NDHCE CORE EXAM TEST 2026 QUESTIONS AND
SOLUTIONS RATED A+
✔✔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?
A. The packet was folded.
B. The processing temperature too high.
C. The emulsion was scratched.
D. The film was exposed twice. - ✔✔A
✔✔Mrs. Bernard, 48 years old, is running late for her 9:00am continuing care
appointment. In the past, there have been no significant finding son 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 Mr.s Bernard exhibiting?
A. Angina pectoris
B. Myocardial infarction
C. Hypoglycemia
D. Hypotension - ✔✔C
✔✔What would most likely induce orthostatic hypotension in a client?
A. Lying in the dental chair for a prolonged period of time.
B. A high level of fear and anxiety.
C. The level of the client's feet is higher than his or her head.
D. A sudden change fro the supine to the upright position. - ✔✔D
✔✔The dental hygienist is analyzing a client's food diary. Findings suggest the client
has eaten 15 fermentable carbohydrates. Three of these food were consumed with
breakfast, one was consumed mid morning, two were consumed with lunch and four
were consumed with dinner. The remaining five food were consumed during the
evening at greater than 20-minute intervals. What was the client's total number of acid
exposures?
A. 8
B. 9
C. 10
D. 15 - ✔✔B
✔✔Mrs. Berg, 69 years old, presents with an immobile, soft tissue mass on the anterior
midline of the lower neck. What is the most likely explanation for this finding?
A. Enlarged thyroid gland.
, B. Enlarged submandibular salivary gland.
C. Enlarged superficial cervical lymph nodes.
D. Enlarged deep cervical lymph nodes. - ✔✔A
✔✔Mrs. Jorgenson, 67 years old, presents to the dental office for an oral health
assessment. The intraoral assessment reveals that the buccal mucosa has a lace-like
pattern of intersecting angular white striations with irregular, bilateral, painful ulcers. She
is taking furosemide (Lasix) too relieve the edema associated with a heart failure
condition. What pathology should the dental hygienist suspect?
A. Erythematous candidiasis.
B. Reticular lichen planus.
C. Systemic lups erythematosus.
D. Erosive lichen planus. - ✔✔D
✔✔Which one of the following medical conditions would be responsible for the lesion
observed on the tongue?
A. Hemophilia A.
B. Severe hypertension.
C. Uncontrolled diabetes.
D. Sickle cell anemia - ✔✔C
✔✔Which one of the following is an example of a parafunctional habit?
A. Mouth breathing.
B. Nail biting.
C. Cigarette smoking.
D. Sucking on lemons. - ✔✔B
✔✔Mrs. Lysiuk, 73 years old, presents with generalized Stage II Grade B periodontitis
and moderate dental biofilm. She asks the dental hygienist for professional advice
because her "gums bleed" each time she brushes, What would be a realistic goal for
Mrs. Lysiuk during the next 6 weeks?
A. A reduction in periodontal probing depths.
B. Elimination of bleeding on probing.
C. A reduction in gingival bleeding.
D. Removal of all dental biofilm. - ✔✔C
✔✔Which one of the following clinical findings would suggest that a single tooth implant
was failing?
A. 1mm of bone loss.
B. Gingival bleeding.
C. 5mm periodontal probing depth.
D. Mobility of M2. - ✔✔D
SOLUTIONS RATED A+
✔✔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?
A. The packet was folded.
B. The processing temperature too high.
C. The emulsion was scratched.
D. The film was exposed twice. - ✔✔A
✔✔Mrs. Bernard, 48 years old, is running late for her 9:00am continuing care
appointment. In the past, there have been no significant finding son 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 Mr.s Bernard exhibiting?
A. Angina pectoris
B. Myocardial infarction
C. Hypoglycemia
D. Hypotension - ✔✔C
✔✔What would most likely induce orthostatic hypotension in a client?
A. Lying in the dental chair for a prolonged period of time.
B. A high level of fear and anxiety.
C. The level of the client's feet is higher than his or her head.
D. A sudden change fro the supine to the upright position. - ✔✔D
✔✔The dental hygienist is analyzing a client's food diary. Findings suggest the client
has eaten 15 fermentable carbohydrates. Three of these food were consumed with
breakfast, one was consumed mid morning, two were consumed with lunch and four
were consumed with dinner. The remaining five food were consumed during the
evening at greater than 20-minute intervals. What was the client's total number of acid
exposures?
A. 8
B. 9
C. 10
D. 15 - ✔✔B
✔✔Mrs. Berg, 69 years old, presents with an immobile, soft tissue mass on the anterior
midline of the lower neck. What is the most likely explanation for this finding?
A. Enlarged thyroid gland.
, B. Enlarged submandibular salivary gland.
C. Enlarged superficial cervical lymph nodes.
D. Enlarged deep cervical lymph nodes. - ✔✔A
✔✔Mrs. Jorgenson, 67 years old, presents to the dental office for an oral health
assessment. The intraoral assessment reveals that the buccal mucosa has a lace-like
pattern of intersecting angular white striations with irregular, bilateral, painful ulcers. She
is taking furosemide (Lasix) too relieve the edema associated with a heart failure
condition. What pathology should the dental hygienist suspect?
A. Erythematous candidiasis.
B. Reticular lichen planus.
C. Systemic lups erythematosus.
D. Erosive lichen planus. - ✔✔D
✔✔Which one of the following medical conditions would be responsible for the lesion
observed on the tongue?
A. Hemophilia A.
B. Severe hypertension.
C. Uncontrolled diabetes.
D. Sickle cell anemia - ✔✔C
✔✔Which one of the following is an example of a parafunctional habit?
A. Mouth breathing.
B. Nail biting.
C. Cigarette smoking.
D. Sucking on lemons. - ✔✔B
✔✔Mrs. Lysiuk, 73 years old, presents with generalized Stage II Grade B periodontitis
and moderate dental biofilm. She asks the dental hygienist for professional advice
because her "gums bleed" each time she brushes, What would be a realistic goal for
Mrs. Lysiuk during the next 6 weeks?
A. A reduction in periodontal probing depths.
B. Elimination of bleeding on probing.
C. A reduction in gingival bleeding.
D. Removal of all dental biofilm. - ✔✔C
✔✔Which one of the following clinical findings would suggest that a single tooth implant
was failing?
A. 1mm of bone loss.
B. Gingival bleeding.
C. 5mm periodontal probing depth.
D. Mobility of M2. - ✔✔D
