NDHCE practice tests combined exam
questions with correct answers
Mr. |Pothier, |65 |years |old, |presents |with |localized |6 |mm |periodontal |probing |depths. |Calculus |
can |be |seen |interproximally |in |the |same |areas |on |a |radiograph. |The |client |terminated |his |
previous |dental |hygiene |appointment |early |due |to |sensitivity. |Which |one |of |the |following |
interventions |would |best |contribute |to |effective |periodontal |debridement |for |Mr. |Pothier?
Local |anesthetic
3 |multiple |choice |options
Lara, |14 |years |old, |presents |for |her |continuing |care |appointment |with |signs |of |an |eating |
disorder, |but |has |not |indicated |this |in |her |health |history. |What |action |should |the |dental |
hygienist |take?
Share |with |her |the |findings |that |are |consistent |with |her |condition.
3 |multiple |choice |options
Mrs. |Meltzer, |72 |years |old, |presents |for |periodontal |therapy. |She |is |scheduled |for |
chemotherapy |for |breast |cancer |in |4 |weeks. |The |dental |hygienist |will |need |several |
appointments |to |complete |the |dental |hygiene |therapy. |In |addition |to |treating |the |current |
periodontal |condition, |what |action |should |the |dental |hygienist |take |when |developing |the |
dental |hygiene |care |plan?
Refer |Mrs. |Meltzer |to |a |periodontist |for |further |treatment |and |recommend |use |of |an |oral |
irrigator.
3 |multiple |choice |options
The |dental |hygienist |sees |ms.Quellet, |34 |years |old |, |for |her |6-month |continuing |care |
appointment. |It |is |the |first |time |Ms.The |dental |hygienist |has |been |seen |Quellet |because |
another |colleague |has |previously |provided |this |treatment. |The |dental |hygienist |finds |
generalized |heavy |subgingival |calculus |5 |-6mm |periodontal |probing |depths. |No |pocket |depths |
were |previously |recorded |on |Ms.Quellet's |chart. |What |is |the |dental |hygienist's |professional |
responsibility |in |this |situation?
Document |the |findings |and |discuss |with |the |other |clinician |in |private
,3 |multiple |choice |options
Mr. |Stephanos, |52 |years |old, |is |a |new |client. |He |presents |with |generalized |Stage |III |Grade |B |
periodontitis |and |is |in |need |of |extensive |periodontal |debridement. |He |confirms |a |long |history |
of |alcohol |abuse |and |that |he |has |recently |begun |alcohol |cessation |counseling. |What |is |the |
most |important |information |for |the |dental |hygienist |to |provide |to |Mr. |Stephanos |regarding |his
|treatment?
His |delayed |response |to |healing.
3 |multiple |choice |options
Keegan, |16 |years |old |presents |with |fractures |of |the |lingual |cusps |on |two |teeth. |What |is |most |
likely |cause |of |this |type |of |fracture?
Tongue |stud
3 |multiple |choice |options
A |dental |hygienist |has |been |asked |to |provide |information |to |clients |about |a |new |tooth |
whitening |procedure. |The |dental |hygienist |did |not |study |this |procedure |at |school. |Which |one |
of |the |following |sources |of |information |should |the |dental |hygienist |consult |before |providing |
information |to |clients |about |this |procedure?
Reports |of |randomized |controlled |clinical |trials
3 |multiple |choice |options
The |initial |assessment |of |Mr. |Parker, |40 |years |old, |reveals |tenderness |in |the |
temporomandibular |joint |area, |bilateral |lymphadenopathy, |white |folded |plaques |on |the |lateral
|borders |of |the |tongue, |linear |gingival |erythema, |and |generalized |7 |- |9 |mm |periodontal |
probing |depths. |Which |one |of |the |following |referrals |would |be |most |important |for |Mr. |Parker?
Physician |for |a |health |assessment
3 |multiple |choice |options
Mrs. |Guay, |73 |years |old, |presents |to |her |continuing |care |appointment |with |a |recently |placed |
mandibular |canine-to-canine |periodontal |splint. |During |the |assessment, |the |dental |hygienist |
notices |changes |in |her |periodontium |arising |from |ineffective |dental |biofilm |control |methods. |
What |should |the |dental |hygienist |expect |to |observe?
Increased |bleeding |on |probing.
3 |multiple |choice |options
,Mrs. |Sandhu, |58 |years |old, |is |a |recent |immigrant. |She |does |not |speak |English |or |French; |
however, |she |is |accompanied |by |an |interpreter |for |assessment |and |treatment |planning. |At |the
|follow-up |appointment, |Mrs. |Sandhu |arrives |alone. |During |periodontal |debridement, |the |
dental |hygienist |determines |Mrs. |Sandhu |needs |local |anesthetic. |What |should |the |dental |
hygienist |do |next?
