Pt Care Test Questions Flashcards
It is okay to stand in the primary beam of an x-ray intended for a patient as long as you have a lead apron on.
False
What object in radiology is sterilized after use?
Non-disposable X-ray holders
When sanitizing the room after treatment of a radiology patient, you should first spray the equipment directly
False
Which is not a patient barrier to effective communication?
Gender
Which option is not considered a feature in the actual “content” of communication?
Emotion
American’s least favorite mode of nonverbal perception is vocal/hearing.
True
Which factor could impede a patient’s positive perception of their physician?
Crossing arms, fiddling with glasses
Ways to express empathy to a patient include all except…
self-exposure
It’s an ethical obligation to criticize another dentist’s work in front of a patient.
false
If you must judge, judge the ______ not the _________.
behavior; person
Small talk delays procedures and only exacerbates a patient’s nerves suffering from anxiety
false
Self disclosure tells that patient that…
You have “walked in their shoes”
Negative personal experiences are the most common reason people avoid the dentist.
False
More frequent check ups correlates with ______ anxiety, and more fillings correlates with _____ anxiety in a dental setting.
less; less
Anxiety is a disorder characterized by ______.
excessive uneasiness, apprehension, compulsiveness, panic attacks
Perspiration of the upper lip is a ________ sign of anxiety.
Physiological
it’s best to start the procedure without a detailed explanation for patients with anxiety so they can get in and out of the appointment sooner.
true
Invisible disabilities discussed in class include all except…
third degree foot burn from a George Forman
Acculturation is the socialization of two distinct cultural groups that causes a completely new culture in which the groups are now indistinct.
False
Cultural factors that can affect oral health care include…
Eating habits, perception of time, gender roles
Health literacy is not associated with age or gender.
true
It’s generally appropriate to offer to shake hands with a disabled person, even if they have a prosthetic limb.
true
The common abbreviation, UCHD, stands for…
Usual childhood diseases
Patients often realize the significance of their health history & can recall their health-related information accurately.
false
Orthopnea is described as…
Difficulty breathing when lying down
Women present with fatigue & back pain when having angina.
true
Unstable angina has a _____ frequency and involves pain _______.
Increasing; at rest
Rheumatic fever is an autoimmune disease, which can cause…
Stenosis
Stress reduction protocol includes all of these features except…
Limiting vasoconstrictors to 5 carpules or less
In order to treat a patient who has suffered MI…
The patient must have ejection fraction over 50
The patient should have a medical consult to determine health status before treatment.
The patient must wait 6 months for long treatments.
Which is not a factor in COPD?
Acute asthma
COPD patients should only have low-flow oxygen because elevated CO2 levels in their arteries stimulate breathing.
true
Congestive heart failure is an official diagnosis.
false
Causes of cardiomyopathy include…
Viruses, Alcohol abuse, Hereditary
A patient with an unrepaired aneurysm should avoid elective treatment.
true
Chorea is a symptom that occurs in patients with…
Rheumatic Fever
Paroxysmal nocturnal dyspnea is another name for…
Sleep apnea
Proteinuria is an early stage symptom of HTN.
false
Which pressure is given consideration in the monitoring of patients with HTN?
Systolic, Diastolic, Pulse pressure
Resistance exercise for _____ minutes most days of the week can drop resting BP.
30-45
A patient with a BP of 165/104 should…
not undergo elective treatment, get a med consult
Identify the incorrect correlation with factor and BP level fluctuation.
Tobacco/decreases (lasts for 30 minutes)
In acute alcoholism, drugs metabolize…
Slowly
Average lifespan of a patient with Alzheimer’s after diagnosis is…
8 years
Anorexia occurs in how many females for every 1 male?
20
INR units can be found in…
oral surgery and emergency
A PTT test detects…
Intrinsic pathway abnormalities
Osteoarthritis is characterized by _______ and is due to ______.
Asymmetry; normal wear & tear
NSAIDs are used commonly for treatment of severe asthma.
false
Forms of purging in bulimia include all except…
fasting
Celiac disease causes damage to mucosal surface of the…
Small intestine
When taking a periapical radiograph, which anatomical features should you capture?
