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Hesi Comprehensive 2 Provisions Exam test 2025 with correct answers
which assessment supplies the most accurate account of a patient's dietary habits? - Correct answer 3 - day food diary periodontal exam of 51 year old male confirms the development of a type II embrasure with localized areas of slight to moderate gingival recession. Which aid is recommended for effective interdental cleaning in this area - Correct answer interdental proxy brush proxy brush for type II and III end-tufted brush - type III or proximal surfaces where a tooth is missing what are the post op care instructions provided after periodontal surgery? - Correct answer limit physical activity eat a soft, balanced diet use an extra soft tooth brush composite and porcelain restorations should be protected with a thin layer of water based lubrication before applying sodium fluoride. Dental sealants are unaffected by the application of any fluoride treatment and require no protective measures. - Correct answer both statements are false sealants, composites resins, and porcelain restorations should be protected with a water based lubricant prior to APF fluoride treatment. which statement is true regarding the purpose of polishing teeth? - Correct answer considered a cosmetic procedure what is the most appropriate radiographic recommendation for a patient presenting with extensive dental work and at risk for decay? - Correct answer a full mouth periapical series each of the following could be mistaken as dental caries on a dental image except one. - Correct answer radiopaque bases each of the following interdental aids are effective plaque removal of type II embrasures except - Correct answer floss threader these are effective self care aids for type II embrasures interdental brush textured floss toothpick which description depicts the varying width of the periodontal ligament - Correct answer thicker in areas of tension thicker in apical region thicker in functioning teeth
thinner in nonfunctioning teeth each of following is a manifestation of moderate dental anxiety - Correct answer quick answers sweating overwillingness to cooperate slurred speech is a manifestation most often associated with? - Correct answer hypoglycemia and stroke during xray exposure, why is it important to maintain the tooth and film in a parallel relationship? - Correct answer minimizes dimensional distortion a 4 - year old patient lives in community with .5 ppm of fluoride in drinking water. what is the recommended fluoride supplement dose in mg to prescribe daily for this patient. - Correct answer .25 mg .5+ .25=. (.7 ppm is recommended) the dental hygienist fails to inform the patient the tip of the scaling instrument broke in the patient's mouth. This is an example of - Correct answer negligence and unintentional tort the dental hygienist post dates a treatment appointment on an insurance form. this is an example of - Correct answer criminal law this is fraud which would be dealt under criminal law- a law established to prevent harm to society. in some cases of professional negligence, an expert witness is not needed. a hygienist breaking an instrument tip and leaving it in the sulcus would require an expert witness. - Correct answer first statement is true, second is false. leaving broken instrument in the sulcus does not require expert witness. this is evidence under the doctrine of res ipsa loquitor- the matter speaks for itself. a breach of contact occurs when privacy rights have been violated. Harm has to occur for there to be a breach of contract. - Correct answer first statement is true and second is false. harm does not have to occur. which situation would not require written consent? - Correct answer radiographs taking radiographs is part of the standard of care when treating a patient.
the patient admits not brushing his teeth for 2 weeks. which microorganisms will be most prevalent - Correct answer spriochetes and vibrios appear during days 7 - 14 after ineffective plaque removal. what microorganisms appear after 4 - 7 days of ineffective plaque removal - Correct answer filamentous forms increase and rods and fusobacteria appear what microorganisms are present almost immediately after plaque removal - Correct answer gram positive cocci each of the following are blisterform lesions - Correct answer vesicle pustule bulla a superficial, elevated solid lesion that is typically less than or equal to 1cm in diameter. - Correct answer papule which palpation technique is used to determine the presence of mandibular tori? - Correct answer digital what methods of palpation are used to palpate the lymph nodes or thyroid gland? - Correct answer manual (fingers from one hand are used to grasp tissue) and bimanual method (fingers and thumb from each hand are used simultaneously to palpate tissues) what method is of palpation is used to palpate the lips - Correct answer bidigital during a medical emergency, each of the following exhibits an increase in blood pressure except for? - Correct answer myocardial infarction- the blood pressure during a MI may be normal, but commonly is decreased. during a medical emergency, what conditions exhibits an increase in blood pressure - Correct answer acute allergic reaction epilepsy asthma pulmonary edema prior to a dental procedure, which requires prophylactic antibiotics - Correct answer history of infective endocarditis a patient presents with a blood pressure reading of 142/90. which ASA risk classification is this patient? - Correct answer II the maxillary canine occludes with the distal half of the mandibular canine and the mesial half of the mandibular first premolar. Which angle's classification of occlusion does this describe? - Correct answer class I malocclusion
