PC1 Final Flashcards

1
Q

What is triad asmaticus?

A

asthma, nasal inflammation with polyps, sensitivity to aspirin or NSAIDS

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2
Q

Are kussmaul’s respirations associated with hyper or hypoglycemia

A

Hyper, fruity breath

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3
Q

Good HbA1c for person with DM? With pre Type 2 DM?

A

DM: 6.5% or below
preDM: 6% or below

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4
Q

Healthy fasting BG levels?

A

80-130 mg/dL

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5
Q

Defer elective tx at what BG levels?

A

<70 mg/dL

>200 mg/dL (refer to phys)

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6
Q

Normal BG 1-2 hrs post meal

A

<180 mg/dL

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7
Q

3 Levels of Insulin Shock

A

Mild: hunger, weak, shakes, tachycardia, sweat, pallor
Moderate:incoherent, belligerent
Severe:unconscious

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8
Q

Shelf life of epipens

A

16-20 months

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9
Q

How long should a pt take benadryl for an allergic reaction?

A

50mg every 4 hours until 24 hours after symptoms stop.

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10
Q

Heredity is what % of risk for CVD?

A

30%

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11
Q

What are the main differences between angina pectoris and an acute MI?

A

AP: chest pain with normal vital signs

MI: feels worse than AP, cyanotic, sweat, nausea, air hunger

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12
Q

Difference between stable and unstable angina pectoris?

A

Stable: predictable, goes away with rest or nitro, confused with indigestion

Unstable: new onset, incr freq, changing character or pattern

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13
Q

Shelf life of nitroglycerine?

A

3-6 months after opening

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14
Q

Pt’s with CVD should not have what kind of anesthetic?

A

anesthetic with vasoconstrictors (epinephrine)

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15
Q

What ASA classes do we normally see in the clinic?

A

1-3 (rarely 4)

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16
Q

What is part of the stress reduction protocol?

A
  • oral sed
  • intraoperative sed
  • effective pain control
  • time and length of appt
  • hot and humid weather bad
  • post op rx and phone call
17
Q

Non-psychogenic factors of syncope seen in what ages?

A

16-35

18
Q

What is the most common cause of syncope and what percentage?

A

Vasovagal syncope, 32%

19
Q

What is orthostatic hypertension?

A

decr in syst BP of 20mmHg or diast BP of 10mmHg within 3 min of standing

20
Q

A hyperventilating pt often thinks they are having another kind of crisis. What is it and why?

A

Think they are having a heart attack because it can cause tightness in chest.

21
Q

How can hyperventilation lead to a seizure?

A

Carpal-pedal spasms

22
Q

What is normal pulse?

A

60-100 BPM

23
Q

Lowest and highest temp

A

Lowest: 6am
Highest: 4-6pm

24
Q

Normal respirations?

A

12-16/min

25
Q

What is systolic HTN?

A

> 130/<80 (most common in elderly)

26
Q

How does crossing your legs affect BP readings?

A

Increases systolic by 7% and diastolic by 2%

27
Q

What are the 4 HTN categories?

A
Elevated: 121-129/80
HTN 1: 130-139/80-89
HTN 2: 140+/90+
HTN Crisis: >180/>120
HTN crisis consult with Dr immediately
28
Q

How big is aerosol vs spatter?

A

Aerosol: 1-100 micrometers

Spatter: >50 micrometers

29
Q

What are the five parts of Standard Infection Control Procedure

A

Patient factors, clinic prep, factors for dental team, treatment factors, posttreatment

30
Q

What part of standard procedure?

  • rinse with mouthwash
  • med hx
  • protective eyeware
A

patient factors

31
Q

What part of standard procedure?

  • run water 2 min at start of day and 30 sec btw pts
  • disinfect all surfaces and apply barriers
  • sterilize instruments
A

clinic preparation

32
Q

What part of standard procedure?

  • immunizations
  • PPE
  • Proper hygiene and donning/doffing
  • habits to minimize cross contamination
A

factors for dental team

33
Q

What part of standard procedure?

  • safe handling of needles
  • place removable prosthesis in disinfectant and put in ultrasonic cleaner
A

posttreatment

34
Q

What is the correct donning order?

A
  • Gown
  • Mask
  • Glasses/Shield
  • Gloves
35
Q

What is the correct doffing order?

A
  • Gloves
  • Gown
  • Glasses/Shield
  • Mask