Dental Hygiene Prometric Exam, CSCE, Computer
Simulated Dental Hygiene Exam, Dental Hygiene
Prometric Exam CDCA, Dental Hygiene Computer
Simulated Case Test Bank Newest 2026| Complete
Questions and Correct Verified Answers/ Graded A+
Q1. A patient presents with a blood pressure reading of
160/116 mmHg. What is the most appropriate dental hygiene
action?
A) Proceed with routine prophylaxis
B) Use local anesthetic with epinephrine
C) Refer the patient to their physician immediately
D) Recheck blood pressure at the end of the appointment
Answer: C) Refer the patient to their physician immediately
Rationale: A diastolic pressure of 116 mmHg indicates
hypertensive crisis (Stage 2 hypertension with systolic ≥140 or
1
,diastolic ≥90). Elective dental treatment should be postponed
and the patient referred to their physician immediately for
evaluation. Local anesthetics with epinephrine are
contraindicated in this situation .
Q2. Which medication is most commonly associated with
xerostomia as an oral side effect?
A) Amoxicillin
B) Prozac (fluoxetine)
C) Ibuprofen
D) Albuterol
Answer: B) Prozac (fluoxetine)
Rationale: Prozac (fluoxetine) and other SSRIs commonly cause
xerostomia as a side effect due to their anticholinergic effects on
salivary gland function. Over 500 medications can cause
xerostomia, with SSRIs being among the most common offenders .
2
,Q3. A patient with infective endocarditis has no
contraindications for premedication. During which of the
following procedures would premedication be required?
A) Probing
B) Suture removal
C) Dental impressions
D) Sealants
Answer: A) Probing
Rationale: According to AHA guidelines, probing is considered a
manipulation of gingival tissue that can cause bacteremia. For
patients with infective endocarditis who have no
contraindications, premedication is required for all procedures
that involve manipulation of gingival tissue or perforation of the
oral mucosa .
3
, Q4. A patient who is not allergic to penicillin and has a
history of infective endocarditis requires premedication. What
is the correct antibiotic and dosage?
A) Penicillin 2 grams
B) Amoxicillin 2 grams
C) Clindamycin 500 mg
D) Azithromycin 500 mg
Answer: B) Amoxicillin 2 grams
Rationale: For patients not allergic to penicillin, amoxicillin 2
grams (adult dose) taken orally 30-60 minutes before the
procedure is the standard premedication regimen per AHA
guidelines. Clindamycin is used for penicillin-allergic patients .
Q5. How often do patients need to sign a HIPAA form?
A) Every year
B) Every 3 years
4
Simulated Dental Hygiene Exam, Dental Hygiene
Prometric Exam CDCA, Dental Hygiene Computer
Simulated Case Test Bank Newest 2026| Complete
Questions and Correct Verified Answers/ Graded A+
Q1. A patient presents with a blood pressure reading of
160/116 mmHg. What is the most appropriate dental hygiene
action?
A) Proceed with routine prophylaxis
B) Use local anesthetic with epinephrine
C) Refer the patient to their physician immediately
D) Recheck blood pressure at the end of the appointment
Answer: C) Refer the patient to their physician immediately
Rationale: A diastolic pressure of 116 mmHg indicates
hypertensive crisis (Stage 2 hypertension with systolic ≥140 or
1
,diastolic ≥90). Elective dental treatment should be postponed
and the patient referred to their physician immediately for
evaluation. Local anesthetics with epinephrine are
contraindicated in this situation .
Q2. Which medication is most commonly associated with
xerostomia as an oral side effect?
A) Amoxicillin
B) Prozac (fluoxetine)
C) Ibuprofen
D) Albuterol
Answer: B) Prozac (fluoxetine)
Rationale: Prozac (fluoxetine) and other SSRIs commonly cause
xerostomia as a side effect due to their anticholinergic effects on
salivary gland function. Over 500 medications can cause
xerostomia, with SSRIs being among the most common offenders .
2
,Q3. A patient with infective endocarditis has no
contraindications for premedication. During which of the
following procedures would premedication be required?
A) Probing
B) Suture removal
C) Dental impressions
D) Sealants
Answer: A) Probing
Rationale: According to AHA guidelines, probing is considered a
manipulation of gingival tissue that can cause bacteremia. For
patients with infective endocarditis who have no
contraindications, premedication is required for all procedures
that involve manipulation of gingival tissue or perforation of the
oral mucosa .
3
, Q4. A patient who is not allergic to penicillin and has a
history of infective endocarditis requires premedication. What
is the correct antibiotic and dosage?
A) Penicillin 2 grams
B) Amoxicillin 2 grams
C) Clindamycin 500 mg
D) Azithromycin 500 mg
Answer: B) Amoxicillin 2 grams
Rationale: For patients not allergic to penicillin, amoxicillin 2
grams (adult dose) taken orally 30-60 minutes before the
procedure is the standard premedication regimen per AHA
guidelines. Clindamycin is used for penicillin-allergic patients .
Q5. How often do patients need to sign a HIPAA form?
A) Every year
B) Every 3 years
4
