DENTAL ASSISTANT ONLINE EXAM PRACTICE KIT 4
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- 150
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Question 1 of 150
1. Question
1 pointsAn advantage of elastomers over alginate is elastomers:
Correct
Incorrect
Explanation:
Elastomer material is more stable and accurate than alginate material. So, elastomers give better impressions than alginate. Elastomeric impressions resist distortion more after setting and are rubber-like and flexible. Also, they do not dry out like alginate impressions.
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Question 2 of 150
2. Question
1 pointsThe crown cementation appointment is scheduled:
Correct
Incorrect
Explanation:
Two weeks after the crown preparation appointment is the time to schedule the crown cementation appointment. It is important for the dental assistant to know how long the lab needs to prepare the crown and return it to the dental office so that the proper appointment date can be scheduled.
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Question 3 of 150
3. Question
1 pointsWhich of the following would you use to separate the periosteum prior to extraction?
Correct
Incorrect
Explanation:
Periosteal elevators are double-ended instruments used to separate the periosteum and gingival tissues prior to extraction. They are often pointed at one end and rounded at the other.
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Question 4 of 150
4. Question
1 pointsWhat is an irrigator NOT effective at removing
Correct
Incorrect
Explanation:
Irrigation is not a replacement for brushing teeth. It will remove debris and food particles. It will not, however, remove plaque.
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Question 5 of 150
5. Question
1 pointsAbsorbent paper points are used for all but which of the following?
Correct
Incorrect
Explanation:
Absorbent paper points are used to dry canals after root canal. They are also used to take cultures of the canal or deliver medication. A patient’s occlusion is measured with articulating paper.
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Question 6 of 150
6. Question
1 pointsCall EMS if a patient with diabetes ____
Correct
Incorrect
Explanation:
Loses consciousness Be careful with diabetic patients. They are at risk of falling into a diabetic coma. All of the symptoms listed may require insulin treatment. It is necessary to call EMS, however, if the patient loses consciousness.
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Question 7 of 150
7. Question
1 pointsWhich of the following is NOT true of alginate?
Correct
Incorrect
Explanation:
Alginate is the most widely used impression material in the dental office. However, it lacks the accuracy and fine surface detail necessary for impressions of the crown and bridge. Alginate is an irreversible hydrocolloid.
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Question 8 of 150
8. Question
1 pointsThe chemical reactor for silicone-based products must be stored in a cool place because it:
Correct
Incorrect
Explanation:
The chemical reactor for silicone-based impression materials may come as a bottled liquid or a tube of paste. It must be stored in a cool place because it deteriorates after six months.
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Question 9 of 150
9. Question
1 pointsAn informed consent form does NOT include:
Correct
Incorrect
Explanation:
Payment plan The payment plan is not included in the informed consent form. Although financial records of a patient’s dental care is part of the patient’s records, it is not a part of the informed consent form.
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Question 10 of 150
10. Question
1 pointsWhich of the following is NOT true of conscious sedation?
Correct
Incorrect
Explanation:
Local anesthesia is used with all methods of sedation and pain control in dentistry. In conscious sedation, the patient is put into a depressed state of consciousness. He or she is able to obey commands and independently maintain an airway, but will have little to no memory of being in surgery
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Question 11 of 150
11. Question
1 pointsIn which of the following instances would you choose a flat-end taper diamond bur?
Correct
Incorrect
Explanation:
The diamond bur flat-end taper is used to rapidly reduce tooth material when a square shoulder is needed for a crown preparation. Like all other diamond burs, this instrument comes in a variety of grits and sizes.
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Question 12 of 150
12. Question
1 pointsAll but which of the following can be used to remove necrotic tissue during endodontic procedures?
Correct
Incorrect
Explanation:
Brooches are used to pulp from the tooth or for exploring its canal
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Question 13 of 150
13. Question
1 pointsClass V motions involve which of the following?
Correct
Incorrect
Explanation:
Class V movements are those that involve the twisting of the trunk. Four-handed dentistry techniques seek to minimize or eliminate these in patient treatment.
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Question 14 of 150
14. Question
1 pointsFor which of the following would you choose an inverted cone bur
Correct
Incorrect
Explanation:
Inverted cone burs are used to remove caries and to make undercuts in preparation for retention. They come in a variety of sizes and may have long or short heads
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Question 15 of 150
15. Question
1 pointsAll but which of the following are potentially cariogenic?
Correct
Incorrect
Explanation:
Also known as xylitols, sugar alcohols may be cariostatic. Starchy foods, sugary foods and liquids, and some liquid medicines can all increase caries risk.
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Question 16 of 150
16. Question
1 pointsThe surface of a tooth that touches other teeth is known as which of the following?
Correct
Incorrect
Explanation:
The surface where one tooth touches another is known as the surface of contact. The buccal surface is the surface closest to the cheek, while the lingual surface is that closest to the tongue.
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Question 17 of 150
17. Question
1 pointsThe patient’s treatment plan and pre-existing conditions are listed in
Correct
Incorrect
Explanation:
The clinical chart lists the treatment plan and the patient’s pre-existing conditions. It also contains information on services rendered.
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Question 18 of 150
18. Question
1 pointsYou are collecting clinical data from a patient who reports that her gums have been bleeding during tooth brushing. She also complains of a persistent bad taste in her mouth, despite daily mouthwash and chewing gum. This patient is displaying symptoms of which of the following?
Correct
Incorrect
Explanation:
While gum and periodontal disease may progress painlessly, there are some common symptoms. Gums that bleed, especially during tooth brushing, are a common sign. Bad breath or a bad taste in the mouth are also associated with gum disease.
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Question 19 of 150
19. Question
1 pointsWhich of the following would you choose to form the divergent walls of a cavity preparation?
