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Eileen Olds - Final exam Comprehensive case, Exams of Health sciences

Chaminade UniversityHealth sciences

Eileen Olds - Final exam Comprehensive case

Typology: Exams

2024/2025

Available from 07/13/2025

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Eileen Olds - Final exam Comprehensive case
1. Which of the following terms applies to the space between the maxillary central incisors?
A. Centric relation
B. Open bite
C. Diastema
D. Parafunctional
E. Fremitus - correct answer C. Diastema
The left and right maxillary central incisors should contact one another at the mesial surface. The term
diastema is used to describe the space created when adjacent teeth in the same arch do not contact.
2. The clinical observation noted in the mandibular sublingual region near the left canine and first
premolar (arrow) that is hard when palpated is most likely a
A. Torus
B. Polyp
C. Mucocele
D. Cyst
E. Ranula - correct answer A. Torus
The radiographs further confirm that this bony exostosis is a torus mandibularis.
3. Which of the following best describes the papillary gingiva between the mandibular right central and
lateral incisors?
A. Knifelike
B. Cratered
C. Blunted
D. Rolled
E. Bulbous - correct answer E. Bulbous
This enlargement of the papilla is referred to as bulbous.
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Eileen Olds - Final exam Comprehensive case

  1. Which of the following terms applies to the space between the maxillary central incisors? A. Centric relation B. Open bite C. Diastema D. Parafunctional E. Fremitus - correct answer C. Diastema The left and right maxillary central incisors should contact one another at the mesial surface. The term diastema is used to describe the space created when adjacent teeth in the same arch do not contact.
  2. The clinical observation noted in the mandibular sublingual region near the left canine and first premolar (arrow) that is hard when palpated is most likely a A. Torus B. Polyp C. Mucocele D. Cyst E. Ranula - correct answer A. Torus The radiographs further confirm that this bony exostosis is a torus mandibularis.
  3. Which of the following best describes the papillary gingiva between the mandibular right central and lateral incisors? A. Knifelike B. Cratered C. Blunted D. Rolled E. Bulbous - correct answer E. Bulbous This enlargement of the papilla is referred to as bulbous.
  1. What is the clinical observation contributing to the appearance of the lingual surfaces of the mandibular anterior teeth? A. Developmental anomalies B. Periodontal splinting C. Composite restorations D. Dental calculus E. Hypercementosis - correct answer D. Dental calculus The mineralized biofilm in this region has built up into a tenacious mass of dental calculus that almost completely covers the lingual surfaces of these teeth.
  2. Which of the following blood pressure cuffs and area to which it is applied is correct for taking this patient's blood pressure? A. Child-size cuff applied to the left arm B. Regular adult-size cuff applied to the left arm C. Regular adult-size cuff applied to the right arm D. Adult thigh-size cuff applied to the left leg E. Adult thigh-size cuff applied to the right leg - correct answer B. Regular adult-size cuff applied to the left arm Compression of the arteriovenous shunt must be avoided. Therefore, the blood pressure cuff must not be placed over this patient's right arm. This patient's height and body weight indicate the use of a regular adult-size cuff applied to the left arm.
  3. For each radiograph listed, select the vertical angulation setting used to obtain the image using the bisecting technique. (Answers may be used only once.)
  4. Maxillary right molar periapical
  5. Maxillary right canine periapical
  6. Maxillary left premolar periapical
  7. Mandibular left molar periapical
  8. Mandibular central incisor periapical

This radiopacity is the typical appearance of the normal radiographic land- mark called the inverted Y- formation, where the borders of the nasal fossa and maxillary sinus cross. The inverted Y is most often recorded on radiographs exposed in the maxillary canine region.

  1. Which of the following should be communicated to this patient regarding her use of tartar control toothpaste? A. Tartar control toothpaste will help prevent additional buildup of subgingival den- tal calculus. B. Tartar control toothpaste will help prevent additional buildup of supragingival dental calculus. C. Tartar control toothpaste will help remove the subgingival dental calculus formed on her teeth. D. Tartar control toothpaste will help remove the supragingival dental calculus formed on her teeth. - correct answer B. Tartar control toothpaste will help prevent additional buildup of supragingival dental calculus. The active ingredient in most tartar-control toothpastes, such as pyrophosphate, triclosan, or zinc citrate, inhibits calculus crystal growth and helps prevent attachment of supragingival dental calculus to the tooth.
  2. This patient has an increased risk for contracting hepatitis B. If the dental hygienist has not received the hepatitis B vaccine, he or she can legally refuse to treat this patient. A. The first sentence is true, the second sentence is false. B. The first sentence is false, the second sentence is true. C. Both sentences are true. D. Both sentences are false. - correct answer A. The first sentence is true, the second sentence is false. Studies have demonstrated an increased incidence of hepatitis among patients receiving hemodialysis. It is illegal and unethical to refuse to treat this patient because she has, or is at risk for, hepatitis. In fact, all patients should be treated with standard infection control precautions. Dental health care professionals should take steps to receive recommended immunizations.
  3. What is the most likely interpretation of the round radiopacities observed near the teeth roots of the mandibular right and left canine and premolar regions? A. Osteosclerosis

