prin lecture quizzes for midter

the force exerted by blood against the arterial walls when the heart contract is known as:

blood pressure

which of the following patients requires prophylactic antibiotic treatment prior to dental hygiene care?

a patient with a history of infective endocarditis

the use of a prophylactic antibiotic prior to dental care in a patient with a history of IE is to reduce the risk of infection from oral bacteria entering the bloodstream (T/F)

TRUE

a thorough medical history helps the clinician to minimize the risk of medical emergencies during treatment (T/F)

TRUE

what is the most common pulse point on the body for measuring the pulse rate?

radical pulse

vital signs help to identify undiagnosed medical conditions. vital signs are recorded annually. (T/F)

first is TRUE, second is FALSE

in hypertension stage 1, both the systolic and the diastolic must be elevated above 130/80 mmHg (T/F)

FALSE

the benefits of patient assessment include:

-provides baseline info
-opens a dialogue between the provider and the patient
-may indicate the need for medical consultation prior to care

what describes an ASA II patient?

a patient with mild systemic disease

blood pressure is recorded as the diastolic over the systolic (T/F)

FALSE

the most common oral side effect related to medications is:

hyposalivation

a patient that presents for dental hygiene treatment with a medical history indicating an MCS-2A means the condition or disease is controlled (T/F)

FALSE

which medication is recommended for a patient requiring prophylactic antibiotic prior to dental care with no allergies to medications?

amoxicillin 2g

the acceptable range for an adult heart range is between 120-150 bpm (T/F)

FALSE

the rhythmic, knocking sounds heart during blood pressure measurement are known as

Korotkoff sounds

abnormal vital signs can be attributed to patient conditions, equipment failure, or operator error. the normal blood pressure measurement for an adult patient is 120/80 mmHg and below. (T/F)

the first statement is true, the second is false

a patient presents with a blood pressure reading of 130/92 mmHg. this is classified as:

stage 2

routine dental treatment may not occur on a patient with stage 2 hypertension (T/F)

FALSE

when preparing to measure an individuals blood pressure, what is the anatomical landmark used for proper placement of the cuff?

antecubital fossa

which of the following procedures does not require prophylactic antibiotic before treatment?

fluoride varnish application

which assessment instrument is used for measuring a lesion?

probe

the descriptive term “ulcer” is used to describe an elevated lesion. an ulcer may or may not be filled with fluid. (T/F)

both statements are FALSE

what descriptive terms may be used to describe the consistency of a lesion?

soft, spongy, resilient, hard, or indurated

which of the following areas are common sites of cancerous lesions?

lateral borders of tongue and floor of the mouth

early oral cancerous lesions often present with many observable signs symptoms. all patients, regardless of risk factors should be screened for oral lesions. (T/F)

first statement is FALSE, second is TRUE

a lesion that is below the level of the skin or mucosa is known as a depressed lesion. a plaque is an example of a depressed lesion (T/F)

first is TRUE, second is FALSE

what are examples of blisterofrm lesions?

bulla, vesicle, and pustule

an elevated, solid lesion that does not contain fluid and is greater than 5mm but less than 1cm in diameter is known as a:

nodule

one objective for the head and neck exam as part of the complete assessment is the recognition of deviations from normal that may be signs or symptoms of disease (T/F)

TRUE

which of the following terms is a descriptive term used to describe the extent of the lesion present?

localized

an elevated, blisterform lesion greater than 1cm in diameter with a purplish color is described as a:

bulla

using the index finer of one hand to palpate the floor of the mouth, while a finger or fingers from the opposite hand press on the same area from under the chin extraorally is known as what type of palpation?

bimanual

which of the following best describes the rationale for completing the extraoral and intraoral exam with a systematic approach?

to minimize missing anatomical areas and any possible abnormalities

when recording an intraoral lesion the clincian should record any history of the lesion, the location and extent, size and shape, color, surface texture, and consistency of the lesion (T/F)

TRUE

a sessile lesion has a narrow, stalk-like base (T/F)

FALSE

which of the following is the most accurate procedure for diagnosing an oral lesion?

excisional biopsy

to evaluate both occipital nodes at the same time during the extraoral exam, the clinican uses what type of palpation?

bilateral

what is the recommended time to observe an unidentifiable lesion before referring for excisional biopsy?

