Medical and Dental Questionare

Question 1

Valve replacement

Answer 1

*medical clearance needed

Question 2

Stent; congenital heart lesions

Answer 2

*clearance required
*NO premed

Question 3

Myocardial infarction

Answer 3

*clearance required

Question 4

Pacemaker

Answer 4

*clearance required

Question 5

CVA

Answer 5

*clearance required

Question 6

High Blood Pressure

Answer 6

*clearance needed if 160/100 or more

Question 7

Diabetes

Answer 7

*clearance required if uncontrolled, they don’t know HbA1c grade, and if its 8 or higher

Question 8

Why should aspirin be avoided with patients who have diabetes?

Answer 8

it may trigger a hypoglycemia reaction

Question 9

The 3 P’s of Diabetes

Answer 9

polyuria (frequent urination)
polydipsia (excessive thirst)
polyphagia (excessive hunger)

Question 10

Cancer/chemotherapy

Answer 10

*clearance required

Question 11

Kidney trouble/ dialysis

Answer 11

*clearance required

Question 12

Sexually Transmitted Infection

Answer 12

*clearance required

Question 13

Which strains of oral cancer are associate with HPV (Human Papilloma Virus)

Answer 13

16 and 18

Question 14

HIV Antibody

Answer 14

*clearance required

Question 15

Hepatitis, Jaundice, or Liver Disease

Answer 15

*clearance required

Question 16

Organ transplant

Answer 16

*clearance required

Question 17

Prosthetic replacement

Answer 17

*clearance required

Question 18

Tuberculosis

Answer 18

*clearance required

Question 19

Sickle Cell Anemia

Answer 19

*clearance required
*premed required

Question 20

Which food allergies are associated with latex allergies?

Answer 20

-banana
-kiwi
-nectarine
-avocado
-chestnut
-peaches

Question 21

What is the clinical significance of gastric bypass?

Answer 21

-severe xerostomia and increased TMD
-nutritional deficiencies
-ill fitting dentures
-NO periostat or NSAIDS
-avoid nitrous oxide

Question 22

Which meds may required a medical clearance for treatment?

Answer 22

-anticoagulants
-chemotherapy
-cortisone/steroids
-bisphosphonates (dismissed if IV)
-Fen-phen (weight loss drug)

Question 23

ASA I

Answer 23

-normal healthy patient
-non smoking minimal alcohol use
-little to no anxiety for dental treatment
-no functional limitations

Question 24

ASA II

Answer 24

-mild stable systemic disease
-no extreme functional limitations
-no extreme fear or anxiety of dental care
-ex// obesity, well controlled diabetes, mild lung disease, current smoker, social drinker, normal pregnancy

Question 25

ASA III

Answer 25

-severe systemic disease
-1 or more moderate to severe disease and/or functional limitations
-ex//morbid obesity, poorly controlled diabetes, alcohol/drug dependency, history of MI, CVA, COPD (over 3 months ago)

Question 26

ASA IV

Answer 26

-severe systemic disease that constantly threatens life
-ex// recent (last 3 months) MI, CVA, scheduled dialysis, sepsis, acute respiratory distress

Question 27

Osteoporosis

Answer 27

-type of biphosphonate taken
-clearance required*

Question 28

When can patients who are allergic to penicillin/amoxicillin NOT take cephalexin

Answer 28

if they have a type 1 reaction (anaphylactic, less than this reaction they may take the medication)

Question 29

Which procedures are prophylaxis recommended for (for patients who need it)

Answer 29

-dental extractions
-periodontal/debridement procedures
-dental implant placement
-orthodontic band placement
-intraligamentart local anesthesia
-endodontic instrumentation
-when bleeding is anticipated*

Question 30

List the conditions that required antibiotic prophylaxis (premed)

Answer 30

-prosthetic cardiac valves
-previous endocarditis
-congenital heart disease
-cardiac transplantation w/ valve regurgitation

Question 31

What type of instruments must be used for patients with dental implants?

Answer 31

titanium instruments
*can probe with stainless steel

Question 32

Important factors of the dental questionaire

Answer 32

-consumption of caffeine, sugar creamer, and the frequency
-fruit juices, soda, sports drinks
-mouth breathing
-sports and mouth guard use
-oral piercings
-tobacco use
-fluoride use
-nutritional/dietary habits