MN Dental Jurisprudence Exam 2024 Questions and Answers (Verified Answers), Exams of Dentistry

Download MN Dental Jurisprudence Exam 2024 Questions and Answers (Verified Answers) and more Exams Dentistry in PDF only on Docsity! MN Dental Jurisprudence Exam 2024 Questions and Answers (Verified Answers) *general supervision - ANSWER-The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises. *indirect - ANSWER-The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel. direct - ANSWER-The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel. personal - ANSWER-The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures. DH, DT or DA must do these before administering nitrous - ANSWER-take a course with a minimum of *12 hours* total comprised of didactic instruction, personally administering and managing at least *3* individual supervised cases who can place sealants after completing a course by a school accredited by the commission on dental accreditation? - ANSWER-DH, DT, DA *WHO can give local anesthesia after completing a course on local anesthesia from a school accredited by the Commission on Dental Accreditation - ANSWER-DH and DT (not DA) *Dental hygienists and licensed dental assistants shall not take impressions and bite registrations for _____________ of fixed and removable prostheses. - ANSWER-Final construction *Before removal of bond material, a dental hygienist or licensed dental assistant must successfully complete a course in the use of ____________ for the express purpose of the removal of bond material from teeth. - ANSWER-rotary instruments *Scope of Practice* - ANSWER---- DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - ANSWER-Class I, II, V - a dental hygienist or dental assistant must successfully complete a board approved course on these specific restorative procedures. application of pit and fissure sealants - ANSWER-DH - general LDA - indirect *Administer LA - ANSWER-DH - general *monitor a patient on nitrous - ANSWER-DH - General LDA - Indirect T/F -- DH or LDA shall NOT take impressions and bite registrations for the FINAL construction of fixed and removable prostheses. - ANSWER-True *Utilizing rotary instruments for the removal of bond material from teeth - ANSWER-DH - indirect LDA - indirect Performing any or all restorative procedures limited to placing, contouring, & adjusting amalgam, glass ionomers, and Class I and V supra composite restorations - ANSWER- DH - indirect LDA - indirect *managing and removing IV lines - ANSWER-DH - indirect LDA - indirect *placing an IV line - ANSWER-DH - direct LDA - direct administering any medications or agents - ANSWER-Personal DH and RDA *Perform preliminary charting including assessments and existing restoration, determine the perio status, and formulate the DH tx plan in coordination with DDS - ANSWER-DH - general *make referrals in consultation with DDS - ANSWER-DH - general *complete prophy with scaling, root planing, and polishing restorations - ANSWER-DH - general dietary and nutritional counseling - ANSWER-DH - general *replacement, cementation and adjustment of INTACT temporary restorations - ANSWER-DH - general LDA - general LDA - direct *etch enamel surfaces before bonding of ortho by DDS - ANSWER-DH - direct LDA - direct *attach prefit and preadjusted ortho appliances - ANSWER-DH - direct LDA - direct *remove fixed ortho brackets - ANSWER-DH - direct LDA - direct remove excess bond material from appliances - ANSWER-DH - general LDA - direct *administer N2O2 - ANSWER-DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - ANSWER-true Concurrently perform supportive services if the dentist holds a valid general anesthesia or moderate sedation certificate, is personally treating a patient, and authorizes the allied dental personnel to aid in treatment including the administration of medications into an existing intravenous line, an enteral agent, or emergency medications in an emergent situation. - ANSWER-DH - personal LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. - ANSWER-DH - direct LDA - direct -Perform preliminary charting of the oral cavity, oral health instruction and disease prevention, including nutritional counseling, dietary analysis. -Apply topical medications such as, but not limited to, topical fluoride and cavity varnishes in appropriate dosages. *****-Perform mechanical polishing - ANSWER-GENERAL (DT and ADT) -Etch appropriate enamel surfaces, apply and adjust pit and fissure sealants. -Placement of temporary restorations. -Fabrication of soft occlusal guards and athletic mouthguards. -Pulp vitality testing. - ANSWER-GENERAL (DT and ADT) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline. - ANSWER-DT - general ADT - general -Atraumatic restorative therapy. *Tooth reimplantation. -Dressing changes. -Dispense and administer analgesics, anti-inflammatories, and antibiotics as (permitted by the collaborative management agreement) - ANSWER-general ADT and DT -Cavity preparation; and restoration of primary and permanent teeth -Pulpotomies on primary teeth -pulp capping on primary and permanent teeth. -Stabilization of reimplanted teeth. -Remove sutures. -Brush biopsies. - ANSWER-DT - indirect ADT - general -Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement. (Not including unerupted, impacted, fractured) -Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by a collaborating dentist -Make appropriate referrals to dentists, physicians, and other practitioners in consultation with the collaborating dentist. - ANSWER-ADT - GENERAL ---DT cannot do these -Repair of defective prosthetic devices -Placement of temporary crowns: and preparation and placement of preformed crowns *Provide emergency palliative treatment of dental pain -Extractions of baby teeth - ANSWER-DT - indirect ADT - general LDA General Supervision (all) - ANSWER--cut arch wires on ortho appliance -remove loose bands on ortho appliance -remove loose brackets on ortho appliances -re-cement intact temp restorations -place temp fillings, not including temporization of Inlays, onlays, crowns, and bridges -take radiographs -impressions for casts and appropriate bite registration, not to include impressions and bite registrations for final construction of fixed and removable prostheses -deliver vacuum-formed ortho retainers -place and remove elastic ortho separators -complete prelim charting -take photographs extra and intraorally -vital signs - pulse, bp as directed by dds -obtain informed consent for treatments authorized by the supervising dentist pursuant to the licensed da scope DH Direct supervision (all) - ANSWER-Etch for ortho, remove CRs, fabricate temp restorations, place/remove matrix bands, remove ortho cement with rotary instruments, attach ortho appliances, remove fixed ortho bands/brackets, initiate and place IV lines, place nonsurgical retraction material for gingival displacement. DH personal supervision - ANSWER-Help DDS with sedation if completed extra education. *Rules, regulations, and CE requirements* - ANSWER-____ *can a dentist accept money for making a referral (renumeration = $) to another dentist? - ANSWER-nope *the patient can be terminated for: - ANSWER-- pt failure to comply with treatment or professional advice (ex: advanced perio) - consistent tardiness or failed appts - failure to pay for services rendered - behavior mngmt issues *Can a LDA scale and clean mandibular anteriors on a pediatric patient? - ANSWER- NO The LDA and DDS would both be held accountable *All DHCP must renew their license every _____ on the date when they originally got their license - ANSWER-2 years When is reading a professional article considered a fundamental credit and when is it an elective credit? - ANSWER-A professional article w/ a post test is considered *fundamental* Reading a professional article for the information is considered *elective* the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met - ANSWER-1. must be currently licensed 2. is currently engaged in practice 3. is approved by the board 4. was established by a non profit organization that is tax exempt 5. provides dental care to patients who have difficulty accessing to care 6. must agree to treat "indigent" patients 7. has to pay a non refundable free no more than $75 8. guest license must be *renewed anually* and expires on Dec. 31 9. the care must be provided without compensation 10. board requires proof of application 11.must be subject to all state rules and regulations continuing education waiver for a dental professional who is RETIRED from active practice and has limited the provision of dental care services - ANSWER--board may require written documentation that they are retired -- *proof* they are not working as a full time dental professional (maybe working a few times a month) -must complete and document at least *5 hours* of approved courses on infection control, medical emergencies, etc. -provide documentation of current *CPR certificate* what is the boards mission? - ANSWER-to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - ANSWER-9 total : - 5 DDS - 1 LDA - 1 DH - 2 public members who appoints the 9 members of the board? - ANSWER-governor what qualifications must the DH, DA, & DDS have to become part of the board? - ANSWER-lawfully in active practice in the state for *5 years* immediately preceding appointment into the board how long can members serve? - ANSWER-2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - ANSWER-1-provides care that is educational, preventative, and therapeutic through observation, assessment, eval, counseling, and therapeutic services to establish and maintain oral health 2-evaluates pt heath status through