a patient admits swallowing some fluoride during an in-office professional application. The patient may experience acute fluoride toxicity because the fluoride reacts with the stomach acid to form hydrogen fluoride which which irritates the stomach lining. - Correct answer both the statement and reason are correct and related. in dentifrices, which active ingredient helps decrease calculus formation? - Correct answer pyrophosphate in dentifrices, which active ingredient helps decrease gingivitis? - Correct answer triclosan using G. V. Black, which location describes a class V restoration. - Correct answer facial root surface of # located on the cervical third of a lingual/facial tooth surface which includes root surfaces. using G. V. Black, which location describes a class III restoration. - Correct answer mesial surface of an anterior tooth not extending to the incisal using G. V. Black, which location describes a class II restoration. - Correct answer distal occlusal of # the distal and mesial occlusal surface of a posterior tooth using G. V. Black, which location describes a class 1 restoration. - Correct answer occlusal of # the occlusal surface of a posterior tooth and linguals of anterior teeth using G. V. Black, which location describes a class IV restoration. - Correct answer mesial incisal of # mesial or distal of an anterior incisal using G. V. Black, which location describes a class VI restoration. - Correct answer caries affecting cusp tips of molars, premolars, and cuspids which gracey curet is used to root plane the DISTAL surface of the mesial buccal root of tooth #2 - Correct answer 13/ 5/6 gracey is used on - Correct answer premolars 9/10 gracey is used on - Correct answer facial and lingual surfaces of posterior teeth 11/12 gracey is used on - Correct answer mesial surfaces of posterior teeth
each of the following is an example of electromagnetic radiation except one - Correct answer alpha particles (example of particulate matter) examples of electromagnetic radiation:
- xrays
- radio waves
- visible light which technique yields severe root damage when using a magnetostrictive scaler? - Correct answer applying firm lateral pressure according to the american dental hygienists codes of ethics, providing pro bono service fulfills a responsibility to - Correct answer the community and society which element of informed consent is breached when a health care provider neglects to explain the possible consequences of rejecting treatment - Correct answer disclosure reveals the nature of the procedure, its risks and benefits and the likely consequences of electing no treatment which criteria validates creditable research - Correct answer date publishes within last 3 to 5 years. which action does a positive spore test warrant? - Correct answer take sterilizer out of operation and re test which patient case requires a medical consultation - Correct answer takes 1 tablet of rifater daily. rifater- medication used for tuberculosis. medical consultation is vital for these patients to determine the absence of active tuberculosis before providing oral health care the patient's chief concern should be recorded as a - Correct answer direct quote a smooth, dull, white spot on the enamel surface is a frank carious lesion. restorative surgery is inevitable once a white spot lesion forms. - Correct answer both statements are false. it is an incipient carious lesion which is reversible with topical fluoride therapy. efforts should be concentrated on remineralizing the demineralized area of enamel, rather than placing a restoration in healthy patients, lymph nodes are usually - Correct answer small, soft, mobile, and cannot be seen or palpated.
which medical condiiton exhibits truncal obesity, slender extremities, a moon-shaped face and a buffalo hump? - Correct answer adrenal hyperfunction which treatment plan intervention is appropriate for gingivitis - Correct answer subgingival debridement which treatment time is required for full mouth disinfection - Correct answer two separate 4 hour appointments, completed within 24 hours which phase of dental care planning involves regenerative periodontal techniques? - Correct answer II which phase of dental care planning involves etiologic treatment, focused on minimizing the risk for disease - Correct answer I which phase of dental care planning involves restorative treatment - Correct answer phase III which phase of dental care planning involves long term periodontal maintenance - Correct answer phase IV which is a benefit of resin based sealants - Correct answer when placed correctly, retention is excellent what is the benefit of glass ionomer sealants? - Correct answer release fluoride to inhibit decay which dentifrice ingredient exhibits anticalculus properties - Correct answer pyrophosphate sodium citrate - desensitizing agent calcium carbonate - polishing agent lysozyme- acts to reduce gingivitis which is the first step to managing generalized dentin sensitivity - Correct answer brush with a potassium nitrate dentifrice a patient at high risk for bacterial endocarditis should take antibiotic premedication - Correct answer 30 mins- 1 hr before certain dental procedures. gingival bleeding may be induced and if not taken as directed, the patient can take it within 2 hours of the dental appt which mouthrinse ingredient is most beneficial for a patient with xerostomia - Correct answer sodium fluoride to prevent dental caries
