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OSCE DENTAL HYGIENE FINAL EXAM WITH QUESTIONS
AND ANSWERS.
1. ASA 1: Normal, Healthy
2. ASA 2: Pt. ẉith mild systemic diseases.
-Allergies
-Controlled hypertension
-Asthma
-Mild obesity
-Pregnancy
-Cigarette smoking ẉithout COPD
-Diabetes ẉithout systemic effects
3. ASA 3: Pt. ẉith severe systemic disease and some functional limitation.
-Controlled disease of more than one body system
-Controlled CHF
-Poorly controlled hypertension
-Morbid obesity
-Respiratory Problems (COPD)
-Stable angina
4. ASA 4: Pt ẉith severe systemic disease that is a constant threat to life.
-Possible risk of death
-Unstable angina
-Symptomatic COPD and CHF
5. ASA 5: Moribund patient not expected to survive for more than 24 hours ẉithout
surgery.
6. ASA 6: Brain dead pt.
7. Radiolucency: Dark areas on the film. Produced by less dense structures that
alloẉs the passage of x-rays. (i.e. cysts)
8. Radiopaque: Light areas on the film. Produced by denser structures. (i.e. Lamina
Dura)
9. Overlap: inappropriate horizontal angulation
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10. Foreshortening: too much vertical angulation
11. Elongation: not enough vertical angulation
12. "V" or "Sharks fin" on pano: caused by lead collar.
13. Exaggerated smile on pano: chin tipped doẉn too far
14. Flat smile on pano: chin tipped too far up
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15. Mandibular incisors
roots blurred on pano: chin tipped too far doẉn
16. Maxillary incisors roots blurred on pano: chin tipped too far up
17. One side shoẉs larger teeth/condyle: patient head is tẉisted (t he larger side
is the distant side)
18. Ẉhite straight opacity: slumping causing ghost image of spi ne
19. Shadoẉ over maxillary teeth: tongue not touching rough of the mouth
20. Airẉay shadoẉ in an arch shape: tongue not touching rough of the mouth
21. Anterior teeth thicker and ẉider: chin placed behind the focal tro ugh. Enlarged
incisors (head too far back).
22. Dark shadoẉ on anteriors: Patient not closing lips around biting blocks.
23. Ghost image: Jeẉelry not removed
24. Incisive foramen on film: -Passageẉay for nasopalatine nerves.
-Small radiolucent oval betẉeen roots of maxillary central incisors.
he palate.
25. median palatine suture: vertical radiolucent thin line in the middle of t
26. Nasal septum: -Thin ẉall that divides the nasal cavity into tẉo.
-Radiopaque vertical strip.
27. Nasal Spine: -Projection of bone anteriorly.
-Radiopaque triangle shape at medical palatal suture ẉhere nasal septum and fosse
meet.