review of med and dental histories, assesses and plans dh care needs, performs a prophy including complete removal of calc, accretions and stains by scaling, polishing, and performs root planing and debridement 3- administers local and nitrous 4- provides other related services as permitted by rules of the board DH - ANSWER-A person of *GOOD MORAL CHARACTER*, who has graduated from a DH PROGRAM accredited by the *commission on Dental Accreditation* and established in an institution accredited by an agency recognized by the US department of education to offer college-level programs, may apply for licensure DH program - ANSWER-min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall *not* include what? - ANSWER-final diagnosis all dental hygiene services must be provided under supervision of a licensed dentist. T or F - ANSWER-True a DH may be employed by a nonprofit organization to preform DH services *without* the pt first being examined by a licensed DDS if the Dental hygienist.... - ANSWER-- has been engaged in active practice of clinical dh for no less than *2400 hours in past 18 mo* or a career total of *3,000 hours* -has entered into a *collaborative agreement* with a licensed DDS that designates authorization for the services provided by dental hygienist -has documented participation in courses in *infection control and med emergencies* within each continuing education cycle - maintains *CPR certificate* from AHA or American red cross dental hygiene services authorized to be performed are: - ANSWER-1- oral health promotion 2- removal of deposit and stain from surface of teeth 3- application of topical preventive or prophy agents, including fluoride varnish and pit and fissure sealants 4- polishing and smoothing restorations 5- removal of marginal overhangs 6- performance of preliminary charting 7- taking radiographs 8- performance of SRP (all under general supervision) does the dentist need to examine the pt or be present during injection of local anesthesia or nitrous once delegated in collaborative agreement with licensed dds and dh? - ANSWER-no DH collaborative agreement must include.. - ANSWER-1- consideration for med comp pt and med conditions for which dental eval and treatment plan must occur *prior* to provision of dh services 2- age and procedure specific standard collaborative practice *protocols*, including recommended intervals for the performance of dh services and a period of time in which an exam by dds should occur 3- copies of *consent to treatment form* provide to patient by dental hygienist 4- specific protocols for the placement of *pit and fissure sealants* and requirements for *follow up care* to assure efficacy of sealants after applications 5- procedure for creating and *maintaining dental records* for the patients that are treated collaborative management agreement between a DDS and a DT must include: - ANSWER-1. settings where the DT can serve 2. any practice limitations (DT vrs. ADT) with the level of supervision 3. procedure specific protocalls 4. procedure to maintain dental records 5. a plan to manage medical emergencies 6. quality assurance plan (referral, chart review, follow up care) 7. protocalls for administering and dispensing meds 8. supervision criteria for DAs dental hygiene consent to treatment must include statement stating that - ANSWER-dh services provided are not a substitute for dental exam by licensed dds A DT is limited to practicing in settings that serve ______ - ANSWER-low income, uninsured, and underserved patients referal form - ANSWER-for all referrals to pt for further procedures, dh must fill out and *provide a copy* for collaborating dds health care facility or nonprofit organizations are limited to: (for collaborative agreement) - ANSWER-hospital, nursing home, home health agency, group home serving elderly, disabled, or juveniles; state-operated facility licensed by commissioner of human services or commissioner of corrections; and federal, state, or local public health facility, community clinic, tribal clinic, schools what must be on every complete upper and lower denture and removable dental prosthesis? - ANSWER-patients name and social security number *what is biennial term - ANSWER-properly renewed license or permit issued by board valid from first day of month following expiration for 24 months until renewed or terminated according to procedures in this part *a DT can supervise no more than ____ licensed or non-licensed DAs in any one practice setting - ANSWER-4 *A DT must enter into a __________ with a DDS - ANSWER-collaborative management agreement (all agreements but be reviewed, signed. updated and submitted to the board EVERY YEAR) Amount of credit hours each biennial a dentist, specialty, guest full faculty or DT needs. - ANSWER-50 minimum of _____ credit hours for dentists