Older People Flashcards
Which of the following oral medicine conditions are considered variations of normal anatomy?
A.
Geographic Tongue
B.
MRONJ
C.
Black Hairy Tongue
D.
Lichenoid Tissue Reaction
E.
Fibro-epithelial Polyp
A and C
Black hairy tongue and geographic tongue
What is not a cause of xerostomia?
Chemotherapy
b.
Sjogrens Syndrome
c.
Dehydration
d.
Head and neck radiotherapy
e.
Diuretics
Chemotherapy
The purpose of the adults with incapacity act 2000 is to what?
Provides a framework for safeguarding the welfare and managing the finances of the adults who lack capacity due to mental disorder or inability to communicate
A 19-year-old male with Autism requires the extraction of 8 teeth including impacted mandibular 8s. He tolerates an examination but does not like to be touched as he finds it painful. What would be considered as the least restrictive option for him?
a.
Inhalation sedation over multiple appointments
b.
Do nothing
c.
General Anaesthetic
d.
Local anaesthetic over multiple appointments
e.
Intravenous sedation over multiple appointment
General Anaesthetic
A 22-year-old female with a diagnosis of bipolar affective disorder attends your clinic. She is currently experiencing a period of manic depression. She reports having pain from an upper central incisor and advises you that the tooth is the reason for her current depression. The tooth is diagnosed as having a periapical periodontitis. There is a buccal swelling present. She maintains she wishes the tooth extracted. When you speak to the Consultant Psychiatrist in charge of her care, she is certain that the patient will return to having full capacity at some point in the near future. What is the most appropriate course of action?
A.
Drain the swelling through incision and drainage and review when capacity returns
b.
Remove the tooth as this is what the patient requests
c.
Do nothing
d.
Prescribe a course of antibiotics and then begin endodontic therapy when her capacity returns
e.
Begin endodontic therapy
Begin endodontic therapy
A power of attorney is
A person who is nominated whilst an individual still has capacity who is subsequently legally appointed by a court to make decisions on the behalf of that individual when they lose capacity
An individual with an intellectual disability is unable to consent to 3rd molar surgery. He has the capacity to make decisions about all other aspects of his dental care including examination and restorations which will be required to establish dental health. He requires restorations and the removal of a 3rd molar. His Mother is his welfare guardian.What certification is necessary to facilitate his care?
His Mother should be consulted as the Welfare Guardian for 3rd molar surgery only and a Section 47, Adults with Incapacity Certificate should be provided for the surgical removal of a 3rd molar
The adults with incapacity (Scotland) Act 2000 the term incapacity relates to
Acting; or making decisions; or communicating decisions; or understanding decisions or retaining the memory of decsisions
Who can provide a Section 47, Adutls with incapacity certificate for the provision of dental treatment
A doctor who has just graduated
b.
A dentist who has just graduated
c.
A nurse with additional training
d.
An optometrist with additional training
e.
A welfare guardian
A doctor who has just graduated
A 32 year old female presents to your general dental practice. You make a clinical diagnosis of a symptomatic periapical periodontitis associated with tooth 11. Tooth 11 appears to have received a previous traumatic injury due to its colour. It is restorable. She has an otherwise unrestored dentition. She is currently being treated under a compulsory treatment order as she is experiencing acute psychosis. She believes the tooth is bewitched and the source of all her mental health problems. Te medical team are confident they will be able to get her psychosis under control relatively soon. In making your decision to manage the tooth which principle of the Adult’s with Incapacity Act will be key to your decision on whether to extract the tooth or provide endodontic treatment?
Encourage the person to use existing skills and develop new skills
b.
Benefit
c.
Take account of the wishes of the adult
d.
Least restrictive option
e.
Consultation with relevant others
Least restrictive option
A 34-year-old man presents with an enamel dentine fracture which has exposed the pulp of the tooth. He has a brain injury and is deemed to lack the capacity to consent. Although, he is cooperative for treatment. His mother tells you he has always been very keen to keep his teeth and felt they were one of his best features. Considering the Adults with Incapacity Act, what Is the most appropriate treatment option?
Attempt endodontics as this would have been his previous wish
A 40-year-old male with Motor Neuron Disease lacks the capacity to consent because he is unable to communicate his decisions. The most appropriate course of action to enable him to exercise his residual capacity would be to:
Select one:
a.
Utilise a social story
b.
Utilise a picture board
c.
Utilise his speech generating device
d.
He is unable to communicate so he does not have capacity
e.
He cannot understand so he does not have capacity
C
A 46-year-old male has fractured a front tooth when he fell during a Myocardial Infarct(MI). The fracture extends subginvally and the pulp can be seen clinically. The tooth is grade III mobile. He is currently sedated in an Intensive Care Unit and will not be woken by the medical team until the front tooth is sorted as they feel it is an aspiration risk. How would you manage this situation when considering the Adults with Incapacity Act ?
Select one:
a.
Remove the tooth as this is an emergency following consultation with the family and medical team
b.
Attempt to extirpate the tooth as this is a reversible option
c.
Advise the medical doctors there will be no issues and the tooth can be left as normal
d.
Leave the tooth in situ. as the individual is unable to make decisions about his own care Benefit
e.
Splint the tooth
E
A 57-year-old male lacks capacity. His Mother and his brother hold joint welfare guardianship with regards to the care of his medical treatment. Who should you speak to to gain consent for treatment?
Select one:
a.
Refer the decision to the courts for a decision
b.
His Mother has priority over his Brother
c.
His Mother and Bother have equal importance but consent is required from only one of them
d.
His Brother has priority over his Mother
e.
His Mother and Brother have equal importance and therefore consent is required from both of them
C
An 18-year-old male with a diagnosis of Autistic Spectrum Disorder attends your dental practice. He has no verbal communication and will not sit in the dental chair. His mother believes he is in a pain. He requires a full examination and multiple teeth removed. A general anaesthetic is justifiable under the adults with Incapacity Act because it is:
Select one:
a.
The option of benefit
b.
The option which encourage the person to use existing skills and develop new skills
c.
The option which takes account of the wishes of the individual
d.
The option which takes into account relevant others
e.
The option which considers all 5 principles of the Adults with Incapacity Act
E