the acceptable INR range to provide dental treatment is 2 - 3 NOT 0 - 3. an intraoral examination exhibits signs of oral mucositis. The clinician should be suspicious of - Correct answer chronic kidney failure during treatment, a patient becomes verbally unresponsive with trembling and jerky movement but remains conscious, the patient is exhibiting signs of - Correct answer petit mal seizure when a patient's consciousness is lost is during an episode of - Correct answer status epileptics and a grand mal seizure treatment considerations for patients with diabetes mellitus include each of the following - Correct answer advise pt to obtain a blood glucose reading the morning of appt schedule pt appt after insulin therapy schedule pt appt after eating a healthy meal which will not aid a patient in managing extrinsic tooth stain - Correct answer avoiding excessive fluoride intake because it contributes to intrinsic stain which type of consent occurs when the patient accepts a proposed treatment for dental care - Correct answer informed consent inferred from a person's actions and the facts and circumstances. - Correct answer implied consent consent may be verbal, non verbal or written - Correct answer expressed consent consent that ensures patients must always be free to consent or refuse treatment - Correct answer voluntary consent each of following is a component of a case presentation - Correct answer proposed care plan risks involved alternative procedures (informed consent is obtained after the patient accepts the care plan) presenting assessment findings including the dental and hygiene diagnosis and the proposed treatment care plan is known as - Correct answer case presentation mild delayed onset allergic reactions are best treated with - Correct answer oral diphenhydramine
severe immediate onset allergic reactions are best treated with - Correct answer intramuscular or subcutaneous injection of epi Protocol for radiating chest pain radiating and shortness of breath - Correct answer ensure airway is open administer nitroglycerin .4mg tablet sublingually monitor vital signs pt is seated in supine position a patient under an asthma attack should be seated in what position - Correct answer supine and administered a bronchodilator what medical emergencies should you administer epi - Correct answer anaphylaxis or cardiac arrest protocol for syncope - Correct answer monitor vitals ensure open airways pt in supine protocol for acute necrotizing ulcerative gingivitis - Correct answer .12% chlorhexidine rinse debridement with US improved oral hygiene care denture induced fibrous hyperplasia develops due to - Correct answer poorly fitting dentures wearing dentures for too long poor hygiene of denture how do you treat denture induced fibrous hyperplasia - Correct answer the fibrous tissue needs to be excised, tissues will not regress over time causative for palatal papillary hyperplasia - Correct answer poor hygiene care of prosthetic appliance prolonged wear of removal prosthesis ill fitting removable appliance providing smoking cessation counseling is beneficial for patient with periodontal disease. Previous damage to the periodontium from smoking is reversible - Correct answer first state true, second is false positive link between smoking and attachment loss. previous damage is not reversible
what are the signs for an ACUTE periodontal abscess - Correct answer elevated temperature lymphadenopathy tooth mobility what is a sign for chronic periodontal abscess - Correct answer elevation of tooth in socket what are the criteria used when selecting instruments for non surgical pocket therapy - Correct answer tissue tone pocket depth root morphology which is the best instrument to subginigvally scale the palatoginigival groove of tooth #7? - Correct answer mini five curet the mesial furcation of a maxillary first molar is located towards the lingual surface. instrumentation on the mesial furcation of a maxillary first molar is best accomplished when approached fromo the buccal surface. - Correct answer first is true, second is false. best approached from the lingual, not the buccal. what should be considered to avoid over-instrumentation on root surfaces during US instrumentation - Correct answer exposure time lateral pressure tip angulation a bone replacement graft material removed from another species is - Correct answer xenograft often derived from bovine. bone from a patient's own body - Correct answer autograft bone from another human being - Correct answer allograft which periodontal flap technique elevates the entire thickness of the soft tissue including epithelium, connective tissue, and periosteum? - Correct answer full thickness AKA mucoperiosteal flap which periodontal flap technique is a suture with the margins of the flap placed at a position other than its original position in relationship to the CEJ of a the tooth - Correct answer displaced flap which periodontal flap technique is a suture with the margins of the flap placed at its original position in relationship to the CEJ of a the tooth - Correct answer a non displaced flap
which periodontal flap technique includes elevation of only the epithelium and a thin layer of connective tissue and is sutured with a direct loop suture - Correct answer partial thickness flap which muscle allows the head to flex and bend forward - Correct answer left and right sternocleidomastoid which muscle lifts the clavicle and scapula - Correct answer trapezius which muscles protrude and deviate the mandible laterally - Correct answer pterygoid muscle omohyoid muscles are involved in - Correct answer mastication and swallowing chlorhexidine is recommended for plaque biofilm control in periodontal patients. periodontal patients should rinse with 1/2 ounce two times per day as part of home care. - Correct answer both are true. it is proven effective against biofilm achieving root surface modification is a goal of - Correct answer surgical periodontal therapy goals of non surgical periodontal therapy include - Correct answer stabilize attachment level minimize patient bacterial challenge minimize impact of systemic factors for periodontal disease which is the antibiotic drug of choice for a patient with necrotizing ulcerative ginigivitis - Correct answer metronidazole (flagyl) in a diseased periodontium, subgingival biofilm is composed mostly of - Correct answer gram negative and anaerobic cocci and rods what is an example of a systemic delivery of chemotherapeutic agent - Correct answer fluoridated water bc it is ingested systemically and delivered via the blood stream. what are examples of a local delivery of oral chemotherapeutics - Correct answer oral rinses home oral irrigation dentifrices
