Alcohol

Question 1

where is alcohol metabolised

Answer 1

liver

Question 2

what are the safe weekly alcohol limits

Answer 2

no more than 14 a week spread over 3 days or more

Question 3

what are the oral problems with chronic heavy drinking

Answer 3

oral ulceration, glossitis, angular cheilitis
dental neglect
oral cancer
dental trauma
lost dentures
salivary gland enlargement
xerostomia
poor wound healing
dental erosion
suppression of immune system by alcohol

Question 4

what is the spectrum of liver disease

Answer 4

steatosis
steato hepatitis
cirrhosis

Question 5

what does cirrhosis present like

Answer 5

jaundice
asciites
bleeding
cachexia
infections
encephalopathy

Question 6

what problems can liver disease cause for dentists

Answer 6

reduced clotting factor synthesis
prolonged bleeding

Question 7

what are some screening tools for alcoholism

Answer 7

CAGE
FAST
AUDIT

Question 8

what type of drinker is amenable to brief intervention

Answer 8

hazardous and harmful

Question 9

what type of drinker is not amenable to brief intervention

Answer 9

dependent

Question 10

what is the framework for a brief motivational interview

Answer 10

feedback given to patient about behaviour
responsibility for change placed on patient
advice to change
menu of self directed change options
empathic style using warmth and understanding
self efficacy