HESI Case Study Eight

Each of the following is an advantage of a glass ionomer restoration EXCEPT one. Which is the EXCEPTION?

Biocompatible with pulp

Higher wear resistant than resins

Thermal expansion similar to tooth structure

Good insulator

The pt reports she has become vegan and only eats 1/4 an apple every hour to maintain her blood sugar. Considering the information provided, which factor most influences the pts caries risk assessment?

While changing from a supine to a sitting position, the pt reports feeling dizzy and appears flushed. What is a contributing factor for this abnormality?

Combination intake of ginkgo and coenzyme Q-10

Low blood sugar

Vegetarian diet with little protein

Postural hypotension caused by niacin intake

What is the probable contributing factor for this pts gingivitis?

Megadoses of nutritional supplements do not cure or prevent periodontal disease because nutrient deficiencies, excesses, or imbalances do not initiate periodontal disease.

Both statement/reason are correct but not related

The statement is correct, reason is not

Neither the statement/reason is correct

Both statement/reason are correct and related

The statement is not correct but reason is correct

Which papillae are most numerous on the pts tongue?

Foliate

Filiform

Fungiform

Circumvallate

Which act of nonmaleficence applies specifically to this pt?

Anesthesia for SRP

Pt education

Recognition and honoring of autonomy

Universal infection control precautions

Which radiopaque structure outlines the apices of the maxillary right premolars and molars?

Floor of nasal cavity

Zygomatic process

Maxillary sinus

Floor of maxillary sinus

Based on the history, which misunderstanding does the pt have?

Low carcinogenicity of fresh fruit

Evidence of poor health increases as income level decreases

Religious beliefs affect eating patterns

Role and prevalence of obesity

This pt demonstrates severe gagging during radiographic exposures. Which recommendation is most appropriate?

Postpone radiographic exposures until next recall

Hold breath

Audibly count

Breathe deeply

Which radiopaque structure outlines the apices of the maxillary right premolars and molars?

Maxillary sinus

Floor of nasal cavity

Zygomatic process

Floor of maxillary sinus

Which dental material would be best suited for this pt?

Composite resin

Acrylic resin

Flowable composite

Glass ionomer

Which type of restorative material is visible on #12?

Silver point

Gutta percha

Porcelain fused-to-metal crown

Crown with retention pins

Which phase of growth are microorganisms most susceptible to the action of physical and chemical agents?

Logarithmic

Stationary

Death

Lag

Which gland supplies the largest portion of salivary flow?

Parotid

Sublingual

Lacrimal

Submandibular

HESI Case Study Eight

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