2 weeks

correct palpation of the cervical chain of lymph nodes involves light “walking” of the fingers down the area (T/F)

FALSE

which of the following best describes what the clinician will feel during teh palpation of normal lymph nodes in an extraoral exam?

usually not palpable and non-tender

a blisterform lesion is elevated, solid, and does not contain any fluid (T/F)

FALSE

which of the following terms is used to describe a white plaque that cannot be wiped off?

leukoplakia

a flat lesion on the same level as the normal skin or mucosa but may differ in color than the surrounding tissue is describe as a plaque. (T/F)

FALSE

percussion is exam using the sense of touch through tissue manipulation or pressure on an area with gloved fingers or hands (T/F)

FALSE

the descriptive term “erythema” means a lesion is what color:

red

abfraction is the wearing away of tooth structure from extrinsic or instrinsic chemical factors (T/F)

FALSE

attrition from tooth to tooth contact most often occurs on which surface of the teeth?

incisal/occlusal

the bacterial process by which minerals are removed from tooth structure by acidogenic bacteria is known as:

caries

root caries occurs primarily on the enamel of the tooth structure (T/F)

FALSE

a lack of occlusal or incisal contact between certain maxillary and mandibular teeth wehre the teeth cannot come together is known as:

open bite

the roots of permanent teeth completely form approximately how many years after eruption into the oral cavity?

3 years

permanent teeth that erupt in the place of exofliated primary teeth are known as:

succedaneous teeth

tetracycline staining is an example of:

intrinsic stain

the dental caries shown on teeth #8 and #9 are which class of dental caries?

class V

which of the following describes rampant caries?

rapidly spreading caries involving 10 or more new lesions

abrasion of the tooth structure may occur from chemical exposure on a tooth surface (T/F)

FALSE

the premolar restoration in the image below is what type of restorative material?

amalgam

the wearing away of the incisal surfaces of the lower anteior teeth shown here from tooth to tooth contact is known as:

attrition

dental fluorosis results from too of a type of antibioitc (T/F)

FALSE

erosion is the mechanical wearing away of tooth structure (T/F)

FALSE

dentinogenesis imperfecta results from:

genetics

enamel hypoplasia resutls from a disturbance to the enamel matrix after formation of the enamel (T/F)

FALSE

the malocclusion of the anterior teeth shown here is documented as:

edge-to-edge

the space between the free gingiva and the tooth is known as:

gingival sulcus

a healthy gingival margina is located:

1-2 mm coronal to the CEJ

in health, the gingiva produces an excess of gingival crevicular fluid (T/F)

FALSE

which of the following terms best describes the consistency of healthy gingiva?

firm

the shape of the interdentl papilla in health is described as:

pointed

the periodontal assessment is part of the treatment phase of process of care (T/F)

FALSE

in health, the color of the gingiva is:

uniformly pink or pigmented

which of the following best describes the junctional epithelium?

it forms the base of the sulcus and is continuous with the sulcular epithelium

which of the following is the fixed point on a tooths surface where the clinical attachement level is measured from?

CEJ

which of the following best describes the shape of the interdental papilla in health?

the tip of the papilla fills the interdental space

the ____ is a depression under the contact area between facial and lingual papilla that conforms to the contact area

col

in gingival health, bleeding on probing may be present in more than 10% of all sites (T/F)

FALSE

a healthy sulcus is line with keratinized tissue (T/F)

FALSE

in health, the texture of the gingiva may appear:

stippled

which of the following structures of the periodontium is clincially significant in allowing bacteria to penetrate its membrane to underlying tissues?

sulcus

the junctional epithelium connects to the tooth by hemidesmosomes and the basal lamina (T/F)

TRUE

which area of the periodontium typically has the widest area of attached gingiva?

facial aspect of maxillary anterior teeth

on radiographs, the periodontal ligament appears as a radiopaque space surrounding the tooth (T/F)

FALSE

which of the following best describes the free gingival margin?

it surrounds the tooth but is not attached to the tooth or bone

how many probing sites are recorded per tooth?

6