Correct
Incorrect
Explanation:
The tapered fissure straight bur is used to make the divergent (angled) walls of a cavity preparation. Plain fissure burs are typically used to make the straight walls of a preparation rather than the divergent ones.
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Question 20 of 150
20. Question
1 pointsGingival pockets of which of the following sizes indicate severe periodontal disease?
Correct
Incorrect
Explanation:
In healthy gums, the pockets should be between 0 and 1 mm. Pockets between 1 and 2 mm indicate mild gingivitis. Pockets greater than 5 mm indicate serious periodontal disease.
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Question 21 of 150
21. Question
1 pointsWhen performing surgical bur exchange, where should the operator hold the handpiece?
Correct
Incorrect
Explanation:
Bur transfer should take place over the patient’s chest. The assistant will remove the used bur, attach the new one selected, and give it a slight tug to ensure it is properly attached.
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Question 22 of 150
22. Question
1 pointsA patient who is experiencing parasthesia would be expected to display all but which of the following?
Correct
Incorrect
Explanation:
Parasthesia is a common side effect of many local anesthesia. The eye might droop and a feeling of numbness may spread throughout the face or jaw. This is temporary and passes in a short time. Patient should exercise care when chewing or speaking.
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Question 23 of 150
23. Question
1 pointsParasthesia is a common side effect of which of the following?
Correct
Incorrect
Explanation:
Parasthesia is a common side effect of many local anesthetics. The eye might droop and a feeling of numbness may spread throughout the face or jaw. This is temporary and passes in a short time. Patient should exercise care when chewing or speaking.
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Question 24 of 150
24. Question
1 pointsWhich of the following is NOT true of children and fluoridated toothpaste?
Correct
Incorrect
Explanation:
Fluoridated toothpaste is a key method of preventing caries. Children age 2 and over should brush with fluoridated toothpaste. Parents should give small children only a pea sized amount of paste. All children younger than 6 or 7 should be closely supervised when brushing with fluoridated toothpaste to minimize swallowing.
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Question 25 of 150
25. Question
1 pointsThe levator is part of which oral structure?
Correct
Incorrect
Explanation:
The levator is part of the palate. This is the soft area of the upper mouth that is used to help facilitate swallowing and speaking.
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Question 26 of 150
26. Question
1 pointsEmergency drugs should be checked after a few ______.
Correct
Incorrect
Explanation:
Medications expire. It is necessary to check medications every few months and replace the out of date medications
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Question 27 of 150
27. Question
1 pointsYou are assisting with treatment of a patient who faints after receiving an injection. Which of the following is NOT an appropriate intervention for this patient?
Correct
Incorrect
Explanation:
Patients who have fainted should be encouraged to remain in a semi-recumbent position and to take deep breaths. If the patient has trouble staying alert, smelling salts (spirits of ammonia) may also be helpful.
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Question 28 of 150
28. Question
1 pointsWhen preparing a room for treatment, the mobile cart in most places should be placed in which of the following locations?
Correct
Incorrect
Explanation:
In most cases, the mobile cart will be located behind the patient’s head. It should be placed slightly to the left of the patient’s head, which will place it on the operator’s right.
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Question 29 of 150
29. Question
1 pointsWhich of the following is NOT one of the muscles that contributes to the formation of the cheek?
Correct
Incorrect
Explanation:
The cheek’s framework is provided by the buccinator. The zygomaticus and risorious also help comprise the cheek. The levator is part of the palat
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Question 30 of 150
30. Question
1 pointsWhere is the static zone located?
Correct
Incorrect
Explanation:
Large equipment is placed in the static zone. This zone is from 12 to 2 o’clock on the imaginary clock. The static zone allows for rear delivery of equipment.
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Question 31 of 150
31. Question
1 pointsAll of the following are true of controlled substances EXCEPT for they:
Correct
Incorrect
Explanation:
Controlled substances require a dentist’s prescription and must be stored under restricted access. They require inventory records to be completed and kept. They also MUST be routinely reported to the appropriate governmental agencies.
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Question 32 of 150
32. Question
1 pointsWhat is a risk if patients use more fluoride supplements than directed?
Correct
Incorrect
Explanation:
Fluoride supplements are typically prescribed when water lacks fluoride and the patient is at risk of carries. Fluoride in water, toothpaste, and mouthwash can affect the amount consumed, leasing to toxicity. Too much fluoride can cause GI upset and enamel fluorosis.
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Question 33 of 150
33. Question
1 pointsWhich of the following instruments would you choose for rapid reduction of a tooth when a square shoulder is needed in a crown preparation?
Correct
Incorrect
Explanation:
The diamond bur flat-end taper is used to rapidly reduce tooth material when a square shoulder is needed for a crown preparation. Like all other diamond burs, this instrument comes in a variety of grits and sizes.
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Question 34 of 150
34. Question
1 pointsAll but which of the following instruments are used in root planing procedures?
Correct
Incorrect
Explanation:
The jacquette is used to remove supragingival calculus. It is not used in root planing.
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Question 35 of 150
35. Question
1 pointsTo treat an adult patient with cardiac arrest, the dental worker should
Correct
Incorrect
Explanation:
To treat an adult patient with cardiac arrest, the dental worker should call for help and start Crain children experiencing cardiac arrest, CPR should be started immediately and EMS should be called.
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Question 36 of 150
36. Question
1 pointsA patient must be kept warm if he or she experiences _____.
Correct
Incorrect
Explanation:
Shock may occur for different reasons. It may be induced by blood loss, psychological fears, allergies, or health conditions. A patient who experiences shock must be kept warm.
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Question 37 of 150
37. Question
1 pointsWhich of the following should you NOT observe if a patient is positioned correctly?
