Human Diseases L2: CVD 2 History taking and dental implications

Question 1

if a patient presents with angina at rest or minimal exersion, can you treat the patient?

Answer 1

no

Question 2

which statement refers to a ASA 6 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 2

ASA 6: A declared brain-dead patient whose organs are being removed for donor purposes

Question 3

which statement refers to a ASA 5 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 3

ASA 5: A moribund patient who is not expected to survive without the operation

Question 4

can you treat a patient with unstable angina

Answer 4

no

Question 5

which statement refers to a ASA 2 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 5

ASA 2: A patient with mild systemic disease

Question 6

which statement refers to a ASA 1 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 6

ASA I: A normal healthy patient

Question 7

if a patient presents with concerning hypertension, can you treat the patient?

Answer 7

no

Question 8

drug impact in the oral cavity

what is the name of this oral condition and which drug is responsible for it

Answer 8

oral lichen planus

Ace inhibitors

Question 9

which statement refers to a ASA 4 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 9

ASA 4: A patient with severe systemic disease that is a constant threat to life

Question 10

how can the severity of angina be determined

Answer 10

level of exertion before symptoms show

pain at rest?

Question 11

drug impact in the oral cavity

what is the name of this oral condition and which drug is responsible for it

Answer 11

chronic painful ulcers

Nicorandil

Question 12

what does the abbreviation ICE stand for

Answer 12

Ideas, Concerns and Expectations.

Question 13

drug impact in the oral cavity

what is the name of this oral condition and which drug is responsible for it

Answer 13

gingival hyperplasia

calcium channel blockers

Question 14

if a patient presents with angina at high exersion, can you treat the patient?

Answer 14

yes

Question 15

if a patient presents with critical limb ischemia, causing pain in legs, can you treat the patient?

Answer 15

no

Question 16

which statement refers to a ASA 3 classification?

1. A patient with severe systemic disease
2. A normal healthy patient
3. A patient with severe systemic disease that is a constant threat to life
4. A patient with mild systemic disease
5. A declared brain-dead patient whose organs are being removed for donor purposes
6. A moribund patient who is not expected to survive without the operation

Answer 16

ASA 3: A patient with severe systemic disease

Question 17

having chest pain at rest is referred to as ………………….?

Answer 17

unstable angina

Question 18

if a patient has had a myocardial infarction, what is the minimum time to wait before any treatment can be carried out?

Answer 18

avoid any dental treatment untill at least 4 weeks.

check with gp prior to treating

Question 19

how does a GTN spray work

Answer 19

Glyceryl trinitrate (GTN) is a spray used to relieve angina (chest pain). When sprayed under the tongue, it relaxes and widens blood vessels in the heart and in the rest of the body.

Question 20

why is it important to ask about any potential risk factors that may be considered, in relation to cardiovascular disease

Answer 20

knowing which particular risk factor is contributing to CVD can help with determing a treatment plan for the patient and also help with advice on how to treat CVD

Question 21

the american society of anaesthesiologist: determine the use of anaesthetic or performing surgery based on the assessment of the patient on their degree of……………. or ……………physical state

Answer 21

sickness or physical state

Question 22

if a patient comes in to a practice and mentions that they have a CVD condition. why is it important to understand the severity of the condition.

Answer 22

the severity of the condition may determine how and whether you treat the patient.

example would be angina, angina at rest compared to angina at physical exertion would determine how you treat the patient.

Question 23

for which condition would you take nicorandil for?

Answer 23

angina