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Nbdhe Major Exam 3 25 to 36 Case
Studies
Case Study 25 All of the following medical conditions are represented in the patient's profile except one. What is the EXCEPTION? A. Osteoporosis B. Diabetes C. Hypercholesterolemia D. Coronary Artery Disease E. Parkinson's Disease - ANS E Case Study 25 The discoloration on the palatal tissue bordering areas #12 and #13 is MOST likely attributed to: A. Trauma from extraction B. Xerostomia C. Amalgam tattoo D. Normal pigmentation E. Trauma from ill-fitting partial - ANS D Case Study 25
What is the BEST protocol to follow based on the patient's blood pressure recording? A. Recheck BP reading in 5 minutes B. No dental hygiene care should be provided today C. Refer to physician for consultation before any dental hygiene therapy D. No dental management consideration required E. Monitor at consecutive appointments - ANS E Case Study 25 After reviewing the intraoral images, what tooth has been extracted since the panoramic image? A. Tooth # B. Tooth # C. Tooth # D. Tooth # E. Tooth #9 - ANS C Case Study 25 The MOST obvious technique error illustrated in the panoramic image is: A. Chin positioning too far downward in focal trough B. Chin positioning too far upward in focal trough C. Midline is not centered on the film D. Chin rest is imaged E. Old expired film - ANS C
A. PSA, MSA, ASA, GP
B. PSA, GP, ASA
C. PSA, GP, MSA, ASA
D. PSA, GP, MSA, ASA, NP
E. PSA, GP, ASA, NP -
ANS D
Case Study 25 While scaling subgingivally on the distobuccal root of tooth #14, the dental hygienist breaks the instrument at the shank, what should he/she NOT do? A. Expose the patient to a radiograph of the area B. Examine with another instrument C. Dry the area with the air-water syringe D. Refer out for flap surgery E. Isolate the area with cotton rolls or gauze - ANS C Case Study 25 What BEST describes the clustered-like projections observed diagonally between areas #6, #11 and extending into the vault of the hard palate? A. Median palatine raphe B. Epulis fissuratum C. Papillary hyperplasia D. Herpetic gingivostomatitis E. Nicotine stomatitis - ANS E
Case Study 26 The patient's vital signs indicate she is experiencing what? A. Hypertension B. Hypoglycemia C. Fever D. Drug overdose E. Fasting - ANS C Case Study 26 All of the following are characteristics associated with an immunosuppressed condition except one. What is the EXCEPTION? A. Smoking B. Irregular sleeping habits C. Radical eating patterns D. Xerostomia E. Xerostomia - ANS D/E Case Study 26 The virus associated with the patient's recent illness is? A. Coxsackie virus B. Varicella zoster virus C. HSV- 1 D. Epstein-Barr virus
A. Smoking B. Alcohol C. Unknown reason D. Hydrogen peroxide E. Systemic antibiotic therapy - ANS C Case Study 26 What is the radiopacity located inferior to the mandibular central incisors? A. Lingual foramen B. Nutrient canals C. Cemental dysplasia D. Condensing osteitis E. Genial tubercles - ANS E Case Study 26 The dental hygienist desires to implement a tobacco cessation program for the patient, what is the first step for this proposed initiative? A. Arrange B. Advise C. Ask D. Assist E. Apply - ANS C Case Study 26
All of the following require specific planning tailored to address the patient's needs except one. What is the EXCEPTION? A. Nutritional analysis B. Flossing instructions C. Antimicrobial rinses D. Brush biopsy E. Xerostomic conditions - ANS D Case Study 26 All of the following medications can reduce the efficacy of the patient's oral contraceptive except one. What is the EXCEPTION? A. Acetaminophen B. Ceftin C. Cipro D. Amoxicillin E. Augmentin - ANS A Case Study 27 The mandibular anterior incisal edges demonstrate what abnormality? A. Amelogenesis imperfecta B. Erosion from bulimia C. Abfraction D. Attrition
A. Plaque score at 60% B. Hormonal imbalance C. Use of a manual toothbrush D. Prenatal vitamins E. Insulin injections - ANS B Case Study 27 Due to the patient's condition, she needs to avoid or limit the use of dental procedures requiring: A. Lidocaine B. Amoxicillin C. Nitrous oxide D. Penicillin E. Erythromycin - ANS C Case Study 27 In order to alleviate discomfort from the palatal region, the patient must strictly avoid using all of the following EXCEPT: A. Aspirin B. Naproxen C. Ibuprofen D. Flagyl E. Chlorhexidine - ANS E
