ADEX Patient Assessment and Diagnosis 2

Question 1

During a head and neck examination, a dental hygienist palpates a firm, non-tender, fixed lymph node in the submandibular region. What is the most appropriate next step?

Accepted Answer

Refer the patient to a physician immediately

Answer

A firm, fixed, non-tender lymph node is a red flag for malignancy and requires immediate physician referral.

Question 2

Which of the following findings during an oral cancer screening warrants biopsy referral rather than a 2-week monitoring period?

Accepted Answer

A white lesion on the lateral tongue that cannot be wiped off

Answer

A white lesion (leukoplakia) on the lateral tongue that cannot be wiped off may represent dysplasia or carcinoma and warrants biopsy referral.

Question 3

A patient's blood pressure reading is 148/94 mmHg at two separate appointments. How should this be classified according to the AHA guidelines?

Accepted Answer

Stage 1 hypertension

Answer

Stage 1 hypertension is defined as systolic 130-139 mmHg or diastolic 80-89 mmHg; 148/94 falls in Stage 2 (≥140/90).

Question 4

When recording the gingival margin position during a periodontal assessment, what does a negative measurement indicate?

Accepted Answer

The gingival margin is coronal to the CEJ (pseudopocket)

Answer

A negative gingival margin value means the gingival margin is coronal to the CEJ, indicating edematous or hyperplastic tissue rather than true recession.

Question 5

Which type of bleeding index measures the presence or absence of bleeding 30 seconds after probing?

Accepted Answer

Sulcus Bleeding Index (Mühlemann)

Answer

The Sulcus Bleeding Index (Mühlemann) records bleeding within 30 seconds of gentle probing along the gingival sulcus.

ADEX - Dental Hygiene Exam Practice Test

ADEX - Dental Hygiene Exam Practice Test

ADEX Patient Assessment and Diagnosis 2