HESI Case Study Six

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 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

HESI Case Study Six

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