DH 375: Preclinical Quiz

What items are inside the center counter cabinet behind units 2 and 3?

• First aid kit

• AED

• Portable oxygen

• PT pillows

What items are inside the center counter cabinet behind units 3 and 4?

• Chemical spill kit

• Mercury spill kit

What items are inside the center counter cabinet behind units 8 and 9?

• Epipen (adult and child)

• CPR mask

• Thermometers

• Probe covers

• Cold pack

• BP cuff (large adult)

• Medical first aid (w/ Narcan)

• Emergency blanket

Where is the UHM chemical hygiene plan found?

• Next to unit 6

• On bookshelf

• Hazard communication file

Where do you find the SDS for the disinfectant in the UHDH clinic?

• Next to unit 6

• On bookshelf

Where is the Epipen kept?

• Center counter cabinet

• Behind units 8&9

Where is the main oxygen tank?

• By unit 5

• Near window

Where is the fire extinguisher in the clinic?

• Wall between sterilization and unit 14

How many eye wash stations are there in the clinic?

• 3

• Between units 1 and 10

• Outside unit 17

• Sterilization

If you get something in your eyes, how long should you flush them?

• 15 minutes

If there is an emergency in the clinic, what phone # do you call?

• 66911

If we need to vacate Hemenway Hall where do we go?

• Depends where emergency situation is located

• Parking lot (ASB)

• Courtyard across the street

Where is the Sharps container kept?

• Under sink in sterilization

• Cabinet 43

What is discarded in the sharps container?

• Needles

• Biological indicator

• Carpules

• Broken instruments

• Blades

Where is the main biohazard bag kept?

• Next to sharps

• Under sink in sterilization

The biohazard bag is full. What do you do?

• Check if there is anything that does not belong inside

• Roll bag so it will fit in TUTT without touching walls

• Remove top rack of TUTT

• Indicator tape and leave bag a little open to sterilize

• NO INSTRUMENTS

• Biological indicator

• Sterilize for 1 hour, 250°

• Put in gray trash bag when done

• Process BI

• Leave bag in TUTT until BI processed

When is the sharps container full?

When it reaches the dotted line

What do you do once sharps is full?

• Sterilize lay it flat in Tutt with lid slightly open

• Indicator tape and BI

• Sterilize in tutt 250°, 1 hr

• Process BI

• Close lid after sterilization

• Notify faculty to call someone to pick it up at closet near compressor in hallway

• Place new container

Where can you find a new sharps container?

Under TUTT II

How long are sterilization pouches good for if they weren’t compromised?

1 year

What disinfectant is used in the UHDH clinic?

• Optim 1

• Leave wet for 1 minute for effectiveness

What is the active ingredient in Optim 1?

• Hydrogen peroxide

How long are instruments processed in the ultrasonic cleaner?

20 minutes

What is the ICX used for?

Unit water lines

How often do we use a new ICX tablet?

• When water bottle needs to be refilled

• Inside cavitron reservoirs

Where are ICX tablets found?

• Inside sterilization cabinet #35

Where are the biological indicators kept?

• In fridge behind unit #11

• 3 biological indicators are used: one for each TUTT + a control (pink)

How often/when are biological indicators processed?

• 1x a week

• When cleaning or servicing TUTT

How often do we process a Class V integrator?

• Every load

• When sterilizing sharps and biohazard bag

Where are the medical clearance forms?

• Behind unit 12

• Must be duplicated for PT copy

Why is the red star stamp used and where is it placed?

• Medical contraindications for treatment

• Pre-med (antibiotic)

• Allergy

• Specific medications

• Hypertension

• @ right middle of page

How long am i supposed to run water lines?

• 2 minutes morning

• 30 seconds between PTs

What type of sterilizer is used in UHDH?

Autoclave

What time and temperature are instruments processed?

• 45 minutes

• 273 degrees F

What do you do if unit is not working?

Notify faculty

What happens if chemical indicator on pouches fail?

• Re bag instruments

• Re sterilize

What happens if class V indicator fails?

• Re bag and re sterilize everything

What is the antibiotic regimen before procedure?

• Amoxicillin

• 2g (adults)

  • 50 mg/kg (children)

• 30-60 minutes before procedure

What is the antibiotic regimen for patients allergic to penicillin or ampicillin and unable to take oral medication?

• Cefazolin or ceftriaxone

• 1g IM or IV (adults)

  • 50 mg/kg IM or IV

• 30 to 60 min before procedure

TRUE OR FALSE: Clindamycin is recommended for antibiotic prophylaxis for a dental procedure?

• FALSE

• It is NO longer recommended

Describe the after five gracey curettes?

• Designed for instrumentation in deeper perio pockets

• Elongated terminal shank (3mm)

• Blade thinned by 10% to ease gingival insertions and reduce tissue distention

• Increased crown clearance

Describe the mini five gracey curettes

• Elongated terminal shank (3mm)

• Thinned blades (10%)

• 50% SHORTER blade = access smaller roots, narrow pockets, furcations, developmental groves

What is a flexible shank used for?

