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Dental Hygiene Prometric Exam CSCE – Computer-Simulated Case Test Questions & Answers Study Guide (2026 Update)

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Prepare for the Dental Hygiene Prometric Exam (CSCE) with this 2026 updated study guide, featuring computer-simulated case test questions, verified answers, and detailed explanations. Covers patient assessment, oral health care procedures, clinical decision-making, and exam-focused scenarios. Ideal for dental hygiene students, educators, and professionals seeking comprehensive exam readiness and practical knowledge for the CSCE and computer-simulated case tests.

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Dental Hygiene Prometric
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Test Questions and
Answers Study Guide



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What is an oral side effect of Prozac? - ANSWER xerostomia



How do steroids effect wound healing? - ANSWER causes delayed wound healing



What should be done with a patient with a previous history of high blood pressure and
comes in for their appointment with reading of 160/116? - ANSWER refer the patient to
their physician immediately



Premedication regimine - ANSWER 2g Amoxicillin

600 mg Clindamycin



Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior
to their appointment. What would you do? - ANSWER administer another 300 mg and
wait 1 hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to
treatment)



What is a PAN used for? - ANSWER - look at location of 3rd molars

- impactions

- pathology

- NOT FOR BONE LOSS




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Items containing fluoride? - ANSWER - tea

- pork

- fish



What type of water does not contain fluoride? - ANSWER well water



Know the papilla of the tongue - ANSWER - filiform (most numerous, very small)

- fungiform (mushroom shape, contain taste buds)

- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus
terminalis)

- foliate (leaf shaped, lateral border of tongue)



What is hairy tongue caused by? - ANSWER elongation of the filiform papillae



Delayed eruption may be caused by - ANSWER delayed exfoliation



Identify mandibular canal radiographically - ANSWER radiolucent, long dark area
outlined with dense cortical bone, located above or parallel to the inferior border of the
mandible



What is thickened lamina dura caused by? is this appearance normal? - ANSWER -
caused by trauma

- not normal



Know film errors - ANSWER - elongation: too little vertical angulation

- foreshortening: too much vertical angulation




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- cone cut: PID not aligned with censor

- overlap: incorrect horizontal angulation



Identify median rhomboid glossitis - ANSWER rhombus shaped, central denuded area of
the tongue with red appearance



What is the treatment for black hair tongue? - ANSWER brush it



What is a vitality test used for? - ANSWER testing to see if the pulp is vital or not
(applying cold air on cotton swap and pushing it against the tooth; if the pulp is vital it
hurts, if its necrotic you would not feel anything)



What are Hutchinson's incisors caused by? - ANSWER Syphillis, NOT biting on bobby
pins



Identify lingual varicosities.. are they normal? - ANSWER yes they're normal



How long should ultrasonic units be flushed? - ANSWER 20 seconds



What provides proof of sterilization? Spore test or autoclave tape? - ANSWER Spore test



What does autoclave tape tell you? - ANSWER that it has reached proper temperature



Hep B vaccination also protects you from? - ANSWER Hep D



What can chlorhexidine cause? - ANSWER staining, increased calculus deposits




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