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b) 2, 3
c) 4, 5
d) 3, 4
e) 2, 3, 5
Answer: B
iron
sodium
vitamin K
formation of hemoglobin
regulates body fluids
normal blood clotting and liver function
building bone, release of energy from muscle glycogen conduction of nerve
magnesium
impulses
development and maintenance of teeth and bone, clotting, muscle activity,
calcium
healthy nerve tissue
phosphoro
formation of bones and teeth, release of energy from foods
us
vitamin D healthy eyes, cells of skin and mucous membrane
vitamin C prevents tendency to bleed, essential in healing
Question 2:
The dental health educator is participating in an open forum at a rural community hall
during dental health week. The educator taking part must be experienced in all facets of oral
care, be aware of regional issues, and be prepared to answer and assist with a wide variety
of questions and concerns. The subject of stain became a topic of interest as those attending
varied in age, sex, health, and habits. Which of the following statements are valid?
1. stains appear on the outside surface of teeth or within the tooth
2. all stains can be removed by scaling and polishing
3. stains may be caused be bacteria, chemicals or foods
4. green stain is common in adults
b) 2, 4
c) 1, 3, 5
d) 1, 3, 4
e) 2, 3, 4, 5
Answer: C
Question 3:
The dental health educator is working with a hypertensive, geriatric patient to develop
positive tooth brushing/flossing habits and an oral environment free of calculus, plaque or
stains. Which of the following statements would be applicable?
1. use a powered toothbrush
2. floss using the middle fingers, index fingers and thumbs
3. floss using a bridge threader
4. floss using a flossing wand
5. initially have the teeth polished using an air-powder polishing technique using a
slurry mixture
a) 5
b) 1, 2
c) 1, 4
d) 2, 3, 5
e) 1, 2, 5
Answer: C
air-powder polishing uses a high sodium slurry mixture and is not for use on
patients with communicable diseases, respiratory disorders or anyone on a sodium
restricted diet such as hypertension
flossing using the index, middle fingers and thumbs requires a high level of
manual dexterity not generally seen in seniors
an alternative to manual flossing for patients with low levels of manual dexterity is
to use a flossing wand
bridge threaders are exclusively for cleaning under bridges or for fixed orthodontic
situations
Question 4:
Maslow's "heirarchy of needs" include in ascending order:
1. physiology
2. security
3. social
4. ego
5. self actualization
The lower needs must be met before the higher needs can be satisfied. The dental health
educator has been working with a family who have been members of the practice for several
years. Initially the family visited for emergency situations only, but over time the parents
completed university, paid back student loans, bought a home, had a wonderful family life,
and moved through the corporate ladder each time securing a more satisfying job and
higher financial compensation. Dentally the family progressed to regular dental visits and a
firm commitment to their oral health. Mrs. Morrison has reached the level of satisfying her
ego needs. Over the long weekend Mrs. Morrison fractured an anterior tooth which had been
slated for root canal therapy, post and core and crown. Mrs. Martin is experiencing severe
discomfort and is extremely self conscious about her appearance. Once seated in the dental
chair, Mrs. Morrison locks her ankles together and clenches the arm rests. The dental
educator recognizes this as a nonverbal cue and approaches the patient bearing this in
mind. Mrs. Morrisson's gesture is indicating ______________________________.
a) defensiveness b) openness
c) embarrassment
d) nervousness
e) touching
Answer: D
sitting close or at the same level as a patient indicates openness rather than an
authorative stance
a fearful patient tries to hide their fear by this sort of gesture, once relaxed the
gesture will disappear
Question 5:
Katie, the dental health educator in Dr. Stephen's office is working to provide an active
learning environment for successful patient education programs. Which of the following
statements is / are not indicative of the development of a new habit pattern based on
patient acceptance and active participatory learning?
1. listen to the patient's feeling about their current oral condition
2. design with the patient a plan or program to satisfy the patient's needs and abilities
3. introduce all skills to be learned at once using visual aids
4. send the patient home to try for the first time and practice the skills
5. provide encouragement and reinforcement to the patient
a) 2
b) 3
c) 4
d) 3, 4
e) 1, 2, 5
Answer: D
in order for a plan to be successful, the patient must feel like a partner in the
design of their own program and that the program meets their personal needs at a
level which demands of them what they are capable of
patients should try each skill in the office after it is demonstrated for them by the
educator and should practice with the educator until the patient is comfortable
and can go home to continue to practice following the designed program
encouragement and reinforcement from the dental team plays an enormous role
in patient success in their oral health routine
Question 6:
The mucogingival junction is the area where:
a. the unattached, marginal gingiva meets the attached gingiva
b. the interdental papillae meet the attached gingiva
c. the tissue of the labia joins the oral mucosa
d. the attached gingiva joins the lining mucosa
Answer: D
the unattached gingiva (marginal gingiva/free gingiva) is the border of the gingiva
surrounding the neck of the tooth in a collar like way
interdental gingiva (gingival papilla) is the extension of the free gingiva between
two teeth
labia refers to lips, the vermilion border is where the skin of the lips joins the
mucous membrane
the attached gingiva extends from the base of the sulcus to the mucogingival
junction. The mucogingival juncion is where the lining mucosa and attached
gingiva join
Question 7:
The cusp of Carabelli is located on which of the following?
a. maxillary second molar, facial cusp
b. maxillary first molar, lingual cusp
c. mandibular first molar, lingual cusp
d. maxillary second bicuspid, lingual cusp
Answer: B
Question 8:
Which of the following teeth are most likely to vary in form or be congenitally missing?
a. maxillary cuspids
b. mandibular central incisors
c. mandibular first bicuspids
d. maxillary lateral incisors
Answer: D
the permanent maxillary lateral incisors vary in form more than any other tooth in
the oral cavity (except third molars) and are frequently congenitally missing
Question 9:
The bony structures that appear web-like in a radiograph and are filled with bone marrow
are known as:
a. trabeculae
b. foramen
c. hematopoietic
d. osteoblasts
Answer: A
bony spicules in cancellous bone form a meshwork filled with bone marrow which
is visable on a radiograph, the meshwork is referred to as trabeculae
Question 10:
The side to side shifting movements of the mandible is controlled by which muscle?
a. zygomatic major
b. pterygoid
c. temporal
d. masseter
Answer: B
the zygomatic major muscle draws the corners of the mouth up and back
the temporal muscle raises the mandible, closes jaw and retracts a protruding
mandible
the masseter muscle raises the mandible and closes the jaw
Question 11:
To avoid the splatter of contaminants from the ultrasonic cleaning solution:
a. the lid must always remain in place during operation
b. the instruments being cleaned should be enclosed in resin cassettes
c. the ultrasonic cleaner should not be operational for cycles longer than 10 minutes
d. operators should periodically test the cleaning unit for effectiveness
Answer: A
the lid must be left on when processing to prevent airborne contamination and
when not in use to prevent odor and evaporation
instruments may be placed in plastic or resin cassettes and will require a longer
processing time
time required for processing varies based on type of material or debris, power of
the unit and number of instruments. Normal range is 5 to 15 minutes
Question 12:
Sterilizer monitoring services or agencies will send the dental office reports by either
telephone or mail. A positive report:
a. indicates that sterilization did not occur during the test cycle
b. indicates that sterilization occurred during the test cycle
c. indicates the sterilizer does not require service or attention at the time of testing
d. both b and c
Answer: A
a positive report indicates that sterilization did not occur in the test cycle
a negative report indicates that sterilization occurred properly in the test cycle
