Quizlet M4 Qs (Ch. 7, 10, & 11 Pre-Clinic)

⭐1. A person's health is not static; therefore, a health history must be updated when or how often?

a) Annually

b) At every recall appointment

c) At each and every appointment

d) At the initial appointment

C

⭐2. Which of the following is the best way to obtain a complete patient history?

a) By use of a questionnaire

b) By use of an interview

c) A combination of questionnaire and interview

d) Neither questionnaire nor interview

C

⭐3. Which of the following is true for the information in the patient's health history?

a) It is confidential and must be updąted annually.

b) It is a legal document and must be written in pencil to allow for changes.

c) It is to be written in pencil so that changes may be made and provide a specific line for the signature of the patient.

d) It is a confidential and legal document to be handwritten in permanent ink.

e) A minor must sign the informed consent form also.

D

⭐4. Disadvantages of the health history interview include all of the following except one. Which one is the exception?

a) Items of importance may be omitted

b) Patient may be embarrassed to talk about personal conditions.

c) It is time-consuming when not prefaced with a questionnaire.

d) It is time-saving and impersonal.

D

⭐5. Which of the following is a condition with potential oral manifestations?

a) Phenytoin-induced gingival overgrowth

b) Athlete's foot

c) Phlebitis

d) Premenstrual syndrome

A

⭐6. A) Patients currently taking an antibiotic may require a different class of antibiotic to be covered for antibiotic prophylaxis. B) A dose of antibiotic must be taken prior to and after the dental treatment for complete prophylactic coverage.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

A

7. A patient may need antibiotic premedication because of the possibility of creating a ___when the oral tissues are manipulated.

a) periodontal disease

b) bacteremia

c) herpetic lesion

d) spiral heart lesion

B

⭐8. Antibiotic premedication for patients who usually require antibiotic premedication is usually deemed necessary for which of the following procedures?

a) Manipulation of gingival tissue

b) Placement of removable prosthodontic or orthodontic appliances

c) Taking of dental radiographs

d) Routine anesthetic injections through noninfected tissue

A

9. A) Antibiotic prophylaxis may prevent a very small number of cases of IE, if any, in patients receiving a dental or dental hygiene treatment procedure. B) Maintenance of healthy tissues by the patient through personal daily care and routine professional supervision are first in the prevention of bacteremias.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

C

⭐10. Which of the following is not a reason the patient needs to be educated about the importance of the health history?

a) To convey the idea that oral health and general health are interrelated

b) To build rapport with the patient

c) To educate the patient as to the necessity of completing the health history

d) To determine the patient's dental IQ

D

11. Which of the following is not an appointment procedures consideration for the cardiovascular patient?

a) Increased bleeding

b) Premedication for stress

c) To ensure medications have been taken.

d) To monitor vital signs

A

⭐12. All of the following are considered self-medication, except:

a) antacids.

b) beta blockers.

c) cough syrup,

d) diet pills.

B

13. SBE is now called:

a) subacute bacterial endocarditis.

b) subacute bacterial endothelium.

c) IE

d) infective bacterial endocardium.

C

14. Įmmunocompromise can occur:

a) when the immune response is strengthened by administration of drugs.

b) due to irradiation.

c) due to poor nutrition.

d) due to certain disease processes.

e) due to both irradiation and poor nutrition.

E

15. What is the standard general prophylaxis for oral amoxicillin?

a) 20 to 60 minutes before and 2 g

b) 30 to 60 minutes before and 20 g

c) 30 to 60 minutes before and 2 g

d) 20 to 60 minutes before and 20 g

C

16. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. Which of the following would have prevented Curt Louis from showing up with an unknown heart condition needing antibiotic premedication, and therefore delaying or postponing treatment?

a) A physician consult prior to the patient's appointment

b) A telephone screening interview prior to the patient's appointment

c) The patient's heart murmur is of no concern to the possible need for antibiotics

d) Having the patient bring a completed health history questionnaire to the initial appointment

B

17. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. What is the first procedure necessary after reviewing Curt's health history?

a) Begin patient education.

b) Expose radiographs.

c) Consult with the patient's physician concerning the heart murmur.

d) Take the patient's vital signs.

C

18. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. Curt's health history indicates a past history of hepatitis. What should you do next?

a) Ask additional questions as to what type, when he contracted it, treatment, and resolution.

b) Defer treatment until Curt is well.

c) Assume it is hepatitis A because he did not indicate another type.

d) Refuse to treat Curt and get him out of the office as soon as possible to prevent transmission to staff and other patients.

