HESI Case Study One

Which bacteria are predominately found close to the pulp in carious lesion on #14?
Actinomyces viscosus
Fusobacterium
Streptococcus mutans
Lactobacillus
Which clinical characteristic indicates the presence of subgingival calculus?
Presence of supragingival calculus
Bluish-red marginal gingiva
Attachment loss
Presence of diastemas
Radiographically, what is the radiopaque structure posterior to #31?
Mandibular canal
Internal oblique ridge
Retromolar pad
External oblique ridge
Which explains the distobuccal probing depths on #13?
Periodontal health
Gingival enlargement
Presence of radicular calculus
Keratinized tissue associated with tobacco use
The pt is scheduled to have #14 extracted. Which prophylactic oral antibiotic regimen should be prescribed for this procedure?
Cephalexin 2g / 1 hour prior
Amoxicillin 2000mg / 1 hour prior
Amoxicillin 2000mg / 1 hour before and after
Cephalexin 2g / 1 hour before and after
If necessary, which nonopioid analgesic can be recommended for the pt to take after the extraction?
Acetaminophen
Aspirin
Naproxen
Ibuprofen
The dental hygienist plans to debride the pts dentition using a magnetostrictive ultrasonic scaler. Which motion and sides are active with the scaler tip?
Linear with lateral sides
Linear with all sides
Elliptical with all sides
Elliptical with lateral sides
The palate appears keratotic with interspersed red spots. What does this clinical appearance most likely represent?
Recurrent apthous ulcers
Materia alba
Nicotine stomatitis
Hand, foot and mouth disease
The carious lesion on #14 has penetrated each of the following tooth structires EXCEPT one. Which is the exception?
Pulp
Cementum
Dentin
Enamel
Which agent was #30 most likely treated with before the restoration was placed?
Base
Sealer
Liner
Varnish
He pt experiences acute pain during the periodontal debridement of #12, necessitating supraperiosteal anesthesia. Which volume of anesthetic solution, in mm, should be administered?
0.2 to 0.4 (1/8 to 1/4 cart)
1.2 to 1.5 (2/3 to 3/8 cart)
0.4 to 0.9 (1/4 to 1/2 cart)
0.9 to 1.2 (1/2 to 2/3 cart)
The recession for all three surfaces on the lingual #13 is 1mm. Which is the clinical attachment loss in mm for the mesiolingual aspect of #13?
5
6
4
7
The loss of enamel on #6 is permanent because ameloblasts recede to the dentinoenamel junction (DEJ) upon eruption.
Both statement and reason are correct but not related.
Neither the statement nor reason is correct.
The statement is correct but reason is not.
Both statement and reason are correct and related.
The statement is not correct but the reason is correct.
What clinical condition is present in the anterior teeth?
Erosion
Abrasion
Extrusion
Attrition
Once the pt has completed the tobacco assessment survey, what should be assessed next?
Discuss medical side effects of tobacco use
Gather educational materials to share with pt
Confer barriers to quitting
Evaluate pts willingness to quit
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