DH101 M3 QUIZ 2

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

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

- auscultation

- bradycardia

- hyperthermia

- pyrexia

- tachycardia

Tachycardia

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

- bradycardia

- hyperthermia

- pyrexia

- tachycardia

bradycardia

What is the normal adult respiration rate range?

12 to 20 breaths/min

What is the normal adult pulse rate?

60 to 100 beats per minute

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 lowest number in the blood pressure reading?

diastolic

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

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

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

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

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

A combination of questionnaire and interview

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

At each and every appointment

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

Features of proper patient record

Can be hand written, electronic, or both. The required components of the patient record are medical history, vital signs, dental history, clinical assessment/ diagnosis, treatment recommendations/ written, treatment, plan, progress, notes for each patient visit, signed HIPAA form, informed consent, radiographs, etc.

ASA I

A patient without apparent systemic disease. A normal healthy patient not taking medication.

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 not expected to survive 24 hours with or without care

SOAP notes

S- subjective

O-objective

A- assessment (or analysis)

P- procedures (provided or planned)

SOAP notes

S-subjective

Subjective characteristics stated by the patient or perceived by the clinician (age/gender type of appointment, medical history, patients, chief complaint, etc.)

SOAP notes

O- objective

Objective characteristics observed during the exam (head/neck exam, Perio findings, heart, tissue, exam, radiograph findings, and comparison of current findings with past ones)

SOAP notes

A-assessment (or analysis)

Assessment/analysis, identification of problems or patient needs (risk factors for oral disease, carries risk level, calculus, level, current perio, diagnosis, and Perio risk level)

SOAP notes

P- Procedures (provided or planned)

Procedures, interventions performed or planned (dental hygiene, interventions performed, medication/local anesthesia applied, consult with dentist or other health providers, self-care, instructions, goals for improvement, and any pending or planned dental hygiene interventions)

Advantages of the patient questionnaire form

Broad and scope, time-saving, consistent, patient has time to think over the answers, patient may write info that may not be expressed with in the interview, and legal aspects

Disadvantages of the patient questionnaire form

If used without the interview, they can be impersonal and inflexible

How often should we update the patient's medical history?

Updating the patient's health history at each appointment as essential. This needs to be done before doing any treatment.

What are HIPAA's two components

The privacy rule and the security rule

What is the privacy rule?

It establishes a national standard to protect individuals, privacy and access to medical records, and other health information.

What is the security rule?

It was updated in 2013 by establishing a national set of standards to strengthen digital security standards, and enhance enforcement for protection of health information that is held or transferred in electronic form.

Follow up questions to ask regarding medications

When they normally take their meds, their dosage, if they have taken their meds today, and if they are experiencing any side effects

When might a supplemental health history form be used?

It is used to determine additional information for specialized topics

Which types of medication's need to be documented in the patient record

Any herbal preparation's, or other traditional medication's used by the patient that may affect oral care or risk for disease

Probing and/or exploring, can introduce bacteria into the blood. This can be dangerous for some people and it's called what

Infective endocarditis (IE)

What is the ATA stance on infective endocarditis antibiotic prophylaxis?

Infective endocarditis, prophylaxis for dental procedures, is recommended only for patients with underlying cardiac conditions from infective endocarditis

Follow up questions for patients with diabetes?

Ask what type, what medication or treatment they are on, and if they have taken their meds today, etc.

Normal adult temperature

97 to 99°F

Normal adult blood pressure

90-120/60-80

What could increase blood pressure?

Exercise, eating, stimulants, emotional disturbance, oral, contraceptives, and age

What could decrease blood pressure?

Fasting, rest, depressants, quiet emotions, fainting, blood loss, and shock

What is pyrexia?

Fever: it is 99.5°F and over.

What is hyperthermia?

104°F and over

What is hypothermia?

Below 96°F

What is tachycardia?

Fast heartbeat over 100 BPM

What is bradycardia?

Slow heartbeat below 50 BPM

What is bradypnea?

Slow respirations 12/min

What is tachypnea?

Rapid respirations 28/min

What is hypotension?

low blood pressure (less than 90/60)

What is hypertension?

high blood pressure 140/90

What equipment is used to assess blood pressure?

Stethoscope and sphygmomanometer (manual or electric)