Deck 8: Clinical Assessment

Question 1

What are the possible causes of the patient's tooth stain?

A) Tobacco use
B) Poor oral hygiene
C) Coffee, tea, and wine consumption
D) Tetracycline treatment

Answer 1

Coffee, tea, and wine consumption

Question 2

The term for tooth wear on the incisal or occlusal surfaces caused by such habits as fingernail biting,excessive toothbrushing,or pipe smoking is:

A) Erosion
B) Attrition
C) Abrasion
D) Abfraction

Answer 2

Abrasion

Question 3

What is an important parameter for assessing the failure of an implant?

A) Probing depths
B) Attachment loss
C) Clinical mobility
D) Radiographic image

Answer 3

Clinical mobility

Question 4

Root lesions that are soft can be penetrated with an explorer and those that are dark brown are likely to be:

A) Incipient
B) Remineralized
C) Caries with possible pulpal involvement
D) Impossible to determine

Question 5

All of the following are reliable tools used to detect calculus on the root surfaces except one.Which tool is the exception?

A) Explorers
B) Radiographic images
C) Dental endoscopes
D) Visual assessment when retracting the tissue and drying with air

Question 6

What are the four universally accepted descriptions of the health status of the gingiva?

A) Bleeding, color, stippling, and texture
B) Color, consistency, contour, and texture
C) Clefting, color, consistency, and contour
D) Bleeding, clefting, recession, and swelling

Question 7

According to the commonly used classification of caries proposed by G.V.Black,a class 4 carious lesion includes:

A) Gingival third cavities
B) Incisal edge and cusp tip cavities
C) Proximal cavities in premolars and molars
D) Proximal cavities in incisors and canines involving the incisal edge

Question 8

The presence of visible pus at a site is indicative of:

A) The end of the disease cycle
B) The possibility of active disease
C) The possibility of inactive disease
D) Poor plaque biofilm control and poor patient motivation

Question 9

The tooth wear on the tips of the cuspids is most likely the result of:

A) Erosion
B) Attrition
C) Abrasion
D) Abfraction

Question 10

The term for tooth wear on the incisal or occlusal surfaces caused by tooth-to-tooth contact is:

A) Erosion
B) Attrition
C) Abrasion
D) Abfraction

Question 11

Plaque biofilm control records can be used to record a patient's plaque control over time.These records can also be used as educational and reinforcement tools.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 12

Furcation involvement affects the tooth in all of the following ways except one.Which way is the exception?

A) It makes homecare more difficult.
B) It worsens the prognosis for the tooth.
C) It improves the prognosis for the tooth.
D) It makes scaling and root planing more difficult.

Question 13

The mucogingival junction is an important feature of the periodontium because it:

A) Covers the palate.
B) Is a standard width.
C) Protects the free gingiva from frenum movement.
D) Demarcates the attached gingiva from the mucosa in the oral cavity.

Question 14

Please use the following description to complete the following exercises.
Ms.AJP is a 47-year-old woman who reports to be extremely health conscious.She exercises daily, limits herself to a vegetarian diet, takes regular vitamin supplements, does not smoke, drinks coffee and tea, and drinks wine on social occasions.She reports an unremarkable medical history.Ms.AJP has regularly seen the dentist throughout her life and takes good care of her teeth, although this is the first time she has come to your office.Although she is free of caries, she has become aware that her teeth do not exhibit the esthetic image she would like to portray, and she is interested in tooth whitening.She has mild wear on the cuspid teeth.
The following questions would be appropriate for Ms.AJP except one.Which question is the exception?

A) "What is your medication history?"
B) "Are you menopausal or perimenopausal?"
C) "Do you have an eating disorder or a history of one?"
D) "Are you aware of clinching or grinding your teeth?"
E) "Do you have a history of gastroesophageal reflux disease?"

