CASES Flashcards

1
Q

What are common contraindications for taking an NSAID?

A

allergy
GI ulceration
pregnancy
kidney disease

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2
Q

what space is an IANB inserted in to?

A

pterygomandibular space

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3
Q

following an IANB, why could facial palsy occur?

A

block given too far posteriorly, into parotid gland which contains facial nerve

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4
Q

how do you treat facial palsy, including eyes, after IANB?

A

eye lubrication and patch

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5
Q

what nerves must be anaesthetised for xLA of 47

A

IAN
Long buccal
Lingual

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6
Q

what nerves must be anaesthetised for xLA tooth 27?

A

greater palatine
posterior superior alveolar

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7
Q

what regulation does breach of pt confidentiality come under?

A

general data protection regulation

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8
Q

what SBAR stand for?

A

situation
background
assessment
recommendation

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9
Q

how would you go by treating a patient who is taking warfarin but their INR is below 4?

A

treat without interrupting medication

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10
Q

when should a pts INR be checked

A

no more than 24 hours before app
unless stable - 72 hours

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11
Q

how would you class a stable patient on warfarin?

A

one who does not require weekly monitoring and has had no INR above 4 in last 2 months

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12
Q

can you treat a pt with INR above 4?

A

no - inform their antigoaculant service

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13
Q

what forcep would be used to extract tooth 27?

A

upper left molar forceps

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14
Q

list the available local haemostatic materials

A

absorbent gauze - bite for 5-10 mins
haemostatic packing material (oxidised cellulose, collagen sponge)
suture kit

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15
Q

what haemostatic measure could be used for a pt on antithrombotic therapy? it can only be prescribed by a medical practitioner

A

tranexamic acid

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16
Q

list dental procedures that have the highest bleeding risk

A

complex xLA
more than 3 xLA
flap raising procedures
biopsies
gingival recontouring

17
Q

list medical conditions that increase bleeding risk

A

renal failure
liver disease
haematological malignancy
chemo/radiotherapy
heart failure
coagulation disorders
platelet disorders
connective tissue disorders

18
Q

list the dental procedures unlikely to cause bleeding

A

LA
BPE
supra PMPR
supra restorations
imps
ortho fitting
endo

19
Q

what does a large fluctuant buccal swelling tell you about local anatomy of the tooth

A

the root lies above muscle attachment so it presents intra-orally
the apex lies closer to the buccal plate

20
Q

4 stages of WSS

A

tell pt
apologise
document in notes
inform pt of complaints procedure

21
Q

in what case would infection present extra orally and not intra orally?

A

the apex of the tooth lies below the muscle attachment

22
Q

what term is used to describe swelling of the neck?

A

submandibular cellulitis

23
Q

what is an abscess?

A

circumscribed collection of pus

24
Q

why is submandibular cellulitis of concern?

A

progression to oedema of the laryngeal inlet, causing compromised breathing - ludwigs angina

25
what are IV drug users at risk of?
BBV - hep C or HIV
26
what is edoxaban and what is its mechanism of action?
NOAC direct factor Xa inhibitor
27
what do you tell your pt taking edoxaban who needs xLA?
if they take it in the morning - omit it and take again 4 hours after tx if they take it in the evening - no not need to change anything