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Pre-clinic.5
Midterm Quiz Reviews
| Question | Answer |
|---|---|
| Which of the following BEST defines dental hygiene as a discipline? | Dental Hygiene is the study of preventive oral health care, including management of behaviors to prevent oral disease and promote health |
| What are the 5 steps to the dental hygiene process of care? | Assessment, Planning, Evaluation, Problem formulation, Implementation. Verification is NOT a step in dental hygiene process of care. |
| Whoe was a public health educator that emphasized the role of dental hygiene as a | Dr. Alfred Fones |
| Which condition might lead the dental hygienist to conclude that an individual’s need to protection from health risk was in deficit? | Individual plays contact sports but does not wear a mouth guard |
| If an individual participates in care planning, gives informed consent, assume personal responsibility for oral health, and performs daily oral hygiene behavior effectively, one could say that his human needs for------------------------ is met. | Conceptualization and understanding, Responsibility for oral health |
| If it has been 3 years since a client’s last dental exam, one could say that his human need for-------------is unmet. | A biologically sound and functional dentition, Conceptualization and understanding, Responsibility for oral health |
| A major descriptor defining health is as follows, | Ability to adapt and cope with environment |
| One of the four principles of the agent host environment model of health is: Disequilibrium between the agent, host and environment | Disequilibruim between the agent, host & environment must exist for disease to occur. |
| Enhancing peoples capacity to cope with an ever changing environment is a challenge of which healthcare paradigm? | Health Promotion |
| Jill’s statement “professional periodontal debridement is the key factor to Fancy’s oral health” reflects Jill’s approach to care based on the following health care models? | Medical Model |
| According to the health belief model, which belief is being challenged by Fancy’s plan to brush better rather than have perio therapy? | Benefits of taking action outweigh barriers to that action |
| Karen’s idea to organize the a fund raiser followed by free mouth guard clinic along with public announcements regarding the importance of wearing mouth guards while playing sports in an example of what social marketing element? | PROMOTION |
| The distribution of an insert in the church leaflet is representative of which health promotion strategy? | Mass Media |
| By organizing the parishioners to operate a free mouth guards clinic Karen is performing which health promotion strategy? | Community organization |
| Running TV and Radio announcements regularly before the event, Karen is employing which theory? | Social learning |
| The process of education decision makers about a policy for mandatory mouth guards for all sports players is referred to as: | Advocacy |
| One of the following DH in your practice has been diagnosed with hep A which of the following should the DH do to prevent the spread of Hep A and ensure the safety of clients? | The DH should refrain from direct contact with clients. |
| What is the value of using biological indicators? | To verify if spores have been killed by the sterilization process. |
| Which of the following is considered a critical dental instrument? | Sickle Scaler NOT Dental light chair or mouth mirror |
| A client who reports having active TB on the health history and is not taking meds is considered to be infectious. The dental hygienist may continue TX of this patient. | The first is TRUE, the second is FALSE |
| Which is Not part of the PPE used within Universal precautions: | Barriers over dental chair |
| Which ARE considered PPE’s? | Masks, Gloves, Barrier gowns |
| Which disease poses the greatest risk of infection to DH workers? | Hep B |
| Once exposed to Herpes virus travels along the sensory nerve ganglia and remails latent until reactivated by stress. | TRUE |
| Name four vaccine preventable diseases you should be immunized against: | MMR, HBV, Tetanus, Vericella Zoster |
| During instrument cleaning and packaging the DH clinician is required to wear: | Puncture resistant gloves, NOT heat resistant, sterile exam or plastic over gloves |
| Candidias Thrush is a | Fungi |
| Varicella Zoster is | chickenpox/shingles |
| What is the mode of transmission of Hep A | is transmitted via oral fecal route |
| Describe Virulence | the degree of pathogenicity |
| What type of transmission is it if a clinician receives a puncture wound during Tx? | Direct |
| Describe Aerosol | is pathogenic against suspended in air |
| Describe Sterilization | destruction of all life forms |
| What is destruction of most life forms except spores? | Disinfection |
| Describe Critical instruments | penetration of tissue and bone |