• Detection of subgingival calculus

• Removal of fine calculus

• Provides best tactile sensation

What is the moderately flexible shank used for?

• Removal of moderate or light calculus

• Good level of tactile sensation

What is the rigid shank used for?

• Removal of HEAVY calculus deposits

• Limited tactile sensation

What is the extra rigid shank used for?

• Removal of very TENACIOUS calculus

• Limited tactile sensation

What is the Gracey 1 and 2 used for?

Anterior teeth: all tooth surfaces

What is the gracey 3 and 4 used for?

Anterior teeth: all tooth surfaces

What is the gracey 5 and 6 used for?

• Anterior teeth: all tooth surfaces

• Premolar teeth: all tooth surfaces

• Molar teeth: facial, lingual, mesial

What is the gracey 7 and 8 used for?

• Anterior teeth all tooth surfaces

• Premolar teeth: all tooth surfaces

• Molar teeth: facial, lingual, and mesial

What is the gracey 9 and 10 used for?

• Anterior teeth all tooth surfaces

• Premolar teeth: all tooth surfaces

• Molar teeth: facial, lingual, and mesial

What is the gracey 11 and 12 used for?

• Anterior teeth: mesial and distal surfaces

• Posterior teeth: mesial surfaces ONLY

• Posterior teeth: facial, lingual, mesial

What is the gracey 13 and 14 used for?

• Anterior teeth: mesial and distal surfaces

• Posterior teeth: distal surfaces

What is the gracey 15 and 16 used for?

• Posterior teeth: facial, lingual, and mesial

What is the gracey 17 and 18 used for?

• Posterior teeth: distal surfaces

How is CAL calculated?

• Probing depth + gingival margin (recession) level

• EX:

  • Probing = 4 mm

  • Gingival margin level = +2 mm

  • CAL = 6 mm

Which ASA class is a patient if a patient has had a heart attack 2 months ago?

ASA IV

What is the optimal fluoride concentration for community water systems?

0.7 mg/L

What is another name for Focused Spray PowerLINE 3?

Beaver Tail

What does CAMBRA stand for?

Caries management by risk assessment

Which medication is the 2nd most common medication of 2024?

Eliquis (Apixaban)

What is the maximum dose of epinephrine for a healthy patient?

0.2 mg

What are the stages of the DH care plan?

• Assess

• Diagnose

• Plan

• Implement

• Evaluate

Which autoimmune condition qualifies for 2 additional cleanings per year?

Sjogren’s syndrome

What is phase I of dental treatment?

Non-surgical therapy

What are 2 components of evidence based decision making?

• Scientific evidence

• Clinical/PT circumstances

• PT preferences or values

• Experience and judgement

What is a common name for NaHCO3?

Sodium Bicarbonate

What does ACP stand for?

Amorphous calcium phosphate

For hand scalers, what type of SHANK is indicated for deeper subgingival calculus removal?

Extended shank

A PT is moving out of the state and is requesting their dental records. Providing the PT with their records upholds which ethical principle?

Autonomy

What does PHI stand for?

Protected health information

How often is routine biological monitoring required?

1x a week or anytime TUTTS are cleaned/serviced

If a processed BI is positive, what must you do?

• Re-wrap and re-sterilize everything inside load

• Run BI until you get 3 negatives in a row

What is the shelf life of sterilized pouches if not compromised?

1 year

What is the gold standard procedure of NSPT?

SRP

A patient comes in for their dental appointment with a lesion. When should this patient be seen for a follow-up appointment?

2 weeks

You are evaluating a panoramic radiograph. The anterior teeth appear blurry and narrow. What was the cause of this?

Chin is too anterior

What is the name of the radiolucent artifact created when the PT does not place their tongue against the palate during exposure?

Palatoglossal air space

You administered 2 ½ carpules of lidocaine. How many mg did you administer?

85 mg

You exposed 4 BWS. You have 4 technique errors. Can you pass this series?

NO

What is a cavitated lesion?

Loss of structure

What is KNO3?

Potassium nitrate

What percent of KNO3 is commonly found in tooth pastes?

5%

TRUE OR FALSE: When using multiple ultrasonic inserts, curved slim perio inserts should be used LAST?

TRUE

SofTip ultrasonic inserts are meant to be used at?

Low power

Which of the following is the LEAST powerful part of the working end of the ultrasonic insert?

• Concave face

• Convex back

• Lateral surfaces

Lateral surfaces

Hand scalers with complex shanks are meant to be used at?

Posterior teeth

For which patient is maintenance appropriate vs. recall?

Perio patients

CAL is the distance from ____ to ____?

• CEJ

• Base of sulcus

What is defined as “abnormal probing depth without bone loss/loss of attachment”?

Pseudopocket

For the DH process, what step occurs immediately after assessment?

Diagnosis