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229 terms

Dental Assistant Final Exam Review

STUDY
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2-3 mm Hg per second
When taking blood pressure, the exhaust valve should be released at a rate of:
Maxillary left central incisor
Tooth # 9
public health dentistry
The Dental Speciality in which the "patient is the entire community is
endodontist
A patient who needs a root canal treatment might be referred to a
patient
The most important person in the dental practice is the
contaminated area of the sterilization center
Contaminated dental instruments should be returned to to the
oral and maxillofacial radiology
The newest dental specialty
dental hygienist
the members of the dnetal health team that is licensed to scale and polish the teeth are
the dental laboratory
modle trimmers and dental lathes are found in
consultation room
the denist explains the treatment plan to the patient in this area of the office
Dentist
the leader of the dental healthcare team is the
Dr. C. Edmund Kells
The dentist recognized as having used the first dental assistant
ethics
The aspect of dentistry that deals with codes of behavior, values, and morals is
civil law
A violation of licensing regulations or inappropriate use of drugs woul dbe regulated under
state dental board
The ganecy in each state that is responsible for regulating the practice of dentistry is the
one state recognizes the dental license of an individual from another state
Reciprocity occurs when
direct supervision
the type of supervision that requires the dentist to be in the office while the dental auxiliary performs certain functions is
Dental Assisting National Board
the credential of certified dental assistant, CDA, is awarded by the
risk managment
The methods of preventing lawsuits in a dental office are called
professional negligence
Another term for malpractice is
an act of omission
When a dentist fails to recognize a dental disease, and the patients condition worsens, it is known as
informed consent
When a patient is given specific information about a dental procedure and any possible risks involved, an signs a form that states that he or she understands the risks and agrees to the dental procedure about ot be preformed, it is called
cell
The simplest organizational level in the human body is the
nervous system
The body system that causes muscles to contract and stimulates glands to secrete is the
lymphatic system
The thymus, spleen, and tonsils are components of which system
hinge and glide
The type of movements made by the TMJ are
middle superior alveolar nerve
The nerve that supplies the maxillary first and second premolars and mesiobuccal root of the maxillary first molar is the
veins
The structures that carry blood back to the heart are the
dorsal surface
The top of the tounge is called the
provide lubrication, clean the oral cavity, aid in digestion
which of the following are the dfunctions of the salivary glands
gingiva or lining mucosa
which type of oral mucosa covers the inside of the cheeks, vestibules, lips and ventral surface of the tongue
alveolar socket
The ______ is the cavity within the alveolar process that holds the tooth
occlusal
The chewing surfaces of the posterior teeth are called
32
how many teeth are included in the permanent dentition
maxillary left central incisor
In the universal/national system, tooth #9 is the
maxillary right central incisor
In the FDI numbering system, tooth #11 is the
lingual surface
The surfaces of the teeth that are nearest ot the tongue are the
the contact between the maxillary and the mandibular arches
Occlusion refers to
sextant
When the arches are divided into six parts, each part is called a
False
T or F....The primary dentition contains four premolars
canines
The teeth that are sometimes called the corner of the arch are the
distal surface
The proimal surface that is located farthest away from the midline is the
True
T or F The Clinical crown is that portion of the tooth that is visible in the mouth
True
T or F In the permanent dentition, there are 12 molar teeth
False
T or F An embrasure is the space between the roots of a molar
True
T or F Primary teeth are also known as deciduous teeth
True
T or F The anatomic crown is the portion of the tooth that is covered with enamel
False
T or F Cementum is harder than enamel
False
T or F Only posterior teeth have periodontal ligaments
Pulp Horns, Coronal Pulp, accessory canal, radicular pulp
Portions of the dental pulp
pathogen
A microorganism that can cause disease is called a
bacteria
A large group of one-celled microorgansims that are capable of causing diseases are
spores
The form of life that is the most resistant to extremes of heat and dryness are
tetanus
Antoerh term for the disease often called Lockjaw is
legionnaires disease
The serious disease that can be transmitted from contaminated dental water in dental lines is
herpes simplex virus type 2
