NATION BOARD DH227Lisa Mayo, RDH, BSDH

Concorde Career College

Review Syllabus• Tests

• I will pick 10-20 questions on material presented. ie: questions from the power points and/or handout questions

• All Tests will be on Mondays, never Wednesdays• I want you to study for the National Board & not stress about

individual exams• Last 3 Tests (8,9,10) will count as Mock Board

• Corrections can be made and exam handed back in for partial credit

• Recommended• Jump Drive/Flash Drive• Print ppt and bring to class

• Questions?

National Board Dental Hygiene Exam• NBDHE 2013 GUIDE: ADA Website

• www.ada.org/sections/educationAndCareers/pdfs/nbdhe_examinee_guide.pdf

• Required to read document and before apply to take the test, you will be required to confirm you have read this document, understood its content and agree to its policies and procedures

• All 50 States recognize National Board results• Fail: 90 days to re-test• Fail 3x: wait 12 months to re-examine after 3rd attempt• 5 years: can no longer retake without repeating school

Day of Test• Arrive 30min early• If you are late, you will not be allowed to take the exam and

may forfeit money• 2 Forms ID

• Primary must be government-issued ID like driver’s license or passport or military ID

• Secondary are things that require a signature and have a picture like debit care, credit card, library card

• No cell phones• No personal belongings• Will be provided a marker board and marker

NBDHE• Joint Commission on National Dental Examinations

(JCNDE) – Agency responsible for development of test: 15-Member Commission• Dental schools, dental practice, state dental examining boards,

dental hygienists, dentist, dental students, public• Another standing committee of DH who act as consultants

• Purpose: determine qualifications of hygienist’s who seek licensure to practice dental hygiene. Exam assesses the ability to understand important information from basic biomedical, dental, dental hygiene sciences and the ability to apply information in a problem-solving context

Registration• Can register 6mo in advance• Cost = $390• Obtain PIN from www.ADA.org/dentpin.aspx before

proceeding with application• Application: www.ADA.org or can fax paper copy• Will obtain confirmation of registration through email• Name on your ID MUST match EXACTLY as you put on

your application

Testing Content• Biomedical Sciences

• A&P• CHEM• BIOCHEM• MICRO• Immunology• GEN PATH• Nutrition• PHARM

• Dental Sciences• Tooth Morphology• Head, Neck, Oral Anatomy• Oral Embryology & Histology• Oral PATH• Radiography• PERIO• Pain Management• Dental Materials

Testing Content• Dental Hygiene Sciences

• Oral Hl Education & Prevention Counseling• Health Promotion• Patient Management• Clinical DH• Provision of Services for & Management of PT Spec. Needs• Community Dental/Oral Health• Medical & Dental Emergencies• Legal & Ethical Aspects of Dentistry• Infection & Hazard Control Management• Provisions of Oral Health Care Services to Pt w/ Blood-Borne

Infectious Diseases

Structure of TestNBDHE STRUCTURE

Optional Tutorial 15min

SESSION 1: 200 Discipline-Based Items (1min per question)

3.5 HRS

Optional Scheduled Break 1 HR

SESSION 2: 150 Question Case Studies (1.6min per question)

4 HRS

Optional Post-Exam Survey 15min

Total 350 multiple-choice questionsSESSION 1: Science Basis for DH Practice, Provision of Clinician DH Services, Community Hl/Rsrch Principles

All questions must have 3-5 possible choicesMore then 1 choice may be correct = you have to select the “MOST” correct

Question Formats1. COMPLETION

• Require correct completion of a concept or idea• Example? The sensation of touch, pain, pressure or

temperature is determined by the:

2. QUESTION• Communicate a problem or set of circumstances• Example: The phrenic nerve innervates which of the following?

3. NEGATIVE• Characterized by a word such as Except or Not in the stem.

Key words are capitalized or italics• The following is affected by saliva EXCEPT which one. Which is

the EXCEPTION?

Question Formats

4. PAIRED T-F• The only portion that varies is in the stem. The stem item consists

of 2 sentences on the same topic• Example

Protection from excessive exposure to radiation is aided by use of aluminum filters and a lead diaphragm.

The filters reduce the amount of soft radiation reaching the patent’s face and the diaphragm controls the area exposed.

Both Statements are True

Both Statements are False

The first statement is true, the 2nd statement is false

The first statement is false, the second is true

Question Formats

5. CAUSE-AND-EFFECT• The only portion that varies is the stem• The stem consists of a statement and a reason• These are written as single sentences and are connected by the

words “Because”• Example: A traumatic injury can cause the pulp space to calcify,

because the accident can trigger odontoclasts into accelerated activity.• Both the statement and reason are correct and related• Both the statement and reason are correct but NOT related• The statement is correct, but the reason is NOT• The statement is NOT correct, but the reason is correct• NEITHER the statement NOR the reason is correct

Question Format

6. Testlet• Consists of a case study or problems with a set of

associated test items• Format is used for items related to Community

Hl/RSRCH Principles section of the Dental Hygiene Test Specifications and in the case-based section of the exam

Question Format7. New Item Formats

• 3 New Items introduced 2012

1. Multiple Correct/Multiple Response• Ex: From the list, select the 3 conditions related to

candidiasis:

