Exam 4 Study Guide

Question 1

What to do when confirming an appointment for deaf patients?

Answer 1

teach by demonstration & use the Telecommunication Relay Service to call a deaf patient directly

Question 2

What is telecommunication relay service and how does it work?

Answer 2

It allows individuals with hearing and speech impairments to place and receive telephone calls

Question 3

How does the Americans with disability act define such persons?

Answer 3

• has a physical or mental impairment that substantially limits one or more major life activities
• has a record of such impairment
• or is regarded as having such impairment

Question 4

Double vision

Answer 4

diplopia

Question 5

How is legal blindness defined?

Answer 5

a patient having central vision of not more than 20/200 in the better eye with correction (glasses) or having peripheral fields of no more than 20 degree diameter

Question 6

What are the contraindications for patients with xerostomia?

Answer 6

Patients have to close their mouth often during appointment & no alcohol rinses fir the elderly

Question 7

What are the reasons for ill fitting dentures in the critically ill?

Answer 7

weight loss

Question 8

When would you use a portable headrest on the back of a wheelchair?

Answer 8

when the patient is in a total support wheelchair

Question 9

How many visits should be scheduled for a homebound difficult patient?

Answer 9

as many as they need

Question 10

What mouth rinse should be used after surgery?

Answer 10

do not rinse for 24 hours after surgery

then rinse with warm salt water

Question 11

What is platinum mesh?

Answer 11

it is not used for immobilization

Question 12

What are the Le Fort classifications?

Answer 12

Le Fort 1: horizontal fracture above the roots of the teeth, below the zygomatic process, and across the pterygoid plates

Le Fort 2: midline fracture over the middle of the nose and across the intraorbital rims

Le Fort 3: across the bridge of the nose, across the orbits and the zygomatic bone

Question 13

What clinical signs may a patient present with a fractured jaw?

Answer 13

pain, mobile, muscle spasms, irregular occlusion

Question 14

What is the diet plan for a patient with a fractured jaw?

Answer 14

protein and vitamins A, C, riboflavin

Question 15

What words are used in the description of the fracture?

Answer 15

location, severity, nature, direction

Question 16

Intermaxillary fixation are best for what type of patients? Which would be contraindicated?

Answer 16

Contraindicated: asthma, COPD, vomiting, dietary problems,

Question 17

What is open reduction used for?

Answer 17

anatomic reduction
functionally stable fixation
atraumatic surgical technique
active function
prevention of infection

Question 18

How long does it take for an uncomplicated mandibular fracture to heal?

Answer 18

6 weeks

Question 19

This fracture has no communication with the outside

Answer 19

simple fracture

Question 20

This fracture has communication with the outside

Answer 20

compound fracture

Question 21

a shatter fracture

Answer 21

comminuted

Question 22

“greenstick” fracture has one side of a bone broken and the other side bent

Answer 22

incomplete fracture

Question 23

What is the preferred way to stop bleeding post surgery at home?

Answer 23

apply pressure with gauze or use a tea bag over the area and bite firmly for 30 minutes

Question 24

What are risk factors that cause clefting?

Answer 24

use of tobacco
alcohol consumption
teratogenic agents (phenytoin, vitamin A, corticosteroids, drugs of abuse)
Over 40 years old
inadequate diet
lack of prenatal care

Question 25

What children with cleft palates are more susceptible to? Oral manifestations?

Answer 25

malocclusion, mouth breather, poorly formed teeth, common missing maxillary laterals and premolars,

Question 26

What weeks does the cleft palate/lip form during gestation?

Answer 26

lip: 4-8wks
palate: 6-12wks

Question 27

What is an obturator?

Answer 27

a prothesis designed to close a congenital or an acquired opening, such as cleft of the hard palate

Question 28

Cleft of the tip of the uvula

Answer 28

Class 1

Question 29

cleft of the uvula

Answer 29

class 2

Question 30

cleft of the soft palate

Answer 30

class 3

Question 31

cleft of the soft and hard palates

Answer 31

class 4

Question 32

cleft of the soft and hard palates that continues through the alveolar ridge on one side of the premaxilla

Answer 32

class 5

Question 33

cleft of the soft and hard palates that continues through the alveolar ridge on both sides, leaving a premaxilla

Answer 33

class 6

Question 34

submucous cleft in which the muscle union is imperfect across the soft palate

Answer 34

class 7

Question 35

Stages of clefting in utero:

Answer 35

incomplete fusion of maxillary and globular process