Wilkins chapter 11

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

a) Annually

b) At every recall appointment

c) At each and every appointment

d) At the initial appointment

C

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

a) By use of a questionnaire

b) By use of an interview

c) A combination of questionnaire and interview

d) Neither questionnaire nor interview

C

3. Which of the following is true for the information in the patient's health history? a) It is confidential and must be updąted annually.

b) It is a legal document and must be written in pencil to allow for changes.

c) It is to be written in pencil so that changes may be made and provide a specific line for the signature of the patient.

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

e) A minor must sign the informed consent form also.

D

4. Disadvantages of the health history interview include all of the following except one. Which one is the exception? a) Items of importance may be omitted

b) Patient may be embarrassed to talk about personal conditions.

c) It is time-consuming when not prefaced with a questionnaire.

d) It is time-saving and impersonal.

D

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

a) Phenytoin-induced gingival overgrowth

b) Athlete's foot

c) Phlebitis

d) Premenstrual syndrome

A

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.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

A

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

a) periodontal disease

b) bacteremia

c) herpetic lesion

d) spiral heart lesion

B

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

a) Manipulation of gingival tissue

b) Placement of removable prosthodontic or orthodontic appliances

c) Taking of dental radiographs

d) Routine anesthetic injections through noninfected tissue

A

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.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

C

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

a) To convey the idea that oral health and general health are interrelated

b) To build rapport with the patient

c) To educate the patient as to the necessity of completing the health history

d) To determine the patient's dental IQ

D

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

a) Increased bleeding

b) Premedication for stress

c) To ensure medications have been taken.

d) To monitor vital signs

A

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

a) antacids.

b) beta blockers.

c) cough syrup,

d) diet pills.

B

13. SBE is now called:

a) subacute bacterial endocarditis.

b) subacute bacterial endothelium.

c) IE

d) infective bacterial endocardium.

C

14. Įmmunocompromise can occur:

a) when the immune response is strengthened by administration of drugs. b) due to irradiation.

c) due to poor nutrition.

d) due to certain disease processes.

e) due to both irradiation and poor nutrition.

E

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

a) 20 to 60 minutes before and 2 g

b) 30 to 60 minutes before and 20 g

c) 30 to 60 minutes before and 2 g

d) 20 to 60 minutes before and 20 g

C

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) A physician consult prior to the patient's appointment

b) A telephone screening interview prior to the patient's appointment

c) The patient's heart murmur is of no concern to the possible need for antibiotics

d) Having the patient bring a completed health history questionnaire to the initial appointment

B

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?

a) Begin patient education.

b) Expose radiographs.

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

d) Take the patient's vital signs.

C

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?

a) Ask additional questions as to what type, when he contracted it, treatment, and resolution.

b) Defer treatment until Curt is well.

c) Assume it is hepatitis A because he did not indicate another type.

d) Refuse to treat Curt and get him out of the office as soon as possible to prevent transmission to staff and other patients.

A

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?

a) Propensity to develop cirrhosis of the liver

b) Increased risk to develop diabetes mellitus

c) More likely to develop AIDS

d) Increased risk for skin cancer

B

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) A phone consult

b) A callback

c) The physician to speak to Curt

d) A written statement concerning the necessity for antibiotic premedication

D