HESI DENTAL HYGIENE CASE-BASED UPDATED ACTUAL
Questions and CORRECT Answers
Which is the most logical reason for obliteration of the D. Age of patient
pulp cavities?
- the age of the patient (96-years-old) is the most logical reason for
A. Trauma obliteration of the pulp cavities
B. Wearing a partial denture - while trauma can contribute to obliteration of the pulp cavity, it is not the
C. Presence of recession most logical reason in this case
D. Age of patient - the presence of recession and the wearing of a partial denture would not
contribute to a decrease in the pulp cavity size unless trauma was involved
The age of the patient affects his ability to metabolize C. The first statement is true, second is false.
medication. The patient will need more than the
standard dosage of prescribed medication to achieve - age affects drug metabolism, but the patient has likely been prescribed lower
the same therapeutic effect. drug dosages than ordinarily prescribed to decrease the risk of toxicity
- the other choices do not correctly define the statements
A. Both statements are true
B. The first statement is false, second is true
C. The first statement is true, second is false.
D. Both statements are false.
The patient presents with each of the following D. Diabetes
conditions EXCEPT one. Which one is the EXCEPTION?
- based on the prescribed medications, the patient does not have diabetes
A. Thyroid hypofunction - he does present with gout, high cholesterol, and thyroid hypofunction
B. High cholesterol
C. Gout
D. Diabetes
What is frequency associated with kidney disease? B. Anemia
A. High cholesterol - this patient is taking folic acid and iron for anemia, a condition frequently
B. Anemia associated with kidney disease
C. Diabetes - the other choices do not correctly define the question
D. Hypothyroidism
Due to absence of #2, which condition developed in A. Hypercementosis
#31?
- tooth #31 exhibits an abnormally thick layer of cementum
A. Hypercementosis - hypercementosis results when a tooth is missing the antagonist or opposing
B. Fibrous, acellular pulp tooth
C. Thin, defective enamel - the other choices are not associated with a missing tooth
D. Reactive dentin
, Which gracey curet is best to debride the distal aspect C. 13/14
of the lingual root on #14?
- the 13/14 gracey curet is used to debride the distal aspect of the lingual root
A. 1/2 of tooth #14
B. 5/6 - the 1/2 gracy curet is used to instrument the anterior dentition
C. 13/14 - the 5/6 gracey curet is used to instrument the premolars and the facial and
D. 11/12 lingual surfaces of posterior teeth
- the 11/12 gracey curet is used to instrument the mesial surfaces as well as the
cervical third of posterior teeth
Gout is an autoimmune condition. A side effect of gout C. The first statement is true, second is false
is an increase in thirst.
- gout is an autoimmune disease characterized by episodes of acute attacks of
A. Both statements are true pain in joints
B. The first statement is false, second is true
C. The first statement is true, second is false
D. Both statements are false
WHat GV Classification of restoration is on #21? E. V
A. IV - tooth #21 has a class V restoration on the cervical third
B. I - the other choices do not correctly define the question
C. II
D. III
E. V
The pt wants to discontinue taking the daily folic acid D. Asparagus, lentils, spinach
supplement and obtain sources from his diet. What
food provides a good source of folate? - good food sources of folic acid (folate) are asparagus, lentils, and spinach
- baked potatoes, mushrooms, and tuna are good sources of niacin
A. Baked potato, mushrooms, tuna - brussel sprouts, grapefruit, and strawberries are good sources of vitamin C
B. Green peas, enriched paste, sunflower seeds - green peas, enriched pasta, and sunflower seeds and good sources of
C. Brussel sprouts, grapefruit, strawberries thiamine
D. Asparagus, lentils, spinach
Each of the following fluoride products can be C. Varnish
recommended for the pt to use at home EXCEPT one.
Which one is the EXCEPTION? - fluoride varnish is an in-office professional fluoride product and cannot be
purchased by the patient for home use
A. Toothpaste - sodium fluoride (1.1%) gel in a custom tray, a fluoride rinse, and a fluoridated
B. 0.5% sodium rinse toothpaste can be recommended for the patient to use at home
C. Varnish
D. 1.1% sodium gel in custom tray
Questions and CORRECT Answers
Which is the most logical reason for obliteration of the D. Age of patient
pulp cavities?