2. Extended Matching

3. Ordering

**Only in the case study section**

Matching• List of symptoms• List of disorders• Match which description belong to which disorder

Ordering• Ranking or sequencing steps, processes, procedures• Ex: sequence steps of instrumentation (angle, insert,

adapt, etc…)• Ex: order act of chewing and swallowing

Multiple Choice / Multiple Response• Determining what characteristics are associated with a particular

disease, drug, tx plan, etc…• Symptoms of a disease, side effects of a drug, steps of a tx plan• From this list, select the 3 items assoc with candidiasis

a) Small blisters

b) Fungal in nature

c) Dyspareunia

d) Tine pedis

e) Bacterial in nature

f) Parasitic in nature

g) Bruxism

Scientific Basis for DH Practice (60)• Anatomic Sciences (16)

• Head and Neck Anatomy• Dental Anatomy

• General Anatomy• Root Anatomy

• Physiology (5)• Biochem & Nutrition (6)• Micro, Immunology, Histology, Embryology (10)• Pathology (13)

• General & Oral

• Pharm (10)

Provision of DH Services (116)• Assessing Pt Characteristics (17)

• Med/Dental Hx• Head and Neck Exam• Perio Eval• Oral Eval• Occlusal Eval• General

• Obtaining & Interpreting Radiographs (13)• Principles of radiophysics and radiobiology• Principles of radiologic health• Technique• Recognition of normalities & abnormalities• General

Provision of DH Services (116)• Planning & Managing DH Care(34)

• Inf. Control• Recognition of emergency situations and provisions of appropriate

care• Individualized patient education

• Dental Caries• Periodontal Diseases• Oral Conditions

• Anxiety and Pain Control• Recognition and management of compromised patients• DH Tx Strategies

• Diagnosis• Tx Plan• Case Presentation

• General

Provision of DH Services (116)• Providing Supportive Tx Services (7)

• Properties and manipulation of materials• Polishing natural and restored teeth• Making impressions and preparations of study casts• Other supportive services (tooth desentization)• General

• Performing Perio Procedures (18)• Etiology and pathogenesis of perio disease• Prescribed therapy

• Perio Debridement• Surgical support services• Chemotherapeutic agents• general

• Reassessment and maintenance (implant care)

Provision of DH Services (116)• Using Preventive Agents (9)

• Fluorides – systemic and topical• Toxicology• Methods of administration

• Water Fluoridation• Self-Administration

• Pit and Fissure Sealants• Mechanism of action• Techniques for application

• Other Preventive Agents

• Professional Responsibility (18)• Ethical principles, including informed consent• Regulatory compliance• Patient and professional communication• General

Community Health / Rsrch Principles (24)

• Promoting Hl and Preventing Disease within Grps (6)• Participating in Community Programs (10)• Analyzing Scientific Literature, Understanding Statistical

Concepts, Applying Rsrch Results (8)

Case Studies (Component B)• 150 questions that refer to 12-15 DH patient cases• Each exam will have at least one case of the following

types:• Geriatric• Adult-Perio• Pedo• Special needs• Medically compromised

Case Studies (Component B)• Will be provided

• Patient hx• Dental charts• Radiographs: very difficult to read and blurry• Clinical photographs: very difficult to read and blurry

Case Studies (Component B)• Address knowledge and skills required in the following:

• Assessing patient characteristics• Obtaining and interpreting radiographs• Planning and managing DH care• Performing perio procedures• Using preventive agents• Providing supportive tx service• Professional responsibility

Case Studies (Component B)• Exam items cover function that a DH is expected to be

able to perform• Only functions that may be delegated to a DH in a

majority of states are included in the exam• Perm dentition: Universal numbering used (1-32)• Primary dentition: letters A-T

Scoring• Computed by the total number of correct answers

selected by the candidate• Wrong answers DO NOT count against you• 75 = passing score• Reporting

• Results sent to you and program director• Takes 3-4 weeks after test

Tips for Multiple Choice Tests

1. Read the stem of the question carefully and completely before looking at the answers

2. Clearly determine what the question is asking, key words, try to formulate an answer in your mind before reading answers

3. Read each answer carefully and determine if it is an appropriate answer to the question asked

4. Eliminate obvious incorrect answers and try to narrow choices down to 2

5. If cannot choose between the 2 – Educated Guess

6. Avoid answers that say: always, never, none, all, every – health care fields seldom are this clear

Tips for Multiple Choice Tests7. Avoid answers based on isolated rules or only applicable to

certain regions or not broadly practiced

8. If questions asks: “What is the 1st thing you would do?”• All options may be correct

9. Be alert for grammar clues• Any answer that is inconsistent with the format of the

question may be incorrect• Well-edited questions will have well-edited answers• If question indicates a plural response – answer will be

in plural form

10. Be careful with words Not, Least, Except• Read answers carefully and slow down

Tips for Multiple Choice Tests

11. Watch for “All or None of the Above”• Impose a broad exclusiveness or inclusiveness• None rarely correct = it negates the whole premise

of the question

12. Do not look at pattern of answers – irrelevant

13. Be careful to mark the correct answer space on computer