Ohio
Dental Jurisprudence
Final Exam Review
(With Solutions)
2025
1
,1. (Multiple Choice)
A dentist refuses treatment to a patient diagnosed with HIV/AIDS
due to fear of infection. Which ethical principle is most directly
violated?
A. Autonomy
B. Justice
C. Veracity
D. Beneficence
ANS: B. Justice
Rationale: Justice requires equitable care without discrimination.
Denying treatment based on HIV status contravenes fairness in
patient selection and access to dental services.
2. (Fill in the Blank)
The ethical obligation that emphasizes honesty in communications
and record-keeping is termed ________.
ANS: veracity
Rationale: Veracity mandates complete truthfulness in all
professional interactions, including patient explanations and
documentation.
3. (True/False)
A dentist may ethically delegate the final diagnosis of oral pathology
to an expanded-function dental assistant.
ANS: False
Rationale: Diagnosis is a core responsibility of the dentist and
cannot be delegated to auxiliary personnel under Ohio law or the ADA
2
,Code of Ethics.
4. (Multiple Response)
Which of the following duties exemplify the principle of
nonmaleficence? (Select all that apply.)
- A. Maintaining aseptic protocols during surgery
- B. Referring a complex case beyond personal competence
- C. Monitoring for potential drug interactions
- D. Offering steep fee discounts to increase patient volume
ANS: A, B, C
Rationale: Nonmaleficence (“do no harm”) encompasses safe
infection control, recognizing limits of expertise and referring
appropriately, and guarding against adverse pharmacologic effects.
Fee-discount strategies relate to beneficence or justice, not directly
to avoiding harm.
5. (Multiple Choice)
A dentist continues practicing despite known impairment from
substance use. Which principle is breached?
A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice
ANS: C. Nonmaleficence
Rationale: Practicing while impaired endangers patient safety and
violates the foundational obligation to avoid harm.
---
Section B: Legal Responsibilities and Scope of Practice
3
, 6. (Multiple Choice)
Under Ohio Revised Code, which procedure may a registered dental
hygienist perform under direct supervision?
A. Surgical extraction of a third molar
B. Administration of local anesthesia (if certified)
C. Prescription of systemic antibiotics
D. Fabrication of removable partial dentures
ANS: B. Administration of local anesthesia (if certified)
Rationale: Ohio law permits properly credentialed hygienists to
administer local anesthetics under direct dentist supervision, but
surgical and prescriptive duties remain exclusively within the
dentist’s scope.
7. (True/False)
A dental hygienist in Ohio may administer nitrous oxide sedation
under direct dentist supervision once properly trained.
ANS: True
Rationale: Hygienists who complete Board-approved nitrous oxide
and anxiety control training may administer inhalation analgesia
under a dentist’s direct supervision.
8. (Fill in the Blank)
The section of the Ohio Revised Code that broadly defines the
practice of dentistry is Chapter ________.
ANS: 4715
Rationale: ORC Chapter 4715 outlines definitions, duties and
regulatory requirements governing dental practice in Ohio.
9. (Multiple Response)
4
Dental Jurisprudence
Final Exam Review
(With Solutions)
2025
1
,1. (Multiple Choice)
A dentist refuses treatment to a patient diagnosed with HIV/AIDS
due to fear of infection. Which ethical principle is most directly
violated?
A. Autonomy
B. Justice
C. Veracity
D. Beneficence
ANS: B. Justice
Rationale: Justice requires equitable care without discrimination.
Denying treatment based on HIV status contravenes fairness in
patient selection and access to dental services.
2. (Fill in the Blank)
The ethical obligation that emphasizes honesty in communications
and record-keeping is termed ________.
ANS: veracity
Rationale: Veracity mandates complete truthfulness in all
professional interactions, including patient explanations and
documentation.
3. (True/False)
A dentist may ethically delegate the final diagnosis of oral pathology
to an expanded-function dental assistant.
ANS: False
Rationale: Diagnosis is a core responsibility of the dentist and
cannot be delegated to auxiliary personnel under Ohio law or the ADA
2
,Code of Ethics.
4. (Multiple Response)
Which of the following duties exemplify the principle of
nonmaleficence? (Select all that apply.)
- A. Maintaining aseptic protocols during surgery
- B. Referring a complex case beyond personal competence
- C. Monitoring for potential drug interactions
- D. Offering steep fee discounts to increase patient volume
ANS: A, B, C
Rationale: Nonmaleficence (“do no harm”) encompasses safe
infection control, recognizing limits of expertise and referring
appropriately, and guarding against adverse pharmacologic effects.
Fee-discount strategies relate to beneficence or justice, not directly
to avoiding harm.
5. (Multiple Choice)
A dentist continues practicing despite known impairment from
substance use. Which principle is breached?
A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice
ANS: C. Nonmaleficence
Rationale: Practicing while impaired endangers patient safety and
violates the foundational obligation to avoid harm.
---
Section B: Legal Responsibilities and Scope of Practice
3
, 6. (Multiple Choice)
Under Ohio Revised Code, which procedure may a registered dental
hygienist perform under direct supervision?
A. Surgical extraction of a third molar
B. Administration of local anesthesia (if certified)
C. Prescription of systemic antibiotics
D. Fabrication of removable partial dentures
ANS: B. Administration of local anesthesia (if certified)
Rationale: Ohio law permits properly credentialed hygienists to
administer local anesthetics under direct dentist supervision, but
surgical and prescriptive duties remain exclusively within the
dentist’s scope.
7. (True/False)
A dental hygienist in Ohio may administer nitrous oxide sedation
under direct dentist supervision once properly trained.
ANS: True
Rationale: Hygienists who complete Board-approved nitrous oxide
and anxiety control training may administer inhalation analgesia
under a dentist’s direct supervision.
8. (Fill in the Blank)
The section of the Ohio Revised Code that broadly defines the
practice of dentistry is Chapter ________.
ANS: 4715
Rationale: ORC Chapter 4715 outlines definitions, duties and
regulatory requirements governing dental practice in Ohio.
9. (Multiple Response)
4