Correct
Incorrect
Explanation:
If the patient is properly positioned, the legs should be slightly lower than the head. Elevating the legs above the head may lead to anxiety or circulation problems. The patient should be supine with no bending at the waist
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Question 38 of 150
38. Question
1 pointsWedges are used to do all but which of the following?
Correct
Incorrect
Explanation:
Wedges are small, triangular pieces of wood or plastic. They are used to hold matrix bands in place tightly along the gingival margin during Class II cavity restoration. They are also used to ensure good contact between the restored tooth and an adjacent tooth, as well as to keep excess filling material from escaping between tooth and matrix band.
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Question 39 of 150
39. Question
1 pointsWhich modality of professional fluoride application is the least effective?
Correct
Incorrect
Explanation:
Fluoride pastes are typically applied with routine cleanings. They are not as effective as foam, gel, or varnish at preventing decay in patients with a high risk.
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Question 40 of 150
40. Question
1 pointsLoss of gloss typically occurs _____
Correct
Incorrect
Explanation:
The point at which a gypsum product will no longer flow is known as loss of gloss. This occurs approximately 8-12 minutes after the start of mixing.
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Question 41 of 150
41. Question
1 pointsWhich of the following is NOT true of four-handed dentistry?
Correct
Incorrect
Explanation:
Four-handed dentistry is done with the care providers in a seated position and the patient supine. The goal is to streamline care, eliminate unnecessary movement, and reduce fatigue, all with the goal of ensuring high quality care.
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Question 42 of 150
42. Question
1 pointsThe emergency kit should be kept:
Correct
Incorrect
Explanation:
The emergency kit should be kept in a cool, dry area. Additionally, the kit should be maintained with current drugs.
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Question 43 of 150
43. Question
1 pointsIrreversible hydrocolloids are made of which of the following?
Correct
Incorrect
Explanation:
Irreversible hydrocolloids are alginate impression materials. They are mixed to a sol state and harden to a gel state as they cool. This process is permanent and cannot be reversed even with reheating.
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Question 44 of 150
44. Question
1 pointsThe surface of a tooth that touches other teeth is known as which of the following?
Correct
Incorrect
Explanation:
The surface where one tooth touches another is known as the surface of contact. The buccal surface is the surface closest to the cheek, while the lingual surface is that closest to the tongue. The labial surface is closest to the lips.
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Question 45 of 150
45. Question
1 pointsWhich of the following would you choose to clean a restoration
Correct
Incorrect
Explanation:
The air abrasion unit can be used to clean and make small repairs in restorations. It can also be used to clean fissures and prepare small cavities.
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Question 46 of 150
46. Question
1 pointsFor which of the following procedures would you choose a hatchet?
Correct
Incorrect
Explanation:
Hatchets are typically double-ended, with a bevel on one end and a cutting edge on the other. They are used to refine cavity walls and to obtain retention in cavity preparations.
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Question 47 of 150
47. Question
1 pointsLatex and medications used in dentistry can cause:
Correct
Incorrect
Explanation:
Latex and medications used in dentistry can cause allergic reactions. These are considered minor allergies and are commonly seen in females.
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Question 48 of 150
48. Question
1 pointsReamers, broaches, and files are all used in which of the following procedures?
Correct
Incorrect
Explanation:
Reamers, broaches, and files are all used in root canal. They are used to widen the canal, remove necrotic tissue, and smooth the sides of the canal.
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Question 49 of 150
49. Question
1 pointsPluggers are also sometimes known as which of the following?
Correct
Incorrect
Explanation:
Also known as amalgam condensers, pluggers are used to push soft amalgam material into cavities. They may have smooth or serrated edges. They are strong enough to move amalgam but not hard enough to damage it.
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Question 50 of 150
50. Question
1 pointsWhich of the following is NOT an appropriate technique in one-handed instrument exchange?
Correct
Incorrect
Explanation:
You should offer a new instrument with these fingers, grasping it on the end opposite from the working end. Used instruments should be grasped with the little finger.
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Question 51 of 150
51. Question
1 pointsAn example of a STOCHASTIC effect of dental radiation is
Correct
Incorrect
Explanation:
A STOCHASTIC effect of radiation most commonly seen is cancer. However, gene mutations from radiation can occur and also be passed on to offspring.
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Question 52 of 150
52. Question
1 pointsMPD stands for
Correct
Incorrect
Explanation:
MPD stands for maximum permissible dose. This is the exposure limit that the operator is allowed to receive. An occupational worker should receive no higher than 5 Rem each year. Anything over that is dangerous.
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Question 53 of 150
53. Question
1 pointsHow much radiation is a patient exposed to in a full mouth radiological appointment?
Correct
Incorrect
Explanation:
Radiation exposure from dental radiography is much less than environmental exposure. Environmental exposure is roughly 300 mrem. The exposure from 18 x-rays of a full mouth radiography is 1.5 mrem.
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Question 54 of 150
54. Question
1 pointsThe film has a darkened edge. What is the most likely cause?
Correct
Incorrect
Explanation:
Film may be exposed to light inadvertently. This results in darkened edges around the film. Timing the processing better will prevent this problem.
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Question 55 of 150
55. Question
1 pointsHow much should exposure time be reduced for an edentulous patient?
Correct
Incorrect
Explanation:
Average adult exposure time needs to be adjusted for an edentulous patient. The time should be reduced by 25 percent.
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Question 56 of 150
56. Question
1 pointsFixing time is usually:
Correct
Incorrect
Explanation:
Fixing time takes twice as long as the developing time for films. Fixing the film prevents it from being discolored or fading.
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Question 57 of 150
57. Question
1 pointsSize 1 film would most likely be used to radiograph the:
Correct
Incorrect
Explanation:
In a 20 film mount full mouth set of X-rays, the central incisors, lateral incisors and cuspids are radiographed using size 1 film. Size 0 is used for dental radiographs of children.
