Dental Decks

Part II
Case Studies Booklet

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 Answers to
Case Studies

Case IV
22. A
23. D
24. C
25. D
26. A
Acknowledgements 27. B
28. C

Case V
The Case Studies in this booklet were used with
permission from the following individuals:

Nicole Kelleher, RDH 29. B

30. C
Jaime Slobodjian, RDH, BS 31. A
32. A
33. E
34. B
35. C
36. D

Case VI
37. B
38. A
39. D
40. D
41. C
42. D
43. A
 Answers to

Case I
Case Studies

Case I
1. B
2. D
Age: 33
3. B
Sex: Female
4. D
Height: 52
5. C
Weight: 130 lbs.
6. B
BP: 140/90

Case II Chief Complaint: I get headaches daily and my teeth in

the upper right hurt.
7. A
8. B Medical History: Type II Diabetes and Hypertension
9. A
10. A Current Medications:
11. D Insulin Lispro (Humalog)
12. C Insulin NPH (Humulin N)
13. C Labetalol (Trandate) 200 mg b.i.d.

Case III Allergies: Latex and Benadryl

14. A Dental History: The patient has severe dental anxiety,

15. B but maintains 6 month recalls.
16. D
17. B Social History: Patient is single and is a school teacher.
18. B Patient reports having a glass of wine at night.
19. C
20. A
21. B
Case I Case VI
37. What is the anomaly present on this 42. After reviewing the patients
patients buccal mucosa? dental history, which of the follow-
ing contributes to an increased risk
A. Lichen planus
for periodontal disease?
B. Linea alba
C. Wickams striae A. Prior orthodontics
D. Leukoedema B. Psoriasis
C. Genetic predisposition
D. Both A & C
38. Using Angles classification, identify
this patients occlusion.
A. Class I 43. Which of the following is the
B. Class II Division I most commonly used type of nicotine
C. Class II Division II replacement therapy?
D. Class III A. Patch
B. Gum
C. Lozenge
39. What type of restoration was fabri-
D. Inhaled nicotine
cated to replace #13?
A. Manhattan bridge
B. Endosteal implant
C. Conventional bridge
D. Maryland bridge

40. What is the white line present on the

facial of #19 visible on the intra-oral
photo?
A. Cervical abrasion
B. Abfraction
C. CEJ
D. Demineralization

41. What most likely contributed to this

condition?
A. Acid erosion
B. Poor oral hygiene
C. Orthodontics
D. Xerostomia
 Case V Case I
29. The patient states that the pain on 33. The most critical parameters for
the lower right is constant, severe, dull the prognosis of a periodontally in-
and throbbing. What is the MOST volved tooth are:
likely clinical diagnosis? A. Mobility
A. Gingivitis B. Inflammation
B. Periodontal abscess C. Attachment loss
C. Cyst D. Pocket depth
D. Irritation fibroma E. A & C

30. Bacteria that colonize the perio- 34. This patient should be referred to
dontal abscess have been reported to the periodontist for which of the fol-
be primarily: lowing?
A. Gram-positive aerobic cocci A. Non-surgical periodontal ther-
B. Gram-negative aerobic rods apy
C. Gram-negative anaerobic rods B. Free-gingival grafting
D. Gram-positive anaerobic cocci C. Pocket reduction
D. Laser therapy