and DT's of fundamental CE's - ANSWER- 30 maximum of ___credit hours of elective CEs for DT and DDS - ANSWER-20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective - ANSWER-25, 15, 10 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - ANSWER-2, 2 Core subjects - ANSWER-Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental - ANSWER-Activities directly related to the provision of *clinical dental services* elective - ANSWER-Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting clinical subject - ANSWER-Subjects directly related to the provision of *dental care* and treatment to pts core subject - ANSWER-ares of knowledge that relate to *public safety* and professionalism acceptable documentation for CE hours - ANSWER-Every form should include: name and location of organization/presenter, contact information and credentials or training that qualifies presenter to teach course, course title, date, hours and subject matter. *specialty dental practices: - ANSWER-- dental public health - endodontics - oral and maxillofacial radiology & pathology - oral surgery - ortho - pediatric dentistry - periodontics - prosthodontics A dental tech and DDS may practice in the same facility but may each have their own practice. - ANSWER-True; * the DDS is not responsible for the dental tech unless the tech is EMPLOYED by the DDS *what if a patient stops by and asks the tech for a denture adjustment?? what about for it to be cleaned? - ANSWER-lab tech cannot do either *how many dental therapists can a dentist have? - ANSWER-5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - ANSWER-4 what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - ANSWER-a written work order from a DDS (good for 2 years) *non licensed dental assistants: - ANSWER-can be trained ON THE JOB, on site with dentist duties: retract the cheek, suction, transfer instruments, mix cements, help in sterilization, turn rooms around, set up/tear down, set pts, and walk pts out. (general???) a DDS is responsible for ensuring that any DA complies with ... - ANSWER-- completing a *CPR* course and maintaining certificate -compliance with most current *infection control* guidelines *limited licensed dental assistants - ANSWER-non licensed but have taken a course in taking RADIOGRAPHS *Sedation* - ANSWER-____ Minimal Sedation (Conscious sedation) - ANSWER--to reduce anxiety -- Anxiolysis -lightest form of sedation -ex: N2O2, oral meds, or IV sedation (need 12 hours of a course with 3 different "practice cases") characterized by moderate impairment to the patient's cognitive function and coordination, but leaves unaffected the patient's ventilator and cardiovascular - ANSWER-minimal sedation Moderate Sedation (still conscious) - ANSWER-relaxed, awake and can still respond ex: N2O2, oral meds, IV sedation (need 60 hours during an extra course with practice) Deep sedation (unconscious) - ANSWER-can only be performed by an anesthesiologist or an oral surgeon (need extra schooling) *means a depressed level of consciousness produced by a pharmacological agent during which the patient cannot be easily aroused but responds purposefully following repeated or painful stimulation - ANSWER-deep sedation *general anesthesia (unconscious) - ANSWER-for extreme cases of dental care *oral and maxillofacial surgeons *Infection Control* - ANSWER------- high level disinfection - ANSWER-Elimination of all microorganisms except bacterial spores decontamination - ANSWER-Removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are *no longer capable of causing infection* and the surface or item is rendered safe for barehanded touching, use or disposal. Disinfection - ANSWER-destroys *most* pathogenic and other microorganisms by physical or chemical means -does not ensure the degree of safety associated with sterilization processes (ex: sanitary wipes used to wipe down the cubicle) sterilization - ANSWER-destroys *all* microorganisms, including substantial numbers of resistant bacterial spores, by heat (steam autoclave, dry heat, and unsaturated chemical vapor) or liquid chemical sterilants *Use surface barriers on ______ to protect, particularly for surfaces that are hard to clean - ANSWER-light switches, radiographic equipment, drawer handles, computers (change barriers between patients) ----still need to use EPA approved wipes to clean after barriers are removed The _______________ regulates *low- and intermediate-level* disinfectants that are used on surfaces - ANSWER-Environmental Protection Agency *What employees need Hep B vaccination? - ANSWER-any employee that has potential for contact with blood Every dental office needs to have a written exposure plan; written policies and procedures for prompt reporting, evaluation, counsel, tx. and follow-up to occupational exposures. T/F - ANSWER-True *Exposure training