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Question 58 of 150
58. Question
1 pointsThe device that is used to evaluate X-ray machine effectiveness is:
Correct
Incorrect
Explanation:
The step wedge is a device that is used to evaluate X-ray machine effectiveness. It is also used to expose a film that compares to a reference X-ray for density. It is exposed only after the X-ray machine is tested by qualified personnel annually.
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Question 59 of 150
59. Question
1 pointsThe function of the filters in an X-ray beam is to:
Correct
Incorrect
Explanation:
Aluminum filters are used to filter out the long waves. Only the short waves are useful in making the film images.
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Question 60 of 150
60. Question
1 pointsThe operator should keep, ALARA in mind, and
Correct
Incorrect
Explanation:
ALARA reminds the operator to keep radiation levels as low as reasonably achievable, and that damage to the patient increases the longer they are exposed to radiation. Precautions should always be used in regards to patient radiation, and they should be given the lowest dose possible when receiving x-rays.
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Question 61 of 150
61. Question
1 pointsThe purpose of filtration is to:
Correct
Incorrect
Explanation:
The purpose of filtration is to absorb long wavelength radiation. This prevents the patient from being exposed to long wavelength radiation from x-ray devices. Collimation restricts long wavelength radiation to the desired size.
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Question 62 of 150
62. Question
1 pointsWhich size film would you use to examine the root of an incisor of an adult patient using periapical radiography?
Correct
Incorrect
Explanation:
periapical radiography takes film size one or two, depending on the focus. Size 1 works better for incisors. It is also useful for bicuspids.
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Question 63 of 150
63. Question
1 pointsThe receptionist reports she is 6 weeks pregnant. The correct action is:
Correct
Incorrect
Explanation:
The pregnant receptionist does not need to monitor her exposure to radiation. However, she does need to notify her supervisor and avoid the x-ray area or radiation sources in the office.
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Question 64 of 150
64. Question
1 pointsWashing radiographs between placement in the developing and fixer solutions will:
Correct
Incorrect
Explanation:
Washing the radiographs between placement in the developing and fixer solutions will stop the action of the processing procedure. Additionally, washing films will remove the developer and avoids fixer contamination.
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Question 65 of 150
65. Question
1 pointsWhere should film be placed immediately after exposure?
Correct
Incorrect
Explanation:
After exposure, film should be placed in a paper cup with the name of the patient. This is called the transfer cup. It helps to prevent the spread of germs.
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Question 66 of 150
66. Question
1 pointsOperator processing errors are less likely when
Correct
Incorrect
Explanation:
Operator errors when processing film is less likely with automatic processing. This is due to the fact that the temperature and developing and fixing times are being controlled by the automatic processor rather than the operator.
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Question 67 of 150
67. Question
1 pointsThe type of dental film that is useful in locating impacted teeth is:
Correct
Incorrect
Explanation:
Panorex useful in locating impacted teeth. The most common use is to determine the status of wisdom teeth and trauma to the jaws.
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Question 68 of 150
68. Question
1 pointsA personal monitoring device is used to track how much radiation an employee has been exposed to and is also known as what?
Correct
Incorrect
Explanation:
A dosimeter is a device that measure’s an object’s exposure to something in the environment. For the DCHP, the dosimeter is used to measure an employee’s exposure to radiation while completing dental x-rays.
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Question 69 of 150
69. Question
1 pointsCurrent radiation safety guidelines are based on what?
Correct
Incorrect
Explanation:
According to ICRP, current guidelines for judging the effects of current radiation exposure, the principle is based up that thought that no amount of radiation is safe, and therefore should be avoided at all costs. But in the cases of medical x-rays and other radiation exposures, the goal is to keep it as low as possible.
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Question 70 of 150
70. Question
1 pointsJoshua is preparing to mount a patient’s films and is looking for the landmark in the midline of the patient’s mandible. What landmark is he looking for?
Correct
Incorrect
Explanation:
The genial tubercles are a small rounded elevation on the lingual surface of the mandible, located on either side of the midline near the inferior border. They not only serve as the entrance point of the geniohyoid muscles, but proves to be an easy landmark when trying to mount radiographs.
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Question 71 of 150
71. Question
1 pointsWhat is considered the main purpose of having radiographs mounted?
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Incorrect
Explanation:
Radiographs that are mounted are easier and quicker to read and interpret results from, which can allow for treatment and assessment to begin sooner. Mounting radiographs also allows them to be stored easier and reduces the chance of damage to the film.
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Question 72 of 150
72. Question
1 pointsWhen a patient is having an x-ray done, they
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Incorrect
Explanation:
Unless there are problems with overexposure, patients will not be able to indentify that radiation is in use. Radiation does not smell, is not touchable, and is not visible to the eye.
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Question 73 of 150
73. Question
1 pointsThe dental assistant is using a size 2 receptor for anterior placements using the bisecting technique. Of the following, which radiograph would be exposed last?
Correct
Incorrect
Explanation:
Anterior placements using the bisecting technique are exposed in the following order: Tooth # 6, 7, 8, 9, 10, 11, 22, 23, 24, 25, 26, 27.
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Question 74 of 150
74. Question
1 pointsWhat is the fix if a panoramic radiograph is too light
Correct
Incorrect
Explanation:
The setting is too low if the picture is light. Increase the kVp or mA to improve the outcome. The automatic setting may also be increased if the kVp and mA are not adjustable.
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Question 75 of 150
75. Question
1 pointsOn radiographic dental film, soft tissue is:
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Incorrect
Explanation:
Soft tissue is radio-lucent. Soft tissue appears dark on dental film. Teeth and bony structures are radio-opaque and appear light or white on radiographic film.
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Question 76 of 150
76. Question
1 pointsWhat organization is responsible for making recommendations about the exposure limits people can endure?
