clinical exam

Question 1

exam steps

Answer 1

1. C/O + HPC
2. PDH = attend, brush freq, FL, ID
3. MH = condition, meds, allergies, relevance
4. Diet
5. SH = SAD, habit, stress, work (duration, amount, type, freq)
6. EO = asym, swell, palpate MoM/TMJ/LN
7. IO
   - Soft = lesion, swell, pus, perio
   - Hard = C, heavily restored, cracks, wear facets
   - Occ = bite, static/dynamic
8. RF
   - Caries = caries/cavity, diet, OH, rest, cond, PRF
   - Perio = RF, BPE, OH, mobility, recession
   - Cancer = tobacco, alcohol, sun

Question 2

tips

Answer 2

• Introduce + confirm name/DOB
• No jargon
• Nod, eyes, tilt
• Open qs = identify pt desire/needs
• Repeat so I understand xyz  missed anything?
• Explain reasons for TX/≠, risks+benefits (concerns, MH, OH, bio+£)
• Immediate pain
• Medium-term
• Long-term
• Chunk + check + qs
• Explain guidelines (anticoagulants)
• Explain alternate pain relief (≠interact meds)