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MN DENTAL JURISPRUDENCE EXAM NEW
UPDATE 2024/2025 ACTUAL TEST QUESTIONS
WITH 100% COMPLETE SOLUTIONS.
*general supervision - 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 - 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 - 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 - 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 - 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? - 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 - 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. - 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. - ANSWER- rotary instruments Scope of Practice - ANSWER- --- DH and DA with restorative functions can place, contour, and adjust amalgam, glass ionomers, and stainless steel crowns on class _______ (supragingival) - 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 - ANSWER- DH - general LDA - indirect *Administer LA - ANSWER- DH - general *monitor a patient on nitrous - 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. - ANSWER- True *Utilizing rotary instruments for the removal of bond material from teeth - 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 - ANSWER- DH - indirect LDA - indirect *managing and removing IV lines - ANSWER- DH - indirect LDA - indirect *placing an IV line - ANSWER- DH - direct LDA - direct administering any medications or agents - 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 - ANSWER- DH - general *make referrals in consultation with DDS - ANSWER- DH - general *complete prophy with scaling, root planing, and polishing restorations - ANSWER- DH
- general dietary and nutritional counseling - ANSWER- DH - general *replacement, cementation and adjustment of INTACT temporary restorations - ANSWER- DH - general LDA - general *remove overhangs - ANSWER- DH - general
*can a LDA or DH place a cavity liner or endo filler - ANSWER- no place topical gel before injection - ANSWER- DH - general LDA - indirect *place and remove rubber dam - ANSWER- DH - general LDA - indirect *Preselect ortho bands - ANSWER- DH - general LDA - indirect can a LDA give local anesthesia? - ANSWER- No *remove and replace ligature ties and arch wires - ANSWER- DH - general LDA - indirect *remove sutures - ANSWER- DH - general LDA - indirect Perform restorative procedures limited to: placing, contouring, and adjusting amalgam restorations and glass ionomers; adapting and cementing stainless steel crowns; and placing, contouring, and adjusting class I, II, & V supragingival composite restorations on primary and permanent teeth. - ANSWER- DH - Indirect LDA - indirect *place and remove periodontal packs - ANSWER- DH - General LDA - indirect *dry root canals with paper points - ANSWER- DH - general LDA - indirect *remove bond material with rotary instruments after removal of ortho - ANSWER- DH - direct LDA - direct *place and remove matrix bands - ANSWER- DH - direct LDA - direct fabricate, cement, and adjust temporary crowns - ANSWER- DH - direct LDA - direct *remove temporary RESTORATIONS with hand instruments only - ANSWER- DH - direct LDA - direct *etch enamel surfaces before bonding of ortho by DDS - ANSWER- DH - direct
LDA - direct *attach prefit and preadjusted ortho appliances - ANSWER- DH - direct LDA - direct *remove fixed ortho brackets - ANSWER- DH - direct LDA - direct remove excess bond material from appliances - ANSWER- DH - general LDA - direct *administer N2O2 - ANSWER- DH - general LDA - direct T/F - ONLY a dentist can cement ortho bands and adjust ortho wires - 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. - ANSWER- DH - personal LDA - personal (apply meds) *Place nonsurgical retraction material for gingival displacement. - 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 - 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. - ANSWER- GENERAL (DT and ADT)
- Administer local anesthesia.