Correct
Incorrect
Explanation:
The International Commission of Radiological Protection (ICRP)
The ICRP was created to monitor the amount of radiation not only exposed to employees, but to the environment as well. They are responsible for creating protective clothing guidelines, programs and standard radiation materials. -
Question 77 of 150
77. Question
1 pointsWhat will static electricity cause on a panoramic image
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Incorrect
Explanation:
Static electricity will damage a panoramic image. The marks will look like black marks or clusters. Static will also cause lightning like images.
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Question 78 of 150
78. Question
1 pointsWhich type of radiograph would you choose to detect supernumerary teeth in a patient and chart eruption?
Correct
Incorrect
Explanation:
Panoramic radiographs are used to detect anomalies such as supernumerary teeth. They also can chart tooth eruption. Occlusal radiographs also detect supernumerary teeth.
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Question 79 of 150
79. Question
1 pointsWhat type of dental structure appears radiopaque on a radiograph?
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Explanation:
Radiopaque means much of the light does not pass through, which can make areas appear light or illuminated. Things that usually appear lit up on a film or radiograph image include metal fillings, enamel and dentin since they do not allow much light to pass through at the time of exposure.
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Question 80 of 150
80. Question
1 pointsWhich of the following will make the image blur worse?
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Explanation:
Both tubes and patients can move during an exposure. Patient movement, however, makes the image blur worse.
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Question 81 of 150
81. Question
1 pointsWhich one of the following is not a factor in how often a patient receives x-rays?
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Explanation:
Factors that affect how often a dentist will prescribe x-rays include oral health, age (young child have developing teeth that are more likely to be affected by decay), symptoms or oral disease. If x-rays are not needed they will not be prescribed, to save the patient from radiation exposure.
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Question 82 of 150
82. Question
1 pointsWhat shape of position-indicating device (PID) is the most effective in reducing patient exposure to radiation during a procedure?
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Explanation:
Rectangular PIDs are most recommended by the ADA and AAOMR because the device is open-ended and shielded, which restricts the size of the radiation beam to the size of the dental film. This process allows the radiation to remain focused on the patient and reduces the volume of tissue exposed at the time.
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Question 83 of 150
83. Question
1 pointsX-ray films that stick together appear:
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Explanation:
X-ray films that stick together appear green. To correct this situation, films should be refixed and reused.
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Question 84 of 150
84. Question
1 pointsIn dental radiography, unwanted photons are a result of
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Explanation:
When a primary x-ray beam is emitted, both long wavelength radiation and short wavelength radiation is emitted. The long wavelength radiation (photons) is low energy. These low energy photons are unwanted, which is why the recommendation for x-ray machine exposure setting is over 60 kVp.
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Question 85 of 150
85. Question
1 pointsWhat is a benefit of using dual film packets?
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Explanation:
Dual film packets create two positives and two negatives in a single exposure. Extra images are useful in case it is necessary to identify a patient or there are cases of litigation. It is also more cost effective than taking two separate pictures thus exposing the patient to less radiation.
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Question 86 of 150
86. Question
1 pointsWhat is main service goal of patient dental radiology?
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Explanation:
Dental radiology is a key service that can help a dentist diagnose and treat patients. However, with the risk of radiation exposure and patient well being, the main service goal is to obtain accurate and helpful information for the patient’s care and treatment plan, while also minimizing the patient’s exposure. Exposure can be kept to a minimum by only performing the procedures that are ordered and by reducing technical errors (which prevents retakes).
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Question 87 of 150
87. Question
1 pointsState agencies protect dental personnel by
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Explanation:
State agencies perform many functions to protect the general public and dental workers. State agencies provide licensing and permits as well as inspecting facilities and testing equipment. Dental facilities should check with state agencies to ensure compliance with regulations.
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Question 88 of 150
88. Question
1 pointsThe level of kVp is selected and adjusted for each procedure in order to accomplish what?
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Explanation:
Every body part in the human body has a certain type of cellular composition, which requires an x-ray beam to be adjusted to the accurate amount of kVp to penetrate it. KVps are increased or lowered based upon the areas cellular make-up and how much energy is needed to capture the image on a radiograph.
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Question 89 of 150
89. Question
1 pointsWhen mounting radiographs for future viewing, the maxillary teeth are always what?
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Explanation:
The maxillary teeth are the teeth of the upper jaw. When conducting x-rays, these teeth are viewed from a direct-on view and capture the teeth as pointing downward. The films are not flipped or changed when processed and/or mounted and will always be viewed from the gum down.
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Question 90 of 150
90. Question
1 pointsScatter radiation occurs when the radiation beam _____
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Explanation:
Scatter radiation is produced by the scattering of the main x-ray beam that is focused on the image receptor. This is caused when the photons and photo-electrons in the radiation beam change direction after interacting with a substance’s molecules after passing through the target point. Scatter radiation can be dangerous to the technician and usually harder to avoid.
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Question 91 of 150
91. Question
1 pointsWhat does the “red” on the x-ray MOST likely indicate?
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Explanation:
On dental x-rays, “pain” indicated by a patient, is typically shown in red. An extra tooth would show up on the x-ray as a tooth, while a missing tooth would show up as an empty space. A CT Scan uses x-rays to view various parts of the body.
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Question 92 of 150
92. Question
1 pointsThe patient has ___.
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Explanation:
This x-ray shows that the patient has undergone extensive work. The patient has crowns, bridges, missing teeth, dental implants, veneers, and root canals
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Question 93 of 150
93. Question
1 pointsThe darkroom should be free of all of the following except
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Explanation:
Light, dirt, and spilled chemicals can all have a detrimental effect on the quality of the radiograph and should be kept out of the darkroom. Processing tanks should be kept covered in the darkroom when not in use. They should also be cleaned when processing solutions are replaced.