31. Side effects of anti-hypertensives

include all of the following EXCEPT: 35. All of the following are calcium
channel blockers EXCEPT:
A. Increased gag reflex
B. Xerostomia A. Verapamil (Calan)
C. Lichenoid reactions B. Diltiazem (Cardizem)
D. Neutropenia C. Nadolol (Corgard)
D. Nifedipine (Procardia)
Right Side Left Side
32. After a periodontal examination,
the prognosis of #24 is:
36. Losartan (Cozaar) is a/an:
A. Poor, the clinical attachment
level is nearly gone A. Calcium channel blocker
B. #24 is stable due to the patients B. Angiotensin-converting enzyme
good oral hygiene inhibitor
C. Poor, #24 is susceptible to deep C. Alpha-adrenergic receptor
cervical caries that are non- blocker
restorable D. Angiotensin II receptor blocker
D. #24 is stable and of no concern
Case I Case IV
22. Chemotherapy can cause harm to the 26. The erythema present on the hard
cells in your mouth causing problems palate is MOST LIKELY due to:
with your teeth, gingiva, and glands. It is A. The maxillary partial denture
important to see the Dentist at least 2 B. Opportunistic infection
weeks prior to starting chemotherapy. C. Trauma
A. Both statements are true D. Allergic reaction
B. Both statements are false
C. The first statement is true, the
second is false
D. The first statement is false, the 27. You recommend to the patient that
second is true he use an oral irrigator to help with his
home care. These devices have been
shown to ?
23. All of the following are side effects of A. Eliminate plaque
chemotherapy EXCEPT: B. Clean nonadherent bacteria
A. Nutritional deficiencies and debris from the oral
B. Xerostomia cavity more effectively than
C. Mucositis toothbrushes and mouth rinses
D. Periodontal disease C. Disinfect pockets for up to 12
hours
D. Prevent calculus formation
24. All of the following are common side
effects of Atenolol (Tenormin) EXCEPT:
28. The family of "statin drugs" include
A. Dizziness
atorvastatin (Lipitor), simvastatin
B. Decreased sex drive
(Zocor), fluvastatin (Lescol), lovas-
C. Fast heart beat
tatin (Mevacor) pravastatin (Prava-
D. Insomnia
chol) and rosuvastatin (Crestor).
These drugs are all:
25. Caution must be used when reclining
A. Selective cholesterol absorption
this patient because he may develop:
inhibitors
A. Orthostatic hypotension B. Bile acid sequestrants
B. Difficulty breathing C. HMG-CoA Reductase
C. Orthostatic hypertension inhibitors
D. This patient should not be relined D. Fibric acid derivatives
 Case III (cont) Case II
16. Tobacco-related oral conditions 19. Which of the patients medications
include all of the following EXCEPT: can cause gingival enlargement?
A. Periodontal disease A. Sotalol
Age: 28
B. Tooth loss B. Magnesium Chloride
C. Leukoplakia C. Amlodipine
D. Migratory glossitis D. Pravastatin Sex: Male
Height: 60
17. After a periodontal examination, Weight: 230 lbs.
20. Amlodipine (Norvasc) is a/an:
the patient is classified as:
A. Calcium channel blocker
BP: 126/82
A. Generalized Type II Early
B. Beta-blocker
Periodontitis with Localized
Type III Moderate Periodon-
C. Alpha-blocker Chief Complaint: My gums are puffy and bleed when I
D. Diuretic
titis brush.
B. Generalized Type III Moderate
Periodontitis with Localized
Type IV Advanced Periodon- 21. You have selected the most appro- Medical History: Anxiety
titis priate Gracey curette for scaling the
C. Generalized Type III Moder-
Current Medications: None
interproximal surfaces of this patients
ate Periodontitis anterior teeth. When the face of the
D. Generalized Type IV Gracey curette blade is parallel with
Advanced Periodontitis the floor and viewed from above, the Allergies: Penicillin
correct cutting edge can be seen as:
18. Sotalol (Betapace) is in a class of A. Smaller, inner curve
medications called? B. Larger, outer curve Dental History: The patients last cleaning was 5+ years
A. Diuretics C. Larger concavity ago.
B. Anti-arrhythmics D. Smaller convexity

Social History: The patient is single and works for the city
C. Calcium channel blockers
D. Alpha-blockers
full time. He smokes a pack of Marlboro Reds a day and
social drinks on the weekends.
Case II Case II (cont.)
8. After a periodontal examination, the 13. Which of the following is an im-
patient is classified as: portant constituent of gram-negative
A. Type II, Early Periodontitis microorganisms that contributes to
B. Type III, Moderate Periodontitis initiation of the host inflammatory
C. Type IV, Advanced Periodontitis response?
D. Severe Refractory Periodontitis A. Exotoxin
B. Lipoteichoic acid
C. Endotoxin
9. What is the radiographic error in the D. Peptidoglycan
mandibular right premolar image?
A. Placed too far posterior
B. Elongation

