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Dental Hygiene Practice Act | Pass Guaranteed
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California Dental Hygiene Law & RDHAP Scope of Practice
Q1: According to the California Dental Hygiene Act, which of the following patient
populations is specifically defined as eligible to receive care from an RDHAP without a
prior examination by a dentist?
A. Any patient seeking a second opinion on periodontal disease
B. Homebound patients, residents of skilled nursing facilities, and schoolchildren
[CORRECT]
C. Patients with private dental insurance who cannot get an immediate appointment
D. Patients who are undocumented immigrants seeking emergency care
Correct Answer: C
Rationale: The correct answer is homebound patients, residents of skilled nursing
facilities, and schoolchildren because the Dental Practice Act specifically outlines these
groups as the target populations an RDHAP can independently treat to improve access
to care.
Q2: An RDHAP's written agreement with their supervising dentist must be reviewed and
updated at what minimum interval to remain compliant with California law?
A. Every 6 months
B. Annually [CORRECT]
C. Every 2 years, coinciding with license renewal
D. Only when the Dental Board requests it during an audit
Correct Answer: B
Rationale: The correct answer is annually because the law requires that the written
agreement between the RDHAP and the supervising dentist be reviewed and updated
at least once a year to ensure all practice parameters and protocols are current.
Q3: Which of the following actions constitutes "unprofessional conduct" under the
Business and Professions Code for an RDHAP?
A. Refusing to treat a patient who is verbally abusive
,B. Failing to maintain a valid, current written agreement with a supervising dentist
[CORRECT]
C. Taking a two-week vacation without notifying the Dental Board
D. Charging a patient a higher fee than what Denti-Cal reimburses
Correct Answer: B
Rationale: The correct answer is failing to maintain a valid written agreement because
practicing as an RDHAP without this required supervisory document on file is a direct
violation of the Dental Hygiene Act and constitutes unprofessional conduct.
Q4: An RDHAP wants to set up a mobile dental hygiene practice to visit patients in their
private residences. What specific regulatory requirement must be met before providing
care in a private home?
A. The home must be inspected and approved by the Dental Board of California
B. The patient must sign a waiver acknowledging the home is not a sterile clinical
environment
C. The RDHAP must obtain informed consent and ensure the setting allows for
adherence to infection control standards [CORRECT]
D. The RDHAP must have a second RDHAP present for safety and liability purposes
Correct Answer: C
Rationale: The correct answer is obtaining informed consent and ensuring infection
control adherence because while the Dental Board doesn't inspect private homes, the
RDHAP is legally responsible for modifying their clinical setup to meet all state infection
control regulations.
Q5: During a home visit, an RDHAP notices a large, suspicious lesion on the patient's
palate that was not documented by the supervising dentist. What is the most
appropriate action within the RDHAP scope of practice?
A. Perform a brush biopsy to rule out malignancy before referring the patient
B. Inform the patient of the finding and immediately refer them to a dentist or physician
for diagnosis [CORRECT]
C. Document the lesion and wait until the annual review with the supervising dentist to
mention it
D. Take a photo of the lesion and send it to the supervising dentist via text message for
a diagnosis
Correct Answer: B
Rationale: The correct answer is to inform the patient and refer them immediately
because while an RDHAP can identify suspicious lesions, diagnosing oral pathology is
strictly outside their scope, and patient safety requires a prompt referral.
Q6: If an RDHAP decides to place their license on inactive status, what must they
understand about practicing during this time?
, A. They can only practice in volunteer community clinics under general supervision
B. They can perform patient education but no intraoral procedures
C. They cannot perform any functions requiring a license until the license is reactivated
[CORRECT]
D. They can practice if they work under the direct supervision of a dentist who takes full
legal responsibility
Correct Answer: C
Rationale: The correct answer is they cannot perform any licensed functions because
placing a license on inactive status means the individual has voluntarily given up the
right to practice dental hygiene in any capacity until they meet all reactivation
requirements.
Q7: How many hours of specific clinical practice are required to qualify for the RDHAP
licensure examination in California?
A. 500 hours
B. 1,000 hours
C. 2,000 hours [CORRECT]
D. 4,000 hours
Correct Answer: C
Rationale: The correct answer is 2,000 hours because the California Dental Hygiene Act
requires candidates to complete a minimum of 2,000 hours of supervised clinical
practice in alternative practice settings before they are eligible to take the RDHAP
exam.
Q8: An RDHAP is asked by a facility administrator to diagnose a patient's periodontal
disease and write a comprehensive treatment plan that includes bone grafting. How
should the RDHAP respond?
A. Agree to write the plan but leave the surgical procedures blank for the dentist to fill in
later
B. Refuse, as diagnosing and planning surgical periodontal therapy is outside the
RDHAP scope of practice [CORRECT]
C. Perform the diagnosis but have the supervising dentist co-sign the treatment plan to
make it legal
D. Perform the diagnosis using a standardized periodontal charting form approved by
the Dental Board
Correct Answer: B
Rationale: The correct answer is to refuse because an RDHAP cannot diagnose dental
diseases or create treatment plans that involve restorative or surgical procedures, as
these actions are strictly reserved for licensed dentists.