HESI Case Study Thirteen & 14

The pts Angles Classification of malocclusion Class II, Division1. The maxillary central incisors are retruded lingually.

A. The first statement is true but second is false

B. Both are true

C. The first statement is false but second is true

D. Both are false

D. Both are false

Which is the most likely cause of the recession on #2 and #27?

A. Scleroderma

B. Malocclusion

C. Smokeless tobacco

D. Bruxism

C. Smokeless tobacco

Each of the following oral physiotherapy aids is appropriate for #19 EXCEPT one. Which is the EXCEPTION?

A. Interdental brush

B. Floss threader/floss

C. Tooth pick holder

D. Tufted floss

C. Tooth pick holder

The radiopacity in #3 is gutta percha because this is the material used for endodontic therapy.

A. The statement is correct but reason is not

B. Both statement and reason are correct but not related

C. The statement is not correct but the reason is an accurate statement

D. Both statement/reason are correct and related

E. Neither statement/reason are correct

D. Both statement/reason are correct and related

Which is NOT a side effect of Naproxen?

A. Irritates stomach

B. Inhibits platelets

C. Depresses CNS

D. Increases BP

D. Increases BP

Each of the following is true of scleroderma EXCEPT one. Which is one EXCEPTION?

A. Paralyze face

B. Causes diffuse fibrosis

C. Causes skin abnormalities

D. More common in women

A. Paralyze face

What is the radiolucent line between #8 and #9?

A. Median palatine suture

B. Incisive foramen

C. Nutrient canal

D. Nasal septum

A. Median palatine suture

The pts ASA Classification is II because his BP is not controlled.

A. The statement is correct but reason is not

B. Both statement and reason are correct but not related

C. The statement is not correct but the reason is an accurate statement

D. Both statement/reason are correct and related

E. Neither statement/reason are correct

C. The statement is not correct but the reason is an accurate statement

Which tooth was replaced by a pontic?

A. #4

B. #18

C. #30

D. #19

E. #3

D. #19

Which gracey curet is used to debride the distobuccal surface of #29?

A. 11/12

B. 15/16

C. 13/14

D. 1/2

C. 13/14

The radiograph error evident on the posterior right premolar BWX can be corrected by moving the PID

A. In an increased vertical angulation

B. More posteriorly

C. More anteriorly

D. In a decreased vertical angulation

C. More anteriorly

What is evident on the occlusal of #28?

A. Wear facets

B. Decay

C. Stain

D. Amalgam

A. Wear facets

Scleroderma involves hardening of the connective tissues. Scleroderma affects more men than women.

A. Both are false

B. Both are true

C. The first statement is true but second is false

D. The first statement is false but second is true

C. The first statement is true but second is false

Amlodipine besylate is generally prescribed to treat

A. Arthritis

B. Smoking cessation

C. Scleroderma

D. High BP

D. High BP

There may be an increase in bleeding and oral infections with arthritic pts because of the intake of anti-inflammatory medications.

A. The statement is correct but reason is not

B. Both statement and reason are correct but not related

C. The statement is not correct but the reason is an accurate statement

D. Both statement/reason are correct and related

E. Neither statement/reason are correct

D. Both statement/reason are correct and related

Which antibiotic is Arestin?
A. Amoxicillin.
B. Erythromycin.
C. Minocycline.
D. Clindamycin.

C. Minocycline. — Correct

The antibiotic in Arestin is Minocycline. The other choices do not correctly define the question.

Which food can be consumed after placing Arestin?
A. Chewing gum.
B. Potato chips.
C. Carrots.
D. Yogurt.

D. Yogurt. — Correct

After the application of Arestin, crunchy, sticky foods, such as chewing gum, carrots and potato chips should be avoided. Yogurt can be consumed. Dairy products have less interference with the absorption of Arestin too.

Which preventive service is a night guard?
A. Tertiary.
B. Quaternary.
C. Secondary.
D. Primary.

D. Primary.

Fabrication of a mouth guard is primary prevention, as it prevents the onset of a disease. Secondary and tertiary prevention are associated with restoring tissues to near normal function and replacing lost tissues and providing rehabilitation, respectively. There is no quaternary prevention.

