Medical History Info and Questions to ask (UDC)

Question 1

What are questions to ask if your patient has asthma?

Answer 1

any medications, any steroids, well controlled or not, is it worse in stressful situations, do they have their inhalers

Question 2

What are patients with asthma at an increase risk of and what are the reasons for this?

Answer 2

oropharyngeal candidiasis and caries due to use of inhaled corticosteroids; gingivitis as oral breathers; xerostomia

Question 3

What medications should be avoided for patients with asthma?

Answer 3

aspirin, NSAIDs, opiates

Question 4

What are some common respiratory diseases?

Answer 4

COPD, asthma, TB, obstructive sleep apnea, cough

Question 5

What are things to keep in mind if patient has COPD?

Answer 5

may worsen during treatment, try and treat patient in a more vertical position

Question 6

What should you do if your patient has TB?

Answer 6

postpone all non urgent care until no longer infective, use rubber dam in urgent situations

Question 7

What is obstructive sleep apnea?

Answer 7

critical narrowing and occlusion of airways during sleep

Question 8

What questions should you ask if your patient has a cough?

Answer 8

how long they have had the cough, is the cough productive, do they cough up any blood

Question 9

What questions should you ask your patient if they have diabetes?

Answer 9

have they taken their medications that morning, have they had breakfast, well controlled or not, have they eaten normally in the last 2-3 days

Question 10

What should you ensure your diabetic patients have before treatment?

Answer 10

a sugary drink or something to eat

Question 11

What questions should you ask your patient if they have epilepsy?

Answer 11

well controlled or not, when was their last fit, what type of fit do they have, can they tell before they fit, do their fits happen at certain times of day, what caused their last three fits, any recent changes in medication

Question 12

What drug should be available in case of a medical emergency for epileptic patients?

Answer 12

buccal midazolam

Question 13

What questions should you ask your patient if they have hypertension?

Answer 13

what is their blood pressure, well controlled or not, what medication are they on

Question 14

What should you do if your patient’s hypertension is over 160/100mmHg?

Answer 14

consider postponing treatment until better controlled

Question 15

What should you do if your patient has had an MI within the last 3 months?

Answer 15

no treatment

Question 16

What should you do if your patient has had an MI within the last 6 months?

Answer 16

no general anaesthetic

Question 17

What questions should you ask if your patient has angina?

Answer 17

how often are the attacks, what starts them, how effective GTN is, do they have GTN with them

Question 18

What questions should you ask if your patient has had a stroke?

Answer 18

does it affect their mobility, does it affect their ability to swallow, does it affect their ability to carry out good oral hygiene

Question 19

What should you do if your patient has hepatitis/jaundice?

Answer 19

coagulation screen and full blood count, liver function test

Question 20

What should you be aware of if your patient has hepatitis/jaundice?

Answer 20

potential for bleeding problems, increased infection risk, use LA with caution if liver function is impaired

Question 21

When should you try and treat patients that undergo dialysis? Why?

Answer 21

the day after treatment as renal function is optimal and heparin effect has worn off

Question 22

What should you be aware of in patients that have undergone a kidney transplant?

Answer 22

may be immunosuppressed, increased risk of oral infection, increased risk of skin cancer

Question 23

Which injections can you not give if patient has Haemophilia A or B? why?

Answer 23

IDB or lingual infiltration as risk of bleeding into muscles

Question 24

What can be indications of haemorrhagic diseases or blood abnormalities?

Answer 24

bruises, haematomas, multiple skin purpura, petechiae, swollen joints

Question 25

What can be an indicator of leukaemia?

Answer 25

impaired liver function and spontaneous gingival bleeding

Question 26

At what stage of pregnancy is the optimal time for treatment?

Answer 26

second trimester

Question 27

What gastro intestinal diseases can manifest as glossitis?

Answer 27

anaemias, vitamin B deficiency, infections

Question 28

What gastro intestinal diseases can manifest with oral ulceration, mucosal swelling, cobblestone mucosa, mucogingivitis?

Answer 28

IBS, Crohn’s, Ulcerative Colitis

Question 29

What conditions can be indicated with irreversible dental erosion?

Answer 29

gastric reflux, bulimia, anorexia

Question 30

What effect can cannabis have on the whole body?

Answer 30

exacerbation of the systemic effects of adrenaline

Question 31

Which recreational drugs can cause thrombocytopenia?

Answer 31

heroin, cocaine, amphetamines, ecstasy

Question 32

Do heroin addicts have a higher or lower pain threshold?

Answer 32

lower

Question 33

What is there an increased risk of for a patient that has taken cocaine?

Answer 33

risk of cardiac arrest if LA is used during treatment due to sympathomimetic effect

Question 34

What is there an increased incidence of for patients that have taken LSD?

Answer 34

bruxism, panic attacks in stressful situations

Question 35

What is there an increased risk of for patients that abuse solvents?

Answer 35

convulsions and status epilepticus

Question 36

What should you do for patients that abuse solvents regarding LA?

Answer 36

reduce adrenaline dose

Question 37

What is an issue that can occur for patients that use anabolic steroids?

Answer 37

poor blood clotting

Question 38

What is a common drug that interacts with metronidazole?

Answer 38

warfarin

Question 39

What are some common antibiotics that interact with warfarin?

Answer 39

penicilins, fluconazole, miconazole, cephalosporins, tetracyclines