Have |the |interpreter |explain |the |procedure |by |telephone.
After |consultation |between |a |group |of |dental |hygienists |and |public |health |nurses, |a |kit |for |
new |parents |was |created |to |reduce |the |incidence |of |early |childhood |caries. |The |nurses |will |
use |the |kit |in |their |prenatal |classes. |This |is |an |example |of |which |one |of |the |following |health |
promotion |strategies?
Collaboration
Shortly |after |administering |a |posterior |superior |alveolar |injection |for |subgingival |periodontal |
debridement |of |sextant |3, |the |dental |hygienist |notices |a |hematoma |developing |extraorally |on |
the |anesthetized |side. |What |should |the |dental |hygienist |do?
place |an |ice |pack |on |the |area |to |minimize |the |size |of |the |hematoma
Following |a |client's |appointment, |the |dental |hygienist |is |preparing |the |operatory |for |the |next |
client. |What |is |the |recommended |minimum |time |that |water |should |be |run |through |the |water |
lines |before |the |next |appointment?
20 |seconds
The |air-powder |abrasive |system |is |CONTRAINDICATED |for |clients |with |which |one |of |the |
following |conditions?
Asthma
Mr. |Kehoe, |24 |years |old, |informs |the |dental |hygienist |that |the |reason |he |missed |his |previous |
periodontal |debridement |appointment |was |due |to |a |fear |of |being |hurt. |Today, |he |appears |
anxious. |Clinical |findings |show |dental |biofilm-induced |gingivitis |localized |to |the |papillae |with |
light |interproximal |calculus. |What |is |the |best |action |for |the |dental |hygienist |to |take |next?
encourage |Mr.Kehoe |to |express |his |concerns |regarding |today's |appointment
During |periodontal |debridement |for |Ms. |Romani, |34 |years |old, |the |dental |hygienist |
experiences |lower |back |discomfort |from |balancing |on |the |edge |of |the |clinician's |stool |to |
obtain |optimal |visibility. |Ms. |Romani |is |1.52 |m |tall |and |of |average |weight. |What |initial |
adjustment |should |the |dental |hygienist |make |to |avoid |lower |back |strain?
Position |Ms.Romani |so |her |head |is |even |with |the |upper |edge |of |the |headrest
, Mr. |Cook, |82 |years |old, |presents |for |periodontal |therapy. |The |dental |hygiene |care |plan |
includes |periodontal |debridement |with |local |anesthesia. |Mr. |Cook |says, |"I |really |don't |know |
why |it |is |so |important |to |have |this |treatment". |The |client |record |indicates |that |he |has |
consented |to |having |the |periodontal |debridement. |Before |proceeding |with |treatment, |what |
action |would |be |most |appropriate |for |the |dental |hygienist |to |take?
review |all |treatment |options |with |the |client |and |document |the |discussion |in |his |dental |chart
How |does |powered |instrumentation |differ |from |hand |instrumentation
Less |lateral |pressure |is |used
What |is |the |initiating |factor |in |the |histopathological |sequence |of |inflammation |in |periodontal |
disease?
Bacterial |invasion |of |the |junctional |epithelium
What |are |the |intial |symptoms |of |an |acute |toxicity |reaction
Nausea, |gastrointestinal |pain, |vomiting
Pyogenic |Granuloma |is |found |which |section |of |the |classification |of |gingival |diseases
Modified |by |systemic |factors
The |incisive |nerve |block |is |known |to |provide |anesthesia |of |which |of |the |following |areas?
pulpal |and |buccal |soft |tissue |anesthesia |of |the |mandibular |anterior |and |premolars |on |one |side
Which |one |of |the |following |choices |best |describes |the |"curve |of |Spee"?
curvature |of |the |occlusal |plane |in |the |anterior |to |posterior |dirction
A |periapical |radiograph |of |the |teeth |in |sextant |5 |presents |with |dark |vertical |lines |along |the |
edges |of |the |film |running |parallel |to |the |long |axis |of |teeth |32 |and |42. |What |factor |is |the |most |
likely |cause |of |these |lines |on |the |film?
the |film |was |exposed |twice
Mrs. |Bernard, |48 |years |old, |is |running |late |for |her |9:00 |am |continuing |care |appointment. |In |
the |past, |there |have |been |no |significant |findings |on |her |health |history |except |for |gestational |
diabetes. |Today |she |reports |that |she |missed |her |yearly |physical |examination |and |she |is |on |a |
diet |to |lose |10 |kg. |As |the |dental |hygienist |begins |treatment, |she |becomes |anxious |and |
irritable. |Her |skin |is |moist |and |sweaty. |What |type |of |medical |emergency |is |Mrs. |Bernard |
exhibiting?
