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Dental Hygiene Theory II Flashcards | StudBud
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Dental Hygiene Theory II
Dental Hygiene Theory II
180 terms
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#Dental #Dentalhygiene #DH #Dhtheory #dentalhygienetheory #applicationstoclinicalpractice #UAMS
Flashcards
180 cards
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Questions
180
Answers
1
condition results from the reaction of tissues to mech. trauma, heat, med., other env. factors
Congenital condition
Systemic infection
bacterial infection
Reactive conditions
2
Inflammation localized to the gingival tissue w/ no apical migration of the JE
Gingivitis
Gingival recession
Periodontitis
Furcation
3
assessment instrument calibrated w/ mm markings used to evaluate health of periodontium
Shephard's hook
Periodontal probe
ODU 11/12
Mirror
4
lesion caused by chronic trauma, most commonly from an ill-fitting denture
explosive gingiva
Pyrogenic fibroma
epileptic fissuratum
Epulis fissuratum
5
Pt. With history of stable angina falls within which ASA classification
P1
P4
P3
P2
6
Spacing between maxillary lateral, canine and the mandibular canine and 1st molar; allow perm.
Primate spacing
Fremitus
Leeway space
Diastema
7
Portion of the gingival tissue that fills the interproximal space between adjacent teeth
Papilla
neither of these is correct
Both of these answers
Interdental gingiva
8
does not distinguish between cells that are proliferating because of normal healing responses
Toluidine dye
Vital tissue staining technology
Nonvital tissue staining technology
Gingival assessment
9
Using the head of the mirror to hold the patient's cheek, lip or tongue out of the working area
Fulcrum
ODU 11/12
Retraction
Shepherd's hook
10
Movement of a tooth that is greater than normal physiologic movement
Gingival recession
Tooth mobility
Fremitus
Furcation
11
In general, dental caries are indicated by _____ on dental chart
Blue
Black
Red
Green
12
Deep, rapid, irregular breathing
Hyperventilation
Hypoventilation
Cardiac arrest
Panicked lungs
13
Area where the roots of a tooth separate
Trunk
Fremitus
Furcation
CEJ
14
anatomic curvature of occlusal alignment of the teeth, beginning at the cusp tip of man. canine
Curve of Spee
Alveolar crest
Zygomatic arch
Curve of Spree
15
Benign inflammatory condition w/ unknown cause involves dorsal and lateral portions of tongue
wandering rash of the tongue
Erythema migrans
all of the above
Geographic tongue
16
If you have a patient w/ erosion on back of most posterior molars, and a BMI of less than 18.8?
Anorexia
Cardiac arrest
Bulimia
Poverty at home
17
Portion of the gingiva attached to the alveolar bone by collagen fibers
Attached gingiva
pseudopocket
Gingival sulcus
Free gingiva
18
Cross section of the working end of an explorer is in the shape of a
Square
Triangle
Circle
Half circle
19
Uses 2-digit code to label the teeth; 1st # indicates quadrant, 2nd indicates specific tooth
International Standards Organization
Palmer notation
International numbering system
Universal numbering system
20
uncommon; blood vessel proliferation in response to local irritation, trauma, or poor oral care
Irritation fibroma
Hypergingival extension
Pyogenic granuloma
Proxemics
21
technique in which tissues are wiped w/ spatula, harvested cells smeared on glass slide
biopsy
gingival assessment
tissue sample
cytologic smear
22
Process of identifying factors that may increase the onset, severity or progression of perio.
Periodontal Screening and Recording
Probing
Intra/Extra oral exam
Periodontal risk assessment
23
procedure that determines how large a cancer is and whether is has spread
Staging
Grading
Diagnosis
Biopsy
24
Abnormally elevated BP
Physiological response
Constriction
Hypotension
Hypertension
25
How many surfaces does every tooth have?
4
8
5
3
26
Which class of occlusion is this?
Class III
Class I
Class II
Undiagnosable
27
pits and fissures on the occlusal, buccal, and lingual surfaces of posterior teeth
Class II
class III
Class I
Class IV
28
What precautions should be taken with an asthmatic patient?