Case III
C. Foreshortened
D. Placed to far anterior

10. The distance from the CEJ to the

base of the pocket is a measure of:
Right Left 14. The abnormal loss of tooth struc-
A. Clinical attachment level
B. Gingival recession ture due to the normal function or
C. Probing pocket depth most commonly, due to excessive
D. Alveolar bone loss grinding or gritting together of teeth
by the patient is called:
A. Attrition
11. What is the correct term used to
B. Erosion
describe the gingival margin of tooth
C. Abfraction
#22?
D. Abrasion
A. Knifelike
B. Bulbous
C. Blunted
D. Rolled 15. What is the radiographic error
present in the image of the mandibular
left premolars?
12. Which instrument should be
selected to debride tooth #26 and #27? A. Necklace
B. Cord
A. Gracey #7-8
C. Foreshortening
B. Gracey #13-14
D. Cone cut
C. Gracey #1-2
Right Left D. Gracey #11-12
 Questions to the

Case II
Case Studies

Case I 4. After a periodontal examination, the

patient is classified as:
A. Type I, plaque-induced
1. The patients chief complaint was gingivitis
I get headaches often, and my teeth B. Type II, Early Periodontitis
in the upper right hurt. After your C. Type III, Moderate
exam you conclude which of the Periodontitis
following? D. Generalized healthy
A. The maxillary right first 5. Tooth #4 presents with a dilacerated
molar is re-abscessing root. The periodontal ligament is also
B. The third molars are starting to widen around tooth #4.
impacted and are causing
A. Both statements are true
resorption of the maxillary
B. Both statements are false
right second molar
C. The first statement is true, the
C. Nothing appears abnormal in
second is false
the maxillary right quadrant
D. To first statement is false, the
D. Tooth #4 is dying
second is true

2. After reviewing the patients medical 6. Insulin NPH (Humulin N) is a (an):

history you should take all of the
A. Short-acting insulin
following precautions EXCEPT one.
B. Intermediate-acting insulin
Which one is the EXCEPTION?
C. Long-acting insulin
A. Recommend morning D. None of the above
appointments
B. Take blood pressure routinely
C. Make appointments short Left side Right side

Case II
D. Recline the patient slowly

3. Which of the following is the best

treatment option for the maxillary
right first molar?
7. What percentage of patients
A. Referral to the Endodontist expressing an allergy to penicillin will
B. Post/Core and Crown have cross allergenicity to a
C. No treatment necessary cephalosporin?
D. Composite restoration
A. 10%
B. 40%
C. 60%
D. 90%
Case II Case VI

Left side Right side

Case VI Case III

Age: 79
Sex: Female
Height: 56
Weight: 170 lbs.
BP: 126/72

Chief Complaint: I have a hard time chewing my food!

Medical History: Hearing impairment, Hypertension,

Kidney disorder, and Arthritis

Current Medications:
Sotalol (Betapace) 80 mg b.i.d.
Pravastatin (Pravachol) 40 mg daily
Amlodipine and Valsartan (Exforge) 160 mg b.i.d.
Right side Left side Baby aspirin (Bayer) 81 mg daily
Vitamin D 2000 units daily, Calcium, Multi Vitamin daily
Magnesium chloride (Slow-Mag) 2 tabs daily

Allergies: None

Dental History: The patient maintains 6 month recalls.

Social History: The patient is a retired widow. She is on

a fixed income and opts for extractions vs. treatment
depending on costs. The patient smokes approximately
4 cigarettes a day.
Right side Left side
Case III
Case VI

Age: 29
Sex: Female
Height: 54
Weight: 130 lbs.
BP: 100/70

Right Left Chief Complaint: I feel like I am constantly chewing

my cheeks and my gums bleed when I brush and floss.

Medical History: The patient has psoriasis and low blood

pressure

Current Medications: None

Allergies: Mint and Gluten

Right Left Dental History: The patient maintains 6 month recalls

but reports not keeping up with her flossing. She also
states that there is a family history of periodontal disease.

Social History: The patient is in a steady relationship and

works fulltime in a medical office. She smokes 1/2 pack
of cigarettes a day and drinks on the weekends.

