Question 1

Caution should be used when rendering care for patients with which American Society of Anesthesiologists physical status classification?

Accepted Answer

A)  Normal 
B)  Patient with mild systemic disease 
C)  Patient with severe systemic disease 
D)  B and C 
A)  Normal 
B)  Patient with mild systemic disease 
C)  Patient with severe systemic disease 
D)  B and C D

Question 2

William has arrived for his dental hygiene visit.When reviewing his medical history,he informs the hygienist that he had a heart attack 4 months ago and is now on a blood thinner.Which of the following is the appropriate course of action?

Accepted Answer

A)  Continue to treat the patient because it has been more than 3 months since he had a heart attack. 
B)  Postpone the appointment until the patient takes a premedication. 
C)  Postpone the appointment; treatment is indicated 6 months after his heart attack. 
D)  Continue to treat the patient only if his blood pressure is less than 120/80 mm Hg. 
A)  Continue to treat the patient because it has been more than 3 months since he had a heart attack. 
B)  Postpone the appointment until the patient takes a premedication. 
C)  Postpone the appointment; treatment is indicated 6 months after his heart attack. 
D)  Continue to treat the patient only if his blood pressure is less than 120/80 mm Hg. C

Question 3

The most common site for taking a pulse is the

Accepted Answer

A)  Facial artery 
B)  Temporal artery 
C)  Radial artery 
D)  Carotid artery 
A)  Facial artery 
B)  Temporal artery 
C)  Radial artery 
D)  Carotid artery C

Question 4

Which of the following is an example of an open-ended question?

Accepted Answer

A)  When did you first notice this ulcer? 
B)  Is it painful or annoying? 
C)  Were you satisfied with your treatment? 
D)  Can you tolerate foods and liquids? 
A)  When did you first notice this ulcer? 
B)  Is it painful or annoying? 
C)  Were you satisfied with your treatment? 
D)  Can you tolerate foods and liquids?

Question 5

Conducting a health history is the first phase of the assessment component of the dental hygiene process of care.If a patient answers "yes" to questions on a health history form,dental professionals should not ask additional questions for clarification or to obtain further significant information.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 6

One of the best ways to anticipate a potential emergency when reviewing the medical history is to

Accepted Answer

A)  Obtain a medical clearance for all patients 
B)  Have each patient take a premedication 
C)  Complete follow-up questions for all "yes" responses 
D)  Update a health history every 2 years 
A)  Obtain a medical clearance for all patients 
B)  Have each patient take a premedication 
C)  Complete follow-up questions for all "yes" responses 
D)  Update a health history every 2 years

Question 7

Mr.Barnes presents with a history of heart failure of 3 years' duration.He is taking digoxin for this condition and occasionally uses oxygen supplementation.All of the following procedures should be performed EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Take vital signs at each appointment. 
B)  Adjust chair position so the patient can breathe easily. 
C)  Assess functional capacity prior to treatment. 
D)  Use a cardiac dose for local anesthesia containing vasoconstrictors. 
A)  Take vital signs at each appointment. 
B)  Adjust chair position so the patient can breathe easily. 
C)  Assess functional capacity prior to treatment. 
D)  Use a cardiac dose for local anesthesia containing vasoconstrictors.

Question 8

Blood pressure is not considered a vital sign that needs to be collected during dental appointments.Blood pressure should only be taken by a physician's office because it is within their scope of practice.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 9

Your patient presents with a blood pressure of 190/100 mm Hg.Which of the following is NOT an appropriate course of action?

Accepted Answer

A)  Inform patient of results. 
B)  Assess for risk factors. 
C)  Obtain a medical consult form approving oral health treatment. 
D)  Provide routine treatment. 
A)  Inform patient of results. 
B)  Assess for risk factors. 
C)  Obtain a medical consult form approving oral health treatment. 
D)  Provide routine treatment.

Question 10

Which statement about taking a blood pressure reading is INCORRECT?

Accepted Answer

A)  Place the cuff on the patient's arm supported at the level of the heart. 
B)  The lower edge of the cuff should be about 1 inch below the antecubital fossa. 
C)  Position the stethoscope in the ears with the tips facing forward. 
D)  The patient should be seated with his or her legs uncrossed. 
A)  Place the cuff on the patient's arm supported at the level of the heart. 
B)  The lower edge of the cuff should be about 1 inch below the antecubital fossa. 
C)  Position the stethoscope in the ears with the tips facing forward. 
D)  The patient should be seated with his or her legs uncrossed.

Question 11

A patient with a history of stable angina falls within which American Society of Anesthesiologists classification?

Accepted Answer

A)  P1 
B)  P2 
C)  P3 
D)  P4 
A)  P1 
B)  P2 
C)  P3 
D)  P4

Question 12

Adequate functional capacity is defined as one who meets which level of metabolic endurance?

Accepted Answer

A)  2 
B)  4 
C)  6 
D)  8 
A)  2 
B)  4 
C)  6 
D)  8

Question 13

Normal body temperature in adults ranges from 98°F to 99.4°F.Body temperature may be lower in the morning and higher in the late afternoon and evening due to circadian rhythms.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second statement is false. 
D)  The first statement is false; the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second statement is false. 
D)  The first statement is false; the second statement is true.

Question 14

Mrs.Schmoyer presents with a history of heart problems.She had a pacemaker placed 1 year ago and has been stable since that time.Antibiotic premedication is

Accepted Answer

A)  Needed for scaling and root planing procedures 
B)  Needed for local anesthesia 
C)  Needed for tooth extraction procedures 
D)  Not needed for this patient 
A)  Needed for scaling and root planing procedures 
B)  Needed for local anesthesia 
C)  Needed for tooth extraction procedures 
D)  Not needed for this patient

Question 15

Mr.Cartwright is a new patient to the practice.He presents with a history of a stroke that occurred 2 months ago.He is taking aspirin daily and has no residual impairment.How long should elective oral health care be postponed due to this medical condition?

