extras Flashcards

1
Q

what are the 5 barriers to care

A

accessibility - e.g stairs , ambulance transport required
acceptability - individual view varies on what is acceptable
accomodation - e.g only appointments when bus pass allows, only a certain time after meds
affordability - direct costs and indirect costs e.g transport
availability - lack of suitable services e.g domicilliary care

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2
Q

max weight of average dental chair

A

22 stone

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3
Q

name 3 potential dental impications of obesity

A

caries - often increased caries incidence due to poor diet
poor wound healing - often reduced immune function
erosion - increase incidence of GORD in bariatric patients

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4
Q

what complication of GA are obese people more at risk of

A

twice as likely to develop a serious airway problem

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5
Q

problems with IV sedation and bariatric patients

A

difficulty placing canula
at increased risk of sleep apnoea

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6
Q

name 3 factors that would be considered when judging ‘reasonableness’

A

how effective adjustment will be at preventing disadvantage
cost of adjustment
potential disruption it would cause
how practical it is
time, resources and cost that would be required to make adjustment

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7
Q

haemophillia A is a deficiency in what factor

A

VIII

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8
Q

normal factor level of haemophillia patients

A

5-10 %
normal people have between 50 and 200%

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9
Q

what does prothrombin time measure

A

how long it takes for a blood clot to form

INR is based on prothrombin result time

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10
Q

UKELD score

A

measure of end stage liver disease
assesses need for transplant

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11
Q

other than clotting factors, what else produced by the liver is essential for haemostasis

A

thrombopoietin

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12
Q

most common anticoagulant for renal dialysis patients

A

heparin

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13
Q

name 3 examples of low bleeding risk procedures

A

simple extractions of 3 or less teeth
6PPC
root surface debridement
incision and drainage of swellings

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14
Q

name 3 examples of high risk bleeding procedures

A

complicated extractions
flap raising procedures
biopsy

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15
Q

name 3 underlying medical conditions that can cause ulceration

A

crohns
anaemia
leukemia
coeliac
ulcerative colitis
cocksackie A virus

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16
Q

name 3 things that would make a patient at high risk of MRONJ

A

previous MRONJ
currently, or in the past, taking bisphosphonates for more than 5 years
taking anti-resorptive or anti-angiogenic drugs for cancer management