Right Left Right side

Case V Case III

Left Right
Left Right
Case IV
Case V
Age: 81
Sex: Male
Height: 59
Weight: 160 lbs.
BP: 150/94
Chief Complaint: My gums hurt and bleed easily.
Medical History: Left hip replacement, Hypertension,
COPD, Coronary Artery Disease, Acid reflux, and the
patient has a history of lung cancer along with radiation
and chemotherapy. Patient has been in remission since
May 2014.
Current Medications:
Atorvastatin (Lipitor) 40 mg daily
Esomeprazole (Nexium) 40 mg daily
Atenolol (Tenormin) 50 mg daily
Baby aspirin (Bayer) 81 mg daily Right side
Chlorthalidone (Thalitone) 25 mg daily
Telmisartan (Micardis) 40 mg daily
Ezetimibe (Zetia) 10 mg daily
Potassium chloride (Klor-Con) 40 mEq daily
Aspirin (Ecotrin) 325 mg daily
Amlodipine (Norvasc) 5 mg daily
Prednisone (Prednisone Intensol) 40 mg daily
Allergies: None
Dental History: The patient use to maintain 6 month
recalls until he was diagnosed with lung cancer and
started radiation and chemotherapy. He stopped taking
care of his mouth due to fear he was not going to make it.
Social History: The patient has been married for 50 years
and is retired. He has a prior history of smoking cigarettes
when he was in his twenties, but no longer smokes. Right side
Case V Case IV

Left side
Case IV Case V

Age: 41
Sex: Male
Height: 62
Weight: 250 lbs.
BP: 190/90

Chief Complaint: My gums are swollen on the lower right

and ache.

Medical History: Hypertension and Asthma

Left Right
Current Medications:
Losartan (Cozarr) 50 mg daily
Diltiazem (Cardizem) 240 mg daily

Allergies: Peanuts

Dental History: The patient is a new patient to the office.

He states that he usually maintains 6 month recalls
however, he recently moved and is 2 years overdue.

Social History: The patient is a married police officer. He

has two toddlers and reports being under a lot of stress
with work. The patient has also used smokeless tobacco
for years but has quit for two years now.
Case IV Case V

Age: 41
Sex: Male
Height: 62
Weight: 250 lbs.
BP: 190/90

Chief Complaint: My gums are swollen on the lower right

and ache.

Medical History: Hypertension and Asthma

Left Right
Current Medications:
Losartan (Cozarr) 50 mg daily
Diltiazem (Cardizem) 240 mg daily

Allergies: Peanuts

Dental History: The patient is a new patient to the office.

He states that he usually maintains 6 month recalls
however, he recently moved and is 2 years overdue.

Social History: The patient is a married police officer. He

has two toddlers and reports being under a lot of stress
with work. The patient has also used smokeless tobacco
for years but has quit for two years now.
Case V Case IV

Left side
Case IV
Case V
Age: 81
Sex: Male
Height: 59
Weight: 160 lbs.
BP: 150/94
Chief Complaint: My gums hurt and bleed easily.
Medical History: Left hip replacement, Hypertension,
COPD, Coronary Artery Disease, Acid reflux, and the
patient has a history of lung cancer along with radiation
and chemotherapy. Patient has been in remission since
May 2014.
Current Medications:
Atorvastatin (Lipitor) 40 mg daily
Esomeprazole (Nexium) 40 mg daily
Atenolol (Tenormin) 50 mg daily
Baby aspirin (Bayer) 81 mg daily Right side
Chlorthalidone (Thalitone) 25 mg daily
Telmisartan (Micardis) 40 mg daily
Ezetimibe (Zetia) 10 mg daily
Potassium chloride (Klor-Con) 40 mEq daily
Aspirin (Ecotrin) 325 mg daily
Amlodipine (Norvasc) 5 mg daily
Prednisone (Prednisone Intensol) 40 mg daily
Allergies: None
Dental History: The patient use to maintain 6 month
recalls until he was diagnosed with lung cancer and
started radiation and chemotherapy. He stopped taking
care of his mouth due to fear he was not going to make it.
Social History: The patient has been married for 50 years
and is retired. He has a prior history of smoking cigarettes
when he was in his twenties, but no longer smokes. Right side
Case V Case III

Left Right
Left Right
Case III
Case VI

Age: 29
Sex: Female
Height: 54
Weight: 130 lbs.
BP: 100/70

Right Left Chief Complaint: I feel like I am constantly chewing

my cheeks and my gums bleed when I brush and floss.

