mock nbdhe case studies first 16 with
correct Answers
cs2
79 year old female
african american
hasnt been to dentist in 3 years
stroke 4 years ago
diabetic, GERD, hypertension, hyperglycemia, and osteoporosis.
HbA1C is 8.0-9.0%.
Blood Pressure: 120/80; Pulse: 85 bpm; Respiration: 20 breaths/minute
The patient reports she had the mandibular right first molar extracted 4 years ago
due to an abscess and has received no dental treatment since.
She reports brushing her teeth twice a day with a fairly hard manual toothbrush. She
does not floss and is uncertain whether she uses a fluoridated toothpaste. She
poses the following questions:
She is curious about a power brush since her hands are weak.
She questions whether a mouth rinse will reduce the bleeding from her gums.
A large nevus is present on the left side of her face.
There is a large circular discoloration on the gingiva just above teeth numbers 10 &
11.
81 mg aspirin, daily insulin injections, (Omeprazole) Prilosec® -
✔️
cs 2
1. According to G.V. Black's classification of restorations, the classification for tooth
#17 is: -
✔️
class I
cs 2
All of the following home care regimens would prove beneficial for this patient except
one. What is the EXCEPTION?
A. Interdental brush
B. Power toothbrush
C. Sodium fluoride dentifrice
D. 0.12% chlorhexidine gluconate rinse for 2 weeks
E. Dental floss -
✔️
C
cs2
The left premolar bitewing radiograph lacks diagnostic quality due to:
A. Poor film placement
B. Incorrect horizontal angulation
C. Decreased kVp setting
D. Increased mA setting -
✔️
A
,cs2
The brown circular discoloration in the gingiva above teeth numbers 10 & 11, is most
likely a:
A. Nevus
B. Melanin pigmentation
C. Melanoma
D. Kaposi's sarcoma -
✔️B
cs2
There is a radiolucency on the distal surface of the root on tooth # 2 adjacent to the
impacted third molar. You would classify this as a(n):
A. Distortion
B. Restoration
C. An anomaly
D. Root caries -
✔️
D
cs2
Based on the patient's daily medications, all of the following medical conditions are
being treated except one. What is the EXCEPTION?
A. Cardiovascular disease
B. Hypertension
C. Osteoporosis
D. Rheumatoid arthritis
E. Type 1 diabetes -
✔️
D
cs2
Based on the patient's clinical & radiographic findings, how would you classify her
periodontal status according to the 2018 AAP classification of periodontal and peri-
implant diseases and conditions?
A. Generalized Gingivitis
B. Stage 1 Grade A Periodontitis
C. Stage 1 Grade B Periodontitis
D. Stage 2 Grade C Periodontitis -
✔️
D
cs2
Based on the patient's plaque score and bleeding index, the BEST course of action
the dental hygienist should plan is:
A. Reducing the stress level at the dental visit
B. Assisting in a tobacco cessation intervention
C. Demonstrating proper toothbrushing and interproximal care
D. Demonstrating the proper technique for water irrigation -
✔️
C
, (Clopidogrel bisulfate) Plavix® is prescribed for the patient based on what medical
condition?
A. Osteoporosis
B. GERD
C. Elevated cholesterol
D. Cerebrovascular accident -
✔️
D
There are visible bilateral radio-opacities in front of tooth numbers 22 & 28. Upon
intraoral inspection, you find some interesting rounded projections in those regions
lingually which you classify as:
A. Salivary gland tumors
B. Mandibular tori
C. Bone cancer
D. Fibromas -
✔️B
81 mg aspirin is for -
✔️heart attack
(Omeprazole) Prilosec® is for -
✔️
GERD
(Lovastatin) Mevacor® is for -
✔️
high cholesterol
(Atenolol) Tenormin®, (Ramipril) Altace® are for -
✔️
HBP
(Clopidogrel bisulfate) Plavix® is for -
✔️
heart attack
(Risedronate sodium) Actonel® is for ********* -
✔️
OSTEOPOROSIS AND PAGET'S DISEASE
what is a normal hba1c for non diabetics -
✔️
4-5.9%
what is hb1ac for diabetics uncontrolled usually at and whats target -
✔️
above 7%
target for diabetics is below 7% and less than 180
What is HbA1c, how often is it taken -
✔️Hemoglobin A1c levels correlate with average levels of glucose in the blood over
an approximately three-month time
what is the blood glucose target range before meals -
✔️
80-130
correct Answers
cs2
79 year old female
african american
hasnt been to dentist in 3 years
stroke 4 years ago
diabetic, GERD, hypertension, hyperglycemia, and osteoporosis.
