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Clinic Exam II

Quiz by Hailey Herrington

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114 questions
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  • Q1
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Which of the following medications/medical conditions requires the provider to seek medical clearance?
    Systemic Lupus Erythematosus (SLE)
    Medical clearance is not required
    Warfarin (Coumadin)
    Both Systemic Lupus Erythematosus (SLE) and Warfarin (Coumadin)
    30s
  • Q2
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Select the appropriate blood pressure stage for Ms. Jones
    Hypertension Stage 2
    Hypertension Stage 1
    Normal
    Hypertensive Crisis
    30s
  • Q3
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Select the appropriate ASA Classification for Ms. Jones
    ASA I
    ASA IV
    ASA III
    ASA II
    30s
  • Q4
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Patients who have Systemic Lupus Erythematosus (SLE) require medical clearance due to the risk of:
    Kidney stones
    Heart valve pathology
    Periodontal disease
    Diabetes
    30s
  • Q5
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Ms. Jones’ medical team decided that she requires antibiotic prophylaxis prior to any dental treatment. Which of the following medications is the most appropriate to be prescribed:
    Amoxicillin 2g
    Clindamycin 600mg
    Clindamycin 2g
    Ampicillin 2g
    30s
  • Q6
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Warfarin (Coumadin) is an anticoagulant medication, which may affect Ms. Jones's ability to clot. Which of the following tests are routinely given to patients to test their clotting abilities?
    Liver panel test
    WBC (white blood cell) count
    Partial Thromboplastin Time (PTT) test
    HbA1c blood test
    30s
  • Q7
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Which of the following is a nonmodifiable risk factor for Ms. Jones’ lupus?
    Age
    Both Gender & Age
    Gender
    Personality Traits
    30s
  • Q8
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Most medications for the treatment of anxiety may cause xerostomia, increasing the individual’s risk for dental caries and periodontal disease. Immunosuppressants increase the risk of developing opportunistic infections.
    Both statements are true
    The first statement is false, the second statement is true
    Both statements are false
    The first statement is true, the second statement is false
    30s
  • Q9
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Medical marijuana is legal in the state of Connecticut. All of the following actions are appropriate for the clinician to take, EXCEPT
    Providing patient education on risk of xerostomia
    Providing non-judgmental, empathetic treatment
    Explaining to the patient that cannabis is a gateway drug
    Consider employing preventive measures, such as topical fluorides
    30s
  • Q10
    Introduction: Ms. Jones, a 62-year-old female, presents for a new patient examination. Ms. Jones explains that she has not seen a dentist in over 10 years due to not having any dental insurance. She states that she is having pain on the lower-right side of her mouth, and has trouble chewing on that side. Her pre-treatment vitals were as follows: BP: 130/82 / P: 64 / R: 12 / O2: 98% /Temp: 97.8*F Ms. Jones’ medical history document lists the following: Conditions Systemic Lupus Erythematosus (SLE) High Blood Pressure Anxiety Disorder Seasonal Allergies Medications Methotrexate (Rheumatrex) Immunosuppressant Warfarin (Coumadin) Anticoagulant Acetaminophen (Tylenol) Pain Reliever Hydrochlorothiazide (HCTZ) Thiazide Diuretic Lexapro (Escitalopram) Selective Serotonin Reuptake Inhibitors (SSRI) Zyrtec (Cetirizine) Antihistamine Medicinal marijuana (Cannabis) Allergy Penicillin QUESTION: Due to Ms. Jones requiring antibiotic prophylaxis, the clinician must re-appoint the patient prior to completing further treatment. The dental hygienist may complete the following during the initial appointment EXCEPT
    Radiographs
    Periodontal Charting
    Restorative Charting
    Patient Education
    30s
  • Q11
    A 44-year-old man presents as a new client for dental hygiene care. His medical history reveals type 2 diabetes, high blood pressure (BP) controlled with medication, and a hip replacement. He reports no blood glucose monitoring and controls diabetes with diet and exercise. He had a physical examination last year but is not sure of the examination results. He assumes “everything is fine.” You record his BP reading at 150/102 mm Hg. Which of the following should be considered before implementing dental hygiene care for this client?
    . Consult with client’s physician to establish a definitive diagnosis of diabetes and level of control for diabetes and hypertension before initiating invasive dental hygiene care.
    Dental hygiene care can be started immediately as long as the client consents to treatment.
    Appointments should be longer than normal to reduce the number of appointments needed and to reduce stress.
    . Dental hygiene care can be implemented immediately without any considerations.
    30s
  • Q12
    A 44-year-old man presents as a new client for dental hygiene care. His medical history reveals type 2 diabetes, high blood pressure (BP) controlled with medication, and a hip replacement. He reports no blood glucose monitoring and controls diabetes with diet and exercise. He had a physical examination last year but is not sure of the examination results. He assumes “everything is fine.” You record his BP reading at 150/102 mm Hg. What is this client’s ASA physical status (PS) classification?
    PS1
    PS2
    PS3
    PS4
    30s
  • Q13
    A 44-year-old man presents as a new client for dental hygiene care. His medical history reveals type 2 diabetes, high blood pressure (BP) controlled with medication, and a hip replacement. He reports no blood glucose monitoring and controls diabetes with diet and exercise. He had a physical examination last year but is not sure of the examination results. He assumes “everything is fine.” You record his BP reading at 150/102 mm Hg. What is the BEST course of action for the dental hygienist related to the BP reading?
    Recheck BP in 5 minutes; if it is still elevated within that range, dismiss the client and seek immediate consultation with a physician.
    Recheck BP in 5 minutes; if it is still elevated within that range, continue with noninvasive care only and consult with a physician before dental hygiene therapy.
    Recheck BP at each appointment; if it is still within range for three consecutive appointments, refer to a physician.
    Recheck BP in 5 minutes and continue with dental hygiene care.
    30s
  • Q14
    A 44-year-old man presents as a new client for dental hygiene care. His medical history reveals type 2 diabetes, high blood pressure (BP) controlled with medication, and a hip replacement. He reports no blood glucose monitoring and controls diabetes with diet and exercise. He had a physical examination last year but is not sure of the examination results. He assumes “everything is fine.” You record his BP reading at 150/102 mm Hg. Which human need should be considered during the dental hygiene process of care?
    Skin and mucous membrane integrity of head and neck
    Freedom from head and neck pain
    Protection from health risks
    Wholesome facial image
    30s
  • Q15
    A 25-year-old female presents for dental hygiene care. Her records indicated that 10 months have lapsed since receiving dental hygiene care, and she scheduled the appointment because her teeth are sensitive when she eats candy and her “gums” hurt when she brushes her teeth. She reports an arrhythmia but is not sure of the type or cause and irregularly takes the prescribed medication for its treatment. Her vital signs are within normal limits. During the dental and periodontal assessment, you record generalized marginal gingival inflammation, generalized moderate interproximal subgingival calculus deposits, generalized bleeding on probing, with 2-mm to 4-mm probing depths. Existing restorations include teeth #14-MO, #4-MOD, #13-MO, #18-MO, and #19-B. Radiographs reveal no evidence of bone loss, proximal carious lesions on #29 D, #30 M, and #19 M and restoration overhangs on #14 M and #4 D. She brushes once a day and does not use an interproximal cleaning aid. Which of the following conditions represents the MOST accurate periodontal disease classification?
    Case type I—gingivitis
    Case type III—moderate periodontitis
    Case type IV—advanced periodontitis
    Case type II—mild periodontitis
    30s

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