Nbdhe Major Exam 3 25 to 36 Case
Studies
Case Study 25
All of the following medical conditions are represented in the patient's profile except
one. What is the EXCEPTION?
A. Osteoporosis
B. Diabetes
C. Hypercholesterolemia
D. Coronary Artery Disease
E. Parkinson's Disease -
ANS E
Case Study 25
The discoloration on the palatal tissue bordering areas #12 and #13 is MOST likely
attributed to:
A. Trauma from extraction
B. Xerostomia
C. Amalgam tattoo
D. Normal pigmentation
E. Trauma from ill-fitting partial -
ANS D
Case Study 25
,What is the BEST protocol to follow based on the patient's blood pressure recording?
A. Recheck BP reading in 5 minutes
B. No dental hygiene care should be provided today
C. Refer to physician for consultation before any dental hygiene therapy
D. No dental management consideration required
E. Monitor at consecutive appointments -
ANS E
Case Study 25
After reviewing the intraoral images, what tooth has been extracted since the panoramic
image?
A. Tooth #6
B. Tooth #8
C. Tooth #13
D. Tooth #10
E. Tooth #9 -
ANS C
Case Study 25
The MOST obvious technique error illustrated in the panoramic image is:
A. Chin positioning too far downward in focal trough
B. Chin positioning too far upward in focal trough
C. Midline is not centered on the film
D. Chin rest is imaged
E. Old expired film -
ANS C
,Case Study 25
In reviewing the patient's medical history, what medication cannot be tolerated if
drinking alcohol?
A. Nifedipine
B. Lipitor
C. Fosamax
D. Klonopin
E. Glucophage -
ANS D
Case Study 25
In order to provide a dental hygiene care plan tailored with oral hygiene interventions, all
of the following should be addressed EXCEPT:
A. Toothbrush selection
B. Alcohol-free mouthrinse
C. Appointment sequencing
D. Stress-free environment
E. Smoking cessation -
ANS E
Case Study 25
Deep subgingival calculus is detected on teeth #3, #7 and anesthesia is required in
order to thoroughly scale and debride the areas. The following nerves to be
anesthetized are:
, A. PSA, MSA, ASA, GP
B. PSA, GP, ASA
C. PSA, GP, MSA, ASA
D. PSA, GP, MSA, ASA, NP
E. PSA, GP, ASA, NP -
ANS D
Case Study 25
While scaling subgingivally on the distobuccal root of tooth #14, the dental hygienist
breaks the instrument at the shank, what should he/she NOT do?
A. Expose the patient to a radiograph of the area
B. Examine with another instrument
C. Dry the area with the air-water syringe
D. Refer out for flap surgery
E. Isolate the area with cotton rolls or gauze -
ANS C
Case Study 25
What BEST describes the clustered-like projections observed diagonally between areas
#6, #11 and extending into the vault of the hard palate?
A. Median palatine raphe
B. Epulis fissuratum
C. Papillary hyperplasia
D. Herpetic gingivostomatitis
E. Nicotine stomatitis -
ANS E
Studies
Case Study 25
All of the following medical conditions are represented in the patient's profile except
one. What is the EXCEPTION?
A. Osteoporosis
B. Diabetes
C. Hypercholesterolemia
D. Coronary Artery Disease
E. Parkinson's Disease -
ANS E
Case Study 25
The discoloration on the palatal tissue bordering areas #12 and #13 is MOST likely
attributed to:
A. Trauma from extraction
B. Xerostomia
C. Amalgam tattoo
D. Normal pigmentation
E. Trauma from ill-fitting partial -
ANS D
Case Study 25
,What is the BEST protocol to follow based on the patient's blood pressure recording?
A. Recheck BP reading in 5 minutes
B. No dental hygiene care should be provided today
C. Refer to physician for consultation before any dental hygiene therapy
D. No dental management consideration required
E. Monitor at consecutive appointments -
ANS E
Case Study 25
After reviewing the intraoral images, what tooth has been extracted since the panoramic
image?
A. Tooth #6
B. Tooth #8
C. Tooth #13
D. Tooth #10
E. Tooth #9 -
ANS C
Case Study 25
The MOST obvious technique error illustrated in the panoramic image is:
A. Chin positioning too far downward in focal trough
B. Chin positioning too far upward in focal trough
C. Midline is not centered on the film
D. Chin rest is imaged
E. Old expired film -
ANS C
,Case Study 25
In reviewing the patient's medical history, what medication cannot be tolerated if
drinking alcohol?
A. Nifedipine
B. Lipitor
C. Fosamax
D. Klonopin
E. Glucophage -
ANS D
Case Study 25
In order to provide a dental hygiene care plan tailored with oral hygiene interventions, all
of the following should be addressed EXCEPT:
A. Toothbrush selection
B. Alcohol-free mouthrinse
C. Appointment sequencing
D. Stress-free environment
E. Smoking cessation -
ANS E
Case Study 25
Deep subgingival calculus is detected on teeth #3, #7 and anesthesia is required in
order to thoroughly scale and debride the areas. The following nerves to be
anesthetized are:
, A. PSA, MSA, ASA, GP
B. PSA, GP, ASA
C. PSA, GP, MSA, ASA
D. PSA, GP, MSA, ASA, NP
E. PSA, GP, ASA, NP -
ANS D
Case Study 25
While scaling subgingivally on the distobuccal root of tooth #14, the dental hygienist
breaks the instrument at the shank, what should he/she NOT do?
A. Expose the patient to a radiograph of the area
B. Examine with another instrument
C. Dry the area with the air-water syringe
D. Refer out for flap surgery
E. Isolate the area with cotton rolls or gauze -
ANS C
Case Study 25
What BEST describes the clustered-like projections observed diagonally between areas
#6, #11 and extending into the vault of the hard palate?
A. Median palatine raphe
B. Epulis fissuratum
C. Papillary hyperplasia
D. Herpetic gingivostomatitis
E. Nicotine stomatitis -
ANS E