there are many reasons that service is required for sterilization units and a single
positive report may relate stricly to human error
Question 13:
A properly positioned chairside dental assistant is:
a. 2 to 3 inches lower than the operator
b. at the same height as the operator
c. 4 to 5 inches higher than the operator
d. 12 inches higher than the operator
Answer: C
if the assistant is seated too low, the operator's view is blocked and the assistant
is unable to see into the oral cavity, the proper height is 4 to 5 inches higher than
the operator
if the assistant is seated too high, fatigue and strain will result, feet will not reach
the platform and effect lower extremity circulation
Question 14:
The clock concept for a left handed operator locates the assistant's zone:
a. between 2:00 and 4:00
b. between 8:00 and 10:00
c. between 12:00 and 5:00
Answer: B
operator's zone
assistant's zone
transfer zone
static zone
12 - 5 o'clock
8 - 10 o'clock
5 - 8 o'clock
10 - 12 o'clock
Question 15:
The instrument of choice to remove carious dentin, debris or excess cement from a tooth
would be:
a. a chisel
b. the air-water syringe
c. a spoon excavator
d. a Hollenback
Answer: C
the air-water syringe is a unit instrument used to flush and dry tooth structure
Question 16:
Current medications are noted in the medical history update because:
a. they will indicate to the dentist whether the patient is at risk for transient bacteremia
b. they will alert the dentist to infectious disease risks
c. they will help the dentist choose appropriate anesthetics and treatment options
d. a and b
Answer: C
the patient at risk for transient bacteremia is not necessarily on medication for a
related condition at the time of the visit
the patient may not currently be on medication for an infectious disease (carrier)
Question 17:
If a second attempt is necessary to obtain a correct reading or confirm an abnormal reading,
a minimum of __________________ must pass or the other arm is used.
a. 3 minutes
b. 5 minutes
c. 10 minutes
d. 20 minutes
Answer: C
if additional readings are required the reading should be taken after a minimum of
10 minutes to prevent an incorrect reading
Question 18:
Nitroglycerine is available in several forms which determine the route of administration.
Which of the following are correct?
a. oral tablet or oral capsule
b. translingual spray or sublingual tablet
c. liquid suspension or preloaded injection syringe
Answer: B
medication for digestive disorders, skin lotions and antibiotics may be dispensed
as a liquid suspension
Question 19:
Induction time for local anesthetic is described as:
a. the length of time taken by the dentist to inject the full carpule of anesthetic
b. the period of time from the injection of the anesthetic until effective anesthesia is in
place
c. the period of time from complete anesthesia until complete reversal
Answer: B
administration time is the length of time it takes the dentist to delivery the
anesthetic
induction time is the length of time from the injection of the anesthetic until
effective anesthesia is in place
duration time is the length of time from complete anesthesia until complete
reversal
Question 20:
An area of decay in the cervical third of the facial surface of a tooth would be considered
__________________ using Black's classification of cavities.
a. class I
b. class III
c. class V
d. class VI
Answer: C
class
class
class
class
I
II
V
VI
Question 21:
Mrs. Jeannie Maryland telephones Dr. Stephen's office to request a tax reciept for the
treatment received during the previous year. Lori places Mrs. Maryland on hold in order to
retrieve the records and verify the address. When Lori returns to her work station, she
discovers that Mrs. Maryland has been either cut off by the office or has hung up herself. The
general rule for dealing with this situation is __________________ .
a. the individual who placed the call is the one who calls again
b. if the office cut off Mrs. Maryland, Lori should call Mrs. Maryland
c. if Mrs. Maryland chose to hang up, she should call the office back to request the tax
receipt
d. Lori should send a written explanation of what transpired
e. Lori should inform all patients that requests like this should be in writing
Answer: A
the general rule is the individual who placed the call is the one who calls again.
appropriate explanations can be made at the time of the return call.
