Lecture 4 & 5

Question 1

Hypertension

What is it?

What could happen if it is left untreated?

Prevalence?

Leads to damage in what organs?

All healthcare providers should assess for HBP and___

Answer 1

Question 2

Etiology of hypertension (9)

Answer 2

Question 3

Pathophysiology of hypertension

Pulsating force on blood vessels is based on___

Pulsating force is modified by

Blood pressure is increased by? (3 factors)

Answer 3

Question 4

BP reading classifications and when diagnosis is determined

Answer 4

Question 5

Medical management of pre and diagnosed hypertension

Answer 5

Question 6

What is dental management of hypertension?

What are the major, minor, and intermediate RF for perioperative CV risk?

Early signs and symptoms of HTN (5) and advanced signs and symptoms of HTN (9)

Answer 6

Question 7

Oral manifestations of hypertension

Answer 7

Question 8

Ischemic heart disease

What it is?

What it results in with the arteries?

IHD is the most common underlying cause of what? Disease manifestations?

Risk factors (12)

What markers are also associated with IHD risk?

Symptoms?

Angina pectoris: What it is? What it feels like? Where it radiates? How long it lasts? Stable and unstable characteristics? What does it lead to?

Answer 8

Question 9

Medical management of angina pectoris?

Answer 9

Question 10

Medical management of myocardial infarction

What causes MI?

Symptoms

Pain severity and how long it lasts compared to AP

And medical management of an MI

Answer 10

Question 11

Dental management of IHD (8)

Answer 11

Question 12

Oral manifestations of IHD

Answer 12

Question 13

Infective endocarditis what it is and what MO usually cause it? What procedures are believed to cause it?

Answer 13

Question 14

Pathogenesis of infective endocarditis

Answer 14

Question 15

IE occurence, complications, and what is done before dental procedures

Answer 15

Question 16

Time between bacteremia and onset of symptoms in IE is ____

Signs and symptoms of IE include____

Treatment of IE includes___

The most common complication of lE is ___

Answer 16

Question 17

Dental management of IE

Answer 17

Question 18

Dental procedures requirement antibiotic premedication

Answer 18

Question 19

Dental procedures not needing antibiotic premedication

Answer 19

Question 20

Conditions requiring antibiotic premedication

Answer 20

Question 21

Antibiotic regimens for dental procedures

Answer 21

Question 22

Nonvalvular cardiovascular devices

Answer 22

Question 23

Cardiac arrhythmias what it is, what it is influenced by, what it leads to, and individuals at risk

Answer 23

Question 24

Etiology of cardiac arrhythmias

Answer 24

Question 25

Symptoms of cardiac arrhythmias (9)

Answer 25

Question 26

**Medical management** of cardiac arrhythmias

Answer 26

Question 27

Since arrhythmias or atrial fibrillation (irregular rapid heart rate) can lead to blood clots, stroke, and heart failure, oral anticoagulants are suggested. Name some

Answer 27

Question 28

Function of pace makers and defibrillators

Answer 28

Question 29

Dental management for cardiac arrhythmias

Answer 29

Question 30

Heart failure aka CHF cause, result, what happens if poorly managed or treated?

Answer 30

Question 31

Most common etiology of heart failure (10)

Answer 31

Question 32

Which one is almost always present with HF? RVHF follows and is caused by____. Pure RVHF is caused by___. What is RVHF? What it causes? Symptoms it causes. What happens in LVHF? Brought on by? Results in? Primary symptom? And other symptoms

Answer 32

Question 33

**signs** of heart failure (17)

Answer 33

Question 34

**symptoms** of heart failure (11)

Answer 34

Question 35

Medical management of heart failure aka congestive

Answer 35

Question 36

Stage D heart failure treatment

Answer 36

Question 37

New york heart association classification of heart failure aka congestive

Answer 37

Question 38

Dental considerations for patients with heart failure 1. Identify patient who have (3) 2. Identify ___of HF and ___ 3. Assess ____and all____ 4. Determine ___by consulting with a physician 5. What class is compensated HF? 6. Compensated HF poses what risk during dental care 7. Patients who have uncompensated HF are____. Why? What needs to be obtained? 8. What classes of HF need to be treated in hospital setting? 9. Need premed? For what? 10. Avoid what med? 11. What to do about possible excessive bleeding? 12. What vital sign needs to be monitored during tx? 13. Chair position 14. Anesthesia? Safe for what classes? How many cartridges? Consult with physician for which classes 15. Assess for signs of _____ and refer to___ 16. Emergency management

Answer 38

Question 39

Oral manifestations of heart failure

Answer 39