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DANB's TMP (TMP) Practice Tests & Test Prep by Exam Edge - Review



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DANB's Temporaries (TMP) - Reviews


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Based on 185 reviews

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"I found the practice tests extremely helpful. I passed the DANB RHS exam and felt that the subject matter was thoroughly covered by your practice tests. The viewing of films and answering questions on them was especially helpful. Thank you very much for the assistance in preparing for the DANB RHS exam."

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See why our users from 154 countries love us for their exam prep! Including 185 reviews for the DANB's TMP exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

   Excellent -- Based on 185 reviews

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DANB's Temporaries (TMP) - Test Reviews Sample Questions

A patient is having a temporary crown preparation for tooth #11. The patient starts to experience syncope. Which of the following is Most Likely the contributing factor for the syncope episode?

Correct Answer:
improper positioning
the most likely contributing factor for the syncope episode experienced by the patient during the temporary crown preparation for tooth #11 is improper positioning. here’s an expanded explanation of why this is the case:

syncope, commonly referred to as fainting, is a sudden, temporary loss of consciousness typically caused by a decrease in blood flow to the brain. various factors can contribute to syncope, and in a dental setting, one of the frequent contributors is the patient's positioning. when a patient is positioned improperly, especially if kept in an upright or unchanged position for an extended period, it can lead to a reduction in venous return (the flow of blood back to the heart), and subsequently, diminished cardiac output and decreased cerebral perfusion (blood flow to the brain).

during dental procedures, particularly those that are lengthy like crown preparations, patients may be seated or reclined in positions that aren't conducive to optimal blood circulation. for instance, if a patient is sitting too upright, gravity can prevent sufficient blood from returning to the heart from the lower parts of the body. this situation is exacerbated if the patient remains static in one position for an extended period without movement, which can further hinder venous return.

in response to these conditions, the patient's body might activate a vasovagal response — a common type of reflex syncope triggered by factors such as stress, pain, or uncomfortable positioning. this response involves the sudden dilation of blood vessels and a slowed heart rate, which dramatically lowers blood pressure and can lead to fainting.

additionally, the dental environment itself can induce stress, fear, or anxiety in patients, which are psychological triggers that can compound the risk of experiencing syncope. these emotional states can stimulate the parasympathetic nervous system, leading to a vasovagal syncope as well.

to prevent such incidents, it is important for dental professionals to ensure that patients are positioned properly. adjustments may include reclining the dental chair to a position where the patient's legs are slightly elevated or ensuring that the patient's head is not too far below the heart unless medically necessary. regularly checking in with the patient about their comfort and allowing for adjustments or breaks during lengthy procedures can also help alleviate potential triggers.

in conclusion, while other factors like a low-grade fever, a grand mal seizure, or an asthmatic attack could potentially contribute to syncope, in the context of dental procedures and the symptoms described, improper positioning is the most likely cause. it is essential for dental care providers to be aware of the proper ergonomic practices during procedures to prevent such events.