Inform pt. of need to rinse w/ water after inhaler use
all of these
local anest. w/o vasoconstrictor if pt. allergic to sulfites
Avoid use of aspirin, NSAIDS, barbiturates and narcotics
29
suspicious red oral area that may be at increased risk for oral cancer
Erythroplakia
Erythema multiforme
Linea alba
Endemanis
30
Oral precancer
Epithelial dysplasia
Dyspenea
Dysplasia
Epithelia dystonia
31
Drug strongly associated with drug related gingival overgrowth?
Calcium channel blockers
Neurontin
Prophylactic antibiotic
Aspirin
32
inflammation that begins suddenly and lasts < or = to 2 weeks
Short-lived inflammation
onset inflammation
Small inflammation
Acute inflammation
33
Condition commonly found bilaterally on the buccal mucosa along the line of occlusion
Leukoedema
Linea Alba
Fordyce granules
Leukoplakia
34
Functional system of hard and soft tissues comprised of gingiva, cementum, perio. ligament, etc
Dentous
Periodontium
Deciduous
Endentous
35
New pt. History of stroke Daily aspirin no residual impairment. How long should OH be postponed
4 months
1 year
8 months
6 months
36
_____% of the time the cementum overlaps enamel
35
10
30
60
37
What precautions would you take for a pregnant patient?
DO NOT prescribe tetracyclines
Schedule frequent app. to maintain meticulous OH
Use lidocaine in small doses
All of these
38
How long should treatment be postponed for a patient who has suffered a stroke?
5 mo.
6 mo.
4 mo.
1 mo.
39
Hardening of normally soft tissue caused by an invading tumor
Induration
Keratinization
Exocitosis
Enduration
40
Inflammatory exudate results from the increased vascular permeability of inflamed gin. tissue
Gingival epulis
Gingival Crevicular fluid
Gingival exudate
Calculus
41
caries on gingival third of facial, buccal, or lingual surfaces of anterior and posterior teeth
Class III
Class IV
Class V
Class I
42
Closed-ended format for health history is a convenient and efficient way to obtain information
False
True
43
Depth of the gingival sulcus determined by distance from edge of free gingival margin to JE
Probe depth
Extra/intraoral examination
Probing
Periodontal assessment
44
____% of the time the cementum fails to meet the enamel creating a small gap
30
10
35
60
45
Bleeding that occurs w/ gently probing of the ulcerated soft tissue wall of an inflamed pocket
BOD
BOE
BOI
BOP
46
What occlusion class is this?
Class I
Class II
Class III
47
occurs when sudden change from horizontal position to upright position. or prolonged standing
Hypertension
Orthostatic hypotension
Orthostatic Hypertension
Hypotension
48
The rate at which the heart beats
Pulse
BP
60 BPM
90 BPM
49
cells are harvested w/ a small brush that can penetrate to the basal cells of the epithelilum
both
neither
Brush test
Exfoliative cytology
50
Congenital condition that occurs when the lingual frenulum attaching the tongue is too short
frenum failure
Ankyloglossia
Actinic cheilltis
Underdeveloped lingual frenum
51
screening tech. cells are harvested w/ a small brush that penetrates to the basal cells of epi.
Exfoliative cytology
Expicit sampling
brust test
Exfoliative scientology
52
removal of a representative portion of the lesion for diagnosis
Biopsy
Excisional biopsy
tissue test
incisional biopsy
53
What instrument would best allow you to determine the amount of calculus present?
Explorer
Furcation probe
Probe
Mirror
54
BMI of greater than or equal to 30 is considered ______
obese
overweight
underweight
normal
55
Uncommon; cause of focal gingival enlargement occurs only on the gingiva
Peripheral giant cell granuloma
Periapical lesions
Peripheral ossifying fibroma
Peripheral squamous cell carcinoma
56
Phenytoin and cyclosporine are associated with which reactive lesion?
Expulsion fissuratum
Pyogenic granuloma
Gingival fibromatosis
Peripheral ossifying fibroma
57
Assessment data you have gathered will help you formulate
DH treatment plan
all of these
DH diagnosis
Complete patient record
58
Portion of the gingiva that is not attached to the tooth by gingival fibers
Pseudo gingiva
Receding gingiva
Attached gingiva
Free gingiva
59
What precautions should be taken with a diabetic patient?
