MN DENTAL JURISPRUDENCE EXAM REVIEWS, Exams of Nursing

Download MN DENTAL JURISPRUDENCE EXAM REVIEWS and more Exams Nursing in PDF only on Docsity! MN DENTAL JURISPRUDENCE EXAM REVIEWS *general supervision - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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? - CORRECT 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 - CORRECT 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. - CORRECT 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. - CORRECT ANSWER-rotary instruments *Scope of Practice* - CORRECT ANSWER---- DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - CORRECT 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 - CORRECT ANSWER-DH - general LDA - indirect *Administer LA - CORRECT ANSWER-DH - general *monitor a patient on nitrous - CORRECT 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. - CORRECT ANSWER-True *Utilizing rotary instruments for the removal of bond material from teeth - CORRECT 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 - CORRECT ANSWER-DH - indirect LDA - indirect *managing and removing IV lines - CORRECT ANSWER-DH - indirect LDA - indirect *placing an IV line - CORRECT ANSWER-DH - direct LDA - direct administering any medications or agents - CORRECT 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 - CORRECT ANSWER-DH - general *make referrals in consultation with DDS - CORRECT ANSWER-DH - general *remove bond material with rotary instruments after removal of ortho - CORRECT ANSWER-DH - direct LDA - direct *place and remove matrix bands - CORRECT ANSWER-DH - direct LDA - direct fabricate, cement, and adjust temporary crowns - CORRECT ANSWER-DH - direct LDA - direct *remove temporary RESTORATIONS with hand instruments only - CORRECT ANSWER-DH - direct LDA - direct *etch enamel surfaces before bonding of ortho by DDS - CORRECT ANSWER-DH - direct LDA - direct *attach prefit and preadjusted ortho appliances - CORRECT ANSWER-DH - direct LDA - direct *remove fixed ortho brackets - CORRECT ANSWER-DH - direct LDA - direct remove excess bond material from appliances - CORRECT ANSWER-DH - general LDA - direct *administer N2O2 - CORRECT ANSWER-DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - CORRECT 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. - CORRECT ANSWER-DH - personal LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. - CORRECT 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 - CORRECT 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. - CORRECT ANSWER-GENERAL (DT and ADT) -Administer local anesthesia. -Administer nitrous oxide inhalation analgesia *****Application of desensitizing medication or resin -Tissue conditioning and soft reline. - CORRECT 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) - CORRECT 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. - CORRECT 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. - CORRECT 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 - CORRECT ANSWER-DT - indirect ADT - general LDA General Supervision (all) - CORRECT 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) - CORRECT 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 - CORRECT ANSWER-Help DDS with sedation if completed extra education. 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 - CORRECT 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 - CORRECT ANSWER-past 2 year cycle *all dental professionals must notify the board of dentistry within _________ of a name or address change - CORRECT ANSWER-30 days ****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) - CORRECT ANSWER- True (you cannot make copies yourself) *All DHCP must renew their license every _____ on the date when they originally got their license - CORRECT ANSWER-2 years When is reading a professional article considered a fundamental credit and when is it an elective credit? - CORRECT 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 - CORRECT 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 - CORRECT 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? - CORRECT ANSWER-to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - CORRECT ANSWER-9 total : - 5 DDS - 1 LDA - 1 DH - 2 public members who appoints the 9 members of the board? - CORRECT ANSWER-governor what qualifications must the DH, DA, & DDS have to become part of the board? - CORRECT ANSWER-lawfully in active practice in the state for *5 years* immediately preceding appointment into the board how long can members serve? - CORRECT ANSWER-2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall *not* include what? - CORRECT ANSWER-final diagnosis all dental hygiene services must be provided under supervision of a licensed dentist. T or F - CORRECT 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.... - CORRECT 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: - CORRECT 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? - CORRECT ANSWER-no DH collaborative agreement must include.. - CORRECT 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: - CORRECT 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 -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 - CORRECT ANSWER-1,100 3 years *applicant for dental assisting and DH requires. .. - CORRECT ANSWER--application -copy of diploma or certificate -submit evidence of satisfactory passing boards *state and national* boards -picture -backround check******* *DA without license can... - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-4 *A DT must enter into a __________ with a DDS - CORRECT 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. - CORRECT ANSWER-50 minimum of _____ credit hours for dentists and DT's of fundamental CE's - CORRECT ANSWER-30 maximum of ___credit hours of elective CEs for DT and DDS - CORRECT ANSWER-20 _ credit hours each biennial cycle for a hygienist and dental assistant; minimum of __ of fundamental and maximum of __ elective - CORRECT ANSWER-25, 15, 10 A minimum of _ courses must be completed in _ of the core subject areas per biennial cycle - CORRECT ANSWER-2, 2 Core subjects - CORRECT ANSWER-Infection control, record keeping, ethics, management of med emergencies, pt communications, diagnosis and treatment planning. Fundamental - CORRECT ANSWER-Activities directly related to the provision of *clinical dental services* elective - CORRECT ANSWER-Activities directly related to, or *supportive* of the practice of dentistry, dental hygiene, or dental assisting clinical subject - CORRECT ANSWER-Subjects directly related to the provision of *dental care* and treatment to pts core subject - CORRECT ANSWER-ares of knowledge that relate to *public safety* and professionalism acceptable documentation for CE hours - CORRECT 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: - CORRECT 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. - CORRECT 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? - CORRECT ANSWER-lab tech cannot do either *how many dental therapists can a dentist have? - CORRECT ANSWER-5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - CORRECT ANSWER-4 what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - CORRECT ANSWER-a written work order from a DDS (good for 2 years) *non licensed dental assistants: - CORRECT 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 ... - CORRECT ANSWER-- completing a *CPR* course and maintaining certificate -compliance with most current *infection control* guidelines *limited licensed dental assistants - CORRECT ANSWER-non licensed but have taken a course in taking RADIOGRAPHS *Sedation* - CORRECT ANSWER-____ Minimal Sedation (Conscious sedation) - CORRECT 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 - CORRECT ANSWER-minimal sedation Moderate Sedation (still conscious) - CORRECT 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) - CORRECT 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 - CORRECT ANSWER-deep sedation *The infection prevention coordinator - CORRECT 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 - CORRECT 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? - CORRECT ANSWER-yes, it is no longer our responsibility once it is handed over extracted teeth for educational purposes must be... - CORRECT ANSWER--Cleaned so there is no visible blood or debris. -Kept moist in a simple solution such as water or saline *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 - CORRECT 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 - CORRECT 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? - CORRECT 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 - CORRECT ANSWER-True *Exposure training should include: - CORRECT 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: - CORRECT 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 - CORRECT ANSWER-gram negative organisms when should your eyewear be cleaned? - CORRECT 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 - CORRECT ANSWER-true when should you change your mask? - CORRECT 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 - CORRECT 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 - CORRECT 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" - CORRECT ANSWER-high level disinfection T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva - CORRECT ANSWER-true *When should you change gloves? - CORRECT ANSWER-between patients, and when they become torn or punctured critical items - CORRECT ANSWER-penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) Semi critical items - CORRECT ANSWER-contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still recommended (dental mirror, impression trays) non-critical items - CORRECT ANSWER-pose least risk for transmission of infection -contacts skin only **disinfection with EPA registered wipes (blood pressure cuff, dental chair, etc.) *chemical indicators - CORRECT ANSWER-indicator tape: does NOT prove sterile (ex: brown colored tag after heat sterilization on outside of instrument case) *biological indicators - CORRECT 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 - CORRECT ANSWER-bagged --must be handled as little as possible --must not be sorted or rinsed if spore test comes back positive.... - CORRECT 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 - CORRECT ANSWER-false: hazardous and infectious autoclaving = - CORRECT ANSWER-sterilizing -destroy all microbes what testing should be available to all DHCW for those concerned that they may be infected by HIV - CORRECT ANSWER-serologic testing how should the amalgam scrap be stored and handled - CORRECT ANSWER-stored in a closed unbreakable container labled " hazardous "contains mercury" and should be recycled website for more info on infection control - CORRECT ANSWER- https://www.cdc.gov/oralhealth/infectioncontrol/questions/