Question 1

All of the following are recommended as information to be documented in the patient chart, EXCEPT:

Accepted Answer

Disparaging comments about the patient's self-care

Answer

Reason for today's appointment

Answer

Date of next appointment

Answer

Today's date

Question 2

Patient noncompliance with recommendations can be documented by:

Accepted Answer

All of the above

Answer

Stating in the treatment notes that the patient continues to smoke

Answer

Stating in the treatment notes that the patient has inadequate self-care

Answer

Documenting all missed appointments

Question 3

In the eyes of a jury, if a procedure is not written in the chart, it was not done. The single most common cause of punitive damages in a dental malpractice suit is altering the chart.

Accepted Answer

Both statements are true.

Answer

Both statements are false

Answer

The first statement is true; the second is false.

Answer

The first statement is false; the second is true.

Question 4

The hygienist just completed periodontal instrumentation on the upper right on a new patient with Stage III periodontitis. Which of the ADA insurance codes should he or she enter on the insurance form?

Accepted Answer

D4341

Answer

D4910

Answer

D1110

Question 5

Which code would be entered on an insurance form for periodontal instrumentation completed during a 3-month periodontal maintenance appointment?

Accepted Answer

D4910

Answer

D4341

Answer

D1110

Question 6

What are the signs and symptoms of gingival abscess?

Accepted Answer

Reddened tissue (marginal gingival), as well as swelling and pain

Answer

Occurrence in chronic periodontitis

Answer

Inflammatory exudates seeping into the oral cavity

Answer

Tooth mobility

Question 7

What are the signs and symptoms of acute periodontal abscesses?

Accepted Answer

Appear as shiny, red, raised, and rounded masses, and pain on the gingiva or mucosa

Answer

Reddened tissue (marginal gingival), as well as swelling and pain

Answer

No tooth mobility

Answer

An abscess that is confined to the marginal gingiva and often occurs in previously healthy gingival areas

Question 8

What are the signs and symptoms of necrotizing periodontal diseases?

Accepted Answer

Ulceration and necrosis of the interdental papillae, pain, and spontaneous gingival bleeding

Answer

Inflammatory exudates seeping into the oral cavity

Answer

Occurrence in the palate

Answer

Presence of a large proportion of gram-positive organisms.

Question 9

What are the signs and symptoms of primary herpetic gingivostomatitis?

Accepted Answer

The ulcers have red, elevated, “halolike” margin with depressed yellow or gray central area

Answer

The most commonly affected teeth are incisors

Answer

Presence of a large proportion of gram-positive organisms

Answer

Inflammatory exudates seeping into the oral cavity

Question 10

What are significant signs for endodontic lesions (pulpal abscess)?

Accepted Answer

bone loss at root apex

Answer

angular defect in bone (angular bone loss)

Answer

circumscribed collection of pus within wall of periodontal pocket

Answer

Ulceration and necrosis of the interdental papillae

Question 11

Which one of the following factors is critical in the management of a gingival or periodontal abscess?

Accepted Answer

Drainage of the pus

Answer

Performing thorough debridement of the entire quadrant

Answer

Prescribing antibiotics

Answer

scheduling a 3 month recall visit

Question 12

Using an insurance procedure code for scaling and root planning instead of adult prophylaxis when the patient has no periodontal disease is an example of:

Accepted Answer

Upcoding

Answer

Malpractice

Answer

Defamation by computer

Answer

Battery

Question 13

Which of the following periodontal emergencies will require a radiograph for a positive diagnosis?

Accepted Answer

Endodontic abscess

Answer

Necrotizing Gingivitis

Answer

Gingival abscess

Answer

Pericoronitis

Question 14

Which of the following would be appropriate initial treatment for pericoronitis?

Accepted Answer

drain the pocket opening, debride and irrigate

Answer

postpone care until infection has resolved

Answer

refer to primary care physician

Answer

surgical flap to expose the roots

Question 15

What is the recommended on the second visit as a treatment regimen for necrotizing ulcerative gingivitis?

Accepted Answer

begin subgingival instrumentation

Answer

use ultrasonic only for supragingival calculus removal only

Answer

complete all scaling and root planing completely

Answer

remove as much calculus as possible throughout the mouth

Question 16

Which of the following is the correct nomenclature to describe procedure code D4341?

