Personal Medical Histories, Medication Search, Vital Signs

Question 1

List examples of when you need to get informed consent

Answer 1

Planned procedures, expected successful outcomes of procedures, possible risk, unanticipated outcomes, alternatives to proposed plan of action, and costs.

Question 2

What is the legal age in Oregon to give consent?

Answer 2

15 years

Question 3

In PU DH Clinic how often is a new consent form obtained?

Answer 3

Every 2 years of if something has changed

Question 4

What are the 3 ways to obtain information from patient?

Answer 4

Direct observation, health history questionnaire (electronically), and health history oral interview

Question 5

What are the 4 vital signs?

Answer 5

BP, pulse, temp, respirations

Question 6

What is a chief concern or complaint?

Answer 6

This should be the first question you ask before beginning exam. Ex: “Why have you come to the dental office today?” It is important to attempt to diagnose the source.

Question 7

If the patient says yes to anything on the medical history, what should you do?

Answer 7

Ask follow up questions regarding the specific condition

Question 8

What is dyspnea?

Answer 8

Shortness of breath

Question 9

Regarding antibiotic premedication, when would you need to reschedule appointment?

Answer 9

If the patient forgot to take their antibiotic premedication

Question 10

How long after a heart attack/stroke can the patient come in for an appointment?

Answer 10

6 months

Question 11

Ultrasonic equipment may interfere with what device?

Answer 11

Pacemaker

Question 12

If a patient has asthma or an angina, what does the patient need to bring for both?

Answer 12

Asthma: Inhaler
Angina: Nitroglycerin
Both need to be kept on counter during appointment

Question 13

What is low blood pressure?

Answer 13

90 or below - systolic

60 or below - diastolic

Question 14

Which medical conditions require a prophylactic prior to dental treatment?

Answer 14

Heart valve disorder, artificial heart valve, endocarditis, congenital heat defects, heart transplant with valve dysfunction, and inborn heart defects

Question 15

Define orthostatic hypotension

Answer 15

A form of low blood pressure that happens when you stand up too fast from sitting or lying down.

Question 16

Define ausculatation

Answer 16

Listening to sounds from the heart, lungs, or other organs, typically with a stethoscope, as a part of medical diagnosis.

Question 17

Define tachycardia

Answer 17

Abnormal rapid heart rate

Question 18

Define bradycardia

Answer 18

Abnormal slow heart rate

Question 19

Define bradypnea

Answer 19

Abnormally slow breathing rate

Question 20

Define tachypnea

Answer 20

Abnormally rapid breathing rate

Question 21

Define hypertension

Answer 21

High blood pressure

Question 22

When should the appointment be rescheduled pertaining to a herpetic lesion

Answer 22

If the lesion is in the vascular or crusted stage

Question 23

When is the best time for treatment for a pregnant woman?

Answer 23

The second trimester

Question 24

What should A1C patients maintain?

Answer 24

7% or less HbA1C with well controlled diabetes or 7.5% in elderly patients

Question 25

When would treatment be delayed for someone who has not been diagnosed with diabetes?

Answer 25

If their blood/glucose levels are at 200 mg/dl or above

Question 26

Any patient with a blood glucose of ____________________ receives an immediate referral to a physician and all treatment is delayed

Answer 26

300 mg/dl or higher

Question 27

What is a normal BP?

Answer 27

<119 / <79

Question 28

What is considered an elevated BP? What kind of treatment can be done?

Answer 28

120-129 / <80 | All treatment is appropriate

Question 29

What is stage 1 hypertension? What kind of treatment can be done?

Answer 29

130-139 / 80-89 | Selective dental care (prophy, restorative, nonsurgical tx) is appropriate

Question 30

What is stage 2 hypertension? What kind of treatment can be done?

Answer 30

140< / 90 < | Same kind of treatment as stage 1

Question 31

What is a hypertensive crisis? What kind of treatment can be done?

Answer 31

180 < / 120 < | Immediately take patient to ER for further evaluation. No dental treatment

Question 32

What is the BP cut off at PU? What kind of treatment can be done?

Answer 32

160 < / 100 < Immediate referral to medical provider and medical clearance needed prior to next appointment. No elective dental treatment. Retake blood pressure 5 minutes after initial reading

Question 33

What is ASA class 1?

Answer 33

Healthy, no systemic diseases.

Question 34

What does ASA stand for?

Answer 34

American Society of Anesthesiologists

Question 35

What is ASA class 2?

Answer 35

Pregnant, well controlled asthma, type 2 diabetes, hypertension, epilepsy, smoker, high alcohol consumption, dental phobic

Question 36

What is ASA class 3?

Answer 36

COPD, controlled type I diabetes, Stable angina pectoris, Congestive heart failure, Uncontrolled Type II diabetes, Morbid obesity/uncontrolled, hypertension Binge drinking, Implanted pacemaker, regular dialysis

Question 37

What is ASA class 4?

Answer 37

Incapacitating to patient: Unstable angina pectoris, Uncontrolled type I diabetes, Uncontrolled epilepsy, Severe COPD, Severe congestive heart failure

Question 38

What is ASA class 5?

Answer 38

Life threatening diseases: End stage renal, pulmonary, hepatic, cardiovascular disease, or other terminal disease

Question 39

What ASA classes does PU not give treatment to?

Answer 39

Class 4 & 5

Question 40

What MH/DH questions need to be updated every time?

Answer 40

1. Has there been any changes to your medical history? 2. When was your last visit to the physician, urgent care or hospital? 3. Prescription and non-prescription medications have been reviewed and updated? 4. Vitals 5. Agreement

Question 41

What is a normal pulse for: 1. Adults & Elderly 3. Adolescents 4. Children

Answer 41

Adults & Elderly: 60-100 bpm Adolescents: 50-90 bpm Children: 75-120 bpm

Question 42

What is normal respiration for 1. Adults, elderly, & adolescents 2. Children

Answer 42

Adult, elderly & adolescent: 12-20 RPM | Children: 15-25 RPM

Question 43

What is a normal temperature for

Answer 43

Adult: 97.6-99.6 Elderly: 96.4-98.5 Children: 95.9-99.5

Question 44

At what temperature do you stop patient treatment?

Answer 44

100.4 and above

Question 45

What does ADPIE stand for?

Answer 45

Assessment, Diagnosis, Planning, Implementation, Evaluation

Question 46

What are Korotkoff sounds?

Answer 46

The thumping sounds you hear when you take BP

Question 47

What is the diaphragm?

Answer 47

The larger part of chest-piece on the stethoscope that is directly against the patients skin

Question 48

What is the Bell?

Answer 48

The smaller part of chest-piece on the stethoscope that is the opposite side of the diaphragm

Question 49

What are the binaurals?

Answer 49

The metal piece of the stethoscope that attaches the earpieces to the tubing.