MN DENTAL JURISPRUDENCE EXAM QUESTIONS AND CORRECT ANSWERS VERIFIED LATEST 2024- 2025 GUA, Exams of Nursing

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P ag e1 MN DENTAL JURISPRUDENCE EXAM QUESTIONS AND CORRECT ANSWERS VERIFIED LATEST 2024- 2025 GUARANTEED PASS GRADE A + UPDATED!! *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 P ag e2 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. P ag e5 take vital signs --ANSWER->DH - general LDA - general place temporary fillings --ANSWER->DH - general LDA - general *cut arch wires, remove loose bands or brackets --ANSWER- >DH - general LDA - general *take X-rays --ANSWER->DH - general LDA - general *take impressions for casts and bite registrations --ANSWER- >DH - general LDA - general *place and remove ortho separators --ANSWER->DH - general LDA - general *deliver vacuum-formed ortho retainers --ANSWER->DH - general DA - general *etch enamel surfaces; apply and adjust sealants --ANSWER- >DH - general LDA - indirect *Administer a patient on nitrous oxide --ANSWER->DH - general P ag e6 LDA -Direct *mechanical polishing clinical crowns (calculus must be removed by DDS or DH before polishing) --ANSWER->DH - general LDA - indirect *remove excess cement from inlays, crowns, bridges, ortho appliances with HAND INSTRUMENTS --ANSWER->DH - general LDA - indirect apply topical fluoride and bleaching agents prescribed by DDS -- ANSWER->DH - general LDA - indirect *can a LDA or DH place a cavity liner or endo filler --ANSWER- >no place topical gel before injection --ANSWER->DH - general LDA - indirect *place and remove rubber dam --ANSWER->DH - general LDA - indirect *Preselect ortho bands --ANSWER->DH - general LDA - indirect can a LDA give local anesthesia? --ANSWER->No P ag e7 *remove and replace ligature ties and arch wires --ANSWER- >DH - general LDA - indirect *remove sutures --ANSWER->DH - general LDA - indirect Perform restorative procedures limited to: placing, contouring, and adjusting amalgam restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing, contouring, and adjusting class I, II, & V supragingival composite restorations on primary and permanent teeth. -- ANSWER->DH - Indirect LDA - indirect *place and remove periodontal packs --ANSWER->DH - General LDA - indirect *dry root canals with paper points --ANSWER->DH - general LDA - indirect *remove bond material with rotary instruments after removal of ortho --ANSWER->DH - direct LDA - direct *place and remove matrix bands --ANSWER->DH - direct LDA - direct P ag e1 0 -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. P ag e1 1 -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 P ag e1 2 -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. P ag e1 5 What actions would cause an immediate suspension of a Dental Professional License? --ANSWER->1. Dependence on alcohol, drugs, or other substances 2. Writing unauthorized prescriptions *How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? --ANSWER->25 for LDA and DH 50 for DDS and DT's fundamental credits --ANSWER->directly related to clinical practice of dentistry *minimum of 15 credits for LDA and DH; 30 for DDS and dental therapists Core Subjects (fundamental credits) --ANSWER->areas of knowledge that relate to public *safety* and professionalism *minimum of 2 different core subjects needed in 2 yrs *what are core subjects?? --ANSWER->-Record Keeping -Ethics -Patient Communication -Management of med. emergencies -Diagnosis and tx. planning (optional for DH/LDA) CPR is a _________ credit --ANSWER->Fundamental; must be updated every 2 yrs P ag e1 6 *self assessment is a _____ credit --ANSWER->Fundamental; printed from ADA website; usually updated every 2yrs. completed and put in professional portfolio; 1 credit Can all of your credits be earned in the fundamental category? - -ANSWER->yes, but they cannot all be in the elective category *elective credits --ANSWER->activities directly related to, or *supportive* of the practice of dentistry; Max. of 10 credits for DH/LDA; 20 for DDS and dental therapists ex) Self-study-scholarly articles Scholarly activities- presentations Volunteering/Community Service General Attendance- 3 credits for a state or national dental convention BOD will randomly select individuals for an audit; you will be notified by letter and have ____ days to submit COPIES of your CE record --ANSWER->60 days (never send an original) *Each dental professional is required to keep documentation of their CE for the current 2 year cycle AND the previous ____ year cycle --ANSWER->past 2 year cycle *all dental professionals must notify the board of dentistry within _________ of a name or address change --ANSWER->30 days P ag e1 7 ****T/F : must display annual renewal certificate w/ license in plain sight for pts to see. When renewing license, copies can be *requested* if one is employed at multiple practices. (One must carry a wallet copy if they float to variety of offices) - -ANSWER->True (you cannot make copies yourself) *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 P ag e2 0 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 P ag e2 1 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 P ag e2 2 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 P ag e2 5 how long after an infection control report does the designated office have to meet with the board --ANSWER->30 days of receiving report without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring.... --ANSWER->infection control it is unlawful for any person to.. --ANSWER->-enable a unlicensed person to practice dentistry -practice without a