| What is the mode of transmission of TB? | airborne |
| What is the mode of transmission Hep c and Hep B? | blood borne |
| What is the mode of transmission Ocular herpes? | contact |
| Why is Lisa called Lisa | The product maker named it after his daughter. |
| If you wanted improve your view of the mandibular teeth how would you ask the patient to position his head. | with his chin down |
| To be correctly positioned the patients mouth should be approximately level with the clinicians sternum. | false |
| Of the oral structures which has highest cancer rate? | Lateral borders of the Tongue |
| The wall of your class room meets the floor at what angle? | 90 degree angle |
| What is transillumination? | Is the act of using the dental mirror to direct light off of the mirror surface and through the teeth. |
| Describe what you do in order to establish proper position of the patient in relation to the clinician? | raise or lower the patient chair until the patients open mouth is above the clinicians’ waist level. |
| The clinicians chair should be adjusted so the clinicians’ hip are at a forty five degree angle. | false the clinicians hip should be at a 90 degree angle |
| The clinician is seated facing the side of the patients head with the midline of his or her torso even with the patient’s mouth. Which clock position is this | 9 for right handed. 3 for left handed |
| Which of the following structures is located directly posterior to the incisive papilla? | Palatine Rugae |
| The dental mirror might be used for transillumination on which of the following sextants. | Maxillary anterior sextant, facial aspect |
| Which of the following is an improper position practice, resulting from the patients chair being too high | shoulders up and elbows away from body |
| The tissue at the junction between the attached gingiva and the alveolar mucosa is the | Mucogingival junction |
| It is better to lean over by flexing the spine than bend from the waist. The upper arms and elbows should be abducted (held away from the body). | BOTH ARE FALSE |
| Which of the following does NOT describe correct neutral seated position. | Shoulders to the ears |
| Assessment includes analysis and interpretation of all assessment data to evaluate the clinical findings and formulate the dental hygiene diagnosis. | True |
| Documentation is the complete and accurate recording of all data collected, TX planned and provided, recommendations and other information relevant to the patient care TX | true |
| Put the five components to the dental hygiene process of care into the correct order. | Assessment, dental hygiene diagnosis, planning, implementation ADPIE |
| Darby Walsh defined the dental hygiene diagnosis as: | The identification of a client’s human need deficit related to the dental hygiene care |
| When was the final vision of the ADA standard practice submitted for adoption? | March 2008 |
| What is the function of the index finger and thumb in modified pen | to hold and roll the instrument handle |
| Bing has inserted the probe at the base of the perio pocket. Which tissue does the probe touch at the base? | Junctional Epithelium |
| You are learning how to grasp a periodontal instrument. Which of the following is not recommended for the index finger and thumb? | Holding the handle firmly so that the finger tips are blanched. |
| Which of the following fingers has NO function in modified pen grasp? | Little finger |
| The probe should be removed from the sulcus after each measurement and reinserted for the next. | False |
| The walking strokes of the probe should be 1mm apart: | True |
| What is the position of the thumb in the modified pen-grasp? | Rest at or near the junction of the handle and the shank |
| Paired working ends are | exact working ends of each other: |
| Some double-ended instruments have unpaired dissimilar looking ends: | True |
| An instrument designed to go subgingival on anterior teeth would have a: | A simple shank design with a long functional shank |
| The cutting edges of a sickle scaler will meet in a toe or tip: | false Point |
| What is an example of an assessment instrument? | Explorer not sickle scaler curet of perio file |
| What portion of the gingival tissue does the tip of probe touch at the bottom of a periodontal pocket? | Junctional Epithelium |
| The periodontal probe should be removed from the sulcus after each measurement: | False |
| The pressure of the probe tip against the junctional epithelium should be between 10 & 20 grams: | True |
| When recording probing depths, you are measuring the distance from the: | Gingival margin the base of the sulcus or pocket |
| The mm markings on a periodontal probe can be indicated by: | Indentations in the metal, Color bands or Color indentations |
| The mm marks on all color coded probes are placed a 3, 6, 9, & 12: | False |
| What is defined as the host associated biofilm as well as a dense non mineralized highly organized mass of bacterial colonies in a gel like microbial matrix? | Bacterial plaque |
