for an RDH
156. No supervision necessary: OHI can be given by an RDH under what super- vision
157. Remove calculus, accretions, or stain above (or below) the gumline: A dental assistant is not allowed to
158. All of these --> ADA or ADHA, hospitals approved by US dept of edu, or dental school accredited by the ADA commission on dental accreditation: - CE's can be taken through
159. All of these --> dept of health, dept of juvenile justice, dept of child and family services: There no limit on the number of auxiliaries:
160. Applying sealants: A hygienist can ask an assistant to help perform which of the following
161. False: In order to prescribe chlorhexidine or fl rinse, a dentist must hold a dispensing permit

• T/F

162. Deep sedation: Which of the following is a controlled state of depressed consciousness
163. For the first renewal: HIV/AIDs course must be taken when?
164. Publisher's name: When presenting a CE, one does not have to keep documentation of
165. Review the number of reminder calls made that day: A hepatitis monitor is not required to
166. Radiographs: A patient of record must have all the following except

167. Place sutures: An auxiliary may perform all the following in an emergency without pre- exam from dentist except
168. Fees: Peer review contains all except:
169. No: Does CPR count towards CE requirements?
170. Suspension / Revocation of License: If you don't keep the work order / rx forms for 4 years, what happens?
171. Professional journals NOT the public: Dental labs can advertise to what?
172. Yes: Can a lab tech make a mouthguard?

173. FullTime: To have a teaching permit & do faculty practice you must work how long?
174. Teach - yes Faculty Practice - NO: If you fail licensing exam 3x, you can still do what, but not what?
175. 456: Fl Statutues LAW that governs dept of health
176. 466: Dental Practice Act - Fl Statutes Law that governs practice of dentistry in Fl
177. 64B5: Fl Admin Code RULES enforced by the BoD
178. No SRP or Gingival Curettage: What are hygienists not allowed to do under general supervision for non-ambulatory pts?
179. Dept of Health: Who gives the actual license?
180. No: Can you do research for CE?
181. Unlicensed: Is a lab tech licensed or unlicensed?
182. Must appear before the board: first time offenders get 30 days pay fees vs 2nd time offenders have to:
183. Reviews Issues: Agency of Health Care Admin citations

Bureau of Investigative Services citations

184. Dental Malpractice: 3 or more claims within 5 year resulting in payment over 25K b/c of judgement / settlement b/c of negligent conduct of part of dentist
185. Administrative Commission: The governor and cabinet make up what?
186. Tallahassee: BoD headquarters in?
187. Advise only: The councils that advise the BoD job is to what only? Council in Dental Hygiene Council on Dental Assisting

Committee on Continuing Professional Education

188. Senate: Who confirms the members of the BoD?
189. CE Broker: Program used to register CE credits (no board requirement to use it)
190. Random, no need to send proof unless audited: Protocol for CE tracking?
191. Dispensing Practitioners: Refers to dentists who in their offices fill the prescriptions they write
192. Prohibited: Practice in a private sector is when on military status
193. Delinquent: Fail to renew license or elect inactive status before license expires shall be what status name?
194. Void: Fail to renew before expiration of licensure cycle ins which the licensee became delinquent shall the license