Ohio Dental Jurisprudence - Final Test Review (Qns & Ans) - 2025, Exams of Dentistry

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Ohio Dental Jurisprudence

Final Test Review

(Questions & Solutions)

I. Scope of Practice and Delegation

1. (Multiple Choice) In Ohio, which procedure is typically within a dental hygienist’s scope of practice under direct supervision of a dentist? A. Administering local anesthesia (without additional certification) B. Performing oral prophylaxis (scaling and polishing) C. Executing restorative procedures such as drilling and filling D. Fabricating temporary crowns ANS: B Rationale: In Ohio, a dental hygienist is permitted to perform oral prophylaxis under direct supervision. More invasive procedures (e.g., restorative work or crown fabrication) must be performed by the dentist or by personnel with the requisite advanced training and legal authority.

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2. (Fill-in-the-Blank) In Ohio, delegation of non‐clinical tasks—such as record-keeping or instrument sterilization—to a dental assistant may occur under __________ supervision. ANS: indirect Rationale: Non‐clinical tasks may be delegated under indirect supervision, meaning the dentist need not be physically present but must be available for consultation and oversight as required by Ohio regulations.

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3. (True/False) True or False: In Ohio, a dental assistant may perform operative

ANS: B

Rationale: Direct supervision means the dentist must be physically present in the operatory while delegated procedures are performed, ensuring immediate oversight and patient safety.

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II. Licensure, Continuing Education, and Certification

6. (Multiple Choice) To maintain an active dental license in Ohio, a dentist is required to complete how many continuing education (CE) hours per renewal cycle? A. 20 hours B. 30 hours C. 40 hours D. 50 hours ANS: C Rationale: Ohio mandates that dentists complete 40 CE hours per renewal cycle to ensure that practitioners remain current with clinical advances and legal standards.

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7. (Fill-in-the-Blank) Ohio law requires that a current dental license be displayed __________ in the dental office to demonstrate compliance with regulatory requirements. ANS: prominently Rationale: A dental license must be posted in a location that is clearly visible to ensure transparency and to affirm that the dental practitioner is legally credentialed.

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8. (True/False) True or False: In Ohio, dental assistants must complete state-approved continuing education courses periodically in order to renew their registration. ANS: True Rationale: Ohio regulations require dental assistants to complete continuing education to maintain their competency and proper registration status.

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9. (Multiple Response) Select all acceptable methods for earning CE credits for Ohio dental professionals:

• A. Accredited online courses
• B. Live seminars and workshops
• C. Participation in professional conferences
• D. Informal independent reading with no assessment ANSs: A, B, C Rationale: Accepted methods include accredited online courses, live seminars/workshops, and participation in professional conferences; informal study without a structured assessment is generally insufficient.

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10. (Multiple Choice) Which certification is considered an advanced credential for a specialist dentist in Ohio? A. Certified Dental Technician B. Board Certification in Endodontics C. Certified Dental Assistant D. Registered Dental Hygienist

13. (True/False) True or False: In Ohio, a dentist may disclose a patient’s treatment details to a family member without the patient’s explicit consent if the patient is incapacitated. ANS: False Rationale: Patient confidentiality is paramount. Even when a patient is incapacitated, disclosure to family members requires adherence to legal guidelines and, whenever possible, prior consent or a court order.

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14. (Multiple Response) Select all actions that represent proper record‑keeping practices in a dental office in Ohio:

• A. Accurate and detailed documentation of all treatments provided
• B. Regularly updating records during the course of treatment
• C. Secure storage of patient records with limited access
• D. Immediate disposal of records after treatment completion ANSs: A, B, C Rationale: Ohio standards require complete and accurate documentation, timely updates, and secure storage of records. Immediate disposal does not comply with state record-retention requirements.

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15. (Multiple Choice) In an Ohio dental malpractice case, high-quality patient records serve to demonstrate that the treatment met the ___________________ standard.

A. financial B. peer-reviewed C. established standard of care D. state-specific minimum ANS: C Rationale: Detailed, accurate records help show that the dentist met the established standard of care—which is essential evidence in defending against malpractice claims.