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Question 94 of 150
94. Question
1 pointsFilm packages should always be stored:
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Explanation:
Film packages should always be stored on the edge. Stacking or storing in a rack puts physical pressure on the film packets.
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Question 95 of 150
95. Question
1 pointsDuring new assistant training in a large dental office, the topic of regulations and radiation safety is being discussed. What are general requirements for X-ray equipment? Correct
Incorrect
Explanation:
In dental radiography, x-ray equipment and use are governed by both federal and state regulations. Dental clinics must comply with all federal AND state regulations concerning the operation and maintenance of x-ray equipment regardless of the age of the equipment. Where local ordinances apply, dental clinics must also meet those requirements.
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Question 96 of 150
96. Question
1 pointsIn this x-ray, ____ are removed from the patient’s teeth.
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Explanation:
Fillings are used to “fill in” holes (cavities) in the teeth. The x-ray shows several teeth where fillings were removed.
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Question 97 of 150
97. Question
1 pointsWhat should be used for HEAVY cleaning of the processor?
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Explanation:
Periodic systems cleaning for heavy buildup should occur every three to six months. When performing cleaning for heavier buildup, operators should use the systems cleaner recommended by the equipment manufacturer.
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Question 98 of 150
98. Question
1 pointsLong exposure time for dental X-ray film results in
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Explanation:
The longer X-ray film is exposed, the darker the film will be. Additionally, higher mA and kVp will make the film dark.
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Question 99 of 150
99. Question
1 pointsWendy has finished duplicating a patient’s mounted films for a referral. What does she do with the original file?
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Explanation:
Patient films often have to be duplicated when they need to be viewed outside of the office, usually for a referral appointment or transfer. After Wendy properly mounts and duplicates the films, the original set is put back into the patients permanent file at the dentist’s office for the dentist to keep. The duplicates are then released to where they need to go.
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Question 100 of 150
100. Question
1 pointsHow long will a patient need to be still for a panoramic radiograph?
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Explanation:
Patients need to be still during a panoramic exposure. The exposure takes 15 seconds. Patients should be told how long to hold the position.
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Question 101 of 150
101. Question
1 pointsHow long should a patient wait before rinsing after oral surgery?
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Explanation:
Rinsing should be avoided for 24 hours after oral surgery. This will allow the clot to form, which will prevent dry socket.
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Question 102 of 150
102. Question
1 pointsWhich glove is a suitable alternative to latex gloves?
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Explanation:
A suitable alternative to latex gloves is nitrile. Vinyl gloves are also an alternative for patients and workers sensitive to latex.
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Question 103 of 150
103. Question
1 pointsIn the dental office, handling of amalgam can pose a threat for:
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Explanation:
In the dental office, improper handling of amalgam and mercury can pose a threat for dentists and assistants. Office managers and other front desk staff are not affected.
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Question 104 of 150
104. Question
1 pointsRemoval intra-oral devices, such as dental handpieces, can be sterilized using:
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Explanation:
Handpieces and other intra-oral devices that can be removed from air and water lines should be sterilized with ethylene oxide. Surface level disinfectants, such as alcohol and anti-microbial, should not be used. Alkaline based soaps may damage the equipment.
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Question 105 of 150
105. Question
1 pointsEmergency equipment/supplies required by OSHA for the dental office include(s):
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Explanation:
Safety warning signs to indicate the location of eyewash, oxygen, and emergency kits OSHA requires that safety warning signs be posted to identify the location of emergency supplies such as oxygen, eyewash, and medical emergency kits. The oxygen tank and medical kit should be examined regularly to ensure that they are ready for use.
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Question 106 of 150
106. Question
1 pointsHigh-level disinfection should not be used on
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Explanation:
High-level disinfection should be used on gross contaminated items requiring inactivation of microorganisms and their spores. High-level disinfection involves the use of chemical sterilants. Low and intermediate level disinfectants should be used on environmental surfaces.
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Question 107 of 150
107. Question
1 pointsWhat is necessary if engineering workplace controls are not capable of completely removing employee exposure?
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Explanation:
Engineering workplace controls may eliminate potential exposure. They may not completely remove the risk. Personal protective equipment (PPE) is necessary when there is any risk of contamination according to OSHA.
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Question 108 of 150
108. Question
1 pointsHow often should biologic monitoring be performed at a minimum?
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Explanation:
Biological monitoring is necessary to ensure that sterilization is done correctly. It should be done at least once a week. It is also necessary when new material is used or after a repair.
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Question 109 of 150
109. Question
1 pointsWhat should be done with small pools of disinfectant left on a surface
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Explanation:
Disinfectant needs to remain on surfaces as long as the manufacturer recommends. Any pools left over should be dried with a paper towel
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Question 110 of 150
110. Question
1 pointsWhat is recommended for irrigating bone cutting?
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Explanation:
Surgical irrigants need to be sterile. Sterile saline is used bone cutting. Sterile water may also be used.
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Question 111 of 150
111. Question
1 pointsA work practice control for cleaning sharp instruments might include
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Explanation:
An work practice control to minimize being punctured by a sharp instrument would include using a strainer basket to hold instruments and remove them from the sink. According to OSHA directives, employee must not stick their hands in a sink filled with soapy water to remove sharp contaminated instruments.
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Question 112 of 150
112. Question
1 pointsMany health professionals are allergic to latex gloves and must manage latex allergies. Besides gloves, dental professionals are exposed to additional latex items, such as:
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Explanation:
Latex is made from natural rubber. Therefore, dental professionals who are allergic to latex must also use caution with other items in the dental setting, such as rubber dams or some equipment.