- the age of the patient (96-years-old) is the most logical reason for
A. Trauma obliteration of the pulp cavities
B. Wearing a partial denture - while trauma can contribute to obliteration of the pulp cavity, it is not the
C. Presence of recession most logical reason in this case
D. Age of patient - the presence of recession and the wearing of a partial denture would not
contribute to a decrease in the pulp cavity size unless trauma was involved
The age of the patient affects his ability to metabolize C. The first statement is true, second is false.
medication. The patient will need more than the
standard dosage of prescribed medication to achieve - age affects drug metabolism, but the patient has likely been prescribed lower
the same therapeutic effect. drug dosages than ordinarily prescribed to decrease the risk of toxicity
- the other choices do not correctly define the statements
A. Both statements are true
B. The first statement is false, second is true
C. The first statement is true, second is false.
D. Both statements are false.
The patient presents with each of the following D. Diabetes
conditions EXCEPT one. Which one is the EXCEPTION?
- based on the prescribed medications, the patient does not have diabetes
A. Thyroid hypofunction - he does present with gout, high cholesterol, and thyroid hypofunction
B. High cholesterol
C. Gout
D. Diabetes
What is frequency associated with kidney disease? B. Anemia
A. High cholesterol - this patient is taking folic acid and iron for anemia, a condition frequently
B. Anemia associated with kidney disease
C. Diabetes - the other choices do not correctly define the question
D. Hypothyroidism
Due to absence of #2, which condition developed in A. Hypercementosis
#31?
- tooth #31 exhibits an abnormally thick layer of cementum
A. Hypercementosis - hypercementosis results when a tooth is missing the antagonist or opposing
B. Fibrous, acellular pulp tooth
C. Thin, defective enamel - the other choices are not associated with a missing tooth
D. Reactive dentin
, Which gracey curet is best to debride the distal aspect C. 13/14
of the lingual root on #14?
- the 13/14 gracey curet is used to debride the distal aspect of the lingual root
A. 1/2 of tooth #14
B. 5/6 - the 1/2 gracy curet is used to instrument the anterior dentition
C. 13/14 - the 5/6 gracey curet is used to instrument the premolars and the facial and
D. 11/12 lingual surfaces of posterior teeth
- the 11/12 gracey curet is used to instrument the mesial surfaces as well as the
cervical third of posterior teeth
Gout is an autoimmune condition. A side effect of gout C. The first statement is true, second is false
is an increase in thirst.
- gout is an autoimmune disease characterized by episodes of acute attacks of
A. Both statements are true pain in joints
B. The first statement is false, second is true
C. The first statement is true, second is false
D. Both statements are false
WHat GV Classification of restoration is on #21? E. V
A. IV - tooth #21 has a class V restoration on the cervical third
B. I - the other choices do not correctly define the question
C. II
D. III
E. V
The pt wants to discontinue taking the daily folic acid D. Asparagus, lentils, spinach
supplement and obtain sources from his diet. What
food provides a good source of folate? - good food sources of folic acid (folate) are asparagus, lentils, and spinach
- baked potatoes, mushrooms, and tuna are good sources of niacin
A. Baked potato, mushrooms, tuna - brussel sprouts, grapefruit, and strawberries are good sources of vitamin C
B. Green peas, enriched paste, sunflower seeds - green peas, enriched pasta, and sunflower seeds and good sources of
C. Brussel sprouts, grapefruit, strawberries thiamine
D. Asparagus, lentils, spinach
Each of the following fluoride products can be C. Varnish
recommended for the pt to use at home EXCEPT one.
Which one is the EXCEPTION? - fluoride varnish is an in-office professional fluoride product and cannot be
purchased by the patient for home use
A. Toothpaste - sodium fluoride (1.1%) gel in a custom tray, a fluoride rinse, and a fluoridated
B. 0.5% sodium rinse toothpaste can be recommended for the patient to use at home
C. Varnish
D. 1.1% sodium gel in custom tray
