Medical History Taking / Medical Emergency

Question 1

patient goes into hypoglycaemic shock in practice - what do you give?

Answer 1

glucose gel + glucagon injection followed by fizzy sugary drink when they come round

Question 2

why take a medical history

Answer 2

safe treatment
incase of possible drug interactions when prescribing
allows risk assessment of likelihood of medical emergency
can give complete history to emergency services should the need arise

Question 3

how to take a pain history?

Answer 3

SOCRATES - site, onset, characteristic, radiation, associated symptoms, time, exacerbating factors and severity

Question 4

to treat thromboembolsim/thrombosis/stroke in dental setting

Answer 4

chew 300mg aspirin

Question 5

what is GTN and what is it used for

Answer 5

glyceryl trinitrate and is used sublingually during angina attack

Question 6

key questions to ask at the end of medical history

Answer 6

what medication they are on, if they have any allergies and if they are seeing a specialist for anything

Question 7

midazolam is used to treat what

Answer 7

seizure

Question 8

what should be covered in pmh

Answer 8

cardiovascular / respiratory / gastrointestinal / neurological / endocrine / blood disorders / musculoskeletal

Question 9

first thing to do when taking a history?

Answer 9

introduce yourself

Question 10

2.4g is the max dose of what painkiller?

Answer 10

ibuprofen (in 24hrs)

Question 11

what is the max dose of paracetamol in 24hrs

Answer 11

4g i.e. 8 x 500mg tablets

Question 12

what to ask choking patient

Answer 12

ask if they can speak
ask if they can cough

if no dislodgement, Heimlich Manoeuvre

Question 13

Heimlich Manoeuvre

Answer 13

stand behind patient 
put RH in fist
LH cups bottom of first 
pull upwards and towards diaphragm 
check for foreign body every 2-3 thrusts

Question 14

oropharyngeal airway

Answer 14

check from corner of mouth to angle of mandible

insert so curve goes into trachea