National Board Dental Hygiene Examination (NBDHE) Exam Prep FREE Sample Exam

Regarding case presentation, which of the following statements is correct?

Patients with active periodontitis commonly need three to four month maintenance intervals.

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Case presentation uses the patient's own radiographs and charts to explain findings.

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Clear written communication prevents conflicting advice and missed drug interactions.

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If goals are not met, the plan is revised rather than simply repeated.

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Ingrid, a 66-year-old patient, who presents with a child positioned for bitewings. Regarding radiation protection of the patient, what is the most appropriate action?

Consider the mental foramen before concluding the lesion is periapical disease

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Apply the protective measures appropriate for a child and confirm positioning before exposure

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Reduce the vertical angulation on the retake to correct elongation

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Recommend rectangular collimation to reduce unnecessary exposure

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Rosa, a 58-year-old patient, who presents with a molar that moves noticeably when pressure is applied with two handles. Regarding mobility assessment, what is the most appropriate action?

Grade and record the mobility and include it in the care plan discussion

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Record the concern in the patient's words and address it in the plan

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Seat the patient quietly for a few minutes and repeat the measurement before deciding

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Record both the depths and the bleeding sites on the periodontal chart

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Rosa, a 58-year-old patient, who presents with a mobile tooth with a widened ligament space in a periodontitis patient. Regarding occlusal trauma in periodontitis, what is the most appropriate action?

Complete quadrant debridement with anesthesia as needed and reassess in four to six weeks

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Record mobility and fremitus and raise occlusal assessment with the dentist

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Plan plaque control and professional cleaning, expecting resolution of inflammation

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Document the response and discuss referral for the non-responding sites

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A fluoride rinse contains sodium fluoride at 0.05 percent weight/volume, which is 0.5 milligrams of sodium fluoride per milliliter. A patient rinses with 10 milliliters. How many milligrams of sodium fluoride are in the dose?

10 mg

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2.5 mg

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7.5 mg

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5 mg

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Patient case: a 69-year-old man with severe COPD who becomes breathless lying back and carries portable oxygen. Which statement of principle regarding planning care for a patient with COPD best explains the plan for this patient?

Patients with breathing difficulty are treated more upright and may need oxygen and shorter sessions.

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Exposed roots, dry mouth and previous root lesions define high root caries risk needing high-fluoride strategies.

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Interdental brushes are preferred where embrasures are open, while floss suits tight contacts.

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Limited hand function needs adapted handles, powered brushes and caregiver or occupational support.

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Patient case: a bitewing of a 26-year-old low-risk adult showing a small radiolucency in the outer enamel of a premolar contact. Regarding caries depth interpretation, which of the following actions would be wrong for this patient?

Document the findings and relevant history in the patient record

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Inform the dentist of the findings before treatment proceeds

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Insist the tooth must be restored immediately because any shadow is a cavity

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Arrange an appropriate review interval and record it in the plan

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Patient case: a 21-year-old man with a tongue barbell, chipped lower incisor edges and recession where the bar rests. Regarding oral piercing assessment, what is the most appropriate next step for this patient?

Flag the allergy prominently in the record and confirm it before any prescription decisions

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Adapt instrumentation, plan shorter working periods, and refer for joint assessment

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Document the damage, counsel on piercing risks, and monitor the affected teeth

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Follow current guidance and, where indicated, confirm with the patient's surgeon rather than deciding alone

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Patient case: a 35-year-old woman seeking braces who has untreated 6 mm pockets with bleeding on probing. Regarding orthodontic-periodontal case, which of the following actions would be wrong for this patient?

Advise her to start braces immediately and treat the pockets afterward

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Check the patient's understanding of the home-care instructions

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Review the relevant medical history again before instrumentation

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Arrange an appropriate review interval and record it in the plan

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Patient case: Amara, a 39-year-old patient, who attends for dental hygiene care. A patient drinks 1.5 liters of fluoridated water containing fluoride at 1.2 milligrams per liter. How many milligrams of fluoride does the patient ingest from this water?

3.6 mg

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0.9 mg

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1.8 mg

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2.7 mg

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Patient case: a patient relocating abroad requests copies of her full dental records including radiographs. Regarding record request case, which of the following actions would be wrong for this patient?

Document the findings and relevant history in the patient record

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Inform the dentist of the findings before treatment proceeds

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Refuse because the records belong to the practice

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Arrange an appropriate review interval and record it in the plan

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Patient case: an 86-year-old care-home resident whose denture is often misplaced and whose palate is red and sore. Regarding denture identification and care case, what is the most appropriate next step for this patient?

Arrange prompt assessment and give interim advice to keep the area clean and avoid sticky foods

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Suggest denture labeling, nightly removal and a documented cleaning routine for staff

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Check and improve the fit or arrange a replacement before the season continues

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Remove the stain and renew cessation support, explaining the recurrence pattern honestly

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National Board Dental Hygiene Examination (NBDHE) Exam Prep FREE Sample Exam — Fixed Set

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