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Computer Simulated Dental Hygiene Exam,
Dental Hygiene Prometric Exam CDCA/ 728
Q&A
parasympathetic nerves (cholinergic action) - Answer: produces an increase in fluid volume (serous saliva). sympathetic nerves (sympathomimetic action) - Answer: produces less volume and viscous saliva drugs that have an anticholinergic action - Answer: reduce the volume of serous saliva, including antihypertensives, antihistamines, antidepressants, antipsychotics, antiemetics, antispasmotics, and anti-parkinsonian drugs.
Oraqix® - Answer: (lidocaine and prilocaine periodontal gel) 2.5%/2.5% Periodontal Gel is supplied in dental cartridges that provide 1.7 g gel. duration of Oraqix® - Answer: provides anesthesia after an application time of 30 seconds, with a mean duration of action of about 17 to 20 min What is a diastema? What are causes? - Answer: A large space between the central incisors; Can be caused by tongue thrusting or hereditary What is material Alba? What does it look like? - Answer: Material Alba is created by food particles, dead epithelial cells, and accumulation of thick biofilm bacteria; White chalky pus How do you calculate CAL? - Answer: Cal is the measurement from the base of the pocket to the CEJ. Add pocket depth plus any recession if applicable. TRUE OR FALSE: When gingival margin is at the CEJ no calculations are needed to find the CAL because the probing depth is the same as the CAL - Answer: True What is Dens Invaginus? another name? - Answer: A tooth forming inside of another tooth; Dens in Dente What is Dens Envaginus? - Answer: A tooth forming on the outside occlusal surface similar to an extra cusp; it is more rare than dens invaginus
Procardia is what class of drug? what is that class used for? - Answer: Calcium Channel Blocker; tx of hypertension What types/ names of drugs cause gingival enlargement? - Answer: Acronym (CCC
- each C looks like the enlarged interproximal tissue) Calcium Channel Blocker -Nifedipine, Verapamil, Procardia (acronym: Not Valuable Player) Cyclosporin - Immunosuppressent antiConvulsant - Phenytoin, Succunumides, Valproic Acid Which type of medication does not cause xerostomia? a- Anticonvulsants b- Antihistamines c- Antitussives d - Antinauseants - Answer: c- Antitussives Duration of Oraqix? after you wait ___ before starting? - Answer: 17 - 20 min ; 30 seconds Oraqix is made of what agents? in what concentrations? - Answer: lidocaine and prilocaine periodontal gel; 2.5%/2.5%
Max # of cartridges of Oraqix that can be used? - Answer: 5 1.7g cartridges What Heart conditions require Premedication? - Answer: Artificial heart valves Infective endocarditis most congential heart defects cardiac transplant with problems in the valves How do drugs induce xerostomia? - Answer: by altering neural pathways that stimulate the salivary glands; either anticholinergic or sympathomimetic drugs What type of drug is Prednisone? - Answer: corticosteroid What is a prominent side effect of Prozac? - Answer: Xerostomia What type of drug is Claritin? What would a prominent side effect be? - Answer: Antihistamine; Xerostomia Know what cross bite looks like - Answer: ... Know classes of occlusion - Answer: 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
clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes? - Answer: ill-fitting denture, tobacco, stain, linea alba a patient on an anti-hypertensive is most likely to experience what problem in the dental chair? - Answer: orthostatic hypotension what causes a diastema? - Answer: genetics x-ray pit falls - Answer: - patient moves
- cone moves
- film moves aspirin burn - Answer: - chemical injury
- white plaque lesion
- can be wiped off
- leaving a bleeding raw base
- will heal once chemical is removed amelogenesis imperfecta - Answer: - enamel is found to be defective
- discolorations, pitting, thinner enamel, "flakes off"
- etiology: genetics
- defect in the mineralization, deposition, and hardening of enamel layers mucogingival junction - Answer: - sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa
enamel projection (enamel pearl) - Answer: - misplaced ameloblasts migrate to the root area
- produces enamel pearl on CEJ or furcation area pyogenic granuloma - Answer: - benign
- tissue response to trauma, local irritation, hormonal changes
- appear in pregnancy due to increase in hormones
- puberty and pregnancy
- composed of hyper plastic granulation tissue etiology of diastema? - Answer: genetic when do maxillary centrals erupt? - Answer: 7- when do mandibular centrals erupt? - Answer: 6- when do maxillary laterals erupt? - Answer: 8- when do mandibular laterals erupt? - Answer: 7- when do maxillary canines erupt? - Answer: 11- when do mandibular canines erupt? - Answer: 9-
How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with 0.3-0.6 ppm in their water? - Answer: none How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with more than 0.6 ppm in their water? - Answer: none How much fluoride supplementation should be given to a 3-6 year old in a community with less than 0.3 ppm in their water? - Answer: 0.50 mg/day How much fluoride supplementation should be given to a 3-6 year old in a community with 0.3-.0.6 ppm in their water? - Answer: 0.25 mg/day How much fluoride supplementation should be given to a 3-6 year old in a community with more than 0.6 ppm in their water? - Answer: none How much fluoride supplementation should be given to a 6-16 year old in a community with less than 0.3 ppm in their water? - Answer: 1 mg/day How much fluoride supplementation should be given to a 6-16 year old in a community with 0.3-0.6 ppm in their water? - Answer: 0.25 mg/day How much fluoride supplementation should be given to a 6-16 year old in a community with more than 0.6 ppm in their water? - Answer: none