Accepted Answer

Periodontal scaling and root planing, four or more teeth per quadrant

Answer

Periodontal scaling and root planing, one to three teeth per quadrant

Answer

Localized delivery of antimicrobial agents via a controlled-release vehicle into diseased crevicular tissue, per tooth, by report

Answer

Full-mouth debridement to enable comprehensive periodontal evaluation and diagnosis

Question 17

All of the following statements are characteristics of ACUTE periodontal conditions, EXCEPT:

Accepted Answer

Usually related to pre-existing periodontitis

Answer

Usually have a rapid onset

Answer

Usually follow a rapid course

Answer

Usually accompanied by pain

Question 18

Which of the following is NOT considered an abscess of the periodontium?

Accepted Answer

Endodontic abscess

Answer

Periodontal abscess

Answer

Gingival abscess

Answer

Pericoronal abscess

Question 19

An abscess of the periodontium is an acute circumscribed collection of pus. Pus is a collection of dead white blood cells that were involved in fighting the infection.

Accepted Answer

Both statements are true

Answer

The first statement is true; the second is false

Answer

Both statements are false

Answer

The first statement is false; the second is true

Question 20

The term necrosis refers to the death of the cells comprising the gingival epithelium in necrotizing periodontal diseases. There are NO clinical signs to distinguish necrotizing gingivitis from plaque-induced gingivitis.

Accepted Answer

The first statement is true; the second is false

Answer

Both statements are false

Answer

Both statements are true

Answer

The first statement is false; the second is true

Question 21

Signs and symptoms of necrotizing gingivitis include all of the following EXCEPT:

Accepted Answer

Loss of alveolar bone

Answer

Punched-out papillae

Answer

Swollen lymph nodes

Answer

Formation of a pseudomembrane

Question 22

The single most important piece of information relative to a lawsuit is:

Accepted Answer

A patient chart with all treatments precisely documented

Answer

Whether the dentist has malpractice insurance

Answer

The character references of the patient bringing the law suit

Answer

The clinician's level of education

Question 23

An example of an intentional tort would be:

Accepted Answer

All of the above

Answer

Defamation by computer

Answer

Battery

Answer

Unlawful touching of a patient; infliction of emotional distress

Question 24

Negligence is different from an intentional tort in that:

Accepted Answer

Negligence does not require the intent to commit a wrongful action

Answer

Negligence is inability to provide consistently good treatment, and intentional tort is not keeping up with current technologies to provide treatment

Answer

Intentional tort is forgetting to perform a procedure, and negligence is performing a procedure poorly

Answer

None of the above; negligence and intentional tort are the same

Question 25

In judging whether a professional has been negligent, the courts use a standard called the prudent person rule. The court compares what a reasonable prudent person or professional would have done in a similar situation.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true; the second is false

Answer

The first statement is false; the second is true

Question 26

The space on the tooth surface occupied by the junctional epithelium and the connective tissue fibers.

Accepted Answer

Biological width

Answer

Periodontal thickness

Answer

Lamina Dura

Answer

Alveolar Crest

Question 27

The surface of calculus can damage the adjacent soft tissue through direct trauma

Accepted Answer

False

Answer

True

Question 28

As a local factor, calculus

Accepted Answer

Plaque retentive and increased biofilm pathogenicity only

Answer

plaque retentive

Answer

increased biofilm pathogenicity

Answer

causes direct damage

Question 29

Name this infrabony defect

Accepted Answer

One-wall

Answer

to the window, to the wall

Answer

Three wall

Answer

Two wall

Question 30

In a one wall infrabony defect, how many walls are remaining?

Accepted Answer

one wall

Answer

mesial wall

Answer

two walls

Answer

distal wall

Question 31

In a two wall infrabony defect, how many walls are missing?

Accepted Answer

one wall

Answer

three walls

Answer

two walls

Question 32

How many walls are remaining?

Accepted Answer

Three walls

Answer

WALL-E

Answer

Two walls

Answer

One wall

Question 33

What causes direct damage to periodontium?

Accepted Answer

Mouth breathing

Answer

oral piercing

Answer

calculus

Answer

tongue thrusting

Question 34

All of the following explains why it is so critical to minimize forces placed on a dental implant, EXCEPT:

Accepted Answer

bacterial plaque-biofilm contributes to peri-implantitis

Answer

forces are transmitted directly to the alveolar bone

Answer

a dental implant is osseointegrated

Answer

dental implants lack a PDL

Question 35

Which drugs cause gingival enlargement?

Accepted Answer

Anticonvulsants, Calcium Channel Blockers, Immunosuppressives

Answer

Anticonvulsants, Anticoagulants, Antidepressants

Answer

Calcium Channel Blockers, Immunosuppressives, Antidepressants

Answer

Anticonvulsants, Calcium Channel Blockers, Hypertensive

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