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Patient Care > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Hemiplegia

A

paralysis of one side

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2
Q

Paraplegia

A

paralysis of both sides

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3
Q

Hemiparesis

A

weakness of one side

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4
Q

Paraparesis

A

weakness of both sides

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5
Q

Gait: unstable, hypokinesia, tremor, shuffling, jerky steps, slow

A

Parkinsonian Gait (similar to ataxic gait)

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6
Q

Diff between stature and habitus

A

Stature: height
Habitus: weight

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7
Q

What condition: thin, tall, arachnodactily, chest concavity, dilation of aorta, heart murmur?

A

Marfan’s Syndrome

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8
Q

Where is the tragus?

A

anterior cartilage of ear

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9
Q

Head and Neck Exam should cover what general areas/structures?

A

HEENT

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10
Q

What is the most common skin cancer? Where is it found?

A
  • Basal Cell Carcinoma

- middle 2/3 of face

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11
Q

You are ____x more likely to have ____ if a relative has cancer.

A

2-3x more likely to have melanoma

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12
Q

Ptosis

A

lid lag (usually due to past stroke)

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13
Q

Difference between hypertelorism and exopthalmos?

A
  • Hypertelorism: wide eyes

- Exopthalmos: bulging eyes (hyperthyroidism)

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14
Q

What are the 4 lymph node groups? Which can’t be palpated?

A
  1. Cervical
  2. Axillary
  3. Inguinal
  4. Internal (pelvic/abdominal/thoracic) can’t palpate
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15
Q

Healthy lymph nodes are…

A

soft and moveable

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16
Q

What do you do if you find a lymph node enlargement in a pt?

A
  • watch for 2 weeks

- if still present, refer to ENT

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17
Q

6 key identifiers to routine swelling of lymph nodes

A
  1. tender
  2. mobile
  3. current or recurrent viral infection
  4. bilateral
  5. predictable locations
  6. long duration without change
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18
Q

What percentage of the US has TMD?

A

20%

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19
Q

What is the most common oral cancer? Oral cancer is what % of all cancers?

A
  • squamous cell carcinoma (90%)

- 3%

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20
Q

__% of OC found in stage 1 or 2. They have a _____% survival rate.

A
  • 40%

- 80-90%

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21
Q

__% of OC found in stage 3 or 4. They have a _____% survival rate.

A
  • 60%

- 33%

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22
Q

What are the top 2 oral cancer risk factors?

A
  1. Tobacco

2. Alcohol

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23
Q

4 surfaces that are highest risk for oral cancers

A
  1. floor of mouth
  2. ventral surface of tongue
  3. lateral border of tongue
  4. oropharynx
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24
Q

What does induration mean?

A

-firm but not as hard as bone

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25
Q

What does compressible mean?

A

-pressure alters its shape

26
Q

What does collapsing mean?

A

-contents can be expressed

27
Q

What is a sessile body?

A

attached to surface on a broad base (opposite of pedunculated)

28
Q

What is pedunculated?

A

attached with a stalk

29
Q

What is eschar?

A

sloughing of epithelium caused by disease or trauma

30
Q

Diff between path and macule?

A

Patch is large (>1cm)

Macule is small (<1cm)

31
Q

What is a bulla?

A

Just like a vesicle (containing lymph or serum) but >1cm

32
Q

Diff between leukoplakia and leukoedema?

A

Leukoplakia: light thick keratotic patch on mucosa
Leukoedema: light mucosa that disappears with stretch

33
Q

Hairy leukoplakia caused by…

A

Epstein-Barr virus, white rough patches on lateral border of tongue

34
Q

What is sialolithiasis?

A

salivary stones

35
Q

What condition is caused by not cleaning dentures?

A

atrophic candidiasis

36
Q

Candidiasis treatment?

A

yogurt, nystatin, ketaconozole, fluconozole

37
Q

Herpes Simplex is cause by what?

A

HS1 virus in childhood (early adulthood can be 1 or 2)

38
Q

What is Type 2 herpes simplex (Fever blisters)?

A

Genital

39
Q

What condition is characterized by prodromal tingling?

A

aphthous ulcers

40
Q

What are herpetiform aphthous ulcers?

A

Many small ulcers on the posterior palate

41
Q

What % of med litigation cases cite communication?

A

68-70%

42
Q

What is the #1 reason (and other 2) reasons people avoid the dentist?

A

1: Fear

2: cost
3: access to provider

43
Q

6 Predictors of Dental Anxiety

A
  1. Attitude towards dentist
  2. check up frequency
  3. satisfaction with mouth
  4. avg # of filled surfaces
  5. gender
  6. annual income
44
Q

Three physiological signs of anxiety

A
  1. perspiration
  2. cardiovascular
  3. respiration
45
Q

Health literacy is associated with ____ and _____. It is NOT associated with _____ and _____.

A

Associated with: education and race/ethnicity

NOT associated with: age or gender

46
Q

What are the disadvantages of the zinc-phosphate cements? 6

A
  1. initial low pH
  2. no chemical adhesion
  3. no antibacterial properties
  4. poor esthetics (no anteriors)
  5. long setting time
  6. exothermic rxn
47
Q

What is the main benefit of ZOEs

A

neutral pH is better for pulp, soothing, (some antibacterial properties)

48
Q

What is the main disadvantage of ZOEs?

A

cannot be used for acrylic or composite restorations

49
Q

What was the first cement to bond to enamel and dentin?

A

zinc-polycarboxylates

-also antibacterial and short working time

50
Q

Polycarboxylate cements cannot bond to…..

A

gold alloys

51
Q

What is the main disadvantage of glass ionomer cements?

A

-generally moisture tolerant during setting but are soluble in the mouth

52
Q

Main advantage of glass ionomer cements?

A

releases FL2

53
Q

What is the best cement for maintaining margins?

A

glass ionomer

54
Q

Advantage and disadvantage of resin modified glass ionomers

A

Advantage: less soluble
Disadvantage: low early strength, moisture sensitive during setting

55
Q

Extremely important that you mix and place this cement within 2-2.5 minutes.

A

glass ionomer

56
Q

What are the two advantages of ZONE cements compared to ZOE cements?

A
  • replace eugenol with carboxylic acids for bonding

- greater retention than ZOE cements

57
Q

What time interval is acceptable between comprehensive oral exams?

A

3-5 years if patient has not been seen in between apts

58
Q

What three things are most commonly not recorded during a COE?

A
  • missing teeth
  • rotated teeth
  • mobility of teeth
59
Q

What is the most common medical emergency in a dental office?

A

vasovagal syncope (2/3 of all reported emergencies)

60
Q

Diff between symptoms and signs?

A

Symptoms: reported by patient, body change perceptible to the pt.

Signs: body changes perceptible to the trained observer

61
Q

swelling, discharge, bad taste, bad breath, elevated temp, malaise, cervical lymphadenopathy all may indicate….

A

infection

Patient Care (2 decks)

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