Crown, Root of tooth (including the apex), Surrounding bone
The _________ technique is the preferred technique for intraoral radiographs and involves placing the film __________ to the tooth and positioning the cone and x-ray beam_________ to the tooth and film.
Paralleling; parallel; perpendicular
What shape of cone head do we use for the intraoral X-ray machine in the clinic?
Rectangular
When taking a bitewing radiograph, what anatomical features should be captured?
crown, alveolar bone support, interproximal contacts
Advantages of panoramic radiography include
broad anatomic regions imaged, lower radiation dose
Principle disadvantages of panoramic radiography include geometric distortion & overlapping of contacts.
true
Which would be in violation of the A.L.A.R.A. guidelines?
Holding tubhead during exposure to ensure it doesn’t move
Transmission of infectious disease is most common from
patient to operator
Which would be an example of violating infection control procedure at UMKC?
Grab the lead apron & thyroid collar with gloves
Spray equipment directly for the best clean.
Which is not a typical benefit of a good patient-professional relationship?
Patient is more likely to sue.
What percentage of dentists feel they received only fair to poor training in communication at dental school?
50%
Although dentists are detailed oriented and technically proficient, they are known to be weak interpersonal communicators.
true
Providing information is proficient in changing a patient’s behavior.
false
60-70% of medical litigation cases cited _________as the primary cause.
communication
The actual content of words is _____ of someone’s perception of what you’re saying.
1/3
The non-verbal delivery is ____ of someone’s perception of what you’re saying.
2/3
Which statement is false in regard to smiling in non-verbal communication?
A genuine smile is known as a social smile
Which is a factor that could impede good listening as a dental professional?
multi-tasking
_______ is a literal or dictionary meaning of a word whereas ________ is a subjective meaning dependent on context and patient.
denotative; connotative
Verbals that promote conversation include
Asking open-ended questions
What is the proper pattern to express empathy to a patient?
Identify emotion you think you hear identify content reflect the two as a statement
As an educator you should do all of the following except…
Use jargon frequently
The number one reason people avoid the dentist is?
fear
The strongest predictor of dental anxiety is _______, while the weakest predictor is ______.
Attitude towards dentists; annual income
The three major assessment categories for anxiety include self-report, behavioral signs, & physiological.
true
The best time to identify the fearful patient is AFTER a visit.
false
What is the proper sequence for reducing anxiety in children in a dental setting?
tell-show-do
What are ways to reduce anxiety in patients?
Use N2O2 or oral sedatives, Schedule AM appointments
What are proper ways to interact with people who are def or hearing impaired?
Use pantomime, body language, & facial expression to convey meaning
What are factors that increase stereotyping?
Time pressure
Lack of resources
High cognitive demands
Which are factors affecting cultural values?
Acculturation
Generational standing
Individual variation
Cultural competency is a concept that can be mastered in a finite amount of time.
false
What factors are known to be influencers for level of health literacy?
education and race
It is NOT necessary to know all traditional illnesses, as there are many that vary among different cultures. It IS necessary to have good communication skills to elicit information about the patient’s perspective.
true
The proper sequence of obtaining a patient’s health history involves first a brief questionnaire the patient fills out and signs, and then a review with the DDS and another signature to verify their understanding.
true
Those who appear in good health are not required to fill out a health history.
false
You can work on a patient without a faculty member signing you in as long as the treatment isn’t high risk.
false
Which is not a MAJOR risk factor for cardiovascular disease?
stress
Atherosclerosis affects ______ to _______ arteries.
medium; large
Dyspnea is usually due to…
COPD and Asthma
Dyspnea is difficult or labored breathing, but orthopnea is…
Difficulty breathing when lying down
Stenosis is a ________ of arteries most commonly occurring in the ______ valve.
narrowing; aortic
“Pitting” is a common symptom in…
severe edema
Angina typically lasts…
5-15 minutes
Symptoms of angina in men include fatigue and back pain, whereas women typically experience a sub sternal pain that radiates to their arm, jaw, or neck.
false
Stable angina is ____________ and ___________ with rest.
