CSCE Final Exam Questions with Correct Answers 2024-2025 Test, Exams of Nursing

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CSCE Final Exam Questions with Correct Answers 2024-2025 Test Effect when taking Pepcid (Famotidine ~ H2 antagonist) and Acetaminophen (Analgesic) - Correct Answers decreased salivary flow What is the minimum time required to wash hands in between patients - Correct Answers 15 sec Focal sclerosing osteitis / Condensing osteitis - what is it? - associated with: - most commonly occurs at: - Correct Answers radiopaque change in bone at apex of tooth -low grade fever - mandibular 1st molar What is the minimum % of alcohol needed in hand sanitizer for it to effectively sanitize between donning gloves - Correct Answers 60% Target Lesion / Bull's Eye Lesion is a typical lesion of - Correct Answers erythema multiform If a patient is taking Isoniazid and Rifampin, what condition do they have - Correct Answers tuberculosis Medications for tuberculosis - Correct Answers Rifampin Isoniazid Pyrazinamide Ethambutol What is angular chelates caused by? - Correct Answers candida albinos How do you fix an elongated radiograph - Correct Answers Increase the vertical angulation Firm red lesion, does not appear to be uniform in color, long lasting - Correct Answers oral carcinoma What IO lesion is associated with Epstein Barr Virus - Correct Answers hairy leukoplakia Are anticoagulants associated with xerostomia? - Correct Answers NO What instrument would you use to scale the Distal surface of the Mesial root of max molar - Correct Answers 13/14 OR 17/18 Where would you use an instrument with a contra angle and short tip? - Correct Answers Deeper posterior pockets What should you do if your diabetic patient begins to show signs of hypoglycemia - Correct Answers administer sugar Which of the following requires pre-med? A breast implants B aggressive perio C renal dialysis port D coronary bypass - Correct Answers Renal Dialysis Port What do you do when your patient begins to feel light headed as if they are going to pass out - Correct Answers Trendelenburg position How long should a contaminated instrument stay submerged in cold sterile - Correct Answers 8 hours What plaque control aid should be used for a Class III furcation - Correct Answers super floss Furcation Classifications? - Correct Answers 1. I= Early evidence of bone loss; instrument can enter the depression leading to the furcation. 2. II= Moderate bone loss; instrument can enter furcation, but can NOT pass between the roots 3. III= severe bone loss; instrument can pass between roots 4. IV= Same as class III, but with evidence of recession. What IO effect does Congenital Syphilis cause - Correct Answers mulberry molars notched incise edge Patient in the waiting room is unconscious. You check the pulse and respiration, what you should do next - Correct Answers summon EMS/Call 911 How to you treat a client that is choking from a clogged air way - Correct Answers Heimlich maneuver Patient is allergic to Penicillin and needs pre-med. He took 300mg of Clindamycin 1 hour before his TX. What should you instruct him to do - Correct Answers take another 300 mg and wait 30 minutes. Sextants of teeth - Correct Answers Examples of ASA II - Correct Answers Mild systemic diseases Stage 1 hypertension Well controlled type 2 diabetes Well controlled epilepsy Well controlled hyper/hypo thyroid Well controlled asthma Pregnant Heart murmur >6 months post myocardial infarction syncope - Correct Answers "Passing out", loss of consciousness or fainting Controlled epilepsy- what ASA? - Correct Answers ASA II sublingual fold - Correct Answers A patient loses consciousness and when they come back, they have one sided weakness. What happened? - Correct Answers CVA Picture of #24/25 with an enormous mucogingival defect 8mm recession. What caused it? - Correct Answers Smoking; where cigarette is held What diseases require pre-med? - Correct Answers Prosthetic cardiac valve Previous infective endocarditis Congenital Heart disease (unrepaired CHD OR repaired CHD w/ residual effects) Cardiac transplant shunt(renal dialysis port) artificial joint Dental pre-med Regimen - Correct Answers Take one hour prior to apt: Amoxicillin- 4 , 500mg (2g) ~ child 50 mg/kg Clindamycin- 2 , 300 mg tabs ~ child 20 mg/kg blood pressure guidelines - Correct Answers Normal (ASA I ) <120/<80 Pre-Hyper (ASA I ) 120-139 / 80-89 Stage 1 Hyper (ASA II) 140-159 / 90-99 Stage 2 Hyper (ASA III) 160-179 / 100-109 Stage 2 Hyper (ASA IV) >180/>110 NO TX** A lesion is found on the tongue. What question should you ask in order to provide optimal treatment? - Correct Answers How long has it been there? patient presents with Epstein Barr virus. Symptoms are similar to what? - Correct Answers mononucleosis How long should a Fluoride tray stay in the mouth - Correct Answers 4 minutes What is a possible effect of APF fluoride - Correct Answers etching restorations A client previously had a knee replacement. What should you do before treatment - Correct Answers Contact surgeon and see if pt. needs pre-med After laying supine for a long period of time, the patient feels light headed when sat up. What is occurring? - Correct Answers orthostatic hypotension Succedaneums teeth which teeth are not considered