ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
1. A dentist in Texas is approached by a patient requesting a treatment plan that
includes elective cosmetic procedures. Which of the following best reflects
the dentist’s legal obligation?
A. Proceed with any treatment as long as the patient consents verbally.
B. Obtain informed written consent explaining benefits, risks,
alternatives, and limitations of the procedure.
C. Only explain the financial cost, as cosmetic procedures are elective.
D. Refer the patient to another dentist without explanation.
Rationale: Texas law requires dentists to provide clear informed consent for any
procedure, particularly elective procedures, detailing risks, benefits, and
alternatives.
2. During a routine hygiene visit, a patient reports a sensitivity to fluoride. The
dentist should:
A. Continue fluoride treatment, documenting patient discomfort.
B. Administer a double dose to overcome sensitivity.
C. Modify the fluoride treatment and document the patient’s response
and any contraindications.
D. Refer the patient to a medical specialist immediately.
Rationale: Modifying treatment based on patient-reported reactions while
documenting changes is standard practice and legally prudent.
, 3. Under Texas Dental Practice Act, which of the following acts constitutes
unprofessional conduct?
A. Delegating a procedure to a licensed hygienist.
B. Practicing dentistry while impaired by drugs or alcohol.
C. Referring a patient to a specialist.
D. Maintaining dental records for 5 years.
Rationale: Practicing while impaired is explicitly considered unprofessional
conduct and grounds for disciplinary action.
4. A patient refuses radiographs during a comprehensive exam. The dentist
should:
A. Refuse treatment automatically.
B. Explain the risks of not taking radiographs and document the
refusal.
C. Proceed without informing the patient.
D. Require a family member to consent instead.
Rationale: Texas law mandates that patient autonomy be respected while ensuring
informed decision-making is documented.
5. Which of the following is considered a violation of patient confidentiality
under HIPAA and Texas law?
A. Sharing a patient’s treatment plan with the patient’s spouse without
consent.
B. Using de-identified data for research.
C. Discussing a patient’s diagnosis with a colleague in a public area.
D. Storing electronic dental records with secure encryption.
,Rationale: HIPAA and Texas rules require protecting patient information from
unauthorized disclosure, including public areas.
6. In Texas, a dentist may delegate which procedure to a registered dental
hygienist under direct supervision?
A. Diagnosis of caries.
B. Prescribing antibiotics.
C. Scaling and polishing teeth.
D. Administering general anesthesia.
Rationale: Hygienists may perform clinical procedures like cleaning under dentist
supervision but cannot diagnose or prescribe medications.
7. A dentist suspects child abuse after noticing multiple bruises on a child
patient. What is the dentist’s legal responsibility in Texas?
A. Ignore unless the parent agrees to reporting.
B. Confront the parent before reporting.
C. Report suspected abuse immediately to Child Protective Services or
law enforcement.
D. Wait until multiple appointments confirm suspicion.
Rationale: Texas law mandates healthcare providers report suspected child abuse
immediately, even if suspicion is not confirmed.
8. A dentist’s license is up for renewal. Which of the following CE
requirements must be met in Texas?
A. No continuing education is required for renewal.
B. CE is optional if the dentist has practiced for over 20 years.
C. 24 hours of approved continuing education every 2 years, including
, infection control and jurisprudence.
D. CE is only required for new licensees.
Rationale: Texas Board of Dental Examiners mandates 24 hours of CE every 2
years, including specific courses.
9. Which of the following constitutes a valid prescription under Texas law?
A. A handwritten prescription without patient details.
B. A written or electronic prescription with patient name, drug, dosage,
and prescriber signature.
C. Verbal instructions to a pharmacist without documentation.
D. Leaving the prescription blank for the patient to fill in.
Rationale: Prescriptions must be complete, identifiable, and documented to comply
with legal and professional standards.
10.A patient develops post-operative infection after extraction. Which of the
following is the dentist’s best legal and professional response?
A. Ignore and document nothing.
B. Assess, provide appropriate treatment, document findings, and
communicate with the patient.
C. Refer to another dentist without explanation.
D. Blame the patient for not following instructions.
Rationale: Standard of care requires assessment, management, documentation,
and patient communication for adverse outcomes.
11.A dental patient requests removal of amalgam fillings due to concerns about
mercury. The dentist should: