HESI Case Study Three

Which restoration is present on the mandibular right first molar?

Composite

Gutta percha

Amalgam

Porcelain fused to metal crown

The tongue shows the presence of papillae. Which papillae do not contain taste buds?

Circumvallate

Fungiform

Filiform

Foliate

Which radiopaque structure is visible beneath the "R/L" letters on the panoramic?

Hyoid bone

Coronoid process of the mandible

Ghost images of the "R/L"

Thyroid collar artifact

What is the horizontal radiolucency visible above the roots of the maxillary teeth?

Floor of the maxillary sinus

Hard palate

Palatoglossal air space

Floor of the orbits

The pts blood pressure is considered

Stage 1 hypertension

Stage 2 hypertension

Prehypertension

Normal

The pt is taking Prevacid/lansoprazole for GERD. The major site for metabolism of this drug is the

Mouth

Stomach

Liver

Muscle

While exposing the panoramic, which is the correct position of the Frankfort plane for the pt?

Parallel to floor

Cantered in machine

Within focal trough

Perpendicular to floor

What is a side effect of 0.4% stannous fluoride gel?

Irritates mucosa

Alters taste

Forms calculus

Discolors teeth

Which type of epithelium lines the ventral surface of the tongue?

Hyperkeratinized

Orthokeratinized

Parakeratinized

Nonkeratinized

Which is an appropriate appointment modification for a pt who experiences episodes of dizziness and fainting?

Schedule appointment after lunch

Treat in recumbent position

Position and treat upright

Reschedule after symptoms have subsided

At the mention of using local anesthesia, the color drains from the pts dace and visible beads of sweat form across her forehead. Which step should be taken to manage the situation?

Place semi-supine position and administer oxygen

Instruct to assume any position that helps her breathe

Put in a supine or Trendelenburg position immediately

Bring to an upright position and reassure her

The pts Angle's classification of occlusion is a Class

III

II, Division II

II, Division I

Intraoral examination reveals a short lingual frenum. Patients with ankyloglossia typically experience frequent candida infections.

The first statement is false, second is true

Both are false

Both are true

The first statement is true, second is false

The pt experiences mild-to-moderate discomfort during the prophy on #3 so an injection free anesthesia (Oraqix) is administered. The anesthetic effect is expected to occur within

30 secs

3-5 mins

60 secs

1-2 mins

Each one of the following recommendations can be made to relieve the pts xerostomia EXCEPT one. Which is the EXCEPTION?

Use saliva substitutes

Put hard candy on tongue

Drink plenty of water

Avoid juices and soft drinks

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HESI Case Study Three

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