this? - Correct Answers permanent teeth that replace deciduous teeth permanent molars dental fluorosis - Correct Answers pitting and mottling of teeth caused by excessive fluoride intake What tooth brushing method should be used on a patient with braces? - Correct Answers charters Plavix is a blood thinner in which will increase.. - Correct Answers the risk of bleeding What medications can cause gingival hyperplasia - Correct Answers anticonvulsants - phenytoin/Dilantin antihypertensives - calcium channel blockers (amlodipine) immunosuppressant’s - calcium channel blockers Dental Class restorations - Correct Answers Class I - pits and fissures/lingual pits of anteriors Class II - posterior interproximal Class III - anterior interproximal Class IV - ant interpret including incise edge Class V - cervical 1/3 of the buccal or lingual Class VI - cusp tips Muscles of Mastication innervated by - Correct Answers V3 Muscles of mastication - Correct Answers Masseter - Elevates the mandible Temporalis - Elevates/retracts mandible Medial Pterygoid - Elevates the mandible Lateral Pterygoid - side to side motion Branches of the Trigeminal Nerve - Correct Answers V1 - sensory V2- sensory V3- motor innervates muscles of facial expression - Correct Answers Cranial Nerve VII Which cranial nerve determines gag reflex - Correct Answers Glossopharyngeal IX Which anterior tooth is most likely to be bifurcated? - Correct Answers mind canine What do you need to know prior to Tx for a patient taking Warfarin? - Correct Answers INR - International Normalized Ratio how long it takes blood to form a clot What is a concern with a patient with bell’s palsy - Correct Answers difficulty swallowing eyes don't close (give protective eyewear) What does pre-med do? - Correct Answers prevent bacteremia MRSA treatment - Correct Answers IV Vancomycin After you provide local anesthesia to the patient, she starts to feel itchy and numb in places other than the target site. The patient is experiencing: - Correct Answers Anaphylactic shock If the patient has a history of emphysema, what should you not do? - Correct Answers Put the patient in supine position. Leukemia - Correct Answers A very common generalized whitening of the buccal mucosae that is particularly prominent in African-Americans. Median Rhomboid Glossitis - Correct Answers Devoid of fusiform papilla; may be assoc. with candida albinos; red area on midline of tongue Hairy Leukoplakia - Correct Answers a white rough patch that arises on the LATERAL tongue. Usually seen in immunocompromised Can’t be scraped off Lingual varicosities - Correct Answers -red to purple enlarged blood vessels on the ventral and lateral surfaces of the tongue A viral infection causing small painful blisters and inflammation, most commonly at the junction of skin and mucous membrane in the mouth or nose or in the genitals - Correct Answers herpes Ranula - Correct Answers a large mucocele in the floor of the mouth Hutchinson's incisors are incisors : tachycardia - Correct Answers Slow heart rate fast heart rate bradypena tachypnea - Correct Answers slow breathing fast breathing foreshortening occurs when there is: - Correct Answers Too much vertical angulation Corticosteroids such as, Prednisone, and inhalers such as, albuterol, can cause: - Correct Answers oral candidiasis blood thinners + NSAIDs cause: - Correct Answers prolonged bleeding Metronidazole cause - Correct Answers black hairy tongue dentin genesis imperfecta - what is it? - looks like? - Correct Answers incomplete or improper development of dentin tissue, Opalescent blue/brown color Herringbone, "waffle pattern" happens when: to prevent herringbone what should you do: - Correct Answers - film is placed backwards - place the film with the smooth, white side next to the tooth and the bumpy side away (there is a lead foil on the backside of the film packet to prevent backscatter) PSR (periodontal screening and recording) code suggestions to do all of the following EXCEPT: A. Note furcation B. Recession C. Mobility D. Bleeding E. Other - Correct Answers e. other patient with COPD, what do you NOT do? - Correct Answers lay them in Trendelenburg administer nitrous mandibular teeth with gingival hyperplasia. What is the best instrument to clean it? A. Scaler B. Ultrasonic C. Grace 1/2 D. Columbia - Correct Answers grace 1/2 patient is taking steroids. What are you going to be concerned about? - Correct Answers Delayed healing, increase risk of infection, & at risk for adrenal crisis Patient with BP 156/120. What do you do? - Correct Answers 1- Re-check in 5 minutes. 2- Consult MD. 3-Don't tx until BP decreases On a patient with an implant, would you use a plastic insert for citron on what speed? - Correct Answers low speed whitish lesion on labial mucosa for 2 days and it has a good response to the pulp vitality test. What is it? - Correct Answers apthous ulcer Sharpening- where would you sharpen? - Correct Answers lateral side + face of instrument fordyce granules - Correct Answers ectopic sebaceous glands? what causes diatom - Correct Answers genetics Prozac (fluoxetine) - Correct Answers Antidepressant Median rhomboid glossitis- what would you use? - Correct Answers antifungal What is the cause of gingivitis? - Correct Answers toxins in biofilm