Question 22:
The Float dental office has received a large supply order from Billings Supply House. The
delivery man indicated that the order is in ten boxes and one box contains the hazardous
material. The acrylic custom tray liquid is in the box marked hazardous material and the
container is labeled hazardous material. The office has two laboratory areas and the solution
is split between the two laboratories. Half of the solution is left in the original container and
the balance is poured into a clean dry and unlabeled container. A __________________ must be
attached (by the office) to the new container.
a. workplace label
b. supplier label
c. shipping label
d. a, c
e. a, b, c
Answer: A
shipping labels are attached to all products being shipped, the label includes
supplier, recipient and will indicate if a controlled substance
Question 23:
Mike Badder, his wife Amy Badder and their daughter Julie have a dental appointment with
Dr. Bill Williams. Mike and Amy both have a private dental plan which covers the family.
Mike's date of birth is May 03, 1971, Amy's is March 10, 1973 and Julie's is February 15,
1992. The treatment for the family included:
Mike
extraction of lower right
superumerary third molar
Amy
-emergency examination
-1 PA
Julie
pulpotomy
The claim form for Mike's extraction will include the tooth number
a. 4-9
b. 4-8
c. 9-9
d. 17
e. 3-9
Answer: C
4-9 non-existent
4-8 mandibular right, third molar
9-9 all supernumerary teeth are number 9 - 9, further description can be detailed in the
information box if necessary
17 is the universal tooth code for mandibular left third molar
3-9 non-existent
Question 24:
A patient with dual insurance coverage calls the office after being told by the insurance
company that the policies he has contain a nonduplication of benefits provision. His
understanding from the insurance carrier is that
-his total fee for service is $500.00
-the primary carrier allowable limit is $200.00 for this service
Answer: A
Question 25:
Appointment Page
Dr. Bill Williams
Tanya Roberts asks the administrator if any additional appointments are required following
the Friday, January 10, 20xx visit. The administrator's most likely response will
be____________________________________.
a. yes
b. no
c. possibly
d. that she must check her chart
e. that she should ask the dentist on Friday.
Answer: C
the administrator must be aware that at least one additional appointment will be
required to cement the crown when it returns from the laboratory in about a week
Question 26:
The fabrication of a gold crown involves many steps. Following the removal of the casting
from the ring and brushing away adhering investment material the casting is placed in an
acid solution to remove surface oxidation. The process of removing surface oxidation is
called _________________.
a. polishing
b. finishing
c. pickling
d. casting
e. tempering
Answer: C
polishing is the process of producing a high luster on the casting, this may be
accomplished by wheels, brushes, tripoli and rouge
finishing involves removal of the sprue from the casting and refinement of the
antomy of the casting using discs and coarse abrasives
pickling is the final step in removing oxides from the surface of the casting by
placing it in a commercial pickling solution or 50% hydrochloric acid (offensive
odor)
Question 27:
The initial set of alginate is indicated by a/an ____________.
a. glossy appearance
b. exothermic reaction
c. loss of tackiness
d. endothermic reaction
e. chalky appearance
Answer: C
alginate impressions properly mixed and having reached the final set stage are
glossy in appearance
loss of tackiness idicates the initial set of alginate the impression must be seated
prior to this point
study casts that have been in contact with an alginate impression for prolonged
periods appear chalky as some of their moisture has been absorbed by the
alginate
Question 28:
The dental assistant removes the alginate impression from the patient's mouth and then
__________________ the impression.
a. rinses with water, shakes to remove excess liquid, sprays with disinfectant, shakes to
remove excess, sprays with disinfectant, pours in stone
b. blows until debris free, sprays with disinfectant, shakes to remove excess liquid,
pours in stone
c. rinses with water, shakes to remove excess, sprays with disinfectant, shakes to
remove excess liquid, pours in stone
d. sprays with disinfectant, pours in stone
e. rinses with water, sprays with disinfectant, pours in stone
Answer: C
debris is flushed away by rinsing, blowing until debris free may distort impression
and will not remove blood
Question 29:
Mrs. Marine Pars is in Dr. Stephen's office to discuss the fabrication of a bridge from 1-6 to 14. Dr. Stephen's dental assistant Rosa is directed by Dr. Stephen's to obtain alginate
impressions for study models. Rosa checks to see if Mrs. Pars is wearing a removable dental
appliance. Rosa removes the upper partial denture. Rosa explains the procedure to Mrs.