complication with high blood pressure medications? - Answer: orthostatic hypotension dental caries and relation most with diet? - Answer: frequency advantage of digital x-rays? - Answer: reduce exposure What is the most effective method of sterilization? - Answer: steam vapor what kind of treatment is needed for a bulimic patient? - Answer: rinse with bicarbonate solution according to CDCA all need to be medical waste except - Answer: tissue treatment for angular cheilitis? - Answer: antifungal APF can cause - Answer: etching of porcelain crowns when should spore test biological monitoring be done? - Answer: 1 week which tooth will replace the primary second molar? - Answer: permanent second premolar when the gingival margin is at the CEJ what calculation is needed to calculate the CAL? - Answer: none, the CAL is the same as the prime depth
Periodontal probe that is taking a measurement but is not perpendicular to the long axis of the tooth - Answer: checking a furcation- nabers probe What dose it mean if panoramic radiograph is darker on one side? - Answer: exposing it to light concrescence - Answer: condition where the cementum overlying the roots of at least two teeth join together cyclosporine causes - Answer: gingival enlargement PAN radiograph of tooth #3 and you see a ghost image of anterior teeth - Answer: double exposed palatine fovea or fovea palatinii - Answer: Two orifices one each side of the midline, distal to the vibrating line. They act as collecting ducts for a group of minor palatine salivary glands hypodontia - Answer: having less than 6 congenitally missing teeth oligodontia - Answer: having 6 or more congenitally missing teeth
Leukoedema - Answer: appears as a filmy, opaque, white to slate gray discoloration of mucosa, chiefly buccal mucosa,It is stated to be seen in 90% of Blacks Nikolsky's sign - Answer: Fragile mucosa may be induced to blister or slough when pressure is applied sign is particularly useful in differentiating pemphigus vulgaris, which causes a positive sign, from bullous pemphigoid, in which the sign is usually absent. Ankylosis - Answer: of primary molars has been reported to be associated with various anomalies in permanent dentition, is usually associated with hypodontia and occurs most time when a tooth fails to exfoliate. median rhomboid glossitis - Answer: fungal condition treated with an antifungal drug. It is a form of chronic atrophic candidiasis characterized by an asymptomatic, elongated, erythematous patch of atrophic mucosa of the posterior mid-dorsal surface of the tongue due to a chronic Candida infection Does the FDA regulate fluoride in bottled water? - Answer: Yes. The federal Food, Drug, and Cosmetic Act provides FDA with broad regulatory authority over food, including bottled water, that is introduced or delivered for interstate commerce (produced and sold in more than one state). Bottled water that is in intrastate commerce (produced and sold only in one state) is under the jurisdiction of the state in which the bottled water is produced and sold. You need to contact the manufacturer to ask if their product is under FDA jurisdiction or state jurisdiction.
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? - Answer: refer the patient to their physician immediately Premedication regimine - Answer: 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? - Answer: 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? - Answer: - look at location of 3rd molars
- impactions
- pathology
- NOT FOR BONE LOSS Items containing fluoride? - Answer: - tea
- pork
- fish What type of water does not contain fluoride? - Answer: well water Know the papilla of the tongue - Answer: - 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? - Answer: elongation of the filiform papillae Delayed eruption may be caused by - Answer: delayed exfoliation Identify mandibular canal radiographically - Answer: 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? - Answer: - caused by trauma
- not normal Know film errors - Answer: - 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 - Answer: rhombus shaped, central denuded area of the tongue with red appearance
- columbia
- sickle ultrasonic What drug causes bleeding? - Answer: Aspirin What does the 2nd premolar replace? - Answer: the 2nd deciduous molar What would you do for fordyce granules? - Answer: leave alone; normal is a bifurcated maxillary canine normal? - Answer: yes What would you do for lingual erosion? - Answer: rinse with sodium bicarbonate Stannous fluoride is not found in which of the following? tea, pork, well water, or fish? - Answer: well water Which is the only root that would be incomplete at age 15? - Answer: the second molar Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant? - Answer:? what is the panorex best used for? - Answer: position of 3rd molars
What is wrong with the PANO picture? - Answer: patient should not have on a thyroid collar when taking a PAN What can prednisone cause? - Answer: delayed wound healing How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted?
- Answer: 11 years old Does ankylosis of the tongue result in nutrition issues? - Answer: no What would recession to the apex of #24-25 be a result of? - Answer: AIDS Exaggerated gingival enlargement could be the result of what? - Answer: uncontrolled diabetes What degree should the shank of the instrument be when scaling subgingivally? - Answer: 70 degrees What should be done with safety glasses after each patient? - Answer: washed Does lingual candidiasis of lateral tongue wipe off? - Answer: yes What does leukoedema look like? - Answer: white spot of buccal mucosa disappears when the cheek is stretched
