Wilkins- Ch.11 Medical, Dental, and Psychosocial Histories

A person's health is not static therefore a health history must be updated when or how often?

At each and every appointment

Which of the following is the best way to obtain a complete patient history?

A combination of questionnaire and interview

Which of the following is true for the information in the patient's health history?

- it is confidential and must be updated annually

- it is a legal document and must be written in pencil to allow to changes

- it is to be written in pencil so that changes may be made and provide a specific line for the signature of the patient

- it is a confidential and legal document to be handwritten in permanent ink

- a minor must sign the informed consent form also

It is a confidential and legal document to be handwritten in permanent ink

A. Patients currently taking an antibiotic may require a different class of antibiotic to be covered for antibiotic prophylaxis.

B. A dose of antibiotic must be taken prior to and after the dental treatment for complete prophylactic coverage.

Statement A is true

Statement B is false

A patient who may need antibiotic premedication because of the possibility of creating a __________ when the oral tissues are manipulated.

- periodontal disease

- bacteremia

- herpetic lesion

- spiral heart lesion

Bacteremia

Antibiotic premedication for patients who usually require antibiotic premedication is usually deemed necessary for which of the following procedures?

- manipulation of gingival tissue

- placement of removable prosthodontic or orthodontic appliances

- taking of dental radiographs

- routine anesthetic injections through noninfected tissue

Manipulation of gingival tissue

A patient's health history indicates a past history of hepatitis. What should you do next?

- ask additional questions as to what type, when he contracted it, treatment, and resolution

- defer treatment until the patient is well

- assume it is hepatitis A because he did not indicate another type

- refuse to treat the patient and get them out of the office as soon as possible to prevent transmission to staff and other patients

- ask additional questions as to what type, when he contracted it, treatment, and resolution

Disadvantages of the health history interview include all of the following except one. Which one is the exception?

- items of importance may be omitted

-patient may be embarrassed to talk about personal conditions

- time consuming when not prefaced with a questionnaire

- time saving and impersonal

time saving and impersonal

Which statement is true concerning the aneroid sphygmomanometer?

- it has been shown to be more accurate and consistent than other types

- it is digital

- it fits around the wrist

- it requires regular calibration to maintain accuracy

it requires regular calibration to maintain accuracy

What is the lowest number in the blood pressure reading?

- diastolic

- pulse pressure

- systolic

- the force exerted from the vessel on the blood

diastolic

For the average adult patient in the dental operatory, where will you feel for the pulse to record in the patient's record?

- brachial artery

- radial artery

- carotid artery

- temporal artery

- facial artery

radial artery

What is the normal adult pulse rate?

60 to 100 beats per minute

What is the normal adult respiration rate range?

12 to 20 breaths/min

When measuring a patient's blood pressure, where should the inflatable bladder of the blood pressure cuff be placed?

- brachial artery

- radial artery

- ulnar artery

- brachial capillaries

brachial artery

Proper placement of the earpieces for the stethoscope are:

- in the ears angled toward the facial part of the head

- in the ears angled toward the back of the head

- the angle does not matter for auscultation

in the ears angled toward the facial part of the head

Which of the following is not a factor with the potential to increase blood pressure?

- emotional disturbance

- exercise

- fasting

- stimulants

- eating

fasting

A patient with an usually slow heartbeat shows signs of which of the following?

- bradycardia

- hyperthermia

- pyrexia

- tachycardia

bradycardia

A patient with an unusually fast heartbeat shows signs of which of the following?

- auscultation

- bradycardia

- hyperthermia

- pyrexia

- tachycardia

Tachycardia

Medical Conditions that require antibiotic premedication before dental and dental hygiene treatment:

- prosthetic cardiac valve

- previous endocarditis

- congenital heart disease only in the following categories:

: un-repaired cyanotic congenital heart disease, including those with palliative shunts and conduits.

: completely repaired congenital heart disease with prosthetic material or device. (first six months after procedure)

: repaired congenital heart disease with residual defects at the site of adjacent to the site of a prosthetic patch or prosthetic device

- Cardiac transplantation recipients with cardiac valvular disease

ASA Physical Status Classification System:

six categories with the completion of patient histories determine the patients overall estimate of medical risk.

Provides examples of adaptations necessary for providing dental hygiene care for a patient in each category.

ASA I:

a patient without apparent systemic disease: a normal healthy patient

ASA II:

a patient with mild systemic disease

ASA III:

a patient with severe systemic disease that limits activity but is not incapacitating

ASA IV:

a patient with an incapacitating systemic disease that is a constant threat to life

ASA V:

a moribund patient who is not expected to survive 24 hours with or without care