A dental hygienist, new to the community, learns from friends and clients of the popularity of sports teams for children from age 3 through 12. Noticing the apparent lack of preventive measures to protect against oral and head injuries, she becomes particularly concerned about the child and adolescent population within this community. As a first step toward developing a community-based plan to prevent sports injuries for all participants in this target group, the dental hygienist consults with the high school athletic coach. While researching community resources she learns of a school-based nutrition program, but also discovers that no funding for oral health exists. Use this information for #66-67Seven hospitals and walk-in clinics report the following numbers of emergency department visits for sports-related injuries for children and adolescents aged 18 and younger: 24, 28, 42, 26, 35, and 30. What is the median number of emergency department visits reported? 

A high school class of ten physically challenged students, 14-19 years of age, shows a need for improved oral hygiene. The high school nurse has asked the districts dental hygienist to assess their needs and to work with the nurse to implement a dental public health program for these students. The dental hygienist plans to set up a portable dental unit to orally screen the students and to implement an evaluative tool to understand the dental health knowledge of the group. Additionally, the hygienist plans to provide oral hygiene instruction each month during the remainder of the school year and the nurse will follow up with the instructions once a week.  The O’Learys plaque score at the initial assessment of the class was:  25%, 25%, 50%, 50%, 60%, 60%, 60%, 75%, 75%, and 100% The mean score for OHI-S score of the ten students was 4.8 Use this information to answer questions 22 – 27. Based on the severity of the physical disabilities, the dental hygienist may need to make accommodations for all of the following EXCEPT one. Which one is the EXCEPTION?

You gathered information from the Ohio Department of Health website about the caries rate of elementary school children in Franklin County and the state of Ohio in 2015. Then you collected information on caries rate in the school using the DMFT/DMFS index for your outreach program in 2020 and compared. What type of data collection are you using?  Use this information for #57 only

You are employed by the county health department in a rural health professional shortage area (HPSA) as a dental hygienist. In addition to your work as a clinician, you are also in charge of the fluoride varnish programs at the local elementary schools. Use this information to answer questions #32-36 Which of the following would be the appropriate concentration and interval for you to implement the fluoride varnish at the schools?

You are interested in studying the caries experience at a Head Start program. The Columbus school you visit is composed of primarily Hispanic children who speak English as a second language. You want to implement a prevention program and get the parents more involved. The parents are mainly uninsured, but the children are eligible for Medicaid and SCHIP. Use this information to answer questions #52-56 Based on Tina Fulks presentation, what national program trains primary medical care providers to apply fluoride varnish to children enrolled in Medicaid?

You are interested in studying the caries experience at a Head Start program. The Columbus school you visit is composed of primarily Hispanic children who speak English as a second language. You want to implement a prevention program and get the parents more involved. The parents are mainly uninsured, but the children are eligible for Medicaid and SCHIP. Use this information to answer questions #52-56. Which caries prevention program should you educate the families about using, which is available to them at no additional cost, is easy to access, and available at their homes as long as they live within the Columbus city limits?

A group of students was interested in conducting an outreach program at their nearest long term facility with elderly patients. They were interested in caries risk, so they asked for 25 volunteers one evening during a health fair event and conducted open mouth exams using explorers, mirrors, and the lights from their loupes. They used a caries index and a dry mouth index to assess caries experience and xerostomia then conducted a 6-month program and a study. They had one half of the group using Biotene and Xylitol products daily and gave the other half of the group fluoride varnish applications every 3 months. At the midpoint and at the end they evaluated their patients in the program. Use this information to answers questions #1-5.  What type of study are they conducting during this outreach program?

The board of education approached a public health dental hygienist about establishing a dental health education curriculum for the students enrolled in a public school system. The board was concerned that the only dental health education students received was during Children’s Dental Health Month when volunteer dental hygienists provided education to grades K, 3, 7, and 12. The classroom teachers were interested in implementing dental health education in the students health classes but were looking for guidance with lesson plan content and activities. The school system consists of 3500 students, grades K-12. Health care facilities, including a nurse who is available twice a week, are available at each school. Use this information to answer questions 11-14 It was found that more funding was needed to successfully implement this educational initiative. Which of the following strategies is most effective in obtaining funding?

A dental hygienist employed by a dental clinic at a federal prison would like to implement a program to reduce plaque for the female prisoners. She has worked at the prison for three years and has noticed a very high prevalence of gingivitis and periodontal disease in the prisoners. The warden has given her permission to conduct a pilot program with funding for additional supplies and increased working hours. One of the first steps the dental hygienist performed was to distribute a survey to the 75 female prisoners in the pilot program. The survey data indicated that 65% brush daily, 10% floss on a regular basis, and 80% of dental emergencies are due to toothaches. Use this information to answer questions 16-20 To further ascertain the dental needs of the prisoners, which of the following quantitative data collection methods should be utilized?

A group of students was interested in conducting an outreach program at their nearest long term facility with elderly patients. They were interested in caries risk, so they asked for 25 volunteers one evening during a health fair event and conducted open mouth exams using explorers, mirrors, and the lights from their loupes. They used a caries index and a dry mouth index to assess caries experience and xerostomia then conducted a 6-month program and a study. They had one half of the group using Biotene and Xylitol products daily and gave the other half of the group fluoride varnish applications every 3 months. At the midpoint and at the end they evaluated their patients in the program. Use this information to answers questions #1-5.    What caries index would be appropriate for this population group?