Clinical Orientation FINAL SG Flashcards
(204 cards)
1
Q
Sally Sue is a 35 YO female who presents for her cleaning today. She tells you “My gums are bleeding when I brush”. She had infective endocarditis when she was 12yo. Is pregnant and has experienced morning sickness for 3 months and taking prenatal vitamins. Allergic to Mezlin
what is appropriate prophylactic antibiotic premedication regimen?
A
Clindamycin 600mg orally 1 hour before procedure
2
Q
Sally Sue is a 35 YO female who presents for her cleaning today. She tells you “My gums are bleeding when I brush”. She had infective endocarditis when she was 12yo. Is pregnant and has experienced morning sickness for 3 months and taking prenatal vitamins. Allergic to Mezlin
without prophylatic antibiotic premedication this patient is at risk of developing
A
endocarditis
3
Q
a blood pressure reading of 142/93mmHg is classified as
A
mild hypertension
4
Q
an example of a latent infection is
A
shingles
5
Q
an example of an RNA virus is
A
hepatitis A
6
Q
infection in bloodstream could be termed all except
A
focal
7
Q
which is the mechanism of antiviral action of AZT
A
inhibits reverse transcriptase
8
Q
MOST common testing procedure to detect infection with human immunodeficiency virus (HIV) measures
A
T-lymphocyte function
9
Q
HIV belongs to what virus family
A
retroviridae
10
Q
when evaluating patients diet, MOST important factor in demineralization process is
A
frequency of intake of fermentable carbs
11
Q
all of the following are proper posture techniques to be performed by the practicing clinical hygienist except…
A
position arms more than 20 degrees away from body
12
Q
in relationship to the operators hips and knees, which of the following is proper high of operator’s chair except
A
hips slightly higher than knees
13
Q
T/F:
to maintain a neutral body posture, the operator should reduce unnecessary bending and stretching during the appointment. One way to do this is to place frequently used instruments an arm’s length from seated position
A
true and true
14
Q
all of the following are positions operators should avoid except one
A
keep wrist in neutral position
15
Q
all of the following strategies help eliminate or reduce static loading except…
A
working w/ feet elevated when possible
16
Q
while providing patient services, how should operator be positioned on the operator’s chair
A
sit on entire seat w/ both feet on floor
17
Q
which of the following Korotkoff sounds denotes systolic pressure
A
1
18
Q
normal respiration rate for an adult in breaths per minute is
A
14-20
19
Q
most common artery to palpate when taking and evaluating the pulse rate is
A
radial
20
Q
an increase in pulse rate is
A
tachycardia
21
Q
which of the following, in beats per minute, is the normal resting pulse rate for an adult
A
60-110
22
Q
what does the surface antigen for hepatitis B indicate
A
active infection
23
Q
what serum marker indicates low titer
A
anti HBe
24
Q
T/F:
infection with hepatitis A can result in a chronic infection. Hepatitis C and hepatitis E were originally named non-A, non-B hepatitis
A
false and true
25
Hepatitis A is transmitted through the
fecal oral route
26
Hepatitis B is transmitted through
blood and all body fluids
27
immunity to Heptatits B is indicated by
anti-HBs in blood serum
28
Hepatitis C can be acquired by
percutaneous
29
what serum marker correlates with viral replication
HbeAg
30
hepatitis E is transmitted though
contaminated water and person to person by fecal oral
31
what serum marker represents HBe antigen
HbeAg
32
which is true of Hepatitis B
has an incubation period of 2-6 months
33
percutaneous, blood, needles
HCV
34
coinfection with HBV, blood, sexual contact, perinatal
delta hepatitis
35
fecal oral, food, water, shellfish
HAV
36
blood and all bodily fluids, sexual contact, perinatal
HBV
37
fecal-oral, contaminated water
HEV
38
hepatitis vaccine is given at what interval
0,1,6 months
39
while activating the instrument, the finger rest acts as a
pivot point for movement, stabilizing point for the hand, and fulcrum for activation of wrist forearm motion
40
rolling the handle of the explorer between the thumb and fingers is important because it
key to adapting working end around line angles and in depressions
41
when determining the cause of gingival recession on the facial surface of a first premolar, the clinician should observe the attachment of the
buccal frena
42
which of the following oral structures is associated with the torus palatinus