Pars, mixes the powder and water together and begins the impression process. To load the
maxillary tray the dental assistant will ________.
1. insert the material from the anterior and spread to the posterior
2. overfill the posterior palatal portion of the tray to ensure all anatomy is included
3. rotate the corner of the tray over the maxillary arch
4. make sure the handle is in line with the nose
5. gently bring the tray forward over the anterior teeth and flex the lip over the tray
a) 2, 3
b) 1, 2, 4
c) 3, 4, 5
d) 1, 3, 5
e) 1, 2, 3, 4, 5
Answer: C
overfilling the posterior portion of a maxillary tray will allow excess material to
flow toward the throat during placement
the corner of the tray is rotated over the maxillary arch to facilitate fitting between
the lips and accurately placing over the arch.
seat the posterior border of the tray first to form a seal, bringing forward over the
anterior teeth while lifting the patient's lips out of the way as the tray is seated
Question 30:
Dr. Stephen's assistant, Katie, is preparing to fabricate a custom tray. She begins by
preparing the cast. Which of the following steps would be included?
1. fill the undercuts
2. outline the margins of the cast in pencil, indicating the area the tray will cover
3. place a spacer on the cast to create room in the tray for the impression material
b) 3
c) 2, 3, 4
d) 1, 2, 3, 4
Answer: D
outlining the area the tray is to cover facilitates placing the tray material and
lessens the necessity of trimming
Question 31:
Michael Smart is scheduled for preliminary impressions. Dr. Jones will instruct the
commercial laboratory to fabricate a sports mouth guard. The dental assistant has not
disinfected the alginate impression prior to placing it in a sealed plastic bag. How should the
laboratory be made aware of this?
1. the dental assistant will telephone the laboratory
2. the dental assistant will place a damp paper in the bag
3. the receptionist will telephone the laboratory
4. the dental assistant will label the bag with a hazardous symbol
a) 1
b) 4
c) 2, 3
d) 1, 2
e) 2, 3, 4
Answer: B
phoning is not an effective way of informing the laboratory, the assistant may
forget or lab technicians may be in contact with the alginate prior to the call
damp paper will help to prevent dimensional distortion for a limited period of time
Question 32:
Susan Jones is scheduled for endodontic treatment. The operative tooth is the upper right
central incisor. After the tooth has been anesthetized, the procedure begins with the
placement of the rubber dam. The pulp tissue is removed and the dentist inserts an
endodontic file to determine the length of the canal. The film is exposed and processed. The
radiographic image is measured to obtain the length of the canal. What may result from an
inaccurate length measurement?
1. perforation of the apex
2. postoperative pain
3. overinstrumentation of the canal
4. underinstrumentation of the canal
5. underfilling of the canal
a) 1
b) 2, 5
c) 3, 4
d) 1, 2, 3, 4
e) 1, 2, 3, 4, 5
Answer: E
Question 33:
After a complete clinical examination, the following is noted on the treatment chart of a
twenty-five year old female patient:
- wisdom teeth are missing
- all other permanent teeth are present
- 4 - 5 is in lingual version
- 3 - 5 requires an MOD amalgam restoration
- 4 - 7 requires an occlusal composite
How is the rubber dam adapted to accommodate tooth 4 - 5?