Case Study 27 The lesions in the maxillary right palatal intraoral image MOST likely exist and are inflamed due to responses from all of the following EXCEPT: A. Use of a phenol rinse B. Increased hormone levels C. Bacterial plaque D. Nicotine usage E. Cyclosporin A - ANS E Case Study 27 Pregnancy-associated gingivitis is often accompanied by increased levels of what gram- negative organism? A. F. nucleatum B. S. oralis C. A. viscosus D. A. naeslundii E. P. intermedia - ANS E Case Study 27 The BEST dental hygiene care plan for the patient should start with: A. Nutritional counseling B. Referral to physician C. Full mouth periodontal debridement
A. Preliminary phase B. Phase I C. Phase II D. Phase III E. Phase IV - ANS C Case Study 28 Which of the following oral hygiene aids will BEST assist the patient with plaque removal? A. Oral irrigation device B. Antimicrobial rinse C. Power toothbrush D. Interproximal brush E. Tufted floss - ANS C Case Study 28 Each of the following medications can potentially increase her xerostomia except one. What is the EXCEPTION? A. Glucophage B. Paxil C. Norvasc D. Aspirin E. Microzide - ANS D
Case Study 28 The patient's hypertensive condition can be risk associated with each of the following except one. What is the EXCEPTION? A. Type 2 diabetes B. BMI classification C. Age D. Race E. Arthritis - ANS E Case Study 28 What is MOST likely the cause for the technical error illustrated in the panoramic radiograph? A. Patient is positioned too far forward B. Patient is positioned too far backward C. Patient's head is tilted to the right side D. Patient's chin is tilted upward E. Patient's chin is tilted downward - ANS E Case Study 28 Each of the following can potentially increase her risk for greater periodontal concerns except one. What is the EXCEPTION? A. Type 2 diabetes
Specific to the needs of the patient, the implementation phase of care should include all of the following except one. What is the EXCEPTION? A. Alcohol-free mouthrinse B. Oral hygiene measures C. Periodontal debridement D. Four to six week re-evaluation E. Fluoride therapy - ANS D Case Study 29 The patient's blood pressure recording represents what category? A. Normal B. Prehypertension C. Stage I hypertension D. Stage II hypertension E. Stage III hypertension - ANS C Case Study 29 Based on the clinically evident dental findings, all of the following treatment considerations require high priority except one. What is the EXCEPTION? A. Restorative treatment B. Medical consultation C. Periodontal grafting D. Endodontic treatment E. Prophylactic intervention utilizing ADPIE -
ANS C
Case Study 29 The radiopacity on tooth #8 is MOST likely: A. Carious lesion B. Composite resin restoration C. Temporary plastic restoration D. Temporary acrylic restoration E. Luting cement - ANS B Case Study 29 Which of the following teeth are MOST likely to have a poor prognosis: A. #2, 4, 15, 31 B. #2, 15, 28, 29 C. #2, 11, 15, 28 D. #2, 15, 20, 21 E. #2, 5, 6, 15 - ANS D Case Study 29 When evaluating the patient's health behaviors, all of the following are appropriate recommendations except one. What is the EXCEPTION? A. Introduce a power toothbrush B. Fluoride dentifrice with multiple benefits
A. Class I B. Class II C. Class III D. Class IV E. Class V - ANS C Case Study 29 The following daily practices are good recommendations for this patient with erosive challenges except one. What is the EXCEPTION? A. Reduce acid intake and drink more water B. Remineralize areas with fluoride dentifrice, OTC/Rx fluoride rinse or gel C. Toothbrush 10 minutes after acid intake D. Avoid alcohol-containing mouthrinse E. Increase salivary flow - ANS C Case Study 29 When evaluating a patient's profile for dental erosion, all of the following are risk factors to consider except one. What is the EXCEPTION? A. Sustained use with recreational drugs B. Frequent use of acidic food and drink C. Adverse reactions to local anesthetics D. Environmental occupations E. Systemic disease - ANS C
Case Study 30 The radiolucent area on teeth #9, 12, 13, 27 can MOST likely be identified as: A. Pit-and-fissure sealant B. Amalgam restoration C. Dental caries D. ZOE liner E. Recurrent dental caries - ANS C Case Study 30 What BEST describes the maxillary right posterior intra-oral image? A. Ulceration of the buccal tissue B. Presence of a papilloma apical to a Class V restoration C. Abscess and presence of bacterial irritants D. Presence of systemic disease E. Pseudomembranous candidiasis - ANS C Case Study 30 Prior to the patient's scaling and root planing appointments, all of the following are recommended except one. What is the EXCEPTION? A. Arrange for a tobacco cessation program B. Review medical history C. Administer local anesthetic