Medical History: The patient has psoriasis and low blood

pressure

Current Medications: None

Allergies: Mint and Gluten

Right Left Dental History: The patient maintains 6 month recalls

but reports not keeping up with her flossing. She also
states that there is a family history of periodontal disease.

Social History: The patient is in a steady relationship and

works fulltime in a medical office. She smokes 1/2 pack
of cigarettes a day and drinks on the weekends.

Right Left Right side

Case VI Case III

Age: 79
Sex: Female
Height: 56
Weight: 170 lbs.
BP: 126/72

Chief Complaint: I have a hard time chewing my food!

Medical History: Hearing impairment, Hypertension,

Kidney disorder, and Arthritis

Current Medications:
Sotalol (Betapace) 80 mg b.i.d.
Pravastatin (Pravachol) 40 mg daily
Amlodipine and Valsartan (Exforge) 160 mg b.i.d.
Right side Left side Baby aspirin (Bayer) 81 mg daily
Vitamin D 2000 units daily, Calcium, Multi Vitamin daily
Magnesium chloride (Slow-Mag) 2 tabs daily

Allergies: None

Dental History: The patient maintains 6 month recalls.

Social History: The patient is a retired widow. She is on

a fixed income and opts for extractions vs. treatment
depending on costs. The patient smokes approximately
4 cigarettes a day.
Right side Left side
Case II Case VI

Left side Right side

 Questions to the

Case II
Case Studies

Case I 4. After a periodontal examination, the

patient is classified as:
A. Type I, plaque-induced
1. The patients chief complaint was gingivitis
I get headaches often, and my teeth B. Type II, Early Periodontitis
in the upper right hurt. After your C. Type III, Moderate
exam you conclude which of the Periodontitis
following? D. Generalized healthy
A. The maxillary right first 5. Tooth #4 presents with a dilacerated
molar is re-abscessing root. The periodontal ligament is also
B. The third molars are starting to widen around tooth #4.
impacted and are causing
A. Both statements are true
resorption of the maxillary
B. Both statements are false
right second molar
C. The first statement is true, the
C. Nothing appears abnormal in
second is false
the maxillary right quadrant
D. To first statement is false, the
D. Tooth #4 is dying
second is true

2. After reviewing the patients medical 6. Insulin NPH (Humulin N) is a (an):

history you should take all of the
A. Short-acting insulin
following precautions EXCEPT one.
B. Intermediate-acting insulin
Which one is the EXCEPTION?
C. Long-acting insulin
A. Recommend morning D. None of the above
appointments
B. Take blood pressure routinely
C. Make appointments short Left side Right side

Case II
D. Recline the patient slowly

3. Which of the following is the best

treatment option for the maxillary
right first molar?
7. What percentage of patients
A. Referral to the Endodontist expressing an allergy to penicillin will
B. Post/Core and Crown have cross allergenicity to a
C. No treatment necessary cephalosporin?
D. Composite restoration
A. 10%
B. 40%
C. 60%
D. 90%
Case II Case II (cont.)
8. After a periodontal examination, the 13. Which of the following is an im-
patient is classified as: portant constituent of gram-negative
A. Type II, Early Periodontitis microorganisms that contributes to
B. Type III, Moderate Periodontitis initiation of the host inflammatory
C. Type IV, Advanced Periodontitis response?
D. Severe Refractory Periodontitis A. Exotoxin
B. Lipoteichoic acid
C. Endotoxin
9. What is the radiographic error in the D. Peptidoglycan
mandibular right premolar image?
A. Placed too far posterior
B. Elongation

