— 100-Question Advanced Practice
Exam 2026 | Questions & Answers with
Detailed Rationales | Complete Exam
Prep & Study Guide
1.
A dentist applying for Maryland licensure has passed the required clinical and
national examinations. Which additional examination requirement applies
specifically to Maryland licensure?
A. A federal controlled-substance examination only
B. A Maryland written examination addressing laws, regulations, ethics, and
Maryland jurisprudence
C. A second clinical examination administered exclusively by the Maryland Board
D. An examination limited to dental anatomy
Answer: A Maryland written examination addressing laws, regulations, ethics,
and Maryland jurisprudence
,Rationale: Maryland requires an additional written law examination covering
general laws, regulations, ethics, and Maryland jurisprudence. Each section
must be passed at the required level.
2.
An applicant receives a score of 74 on one section of the Maryland law
examination but scores 92 on the other section. What is the appropriate
conclusion?
A. The applicant passes because the combined score exceeds 75
B. The applicant passes because only the total score matters
C. The applicant must pass the deficient section because each section requires a
score of at least 75
D. The applicant automatically receives a license after clinical examination
Answer: The applicant must pass the deficient section because each section
requires a score of at least 75
Rationale: Maryland's examination regulation requires a score of 75 or greater
on each section rather than merely a combined passing average.
3.
A Maryland dentist allows an unlicensed individual to perform a procedure that
constitutes the practice of dentistry. Which concern is most significant?
A. The dentist may delegate any procedure if the patient signs consent
B. Delegation is permissible whenever the employee has clinical experience
C. The dentist must remain within Maryland's statutory and regulatory delegation
requirements
D. Delegation is automatically permitted if the procedure is inexpensive
Answer: The dentist must remain within Maryland's statutory and regulatory
delegation requirements
,Rationale: Patient consent does not independently expand an unlicensed
person's legal scope of practice. Delegation must comply with Maryland law and
applicable Board regulations.
4.
A dentist treats a patient but fails to create a dental record because no fee was
charged. Which statement is most accurate?
A. No record is necessary if treatment was free
B. A record is required only when radiographs are taken
C. A dental record must be created for an individual seeking or receiving dental
services regardless of whether treatment is rendered or a fee is charged
D. A record is optional for charitable treatment
Answer: A dental record must be created for an individual seeking or receiving
dental services regardless of whether treatment is rendered or a fee is charged
Rationale: Maryland Board guidance states that records must be created and
maintained for each individual seeking or receiving dental services, regardless of
treatment or fee status.
5.
A dentist receives a Board subpoena for a patient's dental records during an
investigation. What is the dentist's best response?
A. Refuse because dental records are always absolutely privileged
B. Provide the records within the required time unless a lawful basis exists for
another response
C. Destroy the records after copying them
D. Release only the financial portion
Answer: Provide the records within the required time unless a lawful basis exists
for another response
, Rationale: Maryland Board guidance specifically recognizes the dentist's
obligation to provide records when properly subpoenaed during a Board
investigation.
6.
For a minor patient, Maryland record-retention guidance requires records to be
maintained for:
A. Two years after treatment
B. Five years from the date of treatment only
C. Five years or until the minor reaches age 21, whichever is longer
D. Until the minor reaches age 18 only
Answer: Five years or until the minor reaches age 21, whichever is longer
Rationale: Maryland Board record-keeping guidance applies the longer of five
years or until the minor reaches 21 years of age.
7.
A dentist maintains electronic dental records. Which practice best satisfies
Maryland record-keeping expectations?
A. Permit unrestricted alteration of original entries
B. Maintain appropriate security, validation, maintenance, and audit-trail
practices
C. Delete previous entries whenever a correction is made
D. Keep only billing records
Answer: Maintain appropriate security, validation, maintenance, and audit-trail
practices
Rationale: Maryland Board guidance specifically identifies security measures,
validation, maintenance, and an audit trail as important practices for electronic
health records.
8.