1. a larger size hole would be created
2. the hole is created 1mm lingual to the alignment
3. the hole is created 1mm facial to the alignment
b) 3
c) 4
d) 1, 2
e) 1, 5
Answer: B
1mm placement lingually for teeth in lingual version or 1mm placement facially for
teeth in facial version is usually considered correct procedure
punches placed too far facially or lingually with cause bunching, stretching or
tearing
Question 34:
Coronal polishing should be limited to a handpiece speed of under __________________.
a. 10,000 RPM
b. 20,000 RPM
c. 50,0000 RPM
d. 75,000 RPM
Answer: B
a low steady speed of up to 20,000 rpm minimizes tissue trauma and functional
heat to the patient
Question 35:
When evaluating a patient's oral hygiene an index which categorizes the amount of tooth
structure covered by plaque, calculus and stain may be used, if the index used in your office
is from 0 - 3 indicating ideal to poor oral hygiene and/or accumulation. An index of 1
indicates:
a. there is no plaque, stain or calculus present
b. there is plaque, stain or calculus present within the gingival 3rd of the teeth
c. there is plaque, stain or calculus present extending into the middle 3rd of the teeth
d. there is plaque, stain and calculus covering most of the tooth surfaces
Answer: B
0-a
1-b
2-c
3-d
Question 36:
Following the diagnostic evaluation the dentist provides the patient with standard treatment
alternatives, benefits and costs. The informed patient exercised "the right to chose" and
selects a treatment plan which does not reflect the dentist's preference. The value
demonstrated in this situation is ______________________.
a. patient autonomy
b. practice preference
c. life and health
d. appropriate and pain free oral function
e. aesthetics
Answer: A
decisions made in dentistry involve moral choices and choices involving conflicting
values
patient autonomy
practice preferences
Question 37:
A dentist is responsible for providing care to members of society and must be aware of
behavior that is discriminatory or contradictory to human rights legislation. A dentist has a
right, in an emergency situation, to refuse care based on _________________.
1. personal conflict
2. time constraint
3. religious belief
4. race
5. medical condition
a) 2
b) 5
c) 1, 5
d) 1, 2
e) 3, 4
Answer: D
religious belief, race, medical conditions, sexual preference, and age are all
human rights issues
Question 38:
Ongoing review of the regular activities in a dental practice will indicate the effectiveness of
the time management of the team members and time wasting activities. Which of the
following is/are indicative of time wasting activity or behavior?
1. not planning
2. lack of privacy
3. work area clutter
4. organize work flow
5. establish deadlines
a) 1
b) 1, 4
c) 4, 5
d) 1, 2, 3
e) 2, 3, 5
Answer: D
organizing work flow and setting deadlines are effective steps in time
management
work area clutter, lack of privacy and not planning waste time and energy
gradually effecting not only the individual involved but all team members
Question 39:
A new patient is seeing the dentist requesting a second opinion regarding a treatment plan
proposed by another office. The dentist agrees to a clinical examination and to provide the
patient with independent treatment alternatives, costs and benefits. After providing the
patient with comprehensive alternatives the dentist leaves the room and the dental
assistant prepares to dismiss the patient. The patient expresses disbelief at the current state
of her teeth, remarking that a lot of time and money has been spent through the years
maintaining her teeth. The dental assistant explains that the quality of care that she had
received in the past was poor and in fact is responsible for her current dental situation. The
dental assistant's statement could prove damaging under the concept of
__________________________.
a. act of omission
b. act of commission
c. malpractice
d. jurisprudence
e. defamation of character
Answer: E
Question 40:
An orthodontic patient arrives for a 10:00 appointment. (Her arch wire needs to be
tightened) The dental assistant observes the patient as being anxious and unresponsive to
conversation. At the end of the session, the patient informs the assistant that at the previous
appointment (for the same treatment), another assistant left a rough edge that resulted in a
lacerated cheek. In addition, the same assistant made a rude comment (during a filling
appointment six months ago) regarding the patient's nose ring.
How should the dental assistant deal with this situation?
1. asks the patient to make another appointment to discuss this
2. discuss immediately
3. recognize the real issue
4. avoid being argumentative
5. document details of the conversation
a) 1
b) 5
c) 2, 5
d) 3, 4
e) 2, 3, 4, 5
Answer: E
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