Title: Chapter 39: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Periodontal debridement includes which of the following therapeutic interventions?
- Scaling to remove calculus and all soft deposits
- Root planing to eliminate subgingival calculus and smooth the tooth surface
- Root debridement to eliminate subgingival biofilm and mineralized deposits
- All of the above
A: All of the above

Q: Dental hygiene care aims to prevent, arrest, control, or eliminate the infection in the gingiva. The long-range success of treatment depends on the control of the dental biofilm by the patient on a daily basis.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is true

Q: In the dental hygiene care plan, the expected outcome for nonsurgical therapy includes which of the following?
- Interrupt or arrest the progression of disease
- Create an environment that encourages tissue resolution and elimination of inflammation
- Educate and motivate the patient
- All of the above
A: All of the above

Q: Lipopolysaccharides or endotoxins, derived from the cell walls of Gram-negative pathogenic microorganisms, are toxic to human tissue and cause inflammation and destruction of the periodontal attachment. Endotoxins are embedded in the cemental surface and in the superficial biofilm and cannot be removed readily.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is false

Q: When is a single appointment adequate for instrumentation appointment sequencing?
- The diagnosis may be gingivitis or early periodontics with small areas of deposits readily accessible; anesthesia may not be needed
- Only a few teeth present; limited areas of anesthesia may be needed
- Patient acts responsibly in keeping appointments for maintenance and continued monitoring for disease control
- All of the above
A: All of the above

Q: A light grasp in instrumentation during calculus removal is indicated for:
- instrument insertion and positioning
- assessment strokes
- root debridement strokes in removal of biofilm
- all of the above
A: all of the above

Q: Predisposing factors in periodontal abscess formation include which of the following?
- Deep suppurating pockets, advanced periodontal infection
- Pockets extending into furcation areas or intrabony defects
- Patient susceptible to infection, such as with uncontrolled diabetes, with an immunodeficiency disease, or being treated with an immunosuppressive drug
- All of the above
A: All of the above

Q: Which of the following is true of the direction of strokes when performing manual subgingival scaling?
- Strokes should not overlap
- Perform horizontal strokes at the bottom of a pocket
- Only vertical strokes should be used
- Apply strokes systematically
A: Apply strokes systematically

Q: Mechanical vibrations in the mode of action in ultrasonic and sonic scaling include which of the following?
- Power-driven scaling devices convert electrical energy (ultrasonic) or air pressure (sonic) into high-frequency sound waves
- Sound waves produce rapid vibrations in the specially designed scaling tips
- Calculus is incrementally shattered from the tooth surface when the vibrations are applied to the deposit
- All of the above
A: All of the above

Q: The water spray in ultrasonic and sonic scaling devices penetrates to the base of the pocket^ to provide a continuous flushing of debris, bacteria, and endotoxin. Oscillation of the ultrasonic tip causes hydrodynamic waves to surround the tip; this acoustic turbulence is believed to have a disruptive effect on surface bacteria.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is true

Q: Case Study 1
Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical treatment with the RDH.

Reference: Ref 39-1

Open and read the attached case to answer the following question. What is the protocol after the completion of initial therapy?
- Follow-up phone call to patient
- Immediate evaluation of teeth and gingiva
- Examination at scaling visit
- All of the above
A: All of the above

Q: Case Study 1
Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical treatment with the RDH.

Reference: Ref 39-1

Open and read the attached case to answer the following question. What occurs during the immediate evaluation?
- Observe and explore the teeth for complete removal of deposits
- Observe any gingival changes
- Any tissue regeneration
- All of the above
A: All of the above

Q: Case Study 1
Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical treatment with the RDH.

Reference: Ref 39-1

Open and read the attached case to answer the following question. When scaling is accomplished over a series of appointments, each previously scaled quadrant or area is examined and rescaled as needed at each appointment. Visual and tactile methods are applied carefully to each tooth surfaces.
- The first statement is true and the second statement is true
- The first statement is false and the second statement is false
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
A: The first statement is true and the second statement is true

Q: Case Study 1
Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical treatment with the RDH.

Reference: Ref 39-1

Open and read the attached case to answer the following question. After scaling and root planing are completed, what type of instructions should be provided to Mrs. Carlson?
- Personalized printed instructions
- Verbal instructions only
- None should be given
- Only give instructions when all quadrants are completed
A: Personalized printed instructions

Q: Case Study 1
Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical treatment with the RDH.

Reference: Ref 39-1

Open and read the attached case to answer the following question. What should be the expected clinical end points after treatment has occurred for Mrs. Carlson?
- Bleeding on probing eliminated
- Probing depths increased
- Attachment levels decreased
- Tooth surface irregular
A: Bleeding on probing eliminated