| Bacteria species associated with dental plaque induced gingival disease include all of the following EXCEPT | streptococcus mutans |
| What type of bacteria is associated primarily with advancing perio disease? | Anaerobic |
| What is the 1st stage of plaque formation | Pellicle formation |
| Which of the following is an intrinsic stain? | Tetracycline |
| Sub calculus may acquire a dark color due to which of the following factors. | Absorption of blood products (Iron) |
| What is the term for loosely attached collection of oral debris and bacteria that is seen as a whitish mass on the teeth overlying plaque? | Mateina alba |
| Which type of stain is incorporated within the tooth structure and cannot be removed by scaling or selective polishing | Intrinsic stain |
| Which of the following DOES not influence the growth and retention of plaque? a)Regular contained care intervals b)calculus c)orthodontic bands d)mouth breathing? | A) regular contained care intervals |
| DH have the responsibility to document oral hygiene assessment data over time and patients compliance with oral hygiene recommendations in the TX record | True |
| The relationship between OH index scores and a patients current oral health status provides a SUBJECTIVE measure of the patients personal progress with self care techniques. | FALSE objective |
| All of the following characteristics for Subgingival calculus detection except: | compressed air, Most accurate form of supragingival calculus detection |
| Rinsing and the self cleaning action of the tongue and saliva can remove both mateia alba and soft calculus deposits? | FALSE |
| The O’Leary plaque score is scored as a percentage of tooth surface with plaque and preformed annually | FALSE at EVERY appointment |
| All of the following accurately describe the sulcular bleeding index except: | 6 surface assessment |
| Type 4 patients are not at our skill level | True |
| To improve calculus detection the clinician should apply firm pressure against the tooth surface. | False |
| Many overlapping strokes should be used during assessment of tooth surface. | True |
| Explorers are made of strong, rigid metal that does not bend easily. | False |
| Explorers are circular in cross section | true |
| Although horizontal strokes are used for detection of calculus deposits located at the midline of the facial or lingual surfaces on the anterior teeth, these strokes are not permitted for first semester students: | TRUE |
| Todd will have better success in detecting sub gingival calculus deposits if he uses assessment strokes with this pressure | LIGHT |
| Using the explorer Laura would detect all of the following conditions that raise above tooth service except | root caries, they are below |
| The actual point of the explorer should be used to detect calculus | FALSE |
| You should not explore a carious lesion if you can see it visually | True |
| Subgingival calculus deposits are LOCATED BENEATH THE GINGIVAL margin | True |
| The clinician should not use a shepard hook explorer for sub calculus detection because the sharp point is directed towards the junction of the epithelium | True |
| Tony wants to explore the perio pocket on a molar tooth with a probe depth of 5 mm. He should select an explorer with which characteristic design. | Long complex shank design |
| Lori tells you that she can never feel subgingival calculus deposits with explorer no matter where it is located. What technique error is causing this | she is resting her middle finger on the instrument handle shank |
| Explorers do not measure sulcus depths | True |
| The get ready zone refers to the position of the explorer tip near the distofacial line angle | True of posterior teeth. The get ready zone for anterior teeth is midline. |
| Mary wants to select the correct working end of an explorer for the use of mandibular molar which of the following is a correct technique for selection the working end? | She should place the working end on the distal surface if the lower shank is parallel to the distal surface the is working end is correct |
| Bill wants to explore a molar tooth how should he begin? | Place the tip on the distofacial line angle and work back onto the distal surface |
| Yasmin wants to explore a molar tooth he should she begin? | Place the tip on the distofacial line angle and work back onto the distal surface |
| Sadie wants to improve her ability to detect calculus which technique would help her achieve her goal. | Middle finger on shank lightly |
| The sequence for exploring anterior teeth always begins with the canine closest to you: | FALSE at the canine furthest away from you |
| The Orban type explorer is used in the assessment of the anterior tooth surface and the facial and lingual surface of posterior teeth: | TRUE |
| The shepherd hook explorer is not recommended for subgingival b/c the point could injure soft tissue? | True |