The sexually transmitted form of herpes is
HIV
The virus that enters the human body and attacks the immune system
Hepatitis A
Which of the following types of hepatitis is NOT a bloodborne disease
Hepatitis D
Which of the following types of hepatitis is not capable of replicating itself
co-infection or Transient bacteremia
An infection resulting from bacteria that are normally present in teh patients mouth is called
concentration
The number of pathogens present is called
tuberculousis
_________ is a disease caused by a spore forming bacillus
immunity
The ability of the human body to resist disease is called
portal of entry
The method by which the pathogen enters the body is called
fungi
Plants such as mushroom, yeasts, and molds are examples of
Hepatitis C
___________ is a disease of the liver with a latency of up to 15-25 years
Candiasis
__________ is a disease caused by the yeast candida albicans
parenteral
_________ transmission occurs through a break in the skin
bacteria, virus, spore,
Which organisms live and multiply only inside a host cell
host resistance
The ability of the human body to resist a pathogen is called
faucets, instrument drawer handles, dental materials, patients chart
Which of the following surfaces could be a potential source of disease transmission in a dental office
saliva, blood, microorganisms
Dental aerosols can contain
needlesticks, human bites, cuts
which of the following are considered types of parenteral disease transmission
the patient from the staff, the staff from the patient, the patient from another patient
The goal of an infection contraol program is to prevent disease transmission to
cut from an instrument, needlestick
Name two types of percutaneous injury
both before and after you glove
As a dental assistant, when should you wash your hands
Protective clothing, mask, eyewear, disposible gloves
name types of PPE
utility gloves
Which type of glove should be used when the treament room is cleaned and disinfected
manufacturer of the material
MSDS should be supplied by the
tabacco, foods, cosmetics
What items are exempt from the chemical labeling laws
fire
The red triangle on the NFPA label indcates the danger level for
False
T or F It is considered safe practice to wear jewlery under latex gloves
semi critical instrument
What type of instrument is a mouth mirror considered
critical
A dental bur is an example of a __________ instrument
latex examination gloves
What PPE should not be worn while precleaning and disinfecting a treatment room
smooth and easily cleaned
surface barriers are not necessary on what type of surface
a combination of surface barriers and surface disinfectants
The best way to manage surface asepsis is with the use of
after each patient use
Laboratory items such as a rag wheel should be changed as
high speed handpieces, air water syringes, ultra sonic hand peices
Which of hte following items can produce contaminated dental unit water
utility gloves
When placing surface barriers on on a surface that has already been cleaned and disinfected, you should use what type of glove
critical
__________ instruments MUST be heat sterilzed between patients
low level
Which of the following types of disinfectants may not be necessarily be tuberculocidal
7
how many steps are involved in instrument processing
biological monitoring
the only certain method to determine sterilization is with the use of
holding solution
Instruments that are not cleaned soon after use should be placed in
once daily
The ultrasonic cleaner solution should be changed how often
at all times, in use and when not in use
When should the ultrasonic cleaner be covered
hand scrubbing
The least desireable method of precleaning
improper cycle time, overloading chamber, opening the door during the cycle
What can cause a sterilization failure when using a dry heat sterilizer
dry heat forced air
What is the fastest method of sterilization
autoclave
What is the method of sterilization that produces the greatest risk of rust and corrosion on the instruments?
chemical vapor
What method of sterilization produces unpleasant fumes?
transport, cleaning, packaging, sterilizing, storing, delivery, Quality assurance checks
List the seven steps in instrument processing
cost effective, quick, many items at once
Three advantages of the autoclave
holding solution
What prevents blood and debris from drying on the instruments
ultrasonic cleaner
A ______ loosens and removes debris from instruments
autoclave
A ______ sterilizes by super heated steam under pressure
autowater
An automated washing and disinfecting machine is called an
True
T or F The ideal instrument processing area should be dedicated only to insturment processing
supine
In the ______ position, that patients head and knewws are at appoimately the same plane
does not
The operators stool _____________ have a ring near the base to support the feet
The arm on the patient chair is raised or moved out of the way.
