Deck 19: Instrument Transfer and Maintaining the Operating Field

Question 1

The assistant must hold the cotton pliers closer to the working end, so the item remains secure in the pliers during the transfer.

Answer 1

True

Question 2

The instrument grasp shown above is the ________ grasp.

A) pen
B) modified
C) palm-thumb
D) palm

Answer 2

pen

Question 3

Instrument transfer for straight-shank instruments are when the primary working end should be placed toward the assistant.

Answer 3

True

Question 4

Instrument transfer for angled-shank instruments are when the primary working end is placed toward the assistant on the tray.

Question 5

The instrument grasp shown above is the ________ grasp.

A) pen
B) modified
C) palm-thumb
D) palm

Question 6

When the instrument is picked up from the tray by the assistant, it is picked up ____________.

A) near the working end
B) by the end opposite from the working end
C) either a or b
D) neither a nor b

Question 7

With pen grasp instruments, the assistant will pick up the instrument from the tray near the end closest to the assistant.

Question 8

The Isolite System provides isolation, retraction, evacuation, and a light source in one piece of equipment.

Question 9

Modifications are required of both the assistant and the operator when transferring scissors.

Question 10

The assistant should hold the instrument to be transferred ________ to the instrument held by the operator.

A) parallel
B) at a right angle
C) end-to-end
D) none of the above

Question 11

A well-maintained operating field is essential for the procedure to be performed safely.

Question 12

The instrument grasp shown above is the ________ grasp.

A) pen
B) modified
C) palm-thumb
D) palm

Question 13

Any time the operator passes an instrument or material back to the assistant with blood on the working end, the assistant should have a gauze ready to place over the working end as the instrument is received.

Question 14

The signal by operators that they are ready for the exchange is ____________.

A) they will say so
B) they will place the used instrument on the tray
C) they will tilt the instrument away from the patient
D) none of the above

Question 15

The signal for the instrument exchange comes from the operator tilting the instrument back away from the patient.

Question 16

In the return transfer of the air-water syringe, the assistant receives the syringe by covering the nozzle and tip with the palm of the hand, and it is accomplished with both the one- and two-handed exchange.

Question 17

With which hand does an assistant perform instrument transfer when assisting a right-handed operator?

A) Right
B) Left

Question 18

What allows dentists to know instrument exchange has taken place?

A) They will stop and look in their hands.
B) They will feel the instruments in their hands.
C) The assistants will tell them.
D) None of the above

Question 19

When assisting a left-handed operator, the assistant will hold the evacuator (HVE) in his or her right hand.

Question 20

During instrument transfer, the ____________.

A) dentist will reach for an instrument from the tray
B) assistant will bring the instrument to the operator
C) operator will not move his or her hand from the fulcrum
D) both b and c

Question 21

The ________ grasp is used with the evacuator tip when working on the anterior maxillary.

A) pen
B) reverse-pen
C) thumb-to-nose
D) all of the above

Question 22

The ________ grasp is used with the evacuation tip when working on the posterior teeth.

A) pen
B) modified pen
C) palm
D) thumb-to-nose

Question 23

The __________ clamp has extra projections for better retraction.

A) cervical
B) winged
C) wingless
D) both a and c

Question 24

Maintaining the operating field is accomplished by:
1) use of the rubber dam
2) use of HVE and air-water syringe
3) retraction of oral tissues

A) 1, 2, 3
B) 1 only
C) 3 only
D) 2 only

Question 25

The holes punched forward are about ____ mm apart.

A) 1
B) 1.5
C) 2
D) 3

Question 26

The working end of the dental dam punch is the ____________.

A) stylus
B) plate
C) jaws
D) punch table

Question 27

Which grasp is used when using the HVE for the anterior?

A) Modified pen
B) Pen
C) Thumb-to-nose
D) Either a or b

Question 28

The Stensen's duct is on the buccal mucosa, second bicuspid area. To help control the moisture flow of saliva and to protect the cheek, which of the following absorbent material is recommended?

A) Gauze 2 × 2
B) Dry aids
C) Cotton rolls
D) Saliva ejector

Question 29

Which grasp is used when using the HVE for the posterior?

A) Modified pen
B) Pen
C) Thumb-to-nose
D) Either a or b

Question 30

Requirements of maintaining the operating field are determined by which of the following?

A) Type of procedure
B) The tooth
C) Oral anatomy of the patient
D) All of the above

Question 31

While the handpiece or instrument is being used, the HVE is ____________.

A) moved in unison with the handpiece or instrument
B) kept still
C) kept out of the mouth while the handpiece or instrument is used
D) none of the above

Question 32

During indirect vision, keep the mirror surface dry and free from debris by ____________.

A) directing air across the surface of the mirror from the air-water syringe
B) rinsing the mirror in the sink
C) There is no way the mirror can be kept dry and clean.
D) the dentist using the water from the handpiece.

Question 33

Which item is placed first?

A) HVE tip
B) Handpiece
C) Instrument
D) It does not matter which is placed first.

Question 34

The tooth that the dental dam clamp is placed on is called the anchor tooth.

Question 35

The retrieval of an instrument is done by the ____________.

A) left hand
B) little finger
C) right hand
D) both a and b

Question 36

To increase the field of vision in the oral cavity, which of the following tissues can be retracted?

A) Tongue
B) Cheeks
C) Lips
D) All of the above

Question 37

The dental dam that slides between the teeth is called the septum.

Question 38

The Quickdam can be used with or without a dental dam clamp.

Question 39

________ grasp is used with instruments having straight shank and blades such as the straight chisel.

A) Reverse palm-thumb
B) Palm-thumb
C) Pen
D) Thumb-to-nose

Question 40

Rubber dam hole punch placement for the child patient is  ____________.

A) the same as for an adult
B) closer together than for an adult
C) one hole
D) full arch

Question 41

Usually the anchor tooth is the tooth ____________.

A) being treated
B) one or two mesial to the tooth being treated
C) one or two distal to the tooth being treated
D) any tooth exposed

Question 43

The edge of the dental dam material is inverted to ____________.

A) keep moisture from leaking from the hole
B) make it look more attractive
C) help keep the dental dam material in place
D) none of the above

Question 45

Holes in the dental dam are punched about ____ mm apart.

A) 1 to 2
B) 3
C) 5
D) It does not matter.

Question 46

Place the steps of placing the dental dam in order.
1) Punch the holes in the dental dam
2) Inform the patient about the procedure, verify any allergies to latex
3) Place the dental dam material
4) Place the clamp on the anchor tooth
5) Invert the dental dam material

A) 1, 2, 3, 4, 5
B) 2, 1, 4, 3, 5
C) 2, 4, 1, 3, 5
D) 2, 1, 3, 4, 5

Question 47

The jaws of the dental dam clamp fit around the ____________.

A) occlusal/incisal one-third of the tooth
B) middle one-third of the tooth
C) gingival one-third of the tooth
D) It does not matter.

Question 48

The 5 x 5 dental dam is used for which of the following procedures?

A) Endodontics
B) Anterior on adults
C) Children
D) All of the above
E) None of the above

Question 49

Vaseline is used to lubricate the ____________.

A) underside of the dental dam material
B) patient's lips
C) both a and b
D) neither a nor b