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Your 72 year old, diabetic patient, with no known allergies, presents for her appointment and it has been a little over a year since you have seen her last. While going through her medical history you find out she had a joint replacement 9 months ago. You find out she didn’t take a pre-medication and and send her home after consulting with her surgeon. Before dismissing her, you complete the head exam and update the risk assessments. You notice a 5×5 mm red, raised lesion on her lower lip that she says she got from biting really hard a few days ago. She returns the next day, she took her pre-med and now you can begin the rest of your assessments. Vitals: BP-120/78, pulse 60, respirations 70.  During assessments she has generalized 5-6 mm probing depths in her posterior teeth and you determine she has a calculus level of .3. She will need full mouth SRP. You will begin the SRP on the maxillary right quadrant at the next appointment and ask her to check her glucose at the beginning of the next appointment.  QUESTION: Which insert would be recommended to start with if the patient has heavy stain and ledges of surpragingival calculus?

As a patient begins to accept the inevitability of death, he or she may ask to discuss important circumstances that will affect the last moments of life. These concerns may include the administration of CPR techniques, organ donation, internment plans, pain control, and sedation. To formalize these wishes, patients will complete a(n)

Suppose you capture and mark 20 turtles at a pond. After releasing the turtles, you return a few days later and catch 20 turtles. Of the 20 turtles, 2 are already marked. How many turtles are in the total population?

In the process of preparing a German patient for an interventional procedure, you discover the patient speaks no English. She has no family members with her and was escorted down by hospital transport. A necessary part of the examination is for the patient to complete an informed consent document. The best effective strategy you could use to accomplish this would be:

Your new patient has a lot of restorations to chart and is also missing several teeth, so you use your visual clinical evaluation as well as the radiographs to determine all of the appropriate findings to chart. Use the following photographs and radiographs to help you answer the questions for this patient. QUESTION: What indicates that the crowns on the patient’s right maxillary sextant are not metallic?

What type of epithelial tissue is this? epithelium  

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. The patient has been paying closer attention to their tissues since they started to change and asks the dark brownish patches inside their lip and on the anterior gingiva. Use this information to answer the following questions. QUESTION:  Are these patches a variation of normal, abnormal or pathology?  

Which of the following statements about mutations is true?

Kyle is a transgender patient who prefers male pronouns. He presents to the office for his 3-month recall appointment. His health history is unchanged with a history of current renal (kidney) disease that he has been dialysis treatment for since earlier this year and a history of breast cancer, in remission since 2018.  His dental history includes dry mouth and full-mouth Scaling and Root Planing (SRP) in 2014. Today’s periodontal charting is largely unchanged to compared to past visits, his periodontal condition is stable with very little bleeding and generalized 4mm pocketing in the posterior sextants. When visiting family out of state last month he broke a tooth and had an emergency root canal at a local office. Use this information to answer the following questions. QUESTION: What is the most appropriate explanation for the coronal polishing when the patient ask why it is done?  

Your new patient is a 38-year-old woman whose health history shows that she is asthmatic, HIV positive, smokes hookah socially (between 1 and 3 days a week), has high blood pressure, and reports that all of her conditions are controlled with medications. She lists 5 medications that she takes that you look up to match with her conditions. Her last dental visit was approximately two years ago to have a tooth removed on an emergency basis, and she says she remembers them taking X-rays at that appointment. Her vitals today are BP 129/70, Pulse 54, Respiration 20. Use this information to answer the following questions. QUESTION: What infection control modifications are used for this patient?