Dental Hygiene Prometric Exam, CSCE,
CSCE
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
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 hairy tongue caused by? - ANS-elongation of the filiform papillae
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 the treatment for black hair tongue? - ANS-brush it
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
What is the treatment for median rhomboid glossitis? - ANS-antifungals
Know what cross bite looks like - ANS-...
Know classes of occlusion - ANS-Class I: mesiobuccal cusp of maxillary first molar
occludes with buccal groove of mandibular first molar
Class II: buccal groove of mandibular first molar is distal to the mesiobuccal cusp of
maxillary fits molar
Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of
maxillary first molar
Why would there be a white triangle covering all the mandibular anteriors and chin on a
PAN? - ANS-If the mouth looks smiley then the chin was too low, if the mouth looked
frowning then the chin was too high
FDA regulates - ANS-fluoride content in bottled water
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