QUESTION AND VERIFIED ANSWERS
Your son is not an employee at your practice but is frequently
there after soon because your spouse is working at her office.
To entertain your son, you allow him to use your credentials to
sign into your desktop computer and play video games. - ----
Answers----Your son should have his own user name and
login credentials that prevent him from having administrative
privileges on your network while also logging his behavior
While you are out of the office your hygienist is performing a
prophy. During the prophy, a temporary crown you fabricated
was dislodged from 19. - ----Answers----Your RDH should
call you to inform you of the situation, you can then advise the
RDAEF on site to recement the temporary crown
Ashley is 17 years old and presents to your dental office for a
limited exam with her mother. Ashley's mother is away from
the operatory when Ashely reports that she is HIV positive.
When asked if her mother knew of Ashley's condition, the
patient replies "no, and I do not want to tell her". You should. -
----Answers----Document Ashley's HIV status in her health
history. Do not inform the mother
While extracting number 12 a small fragment of the buccal root
fractures in the apical 1/3. You estimate that the root tip is less
,than 3 mm in length and attempt to retreive it. Your attempts
to retreave the root tip are not successful. You expect the
remaining root tip to be inconsequential. - ----Answers----
You should inform the patient of the complication and your
exceptions with regarding to the presence of a root tip
A minor patient presents to your office as an emergency
accompanied by his basketball coach. During practice the
patient was hit by another player. The trauma resulted in an
enamel-dentin fracture without pulpal invovlement. You are
unable to contact the patient's parents. The coach has stored
the tooth fragment in a container of milk. - ----Answers----
Assuming the tooth fragment can be re-approximated to the
fracture, you should bond the fragment in place with resin
You have agreed to be an associate at an office where you are
the only dentist. The office uses paper charts and film x-rays.
How should you identify yourself in the dental chart? - ----
Answers----Write your license number (ID) and initials at the
end of each clinical note
Your office is entirely paperless. How should you backup your
patients' records? - ----Answers----Encrypted off-site
backup
Today, an associate has given her 30 day notice to leave a
practice for a new job. The practice owner tells her that her
services will not be needed after today and he will handle her
schedule while he finds a new associate. - ----Answers----
The associate should provide the owner with any pertinent
,information to ensure the continuity of patient care, but has
not other obligation to the practice's patients
A dentist offers all non-insured patients 30% off the usual and
customary fee schedule he submits to insurance. This results
in fees to non-insured patients are are often lower than what
insured patients are billed. - ----Answers----This dentist in
committing insurance fraud by overbilling insurance
Your daughter is at your office after school while you're
working. Since she has homework to do, you give her access
to your computer in your office where she browses the
internet. - ----Answers----Determine what websites were
accessed and if patient data was compromised before taking
any further action
In April, you wrote prescription for a 5 day supply of
hydrocodone for a patient who needed number 28 extracted. In
June, the patient returns to your office reporting pain at
number 28 due to a chronic apical abscess. You decide to write
a prescription for Amoxicillin and a 2 day supply of
hydrocodone to offer relief until he sees the oral surgeon you
referred him to. In this case: - ----Answers----You need to
check CURES within 24 hours before writing the Rx
Paul is 16 years old and had his wisdom teeth extracted 4
weeks ago. Paul and his mom keep returning to your office for
post-op checks because Paul has developed a severe case of
dry socket. You suspect that Paul is smoking heavily and ask
him about his habit. Paul reluctantly admits he smokes at least
, 2 cigarettes a day after school with a few friends. - ----
Answers----Discuss with Paul why smoking cessation is
important for the resolution of his condition
While preparing a tooth for a crown, you determine that crown
lengthening is indicated. During your initial exam, you had not
discussed the possibility of crown lengthening with the patient,
what should you do - ----Answers----You should stop and
discuss your findings with the patient and determine how the
patient would like to proceed
A patient presents to your office on Monday with irreversible
pulpitis. You initiate endodontic therapy and place calcium
hydroxide. You schedule the patient to return in two weeks to
obturate the canals. The patient has started a new job and his
dental insurance policy begins on Friday. - ----Answers----
You should bill the insurance for the root canal when it is
completed but include the start date of treatment to note that
it was in progress before the policy was in place
You had to leave the office early due to a family emergency.
Your hygienist had 2 patients left on the schedule and the last
patient requires scaling and root planing. - ----Answers----
None of the above
Your patient has relocated out of state and has requested that
you send his records to his new dentist. Before sending the
records to the new office, what should you do? - ----Answers-
---Obtain a written release of records from the patient and