Title: Chapter 40: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Professional subgingival irrigation is based on the premise that delivery of antimicrobial agents may enhance the effects of treatment by scaling and root planing. Irrigation into a pocket can reduce the numbers of microorganisms left behind following instrumentation.
- 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: Subgingival irrigation delivered via a presterilized disposable cannula, with a side port, multiple side ports, or end release, is used with which of the following?
- Disposable hand syringe
- Specially designed jet irrigator
- Air-driven irrigation handpiece
- All of the above
A: All of the above

Q: Which patients are indicated for postprocedure irrigation?
- Patients with a site or sites not responding to traditional periodontal care
- Patients with gingivitis superimposed on periodontitis
- Patients with areas inaccessible to mechanical instrumentation
- All of the above
A: All of the above

Q: A variety of antimicrobial agents, saline solution, and water have been researched for professional irrigation with varying results; products used include chlorhexidine gluconate and stannous fluoride. An antimicrobial agent can aid in reducing the numbers of microorganisms to prevent aerosol contamination during instrumentation.
- 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: Which agent for local delivery has an advantage in that it has not potential for the development of bacterial resistance?
- Doxycycline polymer
- Chlorhexidine chip
- Minocycline hydrochloride
- All of the above
A: Chlorhexidine chip

Q: Which part of the endoscope is used to provide irrigation to the working field?
- Subgingival probe
- Sheath
- Peristaltic pump
- Lamp
A: Peristaltic pump

Q: Which of the following is true of a locally administered antibiotic?
- It reaches the pathogenic organisms in the pocket through the circulation
- The antibiotic is absorbed into the circulation from the intestine
- The antibiotic is placed directly into the pocket
- The antibiotic is in a diluted form by the time it reaches the pathogenic microorganism
A: The antibiotic is placed directly into the pocket

Q: Which of the following is true of initial therapy, postprocedure irrigation?
- A large quantity of solution is needed
- Use an endo syringe to draw up a small amount of povidone-iodine
- Advance the tip at least 1 mm below the gingival margin
- Let the solution remain in place undisturbed for 24 hours before rinsing with suction
A: Use an endo syringe to draw up a small amount of povidone-iodine

Q: Supplemental care procedures performed by the RDH include which of the following?
- Desensitization of teeth
- Implant maintenance
- Dietary analysis
- All of the above
A: All of the above

Q: In contrast to locally delivered antibiotic agents placed directly into a pocket, antibiotics administered systemically reach the pathogens in the pocket through the circulation. The specific microorganism that is causing a periodontal infection should be determined first, and the antibiotic selected should be specific for that organism.
- 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
Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness.

Reference: Ref 40-1

Open and read the attached case to answer the following question. What dental hygiene treatment is indicated for this patient?
- Oral hygiene instructions
- Scaling and root planing
- Professional irrigation
- All of the above
A: All of the above

Q: Case Study 1
Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness.

Reference: Ref 40-1

After having professional irrigation with minocycline hydrochloride, Mr. Herman should be told which of the following?
- Avoid touching the treated area
- Wait at least 2 hours to use a toothbrush after treatment
- Floss as soon as possible after the treatment
- Eat hard, crunchy foods to help retain the product
A: Avoid touching the treated area

Q: Case Study 1
Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness.

Reference: Ref 40-1

Open and read the attached case to answer the following question. When should local delivery of antimicrobials be used on this patient?
- Only at initial therapy
- Only at adjunctive treatment at re-evaluation
- Never
- Both at initial therapy and adjunctive treatment at re-evaluation
A: Both at initial therapy and adjunctive treatment at re-evaluation

Q: Case Study 1
Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness.

Reference: Ref 40-1

Open and read the attached case to answer the following question. All of the following are possible antimicrobial agents that can be used on the patient except:
- doxycycline polymer
- minocycline
- tetracydoxycyline chip
- chlorhexidine chip
A: tetracydoxycyline chip

Q: Two essential components of successful therapy are complete subgingival scaling with root debridement by the dental hygienist and effective daily dental biofilm control by the patient. The objective is to eliminate or at least suppress the pathologic microorganisms in the subgingival area to promote healing and hence control the infection.
- 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