INBDE Patient Management, Behavioral Science & Ethics practice questions

Question 1

A 68-year-old male presents for a tooth extraction. His medical history reveals stable angina and a previous myocardial infarction 2 years ago. He reports getting out of breath only when climbing two flights of stairs. What is this patient's ASA physical status classification?

Accepted Answer

ASA III

Answer

ASA I

Answer

ASA II

Answer

ASA IV

Question 2

A patient with Type 2 diabetes presents for periodontal surgery. His most recent HbA1c, taken 1 week ago, is 9.2%. Which of the following is the most appropriate clinical consideration for this patient?

Accepted Answer

The patient is at increased risk for post-operative infection and delayed wound healing.

Answer

The patient is well-controlled and can proceed with surgery without modification.

Answer

Elective dental treatment should be deferred until the HbA1c is below 6.0%.

Answer

Prophylactic antibiotics are required by AHA guidelines for all patients with HbA1c > 9.0%.

Question 3

A 55-year-old patient takes Warfarin (Coumadin) for atrial fibrillation and requires a simple extraction of a mobile lower incisor. The patient's International Normalized Ratio (INR) is 2.6. What is the most appropriate management?

Accepted Answer

Perform the extraction using local hemostatic agents without altering the medication.

Answer

Discontinue Warfarin 3 days prior to the procedure and restart the day after.

Answer

Consult the physician to bridge the patient with Heparin before the extraction.

Answer

Defer treatment until the INR is below 2.0 to minimize bleeding risk.

Question 4

According to the American Heart Association (AHA) guidelines, which of the following patients requires antibiotic prophylaxis prior to a dental prophylaxis (cleaning) involving subgingival manipulation?

Accepted Answer

A patient with a prosthetic heart valve.

Answer

A patient with a mitral valve prolapse and significant regurgitation.

Answer

A patient with a history of coronary artery bypass graft (CABG) surgery 5 years ago.

Answer

A patient with a repaired atrial septal defect with no residual shunts.

Question 5

A 28-year-old patient in her second trimester of pregnancy suddenly feels lightheaded, nauseated, and turns pale while lying supine in the dental chair. What is the immediate recommended action?

Accepted Answer

Roll the patient onto her left side to relieve pressure on the inferior vena cava.

Answer

Administer 100% oxygen and place the patient in a Trendelenburg position.

Answer

Roll the patient onto her right side to increase hepatic blood flow.

Answer

Administer an aromatic ammonia spirit to stimulate breathing.

Question 6

A dentist recommends a multi-unit bridge to replace a missing tooth. The patient, after being informed of the risks, benefits, and alternatives, chooses a removable partial denture instead because it is more affordable. The dentist respects this choice. Which ethical principle is primarily being honored?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Answer

Veracity

Question 7

A dentist discovers that a previous colleague at the practice has been billing for 'surgical extractions' when only 'simple extractions' were performed. Failure to report or correct this behavior is a violation of which ethical principle?

Accepted Answer

Veracity

Answer

Justice

Answer

Autonomy

Answer

Non-maleficence

Question 8

A new diagnostic test for caries is used on 100 children. 20 children actually have caries (confirmed by a gold standard). The new test correctly identifies 18 of those 20 children as having caries. What is the sensitivity of this test?

Accepted Answer

90%

Answer

18%

Answer

80%

Answer

95%

Question 9

An epidemiological study reports that there were 500 new cases of oral squamous cell carcinoma diagnosed in a specific state during the year 2023. This measurement is known as:

Accepted Answer

Incidence

Answer

Prevalence

Answer

Sensitivity

Answer

Odds Ratio

Question 10

What is the currently recommended optimal concentration of fluoride in community drinking water to balance caries prevention with the risk of fluorosis?

Accepted Answer

0.7 ppm

Answer

0.5 ppm

Answer

1.0 ppm

Answer

1.2 ppm

INBDE Patient Management, Behavioral Science & Ethics practice questions

A 68-year-old male presents for a tooth extraction. His medical history reveals stable angina and a previous myocardial infarction 2 years ago. He reports getting out of breath only when climbing two flights of stairs. What is this patient's ASA physical status classification?

A patient with Type 2 diabetes presents for periodontal surgery. His most recent HbA1c, taken 1 week ago, is 9.2%. Which of the following is the most appropriate clinical consideration for this patient?

A 55-year-old patient takes Warfarin (Coumadin) for atrial fibrillation and requires a simple extraction of a mobile lower incisor. The patient's International Normalized Ratio (INR) is 2.6. What is the most appropriate management?

According to the American Heart Association (AHA) guidelines, which of the following patients requires antibiotic prophylaxis prior to a dental prophylaxis (cleaning) involving subgingival manipulation?

A 28-year-old patient in her second trimester of pregnancy suddenly feels lightheaded, nauseated, and turns pale while lying supine in the dental chair. What is the immediate recommended action?

A dentist discovers that a previous colleague at the practice has been billing for 'surgical extractions' when only 'simple extractions' were performed. Failure to report or correct this behavior is a violation of which ethical principle?

A new diagnostic test for caries is used on 100 children. 20 children actually have caries (confirmed by a gold standard). The new test correctly identifies 18 of those 20 children as having caries. What is the sensitivity of this test?

An epidemiological study reports that there were 500 new cases of oral squamous cell carcinoma diagnosed in a specific state during the year 2023. This measurement is known as:

What is the currently recommended optimal concentration of fluoride in community drinking water to balance caries prevention with the risk of fluorosis?

The first 10 are free. 6 more below.

During a motivational interviewing session, a dentist asks: 'On a scale of 1 to 10, how confident are you that you can floss every day?' The patient responds with a '4.' The dentist then asks: 'Why a 4 and not a 2?' This technique is intended to elicit:

A dentist refuses to treat a patient who is HIV-positive for routine restorative care, claiming the office is not equipped for 'high-risk' patients. This is a violation of which ethical principle?

A study concludes that a new resin composite has a statistically significant higher bond strength than the industry standard (p < 0.05). However, the difference in bond strength is only 0.5 MPa, which does not affect clinical longevity. This study has:

Which of the following is considered the highest level of evidence in the hierarchy of evidence-based dentistry?

A patient requests a copy of her dental records and radiographs to move to a different state. The office manager refuses to release them until the patient pays an outstanding balance of $150 for a previous crown. According to HIPAA and ethical standards, is this permissible?