Discuss need for meticulous home care
All of these
Advise use of fluoride supplement to reduce caries
Schedule morning appointments w/ breaks
60
Rapid breathing
Tachypnea
Hyperventilation
Orthopnea
Hypoventilation
61
tool used to identify the need for a comprehensive periodontal assessment
Shepherd's hook explorer
PSR
Probe
PBR
62
BMI of 29 is considered normal weight
True
False
63
Infection caused by bacteria enter the bloodstream & settle in heart lining, valve, or vessel
Infective exocarditis
Infective endocarditis
Cardiac arrest
Aneurism
64
Systolic: 140 mm Hg or higher Diastolic: 90 mm Hg or higher
Adequate
Hypotension
Hypertension
WNL
65
Which of the following grasps for holding a periodontal probe?
Modified pen grasp in dominant hand with fulcrum
Modified pen grasp non dominant with fulcrum
66
Bilateral grayish-white opalescent on the buccaneers mucosa
Leukoedema
Leukocyte
Leukopenia
Leukoplakia
67
Present from birth
congenital condition
deciduous teeth
Acquired condition
primary teeth
68
____% of the time cementum and enamel meet
10
60
30
35
69
How often should health history be updated?
Every appointment
Only on new patients
Every two years
Once a yr
70
Severe sun damage to the lip
actinic chellitis
fissured vermillion border
torn lip
chapped lips
71
Primary contribution of calculus in development of perio disease is...
Harboring pathogenic bacteria
Rubbing on sulcus
Initiating bacterial infection
72
a measure of body fat calculated by a formula using an individual's height and weight
BML
BMX
BMI
BPV
73
space between the free gingiva and the tooth surface into which an instrument can be inserted
Gingival sulcus
Periodontal pocket
pseudopocket
Col
74
Normal diastolic BP is less than 80 mm Hg
True
False
75
caries on proximal surfaces of posterior teeth (may include occlusal)
Class II
class III
Class I
Class IV
76
The patient's reason for seeking dental care
Gingivitis
Chief Complaint
Periodontitis
Free Healthcare
77
using a dental mirror to view an intramural structure that cannot be seen directly
direct vision
indirect vision
illumination
transillumination
78
classifying malocclusion based on the relationship of maxillary 1st molar; mandibular 1st molar
Angel classification of occlusion
G.V. classification
Angle classification of malocclusion
Over bite assessment
79
Pressure exerted on the walls of blood vessels. Recommended for all in oral health
Blood pressure
Blood volume
Pulse
Respiration
80
According to AHA which of following conditions req. antibiotics prior to providing DH treatment
Bicuspid valve disease
Mitral valve prolapse
Rheumatic heart disease
Artificial heart valve
81
Bony outgrowth found bilaterally on the lingual aspect of the mandibular alveolar bone
Mandibular in situ
Exostosis
Maxillary torus
Mandibular torus
82
longer-lived inflammatory response that continues for more than a few weeks
prolonged inflammation
mild inflammation
Chronic inflammation
Scattered inflammation
83
If the probe is positioned in the incorrect position, the probe depth will likely be
DH diagnosis
Greater than the correct depth
Less than the correct depth
Same as correct depth
84
measure of the changes in cells affected by cancer compared with similar healthy cells
Brush test
Grading
Probing
Glycocalyx
85
Most common site for taking a pulse
Temporal artery
Facial artery
Radial artery
Carotid artery
86
Infection involving the gingiva, periodontal ligament, bone, and cementum
Periodontal disease
Scoliosis
Alveolar bone disease
Gingivitis
87
Best single measurement of tooth support
JE
CAL
Pseudopocket
CLA
88
tech. that causes abnormal tissues to reflect extra light so they appear more intensely white
Tissue reflectance
Tissue transillumination
Tissue autofluorescence
Tissue absorption
89
Precancerous lesion
Dspnea
Dystonia
Dysplasia
Dysphagia
90
light off the mirror & through the anterior teeth to create light passing through the tooth
