ADT 620

Question 1

Findings discovered by a practitioner during an examination are called:

symptoms
chief complaint
signs
treatment plan
vital signs

Answer 1

signs

Question 2

What information is covered under HIPAA?

patient age
diagnosis
patient address
patient insurance information
all of the above

Answer 2

all of the above

Question 3

Under HIPAA, a patient has the right to inspect his or her own medial record.

true
false

Answer 3

true

Question 4

When recording a patient’s chief complaint in the patient’s record, the practitioner should:

Summarize the patient’s concern
Translate the patient’s information into the correct dental terms
Record exactly what is said by the patient and put the patient’s statement(s) in quotes
Explain what the patient means in case a third party reviews the record
It is not important to record the patient’s chief complaint in the record

Answer 4

Record exactly what is said by the patient and put the patient’s statement(s) in quotes

Question 5

What is the “golden rule” of treatment planning?

Resolve the patient’s chief complaint as soon a possible
Provide the patient with a written treatment plan
Inform the patient of what all possible charges will be incurred by the treatment plan
Develop a treatment plan that will not need alteration
Develop a treatment plan that maximizes the patient’s insurance benefits

Answer 5

Resolve the patient’s chief complaint as soon a possible

Question 6

Which statement about patient Health Histories is true?

There is one standardized health history form that is to be used by all dental professionals
A health history form is not needed as long as the practitioner notes that a verbal health history has been completed
Even though a patient completes a health history form, the practitioner must review the form and ask follow up questions where the patients information is unclear or more information is needed
The health history should be reviewed at every dental appointment
Both C and D

Answer 6

Both C and D

Question 7

A comprehensive clinical dental examination must include:

Physical examination
Intraoral and Extraoral soft tissue examination
Periodontal examination
Examination of teeth
Radiographic examination
All of the above

Answer 7

All of the above

Question 8

When should vital signs be measured?

Every visit for every patient
Every visit for patients over the age of 50
Before the administration of any local anesthetic
Every treatment visit
Only at the initial examination and recall appointments

Answer 8

Every treatment visit

Question 9

Many studies show that there is not a great correlation between clinical signs and symptoms and what is actually present histologically in pulp tissue.

true
false

Answer 9

true

Question 10

Classify a tooth pulp with the following signs and symptoms:

No spontaneous symptoms, positive response to pulp tests, no patient distress to pulp tests, transient sensations from pulp test

Answer 10

normal pulp

Question 11

Classify a tooth pulp with the following signs and symptoms:

No spontaneous symptoms, positive response to pulp tests, discomfort with some pulp tests, discomfort subsides quickly with removal of stimulus

Answer 11

reversible pulpitis

Question 12

Classify a tooth pulp with the following signs and symptoms:

Intermittent or spontaneous pain, positive response to pulp tests, heightened or prolonged pain to thermal pulp tests

Answer 12

symptomatic irreversible pulpitis

Question 13

Classify a tooth pulp with the following signs and symptoms when other teeth in the same quadrant respond normally to all tests:

No spontaneous symptoms, positive response to pulp tests, no patient distress/discomfort to pulp tests, transient sensations from pulp test, deep caries into pulp clinically and radiographically

Answer 13

asymptomatic irreversible pulpitis

Question 14

Classify a tooth pulp with the following signs and symptoms when other teeth in the same quadrant respond normally to all tests:

No spontaneous symptoms, no response to pulp tests, no patient distress to pulp tests, no sensations from pulp test

Answer 14

necrotic pulp

Question 15

which type of pain is easier for the patient to localize

pulpal
periapical

Answer 15

periapical

Question 16

Which of the following terms are NOT typically used by a practitioner to characterize pain experienced by a patient?

onset
intensity
alleviating factors
progression
cluster

Answer 16

cluster

Question 17

What is the purpose of developing a differential diagnosis?

To develop a treatment plan
To determine what diagnostic tests should be performed
To determine what information should be delivered to the patient
To determine what procedure will be billed for the appointment
To determine how the treatment plan will need to be modified according to the patient’s health history

Answer 17

To determine what diagnostic tests should be performed

Question 18

What is a practitioner trying to accomplish by completing diagnostic tests?

Reproduction of the patient’s symptoms
Development of a treatment plan
Eliminate the patient’s symptoms
Complete a comprehensive examination
Complete information needed for the dental record

Answer 18

Reproduction of the patient’s symptoms

Question 19

Which of the following may lead to pulpal degeneration?

Caries
Restorative procedures
Trauma
Periodontal disease
All of the above

Answer 19

all of the above

Question 20

There is not agreement on whether all decay must be removed from a tooth before a restoration is placed.

true
false

Answer 20

true

Question 21

what is the most reliable test to diagnose vertical root fracture?

radiograph
percussion
periodontal probing
palpation
cold test

Answer 21

periodontal probing

Question 22

a “tooth slooth” is used to diagnose:

periodontal disease
periapical abcess
irreversible pulpitis
fractured or cracked tooth
tooth mobility

Answer 22

fractured or cracked tooth

Question 23

which of the following may accelerate pulpal inflammation?

scaling and root planing
caries
trauma
b and c
all of the above

Answer 23

all of the above

Question 24

A periapical infection may accelerate periodontal pocket formation.

true
false

Answer 24

true

Question 25

Endodontically treated teeth may not respond as well as untreated teeth to periodontal therapy true false

Answer 25

true

Question 26

Which diagnostic test is the most helpful in distinguishing between a pulpal or periodontal lesion? electronic pulp tester radiograph percussion periodontal probing all of the above

Answer 26

electronic pulp tester

Question 27

If a patient states that cold substances help alleviate pain in a symptomatic tooth, the most likely diagnosis is: reversible pulpitis periapical abscess irreversible pulpitis nectrotic pulp dentinal hypersensitivity

Answer 27

nectrotic pulp

Question 28

Which is NOT true about electric pulp testing? The response does not reflect the histologic health of the pulp The response does not reflect the disease status of the pulp The response reflects the intactness and health of the vascular supply Healthy teeth in the same quadrant will react similarly Electric pulp testing can be done through composite restorative material

Answer 28

Electric pulp testing can be done through composite restorative material

Question 29

A patient presents to your office complaining of a "toothache." Put the following Information Gathering steps in the order they should be performed. 1 Medical, dental and psychosocial histories 2 Diagnostic tests 3 Clinical examination 4 Radiographic examination

Answer 29

1, 3, 4, 2

Question 30

What is the appropriate treatment for a tooth with reversible pulpitis due to caries of ideal depth? direct-fill restoration base or liner root canal therapy extaction a and b

Answer 30

direct-fill restoration