Accepted Answer

A)  1 month 
B)  6 months 
C)  8 months 
D)  1 year 
A)  1 month 
B)  6 months 
C)  8 months 
D)  1 year

Question 16

How often should a health history be updated?

Accepted Answer

A)  Only on new patients 
B)  Once a year 
C)  Every 2 years 
D)  At every appointment 
A)  Only on new patients 
B)  Once a year 
C)  Every 2 years 
D)  At every appointment

Question 17

Routine oral health care can be performed for each classification of hypertension EXCEPT one.Which one is the EXCEPTION?

Accepted Answer

A)  Prehypertension 
B)  Hypertension stage 1 
C)  Hypertension stage 2 
D)  Hypertension stage 3 
A)  Prehypertension 
B)  Hypertension stage 1 
C)  Hypertension stage 2 
D)  Hypertension stage 3

Question 18

Patients tend to acknowledge the importance of their medical history in relation to a dental hygiene or dental appointment.A common mistake is to ask patients if there have been any changes in their health since the last appointment.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Question 19

The dental hygienist reclines Joe is a supine position to begin scaling.He experiences trouble breathing.Which of the following defines what he is experiencing?

Accepted Answer

A)  Dyspnea 
B)  Orthopnea 
C)  Tachypnea 
D)  Hyperventilation 
A)  Dyspnea 
B)  Orthopnea 
C)  Tachypnea 
D)  Hyperventilation

Question 20

During a medical emergency,the carotid artery is typically used for determining the pulse in an adult.The brachial artery is used for determining the pulse in an infant during a medical emergency.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true; the second is false. 
D)  The first statement is false; the second is true.

Exam 8: Comprehensive Medical and Oral Health History

Caution should be used when rendering care for patients with which American Society of Anesthesiologists physical status classification?

William has arrived for his dental hygiene visit.When reviewing his medical history,he informs the hygienist that he had a heart attack 4 months ago and is now on a blood thinner.Which of the following is the appropriate course of action?

The most common site for taking a pulse is the

Which of the following is an example of an open-ended question?

Conducting a health history is the first phase of the assessment component of the dental hygiene process of care.If a patient answers "yes" to questions on a health history form,dental professionals should not ask additional questions for clarification or to obtain further significant information.

One of the best ways to anticipate a potential emergency when reviewing the medical history is to

Mr.Barnes presents with a history of heart failure of 3 years' duration.He is taking digoxin for this condition and occasionally uses oxygen supplementation.All of the following procedures should be performed EXCEPT one.Which one is the EXCEPTION?

Blood pressure is not considered a vital sign that needs to be collected during dental appointments.Blood pressure should only be taken by a physician's office because it is within their scope of practice.

Your patient presents with a blood pressure of 190/100 mm Hg.Which of the following is NOT an appropriate course of action?

Which statement about taking a blood pressure reading is INCORRECT?

A patient with a history of stable angina falls within which American Society of Anesthesiologists classification?

Adequate functional capacity is defined as one who meets which level of metabolic endurance?

Normal body temperature in adults ranges from 98°F to 99.4°F.Body temperature may be lower in the morning and higher in the late afternoon and evening due to circadian rhythms.

Mrs.Schmoyer presents with a history of heart problems.She had a pacemaker placed 1 year ago and has been stable since that time.Antibiotic premedication is

Mr.Cartwright is a new patient to the practice.He presents with a history of a stroke that occurred 2 months ago.He is taking aspirin daily and has no residual impairment.How long should elective oral health care be postponed due to this medical condition?

How often should a health history be updated?

Routine oral health care can be performed for each classification of hypertension EXCEPT one.Which one is the EXCEPTION?

Patients tend to acknowledge the importance of their medical history in relation to a dental hygiene or dental appointment.A common mistake is to ask patients if there have been any changes in their health since the last appointment.

The dental hygienist reclines Joe is a supine position to begin scaling.He experiences trouble breathing.Which of the following defines what he is experiencing?

During a medical emergency,the carotid artery is typically used for determining the pulse in an adult.The brachial artery is used for determining the pulse in an infant during a medical emergency.

Dental Hygiene As a Profession

Legal and Ethical Considerations

Communication Skills

Health Education and Promotion

Immunology and the Oral Systemic Link

Evidence-Based Care

Exposure and Infection Control

Assessment Instruments

Extraoral and Intraoral Examination

The Periodontal Examination

Hard Tissue Examination

Biofilm,calculus,and Stain

Indices

Radiology

Dietary Assessment and Nutritional Counseling

Risk Assessment

Dental Hygiene Diagnosis,treatment Plan,documentation,and Case Presentation

Devices

Dentifrices and Mouthrinses

Cariology and Caries Management

Sealants

Prostheses and Appliances,therapeutic Treatment

Ergonomics

Power Scaling

Instrumentation Principles and Techniques

Nonsurgical and Surgical Periodontal Therapy

Management of Dentin Hypersensitivity

Polishing

Esthetics

Dental Fear and Anxiety Management

Nitrous Oxideoxygen Sedation

Local Anesthesia

Evaluation

Maintenance

Introduction to Special Needs

Cardiovascular Disease

Respiratory

Sensory Disability: Vision and Hearing Impairment

Mental Health

Neurological Impairments

Endocrine System

Immune System

Hematological Considerations

Cancer

Pediatric Patient

Mens and Womens Health Issues

The Elderly

Physical Impairment

Alternative Practice Settings

Dental and Medical Emergencies

Practice Management

Career Development

Lifelong Learning

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