should include: - ANSWER-1) Description of their exposure risks 2) Review of prevention strategies & infection control policies/procedures 3) Discussion regarding how to manage work related illnesses and injuries 4) Review of work restrictions for the exposure/infection *When to wash hands: - ANSWER--before treating a patient -before gloves are put on -right after gloves are taken off -after treating a patient Fingernails should be kept SHORT; Artificial nails carry greater ______ and are implicated in fungal and bacterial infections - ANSWER-gram negative organisms when should your eyewear be cleaned? - ANSWER-between every patient and after your last patient at the end of the day *A surgical mask that covers both the nose and mouth and protective eye wear w/ solid side shields (or a face shield) should be worn by DHCP T/F - ANSWER-true when should you change your mask? - ANSWER--when it becomes wet or visibly soiled -between patients -every 3 hours *destruction of most bacteria, some viruses, and fungi( but not mycrobaterium tuberculosis or bacterial spores) -through the exposure to a chemical registered with EPA as hospital disinfectant but with ----no label claim for tuberculdcidal - ANSWER-low level disinfection *destruction of mycobacterium tuberculosis, vegetative bacteria, most viruses and fungi (not bacterial spores) through exposure to a chemical registered with EPA hospital disinfectant WITH label claim for tubercluocidal activity - ANSWER-intermediate level disinfection means the destruction of all forms of microbial life except high numbers of bacterial spores through exposure to a chemical registered with enviormental protection agency "sterilant" - ANSWER-high level disinfection T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva - ANSWER-true *When should you change gloves? - ANSWER-between patients, and when they become torn or punctured critical items - ANSWER-penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) Semi critical items - ANSWER-contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still recommended (dental mirror, impression trays) non-critical items - ANSWER-pose least risk for transmission of infection -contacts skin only **disinfection with EPA registered wipes (blood pressure cuff, dental chair, etc.) *chemical indicators - ANSWER-indicator tape: does NOT prove sterile (ex: brown colored tag after heat sterilization on outside of instrument case) *biological indicators - ANSWER-*spore testing* assess by killing highly resistant microbes -best way to tell if sterilizing equipment is working properly -MUST be performed WEEKLY dirty uniforms and lab coats should be _____ at the location where they were used - ANSWER-bagged --must be handled as little as possible --must not be sorted or rinsed if spore test comes back positive.... - ANSWER-indicated that the sterilizer is not working properly and items are NOT sterile -needs to be corrected and temporarily be out of service T/F a tooth with an amalgam filling in it is considered hazardous waste only - ANSWER- false: hazardous and infectious autoclaving = - ANSWER-sterilizing -destroy all microbes what testing should be available to all DHCW for those concerned that they may be infected by HIV - ANSWER-serologic testing how should the amalgam scrap be stored and handled - ANSWER-stored in a closed unbreakable container labled " hazardous "contains mercury" and should be recycled website for more info on infection control - ANSWER-https://www.cdc.gov/oralhealth/infectioncontrol/questions/ *Record Keeping* - ANSWER----- *Dental records must include - ANSWER-- pt's name, address, DOB - if minor, need parent's name - name and telephone number of contact person - name of insurance and ID number if applicable - patient's reason for visit - dental and medical history - clinical exam - diagnosis and treatment plan - informed consent - progress note *informed consent consists of... - ANSWER-giving options benefits risks cost patient's approval (signature) *correction of records - ANSWER-notations must be legible, written in ink, no erasures or white outs -if incorrect info is on paper, must cross out with one line and initialed *transfer of records - ANSWER-digital Xrays must be transfered by compact or optical disc, electric communication, or printed on high quality photographic paper -need diagnostic quality using proper exposure settings * T/F: as a request of patient, records must be transferred, even if their bill hasn't been paid - ANSWER-True *when electronic records are kept, a dentist must keep either a _____________ or use an _____________ - ANSWER-duplicate hard copy unalterable electronic record *adults records must be kept for _____ years beyond last time they were seen - ANSWER-7 A minor (child) records must be kept for ____ years beyond the age of 18 - ANSWER-7