SPECIAL INSTRUCTIONS: For exercise items number 30 through number 35, match the
characteristics of procedures for a basic oral examination in column A with one of the five
selected procedures for a basic oral examination in column B. Write your responses in the
spaces provided. Items in column B may be used more than once.
____30. The DA Form 3894, Dental
Duties of the dental specialist.
Treatment Plan, is used.
Request for consultation.
____31. A means to request needed dental
service in the absence of a
Dental sick call.
____32. Used with routine request for
Individual Sick Slip
____33. Establishes routines to see
patients in an orderly, smooth-
flowing manner with minimum
____34. Provides a duplication of the
patient's mouth. Which is useful
in consultations with other dental
____35. The SF 513 is used and becomes a
part of the patient's record.
Lidocaine hydrochloride is the generic name for: