✨Chapter 11 Wilkins preclinical

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

At each and every appointment

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

A combination of questionnaire and interview

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

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

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

It is time-saving and impersonal.

5. Which of the following is a condition with potential oral manifestations?

Phenytoin-induced gingival overgrowth

6. 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 and statement B is false.

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

bacteremia

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

Manipulation of gingival tissue

9. A) Antibiotic prophylaxis may prevent a very small number of cases of IE, if any, in patients receiving a dental or dental hygiene treatment procedure. B) Maintenance of healthy tissues by the patient through personal daily care and routine professional supervision are first in the prevention of bacteremias.

Both statements are true.

10. Which of the following is not a reason the patient needs to be educated about the importance of the health history?

To determine the patient's dental IQ

11. Which of the following is not an appointment procedures consideration for the cardiovascular patient?

Increased bleeding

12. All of the following are considered self-medication, except:

beta blockers.

13. SBE is now called:

IE

14. Įmmunocompromise can occur:

due to both irradiation and poor nutrition.

15. What is the standard general prophylaxis for oral amoxicillin?

30 to 60 minutes before and 2 g

16. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. Which of the following would have prevented Curt Louis from showing up with an unknown heart condition needing antibiotic premedication, and therefore delaying or postponing treatment?

A telephone screening interview prior to the patient's appointment

17. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. What is the first procedure necessary after reviewing Curt's health history?

Consult with the patient's physician concerning the heart murmur.

18. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. Curt'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.

19. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. What is a possible health complication to be aware of because of Curt's identification as a Native American?

Increased risk to develop diabetes mellitus

20. A new patient, Curt Louis, presents to your operatory. Upon reviewing the health history, you notice that the patient has indicated having a heart murmur. He does not remember having taken medication for previous dental treatment. As you continue to review the health history, you notice that the patient indicated having hepatitis in the past. Curt also self-identifies as a Native American. After speaking with Curt's physician on the phone, what do you need to request from the physician?

A written statement concerning the necessity for antibiotic premedication