A

19. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. What is a possible health complication to be aware of because of Curt's identification as a Native American?

a) Propensity to develop cirrhosis of the liver

b) Increased risk to develop diabetes mellitus

c) More likely to develop AIDS

d) Increased risk for skin cancer

B

20. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. After speaking with Curt's physician on the phone, what do you need to request from the physician?

a) A phone consult

b) A callback

c) The physician to speak to Curt

d) A written statement concerning the necessity for antibiotic premedication

D

⭐1. A) Documentation in the patient's record is considered legal evidence in any legal action. B) All information collected during the initial examination and during continuing patient appointments are official parts of the permanent record.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

C

2. Which of the following is not true for patient record entries?

a) They are recorded promptly during or following treatment.

b) They are recorded using clear, concise, subjective statements.

c) They are dated.

d) They are always signed by the dentist.

D

3. Which of the following is true for dental patient records?

a) Handwritten records are recorded in shorthand abbreviations in red and blue pencil.

b) Mistakes are erased and initialed.

c) Paper records handwritten have historically been how dental records are maintained.

d) Late entries are written in the margins at the beginning of the record.

C

⭐4. Which of the following is not true of HIPAA?

a) It provides federal privacy standards protecting patient records.

b) It is the Health Information Portability and Accountability Act.

c) One of the key rules concerns patient oral health education.

d) The law went into effect in April 2003.

e) The law was in response to the emerging electronic information environment.

C

5. Which of the following pertains to the security of patient health information?

a) The right to receive a copy of personal health records

b) The right to decide whether health information can be shared for marketing purposes

c) The responsibility of healthcare employers to educate employees about confidentiality of patient information

d) The use of encryption technology to protect patient information if it is intercepted

D

6. Which of the following would not be charted in the patient's periodontal record?

a) The location of lymph nodes

b) Missing teeth

c) The location of bridges, pontics, and implants

d) Probing depths

A

⭐7. Which of the following should be included in the dental hygiene progress notes?

a) The clinician's personal opinion

b) Speculation

c) Documentation of treatment rendered

d) Derogatory statements

e) Information about financial matters

C

8. In which section of a SOAP chart would a hygienist note bleeding in the patient's gingiva?

a) Subjective

b) Objective

c) Assessment/Analysis

d) Procedures

B

9. Which tooth numbering system was adopted by the American Dental Association?

a) Universal system

b) Palmer system

c) Quadrant system

d) FDI system

e) The two-digit system

A

⭐10. Which tooth numbering system uses quadrants represented by horizontal and vertical lines?

a) Universal

b) FDI

c) Palmer

d) International

C

⭐11. Using the Universal tooth numbering system, what is the tooth number for the permanent maxillary left second premolar?

a) #13

b) #12

c) #14

d) #20

e) #21

A

12. Using the Universal tooth numbering system, what is the tooth number for the primary maxillary right first molar?

a) #A

b) #B

c) #I

d) #S

e) #3

B

⭐13. Convert tooth #18 from the Universal system to the FDI system.

a) 3 7

b) 27

c) 47

d) 3 8

e) 36

A

14. In the International tooth numbering system, how is the primary maxillary left quadrant designated?

a) 2

b) 8

c) 5

d) 6

e) 7

D

15. Which of the following is not an acceptable dental tooth chart form?

a) Anatomic

b) Geometric

c) Organic

d) All of these are correct.

C

⭐16. Dental caries is charted in:

a) blue.

b) circle with red.

c) red.

d) black line.

C

17. Which of the following is not used as an analysis for determination of the severity of periodontal disease?

a) Gingival changes

b) Periodontal probing recordings

c) Sites of bleeding on probing

d) Clinical detachment level

e) Tooth mobility and fremitus

f) Radiographic findings

D

⭐18. A list of basic items includes all of the following, except:

a) missing teeth.

b) existing restorations.

c) fixed and removable prostheses.

d) tooth color.

e) dental sealants.

f) overhangs, open contacts, open margins, and other irregularities.

D

⭐1. Which standard precaution may be used to inactivate an infectious agent and break the chain of disease transmission?

a) Handwashing

b) Disinfection

c) Use of barriers

d) Handwashing and disinfection

D

⭐2. Utility or heavy-duty gloves are used for which of the following procedures?

a) Examination of the patient's extraoral areas

b) Examination of the intraoral cavity (mouth)

c) Cleanup and setup of the dental operatory only

d) Processing of contaminated dental instruments only

e) Cleanup and setup of the dental operatory and processing of contaminated dental instruments

E

3. Which of the following is true of an autoclave?

a) It is a chemical vapor sterilizer.

b) It is sterilization achieved by steam under pressure.

c) It is a dry heat sterilizer.

d) It is a washer/thermal disinfector.