Case III
C. Foreshortened
D. Placed to far anterior

10. The distance from the CEJ to the

base of the pocket is a measure of:
Right Left 14. The abnormal loss of tooth struc-
A. Clinical attachment level
B. Gingival recession ture due to the normal function or
C. Probing pocket depth most commonly, due to excessive
D. Alveolar bone loss grinding or gritting together of teeth
by the patient is called:
A. Attrition
11. What is the correct term used to
B. Erosion
describe the gingival margin of tooth
C. Abfraction
#22?
D. Abrasion
A. Knifelike
B. Bulbous
C. Blunted
D. Rolled 15. What is the radiographic error
present in the image of the mandibular
left premolars?
12. Which instrument should be
selected to debride tooth #26 and #27? A. Necklace
B. Cord
A. Gracey #7-8
C. Foreshortening
B. Gracey #13-14
D. Cone cut
C. Gracey #1-2
Right Left D. Gracey #11-12
 Case III (cont) Case II
16. Tobacco-related oral conditions 19. Which of the patients medications
include all of the following EXCEPT: can cause gingival enlargement?
A. Periodontal disease A. Sotalol
Age: 28
B. Tooth loss B. Magnesium Chloride
C. Leukoplakia C. Amlodipine
D. Migratory glossitis D. Pravastatin Sex: Male
Height: 60
17. After a periodontal examination, Weight: 230 lbs.
20. Amlodipine (Norvasc) is a/an:
the patient is classified as:
A. Calcium channel blocker
BP: 126/82
A. Generalized Type II Early
B. Beta-blocker
Periodontitis with Localized
Type III Moderate Periodon-
C. Alpha-blocker Chief Complaint: My gums are puffy and bleed when I
D. Diuretic
titis brush.
B. Generalized Type III Moderate
Periodontitis with Localized
Type IV Advanced Periodon- 21. You have selected the most appro- Medical History: Anxiety
titis priate Gracey curette for scaling the
C. Generalized Type III Moder-
Current Medications: None
interproximal surfaces of this patients
ate Periodontitis anterior teeth. When the face of the
D. Generalized Type IV Gracey curette blade is parallel with
Advanced Periodontitis the floor and viewed from above, the Allergies: Penicillin
correct cutting edge can be seen as:
18. Sotalol (Betapace) is in a class of A. Smaller, inner curve
medications called? B. Larger, outer curve Dental History: The patients last cleaning was 5+ years
A. Diuretics C. Larger concavity ago.
B. Anti-arrhythmics D. Smaller convexity

Social History: The patient is single and works for the city
C. Calcium channel blockers
D. Alpha-blockers
full time. He smokes a pack of Marlboro Reds a day and
social drinks on the weekends.
Case I Case IV
22. Chemotherapy can cause harm to the 26. The erythema present on the hard
cells in your mouth causing problems palate is MOST LIKELY due to:
with your teeth, gingiva, and glands. It is A. The maxillary partial denture
important to see the Dentist at least 2 B. Opportunistic infection
weeks prior to starting chemotherapy. C. Trauma
A. Both statements are true D. Allergic reaction
B. Both statements are false
C. The first statement is true, the
second is false
D. The first statement is false, the 27. You recommend to the patient that
second is true he use an oral irrigator to help with his
home care. These devices have been
shown to ?
23. All of the following are side effects of A. Eliminate plaque
chemotherapy EXCEPT: B. Clean nonadherent bacteria
A. Nutritional deficiencies and debris from the oral
B. Xerostomia cavity more effectively than
C. Mucositis toothbrushes and mouth rinses
D. Periodontal disease C. Disinfect pockets for up to 12
hours
D. Prevent calculus formation
24. All of the following are common side
effects of Atenolol (Tenormin) EXCEPT:
28. The family of "statin drugs" include
A. Dizziness
atorvastatin (Lipitor), simvastatin
B. Decreased sex drive
(Zocor), fluvastatin (Lescol), lova-
C. Fast heart beat
statin (Mevacor) pravastatin (Prava-
D. Insomnia
chol) and rosuvastatin (Crestor).
These drugs are all:
25. Caution must be used when reclining
A. Selective cholesterol absorption
this patient because he may develop:
inhibitors
A. Orthostatic hypotension B. Bile acid sequestrants
B. Difficulty breathing C. HMG-CoA Reductase
C. Orthostatic hypertension inhibitors
D. This patient should not be relined D. Fibric acid derivatives
 Case V Case I
29. The patient states that the pain on 33. The most critical parameters for
the lower right is constant, severe, dull the prognosis of a periodontally in-
and throbbing. What is the MOST volved tooth are:
likely clinical diagnosis? A. Mobility
A. Gingivitis B. Inflammation
B. Periodontal abscess C. Attachment loss
C. Cyst D. Pocket depth
D. Irritation fibroma E. A & C

