Florida
Dental Jurisprudence
Final Exam Review
(With Solutions)
2025
1
,Case: Dr. López delegates definitive supragingival scaling to Ms. Diaz,
a dental assistant who has 8 years of experience but no formal
expanded-function certification.
Question: Which Florida legal concept is most directly violated?
A. Direct supervision standard
B. Indirect supervision standard
C. Assignment of irreversible procedures
D. Unlicensed practice of dentistry
Correct ANSWER: D
Rationale: Scaling is an irreversible procedure that, under F.S.
466.024, may only be delegated to a licensed hygienist; delegating it
to an unlicensed assistant constitutes unlicensed practice.
Case: A 14-year-old patient presents with a fractured incisor. Her
mother consents by telephone after the dentist explains the risks and
benefits, and the conversation is documented in the chart.
Question: Under Florida law, which element of informed consent is
most vulnerable in this scenario?
A. Competence of the provider
B. Adequacy of disclosure
C. Voluntariness of decision
D. Legally acceptable form of consent
Correct ANSWER: D
Rationale: For minors, consent usually must be written and signed by
a guardian except in limited statutory exceptions; telephone consent
alone is generally insufficient.
Case: During a peer-review hearing, Dr. Singh withholds radiographs
requested by the panel, citing HIPAA.
Question: Which authority allows the peer-review committee to
access the records without violating HIPAA?
A. OSHA exemption
B. Treatment, Payment, & Healthcare Operations (TPO) exemption
2
, C. Public health reporting exemption
D. Court order exception
Correct ANSWER: B
Rationale: Peer review is considered a healthcare operation, so PHI
may be shared without patient authorization (45 CFR 164.506).
Case: A patient requests deletion of a diagnostic photo from her
electronic record because she is embarrassed.
Question: What is the legally correct Florida response?
A. Delete the image immediately
B. Refuse deletion but note the request
C. Replace it with a lower-resolution image
D. Archive it off-site and remove from the active chart
Correct ANSWER: B
Rationale: The record is owned by the dentist (F.S. 456.057); patients
may add statements or obtain copies but cannot compel deletion.
Case: Dr. Nolan advertises “Board-Certified Endodontist” on her
website but has only completed a GPR.
Question: Which law or rule is breached?
A. Florida Deceptive and Unfair Trade Practices Act
B. ADA advertising guidelines only
C. 64B5-14 Specialty Advertisement Rule
D. Stark Law
Correct ANSWER: C
Rationale: 64B5-14 prohibits claiming specialty status without ADA-
recognized specialty board certification.
Case: A hygienist working under general supervision in Florida
administers local infiltration anesthesia.
Question: The act is:
A. Permissible if the dentist pre-authorizes it each day
B. Permissible if the hygienist has completed a 30-hour course
C. Prohibited under any circumstance
D. Permissible only in mobile dental clinics
3
Dental Jurisprudence
Final Exam Review
(With Solutions)
2025
1
,Case: Dr. López delegates definitive supragingival scaling to Ms. Diaz,
a dental assistant who has 8 years of experience but no formal
expanded-function certification.
Question: Which Florida legal concept is most directly violated?
A. Direct supervision standard
B. Indirect supervision standard
C. Assignment of irreversible procedures
D. Unlicensed practice of dentistry
Correct ANSWER: D
Rationale: Scaling is an irreversible procedure that, under F.S.
466.024, may only be delegated to a licensed hygienist; delegating it
to an unlicensed assistant constitutes unlicensed practice.
Case: A 14-year-old patient presents with a fractured incisor. Her
mother consents by telephone after the dentist explains the risks and
benefits, and the conversation is documented in the chart.
Question: Under Florida law, which element of informed consent is
most vulnerable in this scenario?
A. Competence of the provider
B. Adequacy of disclosure
C. Voluntariness of decision
D. Legally acceptable form of consent
Correct ANSWER: D
Rationale: For minors, consent usually must be written and signed by
a guardian except in limited statutory exceptions; telephone consent
alone is generally insufficient.
Case: During a peer-review hearing, Dr. Singh withholds radiographs
requested by the panel, citing HIPAA.
Question: Which authority allows the peer-review committee to
access the records without violating HIPAA?
A. OSHA exemption
B. Treatment, Payment, & Healthcare Operations (TPO) exemption
2
, C. Public health reporting exemption
D. Court order exception
Correct ANSWER: B
Rationale: Peer review is considered a healthcare operation, so PHI
may be shared without patient authorization (45 CFR 164.506).
Case: A patient requests deletion of a diagnostic photo from her
electronic record because she is embarrassed.
Question: What is the legally correct Florida response?
A. Delete the image immediately
B. Refuse deletion but note the request
C. Replace it with a lower-resolution image
D. Archive it off-site and remove from the active chart
Correct ANSWER: B
Rationale: The record is owned by the dentist (F.S. 456.057); patients
may add statements or obtain copies but cannot compel deletion.
Case: Dr. Nolan advertises “Board-Certified Endodontist” on her
website but has only completed a GPR.
Question: Which law or rule is breached?
A. Florida Deceptive and Unfair Trade Practices Act
B. ADA advertising guidelines only
C. 64B5-14 Specialty Advertisement Rule
D. Stark Law
Correct ANSWER: C
Rationale: 64B5-14 prohibits claiming specialty status without ADA-
recognized specialty board certification.
Case: A hygienist working under general supervision in Florida
administers local infiltration anesthesia.
Question: The act is:
A. Permissible if the dentist pre-authorizes it each day
B. Permissible if the hygienist has completed a 30-hour course
C. Prohibited under any circumstance
D. Permissible only in mobile dental clinics
3