Hypoglycemia
questions with correct answers
Mr. |Pothier, |65 |years |old, |presents |with |localized |6 |mm |periodontal |probing |depths. |Calculus |
can |be |seen |interproximally |in |the |same |areas |on |a |radiograph. |The |client |terminated |his |
previous |dental |hygiene |appointment |early |due |to |sensitivity. |Which |one |of |the |following |
interventions |would |best |contribute |to |effective |periodontal |debridement |for |Mr. |Pothier?
Local |anesthetic
3 |multiple |choice |options
Lara, |14 |years |old, |presents |for |her |continuing |care |appointment |with |signs |of |an |eating |
disorder, |but |has |not |indicated |this |in |her |health |history. |What |action |should |the |dental |
hygienist |take?
Share |with |her |the |findings |that |are |consistent |with |her |condition.
3 |multiple |choice |options
Mrs. |Meltzer, |72 |years |old, |presents |for |periodontal |therapy. |She |is |scheduled |for |
chemotherapy |for |breast |cancer |in |4 |weeks. |The |dental |hygienist |will |need |several |
appointments |to |complete |the |dental |hygiene |therapy. |In |addition |to |treating |the |current |
periodontal |condition, |what |action |should |the |dental |hygienist |take |when |developing |the |
dental |hygiene |care |plan?
Refer |Mrs. |Meltzer |to |a |periodontist |for |further |treatment |and |recommend |use |of |an |oral |
irrigator.
3 |multiple |choice |options
The |dental |hygienist |sees |ms.Quellet, |34 |years |old |, |for |her |6-month |continuing |care |
appointment. |It |is |the |first |time |Ms.The |dental |hygienist |has |been |seen |Quellet |because |
another |colleague |has |previously |provided |this |treatment. |The |dental |hygienist |finds |
generalized |heavy |subgingival |calculus |5 |-6mm |periodontal |probing |depths. |No |pocket |depths |
were |previously |recorded |on |Ms.Quellet's |chart. |What |is |the |dental |hygienist's |professional |
responsibility |in |this |situation?
Document |the |findings |and |discuss |with |the |other |clinician |in |private
,3 |multiple |choice |options
Mr. |Stephanos, |52 |years |old, |is |a |new |client. |He |presents |with |generalized |Stage |III |Grade |B |
periodontitis |and |is |in |need |of |extensive |periodontal |debridement. |He |confirms |a |long |history |
of |alcohol |abuse |and |that |he |has |recently |begun |alcohol |cessation |counseling. |What |is |the |
most |important |information |for |the |dental |hygienist |to |provide |to |Mr. |Stephanos |regarding |his
|treatment?
His |delayed |response |to |healing.
3 |multiple |choice |options
Keegan, |16 |years |old |presents |with |fractures |of |the |lingual |cusps |on |two |teeth. |What |is |most |
likely |cause |of |this |type |of |fracture?
Tongue |stud
3 |multiple |choice |options
A |dental |hygienist |has |been |asked |to |provide |information |to |clients |about |a |new |tooth |
whitening |procedure. |The |dental |hygienist |did |not |study |this |procedure |at |school. |Which |one |
of |the |following |sources |of |information |should |the |dental |hygienist |consult |before |providing |
information |to |clients |about |this |procedure?
Reports |of |randomized |controlled |clinical |trials
3 |multiple |choice |options
The |initial |assessment |of |Mr. |Parker, |40 |years |old, |reveals |tenderness |in |the |
temporomandibular |joint |area, |bilateral |lymphadenopathy, |white |folded |plaques |on |the |lateral
|borders |of |the |tongue, |linear |gingival |erythema, |and |generalized |7 |- |9 |mm |periodontal |
probing |depths. |Which |one |of |the |following |referrals |would |be |most |important |for |Mr. |Parker?
Physician |for |a |health |assessment
3 |multiple |choice |options
Mrs. |Guay, |73 |years |old, |presents |to |her |continuing |care |appointment |with |a |recently |placed |
mandibular |canine-to-canine |periodontal |splint. |During |the |assessment, |the |dental |hygienist |
notices |changes |in |her |periodontium |arising |from |ineffective |dental |biofilm |control |methods. |
What |should |the |dental |hygienist |expect |to |observe?
Increased |bleeding |on |probing.
3 |multiple |choice |options
,Mrs. |Sandhu, |58 |years |old, |is |a |recent |immigrant. |She |does |not |speak |English |or |French; |
however, |she |is |accompanied |by |an |interpreter |for |assessment |and |treatment |planning. |At |the
|follow-up |appointment, |Mrs. |Sandhu |arrives |alone. |During |periodontal |debridement, |the |
dental |hygienist |determines |Mrs. |Sandhu |needs |local |anesthetic. |What |should |the |dental |
hygienist |do |next?