30. Bacteria that colonize the perio- 34. This patient should be referred to
dontal abscess have been reported to the periodontist for which of the fol-
be primarily: lowing?
A. Gram-positive aerobic cocci A. Non-surgical periodontal ther-
B. Gram-negative aerobic rods apy
C. Gram-negative anaerobic rods B. Free-gingival grafting
D. Gram-positive anaerobic cocci C. Pocket reduction
D. Laser therapy

31. Side effects of anti-hypertensives

include all of the following EXCEPT: 35. All of the following are calcium
channel blockers EXCEPT:
A. Increased gag reflex
B. Xerostomia A. Verapamil (Calan)
C. Lichenoid reactions B. Diltiazem (Cardizem)
D. Neutropenia C. Nadolol (Corgard)
D. Nifedipine (Procardia)
Right Side Left Side
32. After a periodontal examination,
the prognosis of #24 is:
36. Losartan (Cozaar) is a/an:
A. Poor, the clinical attachment
level is nearly gone A. Calcium channel blocker
B. #24 is stable due to the patients B. Angiotensin-converting enzyme
good oral hygiene inhibitor
C. Poor, #24 is susceptible to deep C. Alpha-adrenergic receptor
cervical caries that are non- blocker
restorable D. Angiotensin II receptor blocker
D. #24 is stable and of no concern
Case I Case VI
37. What is the anomaly present on this 42. After reviewing the patients
patients buccal mucosa? dental history, which of the follow-
ing contributes to an increased risk
A. Lichen planus
for periodontal disease?
B. Linea alba
C. Wickams striae A. Prior orthodontics
D. Leukoedema B. Psoriasis
C. Genetic predisposition
D. Both A & C
38. Using Angles classification, identify
this patients occlusion.
A. Class I 43. Which of the following is the
B. Class II Division I most commonly used type of nicotine
C. Class II Division II replacement therapy?
D. Class III A. Patch
B. Gum
C. Lozenge
39. What type of restoration was fabri-
D. Inhaled nicotine
cated to replace #13?
A. Manhattan bridge
B. Endosteal implant
C. Conventional bridge
D. Maryland bridge

40. What is the white line present on the

facial of #19 visible on the intra-oral
photo?
A. Cervical abrasion
B. Abfraction
C. CEJ
D. Demineralization

41. What most likely contributed to this

condition?
A. Acid erosion
B. Poor oral hygiene
C. Orthodontics
D. Xerostomia
 Answers to

Case I
Case Studies

Case I
1. B
2. D
Age: 33
3. B
Sex: Female
4. D
Height: 52
5. C
Weight: 130 lbs.
6. B
BP: 140/90

Case II Chief Complaint: I get headaches daily and my teeth in

the upper right hurt.
7. A
8. B Medical History: Type II Diabetes and Hypertension
9. A
10. A Current Medications:
11. D Insulin Lispro (Humalog)
12. C Insulin NPH (Humulin N)
13. C Labetalol (Trandate) 200 mg b.i.d.

Case III Allergies: Latex and Benadryl

14. A Dental History: The patients has severe dental anxiety,

15. B but maintains 6 month recalls.
16. D
17. B Social History: Patient is single and is a school teacher.
18. B Patient reports having a glass of wine at night.
19. C
20. A
21. B
 Answers to
Case Studies

Case IV
22. A
23. D
24. C
25. D
26. A
Acknowledgements 27. B
28. C

Case V
The Case Studies in this booklet were used with
permission from the following individuals:

Nicole Kelleher, RDH 29. B

30. C
Jaime Slobodjian, RDH, BS 31. A
32. A
33. E
34. B
35. C
36. D

Case VI
37. B
38. A
39. D
40. D
41. C
42. D
43. A
 Dental Decks
Part II
Case Studies Booklet

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