license -not go by his or her own name (and degree) regulated person shall be provided with at least ________notice of a hearing under temp suspension infection control --ANSWER->20 days supervising dds requirements --ANSWER->-board-approved MN licensed dds for at least 5 consecutive years -license shall not be subject to, or pending, corrective or disciplinary action within the previous five years according to NN statutes - acceptable written agreement between limited licensed dds and supervising dds- may only supervise 1 for duration of agreement- written agreement shall include info acknowledgment that limited dds agrees to practice clinical dentistry at least 1,100 hours annual for a period of 3 consecutive years P ag e2 6 -no more than 2 limited licensed dds are allowed to practice gen dentistry under supervision in one facility -modifications to written agreement must be submitted in writing to board within 7 business days -supervising dds must inform the board in writing about the termination of a written agreement with a limited dds within 7 business day of termination -must inform board in writing about any known disciplinary or malpractice proceedings involving the limited dds w/I 7 business days of proceeding -submit performance eval no earlier than 90 days before completion of limited dds practice period -disciplinary actions limited license dds agrees to practice clinical dentistry for at least _________ hours annually, for a period of __________ consecutive years --ANSWER->1,100 3 years *applicant for dental assisting and DH requires. .. --ANSWER->- application -copy of diploma or certificate -submit evidence of satisfactory passing boards *state and national* boards -picture -backround check******* P ag e2 7 *DA without license can... --ANSWER->-perform all duties not directly related with performing dental treatment or services on patients -retract -assist with the placement or removal of rubber dam and accessories used for its placement and retention as directed by operating dds -remove debris with suction devices, air, mouthwash, water -aid dh and licensed da in their duties -apply fluoride varnish in community setting under licensed dds *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 P ag e3 0 *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") P ag e3 1 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 P ag e3 2 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 The ____________ regulates liquid *chemical sterilants/high- level* disinfectants --ANSWER->Food and Drug Administration P ag e3 5 *dental techs must have a work order from the DDS and will keep their work order on infection control for ____ years -- ANSWER->2 *training should include: --ANSWER->-A description of their exposure risks -Review of prevention strategies and infection prevention policies and procedures -Discussion of how to manage work-related illness and injuries -Review of work restrictions for the exposure or infection *The infection prevention coordinator --ANSWER->will be responsible for developing and maintaining a written *infection prevention program*; monitoring/evaluating the program; and implementing quality improvement measures as needed. *extracted teeth are infectious and should be disposed in -- ANSWER->medical waste containers (but not if it has amalgam in it) -- find out local regulations regarding disposal of amalgam *can we give patients their teeth after extractions? --ANSWER- >yes, it is no longer our responsibility once it is handed over extracted teeth for educational purposes must be... --ANSWER- >-Cleaned so there is no visible blood or debris. -Kept moist in a simple solution such as water or saline P ag e3 6 *placed in a container with a secure lid to prevent leaking during transport or storage, and labeled with the biohazard symbol until sterilization* -*Heat-sterilized* to allow for safe handling. if you get poked by a needle, instrument or were exposed by blood.. you should --ANSWER->1. Wash the site of the needlestick or cut with soap and water. 2. Flush splashes to the nose, mouth, or skin with water. 3. Irrigate eyes with clean water, saline, or sterile irrigants. 4. Report the incident to your supervisor or the person in your practice responsible for managing exposures. 5. Immediately seek medical evaluation from a qualified health care professional1 because, in some cases, postexposure treatment may be recommended and should be started as soon as possible. 6. fill out incident form and submit to board *OSHA (Occupational Safety and Health Act) requires -- ANSWER->employers make hep B vaccine available to all employees who have potential contact w/ blood or OPIM (other potentially infectious materials) *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, P ag e3 7 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 P ag e4 0 --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 P ag e4 1 - 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 P ag e4 2 *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 *can the dentist charge a patient a fee for transferring records? --ANSWER->yes. should original X-rays or forms be sent if requested?? -- ANSWER->No, NEVER. diagnostic duplicate X-rays and records must be copied and sent who decides the max. fee a DDS can charge? --ANSWER- >Minnesota Department of Health the provider can charge for copies of records --ANSWER->no more than 75 cents per page AND $10 charge for time spent When a pt requests a copy of the pt's record for purposes of reviewing current *medical care* --ANSWER->the provider must *not* charge a fee