Question 15

Bleeding on probing is considered a clinical indication of active periodontal disease.The lack of bleeding on probing means that the particular site in the periodontium is unlikely to lose attachment.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 16

When the dental hygienist is treating a patient,the medical history form completed by the patient must be reviewed and signed by the:

A) Patient only
B) Dental hygienist only
C) Patient and dental hygienist
D) Patient, dental hygienist, and dentist supervisor

Question 17

Radiographic assessment indicates:

A) Active disease processes
B) History of the disease processes
C) Areas at risk for periodontal breakdown
D) Restorations that will break down in the future

Question 18

What radiographic series would be appropriate for Ms.AJP?

A) Bitewing x-ray images
B) Panographic x-ray image
C) Full-mouth periapical series
D) Bitewing and full-mouth periapical series

Question 19

The most accurate assessment of periodontal support for the tooth is:

A) Sulcus depth
B) Attachment loss
C) Probing pocket depth
D) Gingival pocket depth

Question 20

Performing all assessment procedures on Ms.AJP is appropriate.The dental hygienist most likely does not have to probe the patient's dentition because she regularly sees the dentist.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 21

Pathologic mobility is tooth displacement that occurs when the balance among the factors that maintain physiologic tooth position is disturbed.The teeth can move in any direction; when they move in the occlusal direction,it is known as extrusion or elongation.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 22

Which of the following descriptions is correct,based on the four universally accepted descriptive categories?

A) The patient has pale pink, healthy tissue with stippling present.
B) The patient has red, inflamed, spongy tissue.
C) The patient has firm cyanotic tissue with rolled margins and stippling.
D) The patient has edematous, shiny tissue, and blunted papilla with no stippling.

Question 23

Digital subtraction radiography (DSR)is being used in the diagnosis of periodontal disease and bone regeneration.Two exposures are taken at different intervals,and the changes in bone density that occurred during the interval are measured.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 24

Which of the following teeth may have a bifurcated root?

A) Maxillary canine
B) Maxillary first premolar
C) Maxillary second premolar
D) Mandibular first premolar
E) Mandibular second premolar

Question 25

PSR is the abbreviation for:

A) Probing screening recession
B) Periodontal screening and recording
C) Periodontal system for recording
D) Periodontal sextant recording
E) Periodontal scoring records

Question 26

Which of the following is an example of a physiologic cause of tooth mobility?

A) Grinding or clenching teeth
B) Periodontal disease
C) Normal tooth movement
D) Gingival inflammation
E) All of the above

Question 27

What provides the most reliable and accurate means of assessing the progression and remission of periodontal disease?

A) Recession
B) CAL
C) Inadequate attached gingiva
D) Pocket depth
E) Radiographic images

Question 28

Nonkeratinized,loosely attached,and movable tissue that begins at the mucogingival junction is:

A) Attached gingiva
B) Frenum attachment
C) Unattached gingiva
D) Alveolar mucosa

Question 29

Recession is the distance between the:

A) Gingival margin and mucogingival junction
B) Gingival margin and epithelial junction
C) CEJ and gingival margin
D) CEJ and mucogingival junction
E) CEJ and epithelial junction

Question 30

Which assessment tool provides a numerical reading of the depth of the epithelial attachment in relation to the CEJ and the gingival margin?

A) Radiographic images
B) Autofluorescence imaging
C) Probing measurements
D) Spectro-optical scanning
E) Fiberoptic endoscopy

Question 31

Which is the correct order for the dental hygiene process of patient care?

A) Diagnosis, planning, assessment, implementation, and evaluation
B) Evaluation, diagnosis, assessment, planning, and implementation
C) Assessment, diagnosis, planning, implementation, and evaluation
D) Evaluation, assessment, diagnosis, planning, and implementation
E) Evaluation, diagnosis, assessment, planning, and implementation.

Question 32

Inflammation of the soft tissue around an implant is _________________.

Question 33

Which of the following may not be a sign of peri-implantitis or a sign that an implant is failing?

A) A 6- to 7-mm pocket
B) Smooth, red gingival tissue around the implant
C) Bleeding on probing
D) Visible exudate
E) Detectable mobility

Question 34

Which color of gingival tissue indicates chronic inflammation?