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IV. Legal Terminology and the Nature of Dental Liability

16. (Multiple Choice) Which term best describes the failure of a dental professional to meet the accepted standard of care, resulting in patient harm in Ohio? A. Malpractice B. Battery C. Breach of fiduciary duty D. Strict liability ANS: A Rationale: Malpractice is the term used when a dental professional’s negligence (failure to meet standard care) causes harm to a patient.

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17. (Fill-in-the-Blank) When a dentist asserts that a patient’s own actions partly contributed to their injury, it is considered __________ negligence. ANS: contributory Rationale: Contributory negligence refers to a defense where the patient’s behavior is shown to have contributed to the harm, potentially

C. Appointment confirmation email D. Treatment cost estimate ANS: B Rationale: An informed consent form documents that the patient was made aware of the treatment details, risks, and alternatives, thereby forming a legal agreement that is essential in dental liability cases.

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V. Ethical Principles in Dental Practice

21. (Multiple Choice) Which ethical principle requires dental professionals to "do no harm" during treatment? A. Autonomy B. Beneficence C. Nonmaleficence D. Justice ANS: C Rationale: Nonmaleficence is the ethical principle that emphasizes minimizing harm to patients, a core tenet of dental practice.

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22. (Fill-in-the-Blank) Ensuring patient __________ is a fundamental ethical responsibility that builds trust and protects private health information. ANS: confidentiality Rationale: Patient confidentiality is key to maintaining trust and complies with both ethical norms and legal standards in healthcare.

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23. (True/False) True or False: In Ohio, it is ethically acceptable for a dentist to withhold complete risk information about a procedure if the omission increases the likelihood that the patient will consent to treatment. ANS: False Rationale: Ethical practice demands full disclosure of all risks so that patients can make informed decisions; withholding information violates ethical principles and undermines informed consent.

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24. (Multiple Response) Select all ethical obligations that must guide dentist–patient interactions in an Ohio dental practice:

• A. Providing complete and honest disclosure of treatment options
• B. Maintaining transparency regarding fees and costs
• C. Respecting patient autonomy in decision-making
• D. Withholding negative information to ensure treatment acceptance ANSs: A, B, C Rationale: Ethical practice requires honesty, transparency, and respect for patient autonomy. Withholding negative—but critical—information is not ethical.

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25. (Multiple Choice) Which ethical principle is most concerned with ensuring fair access to dental care and the equitable distribution of resources? A. Autonomy B. Justice C. Beneficence D. Nonmaleficence

28. (True/False) True or False: In Ohio, dental professionals remain fully bound by confidentiality rules even when reporting certain communicable diseases, with only the minimum necessary information disclosed. ANS: True Rationale: Even when obligated to report communicable diseases, dental professionals must adhere to confidentiality protocols, disclosing only the minimum information required by law.

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29. (Multiple Response) Select all components that are key elements of Ohio’s regulatory framework for dental practice:

• A. Mandatory continuing education requirements
• B. Strict patient record‑keeping and confidentiality standards
• C. Clearly defined scope‑of‑practice limitations
• D. Unlimited delegation of clinical tasks without supervision ANSs: A, B, C Rationale: Ohio’s regulatory framework enforces mandatory continuing education, secure record‑keeping, and clearly defined scope‑of‑practice limits. Unlimited delegation without supervision is not permitted.

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30. (Multiple Choice) Ohio state regulations require that dental advertising must be: A. Visually appealing, regardless of content accuracy B. Truthful, verifiable, and non‑misleading C. Subject to prior approval by the Ohio Board of Dentistry D. Focused solely on discount pricing and promotions

ANS: B

Rationale: Advertising in Ohio must be truthful, substantiated, and not misleading. Claims regarding credentials, expertise, or services must be accurate and verifiable to protect consumers.

