1 - Oral Diagnosis and Treatment Planning

Question 1

what is clinic policy regarding patients with visible Herpes Labialis

Answer 1

shall not be treated unless an emergency. can be seen if lesion is in crusted stage 10-14 days after onset.

Question 2

where are HSV lesions present

Answer 2

lips and or perioral structures

Question 3

what is the development of procedural roadmap agreed to by patient and practitioner to arrive at highest level of oral health availble to patient

Answer 3

treatment planning

Question 4

what findings are gethered to determine diagnosis

Answer 4

1. signs
2. symptoms
3. chief complaints

Question 5

what are findings determined from examination

Answer 5

signs

Question 6

what are findings derived from patient interview

Answer 6

symptoms

Question 7

what is the motivating symptom

Answer 7

chief complaint

Question 8

what is the diagnostic pathway

Answer 8

information -> evaluation -> problems -> diagnoses

Question 9

information gathering must be ___ and ___

Answer 9

systemic and consistent

Question 10

what is the best way to avoid medical emergencies

Answer 10

get a thorough patient history

Question 11

T/F: you only have to sign and date SOME procedures

Answer 11

false! sign and date all the time. if not signed, it never happened

Question 12

what does the physical examination include

Answer 12

BP and pulse, but also observations regarding patient weight, exposed skin, general level of cognitive functioning (e.g., head lice example)

Question 13

what is a precise term used to describe a deviation from normal, derived from examination findings thru deductive reasoning

Answer 13

diagnosis

Question 14

what are the 3 types of diagnosis. explain each

Answer 14

1. definitive - high certainty
2. differential - several possible diagnoses
3. tentative - no a certain diagnosis but treatment is immediately necessary

Question 15

you should never begin treatment without a what

Answer 15

diagnoses

Question 16

how m any discreet diagnoses in the treatment plan tab in axium

Answer 16

736

Question 17

T/F: the dentist owes the patient that degree of skill, care, and judgement possessed by a reasonable dentist

Answer 17

TRUE! this is the doctor-patient relationship and professional liability

Question 18

should you ever give patients the original chart or radiographs?

Answer 18

NO! only give copies

Question 19

can you be held liable in errors in clinical judgement if errors were based on sound clinical reasoning?

Answer 19

NO! that’s why you document

Question 20

what is the age of majority in Nebraska

Answer 20

19

Question 21

how to inform the patient of termination

Answer 21

informed in writing

Question 22

can you terminate the patient if in the middle of treatment

Answer 22

Yes! as long as lack of further treatment will do no harm to patient

Question 23

when patient is referred to specialist, what must you do

Answer 23

document the reason for referral

Question 24

what is the right of a COMPETENT ADULT to decide what happens to his or her body

Answer 24

consent

Question 25

what are exceptions to informed consent

Answer 25

1. life threatening emergency
2. routine procedures that the patient has accepted in the past such as exams, prophys, etc.

Question 26

failure to obtain any consent is ___, exceeding consent obtained or obtained with insufficient information is ___

Answer 26

battery; negligence

Question 27

T/F: the dentist must disclose the patient any misadventure occurring during treatment and possible corrective treatments or outcomes

Answer 27

TRUE

Question 28

is it okay if you speak in anxiety producing terms

Answer 28

no void it

Question 29

T/F: confirm patient understanding of proposed treatments and record in the record

Answer 29

TRUE