DANB Certified Dental Assistant (CDA) Practice Test

Dental Assisting National Board (DANB) Certified Dental Assistant (CDA)

Here’s a detailed multiple-choice practice test for the Dental Assisting National Board (DANB) Certified Dental Assistant (CDA) exam.

The test includes 50 questions, covering topics like chairside assisting, radiation health and safety, and infection control.

Answers are provided at the end.

Good luck!

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DANB CDA Exam

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Question 1
What is the primary role of a dental assistant during a restorative procedure?
A
Administer anesthesia
B
Assist with the dental charting
C
Provide instrument transfer and suction
D
Diagnose patient conditions
Question 2
What is the correct instrument for placing a composite filling?
A
Explorer
B
Ball burnisher
C
Composite placement instrument
D
Amalgam condenser
Question 3
Which of the following is used to isolate a tooth during a procedure?
A
Dental dam
B
Saliva ejector
C
Articulating paper
D
Cotton roll
Question 4
What is the name of the process of removing decay from a tooth?
A
Restoration
B
Excavation
C
Scaling
D
Curing
Question 5
Which of the following is NOT a step in cavity preparation?
A
Decay removal
B
Tooth etching
C
Crown placement
D
Placement of a liner
Question 6
Which of the following radiation types is used in dental radiography?
A
Gamma rays
B
X-rays
C
UV rays
D
Infrared rays
Question 7
The term “ALARA” stands for:
A
As Low As Reasonably Available
B
As Long As Radiation Avoided
C
As Long As Radiation Avoided
D
As Little As Radiation Allowed
Question 8
How often should the dental assistant check the lead apron for damage?
A
Daily
B
Monthly
C
Annually
D
Every five years
Question 9
What technique is commonly used when taking a periapical radiograph?
A
Bisecting angle technique
B
Occlusal technique
C
Paralleling technique
D
Extraoral technique
Question 10
Which component of the x-ray machine filters out long wavelengths?
A
Collimator
B
Anode
C
Filter
D
Control panel
Question 11
What is the first step in preparing an instrument for sterilization?
A
Place it in a sterilization pouch
B
Pre-clean it to remove debris
C
Rinse with alcohol
D
Soak in a disinfectant
Question 12
Which method is most effective for sterilizing dental handpieces?
A
Cold sterilization
B
Steam under pressure (autoclaving)
C
Chemical vapor sterilization
D
Dry heat sterilization
Question 13
What is the minimum required temperature for an autoclave to sterilize instruments?
A
121°C (250°F)
B
100°C (212°F)
C
140°C (284°F)
D
110°C (230°F)
Question 14
How often should biological indicators be used to test sterilization equipment?
A
Daily
B
Weekly
C
Monthly
D
Quarterly
Question 15
The term “standard precautions” refers to:
A
Treating all patients as potentially infectious
B
Using personal protective equipment only for certain procedures
C
Sterilizing instruments after surgical procedures
D
Disinfecting operatory surfaces after blood exposure
Question 16
Which type of dental bur is used for polishing restorations?
A
Diamond bur
B
Finishing bur
C
Carbide bur
D
Surgical bur
Question 17
Which type of matrix band is commonly used for Class II restorations?
A
Tofflemire matrix band
B
Sectional matrix band
C
Copper band
D
T-band
Question 18
What is the purpose of a dental sealant?
A
To fill cavities
B
To bond orthodontic brackets
C
To prevent caries in pits and fissures
D
To restore tooth structure
Question 19
Which of the following is used to adjust the occlusion of a restoration?
A
Amalgam condenser
B
Articulating paper
C
Prophy cup
D
Explorer
Question 20
When assisting during oral surgery, what is the dental assistant’s primary responsibility?
A
Administering anesthesia
B
Maintaining the sterile field
C
Diagnosing oral conditions
D
Performing suturing
Question 21
What is the purpose of a collimator in an X-ray machine?
A
To increase radiation intensity
B
To focus the x-ray beam
C
To filter out harmful wavelengths
D
To reduce scatter radiation
Question 22
What is the ideal kilovoltage (kVp) range for dental radiography?
A
40–50 kVp
B
40–50 kVp
C
80–90 kVp
D
100–120 kVp
Question 23
Which film size is most commonly used for bitewing radiographs in adults?
A
Size 0
B
Size 1
C
Size 2
D
Size 3
Question 24
What is the recommended position for the operator when taking x-rays?
A
At a 90°–135° angle to the beam
B
Directly in front of the beam