palatine raphae
43
what does akyloglossia refer to
short lingual frena
44
what does ankylosis refer to
prevents eruption and orthodontic movement
45
Hepatitis D superimposes on the chronic
HbsAg carrier
46
clostridium tetani (tetanus bacillus), staphylococcus aureus, and enteric bacteria are among the organisms that may travel in the
dust
47
which of the following lesions is strongly associated with HIV infections
Kaposi's sarcoma
48
phase before lesion appears is called the _____ phase
prodrome
49
in patient states they have a cold sore, fever blister, DH should
reappoint
50
which fungal infection is most frequently occurring oral infection
oral candidiasis
51
drug used to treat herpes simplex virus infections
acyclovir
52
tetanus also known as lock jaw is a
spread though airborne transmission
| cause spore forming bacillus
53
which disease is blood borne
HBV
54
what does surface antigen for hepatitis B indicate
active infection
55
full name of dentist who is considered "father of dental hygiene"
Alfred C Fones
56
first dental hygienist
Irene Newman
57
coined term odonticurist
F.W. Low
58
large circular papillae at posterior region of the dorsum of the tongue, that form a "V" shape are called
circumvallate papillae
59
most common malignant neoplasm of the oral cavity
squamous cell carcinoma
60
high risk profile in US for oral cancer is
excessive sun exposure
61
most common site of oral cavity for oral cancer
lower lip
62
test can be used in dental office setting and consists of a transepithelial specimen spread on a slide
exfoliated cytology
63
in HIV/AIDS, which cell in immune system is changed, replicated and then destroyed
T-4 (T-helper lymphocytes)
64
what procedure would you utilize with treating HIV/AIDS patient
disposable barriers
65
not a symptom of AIDS
wickham's striae
66
not passed on through blood
hepatitis a
67
Passed on through fecal contamination
Hep A
68
Type of Hepatitis without vaccine
Hep C
69
Reflection of light from lingual aspect through the teeth
Transillumination
70
Operating distance from patients mouth to eyes of operator
16"
71
Periodontal pocket is a:
Diseased sulcus
72
Normal adult body temperature range
97.0-99.5
73
Mesial cavity in mand right second premolar classified as
Class II
74
Gingival fibers arise from alveolar crest and inserts corona lot into lamina propria
Alveologingingival fibers
75
Chemical agents EPA registered for surface disinfection include
Sodium hypochlorite, iodophors, synthetic phenols
76
Structure non keratinized
Sulcular epithelium
77
Term used to describe a flat, nonraised lesion
Macule
78
Prerequisite for caries development except
Gingiva
79
Streptococci most strongly cariogenic bacteria in mouth
S. mutans
80
Term used to describe lesion that is stem like
Pedunculated
81
Term describing premalignant lesion
Leukoplakia
82
Through proper treatment and home care, hygienist hopes patient exhibits what gingival characteristic
Pink, attached, stippled, gingiva, red alveolar mucosa, pointed firm papilla
83
Hygienist may recognize detrimental oral habits through
Dental or med hx, oral exam, question patient
84
Most effective way to wear PPE gown
Cover clothing, knit cuffs covering, ties or velcro on back of gown
85
With 0 degree angulation, the face of curette blade would be
Flat against two surface
86
Greatest skill effective exploring or scaling distal/lingual line angle of tooth #18
Rolling instrument handle between fingers
87
Primary reason for removing subgingival calculus bc it:
Acts as mechanical irritant
88
Chronic liver disease may follow infection with
Hep B & D
89
Situation NOT an issue when planning dental appt for patient
Drug interactions or clearance
90
Viruses that persist in body & cause recurrent disease
Latent
91
Which is not an oral manifestation of HIV
Pneumocystis carnii
92
Black hairy tongue involves elongation of
Filiform papillae
93
How often should patient perform oral cancer self exam
Monthly
94
During oral cancer self exam, encourage patient to report all except
Bad odor
95
TF
| Virus cannot replicate outside a living organism; virus single strand nucleic acid
True; false
96
TF
| HIV can be transmitted by saliva; presence of HIV antibodies indicates immunity for AIDS
False; False
97
Herpetic lesion of finger
Herpetic whitlow
98
Infectious mono caused by what
Epstein-Barr virus
99
Important human disease barrier
Intact skin
100
40yr old man works at blood bank doesnt wear gloves; what disease might client have?