A) Bright red
B) Pale coral pink
C) Dark red to cyanotic
D) Brown

Question 35

Implants should be probed to assess the health of an implant site.A healthy probing depth for an implant is:

A) 0 mm
B) 1 to 2 mm
C) 3 to 4 mm
D) 5 to 6 mm

Question 36

MATCHING
Match the following stains with their descriptions.
Brown stain

A)Yellow-brown to brown color stain on teeth and tongue
B)Thin black lines on the lingual and facial surfaces near the gingival margin
C)Tenacious dark brown or black surface deposit
D)Most common stain, associated with poor oral hygiene; most often caused by tannin, which is in coffee, tea, fruits, and red wine
E)Yellow-brown or golden color stain on the tongue and teeth

Question 37

The col is the depression between the buccal and lingual papilla of two adjacent teeth.It is made of keratinized tissue and conforms to the interproximal contact area.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 38

A pigmented deposit on a tooth surface is:

A) Intrinsic stain
B) Extrinsic stain
C) Calculus
D) Plaque biofilm

Question 39

Gingiva that appears shiny and smooth with no stippling and has rolled margins is:

A) Healthy
B) Inflamed
C) Fibrotic
D) Normal for a person in his or her 60s

Question 40

Pathologic tooth migration occurs most often in:

A) Mandibular anterior teeth
B) Mandibular posterior teeth
C) Maxillary anterior teeth
D) Maxillary posterior teeth

Question 41

Match the following teeth with the location of the furcations.
Mandibular molars

A)Buccal, mesiolingual, and distolingual
B)Facial and lingual
C)Lingual, mesiolingual, and distolingual
D)Mesial and distal
E)Lingual, mesiobuccal, and distobuccal

Question 42

Match the following teeth with the location of the furcations.
Maxillary first premolars

A)Buccal, mesiolingual, and distolingual
B)Facial and lingual
C)Lingual, mesiolingual, and distolingual
D)Mesial and distal
E)Lingual, mesiobuccal, and distobuccal

Question 43

MATCHING
Match the following stains with their descriptions.
Black stain

A)Yellow-brown to brown color stain on teeth and tongue
B)Thin black lines on the lingual and facial surfaces near the gingival margin
C)Tenacious dark brown or black surface deposit
D)Most common stain, associated with poor oral hygiene; most often caused by tannin, which is in coffee, tea, fruits, and red wine
E)Yellow-brown or golden color stain on the tongue and teeth

Question 44

The primary vital signs-blood pressure,temperature,pulse,and respiration rate-should be taken and recorded at each patient appointment.

Question 45

MATCHING
Match the following stains with their descriptions.
Stannous fluoride

A)Yellow-brown to brown color stain on teeth and tongue
B)Thin black lines on the lingual and facial surfaces near the gingival margin
C)Tenacious dark brown or black surface deposit
D)Most common stain, associated with poor oral hygiene; most often caused by tannin, which is in coffee, tea, fruits, and red wine
E)Yellow-brown or golden color stain on the tongue and teeth

Question 46

MATCHING
Match the following stains with their descriptions.
Chlorhexidine

A)Yellow-brown to brown color stain on teeth and tongue
B)Thin black lines on the lingual and facial surfaces near the gingival margin
C)Tenacious dark brown or black surface deposit
D)Most common stain, associated with poor oral hygiene; most often caused by tannin, which is in coffee, tea, fruits, and red wine
E)Yellow-brown or golden color stain on the tongue and teeth

Question 47

MATCHING
Match the following stains with their descriptions.
Tobacco

A)Yellow-brown to brown color stain on teeth and tongue
B)Thin black lines on the lingual and facial surfaces near the gingival margin
C)Tenacious dark brown or black surface deposit
D)Most common stain, associated with poor oral hygiene; most often caused by tannin, which is in coffee, tea, fruits, and red wine
E)Yellow-brown or golden color stain on the tongue and teeth

Question 48

Match the following teeth with the location of the furcations.
Maxillary molars

A)Buccal, mesiolingual, and distolingual
B)Facial and lingual
C)Lingual, mesiolingual, and distolingual
D)Mesial and distal
E)Lingual, mesiobuccal, and distobuccal

Question 49

When a complete examination is performed,knowing the patient's major complaint is helpful but not necessary.