CSCE, 2 Dental Hygiene Prometric 2,
Computer Simulated Dental Hygiene
Exam, Dental Hygiene Prometric Exam
CDCA, Dental Hygiene Computer
Simulated Case Test
What is an oral side effect of Prozac? - ANSxerostomia
How do steroids effect wound healing? - ANScauses delayed wound healing
What should be done with a patient with a previous history of high blood pressure and comes in
for their appointment with reading of 160/116? - ANSrefer the patient to their physician
immediately
Premedication regimine - ANS2g Amoxicillin
600 mg Clindamycin
Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior to their
appointment. What would you do? - ANSadminister another 300 mg and wait 1 hr prior to
treatment (because their clindamycin premed is 600mg 1hr prior to treatment)
What is a PAN used for? - ANS- look at location of 3rd molars
- impactions
- pathology
- NOT FOR BONE LOSS
Items containing fluoride? - ANS- tea
- pork
- fish
What type of water does not contain fluoride? - ANSwell water
Know the papilla of the tongue - ANS- filiform (most numerous, very small)
- fungiform (mushroom shape, contain taste buds)
,- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus
terminalis)
- foliate (leaf shaped, lateral border of tongue)
What is hairy tongue caused by? - ANSelongation of the filiform papillae
Delayed eruption may be caused by - ANSdelayed exfoliation
Identify mandibular canal radiographically - ANSradiolucent, long dark area outlined with dense
cortical bone, located above or parallel to the inferior border of the mandible
What is thickened lamina dura caused by? is this appearance normal? - ANS- caused by
trauma
- not normal
Know film errors - ANS- elongation: too little vertical angulation
- foreshortening: too much vertical angulation
- cone cut: PID not aligned with censor
- overlap: incorrect horizontal angulation
Identify median rhomboid glossitis - ANSrhombus shaped, central denuded area of the tongue
with red appearance
What is the treatment for black hair tongue? - ANSbrush it
What is a vitality test used for? - ANStesting to see if the pulp is vital or not (applying cold air on
cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would
not feel anything)
What are Hutchinson's incisors caused by? - ANSSyphillis, NOT biting on bobby pins
Identify lingual varicosities.. are they normal? - ANSyes they're normal
How long should ultrasonic units be flushed? - ANS20 seconds
What provides proof of sterilization? Spore test or autoclave tape? - ANSSpore test
What does autoclave tape tell you? - ANSthat it has reached proper temperature
Hep B vaccination also protects you from? - ANSHep D
What can chlorhexidine cause? - ANSstaining, increased calculus deposits
What instrument should you use to work on mandibular anterior gingiva? - ANS- 1/2 gracey
,- columbia
- sickle ultrasonic
What drug causes bleeding? - ANSAspirin
What does the 2nd premolar replace? - ANSthe 2nd deciduous molar
What would you do for fordyce granules? - ANSleave alone; normal
is a bifurcated maxillary canine normal? - ANSyes
What would you do for lingual erosion? - ANSrinse with sodium bicarbonate
Stannous fluoride is not found in which of the following? tea, pork, well water, or fish? - ANSwell
water
Which is the only root that would be incomplete at age 15? - ANSthe second molar
Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant? -
ANS?
what is the panorex best used for? - ANSposition of 3rd molars
What is wrong with the PANO picture? - ANSpatient should not have on a thyroid collar when
taking a PAN
What can prednisone cause? - ANSdelayed wound healing
How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted? - ANS11
years old
Does ankylosis of the tongue result in nutrition issues? - ANSno
What would recession to the apex of #24-25 be a result of? - ANSAIDS
Exaggerated gingival enlargement could be the result of what? - ANSuncontrolled diabetes
What degree should the shank of the instrument be when scaling subgingivally? - ANS70
degrees
What should be done with safety glasses after each patient? - ANSwashed
Does lingual candidiasis of lateral tongue wipe off? - ANSyes
, What does leukoedema look like? - ANSwhite spot of buccal mucosa disappears when the
cheek is stretched
What type of drug is Procardia? - ANScalcium channel blocker
What is procardia used for? - ANSfor high blood pressure
What does procardia cause intraorally? - ANSgingival enlargement
What would mandibular anterior, facial, bright pink and enlarged gingiva indicate? -
ANSpregnancy gingivitis
Are bifurcated mandibular premolars normal? - ANSyes
What drink can cause facial erosion? - ANSfruit juice
What does median rhomboid glossitis look like? - ANSred lump in center of posterior portion of
tongue
What is the treatment for median rhomboid glossitis? - ANSantifungals
Know what cross bite looks like - ANS...
Know classes of occlusion - ANSClass I: mesiobuccal cusp of maxillary first molar occludes with
buccal groove of mandibular first molar
Class II: buccal groove of mandibular first molar is distal to the mesiobuccal cusp of maxillary
fits molar
Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of maxillary
first molar
Why would there be a white triangle covering all the mandibular anteriors and chin on a PAN? -
ANSIf the mouth looks smiley then the chin was too low, if the mouth looked frowning then the
chin was too high
FDA regulates - ANSfluoride content in bottled water
medications that cause increased bleeding? - ANSanticoagulants (warfarin, heparin),
antiplatelets (aspirin, plavix), blood modifiers (xarelto, eliquis, pradaxa)
medications that cause gingival hyperplasia? - ANS- anti-seizure: Dilantin
- calcium channel blockers: Norvask, Procardia (used to control BP)
- Cyclosporine (used an immunosuppressant)