How is the chair prepared to seat a patient
the high speed handpeice, the low speed handpiece, the air water syringe
The dental unit houses what?
assistants zone
What zone is the work surface of the assistants mobile unit positioned
7-12
The operators zone for a right handed dentist is from ______ oclock to ___ oclock
upward
When treating a tooth in the maxillary arch, the transfer of the next instrument shouldhav ethe instruments working end turned...
the last two fingers
What fingers on the left hand are used when the assistant is retriveing a used instrument from the dentist
single handed transfer
Surgical forceps are transferred using what type
injuring the patient, injuring the dental team, tangling the instruments
During instrument exchange, teh handles of the two instruments should be parallel in order to prevent what?
pen grasp, palm grasp, palm thumb grasp
What are the three types of tool grasps
operator, static, assistant, transfer
What are the 4 different zones
lingual surface or opposite wo where the dentist is working
The dentist is working on the facial suface of tooth no. 10, the HVe tip should be placed on the...
No. 5
What hole size is used fro the anchor tooth which hold the rubber dam clamp?
Tape or Floss
While placing the dental dam, you notice contacts that are extreamely tight. What can you use to guide the material?
pen or thumb to nose
What type of gasp do you use with the HVE handle
prevent saliva leakage
What is the purpose of inverting the dental dam
turn the vacuum off or rotate the angle of the tip
if a patient cheek or tongue is accidentally sucked into the HVE tip, what should you do?
False
T or F A dry angle is a triangle shaped absorbent pad to help isolate anterior areas of the mouth
True
T or F The anchor tooth is the tooth that holds the dental dam clamp
True
T or F When working on the posterior area of the cmaxillary arch, a cotton roll is placed on teh cheek side.
False (cotton rolls)
T or F The isolation technique that can ensure dry conditions is the dental dam
False
T or F HVE tips should be disinfected after use
to punch holes in dental dam for each individual tooth
What is Dental dam punch
device used to mark teeth on the dam
What is a dental dam stamp
material to isolate teeth
What is a dental dam
used to place and remove the dental dam clamp
What are dental dam forceps
U shaped peice of equipment to stretch the dam away from the face
dental dam frame
piece of metal that anchors the dental dam material on the tooth
dental dam clamps
disposable absorbent placed between the face and the dam
dental dam napkin
water soluble substance placed on the underside of the dam
lubricant
hold the tongue away from the procedure, clear away debris, keep area dry
List the three uses of the high volume evacuator
can be placed quickly, simple to use, no additional equipment is needed
Advantage of cotton rolls
can injure the tissue if not removed properly, does not prevent debris from dropping into mouth, does not prevent contamination from the tongue
Disadvantage of cotton rolls
infection control protective barrier, safeguards mouth, protects tooth from contamination of saliva, moisture control, good visability
indications for using dental dam
systolic
What is the first number when recording blood pressure
10-20 breaths per minute
What is the normal respiration rate for a relaxed adult
collecting fees, filing insurance claims, making financial arrangements
What is financial information gathered for?
prescribed drugs, over the counter drugs
A medication history is a record of ____ that the patient is currently taking
at each visit
When should the patients medical history from be updated
responsible party
The person who has agreed to pay the fees associated with the patients dental care is known as the
radial artery
What artery is commonly used to take the pulse
at the same level as his heart
When the blood pressure is taking where should the patients elbow be placed
record of all exam findings, medical and dental history, treatment discriptions
What is the patients record composed of
take responsibility for the accuracy of the infomation
The patients signature on the medical history questionnaire indicates that they
False
T or F A patient record is commonly referred to as the Patient's plan
stethoscope
The instrument that is used to ampligy the blood pumping through the artery is the
18-30 breathes per minute
What is the normal respiration rate for children?
temperature, pulse, respiration rate, blood pressure
What are the vital signs that are indicators of a patients overall health
Brachial, corotid, radial
three most common places to take the pulse
an act of touching or feeling
palpation
Decay in the pits and fissure on the occlusal surfaces
Class I Decay
Decay on the proximal surfaces of premolars and molars involving two or more surfaces
Class II Decay
Decay on proximal surfaces of incisors and canines
Class III Decay
Decay on the proximal surfaces of incisors and caines also involving the incisal angle
Class IV Decay
Smoth surface decay occurring on the gingival thrid of the facial or lingual surfaces
Class V Decay
Decay, abrasion, or defects on the incisal edge of anterior teeth and occlusal surfaces of posterior teeth
Class VI
Type I- Emergency Care
Type II- Standard Care
Type III- optimum Care
Three types of treament plans
Porclain fused to metal
The abbreviate of PFM represents
outline the corwn with red and placing red diagonal lines
During a routine charting of a patient, the dentist indicates that the patient should recieve a gold crown for tooth No. 4. This should be charted how?