Hep B
101
40 year old man:
| Best choice of treatment for this client
Refer to physician & reschedule according to physician recommendation
102
Greatest possibility of contracting herpetic whitlow would be touching patients
Saliva & vesicular lesions
103
Wearing protective eyewear during professional oral healthcare prevents:
Herpes & injury
104
After a known carrier of hep B has been treated, dental instruments should be
Processed the same
105
Hand cleansers least likely to contribute disease transmission
Liquid only
106
Behaviors associated with hand washing that are recommended
Short scrub beginning of day
107
DH perform perio therapy on client with no complications what should the DH wear
Protective eyewear, mask, gloves, gown
108
How often should face mask be changed
After each client
109
Prevent disease transmission which is most acceptable
Small earrings
110
Designing sterilization area, whats most crucial
Separation of contaminated and non contaminated areas
111
Reason for selecting a chemical sterilant for instruments
Limited sterilization few heat sensitive items if ethelyne oxide unavailable
112
Purchasing spore strips, which do you order
Bacillus stearothermophilus
113
Mrs needatoothfix's "fever blisters" are
Herpes simplex
114
Mrs needatoothfix's med hx revealed info to make clinician suspect
Diabetes causing exaggerated response to plaque effects & delayed healing
115
Mrs needatoothfixs contracted primary herpetic infection causing fever blisters between ages of
2-5 years
116
Behaviors associated with hand washing that are recommended
Short scrub beginning of day
117
DH perform perio therapy on client with no complications what should the DH wear
Protective eyewear, mask, gloves, gown
118
How often should face mask be changed
After each client
119
Prevent disease transmission which is most acceptable
Small earrings
120
Designing sterilization area, whats most crucial
Separation of contaminated and non contaminated areas
121
Reason for selecting a chemical sterilant for instruments
Limited sterilization few heat sensitive items if ethelyne oxide unavailable
122
Purchasing spore strips, which do you order
Bacillus stearothermophilus
123
Mrs needatoothfix's "fever blisters" are
Herpes simplex
124
Mrs needatoothfix's med hx revealed info to make clinician suspect
Diabetes causing exaggerated response to plaque effects & delayed healing
125
Mrs needatoothfixs contracted primary herpetic infection causing fever blisters between ages of
2-5 years
126
mrs. needatoothfix's tongue is symptomatic of
geographic tongue
127
what is one disadvantage of chemical vapor pressure sterilization
adequate ventilation necessary
128
the DHYGst is using a standard dry-heat oven to sterilize instruments. The oven is preheated and the instruments have reached the same temperature as the oven. approximately how long will it take until sterilization is achieved
2 hours
129
in the autoclave, wrapped instruments packs should be arranged loosely and placed as upright as possible so that
steam can penetrate
130
most plastics can be renewed by which biologically verifiable method of sterilization
ethlyene oxide
131
if instruments are sterilized with out being wrapped, they must be
directly transported to treatment area for immediate use
132
after use, the preferred method of cleaning instruments is by
placing instruments in an ultrasonic cleaning unit
133
the oral healthcare team uses ethylene oxide for sterilization. if you are responsible for purchasing spore strips to test sterility, which would you order
bacillus subtilis
134
temperatures over ____ may destroy sharp edges of cutting instruments
160
135
the term_____lines the tooth socket
radigraphically: lamina dura
formal: alveolar proper
136
periodontal pockets can best be detected by
probing sulcular area
137
which of the following about subgingival plaque is true
growth and pathogenicity are strongly influenced by supragingival plaque
138
which of the following about supracalculus is true
supracalculus does not migrate to become subcalculus
139
sharpy's fibers are primarily made of
collagen
140
tissue consistency refers to
resiliency
141
mucogingival junction located btwn
attached gingiva and alveolar mucosa
142
tissue that has little or no keratinization
sulcular epithelium and alveolar mucosa
143
first bacteria to be deposited on tooth in bacterial plaque formation are
gram positive cocci
144
the gingival fibers
brace marginal gingiva against tooth
145
the periodontium consist of all except
enamel
146
attachment apparatus consist of
PDL, bone, cementum
147
principal fibers consist of
apical, horizontal, interradicular, oblique, alveolar crest
148
gingival fibers consist of
dentogingival, transseptal, circumferential, dentoperiosteal, alveologingival
149
type of mucosa on dorsum of tongue
specialized
150
area within periodontium most susceptible to tissue breakdown is
gingival sulcus
151
on completion of client's gingival assessment, hygienist noted gingivae normal in appearance except on facial area of 28&29. in this area of inflammation, noted on gingival margin. all sucluar readings btwn 1-3mm and bases of sluci are at cej, most accurate description?