direct vision
Indirect vision
Illumination
transillumination
91
Abnormally low BP
Hypertension
Hypotension
Hypoventilation
Hyperventilation
92
Measurement of the distance of the JE from a fixed reference point
Clinical attachment localization
CLA
clinical attachment loss
Clinical attachment level
93
Ability of an individual to perform basic daily activities. Measured by METS
Functional capacity
Homeostasis
Mental capacity
Physical capacity
94
Most abundant protein in the body
Calcium
Whey
Keratin
Collagen
95
junction of attached gingiva and alveolar mucosa;delineated by a distinct color change
Mucocementum junction
Junctional epithelium
Mucogingival junction
CEJ
96
principle of radiation use AS LOW AS REASONABLE ACHIEVABLE to minimize radiation exposure
AIDS
Aerosols
actinic cheilltis
ALARA
97
Redness, heat, edema and pain caused by the body's response to injury
gingivitis
Abcess
inflammation
bacterial infection
98
thin layer of bone that supports the root and gives attachment to the perio. ligament
Alveolar bone
Alveoli
Alveolar bone proper
Laminate durma
99
Unit of measurements that represents the amount of O2 consumption needed for physical activity
Metabolic equivalents
Respirations
METS
Metabolic rate
100
medial cusp of the max. 1st molar either mesial/distal to the central groove of man. 1st molar
Crossbite
Primate spacing
Class III occlusion
Tendency
101
The 1st phase of the assessment process of DH care is...
Determining whether radiographic studies are indicated
Performing a comprehensive oral exam
Conducting a health history
consulting w/ a physician
102
Instruments that help the dental hygienist collect data used to guide/determine treatment needs
hand tools
Assessment tools
Assessment instruments
tools
103
Which is most common oral cancer?
Squamous cell carcinoma
Basal cell carcinoma
104
Reduction of the gingival margin to a position apical to the CEJ exposing root surface
Gingivitis
Furcation
CAL
Gingival recession
105
sensation of numbness, tingling, or sharp prickling pain that can signal compression of a nerve
Paresthesia
Parafunctional habits
Paralysis
Paresis
106
Arterial pressure between heartbeats when the heart rests
Exhalation
Inhalation
Diastolic BP
Systolic BP
107
Which is NOT keratinized?
JE
Attached gingiva
Hard palate
Labial aspect of free gingiva
108
Charting system that classifies caries by tooth type and location on surface w/ caries
Angles classes of malocclusion
G.V. Black classification of caries
Angles classes of caries
G.A Black classification of restorations
109
uncommon cause of focal gingival enlargement; lesions are purple dome-shaped nodules on gingiva
Peripheral giant cell granuloma
Endematic gingiva
Mouth ulcers
Fordyce granules
110
Explorers are use to do all of the following EXCEPT...
Evaluate margins of restorations
Examine tooth anatomy
Detect calculus
Remove calculus
111
Cancer that has not metastasized
Malignant
In situ
Benign
In stiu
112
Associated w/ fasting, rest, syncope, shock, hemorrhage, Addison's disease, Hypothyroidism
Hyperventilation
Hypoventilation
Hypertension
Hypotension
113
Complete removal of the lesion for diagnosis
lancing
Biopsy
Excisional biopsy
Tissue smear
114
fast, irregular pulse rate caused by a cardiovascular instability
Hyperventilation
Cardiac arrest
Tachycardia
Tachyarrhythmia
115
Which grasp is correct for holding the mirror?
Modified pen grasp non dominant hand without fulcrum
Modified pen grasp in dominant hand with fulcrum
Pen grasp non dominant hand fulcrum
Modified pen grasp in non dominant hand with fulcrum
116
Removal of a tissue for the purposes of obtaining a diagnosis
tissue test
lanced abcess
extraoral exam
Biopsy
117
final diagnosis based on test results, such as blood tests and biopsies
Definitive diagnosis
Preliminary diagnosis
Definitive treatment
definitive results
118
What class of occlusion is this?
