Medical/Dental history quiz - Darby Walsh Chapter 13

Prophylactic antibiotic is recommended for

A. exposing dental radiographs.

B. routine dental prophylaxis.

C. placement of rubber dams.

D. fluoride treatment.

B. routine dental prophylaxis.

What does marital status, occupation, children or dependents, living situation, and cultural practices tell about the patient personal history?

A. Identifiable barriers or social determinants related to health and disease.

B. Determines financial obligations and identifies primary and secondary payers for dental services.

C. Patient identification, facilities correspondence, establishes emergency contact, and determines legal obligation for consent of care.

D. Acquiring of previous dental records, radiographs, and consultation with dental care providers for comparison or monitoring of oral conditions.

A. Identifiable barriers or social determinants related to health and disease.

According to the American College of Cardiology and the American Heart Association (ACC/AHA), a patient who can do which of the following can undergo dental procedures?

A. Play street basketball

B. Climb a tree

C. Walk up a flight of stairs

D. Walk a city block

C. Walk up a flight of stairs

Most adults read at a/an

A. sixth grade level.

B. eighth grade level.

C. tenth grade level.

D. twelfth grade level.

B. eighth grade level.

Patients respond more completely to a friendly, caring, nonjudgmental interviewer. Therefore the practitioner must demonstrate verbal and nonverbal acceptance and respect of the patient's values.

A. Both statements are true.

B. Both statements are false.

C. The first statement is true, the second is false.

D. The first statement is false, the second is true.

A. Both statements are true.

Only palliative care is recommended for a patient with which ASA status?

A. III

B. IV

C. V

D. VI

C. V

A patient classified as which ASA level or greater should not receive elective dental treatment?

A. II

B. III

C. IV

D. V

C. IV

Each of the following is a risk for a patient experiencing stress during the dental visit EXCEPT one. Which is the EXCEPTION?

A. Hyperglycemia

B. Vasovagal syncope

C. Hyperventilation

D. Cardiac arrhythmia

A. Hyperglycemia

Which is the preferred phrase to use for the response technique of back channeling?

A. "I know"

B. "I see"

C. "I think"

D. "I am"

B. "I see"

Preventive measures are taken to avoid a bacteremia and possible infection by administering prophylactic antibiotic premedication HALF to 1 hour prior to dental procedures. If the dosage of antibiotic is inadvertently not administered before the procedure, the dosage may be administered up to 2 hours following the procedure.

A. Both statements are true.

B. Both statements are false.

C. The first statement is true, the second is false.

D. The first statement is false, the second is true.

A. Both statements are true.

Each of the following is an indication for prophylactic antibiotic premedication EXCEPT one. Which is the EXCEPTION?

A. Prosthetic cardiac valve

B. History of infective endocarditis

C. Unrepaired cyanotic congenital heart disease

D. Functional heart murmur

D. Functional heart murmur

Initializing and encouraging conversation by providing information for the patient to reflect upon

A. creates rapport with patients, builds trust, and develops a knowledge base.

B. promotes patient awareness, clarifies meaning, and encourages communication.

C. confirms interpretation of patient's concerns and maintains focus.

diminishes patient-clinician rapport and decreases patient's

D. willingness to communicate.

A. creates rapport with patients, builds trust, and develops a knowledge base.

Each of the following is a feature of patient-centered interviewing EXCEPT one. Which is the EXCEPTION?

A. Eliciting the patient's chief concerns and setting the agenda for the appointment

B. Using closed-ended questioning to help clarify patient issues

C. Utilizing active listening and response techniques

D. Summarizing the interview for accuracy, clarification, and confirmation

B. Using closed-ended questioning to help clarify patient issues

The importance of patient education regarding the accuracy of health information helps protect against legal justification of dental-related activities. It is important to provide an explanation for standards of care, provisions in the scope of practice, and duties of the patient to assist in maintaining accurate records to protect against health risks.

A. Both statements are true.

B. Both statements are false.

C. The first statement is true, the second is false.

D. The first statement is false, the

A. Both statements are true.

Which is relevant to the question "What causes you to fear dental treatment?"

A. Dental complications

B. Patient anxiety

C. Adverse events

D. Patient perception

B. Patient anxiety

A parent or legal guardian must sign and date the health history form if the patient is less than how many years of age?

A. 12

B. 18

C. 21

D. 26

B. 18

In the United States a code of ethics that govern by public health statutes, rules, and regulations associated with the practice of dental hygiene is published by

A. The American Dental Association (ADA).

B. The American Dental Hygienists' Association (ADHA).

C. The Occupational Safety and Health Administration (OSHA).

D. The Environmental Protection Agency (EPA).

B. The American Dental Hygienists' Association (ADHA).

Which are legal documents?

A. The personal history, dental history, and medical histories

B. The personal history and the dental history, but not the medical history

C. The dental history and medical histories, but not the personal history

D. The medical history only

A. The personal history, dental history, and medical histories

The risk for contracting IE from dental procedures versus routine oral activities is

A. greater from dental procedures than from routine oral activities.

B. greater from routine oral activities than from dental procedures.

C. equivalent for both.

D. unknown.

D. unknown.

The two ethical obligations for the dental hygienist during a patient-centered interview are honest listening ______ prejudgment and honest responses _______ bias.

A. with; with

B. with; without

C. without; with

D. without; without

D. without; without

What should be done if an error is made in a paper medical or dental record?

A. The incorrect information should be erased.

B. The information should be covered with a white material and written over.

C. The error should have a single line drawn through it.

D. The progress notes record should be rewritten on a new, clean sheet of paper.

C. The error should have a single line drawn through it.

A life-threatening infection of the tissue lining the heart is called

A. cardiomyopathy.

B. infective endocarditis (IE).

C. aortic stenosis.

D. mitral valve prolapse.

B. infective endocarditis (IE).

Confidentiality relating to the patient's health history is protected by the

A. The Occupational Safety and Health Administration (OSHA).

B. The Environmental Protection Agency (EPA).

C. Health Insurance Portability and Accountability Act (HIPAA).

D. The American Dental Association (ADA).

C. Health Insurance Portability and Accountability Act (HIPAA).

Which is true of the interview setting for the patient-centered interview process?

A. It should occur in a public space, such as a restaurant, so there are witnesses.

B. It should be conducted out of doors.

C. The setting should ensure privacy unless the client is a minor.

D. It should be recorded for future reference.

C. The setting should ensure privacy unless the client is a minor.

The patient completes the health history questionnaire at which frequency in most dental practices?

A. At each appointment

B. At annual appointments

C. Every 3 to 5 years

D. Just once at the initial appointment

B. At annual appointments