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Question 113 of 150
113. Question
1 pointsIt is important to understand the label for a hazardous chemical. Yellow means:
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Explanation:
A yellow label indicates the product is unstable. The product is an explosive material at room temperature.
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Question 114 of 150
114. Question
1 pointsPost-exposure prophylaxis after an employee is cut with a contaminated scalpel might include:
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Explanation:
HIV drug regimen Following exposure to blood, a dental worker should undergo post-exposure management. The employee should undergo a testing to determine if they are infected by HBV, HBC, or HIV. If HI post-exposure prophylaxis involves a four week HIV drug regimen.
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Question 115 of 150
115. Question
1 pointsWhich body(ies) of governance regulates dental waste requiring special storage, handling, neutralization, and disposal?
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Explanation:
The proper disposal of dental waste is implemented and enforced by various regulations. This joint effort includes the input of federal, state, and local rules and regulations.
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Question 116 of 150
116. Question
1 pointsThe American Dental Association and OSHA have outlined the proper steps to follow when an exposure incident occurs. After the employee sees a health care professional (HCP) to be evaluated, and the HCP provides the report to the employer, how much time does the employer have to provide the employee with a written copy of his medical opinion of the situation?
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Explanation:
The steps to be followed when an exposure incident occurs are as follows: 1. Employee reports the incident to his employer. 2. Employer directs employee to a health care professional (HCP) 3. HCP evaluates the incident 4. HCP send written opinion to employer 5. Employer provides copy of report to employee
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Question 117 of 150
117. Question
1 pointsOutside of performing routine dental procedures, gloves should be worn when:
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Explanation:
Dental health workers should wear gloves at times other than when performing dental procedures. For instance, workers should wear gloves when cleaning instruments, handling waste, or mopping up spills.
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Question 118 of 150
118. Question
1 pointsWhat is a common risk associated with alginate powder?
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Explanation:
Alginate powder can pose a risk for dental workers. The powder will disperse in the air. This causes bronchiole irritation.
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Question 119 of 150
119. Question
1 pointsWhich of the following is NOT a required component of training dental workers, according to OSHA?
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Explanation:
“Workplace attendance” is not a topic outlined in OSHA’s Bloodborne Pathogen Standard Revision as a crucial training component. The other options listed as well as many others do exist.
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Question 120 of 150
120. Question
1 pointsThe mercury in the glass thermometer is:
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Explanation:
Mercury is a toxic substance. The thermometer design has drastically changed to eliminate using the thermometer containing the mercury.
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Question 121 of 150
121. Question
1 pointsCurrently, OSHA-approved needlestick protocols exist in:
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Explanation:
Currently, OSHA-approved needlestick protocols exist in 25 states. OSHA maintains records of exposures as the result of needlestick accidents.
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Question 122 of 150
122. Question
1 pointsDental health education has proven effective in improving individual knowledge and oral hygiene practices. Education for a patient with extensive decay between teeth should focus on:
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Explanation:
Dental health education should be individualized. A patient who has extensive decay between teeth should be instructed on flossing. The patient may also be given literature on gum disease.
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Question 123 of 150
123. Question
1 pointsIn an effort to save money, after using a pair or latex gloves, the dental assistant has washed and plans to re-use them. What is true of this practice?
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Explanation:
Washing and re-using gloves can increase one’s risk for having microorganisms passed on to him from the gloves. This is not conducive for an environment that must remain clean.
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Question 124 of 150
124. Question
1 pointsA number of infectious diseases can be isolated from dental water lines. Which of the following is NOT likely to be present in dental unit water lines?
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Explanation:
The human immunodeficiency virus (HIV) is not stable enough to survive in the dental water line environment. The typical means of transmission for HIV is via blood or body fluids. Many other pathogens have been isolated from dental unit water lines including Legionella spp, which can be lethal. However, the majority of organisms found in dental unit water lines are common heterotrophic water bacteria.
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Question 125 of 150
125. Question
1 pointsAccording to OSHA, how much time does a dental office employer have to offer its employees with occupational exposure, a free Hepatitis B vaccination?
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Explanation:
OSHA has established the standard that employers must offer a Hepatitis B vaccination to all of its employers who are at risk for occupational exposure. The employer must pay the cost for it.
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Question 126 of 150
126. Question
1 pointsWhat should be placed inside each sterilized packet?
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Explanation:
Chemical indicators are internal and external. An internal indicator needs to be placed in each packet. This will indicate that the heat penetrated the packet.
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Question 127 of 150
127. Question
1 pointsWhat is the maximum noise level of the work environment to prevent hearing loss?
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Explanation:
Noise pollution will cause hearing loss or NIHL. The maximum noise level is 85 decibels. Anything over this will begin to cause damage.
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Question 128 of 150
128. Question
1 pointsMercury falls into an area that cannot be reached. What should be dusted on it?
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Explanation:
Mercury spills need to be cleaned up quickly. Sulphur powder will create a film. This will make it easier to contain.
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Question 129 of 150
129. Question
1 pointsSterilizing instruments through the conversion of water to steam and pressurization is performed by:
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Explanation:
An autoclave is used to sterilize instruments by the conversion of water to steam accompanied by pressurization. This process is known as steam under pressure. High heat and pressure kill any remaining organisms.
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Question 130 of 150
130. Question
1 pointsWhich of the following is an example of a non-critical instrument?
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Explanation:
Non-critical instruments come in contact with the skin, but they do not touch mucous membranes or blood. Low level disinfection is suitable for non-critical instruments. They include X-ray heads, blood pressure cuffs, and pulse oximeter.
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Question 131 of 150
131. Question
1 pointsWhat can be placed in an ultra sonic to ensure that it is operating?
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Explanation:
Foil will determine if an ultra sonic is operating correctly. It should be placed inside during a cleaning cycle. At the end of the cycle, there should be holes in the foil.