Synthroid treats hypothyroidism. Individuals with hypothyroidism experience moist skin and heat intolerance.
A. The first statement is false and the second is true.
B. The first statement is true and the second is false.
C. Both statements are false.
D. Both statements are true.

B. The first statement is true and the second is false.

The first statement is true and the second is false. Synthroid treats hypothyroidism, but signs and symptoms include lowered metabolism, fatigue, intolerance to cold, and dry skin. The other choices do not correctly define the statements.

Which is a method of transmission for Hepatitis B?
A. Sharing a toothbrush with an infected person.
B. Hugging.
C. Breastfeeding.
D. Blood.
E. Holding hands.

D. Blood.

Hepatitis B can be transmitted through blood.

The most common form of arthritis is osteoarthritis (degenerative joint disease). Osteoarthritis is a result from trauma and/or infection to the joint and aging.
A. The first statement is true and the second is false.
B. The first statement is false and the second is true.
C. Both statements are false.
D. Both statements are true.

D. Both statements are true.

Both statements are true. The most common form of arthritis is osteoarthritis, which results from trauma and/or infection to the joint and aging. The subsequent choices do not correctly define the statements.

Each of the following hepatitis viruses are classified as RNA EXCEPT one. Which one is the EXCEPTION?
A. D.
B. A.
C. B.
D. C.

C. B.

Hepatitis B is a DNA, rather than an RNA virus. Hepatitis A, C, and D are RNA viruses.

Which operator error is evident on the molar bite-wing radiographs?
A. Elongation.
B. Foreshortening.
C. Conecut.
D. Overlapped contacts.

C. Conecut.

There is evidence of conecuts on both molar bite-wing radiographs. Failure to center the x-ray beam results in a partial image on the bite-wing receptor.

The use of Arestin can cause staining. Arestin should be used in pockets 5 mm and greater.
A. Both statements are false.
B. Both statements are true.
C. The first statement is false and the second is true.
D. The first statement is true and the second is false.

B. Both statements are true.

Both statements are true. Arestin can cause staining and it should be placed in pockets 5 mm and greater. The other choices do not correctly define the statements.

Which is the normal respiration rate, breaths per minute for an adult?
A. 14-26.
B. 12-20.
C. 60-90.
D. 30-60.

B. 12-20.

Normal respiration ranges for an adult are 12-20 breaths per minute. Fourteen to 26 is normal for children. Thirty to 60 is normal for an infant. Sixty to 90 is not normal and considered tachycardia.
Awarded 1.0 points out of 1.0 possible points.

Each of the following include oral manifestations of arthritis EXCEPT one. Which one is the EXCEPTION?
A. Bruxism.
B. Delayed healing.
C. Temporomandibular discomfort.
D. Gingival enlargement.

D. Gingival enlargement.

Oral manifestations of arthritis do not include gingival enlargement; however, they do include bruxism, delayed healing and temporomandibular discomfort.

Due to the patient's arthritis, which oral physiotherapy aid should be recommended?
A. Toothpick holder.
B. Interdental brush.
C. Floss.
D. Power-assisted toothbrush.

D. Power-assisted toothbrush.

Due to the patient's arthritis, a power-assisted toothbrush will help the patient with home care. The other choices will be difficult for the patient to manipulate.

Each of the following includes the treatment of arthritis EXCEPT one. Which one is the EXCEPTION?
A. Immunosuppressants.
B. Anticholinergic agents.
C. Nonsteroidal antiinflammatory agents.
D. Steroids.

B. Anticholinergic agents.

Which malocclusion is evident?
A. Anterior crossbite.
B. Midline deviation.
C. Overjet.
D. Edge-to-edge.

B. Midline deviation.

There is a slight midline deviation to the right. The other choices do not correctly define the question.

The cause of rheumatoid arthritis is unknown. The sites first affected from rheumatoid arthritis include weight-bearing joints.
A. The first statement is false and the second is true.
B. Both statements are false.
C. Both statements are true.
D. The first statement is true and the second is false.

D. The first statement is true and the second is false.

The first statement is true and the second is false. The cause of rheumatoid arthritis is unknown, but it affects the fingers and hands first.