- Administer nitrous oxide inhalation analgesia
LDA General Supervision (all) - 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) - 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 - ANSWER- Help DDS with sedation if completed extra education. Rules, regulations, and CE requirements - ANSWER- ____ *can a dentist accept money for making a referral (renumeration = $) to another dentist? - ANSWER- nope *the patient can be terminated for: - ANSWER- - pt failure to comply with treatment or professional advice (ex: advanced perio)
- consistent tardiness or failed appts
- failure to pay for services rendered
- behavior mngmt issues *Can a LDA scale and clean mandibular anteriors on a pediatric patient? - ANSWER- NO The LDA and DDS would both be held accountable *Who could be in trouble by the Board of Dentistry if a DH/LDA practices beyond their scope of practice, even when the DDS did NOT request them to and the DH/LDA acted on their own - ANSWER- both the DDS and DH/LDA Ad: "Our practice specialized in cosmetic dentistry, promising superior results in the quest to achieve your perfect smile"
What is wrong w/ the above ad? - ANSWER- DDS cannot say they are SUPERIOR and cannot PROMISE the results of a tx. They are creating a false/unjustified expectation. Also, cosmetic dentistry is not recognized as a 'specialty' by the ADA In advertising a dental office, the DDS cannot use terms such as "top" or "best". They cannot make a claim that a survey, ballot, or poll constitutes a ranking for who they are or what they do; ex) "the top 15%" or "voted best.." T/F - ANSWER- true 5 components of CPR training - ANSWER- - AED
- Barrier mask or bag for ventilation
- Foreign body airway obstruction
- Two person rescuer
- Adult, child, and infant CPR Good Samaritan Law - ANSWER- a person at the scene of an emergency who knows that another person is exposed to or has suffer harm shall give reasonable assistance to the exposed person Criminal law - ANSWER- law that deals with crime and the legal punishment of criminal offenses (crime against society) Civil law - ANSWER- deal with disputes between individuals, organizations, or between the two, in which compensation is awarded to the victim What actions would cause an immediate suspension of a Dental Professional License? - ANSWER- 1. Dependence on alcohol, drugs, or other substances
- Writing unauthorized prescriptions *How many CE credits does a LDA, DDS, DT and DH need to have in a 2 year period? - ANSWER- 25 for LDA and DH 50 for DDS and DT's fundamental credits - ANSWER- directly related to clinical practice of dentistry *minimum of 15 credits for LDA and DH; 30 for DDS and dental therapists Core Subjects (fundamental credits) - ANSWER- areas of knowledge that relate to public safety and professionalism *minimum of 2 different core subjects needed in 2 yrs *what are core subjects?? - ANSWER- - Record Keeping
- Ethics
- Infection Control
- Patient Communication
the board can grant a GUEST LICENSE for a DA, DDS, DH if the following conditions are met - ANSWER- 1. must be currently licensed
- is currently engaged in practice
- is approved by the board
- was established by a non profit organization that is tax exempt
- provides dental care to patients who have difficulty accessing to care
- must agree to treat "indigent" patients
- has to pay a non refundable free no more than $
- guest license must be renewed anually and expires on Dec. 31
- the care must be provided without compensation
- 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 - 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? - ANSWER- to ensure that all MN citizens receive quality dental health care from competent dental health care professionals MN Board of Dentistry has _______ members - ANSWER- 9 total :
- 5 DDS
- 1 LDA
- 1 DH
- 2 public members who appoints the 9 members of the board? - ANSWER- governor what qualifications must the DH, DA, & DDS have to become part of the board? - ANSWER- lawfully in active practice in the state for 5 years immediately preceding appointment into the board how long can members serve? - ANSWER- 2 consecutive 4-year-terms (8 years total) practicing dental hygienists may provide what services? - 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 - 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 - ANSWER- min of 2 academic years of dental hygiene education The services provided by a dental hygienist shall not include what? - ANSWER- final diagnosis all dental hygiene services must be provided under supervision of a licensed dentist. T or F - 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.... - 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: - 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? - ANSWER- no DH collaborative agreement must include.. - 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
applicant must submit new background check if more than ____________ has Relapsed since the applicants last submitted background check to the board - ANSWER- 1 year no license issued to any applicant who refuses to consent to a criminal background check or fails to submit fingerprints within __________ after submission of application for licensure - ANSWER- 90 days how long does a person have to challenge accuracy of a report of background check - ANSWER- 30 days after they get their report back how long does the board give the applicant to challenge the accuracy or completeness of the report - ANSWER- 180 days when temp license is suspended, the regulated person shall be provided with at least _______________ notice of any hearing held pursuant to this section - ANSWER- 10 days if the board has not completed its investigation and final order within _________________ days the temp suspension shall be lifted unless the regulated person requests a delay in disciplinary preceedings for any reason - ANSWER- 30 days self-reporting: when should a regulated person who is diagnosed as infected with HIV, HBV, or HCVreport the info to the commissioner - ANSWER- no more than 30 days after learning of the diagnosis or 30 days after becoming licensed or registered by the state *infection control reporting- a regulated person shall, within _____________, report to the appropriate board personal knowledge of a serious failure or a pattern of failure by another regulated person to comply with accepted and prevailing infection control procedures related to prevention of hiv hbv and hcv transmission - ANSWER- 10 days how long after an infection control report does the designated office have to meet with the board - ANSWER- 30 days of receiving report without hearing, the board may temporarily suspend the right to practice of a regulated person if they find they have refused to submit or comply with monitoring.... - ANSWER- infection control it is unlawful for any person to.. - ANSWER- - enable a unlicensed person to practice dentistry