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Question 132 of 150
132. Question
1 pointsStored utensils should be kept away from which of the following?
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Explanation:
Pins and other sharp objects need to be kept away from stored utensils. They risk poking holes or tearing the wrapping. This will cause contamination.
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Question 133 of 150
133. Question
1 pointsOf the following, this bodily system is the portal of entry for an infectious agent because a patient has ingested contaminated water.
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Explanation:
There are several portals of entry with regard to infectious agents. These include: Integumentary system (mucous membrane or break in the skin), Respiratory tract (when the patient inhales droplets that are contaminated), Genitourinary tract (contamination occurs in semen or vaginal secretions), Gastrointestinal tract (contamination occurs in ingested food or water), Circulatory system (a patient is bitten by a contaminated rodent or insect), and Transplacental (microorganisms are transferred from a contaminated mother to a fetus by way of the placenta and umbilical cord).
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Question 134 of 150
134. Question
1 pointsDisposal plastic aprons in the dental setting can
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Explanation:
Disposal aprons are single use items that can protect the wearer from splatter and spray. However, they do not provide extensive coverage or a strong barrier.
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Question 135 of 150
135. Question
1 pointsThe purpose of gloves includes all of the following except for:
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Explanation:
Gloves can protect the hands from cross-contamination and chemicals. Gloves do not prevent puncture or injury from sharps, needles or instruments.
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Question 136 of 150
136. Question
1 pointsWhich type of gloves should be worn when preparing instruments to disinfect?
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Explanation:
Utility gloves are thicker than other gloves. They are also puncture resistant. Utility gloves are what needs to be worn when preparing instruments to disinfect.
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Question 137 of 150
137. Question
1 pointsWhere are barriers Not placed?
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Explanation:
The assistant and dentist have PPE barriers. The patient is provided with barriers, and there are barriers in the exam room. There are no barriers in the hall because cross contamination is unlikely to happen here.
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Question 138 of 150
138. Question
1 pointsWhich sterilization method would be used on an item that is not able to withstand heat?
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Explanation:
The most common method of sterilization is the autoclave. It can become too hot for certain items. Ethylene oxide may be room temperature. Automatic models reach 120 F.
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Question 139 of 150
139. Question
1 pointsAt the individual level, which factor most determines attitudes toward dental health education?
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Explanation:
Research has shown that the better educated people are the more their information seeking attitudes. People who have higher education levels tend to have more opportunity and interest in developing healthy lifestyles
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Question 140 of 150
140. Question
1 pointsWhen are biological monitors inserted?
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Explanation:
There are several tasks that take place in the Packaging area of instrument-processing. These include arranging set-ups and wrapping instruments, among other things.
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Question 141 of 150
141. Question
1 pointsNails longer than ____ hold more pathogens.
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Explanation:
Nails need to be trimmed to 1/4 inch. Longer nails contain more pathogens. Nails with chipped polish also hold more pathogens.
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Question 142 of 150
142. Question
1 pointsWhich of the following provides guidelines for disposing of regulated waste?
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Explanation:
The EPA provides federal regulations for regulated waste disposal. The state and local governments also implement regulations. It is important to check all of the regulations.
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Question 143 of 150
143. Question
1 pointsWorking with self-curing acrylic, what creates a risk?
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Explanation:
Exothermic reactions are heat causing reactions. It is possible for the dental assistant to become burned by the exothermic reactions. Extreme care needs to be taken when using curing acrylic.
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Question 144 of 150
144. Question
1 pointsHow is Hepatitis B Virus (HBV) transmitted from person to person?
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Explanation:
Casual contact with an infected individual does not typically allow the transmittal of the disease. HBV can also spread through saliva. This is why it is especially important to thoroughly sterilize dental instruments used on patients with the condition.
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Question 145 of 150
145. Question
1 pointsWhat is used to determine if water is safe for use in a dental office?
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Explanation:
A water quality indicator (WQI) is necessary to determine water quality. It will measure the colony forming units. This determines if the water source is safe.
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Question 146 of 150
146. Question
1 pointsWhich product is the MOST appropriate for disinfecting metal surfaces between patients?
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Explanation:
Alcohol wipes are an appropriate disinfectant for cleaning the surfaces of items in between patients. It sufficiently disinfects, can be used on metal, and less likely to irritate sensitive patients or personnel. Hypochlorite or bleach-products should not be used on metal surfaces. Soap will not disinfect metal surfaces.
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Question 147 of 150
147. Question
1 pointsIn August 2001, a dental assistant lives in a state that is covered by OSHA’s federal mandate as well as state-run needle safety laws covering public healthcare settings. Which of the following states would this be?
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Explanation:
In 2001, President Clinton signed the Needlestick Safety and Prevention Act, which was an update to the Bloodborne Pathogens Standard. Since the federal mandate did not cover public facilities unless states had their own needle safety laws, seven states passed their own laws. These states are Georgia, Maine, Massachusetts, New Hampshire, Ohio, Texas and West Virginia.
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Question 148 of 150
148. Question
1 pointsThe Occupational Safety and Health Administration regulations for dental office specify that:
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Incorrect
Explanation:
The law specifies that OSHA cannot give dental offices advance notice of inspections. OSHA provides random spot checks. Additionally, most inspections are conducted as a result of complaints.
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Question 149 of 150
149. Question
1 pointsHow long should items be sterilized using the liquid or cool method?
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Explanation:
Submersion is a possible form of sterilization for items that cannot tolerate heat. The items need to remain submerged for a minimum of 10 hours.
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Question 150 of 150
150. Question
1 pointsWhich of the PPEs should be put on first?
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Explanation:
Personal Protective Equipment PPE should be applied and removed in a specific order. First the protective clothing and footwear, then the mask, the eyewear, and finally the gloves