Class III
Class II
Class I
Class IV
119
Palpable/visual movement of a tooth when in function because of hyper or traumatic occlusion
Furcation
Enamel mobility
Fremitus
Root loss
120
Pt. BP of 190 mm Hg/100 mm Hg which is NOT appropriate course of action
Obtain a med. consult form approving oral healthcare
Inform patient of results
Assess risk factors
Provide routine treatment
121
cases of pyogenic granuloma that appear to be influenced by high hormone levels puberty/preg.
fibroma
Pregnancy tumor
basal cell carcinoma
pregnancy acne
122
Mixture of red and white areas in leukoplakia
Pink leukoplakia
Mixed leukoplakia
Tie-Dye leukoplakia
Speckled leukoplakia
123
dye w/ affinity for nucleic acids, which are more plentiful in actively dividing cells
Toluidine violet dye
Toluidine blue dye
Toluidine red dye
Toluidine purple dye
124
Using the mirror to reflect light onto intraoral surfaces
illumination
Transillumination
reverse illumination
Indirect vision
125
process of distinguishing a disease from other diseases w/ similar signs and symptoms
differentiating diagnosing
Definitive diagnosis
Differential diagnosis
compare/contrast
126
collection of dead white blood cells that is indicative of infection
Papilla
Exudate
Suppuration
First two answers
127
Bony outgrowth on the maxillary or mandibular alveolar ridges, which is usually asymptomatic
Exoalveolar
Exostosis
Torus
Tori
128
Condition that develops later in life
Acquired condition
Genetic disorder
129
unusually rapid HR, more than 100 BPM in adults
Tachyarrhythmia
Tachycardia
Tachypnea
Hyperventilation
130
Inflammation of the structures of the periodontium marked by apical migration of the JE
Pseudopocket
Periodontal disease
Periodontitis
Gingivitis
131
group of health-care providers that collaborates to determine patient care; interprofessional
ADA
Tumor board
UHCP
Cancer board
132
Generic clinical descriptive term for a local noninfectious enlargement or lump of the gingiva
gingival recession
Gingival embrasure
gingival fibromatosis
Gingival epulis
133
bony sockets
Tori
Sulcus
Alveoli
Exostosis
134
Which of the following is NOT appropriate when using an explorer?
Adapt 1 to 2 mm against tooth
Use of fulcrum not necessary
135
Collection of dead white blood cells (neutrophils) that is indicative of infection.Suppuration
RBM
Exudate
Epithelium
Calculus
136
Process of gathering info from the patient relative to general health and oral health status
Assessment
Medical history
new patient
Vitals
137
family of >100 viruses, a few sexually transmitted types have been linked to Oral cancer
Herpes
HVP
HIV
HPV
138
hyperplastic response to reactive tissue growth on the hard palate beneath the denture
Inflammatory papillary hyperplasia
Palatal papillomatosis
all of these
Papillary hyperplasia of the palate
139
A patient who has hypertension may have xerostomia due to their medications
True
False
140
difficulty breathing in a supine position
Hyperventilation
Hypotension
Dyspnea
Orthopnea
141
Which of the following is NOT an assessment instrument?
Naber’s probe
15/16 Gracey
Perio probe
Explorer
142
affects the dorsum of the tongue in which multiple deep fissures or grooves are present
Hairy tongue
Geographic tongue
Erythema migrans
Fissured tongue
143
Reactive hyperplasia of fibrous CT in response to local irritation or trauma
fungifibroma
Keratinization
Fibroma
Mouth ulcers
144
Spacing the dentist preserve during mixed dentition period for adequate space for the perm.
Leeway space
Gap tooth
Diastema
Embrasure space
145
Who devised the first practical classification of occlusion?
Angle
Wilhelm
Bolton
Black
146
Normal systolic BP is less than 120 mm Hg
False
True
147
caries on proximal surfaces of anterior teeth (not including incised edge)
Class I
Class V
Class II
Class III
148
Difficulty breathing
Dementia
Emphysema
Dyspenea
Diastema
149
An explorer is a thin, flexible assessment tool used to evaluate tooth surfaces
False
True
150
caries on incisal edge of anterior or cusp tips of posterior teeth
Class VI
Class V
Class III
Class IV
151
Explorer req. use of _______ to detect calculus and other tooth surface irregularities
Horizontal stroke
Direct vision
Tactile sensitivity
Indirect vision
152
Ectopic sebaceous glands that occur on labial and buccal mucosa, retromolar area; 80% of pop.
