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Clinical Dental Hygiene I > Quiz 4 > Flashcards

Quiz 4 Flashcards

0
Q

Assessment, diagnosis & treatment planning

A
  • goals and priorities for treatment planning
  • consultations and referrals
  • planning preventative programs to meet patients needs
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1
Q

Objectives of clinical examination of the head and neck

A

1) assessment, diagnosis & treatment planning
2) early detection of head and neck disease improved prognosis for recovery
3) detection of systemic disease exhibiting oral manifestations
4) establishes contraindications to dental tx
5) baseline data of patients health status aids evaluation of treatment plan and preventative program
6) accurate description of patient health status for legal records

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2
Q

Early detection of head and neck diseases improve prognosis for recovery

A

Oral cancer/ skin cancer

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3
Q

Detection of systemic disease exhibiting oral manifestations

A

Aids, leukemia, diabetes

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4
Q

Establishes contraindications to dental treatment

A

Steep throat, herpes, malignant lesions

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5
Q

Four components of the clinical head and neck exam

A
  • general appraisal
  • vital signs
  • extra oral exam
  • intra oral exam
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6
Q

Four methods of examination

A
  • inspection
  • palpation
  • auscultation
  • percussion
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7
Q

Inspection

A

Visual assessment of body tissues, structures and systems

* identify normal/abnormal appearance and function

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8
Q

Palpation

A

Use of fingers and hands to examine soft and hard tissue

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9
Q

Auscultation

A

Listening for sounds in the body/ tissues (ex. Breathing, vibrations, clicking)

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10
Q

Percussion

A

Striking tissues to hear resulting sounds and evaluate patients response

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11
Q

Dilation

A

Heart failure, shock, emergencies

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12
Q

Construction

A

Occurs in use of drugs: herion, morphine, barbiturates

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13
Q

Digital palpation

A

One finger or more fingers

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14
Q

Bidigital palpation

A

One or more fingers and the thumb

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15
Q

Manual palpation

A

All fingers on one hand

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16
Q

Bimanual palpation

A

Both hands

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17
Q

Bilateral palpation

A

Both sides simultaneously, detect difference in symmetry

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18
Q

Petechiae

A

Red/purple discoloration <0.5

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19
Q

Purpura

A

Red/purple discoloration >0.5

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20
Q

Ecchymoses

A

Red/purple discoloration of variable sizes

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21
Q

Macule

A

Flat, non palpable circumscribe lesion <1 cm (freckles, flat moles)

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22
Q

Patch

A

Flat, non palpable, irregularly shaped lesion < 1 cm

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23
Q

Papule

A

Elevated, palpable, firm circumscribed lesion < 1 cm (warts)

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24
Q

Plaque

A

Elevated, flat- topped firm, tough, superficial lesion >1 cm

25
Q

Nodule

A

Elevated, firm, circumscribed, palpable lesion >1-2 cm

26
Q

Tumor

A

Elevated, solid >2cm

27
Q

Elevated, circumscribed, superficial, lesion filled with clear fluid <1 cm (blister)

A

Vesicle

28
Q

Bulla

A

Vesicles > 1cm

29
Q

Pustule

A

Similar to vesicle but filled with pus (acne)

30
Q

Elevated, circumscribed, palpable, lesion encapsulated and filled it’s fluid or semisolid material

A

Cyst

31
Q

Fissure

A

Linear crack or break (angular cheilosis)

32
Q

Depressed, glistening lesion that follows rupture of vesticle or bulla (larger than fissure)

A

Erosion

33
Q

A break in the epithelium (skin or mucosa) exposing connective tissue, has a reddened border with white, gray, yellow or hemorrhagic center

A

Ulcer

34
Q

Increased number of cells resulting of overgrowth of tissue

A

Hyperplasia

35
Q

Abnormal thickening of the epithelium… May appear as white, yellow or brown. (Cheek biting)

A

Keratosis

36
Q

Blending it occurring together, originally separate but subsequently combined

A

Confluent

37
Q

Rippled surface

A

Corrugated

38
Q

Hard, scab like surface

A

Crusted

39
Q

Separate, not blending or occurring together

A

Discrete

40
Q

Hardened area of tissue

A

Indurated

41
Q

Pedunculated

A

Elevated papillary type lesion attached to underlying tissue by a stem or narrow connector

42
Q

Nipple like growths

A

Papillomatous

43
Q

Attachment of a lesion by a broad base

A

Sessile

44
Q

Wart like surface

A

Verrucose

45
Q

Abnormally dilated vein (dark blue or purple color)

A

Varicose

46
Q

Record location of findings

A

Diagram, describe area, state landmarks, Ect

47
Q

History of the significant finding

A

When, how long has it been present, recent changes, Ect

48
Q

Morphology of the significant findings

A

Physical characteristics

  • size
  • shape
  • number
  • area
  • lesions
  • moveable/ fixed
49
Q

Elevated lesions

A

Blisterform, nonblisterform

50
Q

Blisterform

A

Contains fluid
Usually soft and translucent
May be vesicles, pustules or bullae

51
Q

Nonblisterform

A

Solid lesions
Do not contain fluid
Examples- papules, nodules, tumors, or plaques

52
Q

Red area of a variable size and shape

A

Erythema

53
Q

Growing outward

A

Exophytic

54
Q

Loose membranous layer of exudate

A

Pseudo membrane

55
Q

Marked with points or dots

A

Punctate

56
Q

Excisional biopsy

A

Entire lesion is removed

57
Q

Incisional biopsy

A

Representative section from a lesion is taken

58
Q

A white patch or plaque that cannot be scrapped off or characterized as any other disease

A

Leukoplakia

59
Q

Designate lesions of the oral mucosa that appear as bright red patches or plaques that cannot be characterized as any specific disease

A

Erythroplakia

Clinical Dental Hygiene I (5 decks)

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