HESI Community + Provision + Scientific Basis Exam with 100% Correct Answers 2023
HESI Community + Provision + Scientific Basis Exam with 100% Correct Answers 2023 Case Study 1 - Correct Answer-A dental hygienist is creating an oral health care program for participants at a local women, infants, and children program (WIC). The hygienist will develop a community profile to determine the WIC participants dental knowledge. Instruction will include toothbrushing, oral physiotherapy techniques, and the relationship between diet and dental decay. The program will be offered for one month on days participants pick up food vouchers. By offering instruction at the WIC site, the dental hygienist hopes to educate caregivers and children early enough to prevent dental decay Which federal department overseas the women, infants and children (WIC) program ? - Correct Answer-Agriculture Which describes WIC historical data used to develop the community profile? - Correct Answer-Secondary Which type of data is gathered when WIC participants are asked? "Describe how you brush your child's teeth?" - Correct Answer-Qualitative The statement, "The oral health care program will improve the dental health of women and their children, "is an example of the program - Correct Answer-Goal Which level of prevention does the oral health care program address? - Correct AnswerPrimary Which provides information to parents on child developmental stages so the child's oral health needs can be adequately met? - Correct Answer-Anticipatory guidance Case Study 2 - Correct Answer-An orthodontist hypothesizes a relationship exists between tongue thrust swallowing and the position of anterior teeth. He conducts a study by selecting 35 subjects who have tongue thrust swallowing and a control group of 35 subjects without tongue - trust swallowing. Occlusion was determined using Angle's classification of malocclusion. The overjet of those who had tongue thrust were measured and compared with the corresponding values of the control subjects. The same orthodontist performed all measurements. Results determined that with p < 0.05, overjet measurements were significantly increased in persons with tongue - thrust when compared to persons who did not have tongue -thrust Which study was conducted? - Correct Answer-Clinical trail Which sampling technique was used to select the subjects? - Correct Answer-Purposive In this study, which was the independent variable? - Correct Answer-Tongue - thrust swallowing In this study, which important aspect was achieved by using only one examiner? - Correct Answer-Intra - examiner reliability Which statistical test is used to test the mean scores of the two groups? - Correct Answer-Independent t - test Referring to occurrence by chance alone, what does p - Correct Answer-5% or less probability Case Study 3 - Correct Answer-A community fair was held to provide information to residents regarding issues related to dental health. The dental hygienists organizing the events wanted to determine if the fair had an impact on the attendees' dental knowledge. Attendees were asked to complete a questionnaire prior to visiting five booths and immediately following attendance at the last booth. Ninety - three attendees voluntarily chose to complete the survey. The survey was a 10 - item dental health knowledge questionnaire with each item worth one point. It was administered in a pre - and - post-test design. Questionnaire items were in a true or false format. Each item was scored "1" if answered correctly and "0" if answered incorrectly. Items were totaled and overall pre-test scores were compared with overall post - test scores. Statistical analysis was used to determine the difference between the mean scores (p<.01). The pre-test results revealed a mean score of 6.49 and the post-test score revealed a mean score of 7.91. After reviewing the results the hygienists concluded the dental health fair was a benefit to the community Which study was conducted? - Correct Answer-Cross - sectional Which sampling technique was used to select the attendees? - Correct AnswerConvenience In this study, which was the dependent variable? - Correct Answer-Test scores In this study, which is the independent variable? - Correct Answer-Dental education Which statistical test measures the mean scores? - Correct Answer-Dependent t-test Referring to occurrence by chance alone, what does p<.01 indicate? - Correct Answer1% or less probability Case Study 4 - Correct Answer-City council members are scheduled to listen to concerns of the community at a public meeting regarding fluoride supplementation of city water. The main points of contention within the community revolve around the issues of too much or too little fluoride in the water. In addition, several vocal antifluoridationists declare the city government is forcing medication on them with the fluoridation. The presidents of the local dental hygiene association has been asked to provide the forum with information on the water fluoridation, alternatives to fluoridation, and other community concerns Which level of prevention is water fluoridation? - Correct Answer-Primary Before January 2011 which is the optimum concentration of fluoride in parts per million (ppm) in community drinking water? - Correct Answer-1 Which ethical principle is expressed by the antifluoridationists? - Correct AnswerAutonomy Which dental index measures dental fluorosis on two or more teeth? - Correct AnswerDean's Which United States government agency declared fluoridation of drinking water as one of the ten great public health achievements of the twentieth century? - Correct AnswerCenter for Disease Control and Prevention Which is the most efficacious and cost-effective method of bringing fluoride to a community? - Correct Answer-Water Fluoridation Which results will ensue if a kVP below 65 is used when