Exam (elaborations)
Dental Hygiene Computer Simulated Case Test.
- Module
- Dental Hygiene Board Review
- Institution
- Dental Hygiene Board Review
Dental Hygiene Computer Simulated Case Test.
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Dental Hygiene Computer Simulated CaseTest
What is an oral side effect of Prozac? - ANS-xerostomia
How do steroids effect wound healing? - ANS-causes delayed wound healing
What should be done with a patient with a previous history of high blood pressure and
comes in for their appointment with reading of 160/116? - ANS-refer the patient to their
physician immediately
Premedication regimine - ANS-2g Amoxicillin
600 mg Clindamycin
Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior
to their appointment. What would you do? - ANS-administer another 300 mg and wait 1
hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to treatment)
What is a PAN used for? - ANS-- look at location of 3rd molars
- impactions
- pathology
- NOT FOR BONE LOSS
Items containing fluoride? - ANS-- tea
- pork
- fish
What type of water does not contain fluoride? - ANS-well water
Know the papilla of the tongue - ANS-- filiform (most numerous, very small)
- fungiform (mushroom shape, contain taste buds)
- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus
terminalis)
- foliate (leaf shaped, lateral border of tongue)
What is black hairy tongue? - ANS-Black hairy tongue (BHT) is a benign medical
condition characterized by elongated filiform lingual papillae with typical black/brown
carpet-like appearance of the dorsum of the tongue.
,What is black hairy tongue caused by? - ANS-Known predisposing factors include
smoking, excessive coffee/black tea consumption, poor oral hygiene, trigeminal
neuralgia, general debilitation, xerostomia, and medication use.
Excessive hydrogen peroxide use
Diagnosis, Treatment, and Complications of Black hairy tongue - ANS-Clinical diagnosis
relies on visual observation, detailed history taking, and occasionally microscopic
evaluation.
Treatment involves identification and discontinuation of the offending agent,
modifications of chronic predisposing factors, patient's re-assurance to the benign
nature of the condition, and maintenance of adequate oral hygiene with gentle
debridement to promote desquamation.
Complications of BHT (burning mouth syndrome, halitosis, nausea, gagging, dysgeusia)
typically respond to therapy.
Delayed eruption may be caused by - ANS-delayed exfoliation
Identify mandibular canal radiographically - ANS-radiolucent, long dark area outlined
with dense cortical bone, located above or parallel to the inferior border of the mandible
What is thickened lamina dura caused by? is this appearance normal? - ANS-- caused
by trauma
- not normal
Know film errors - ANS-- elongation: too little vertical angulation
- foreshortening: too much vertical angulation
- cone cut: PID not aligned with censor
- overlap: incorrect horizontal angulation
Identify median rhomboid glossitis - ANS-rhombus shaped, central denuded area of the
tongue with red appearance
What is a vitality test used for? - ANS-testing to see if the pulp is vital or not (applying
cold air on cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its
necrotic you would not feel anything)
,What are Hutchinson's incisors caused by? - ANS-Syphillis, NOT biting on bobby pins
Identify lingual varicosities.. are they normal? - ANS-yes they're normal
How long should ultrasonic units be flushed? - ANS-20 seconds
What provides proof of sterilization? Spore test or autoclave tape? - ANS-Spore test
What does autoclave tape tell you? - ANS-that it has reached proper temperature
Hep B vaccination also protects you from? - ANS-Hep D
What can chlorhexidine cause? - ANS-staining, increased calculus deposits
What instrument should you use to work on mandibular anterior gingiva? - ANS-- 1/2
gracey
- columbia
- sickle ultrasonic
What drug causes bleeding? - ANS-Aspirin
What does the 2nd premolar replace? - ANS-the 2nd deciduous molar
What would you do for fordyce granules? - ANS-leave alone; normal
is a bifurcated maxillary canine normal? - ANS-yes
What would you do for lingual erosion? - ANS-rinse with sodium bicarbonate
Stannous fluoride is not found in which of the following? tea, pork, well water, or fish? -
ANS-well water
Which is the only root that would be incomplete at age 15? - ANS-the second molar
Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or
malignant? - ANS-?
what is the panorex best used for? - ANS-position of 3rd molars
, What is wrong with the PANO picture? - ANS-patient should not have on a thyroid collar
when taking a PAN
What can prednisone cause? - ANS-delayed wound healing
How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted? -
ANS-11 years old
Does ankylosis of the tongue result in nutrition issues? - ANS-no
What would recession to the apex of #24-25 be a result of? - ANS-AIDS
Exaggerated gingival enlargement could be the result of what? - ANS-uncontrolled
diabetes
What degree should the shank of the instrument be when scaling subgingivally? -
ANS-70 degrees
What should be done with safety glasses after each patient? - ANS-washed
Does lingual candidiasis of lateral tongue wipe off? - ANS-yes
What does leukoedema look like? - ANS-white spot of buccal mucosa disappears when
the cheek is stretched
What type of drug is Procardia? - ANS-calcium channel blocker
What is procardia used for? - ANS-for high blood pressure
What does procardia cause intraorally? - ANS-gingival enlargement
What would mandibular anterior, facial, bright pink and enlarged gingiva indicate? -
ANS-pregnancy gingivitis
Are bifurcated mandibular premolars normal? - ANS-yes
What drink can cause facial erosion? - ANS-fruit juice
What does median rhomboid glossitis look like? - ANS-red lump in center of posterior
portion of tongue
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