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A dental hygienist in Ohio is asked by a patient to provide a teeth whitening treatment. The patient has a history of severe gingivitis. According to Ohio's Scope of Practice, the hygienist should: a) Proceed with the treatment as requested, as teeth whitening is within the scope of practice. b) Refuse the treatment due to the patient's medical history. c) Consult with the supervising dentist before proceeding. d) Offer the treatment but advise the patient to see a periodontist first. Correct ANS: c) Consult with the supervising dentist before proceeding. Rationale: Ohio's scope of practice for dental hygienists allows for teeth whitening, but the presence of severe gingivitis necessitates consultation with the dentist to ensure patient safety and appropriate treatment planning. Fill-in-the-Blank: In Ohio, dental assistants can perform certain expanded functions under the direct supervision of a licensed dentist. The specific expanded functions are defined by the __. Correct ANS: Ohio State Dental Board. Rationale: The Ohio State Dental Board establishes and regulates the

A patient requests copies of their dental records. According to Ohio law, the dentist must provide these records within: a) 24 hours. b) 3 business days. c) 30 days. d) 60 days. Correct ANS: c) 30 days. Rationale: Ohio law mandates that dentists provide patient records within a reasonable timeframe, generally considered to be 30 days after the request. Fill-in-the-Blank: The Health Insurance Portability and Accountability Act (HIPAA) primarily protects the _ of patient health information. Correct ANS: Privacy. Rationale: HIPAA establishes national standards to protect the privacy of individuals' health information. True/False: A dentist in Ohio can discuss a patient's treatment plan with the patient's spouse without the patient's explicit consent. Correct ANS: False Rationale: Patient confidentiality requires explicit consent before sharing protected health information with anyone, including a spouse. Multiple Response:

Which of the following are considered components of a complete dental record in Ohio? (Select all that apply) a) Patient's medical history. b) Treatment plans. c) Radiographs. d) Financial records. Correct ANS: a) Patient's medical history, b) Treatment plans, c) Radiographs. Rationale: A complete dental record includes medical history, treatment plans, and radiographs. Financial records are important but not necessarily considered a required component of the clinical record. Multiple Choice: The legal term "res ipsa loquitur" in dental malpractice cases means: a) "The thing speaks for itself." b) "Let the master ANS." c) "A reasonable person standard." d) "Beyond a reasonable doubt." Correct ANS: a) "The thing speaks for itself." Rationale: "Res ipsa loquitur" is a legal doctrine allowing a presumption of negligence when the event causing injury is something that does not typically happen without negligence. Fill-in-the-Blank: In Ohio, a dentist is legally obligated to report suspected cases of child abuse or neglect to __.

A dentist in Ohio must maintain patient records for a minimum of: a) 2 years. b) 3 years. c) 5 years. d) 7 years. Correct ANS: c) 5 years. Rationale: Ohio law typically requires dental records to be maintained for at least 5 years from the date of the last treatment. Fill-in-the-Blank: The Ohio State Dental Board is primarily responsible for _ dental practices in the state. Correct ANS: Regulating. Rationale: The Ohio State Dental Board is the regulatory body for dental practices, overseeing licensure, standards of care, and disciplinary actions. True/False: A dentist in Ohio can advertise that they are "board-certified" without specifying the certifying board. Correct ANS: False Rationale: Ohio regulations require dentists to specify the certifying board when advertising board certification to avoid misleading the public.

Multiple Response: Which of the following actions could lead to disciplinary action by the Ohio State Dental Board? (Select all that apply) a) Practicing dentistry under the influence of alcohol. b) Failing to maintain proper patient records. c) Providing substandard care. d) Participating in fraudulent billing practices. Correct ANS: a) Practicing dentistry under the influence of alcohol, b) Failing to maintain proper patient records, c) Providing substandard care, d) Participating in fraudulent billing practices. Rationale: All listed actions represent violations of ethical and legal standards, potentially resulting in disciplinary action by the Ohio State Dental Board. Multiple Choice: In Ohio, the definition of "direct supervision" generally means: a) The dentist is physically present in the operatory while the procedure is performed. b) The dentist has authorized the procedure and is available on-site. c) The dentist has authorized the procedure and is available via phone. d) The dental assistant can perform any procedure without the dentist's authorization. Correct ANS: a) The dentist is physically present in the operatory while the procedure is performed. Rationale: Direct supervision in Ohio generally requires the dentist's physical presence in the operatory.