Dental Hygiene Prometric Exam CSCE, Computer
Simulated Dental Hygiene Exam, Dental Hygiene
Prometric Exam CDCA Actual Exam Test Bank|
Complete Real Exam Questions and Correct Verified
Answers/ Graded A+
1. A patient presents with a blood pressure reading of
160/116 mmHg. What is the most appropriate dental hygiene
action?
A) Proceed with routine prophylaxis
B) Use local anesthetic with epinephrine
C) Refer the patient to their physician immediately
D) Recheck blood pressure at the end of the appointment
Answer: C
Rationale: A diastolic pressure of 116 mmHg indicates
hypertensive crisis (Stage 2 hypertension with systolic ≥140 or
1
,diastolic ≥90). Elective dental treatment should be postponed
and the patient referred to their physician immediately for
evaluation.
2. Which medication is most commonly associated with
xerostomia as an oral side effect?
A) Amoxicillin
B) Prozac (fluoxetine)
C) Ibuprofen
D) Albuterol
Answer: B
Rationale: Prozac (fluoxetine) and other SSRIs commonly cause
xerostomia as a side effect due to their anticholinergic effects on
salivary gland function.
3. Which instrument should be used to assess subgingival
calculus on mandibular anterior lingual surfaces?
2
, A) Columbia 13/14 curette
B) Gracey 1/2 curette
C) Universal scaler
D) Jaquette scaler
Answer: B
Rationale: The Gracey 1/2 curette is specifically designed for
anterior teeth, with an offset blade that adapts well to the
lingual surfaces of mandibular incisors.
4. A patient taking Procardia (nifedipine) for hypertension is
most likely to present with which oral condition?
A) Xerostomia
B) Gingival enlargement
C) Lichen planus
D) Apthous ulcers
3
, Answer: B
Rationale: Procardia is a calcium channel blocker. This class of
medications (including nifedipine, Norvasc) is known to cause
drug-induced gingival enlargement as a side effect.
5. Which radiographic finding indicates periodontal disease?
A) Thickened lamina dura
B) Thinning or absence of lamina dura
C) Hypercementosis
D) Enamel pearls
Answer: B
Rationale: The lamina dura is the thin radiopaque line lining the
tooth root. Thinning or absence of the lamina dura is a
radiographic sign of periodontal disease progression.
6. A 70-year-old edentulous patient soaks their dentures in
hot water daily. What problem may result from this practice?
4
Simulated Dental Hygiene Exam, Dental Hygiene
Prometric Exam CDCA Actual Exam Test Bank|
Complete Real Exam Questions and Correct Verified
Answers/ Graded A+
1. A patient presents with a blood pressure reading of
160/116 mmHg. What is the most appropriate dental hygiene
action?
A) Proceed with routine prophylaxis
B) Use local anesthetic with epinephrine
C) Refer the patient to their physician immediately
D) Recheck blood pressure at the end of the appointment
Answer: C
Rationale: A diastolic pressure of 116 mmHg indicates
hypertensive crisis (Stage 2 hypertension with systolic ≥140 or
1
,diastolic ≥90). Elective dental treatment should be postponed
and the patient referred to their physician immediately for
evaluation.
2. Which medication is most commonly associated with
xerostomia as an oral side effect?
A) Amoxicillin
B) Prozac (fluoxetine)
C) Ibuprofen
D) Albuterol
Answer: B
Rationale: Prozac (fluoxetine) and other SSRIs commonly cause
xerostomia as a side effect due to their anticholinergic effects on
salivary gland function.
3. Which instrument should be used to assess subgingival
calculus on mandibular anterior lingual surfaces?
2
, A) Columbia 13/14 curette
B) Gracey 1/2 curette
C) Universal scaler
D) Jaquette scaler
Answer: B
Rationale: The Gracey 1/2 curette is specifically designed for
anterior teeth, with an offset blade that adapts well to the
lingual surfaces of mandibular incisors.
4. A patient taking Procardia (nifedipine) for hypertension is
most likely to present with which oral condition?
A) Xerostomia
B) Gingival enlargement
C) Lichen planus
D) Apthous ulcers
3
, Answer: B
Rationale: Procardia is a calcium channel blocker. This class of
medications (including nifedipine, Norvasc) is known to cause
drug-induced gingival enlargement as a side effect.
5. Which radiographic finding indicates periodontal disease?
A) Thickened lamina dura
B) Thinning or absence of lamina dura
C) Hypercementosis
D) Enamel pearls
Answer: B
Rationale: The lamina dura is the thin radiopaque line lining the
tooth root. Thinning or absence of the lamina dura is a
radiographic sign of periodontal disease progression.
6. A 70-year-old edentulous patient soaks their dentures in
hot water daily. What problem may result from this practice?
4