C
Directly behind the patient
D
At a 45° angle to the beam
Question 25
Which type of radiograph provides a full view of the upper and lower arches?
A
Periapical radiograph
B
Bitewing radiograph
C
Panoramic radiograph
D
Occlusal radiograph
Question 26
How long should dental unit waterlines be flushed between patients?
A
10 seconds
B
20–30 seconds
C
1 minute
D
2 minutes
Question 27
What is the most common method for disinfecting surfaces in the operatory?
A
Steam sterilization
B
Use of chemical disinfectants
C
Ultrasonic cleaning
D
Alcohol wipe
Question 28
What type of gloves should be worn during instrument processing?
A
Latex gloves
B
Vinyl gloves
C
Utility gloves
D
Nitrile gloves
Question 29
When should the high-volume evacuator (HVE) system be disinfected?
A
Daily
B
Weekly
C
Monthly
D
After each patient
Question 30
Which of the following is considered a critical item in infection control?
A
Dental chair
B
Dental handpiece
C
X-ray control panel
D
Dental bib
Question 31
What is the first step in treating a chemical burn to the skin?
A
Apply an antiseptic
B
Flush with water
C
Cover with gauze
D
Apply a cold compress
Question 32
Which of the following is NOT part of the HIPAA regulations?
A
Patient confidentiality
B
Secure storage of records
C
Public disclosure of health records
D
Patient access to their own records
Question 33
What is the best way to prevent cross-contamination during dental procedures?
A
Reuse disposable instruments
B
Wash hands between patients
C
Sterilize gloves between uses
D
Wipe instruments with alcohol
Question 34
Which emergency drug is used to treat anaphylactic shock?
A
Nitroglycerin
B
Epinephrine
C
Albuterol
D
Aspirin
Question 35
What is the primary component of dental amalgam?
A
Gold
B
Mercury
C
Copper
D
Tin
Question 36
How often should a patient’s medical history be updated?
A
Annually
B
Before each appointment
C
Every six months
D
Every two years
Question 37
Which of the following is a common symptom of temporomandibular joint (TMJ) disorder?
A
Bleeding gums
B
Jaw clicking or popping
C
Tooth discoloration
D
Bad breath
Question 38
What is the purpose of fluoride treatment?
A
To remove calculus
B
To strengthen enamel and prevent decay
C
To whiten teeth
D
To fill cavities
Question 39
Which of the following instruments is used for scaling and root planing?
A
Explorer
B
Curette
C
Burnisher
D
Scaler
Question 40
What is the term for the study of diseases of the mouth?
A
Orthodontics
B
Oral pathology
C
Prosthodontics
D
Periodontics
Question 41
Which of the following is used to retract the cheek during a dental procedure?
A
Mouth mirror
B
Cotton roll
C
Saliva ejector
D
HVE tip
Question 42
What is the correct ratio for diluting bleach to use as a disinfectant in the dental office?
A
1:5
B
1:10
C
1:100
D
1:50
Question 43
What is the function of a dental liner in restorative procedures?
A
To bond the restoration to the tooth
B
To protect the pulp from thermal shock
C
To seal the enamel
D
To remove decay
Question 44
Which of the following x-ray errors occurs when the film is exposed to light before processing?
A
Fogged film
B
Overexposed film
C
Light image
D
Dark image
Question 45
What personal protective equipment (PPE) is required during ultrasonic cleaning of instruments?
A
Gloves and mask only
B
Gloves, mask, gown, and protective eyewear
C
Gloves and protective eyewear only
D
Mask and gown only
Question 46
How often should sterilization pouches and indicators be used during autoclaving?
A
Every other cycle
B
Only for critical instruments
C
With every cycle
D
Once per day
Question 47
Which type of fluoride is most commonly used in a dental office?
A
Sodium fluoride
B
Stannous fluoride
C
Acidulated phosphate fluoride (APF)
D
Calcium fluoride
Question 48
Which is the recommended method for disposing of needles and other sharp objects?
A
In a trash can lined with a biohazard bag
B
In a puncture-resistant sharps container
C
In a chemical disinfectant solution
D
In an autoclave-safe container
Question 49
What is the main advantage of digital radiography compared to traditional film?
A
Lower cost of equipment
B
Elimination of patient exposure to radiation
C
Immediate image availability
D
Increased image size
Question 50
Which dental specialty focuses on the prevention and treatment of periodontal diseases?
A
Endodontics
B
Prosthodontics
C
Periodontics
D
Orthodontics
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