HbA1C is 8.0-9.0%.
Blood Pressure: 120/80; Pulse: 85 bpm; Respiration: 20 breaths/minute
The patient reports she had the mandibular right first molar extracted 4 years ago
due to an abscess and has received no dental treatment since.
She reports brushing her teeth twice a day with a fairly hard manual toothbrush. She
does not floss and is uncertain whether she uses a fluoridated toothpaste. She
poses the following questions:
She is curious about a power brush since her hands are weak.
She questions whether a mouth rinse will reduce the bleeding from her gums.
A large nevus is present on the left side of her face.
There is a large circular discoloration on the gingiva just above teeth numbers 10 &
11.
81 mg aspirin, daily insulin injections, (Omeprazole) Prilosec® -
✔️
cs 2
1. According to G.V. Black's classification of restorations, the classification for tooth
#17 is: -
✔️
class I
cs 2
All of the following home care regimens would prove beneficial for this patient except
one. What is the EXCEPTION?
A. Interdental brush
B. Power toothbrush
C. Sodium fluoride dentifrice
D. 0.12% chlorhexidine gluconate rinse for 2 weeks
E. Dental floss -
✔️
C
cs2
The left premolar bitewing radiograph lacks diagnostic quality due to:
A. Poor film placement
B. Incorrect horizontal angulation
C. Decreased kVp setting
D. Increased mA setting -
✔️
A
,cs2
The brown circular discoloration in the gingiva above teeth numbers 10 & 11, is most
likely a:
A. Nevus
B. Melanin pigmentation
C. Melanoma
D. Kaposi's sarcoma -
✔️B
cs2
There is a radiolucency on the distal surface of the root on tooth # 2 adjacent to the
impacted third molar. You would classify this as a(n):
A. Distortion
B. Restoration
C. An anomaly
D. Root caries -
✔️
D
cs2
Based on the patient's daily medications, all of the following medical conditions are
being treated except one. What is the EXCEPTION?
A. Cardiovascular disease
B. Hypertension
C. Osteoporosis
D. Rheumatoid arthritis
E. Type 1 diabetes -
✔️
D
cs2
Based on the patient's clinical & radiographic findings, how would you classify her
periodontal status according to the 2018 AAP classification of periodontal and peri-
implant diseases and conditions?
A. Generalized Gingivitis
B. Stage 1 Grade A Periodontitis
C. Stage 1 Grade B Periodontitis
D. Stage 2 Grade C Periodontitis -
✔️
D
cs2
Based on the patient's plaque score and bleeding index, the BEST course of action
the dental hygienist should plan is:
A. Reducing the stress level at the dental visit
B. Assisting in a tobacco cessation intervention
C. Demonstrating proper toothbrushing and interproximal care
D. Demonstrating the proper technique for water irrigation -
✔️
C
, (Clopidogrel bisulfate) Plavix® is prescribed for the patient based on what medical
condition?
A. Osteoporosis
B. GERD
C. Elevated cholesterol
D. Cerebrovascular accident -
✔️
D
There are visible bilateral radio-opacities in front of tooth numbers 22 & 28. Upon
intraoral inspection, you find some interesting rounded projections in those regions
lingually which you classify as:
A. Salivary gland tumors
B. Mandibular tori
C. Bone cancer
D. Fibromas -
✔️B
81 mg aspirin is for -
✔️heart attack
(Omeprazole) Prilosec® is for -
✔️
GERD
(Lovastatin) Mevacor® is for -
✔️
high cholesterol
(Atenolol) Tenormin®, (Ramipril) Altace® are for -
✔️
HBP
(Clopidogrel bisulfate) Plavix® is for -
✔️
heart attack
(Risedronate sodium) Actonel® is for ********* -
✔️
OSTEOPOROSIS AND PAGET'S DISEASE
what is a normal hba1c for non diabetics -
✔️
4-5.9%
what is hb1ac for diabetics uncontrolled usually at and whats target -
✔️
above 7%
target for diabetics is below 7% and less than 180
What is HbA1c, how often is it taken -
✔️Hemoglobin A1c levels correlate with average levels of glucose in the blood over
an approximately three-month time
what is the blood glucose target range before meals -
✔️
80-130
