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.
COLUMN A
COLUMN B
____30. The DA Form 3894, Dental
a.
Duties of the dental specialist.
Treatment Plan, is used.
b.
Request for consultation.
____31. A means to request needed dental
service in the absence of a
c.
Study casts.
dental appointment.
d.
Dental sick call.
____32. Used with routine request for
dental attention.
e.
Individual Sick Slip
____33. Establishes routines to see
patients in an orderly, smooth-
flowing manner with minimum
delay.
____34. Provides a duplication of the
patient's mouth. Which is useful
in consultations with other dental
officers.
____35. The SF 513 is used and becomes a
part of the patient's record.
Lidocaine hydrochloride is the generic name for:
36.
a. Epinephrine.
b. Carbocaine.
c.
Benzocaine.
d. Xylocaine
MD0503
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