L1 - Pre-op

Question 1

biographic data

Answer 1

patients full name
address
age
gender
occupation
marital status 
PCP 

also asses their reliability

Question 2

describe chief complaint

Answer 2

in the patient’s own words

helps establish priorities

clarifies why they desire treatment

need to include the details about the history of this chief complaint

Question 3

medical history should be updated how often

Answer 3

on a yearly basis

Question 4

breakdown of medical history

Answer 4

1. biographic data
2. chief complaint
3. history of chief complaint
4. medical history
5. review of systems

Question 5

physical examination involves

Answer 5

inspection, palpation, percussion, and auscultation (heart sounds)

focuses on the oral cavity and to a lesser degree on the entire maxillo-facial regions

start with vital signs

Question 6

ASA classification goes from

Answer 6

ASA 1 – a normal healthy patient to ASA VI – a declared brain-dead patient whose organs are being removed for donor purposes

Question 7

what you should do if patient is NOT ASA 1 or ASA II

Answer 7

1. modify routine tx plans by anxiety reduction measures, pharmocological anxiety control techniques, increased patient monitoring, or a combination of these
2. obtain a medical consultation
3. refuse to treat patient in the ambulatory setting
4. referring the patient to an oral and maxo-facial surgeon

Question 8

ASA II

Answer 8

a patient with mild systemic disease or significant health risk factor

Question 9

ASA III

Answer 9

a patient with severe systemic disease that is not incapacitating

Question 10

ASA IV

Answer 10

a patient with severe systemic disease that is a constant threat to life

Question 11

ASA V

Answer 11

a moribund (going to die) patient who is not expected to survive without the operation

Question 12

SOAP note

Answer 12

S- subjective

O- objective

A - Assessment

P - Plan

Question 13

review of systems

- general overview

Answer 13

part of medical history

• sequential, comprehensive method of eliciting patient symptoms on an organ system basis
• it may reveal undiagnosed medical conditions unknown to the patients

Question 14

what should be checked if using IV or GA

Answer 14

CV, respiratory, and nervous system

Question 15

areas a dentist is expected to check

Answer 15

review of the head, ears, eyes, nose, mouth, and throat on every patient

Question 16

describe pulse

Answer 16

rate and rhythm

character - form of the individual pulse wave - may have diagnostic value in valvular disease

can provide condition of vessel wall

help with volume (full vs weak / thready)

Question 17

___ Should be guided by pertinent answers obtained from the history

Answer 17

review of systems

Question 18

the physical examination is a ____ not a ____

Answer 18

accurate description NOT a diagnosis

Question 19

radial pulse can give us what information?

Answer 19

how fast
rhythm
strength

Question 20

blood pressure cuff over?

Answer 20

brachial artery

if too small a cuff – fallsey elevated

too big - falsey low

first sound - systolic

Question 21

ausculatory gap could give

Answer 21

an inaccurate low systolic and inaccurate high disatolic

Question 22

modifying may be needed for who?

Answer 22

if NOT ASA I or ASA II

Question 23

what do you not ask in the consult

Answer 23

DONT ask for a medical clearance - but medical optimization status

Question 24

how to write your notes – outline format?

Answer 24

SOAP

• subjective
• objective
• assessment
• plan