DENTAL HYGIENE BOARD REVIEW EXAM 5 |
DENTAL HYGIENIST| DENTAL HYGIENIST |
LATEST 2025-2026 QUESTION AND CORRECT
ANSWER WITH EXPLANATION WEST COAST
UNIVERSITY
1. Question
A 70-year-old patient with end-stage renal disease (on dialysis),
uncontrolled diabetes, and generalized severe periodontitis presents for
care. What is the MOST appropriate treatment strategy?
A. Immediate full-mouth extraction
B. Medically coordinated phased periodontal therapy
C. Cosmetic whitening first
D. No treatment due to poor prognosis
Correct Answer: B
Rationale: Complex systemic disease requires coordinated, staged
management rather than immediate invasive care.
2. Question
Which laboratory finding MOST significantly impacts periodontal
surgical planning in a renal patient?
A. Hemoglobin A1C
B. Serum creatinine and eGFR
C. LDL cholesterol
D. Vitamin D level
Correct Answer: B
Rationale: Renal function determines drug clearance and bleeding risk.
3. Question
A patient presents with spontaneous gingival bleeding, petechiae, and
fatigue. What is the MOST likely systemic concern?
,A. Simple gingivitis
B. Hematologic disorder
C. Tooth staining
D. Enamel erosion
Correct Answer: B
Rationale: These signs suggest platelet or blood dyscrasia.
4. Question
Which pharmacologic interaction presents the HIGHEST risk during
periodontal surgery?
A. Ibuprofen + acetaminophen
B. Warfarin + metronidazole
C. Fluoride + calcium
D. Vitamin C + iron
Correct Answer: B
Rationale: Metronidazole increases warfarin effect → bleeding risk.
5. Question
A patient with uncontrolled hypertension presents with BP 200/118
mmHg. What is the MOST appropriate action?
A. Proceed with scaling
B. Defer treatment and refer for medical stabilization
C. Increase anesthesia
D. Provide antibiotics and continue
Correct Answer: B
Rationale: Severe hypertension is a medical emergency risk.
6. Question
Which condition MOST increases risk of postoperative periodontal
infection?
, A. Controlled asthma
B. Immunosuppression (HIV or steroids)
C. Mild gingivitis
D. Healthy gingiva
Correct Answer: B
Rationale: Immunosuppression reduces host defense.
7. Question
A patient develops facial swelling, fever, and trismus after periodontal
infection. What is MOST likely?
A. Gingivitis
B. Deep neck space infection
C. Tooth whitening reaction
D. Enamel defect
Correct Answer: B
Rationale: Trismus + fever indicates deep infection spread.
8. Question
What is the FIRST priority in managing airway-compromised
odontogenic infection?
A. Delay treatment
B. Secure airway and emergency hospital referral
C. Whitening
D. Routine scaling
Correct Answer: B
Rationale: Airway protection is life-saving.
9. Question
A patient on bisphosphonates requires periodontal surgery. What is the
MOST serious risk?
DENTAL HYGIENIST| DENTAL HYGIENIST |
LATEST 2025-2026 QUESTION AND CORRECT
ANSWER WITH EXPLANATION WEST COAST
UNIVERSITY
1. Question
A 70-year-old patient with end-stage renal disease (on dialysis),
uncontrolled diabetes, and generalized severe periodontitis presents for
care. What is the MOST appropriate treatment strategy?
A. Immediate full-mouth extraction
B. Medically coordinated phased periodontal therapy
C. Cosmetic whitening first
D. No treatment due to poor prognosis
Correct Answer: B
Rationale: Complex systemic disease requires coordinated, staged
management rather than immediate invasive care.
2. Question
Which laboratory finding MOST significantly impacts periodontal
surgical planning in a renal patient?
A. Hemoglobin A1C
B. Serum creatinine and eGFR
C. LDL cholesterol
D. Vitamin D level
Correct Answer: B
Rationale: Renal function determines drug clearance and bleeding risk.
3. Question
A patient presents with spontaneous gingival bleeding, petechiae, and
fatigue. What is the MOST likely systemic concern?
,A. Simple gingivitis
B. Hematologic disorder
C. Tooth staining
D. Enamel erosion
Correct Answer: B
Rationale: These signs suggest platelet or blood dyscrasia.
4. Question
Which pharmacologic interaction presents the HIGHEST risk during
periodontal surgery?
A. Ibuprofen + acetaminophen
B. Warfarin + metronidazole
C. Fluoride + calcium
D. Vitamin C + iron
Correct Answer: B
Rationale: Metronidazole increases warfarin effect → bleeding risk.
5. Question
A patient with uncontrolled hypertension presents with BP 200/118
mmHg. What is the MOST appropriate action?
A. Proceed with scaling
B. Defer treatment and refer for medical stabilization
C. Increase anesthesia
D. Provide antibiotics and continue
Correct Answer: B
Rationale: Severe hypertension is a medical emergency risk.
6. Question
Which condition MOST increases risk of postoperative periodontal
infection?
, A. Controlled asthma
B. Immunosuppression (HIV or steroids)
C. Mild gingivitis
D. Healthy gingiva
Correct Answer: B
Rationale: Immunosuppression reduces host defense.
7. Question
A patient develops facial swelling, fever, and trismus after periodontal
infection. What is MOST likely?
A. Gingivitis
B. Deep neck space infection
C. Tooth whitening reaction
D. Enamel defect
Correct Answer: B
Rationale: Trismus + fever indicates deep infection spread.
8. Question
What is the FIRST priority in managing airway-compromised
odontogenic infection?
A. Delay treatment
B. Secure airway and emergency hospital referral
C. Whitening
D. Routine scaling
Correct Answer: B
Rationale: Airway protection is life-saving.
9. Question
A patient on bisphosphonates requires periodontal surgery. What is the
MOST serious risk?
