Mosby 5th ed. Component B Case Studies Case A 1. Hepatitis B affects what major organ of the body? A) A. Heart.

B) B. Li er. C) C. Lungs. !) !. "ancreas. #) #. Stomach. $. %hich of the fo&&owing conditions of this c&ient is NOT a ris' factor for her hypertension? A) A. %eight. B) B. Age. C) C. Hepatitis B. !) !. Smo'ing. (. )he initia& b&ood pressure reading for this c&ient was 1*+,-$ mm Hg. %hich of the fo&&owing categories BEST describes this reading? A) A. .orma&. B) B. High norma& C) C. Hypertension/ stage 1. !) !. Hypertension/ stage $. #) #. Hypertension/ stage (. *. %hat is the MOST &i'e&y cause of the radio&ucent area at the ape0 of tooth 1(1? A) A. 2enta& foramen. B) B. Latera& periodonta& cyst. C) C. #0ostosis. !) !. !enta& granu&oma. +. )he radiopacity indicated by the arrow on the right represents the image of which of the fo&&owing? A) A. 3nterna& ob&i4ue ridge. B) B. %a&& of inferior a& eo&ar cana&. C) C. #0terna& ob&i4ue ridge. !) !. 2enta& ridge. 5. According to the AA"/ this c&ient6s periodonta& c&assification wou&d be which of the fo&&owing? A) A. )ype 3. B) B. )ype 33. C) C. )ype 333. !) !. )ype 37. #) #. )ype 7.

8. )he b&uish area on the &ingua& gingi a between teeth 1$* and 1$+ is MOST &i'e&y which of the fo&&owing? A) A. Ama&gam tattoo. B) B. .orma& pigmentation. C) C. 2a&ignant me&anoma. !) !. Subgingi a& ca&cu&us. #) #. 9aposi6s sarcoma. :. %hich of the fo&&owing wou&d be the BEST de ice with which to remo e the subgingi a& ca&cu&us on this c&ient? A) A. Air;powder,airbrasi e po&isher. B) B. Sic'&e sca&er. C) C. Sonic;u&trasonic sca&er. !) !. <ra& irrigation de ice. -. As you are using the de ice se&ected in 4uestion :/ you decide to adjust the power 'nob to a higher reading. %hich of the fo&&owing is affected? A) A. Length of the stro'e. B) B. =re4uency of the stro'e. C) C. )uning of the de ice. !) !. %ater output. 1>. %hich of the fo&&owing in;office f&uoride products shou&d be used on this c&ient? A) A. Acidu&ated phosphate f&uoride ge& ?1.$(@ concentration). B) B. Sodium f&uoride ge& ?$@ concentration). C) C. Sodium f&uoride rinse ?>.$@ concentration). !) !. Stannous f&uoride ge& ?:@ concentration). #) #. Sodium f&uoride arnish ?+@ concentration). 11. )he c&ient has 5;mm poc'ets on teeth 1+/ 1-/ 115/ and 18. %hich of the fo&&owing describes how the measurement is determined? A) A. A& eo&ar crest to the gingi a& margin. B) B. Cementoename& junction to the epithe&ia& attachment. C) C. Cementoename& junction to the gingi a& margin. !) !. #pithe&ia& attachment to the gingi a& margin. #) #. 2argina& ridge to the epithe&ia& attachment. 1$. %hi&e you are wor'ing around tooth 1$+/ your sca&ing instrument6s wor'ing end brea's. A&& of the fo&&owing are appropriate actions/ #AC#") one. %hich one is the #AC#")3<.? A) A. 3so&ate the area with gauBe or cotton ro&&. B) B. !ry the area with the air;water syringe. C) C. )a'e a periapica& radiograph of the area. !) !. Cse another instrument to e0amine the su&cus.

1(. )his c&ient reports a history of hepatitis B. %hat additiona& precautions are re4uired when wor'ing with this c&ient? A) A. .o additiona& precautions are re4uired if standard precautions are used. B) B. )he c&ient shou&d be premedicated with an antibiotic. C) C. )he c&ient shou&d be referred to someone who specia&iBes in communicab&e diseases. !) !. )he c&inician shou&d use doub&e g&o es. 1*. %hich of the fo&&owing wi&& increase the c&ient6s periodonta& prob&ems? A) A. Smo'ing and hepatitis B infection. B) B. Smo'ing and use of "remarin. C) C. Bacteria& p&a4ue and smo'ing. !) !. Bacteria& p&a4ue and hepatitis B infection. 1+. %hen re iewing this c&ient6s hea&th history/ you see that she is ta'ing "remarin. %hat effect does it ha e on her ora& hea&th? A) A. 3t may e0acerbate gingi itis and b&eeding. B) B. 3t may cause disco&oration of the gingi a. C) C. 3t may cause her periodonta& condition to worsen. !) !. 3t has no effect on her ora& hea&th. 15. %hich of the fo&&owing intraora& de ices wou&d you recommend for this c&ient to remo e interpro0ima& bacteria& p&a4ue biofi&m? A) A. #nd tuft toothbrush. B) B. %a0ed denta& f&oss. C) C. =&oss fingers. !) !. 3nterdenta& brush.