M11 Patient assessment

Question 1

What scales can be used to measure a patients anxiety?

Answer 1

Modified Corah dental anxiety scale
Modified dental anxiety scale (MDAS)
Hamilton anxiety rating scale (HAM-A)
Smiley faces scale (AKA Wong or Venham)

Question 2

What must be taken into consideration when assessing patients for sedation?

Answer 2

Medical history, dental history, social history

Question 3

What does ASA stand for?

Answer 3

American Society of Anaesthesiologists

Question 4

What is the ASA classification?

Answer 4

Physical status classification system

Question 5

When was the ASA classification created?

Answer 5

1941

Question 6

What is ASA 1?

Answer 6

Healthy patient - no systemic disease

Question 7

What is ASA 2?

Answer 7

Healthy patient - mild systemic disease. Extreme anxiety/fear

Question 8

What is ASA 3?

Answer 8

Systemic disease that limits activity but not incapacitating

Question 9

What is ASA 4?

Answer 9

Incapacitating disease that is life threatening. Fatigue/shortness of breath when seated

Question 10

What is ASA 5?

Answer 10

Terminal condition. Not expected to survive

Question 11

What is ASA 6?

Answer 11

Declared brain dead. Organs being removed for donor purposes

Question 12

What classification of patients can be treated in practice?

Answer 12

Class 1 & 2

Question 13

What should a physical examination include?

Answer 13

Blood pressure, heart rate, respiration rate, height, weight, oxygen saturation, temperature

Question 14

How would you work out a patients BMI?

Answer 14

Patients weigh (kg) / height (m2)

Question 15

What BMI would be classed as underweight?

Answer 15

Less than 18.5

Question 16

What BMI is classed as normal weight?

Answer 16

18.5 - 24.9

Question 17

What BMI is classed as overweight?

Answer 17

25.0 - 29.9

Question 18

What BMI is classed as Class 1 obesity?

Answer 18

30.0 - 34.9

Question 19

What BMI is classed as Class 2 obesity?

Answer 19

35.0 - 39.9

Question 20

What BMI is classed as Class 3 obesity?

Answer 20

40 or higher

Question 21

What ASA class would you be in with a blood pressure of 140/90 or less?

Answer 21

Class 2

Question 22

What ASA classification would have a blood pressure between 160/95 to 199/114

Answer 22

Class 3

Question 23

What classification would have a blood pressure over 200/115?

Answer 23

Class 4

Question 24

In terms of blood pressure who can be treated in practice?

Answer 24

Patients with blood pressure below 160/95 mmHg

Question 25

What does a pulse oximeter measure?

Answer 25

Arterial oxygen saturation

Question 26

In a healthy patient what are the average oxygen saturation?

Answer 26

97 - 99%

Question 27

What is the airway assessment called

Answer 27

Mallampati system

Question 28

What is the Mallampati system?

Answer 28

A visual assessment of the distance from the tongue base to the roof of the mouth

Question 29

What is visible in a patient who is Class 1 Mallampati?

Answer 29

Soft palate, uvula, faucial pillars

Question 30

What is visible in a patient who is Class 2 Mallampati?

Answer 30

Soft palate, uvula, faucial pillars partially obscured

Question 31

What is visible in a patient who is Class 3 Mallampati?

Answer 31

Soft palate, base of uvula

Question 32

What is visible in a patient who is Class 4 Mallampati?

Answer 32

Hard palate only

Question 33

During a patient assessment what must be discussed?

Answer 33

Smoking habits, alcohol consumption, recreational drugs, domestic circumstances

Question 34

What are the potential problems administering sedation?

Answer 34

Cardiovascular disease Respiratory disease Hepatic and renal disease Neurological disorders Endocrine disease Hematological disorders Drug therapy Pregnancy