Module 1

Question 1

what is included in the pre-anesthetic assessment evaluation

Answer 1

• complete medical / dental history
• physical examination
• psychological examination

Question 2

what is included in the complete medical / dental history

Answer 2

• current conditions
• past conditions
• OTC drugs or supplements
• adverse reactions to meds
• problems w/ previous dental treatment
• ASA Classification
• LAs responses
• fears

Question 3

how many meds taken on the same day can alter efficacy and safety of local anesthetics

Answer 3

2 + meds

Question 4

what is ASA classification indicative of

Answer 4

medical status

Question 5

what is included in a physical examination for the pre-anesthetic assessment

Answer 5

• visual exam
• BP
• pulse & rr
• pts weight

Question 6

what does the visual exam entail

Answer 6

• posture
• movement
• speech
• skin

Question 7

what should be considered with a BP of 140-159 / 90-94

Answer 7

N2O for stress reduction

Question 8

what should be done for a BP of 160-199 / 95-114

Answer 8

• retake
• refer for med consult before treatment

Question 9

what should be done for a BP of >200 / >115

Answer 9

• retake
• refer for immediate med consult

Question 10

what is the acceptable HR for an adult

Answer 10

60 - 100

Question 11

what is the acceptable HR for a child

Answer 11

75 - 100

Question 12

what is the acceptable HR for a toddler

Answer 12

120 - 160

Question 13

what is the acceptable RR for an adult

Answer 13

12 - 20

Question 14

what is the acceptable RR for a child

Answer 14

18 - 30

Question 15

what is the acceptable RR for a toddler

Answer 15

25 - 32

Question 16

why is it important to record the patients weight

Answer 16

to determine MRD of local anesthetics

Question 17

what is the unfounded fear of dental treatment often associated with traumatic, painful past dental treatment

Answer 17

dental phobia

Question 18

what are the clinical signs of moderate anxiety

Answer 18

• stiff posture
• nervous “play”
• “white knuckle” syndrome
• sweating
• “too cooperative”
• nervous conversation
• quick answers

Question 19

what are the steps of the stress reduction protocol

Answer 19

• adequate pain control (explain advantages of local anesthetics to patient and the effects that stress can have on the body )
• decrease pain of injection
• select local anesthetic of appropriate duration

Question 20

when does risk assessment occur

Answer 20

after medical / dental history, physical exam & psychological evaluation

Question 21

what is determined by risk assessment

Answer 21

• safety for dental treatment
• modifications to dental treatment
• need for local anesthetic
• selection of specific local anesthetic

Question 22

what is assessed in the risk assessment

Answer 22

A = antibiotics, anesthesia, anxiety, allergy
B = bleeding
C = chair positioning
D = drugs, devices
E = equipment, emergencies

Question 23

what is fear

Answer 23

an unpleasant often strong emotion caused by anticipation or awareness of danger

Question 24

what tends to be short lived and disappearing when the threat or danger passes

Answer 24

fear

Question 25

what is not eliminated as easily and tends to be a learned response from personal experience or from the experience of others

Answer 25

anxiety

Question 26

what is from anticipation of or the thought of dentistry

Answer 26

anxiety

Question 27

what refers to the reaction occurring in the dental office

Answer 27

fear

Question 28

what has a potential to increase BP

Answer 28

local anesthetics & stress