Predictable; relieved
If a patient suffers myocardial infarction, protocol is…
Not do elective treatment for 2 months
Not do long appointments for 6 months
Med consult to determine when minor treatment cant start
An ejection fraction of _______ is ideal for patients who have suffered MI in order to do minor treatments.
> 50
Patients who have suffered MI need an INR in the ranges of _____ to ______ in order to be cleared for treatment.
2;3
A person suffering from complications of chronic obstructive pulmonary disease (COPD) could benefit from…
Low-flow O2
Which option is not a stress reduction protocol?
Long appointments with many breaks
Common trends of congestive heart failure include…
Heart cannot pump enough blood
If someone sleeps with more than 2 pillows under their head in order to sleep comfortably, this is indicative of…
Congestive heart failure
The most common cause of congestive heart failure is…
Coronary heart disease
Cardiomyopathy is a disease, which encompasses symptoms such as…
Enlarged heart and Impaired systolic function
You’re a doctor. Congratulations. A patient mentions they are often tired throughout the day, which makes concentration at work difficult. His wife chimes in he snores “like a freight train” at night, so she’s moved to the guest bedroom. What do you suspect for the diagnosis?
Sleep apnea
What is correct treatment protocol for patients suffering with angina?
If stable, elective treatment is OK
Atelectasis means…
Airlessness of the lungs aka pulmonary collapse
Stress reduction protocol for those suffering angina during a dental appointment include…
Avoiding vasoconstrictors
Nitroglycerin tables
Call 4444 if doesn’t subside in 5 minutes
If you notice a patient with an arrhythmia you should…
Get a med consult to find cause & status
Stress reduction protocol
For patients with repaired aneurysms, ___________ is recommended, whereas for patients with unrepaired aneurysms, ___________ is recommended.
Pre-medicating; avoiding elective treatment
A patient presents with sore throat, fever, headache, & swollen tonsils with white patches. What are diagnosis & the most likely cause of this disease?
Rheumatic fever- group A, B-hemolytic strep
For patients with rheumatic heart disease, pre medicating is ______.
Not included in latest recommendations
_________ is not as severe as _____________, but may progress to _________.
Scarlet fever; rheumatic fever; rheumatic fever
Which of the below options is not considered an early stage symptom of hypertension?
Proteinuria
Identify the false statement regarding risk factors of hypertension.
Frequency of HTN is higher in younger populations.
Which of the below is considered a late stage symptom of hypertension?
Rupture of retinal arteries
Dementia
Congestive heart failure
Hypertension that increases pulse pressure is called ________ and results in an increase in _______ pressure but not _______.
Systolic; systolic; diastolic
A patient with blood pressure reading 182/123 would prompt a professional to…
Refer for emergency medical care
Start oxygen
Perform emergency treatment only
Secondary HTN can cause…
Renal disease
Renovascular disease
Adrenal disorders like Cushing’s Syndrome
A patient with a blood pressure of 155/95 has ______ the risk of a cardiovascular event compared to someone with a blood pressure of 115/75.
Quadruple
Every increase in _____ over _____ will _______ the risk of cardiovascular events.
20; 10; double
Identify the false statement regarding patient factors of HTN.
“White coat” effect around professionals decreases blood pressure
You take a patient’s blood pressure in the clinic & the reading comes back as 165/103. What’s standard protocol for this patient?
No elective treatment
Med consult
Get faculty approval for any procedure
A blood pressure of 140/90 would prompt a professional to…
Alert patient to possible HTN diagnosis
A patient who has coronary bypass graft surgery should wait at least _____ months to have elective treatment & have a medical consult after that.
2 months
Familial onset of Alzheimer’s is also known as ______ onset and occurs in ______ of cases.
early; 10%
Adrenal insufficiency symptoms include all except…
Constipation
Males can have ______ oz of alcohol a day, whereas women can have _______ oz a day.
3-6; 1.5-3
In acute alcoholism, drugs are metabolized _______, and in chronic alcoholism they are metabolized _______.
