Clinic Exam II
Quiz by Hailey Herrington
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114 questions
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- Q1Introduction: 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 requiredWarfarin (Coumadin)Both Systemic Lupus Erythematosus (SLE) and Warfarin (Coumadin)30s
- Q2Introduction: 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. JonesHypertension Stage 2Hypertension Stage 1NormalHypertensive Crisis30s
- Q3Introduction: 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. JonesASA IASA IVASA IIIASA II30s
- Q4Introduction: 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 stonesHeart valve pathologyPeriodontal diseaseDiabetes30s
- Q5Introduction: 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 2gClindamycin 600mgClindamycin 2gAmpicillin 2g30s
- Q6Introduction: 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 testWBC (white blood cell) countPartial Thromboplastin Time (PTT) testHbA1c blood test30s
- Q7Introduction: 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?AgeBoth Gender & AgeGenderPersonality Traits30s
- Q8Introduction: 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 trueThe first statement is false, the second statement is trueBoth statements are falseThe first statement is true, the second statement is false30s
- Q9Introduction: 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, EXCEPTProviding patient education on risk of xerostomiaProviding non-judgmental, empathetic treatmentExplaining to the patient that cannabis is a gateway drugConsider employing preventive measures, such as topical fluorides30s
- Q10Introduction: 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 EXCEPTRadiographsPeriodontal ChartingRestorative ChartingPatient Education30s
- Q11A 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
- Q12A 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?PS1PS2PS3PS430s
- Q13A 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
- Q14A 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 neckFreedom from head and neck painProtection from health risksWholesome facial image30s
- Q15A 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—gingivitisCase type III—moderate periodontitisCase type IV—advanced periodontitisCase type II—mild periodontitis30s