localized marginal gingivitis
152
during periodontal exam 4mm pocket detected on direct facial surface of tooth 19. gingival margin located at CEJ. what type of pocket
periodontal pocket
153
mucogingival problem exists when
less than 2mm of attached gingiva
154
gingivitis is initiated most often by
microorganisms and their products
155
probe reading of 6mm measures distance from
epithelial attachment to gingival margin
156
localized recession that may be v-shaped, slitlike indention
stillman's cleft
157
following most reliable clinical sign of gingival inflammation
bleeding upon gentle probing
158
following methods most successful for prevention of periodontal disease
regular oral self care practices and regular oral prophylaxis
159
enlargement of marginal gingiva with formation of a lifesaver-like gingival prominence
mccalls festoons
160
etiologic factor associated with high risk of oral cancer
habitual smoking
161
prevention and control of dental diseases are
primarily goal of client education
162
during oral cancer self exam, all of following conditions indicate to client a significant deviation from normal except
bilateral linear alba
163
during DH maintenance appt the DHst and patient set goals and determine the course of action for the appointment what phase of process of care
planning
164
determining that a client is dissatisfied with appearance of his/her tooth should occur within ____ phase
assessment
165
self examination for oral cancer
introduces concept of "normal ranges"
166
____ is development of dental caries
cariogenesis
167
microorganisms that can grow in presence of free oxygen is
aerobe
168
acute gingivitis appears in about
1 week
169
plaque is primarily made of what
80% water
170
what is hardest surface in oral cavity
(enamel but it's not a choice) dentin
171
T/F: subgingival plaque develops as result of downgrowth of supragingival plaque bacteria
false
172
lesions are close to each other with margins that merge are
coalescing
173
discrete, not running together, may be arranged in clusters
separate
174
lesions of oral mucosa that appear as bright red patches
erythroplakia
175
mass of tissue that projects outward from normal surface level called
polyp
176
periodontal fibers that are located in root furcation area
interradicular
177
in oral cavity, one way in which lining mucosa differs from masticatory mucosa is that
lining mucosa not keratinized
178
following 2 diseases represent different forms of infection with same agent
shingles and chickenpox
179
while a 35yo woman being seated in dental chair, a lesion is noted on lips. it appears as several discrete vesicles; some have ulcerated. when questioned the woman says she always gets sore like that before she gets a cold
herpes labialis
180
waterlines best disinfected by
3-5 minutes
181
Not a method of reducing airborne trasmissions of infectious agents
Rinsing mouth with air/water spray
182
Which statement is false
All disinfection procedures kill bacterial spores and mycobacterium tuberculosis
183
which is not a method of reducing airborne transmission of infectious agents
rinsing mouth with air/water spray
184
which statement false
all disinfection on procedures kill bacteria spores
185
to be classified as hospital-grade disinfectant, a disinfectant must be able to kill
mycobacterium tuberculosis
186
to retrieve additional gauze from drawer during oral prophylaxis appt. one should do what
wear overgloves
187
HIV causes significant health changes in infected individuals by
attacking t-4 lymphocytes causing increasing in opportunistic infesting
188
biological testing during sterilization process must be accomplished on a ____ basis to ensure effectiveness of process
weekly
189
identify false statement regarding infection control procedures
gloves should be washed btwn pts to prevent spread of disease
190
all of following standard agents used in disinfection except
alcohols
191
LA participates in what regional board
CITA
192
type of supervision LA ? stipulation?
general supervision
hygienist must have been working for 2 years
patient have been seen by dentist first
no new patient under general supervision
193
which value means performing services for good of patient
beneficence
194
father of preventive dentistry
Thaddeus P. Hyatt
195
what is picture of?
oral CDX brush
196
phenytoin
anticonvulsant
197
Cyclosporine
immunosuppressant
198
nephedipine
calcium channel blocker
199
dilantin
anticonvulsant
200
neoral
immunosuppressant
201
procardia
calcium channel blocker
202
ends in "olol"
beta blocker
203
most common diuretic
HCTZ
204
ends in "pril"
ace inhibitor