Slowly; quickly
Binge drinking is consuming greater than _____ oz of alcohol in ________ hours.
5; 4
Implications of anemia include all of the following except…
Decreased infection
B12 (folic acid) sufficiency
Anorexia ratio of women to men is…
20 to 1
Osteoarthritis is more common than rheumatoid arthritis.
True
An INR of 3 would allow a patient to have
Complex extractions and Perio probing
A child who has asthma attacks 3-5 times/week that last for 30 minutes to several hours has…
Moderate asthma
An INR less than 2.5 would allow a patient to have
Perio surgery
Perio probing
Simple extraction
An INR of 2 means it takes blood _____ as long to clot compared to a “normal” individual.
Twice
A PT test detects ________ pathway abnormalities, whereas the PTT detects _______ pathway abnormalities.
Extrinsic; intrinsic
A PTT test is used only when on heparin in the hospital.
True
The most common form of disability is…
Arthritis
A _____ and _____ climate is best for those suffering from arthritis.
Warm; dry
Those with asthma should avoid…
Aspirin
Naproxen
Patients with autism should start seeing the dentist later in life when they are more mature.
False
A patient presents with perimylolysis. You suspect she has _______.
Bulimia; purging type
Oral neoplasms can be caused by…
Tobacco
Poor nutrition
Physical inactivity
Germs
Which forms of hepatitis are known to cause liver cancer?
HBV, HCV
HPV is a known causative factor in the development of ______ cancer.
Cervical
Oropharyngeal
Celiac disease involves an autoimmune reaction that is exacerbated by the intake of…
gluten
Which statement is correct in regard to Cushing’s Syndrome?
Steroid use can exacerbate disease.
Type I diabetes is _____ common than type II diabetes and is considered insulin _______
Less; dependent
____ out of every ______ people has Type II diabetes.
1:10
Type I diabetes usually involves childhood onset whereas Type II diabetes typically develops in adulthood.
true
Which symptom is not a part of the classic triad in diabetes?
Polyuripedemia
It is okay to treat a patient with diabetes if they have a blood sugar of _____.
6.5-8%
It is okay to treat a patient with diabetes if they have a glucometer reading of ….
Fasting blood glucose of 85
129 two hours after eating a meal
Identify the false statement regarding epilepsy.
Medications such as Dilantin cause gingival hypoplasia.
Acceptable glucometer reading for fasting glucose in a diabetic patient is…
70-110
Standard protocol for a patient suffering a seizure includes…
Stopping treatment
Removing rubber dam if possible
Turning patient on side
Calling 4444 if necessary
Habits that alleviate GERD include…
Elevating upper body
Chewing gum
Hypothyroidism is more common than hyperthyroidism.
true
Hyperthyroidism symptoms…
Thin
Hand tremor
Tachycardia
Exopthalmos
Hypothyroidism symptoms include all except…
hypotension
The phase of hepatitis that encompasses symptoms such as jaundice & dark foamy urine is…
Icteric
Transmission of HIV+ has been proven through…
Blood and Breast milk
Saliva, sweat, urine, & tears have shown low levels of HIV+ virus. These have been proven in some instances to transmit the virus.
First sentence is true; second sentence is false
A dental patient should have their appointments scheduled ________ their dialysis appointments.
the day after
Ways to prevent latex allergic reactions in a dental setting include…
Using nitrile gloves
Symptoms indicative of leukemia include…
Abnormal WBC count
Leukemia patients with a WBC count of <1000/ml or an ANC of <500 ml should be pre-medicated.
true
Which patient is statistically more at risk for developing lupus?
Black female
Symptoms of lupus include do not include..
Candidiasis
______ lupus erythematosis involves the skin only.
Discoid
The HIV virus dies within ______ in air.
2-4 seconds
DPT immunizations provide protection against…
Diphtheria, Pertussis, & Tetanus
Detrol & Flomax are common prescribed to patients with…
Kidney or bladder disease
Lyme’s Disease is the #1 vector borne disease in the US.
true
A “bull’s-eye” rash is indicative of what stage of Lyme’s Disease?