- practice without a license
- not go by his or her own name (and degree) regulated person shall be provided with at least ________notice of a hearing under temp suspension infection control - ANSWER- 20 days
supervising dds requirements - ANSWER- - board-approved MN licensed dds for at least 5 consecutive years
- license shall not be subject to, or pending, corrective or disciplinary action within the previous five years according to NN statutes
- acceptable written agreement between limited licensed dds and supervising dds- may only supervise 1 for duration of agreement- written agreement shall include info acknowledgment that limited dds agrees to practice clinical dentistry at least 1, hours annual for a period of 3 consecutive years
- no more than 2 limited licensed dds are allowed to practice gen dentistry under supervision in one facility
- 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 - ANSWER- 1, 3 years *applicant for dental assisting and DH requires. .. - ANSWER- - application
- copy of diploma or certificate
- submit evidence of satisfactory passing boards state and national boards
- picture
- backround check******* *DA without license can... - 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 - 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 - ANSWER- 4
A dental tech and DDS may practice in the same facility but may each have their own practice. - 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? - ANSWER- lab tech cannot do either *how many dental therapists can a dentist have? - ANSWER- 5 *a dentist can have a collaborative agreement with no more than ______ DH's unless authorized by the Board - ANSWER- 4 what do you need in order to advertise for sales, construction, reproduction, or repair?? (dental prosthetic appliances) - ANSWER- a written work order from a DDS (good for 2 years) *non licensed dental assistants: - 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 ... - ANSWER- - completing a CPR course and maintaining certificate
- compliance with most current infection control guidelines *limited licensed dental assistants - ANSWER- non licensed but have taken a course in taking RADIOGRAPHS Sedation - ANSWER- ____ Minimal Sedation (Conscious sedation) - 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 - ANSWER- minimal sedation Moderate Sedation (still conscious) - 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) - 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 - ANSWER- deep sedation *general anesthesia (unconscious) - ANSWER- for extreme cases of dental care *oral and maxillofacial surgeons Infection Control - ANSWER- ------ high level disinfection - ANSWER- Elimination of all microorganisms except bacterial spores decontamination - ANSWER- Removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are no longer capable of causing infection and the surface or item is rendered safe for barehanded touching, use or disposal. Disinfection - ANSWER- destroys most pathogenic and other microorganisms by physical or chemical means
- does not ensure the degree of safety associated with sterilization processes (ex: sanitary wipes used to wipe down the cubicle) sterilization - ANSWER- destroys all microorganisms, including substantial numbers of resistant bacterial spores, by heat (steam autoclave, dry heat, and unsaturated chemical vapor) or liquid chemical sterilants *Use surface barriers on ______ to protect, particularly for surfaces that are hard to clean - ANSWER- light switches, radiographic equipment, drawer handles, computers (change barriers between patients) ----still need to use EPA approved wipes to clean after barriers are removed The _______________ regulates low- and intermediate-level disinfectants that are used on surfaces - ANSWER- Environmental Protection Agency The ____________ regulates liquid chemical sterilants/high-level disinfectants - ANSWER- Food and Drug Administration Any disinfectant used in a dental setting should be registered by the ____________ and be approved for use in health care settings - ANSWER- Environmental Protection Agency (EPA) can you use disinfectant wipes from the grocery store? - ANSWER- no, the are not EPA registered *what does PPE include? - ANSWER- gloves, masks, gowns, and eye protection
*extracted teeth are infectious and should be disposed in - 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? - ANSWER- yes, it is no longer our responsibility once it is handed over extracted teeth for educational purposes must be... - 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 - ANSWER- 1. Wash the site of the needlestick or cut with soap and water.
- Flush splashes to the nose, mouth, or skin with water.
- Irrigate eyes with clean water, saline, or sterile irrigants.
- Report the incident to your supervisor or the person in your practice responsible for managing exposures.
- Immediately seek medical evaluation from a qualified health care professional because, in some cases, postexposure treatment may be recommended and should be started as soon as possible.
- fill out incident form and submit to board *OSHA (Occupational Safety and Health Act) requires - 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? - 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 - ANSWER- True *Exposure training should include: - ANSWER- 1) Description of their exposure risks
- Review of prevention strategies & infection control policies/procedures
- Discussion regarding how to manage work related illnesses and injuries
- Review of work restrictions for the exposure/infection *When to wash hands: - 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 - ANSWER- gram negative organisms when should your eyewear be cleaned? - 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 - ANSWER- true when should you change your mask? - 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 - 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 - 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" - ANSWER- high level disinfection T/F: Change protective clothing when it becomes visibly soiled as soon as feasible if penetrated by blood or saliva - ANSWER- true *When should you change gloves? - ANSWER- between patients, and when they become torn or punctured critical items - ANSWER- penetrate soft tissue or bone; GREATEST risk of transmitting infection and needs to be sterilized by HEAT (hand instruments, ultrasonic) Semi critical items - ANSWER- contact mucous membranes but don't penetrate **high level disinfectant required **sterilization by heat still recommended (dental mirror, impression trays) non-critical items - ANSWER- pose least risk for transmission of infection
- contacts skin only
