PSI CA Dental Law and Ethics Questions with Complete Solutions

60 min 60 multiple choice 75% to Pass - 50/60 questions are graded Need 38/50 to Pass Dental Board of California - Division of Department of Consumer Affairs Dental Board of California- 15 members - 8 Practicing Dentists (1 must be a member of the faculty of any California, 1 must practice in a nonprofit community clinic) 1 RDH 1 RDA 5 members of the public Dental Board of California- 15 members - Dentists, RDH, RDA, and 3 public members are appointed by the Governor Of the remaining two public members, one is appointed by the Speaker of the Assembly and one by the Senate Rules Committee. Dental Hygiene Board of California (Used to be the Dental Hygiene Committee)- 9 members - 2 members of the public 1 practicing dentist 4 RDHs (including 1 RDHAP or RDHEF, and 1 RDH in academia) 1 public member appointed by the Senate Committee on Rules 1 public member appointed by the Speaker of the Assembly Third Party Financing Dental Practices are required by law to have patients sign a "Credit for Dental Service Notice." - Notice informs patients that they are using a line of credit to finance dental services Interruption to Patient Care - Dentist (Office) owns the patient record Patient has a right to obtain a copy of patient record You must inform patient in writing to dismiss patient from practice Must provide written notice that emergency care will be provided for 30 days If Board asks for a copy of patient's record, how many days do you have to comply from the date of receipt of request? - 15 days If a patient/patient's representative asks to review the original records, how many days do you have to comply? - 5 days If a patient/patient's representative asks for a copy of the records, how many days do you have to comply? - 15 days If patient/patient's representative ask for "summary of patient's records, how many days do you have to comply? - 10 business days If record is large, up to 30 workings days on a case-by-case basis How long do you need to keep records for adults? (If patient is inactive or office closes) - 7 years How long do you need to keep records for minors? - Until patient is 19 years old or 7 years whichever is longer Prescriptions - Prescribers of controlled substances must be registered with CURES A dentist who prescribes or administer schedule II controlled substance shall record: - Pt name Pt address Date of prescription/administration Name of drug Strength of drug Quantity of drug Why the drug was used If you are prescribing controlled substances to minors, you must discuss with minor's parent or guardian before issuing first opioid prescriptions: - Risks of addiction and overdose Increased risk of addiction if suffering both mental and substance abuse disorders Danger of taking opioids with benzodiazepine, alcohol, or other CNS depressants Dentists must offer a patient an RX for naloxone or other FDA-approved drugs for the complete or partial reversal of opioid depressant with these conditions: - Dosage is 90 or more morphine milligram equivalents (MME) per day Opioids is prescribed concurrently with benzodiazepine Pt has increased risk of overdose ( history of overdose, substance use disorder, etc.) You have to review how to use Naloxone with minor pt's parent/guardian If dentist dispense drugs, a record of drug acquisition and disposition must be maintained for how long? - 3 years Dentist who choose to dispense schedule II, III, IV drugs cannot dispense more than: - 72 hour supply Report dispensed drug to CURES database no more than 7 days after dispensing Under General Supervision, RDA may perform the following duties: - Mouth mirror inspection of the oral cavity, to include charting of obvious lesions, existing restorations and missing teeth Placement and removal of temporary sedative dressings Under Direct Supervision, RDA may perform the following duties: - Obtain endodontic cultures Dry canals, previously opened by the supervising dentist, with absorbent points Test pulp vitality Place bases and liners on sound dentin Remove excess cement from supragingival surfaces of teeth with a hand instrument or floss Size stainless steel crowns, temporary crowns and bands Fabrication of temporary crowns intra-orally Temporary cementation and removal of temporary crowns and removal of orthodontic bands Placement of orthodontic separators Placement and ligation of arch wires Placement of post-extraction and periodontal dressings Apply bleaching agents Activate bleaching agents with non-laser light-curing device Take bite registrations for diagnostic models for case study only Coronal Polish (evidence of satisfactory completion of a board-approved course of instruction in this function must be submitted to the board prior to an RDA performing this function)