Have |the |interpreter |explain |the |procedure |by |telephone.
After |consultation |between |a |group |of |dental |hygienists |and |public |health |nurses, |a |kit |for |
new |parents |was |created |to |reduce |the |incidence |of |early |childhood |caries. |The |nurses |will |
use |the |kit |in |their |prenatal |classes. |This |is |an |example |of |which |one |of |the |following |health |
promotion |strategies?
Collaboration
Shortly |after |administering |a |posterior |superior |alveolar |injection |for |subgingival |periodontal |
debridement |of |sextant |3, |the |dental |hygienist |notices |a |hematoma |developing |extraorally |on |
the |anesthetized |side. |What |should |the |dental |hygienist |do?
place |an |ice |pack |on |the |area |to |minimize |the |size |of |the |hematoma
Following |a |client's |appointment, |the |dental |hygienist |is |preparing |the |operatory |for |the |next |
client. |What |is |the |recommended |minimum |time |that |water |should |be |run |through |the |water |
lines |before |the |next |appointment?
20 |seconds
The |air-powder |abrasive |system |is |CONTRAINDICATED |for |clients |with |which |one |of |the |
following |conditions?
Asthma
Mr. |Kehoe, |24 |years |old, |informs |the |dental |hygienist |that |the |reason |he |missed |his |previous |
periodontal |debridement |appointment |was |due |to |a |fear |of |being |hurt. |Today, |he |appears |
anxious. |Clinical |findings |show |dental |biofilm-induced |gingivitis |localized |to |the |papillae |with |
light |interproximal |calculus. |What |is |the |best |action |for |the |dental |hygienist |to |take |next?
encourage |Mr.Kehoe |to |express |his |concerns |regarding |today's |appointment
During |periodontal |debridement |for |Ms. |Romani, |34 |years |old, |the |dental |hygienist |
experiences |lower |back |discomfort |from |balancing |on |the |edge |of |the |clinician's |stool |to |
obtain |optimal |visibility. |Ms. |Romani |is |1.52 |m |tall |and |of |average |weight. |What |initial |
adjustment |should |the |dental |hygienist |make |to |avoid |lower |back |strain?
Position |Ms.Romani |so |her |head |is |even |with |the |upper |edge |of |the |headrest
, Mr. |Cook, |82 |years |old, |presents |for |periodontal |therapy. |The |dental |hygiene |care |plan |
includes |periodontal |debridement |with |local |anesthesia. |Mr. |Cook |says, |"I |really |don't |know |
why |it |is |so |important |to |have |this |treatment". |The |client |record |indicates |that |he |has |
consented |to |having |the |periodontal |debridement. |Before |proceeding |with |treatment, |what |
action |would |be |most |appropriate |for |the |dental |hygienist |to |take?
review |all |treatment |options |with |the |client |and |document |the |discussion |in |his |dental |chart
How |does |powered |instrumentation |differ |from |hand |instrumentation
Less |lateral |pressure |is |used
What |is |the |initiating |factor |in |the |histopathological |sequence |of |inflammation |in |periodontal |
disease?
Bacterial |invasion |of |the |junctional |epithelium
What |are |the |intial |symptoms |of |an |acute |toxicity |reaction
Nausea, |gastrointestinal |pain, |vomiting
Pyogenic |Granuloma |is |found |which |section |of |the |classification |of |gingival |diseases
Modified |by |systemic |factors
The |incisive |nerve |block |is |known |to |provide |anesthesia |of |which |of |the |following |areas?
pulpal |and |buccal |soft |tissue |anesthesia |of |the |mandibular |anterior |and |premolars |on |one |side
Which |one |of |the |following |choices |best |describes |the |"curve |of |Spee"?
curvature |of |the |occlusal |plane |in |the |anterior |to |posterior |dirction
A |periapical |radiograph |of |the |teeth |in |sextant |5 |presents |with |dark |vertical |lines |along |the |
edges |of |the |film |running |parallel |to |the |long |axis |of |teeth |32 |and |42. |What |factor |is |the |most |
likely |cause |of |these |lines |on |the |film?
the |film |was |exposed |twice
Mrs. |Bernard, |48 |years |old, |is |running |late |for |her |9:00 |am |continuing |care |appointment. |In |
the |past, |there |have |been |no |significant |findings |on |her |health |history |except |for |gestational |
diabetes. |Today |she |reports |that |she |missed |her |yearly |physical |examination |and |she |is |on |a |
diet |to |lose |10 |kg. |As |the |dental |hygienist |begins |treatment, |she |becomes |anxious |and |
irritable. |Her |skin |is |moist |and |sweaty. |What |type |of |medical |emergency |is |Mrs. |Bernard |
exhibiting?
Hypoglycemia