Stage 1
Stage 3 of Lyme’s Disease involves neurologic symptoms that occur often after a period of latency.
True
Stage 2 of Lyme’s Disease occurs…
Weeks to months after the initial bite
Multiple Sclerosis is an autoimmune disease and there is a cure.
First statement is true; second statement is false
Blood volume in pregnant women increases…
30-60%
Elective treatment for pregnant women should be avoided in the…
First trimester and Third trimester
Lyme’s Disease is transmitted to humans via bites from…
Deer ticks
Pregnant women are at an increased likelihood to develop periodontal disease.
true
Treatment protocol for pregnant women involves…
Avoiding NSAIDs
Minimizing vasoconstrictors
Partially reclining patients
Risk of pre-eclampsia increases with a multiple pregnancy.
true
Danger signs of pigmented lesions include all except…
Symmetry
All are common aspects of Tourette’s syndrome except…
Cursing
Tuberculosis has a high incidence of coinfection with HIV.
true
All are true for treating patients with active tuberculosis except…
Transmission is common
Diabetes is an endocrine disorder. Fibromyalgia is a muscular disorder.
Both statements are true
Identify the false statement regarding Trigeminal neuralgia.
Mostly in women younger than 50
Pre-op treatment modifications include all except…
Hemostasis
Intra-op modifications include upright chair positioning & minimizing epinephrine use.
true
How should you administer Nitroglycerin to a patient?
Administer sublingually
Post-op modifications include…
Analgesics (pain killers)
Antibiotics
Call for follow-up
Anti-fibrinolytic agents (prevent blood clots from breaking down)
Select whether or not the following 2 statements are True or False:
a. Asthma is characterized by IRREVERSIBLE episodes
b. Asthma usually has a sudden onset
Statement 1 is false and statement 2 is true
Which of the following is not a major risk for Cardiovascular disease?
Stress
Primary Sjogren’s syndrome (Sicca syndrome) includes symptoms…
Dry eyes & mouth
There is no treatment for Sjogren’s syndrome, but fluoride application, saliva substitutes, & hydration help alleviate its effects.
true
Cushing’s disease is a result of ______ steroid levels and Addison’s disease is a result of _____ steroid levels.
High; low
Oral steroids are commonly prescribed for these diseases except…
Cushing’s Disease
Which of the following would NOT be appropriate to use for Triad asthmatics?
Aspirin
Which of the following is not a characteristic of Extrinsic asthma?
Can be induced by psychological and physiological stress
Which of the following t happens during Epilepsy?
Aura
Diaphragmatic spasm
Irritability
Unusual smell or vision
Loss of consciousness
If you administer bronchodilators (Ventolin) to a patient during an asthma attack and there is no improvement despite administering it 3 times already. What should you administer next?
Epinephrine
Which of the following is characterized by a butterfly-shaped erythematous rash and
polyarthritis?
SLE
Which of the following is characterized by dry, warm skin, fruity-smelling breath, and Kussmaul’s breathing?
Hyperglycemia
Which of the following does not occur in Hyperglycemia?
Polydypnea
Which of the following is false?
Type 1 diabetes is a slow onset
A1c measures which of the following?
Average blood sugar over the past 2-3 months
This stage of insulin shock is characterized by hunger, weakness, tachycardia, and pallor
Mild
What would be an ideal HbA1c level if you are pre-diabetic?
6.0 or below
Select 2 of the following that are characterized by poorly controlled urination
Congestive heart failure and Diabetes
Which of the following is not a sign/symptom of heart disease?
Tremor
How long after a Myocardial infarction should you wait to have dental treatment?
Over 2 months
Which of the following is not a side effect of nitroglycerin?
Tired
Which of the following are not characteristics of Anorexia nervosa?
Tachycardia
Select the 2 choices that are characterized by an enlargement of their parotid glands
Excess alcohol use
Sjorgen syndrome
What is a healthy INR score range for those patients on blood thinners?
2-3
Which of the following is not an autoimmune disease?
Type 2 diabetes