B. Hypercementosis C. Mandibular tori D. Condensing osteitis E. Fingerprint artifacts - correct answer C. Mandibular tori Mandibular tori represent a localized overgrowth of bone, resulting in an increased radiopacity often imaged on radiographs. This round, cotton-ball appearance is characteristic of tori. Additionally, the photographs indicate the presence of significantly sized bilateral tori that are expected to be imaged on the radiographs.

  1. What is the most likely interpretation of the findings observed in the maxillary right first molar and first premolar regions? A. Retained root tips B. Supernumerary teeth C. Microdont molars D. Implants E. Retention pins - correct answer A. Retained root tips The crowns of the maxillary right first premolar and first molar appear to have been severely broken down, leaving retained root tips.
  2. From the following list select the five acceptable additional alternatives to chewing ice that this patient may use to cope with xerostomia and its effects on the oral cavity. A. Chew xylitol gum B. Suck on xylitol lozenges C. Suck on frozen grapes D. Brush every three hours E. Sleep with a humidifier F. Irrigate with saline solution G. Rinse with a nonalcoholic mouth rinse H. Take frequent sips of water - correct answer A. Chew xylitol gum
  1. Which of the following mouth rinses would be the best to add to this patient's long- term daily oral self-care routine? A. Advanced Listerine (essential oils) B. PerioGard® (chlorhexidine gluconate) C. Biotène® Mouthwash (lactoperoxidase enzyme) D. Scope Dual Blast (cetylpyridinium chloride) E. Oral-B Fluorinse® (0.2% sodium fluoride) - correct answer C. Biotène® Mouthwash (lactoperoxidase enzyme)
  2. Each of the following must be discussed with this patient's nephrologist before quad- rant scaling EXCEPT one. Which one is the EXCEPTION? A. Need for prophylactic premedication B. Determination of blood-clotting time C. Adequacy of salivary flow D. Assessment of vital signs E. Pain management doses and contraindications - correct answer C. Adequacy of salivary flow
  3. Which of the following is NOT a likely adverse outcome of scaling this patient's man- dibular anterior teeth? A. Tooth mobility B. Root sensitivity C. Gingival recession D. Risk of tooth fractures E. Longer appearance of the teeth - correct answer D. Risk of tooth fractures
  4. Quadrant scaling appointments for this patient should be scheduled in the mornings, before her afternoon dialysis session. An appointment for extraction of the fractured teeth should be made on Saturday morning. A. The first sentence is true, the second sentence is false. B. The first sentence is false, the second sentence is true.

C. Both sentences are true. D. Both sentences are false. - correct answer B. The first sentence is false, the second sentence is true.

  1. Which of the following is the most likely explanation for the mandibular anterior lin- gual region probe reading changes seen at the six-week reevaluation appointment? A. Patient failed to stay motivated to follow oral self-care instructions given at initial appointment. B. Complex medical conditions that compromise this patient's immune system have limited the healing process. C. Rapid reaccumulation of dental calculus after the initial scaling appointment has most likely prevented tissue shrinkage. D. Probing was done with greater than 10 to 20 g of pressure causing the probe to penetrate the junctional epithelium. E. Heavy calculus limited access to the base of the pocket for accurate probe readings at the initial appointment. - correct answer E. Heavy calculus limited access to the base of the pocket for accurate probe readings at the initial appointment.
  2. Which of the medications prescribed for this patient does NOT increase the risk of dry mouth and taste disturbances? A. Vasotec B. Cozaar C. Lasix D. Procrit E. Prozac - correct answer D. Procrit
  3. Which of the following ultrasonic instrument tip designs would be the best choice for initial periodontal debridement of the lingual surfaces of the mandibular anterior teeth? A. Beavertail tip B. Standard-diameter universal tip C. Standard-diameter triple bend tip D. Slim-diameter straight tip E. Slim-diameter curved tip - correct answer A. Beavertail tip

E. Increased gingival bleeding - correct answer C. Rampant decay