Labiobuccal granulatum
Fordyce granules
Fordyce glands
Caruncles
153
tech. that makes abnormal tissues appear black in contrast w/ green-tinged fluorescence
tissue autofluorescence
Epithelial autofluorescence
epithelial reflectance
Tissue reflectance
154
Routine OH care can be performed fo each class of hypertension EXCEPT
Hypertension 1
Prehypotensive
Hypertension 3
Hypertension 2
155
Chronic periodontitis is predominately due to overproliferation of...
Keratin
Gingiva
Collagen
WBC
156
Max. arch 1-16 Mand. 17-32; Primary dentition A-T
Palmer Notation
Right angle Classification
Universal Numbering System
International Numbering system
157
Indicates disease that is relatively non responsive to repeated conventional treatment
Periodontitis
Refurcation
Refractory
Recurrent decay
158
What med. history should be taken into consideration with an Arthritic patient?
Give aides to help with dexterity for at home health care
all of these
Check for TMJ involvement
Examine bleeding tendencies due to medications
159
Right-angle symbol designates each quadrant. Perm teeth are #ed from midline-posterior start #1
International Numbering System
Palmer Notation
Right Angle System
Universal Numbering System
160
caused by a harmless accumulation of glycogen; bilaterally on the buccal mucosa as opalescence
Leukoedema
Exostosis
Endemanis
Linea alba
161
deals w/ the cause, pathogenesis, identification of diseases in maxillofacial regions
Oral and maxillofacial pathology
Maxillofacial pathology
Oral cancer
Odontologist
162
Caries on lingual surfaces of anterior teeth
Class I
Class II
Class III
Class IV
163
Inhalation and exhalation of air
respiration
pulse
orthopnea
lung activity
164
Uncommon diffuse enlargement of the gingiva that is not caused by local inflammation/infection
Pseudopocket
Gingival epulis
Gingival fibromatosis
Gingival recession
165
concave-shaped depression in the papilla
Col
Cingulum
Calculus
Mamelon
166
Mr. Jones presents to the practice with a BMI of 27. He is:
Underweight
Overweight
Normal weight
Obese
167
HR less than 60BPM
Sinus bradycardia
WNL
Diastolic bradycardia
Systolic bradycardia
168
Periodontal case typing is primarily based on the severity of which of the following indicators
Furcation involvement
Clinical attachment level
Probing depth
Radiographic bone loss
169
group of diseases characterized by bacterial infection of the periodontium
Gingivitis
Periodontal disease
Diseases of the tongue
Oral cancer
170
Voluntary position of the dentition that allows maximum contact when the teeth occlude
Centric occlusion
Eccentric occlusion
Slight Overbite
Symmetrical occlusion
171
Tooth at greater risk for attachment loss and poorer prognosis after perio therapy
Pseudopockets
Gingival recession
Fremitus
Furcation
172
filiform papillae become abnormally elongated;give the dorsum of the tongue hairlike appearance
geographic tongue
Hairy tongue
fissured tongue
plica fimbriata
173
tough, flexible white material that provides strength and resilience. Major component of all CT
Keratin
Collagen
Bone
Gingiva
174
Arterial pressure when the heart muscle contracts and forces blood into the circulation
Hypotension
Diastolic BP
Systolic BP
Sinus bradycardia
175
fruit of the Areca catechu palm tree; chewing products strongly linked to oral cancer
Cacoa
Tobacco
Betel nut
Aspartame
176
Oral cancer
In situ
HPV
Basal cell carcinoma
Squamous cell carcinoma
177
Which instrument would you use to measure CAL?
Shepherds hook explorer
Naber’s probe
Pigtail explorer
Perio probe
178
caries on proximal surfaces of anterior teeth including the incisal edge
Class II
Class III
Class V
Class IV
179
Type of periodontal probe used to evaluate the bone in areas of furcation on multi-rooted teeth
Neighbor explorer
Explorer
Furcation probe
Furcation explorer
180
distinct form of cancerous spread; occurs when malignant cells enter blood or lymph and travel
Oral cancer
metastasis
basal cell carcinoma
Malignant