B

4. Which of the following is an advantage of sterilization by steam under pressure?

a) It will not corrode carbon steel instruments.

b) It is economical.

c) It is suitable for oils or powders.

d) It is effective for small metal instruments enclosed in special containers.

B

5. Of the following methods of sterilization, which one requires the longest time to complete?

a) Chemical vapor

b) Dry heat

c) Gravity displacement autoclave

d) Prevacuum autoclave

B

6. Which of the following statements is true?

a) Autoclaving at a temperature of 160°F may destroy the sharp edges of cutting instruments.

b) Indicator tape does not serve to test for true sterilization.

c) Instruments will be sterilized in an ultrasonic machine.

d) Oils, waxes, and powders must be sterilized in a moist heat machine.

B

⭐7. A) Organic debris left on an instrument may prevent sterilization from occurring. B) In a dry heat sterilizer timing begins when instruments are placed in the sterilizer and it is turned on.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

A

8. Which of the following should you do when cleaning and disinfecting environmental surfaces in the operatory?

a) Use small sponges.

b) Spray and leave the surfaces wet when finished.

c) Do not scrub vigorously.

d) Use only one sponge at a time.

B

⭐9. Which of the following is the least preferred method of precleaning instruments before sterilization?

a) Manual cleaning

b) Washer/thermal disinfector

c) Ultrasonic processing

d) All precleaning methods are equally preferable.

A

10. A) High-level disinfectants inactivate spores and all forms of bacteria, fungi, and viruses. B) Intermediate-level disinfectants inactivate all forms of microorganisms but do not destroy spores.

a) Statement A is true and statement B is false,

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

C

⭐11. Which of the following would not be correct procedure after an exposure incident?

a) Immediately wash the wound with soap and water.

b) Squeeze the wound to express as much blood as possible.

c) Report the exposure to the designated official and complete an incident report as required.

d) Follow the required predetermined, posted procedures of the clinic, institution, or other workplace.

B

12. Criteria for the selection of an ideal disinfectant include all of the following except one. Which one is the exception?

a) Bactericidal

b) EPA approval

c) Unique odor

d) Virucidal

C

13. Which of the following is the best recommendation for preparation of disinfectants?

a) Follow the manufacturer's directions.

b) Each clinic day prepare new solution with warm tap water.

c) At the beginning of each week dispose of the previous week's solution and prepare a new solution.

d) Combine two solutions to active disinfectant solution and keep it for 30 days.

e) Take previous solution and add new solution to it to make up enough for the day.

A

14. Which of the following are characteristics of an ideal disinfectant?

a) Economical and broad-spectrum antimicrobial

b) Nonstaining and unique odor

c) Nonirritating to human tissue and no residual effèct on'treated surfaces

d) Slow duration and toxic

e) May corrode metallic surfaces and causes disintegration of plastics and fabric

A

15. Which of the following is the proper order for processing contaminated instruments?

a) Package for sterilizing, place cassette in ultrasonic cleaner, rinse and dry instruments, hand scrub as necessary

b) Place cassette in ultrasonic cleaner, hand scrub as necessary, rinse and dry instruments, package for sterilizing

c) Rinse and dry instruments, package for sterilizing, hand scrub as necessary, place cassette in ultrasonic cleaner,

d) Hand scrub as necessary, place cassette in ultrasonic cleaner, package for sterilizing, rinse and dry instruments

B

⭐16. A) Preprocedural rinsing and other oral hygiene measures help to prevent the spread of communicable diseases. B) Preprocedural rinsing and other oral hygiene measures decrease the number of microorganisms in the oral cavity.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

C

17. In the classification of inanimate objects, which of the following is considered semi-critical?

a) Light handles

b) Countertops

c) Explorers

d) Mirror

D

18. A) Keep a written record of dates when processing tests and biologic monitor tests are performed for each sterilizer. B) Perform tests made monthly on the same day to simplify remembering.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

A

19. Which of the following statements is true?

a) Smoking and eating are to be limited in treatment areas.

b) Select toy animals that are soft and cuddly in the treatment areas for child comfort.

c) Provide handy wipes in treatment areas.

d) A biofilm of microorganisms can form on the inside of the waterline tubing during overnight standing.

D

20. Which of the following is a disadvantage of a chemical vapor sterilizer?

a) Rust-free operation for carbon steel instruments

b) Need for adequate ventilation

c) A relatively short total cycle

d) Ease of operation

B

⭐21. When using dry heat sterilization, a temperature of _____is maintained for 2 hours.

a) 120°C

b) 140°C

c) 300°F

d) 320°F

D

⭐22. True or False? Blood, suctioned fluids, or other liquid waste may be carefully poured into a closed container and placed into the biohazard trash in compliance with applicable local regulations.

False