exposing radiographs? - Correct Answer-Exposure to radiation is increased Each of the following compounds is used to fluoridate domestic water systems except one. Which is the exception? - Correct Answer-Acidulated phosphate Most dental sealants placed are self cured because this process allows for a longer working time for the operator - Correct AnswerEach of the following patients would benefit from prescription fluoride supplements EXCEPT one. Which one is the EXCEPTION? - Correct Answer-A 33 year old female in her second trimester of pregnancy who drinks unflouridated water In addition to bleeding, which other characteristic best describes a mild case of gingivitis? - Correct Answer-Areas of pseudo pocketing Each of the following is true concerning professionally applied topical fluoride in a tray except one. Which one us the EXCEPTION? - Correct Answer-Ask the patient to rinse thoroughly following the application to prevent ingestion Which most effectively identifies plaque biofilm on tooth surfaces? - Correct AnswerDisclosing agent Mobility is a risk factor for periodontal disease progression. Mobility is measured using bidigital evaluation when teeth are not occluded? - Correct Answer-Both true After taking a periapical of tooth #24 using the paralleling technique, the dental hygienist notices the image appears elongated. How would the hygienist correct this error? - Correct Answer-Increase negative vertical angulation A patient in her 7th month of pregnancy begins to feel nauseous during the dental prophylaxis. Suddenly, the patient begins to sweat and start gasping for air. What is the patient experiencing? - Correct Answer-Supine hypotensive syndrome Which vaccination does OSHA require employers to offer to all personnel at risk of exposure to blood and other potentially infectious material? - Correct Answer-Hep B The Hepatitis B Virus is transmitted through ingestion of foods or water contaminated by an infected person. The Hep A virus is transmitted through blood, blood products or bodily fluid. - Correct Answer-False its vice versa Which pathogen is transmitted via inhalation of airborne droplet nuclei? - Correct Answer-mycobacterium tuberculosis Each of the following medical emergencies indicates administration of oxygen EXCEPT ONE. Which one is the exception? - Correct Answer-Hyperventilation Which sound results from a bronchospasm that occurs during an asthmatic attack? - Correct Answer-Wheezing Which oral physiotherapy is indicated for a patient with type 1 embrasures? - Correct Answer-Dental floss The exaggerated inflammatory response of gingival tissues for local irritants that can occur during pregnancy is commonly known as pregnancy gingivitis. this exaggerated response of gingival tissue is due to an increase in the systematic level of the hormone testosterone - Correct Answer-First statement is true, second is false Where on the learning-ladder continuum does a patient recognize a problem and indicate a tentative inclination toward action? - Correct Answer-Self interest Where on the learning ladder is the patient motivated to act on the information provided? - Correct Answer-Involvement Where on the learning ladder continuum does a patient institute a new behavior? - Correct Answer-Action Dental needles are available in three lengths : long short and ultrashort. the lower the gauge number, the smaller the diameter of the lumen - Correct Answer-First is true second is false Which is the most common desensitizing agent found over the counter denitrifies? - Correct Answer-Potassium nitrate Pain threshold is the point at which an uncomfortable stimulus is perceived as painful. Pain tolerance is the maximum amount of pain a person can tolerate. - Correct AnswerBoth are true Which preservative ingredient is in local anesthetic? - Correct Answer-Sodium bisulfate Which strategy should be implemented for a patient who presents with a sustained bp reading of 160/100 mmhg with no previous hypertension? - Correct Answer-Postpone treatment and refer patient to physician of record Which oral hygiene index includes all teeth in the assessment and is used for plaque visualization and oral hygiene motivation? - Correct Answer-O"Leary plaque control record Which is classified as an acquired disability? - Correct Answer-Multiple sclerosis Which is a developmental disability? - Correct Answer-Chromosomal abnormality Which should be obtained when physical restraint is recommended for patient safety during a dental procedure? - Correct Answer-Informed consent Which persons may give consent when presenting a treatment plan fir an incompetent adult? - Correct Answer-Legal guardian For elective dental procedures in which trimester should be a pregnant patient be treated? - Correct Answer-Second When developing oral hygiene instruction for an elderly patient, at what age should the educational material be directed? - Correct Answer-Functional During a case presentation, which patient visual impairment requires the clinician to be positioned to the patients side? - Correct Answer-Macular degeneration Which best describes the principle cause of periodontitis? - Correct Answer-Host response to bacterial plaque biofilm Which bony structure is initially destroyed by the periodontitis? - Correct AnswerCortical plate of interdental septum The initial examination of a 45 year old female reveals localized advanced periodontitis. Which is the initial treatment? - Correct Answer-Nonsurgical periodontal therapy Which periodontal disease does NOT benefit from systemic antibiotic treatment? - Correct Answer-Localized advanced chronic Which sequence of debridement is recommended for moderate periodontitis? - Correct Answer-Quadrant scaling and root planning in four treatment appointments At which interval of maintenance treatment, in months does the long term-success of nonsurgical periodontal therapy