Title: Chapter 27: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: All of the following are uses for a toothbrush except one. Which of the following is not an accepted use of the toothbrush for oral health care?
- Biofilm removal
- Application of treatment or preventive agents
- Polishing of restorations
- Halitosis control
- Sanitation of the oral cavity
A: Polishing of restorations

Q: Writings in 300 B.C. include descriptions of diseased gums related to calculus and of complex preparations for the treatment of unhealthy mouths. Who was the author of these writings?
- Aristotle
- Socrates
- Hippocrates
- Plato
- Alexander the Great
A: Hippocrates

Q: Who was issued the first patent for a toothbrush in the United States around the middle of the 19th century?
- Pierre Fauchard
- William Addis
- Lawrence Koecker
- H. N. Wadsworth
- Ebert Papyrus
A: H. N. Wadsworth

Q: The use of nylon for toothbrush bristles began in 1938. World War I complications prevented Australian export of wild boar bristles so synthetic materials were substituted.
- Both the statement and reason are true
- Both the statement and reason are false
- The statement is true and the reason is false
- The statement is false and the reason is true
A: The statement is true and the reason is false

Q: Which one of the following characteristics would be least desirable in a toothbrush?
- Conforms to individual patient in size, shape, and texture
- Readily cleaned and aerated, impervious to moisture
- Bristle or filament height of 21 mm
- End-rounded filaments
- Durable and inexpensive
A: Bristle or filament height of 21 mm

Q: When making suggestions regarding toothbrush selection, the dental hygienist should consider all of the following except one. Which one is the exception?
- Ability of the patient to use the toothbrush
- Status of the gingival or periodontal health
- Bleeding of the gingiva during brushing
- Positioning of the teeth
- Personal preferences of the patient
A: Bleeding of the gingiva during brushing

Q: The sequence in brushing for any method used should:
- ensure complete coverage for each tooth surface
- begin in the anterior region of the oral cavity and work posterior
- begin in the same place each time you brush
- ensure that you brush the areas that are easiest first
- you do not worry about any particular sequence
A: ensure complete coverage for each tooth surface

Q: What is the most widely accepted method of toothbrushing intended to remove dental biofilm adjacent to and directly beneath the gingival margin?
- Roll technique
- Bass method
- Charters method
- Stillman method
- Fones technique
A: Bass method

Q: The horizontal brushing method is not recommended for all of the following reasons except one. Which one is the exception?
- This method bears pressure on teeth that are most facially inclined or prominent
- With use of an abrasive dentifrice, this method may produce tooth abrasion
- This method does not allow access to the interdental areas
- This method allows greater coverage in a short amount of time
A: This method allows greater coverage in a short amount of time

Q: All of the following statements regarding power toothbrushes are true except one. Which statement is the exception?
- Current power brushes move in speeds and motions that cannot be duplicated by manual brushes
- Research has shown consistently that power brushes are more effective than manual
- Power brushes have evolved through time due to improved designs and features
- Power brushes are evaluated by the ADA Council on Scientific Affairs
- Power brushes do not offer a great variety in the manner in which the bristles/head moves
A: Power brushes do not offer a great variety in the manner in which the bristles/head moves

Q: A patient has asked you for advice in using a particular model of power toothbrush given to her as a gift. You have never heard of this type of power toothbrush. She has an appointment with the doctor for restorative work the following week. What should you recommend to this patient?
- Tell the patient to go ahead and give the brush a try and let you know if she likes it
- Try to provide a demonstration of the brushing technique on a model with a regular brush
- Tell the patient that you do not recommend this brush because you have never heard of it
- Ask the patient to bring the brush in at her next visit and research the manufacturers' instructions prior to her return
- Tell the patient to return the gift and buy the brush your employer sells in his office
A: Ask the patient to bring the brush in at her next visit and research the manufacturers' instructions prior to her return

Q: Which one of the following reasons for occlusal brushing would be the least desirable reason for this technique?
- Loosen biofilm microorganisms packed in pits and fissures
- Remove biofilm deposits from occlusal surfaces of teeth out of occlusion
- Remove biofilm deposits from the margins of restorations
- Remove biofilm deposits from the maxillary tuberosity
- Clean pits and fissures to prepare for sealants
A: Remove biofilm deposits from the maxillary tuberosity

Q: Which of the following is not an effect of cleaning the tongue?
- Retards dental biofilm formation
- Contributes to overall oral cleanliness
- Contributes to increased xerostomia
- Reduces the number of microorganisms
- Reduces the potential for halitosis
A: Contributes to increased xerostomia

Q: When is toothbrush trauma most likely going to occur?
- After the removal of wisdom teeth
- After the placement of a new restoration
- After the initial instruction in a new method of brushing
- After the patient becomes concerned with the color of his or her teeth
- After the purchase of a new toothbrush
A: After the initial instruction in a new method of brushing

Q: Which of the following recommendations would you least likely give to a patient experiencing toothbrush abrasion?
- Change or correct the toothbrushing procedure
- Recommend a less abrasive dentifrice
- Suggest that the patient spend a longer time brushing his or her teeth
- Advise use of a specific brush with end-rounded filaments
- Explain the problem to the patient to ensure full cooperation
A: Suggest that the patient spend a longer time brushing his or her teeth

Q: Which of the following is not a suggestion to tell your patient regarding the care of toothbrushes?
- Replace your brush frequently, at least every 2 to 3 months
- Replace your brush before the filaments become splayed or frayed
- If you have a known infection, replace or disinfect your brush
- Use only one brush for home and work to prevent cross-contamination
- Brushes should be kept in open air with head in an upright position
A: Use only one brush for home and work to prevent cross-contamination