HESI Case Study Six

Which teeth have visible calculus?
#1, 32
#4, 31
#5, 21
#3, 31
#2, 30
Which is most likely causing periodontal destruction?
Gram+ periodontal pathogens located next to periodontium
Neutrophil chemotaxis nad phagocytosis
Host-mediated response to periodontal pathogens
Oral biofilm's immunoinflammatory response
Which pt risk factor in non-modifiable?
History of periodontitis
Bleeding on probing
Smoking
Medications
Which does NOT describe this pts gingival tissue?
Increased risk of attachment loss
Bleeding upon probing signals presence of gingival inflammation
Extensive bleeding
Fibrotic tissue from chronic inflammation may bleed very little or not at all
A pt centered goal emphasizes the commitment to continue periodontal maintenance care appointments every 4 months. Which type of goal is this?
Oral health status
Cognitive
Psychomotor
Affective
The pt states dentures are inevitable because her parents had them. Which response to this statement would be most appropriate?
Advise pt insurance requires pre-authorization for any dental procedure
Acknowledge the high rate of pts who wear dentures
Explain alternative care plans (implants, etc)
Provide information about the cause/prevention for periodontal disease
Which adaptation position of a scaling instrument is most effective for hard deposit removal and will cause the least amount of hard/soft tissue damage?
Adaptation of toe in contact with tooth
Toe is in open position
Lower third of working blade remains in contact with tooth surface
Middle third of working blade in contact with tooth with lower third is off the tooth
Which antibiotic is best suited for this pt?
Amoxicillin
Tetracycline
Doxycycline
Metronidazole
Holding onto hopelessly diseased teeth as long as possible is advisable because correcting the periodontal condition eliminates the risk factor for severe life-threatening diseases such as stroke, cardiovascular disease or pulmonary disease.
The statement is correct but reason is not
The statement is not correct but reason is correct
Neither statement/reason are correct or related
Both statement/reason are correct but not related
The pt fails two scheduled/confirmed 2-hour periodontal surgery appointments. Which best serves the dental office when dealing with non-compliant pts?
Post a written policy that specifies consequences of missed appointments.
Refuse to treat pt
Inform, in writing, why dentist is no longer treating the pt
Provide emergency care only
Which radiographic technique provides the best diagnostic image to evaluate this pts periodontal disease?
Horizontal BWX
Vertical BWX
Bisecting the angle
Panoramic
Which tooth has recurrent dental caries?
12
13
28
4
3
Which best explains why recurrent dental caries are more visible in one radiograph than another?
Horizontal angulation
Size of lesion
Vertical angulation
Tooth position
Which best describes the radiopacity at the extraction site of #30?
Mandibular tori
Sclerotic bone
Periapical periodontitis
Odontoma
The pt states she would like to use an oral irrigator. Which instruction would benefit this pt?
Place at a 45 degree angle to marginal gingiva
Direct tip directly into sulcular area
Use to clean food particles out of extraction sites
Take antibiotics prior to use
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