tooth 24 or any other incisial (canine) teeth
On which tooth would you commonly see a class III cavity
a sudden, and generally temporary, loss of consciousness and postural tone, due to inadequate flow of oxygenated blood to the brain (fainting)
syncope
cardiopulmonary resuscitation, heimlich manuver, charting vital signs
The standard of care for handling madical emergencies requires that all dental personnel be certified in ....
substance that causes an allergic reaction
allergen
oxygen
what is the most frequently used drug in a medical emergency
Sudden but temporary drop in blood pressure when rising from a reclining or seated position (unusually low blood pressure upon standing)
Postural hypotension
heart attack
myocardial infarction
damage to the brain that occurs when the blood flow to the brain is disrupted; also known as a stroke
cerebrovascular attack
call for help and remain on the phone
roll of front desk staff during an emergency
retrieve oxygen and emergency drug kit
roll of clinical assistant or dental hygienist during emergency
remain with patient for assesment or to assist with basic life support
roll of the dentist during emergency
respond to needs of other patients in office
roll of additional team members
the patients report to you of what they are feeling
A symtom is
what you observe in the patient
A sign is
liver disease
____ is a health condition that the dentist must be alerted to when selecting an anesthetic with a vasoconstrictor
blue
color of nitrous tank
1 inch
What length needle is selected when administering a local anesthtic inflitration
3-5 minutes
How long are topical anesthetics left on the oral mucosa
vasoconstrictor
What can be added to a local anesthetic to cause a blood vessle to contrict
antibiotic
What type of drug is penicillin
analgesic
what type of drug is ibuprofen
narcotic
what type of drug is morphine
sedative
what type of drug is valium
pregnancy, thyroid problems, liver disease, kidney disease, hyper tension
five specific health conditions would impact the selection of local anesthetic
safe, proven effective, patient is conscience, easy to use, cost effective
three advantages of using nitrous oxide analgesia
threaded tip
hub where the needle is screwed onto the syringe
finger grip
where the dentist hold the syringe firmly
harpoon
sharp hooklike component that fits into the rubber stopper of the cartridge
barrel of syringe
holds the anesthetic cartridge
thumb ring
c-shaped protion of the area grasped by the operator
piston rod
pushes down the rubber stopper on the anesthetic cartridge
2-3mm
How many Hg per second should the exhaust valve be released when taking blood pressure
10-20 bpm
Normal adult respiration is
stippled
What is the apprearance of the gree gingivae
2-3mm
What is the depth of the normal gingival sulcus
dried
Before pulp testing, the teeth should be...
increased efficincy of the dental team, driest operating field possible, soft tissue retraction
What are the benefits of a correctly placed rubber dam
celluloid
What is used as a matrix for a class III restoration
antiseptics
agent that prevents the growth or action of microorganizms on living tissue
synthetic phenol
What chemical is capable of causing a sever tissue reaction
hinges closed
in what position should instruments with hinges be placed in the unsaturated chemical vapor sterilizer
yes
Can you recive the Hepatitis B vaccine when you are pregnant?
at least 10 hours
how long must instruments remain immersed in glutaraldehyde to acheive sterilization?
resistance to a disease
Immunity
iodophers
What disinfectant chemical tends to cause a yellow stain?
once a week
How often should spore testing of sterilzers be done
Spore Testing
What qualifies as a biological monitor?
once a day
How often should the ultra sonic cleaner be changed
zygomatic arch
What bone forms the prominence of the cheek?
masseter
Which muscle serves to compress the cheeks, hol food in contact with the teeth, retract the angles of the mouth
either of the corners of the eye where the upper and lower eyelids meet
Canthus
The wing of the nose or outer edge of the nostril
ala of the nose
Rectangular area from under the nose to the midline of the upper lip.
philtrum
a small cartilaginous flap in front of the external opening of the ear
tragus
The midpoint between the eyes just below the eyebrows
nasion
smooth area between the eyes
glabella
the nostril.
anterior naris
the prominence of the chin
mental protuberance
Tissue connection between the lip and attached gingival labial frenum, the lingual frenum attaches the tongue to the floor of the mouth.
frenum
torn away or dislodged by force
avulsed