rely? - Correct Answer-3 An assessment of the patients dentition reveals the presence of a large amalgam overhang. radiographic evidence confirms that nearly 2/3 of the interproximal embrassue space is obstructed by amalgam. Which procedure is indicated? - Correct Answer-Replacement of restoration Which is true regarding sutures? - Correct Answer-Sutures are always knotted on buccal surfaces Periodontal dressings are used to stop gingival bleeding after periodontal surgery. surgical wounds heal more quickly when protected by a periodontal dressing - Correct Answer-both are false Which are side effects of locally administered antibiotics? - Correct Answer-nonexistent Which periodontal probing depth is recorded when the 3 mm mark is just barley covered? - Correct Answer-4 The patients periodontal evaluation reveals a localized 6mm probe reading accompanied by 3mm of recession and 1mm of mesiolingual mobility. which figure, in millimeters, represents the clinical attachment loss - Correct Answer-9 From which approach is the mesial furcation of tooth 3 examined? - Correct AnswerPalatal Which assess fremitus? - Correct Answer-Clinicians index finger Each oral finding is within normal limits EXCEPT one. Which one is the exception? - Correct Answer-Ranula In which position is the hard and soft palate most visible? - Correct Answer-Supine position, head tilted back and mouth wide open Which is the most common site of intraoral cancer - Correct Answer-Lateral boarder of the tounge Which extraoral projection is used to evaluate skeletal relationships prior to orthodontic treatment? - Correct Answer-Lateral cephalometric Which classification does the american society of anesthesiologists (ASA) assign a patient with controlled angina pectoris? - Correct Answer-asa 3 The vast majority of disabled individuals earn a middle-class income. The cost of dental treatment is manageable for most patients with disabilities. - Correct Answer-Both are false Each of the following are signs of moderate apprehension EXCEPT one. Which one is the exception? - Correct Answer-Dizziness Which defines right or wrong conduct? - Correct Answer-Ethics Which ethical competency is conflicted when individual autonomy is challenged? - Correct Answer-Core values Which is not a part of a patients informed refusal of treatment? - Correct AnswerDismissal from practice Each of the following is a component of informed consent except one. Which one is the exception? - Correct Answer-Financial agreements A plaintiff cannot use the testimony of a specialist to establish the standard of care for a general dentist because the court requires all dentists to properly diagnose disease - Correct Answer-Both statements and reasons are correct but not related Under the legal theory of respondents superior, which party is liable for damages to a patient resulting from breach of confidence? - Correct Answer-Dentist Which is NOT a cause for patient dismissal from a dental practice? - Correct AnswerLack of proof of alien work permit Each of the following is a concept dental professionals should embrace EXCEPT one. which one is the exception? - Correct Answer-Compliance with self referral the dental hygienist speaks privately with the dentist regarding over prescribing radiographs for a patient. Which ethical responsibility does this acknowledge? - Correct Answer-Autonomy Which communication technique is most beneficial when addressing an ethical concern with the dentist? - Correct Answer-Provide sound scientific evidence The dental hygienist attempts to view the dentist directive to expose radiographs every 6 months. Which is evident? - Correct Answer-Empathy Each of the following should be included in a dismissal letter except one. Which one is the exception? - Correct Answer-Financial details and method of payment Dental professionals who volunteer their time and services for nonprofit are exempt from liability. Dental professionals who treat family members at no charge are giving a gift that is not subject to malpractice action or damage award - Correct Answer-Both false How long should a minor's record to be kept? - Correct Answer-Until the child reaches age of majority Which is the best reason to maintain a separate incident file for documenting irrational or belligerent patient behavior? - Correct Answer-Dentist clinic attorney privileges The dentist cannot be held liable for ask my employees because the patient must prove the dentist new the employee was incompetent - Correct Answer-The statement is not correct but the reason is correct What is not a purpose for accurate chart documentation? - Correct Answer-Genetic mapping Two tone disclosing solution is used to assess the patient's overall home care routine. Violet blue pigment stains The lingual surfaces of the mandibular premolars, which are tilted Lingually towards Prominent mandibular Tori.All other tooth surfaces are clean and unstained. Which brushing modification will likely produce an improvement - Correct Answer-Augment current routine with a child size toothbrush and area specific instructions Which instruction is not recommended for maintenance of a partial denture with clasps? - Correct Answer-Soak partial denture overnight and a dilute sodium hypo chloride solution Which tooth brushing is most effective for cleaning around fixed orthodontic appliances? - Correct Answer-Charter A patient in her second trimester of pregnancy experiences severe morning sickness. what should the patient do immediately after vomiting? - Correct Answer-Rinse mouth thoroughly with a solution of baking soda and water A thorough review of the health history and nutritional analysis indicates the patient is an elevated Risk for developing osteoporosis. Which vitamin deficiency is associated with a loss of mineralize bone tissue? - Correct Answer-D
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