Sim Quiz Flashcards
competent and timely delivery of dental care within the bounds of clinical circumstances presented by the patient… do good
benificence
drug addiction is a blank
disease
signs of drug abuse
caries, decreased response to local anesthesia, oral infection prone
usually substance abuse is caught during blank
history
what dentists should do for a patient with substance abuse disorders
be aware of substance history, knowledgable about substance use disorders, use professional judgment when advising patients, know where to refer for help, consult with physician, know pharmacology, be confidential
do not talk about substance use disorder with blank
family member
three dimensions of schizo disorder
positive symptoms, disorganized symptoms, negative symptoms
symptoms like delusions and hallucinations are blank symptoms
positive
erroneous but firmly held ideas like being controlled by outside force
delusions
sensory perceptions without a stimulus
hallucination
most common schizo hallucination
auditory
symptoms inferred from patient’s speech which are rapid shifts between topics that may be unrelated
disorganized symptoms
imitating others speech
echolalia
imitating others movements and gestures
echopraxia
schizo symptoms that are more debilitating over time
negative symptoms
inability to plan, initiate, and persisit in goal directed activities in schizo is called blank
avolition
schizo people have more chance of blank
substance use disorder
schizo can be blank
genetic
delusions and hallucinations may be due to excess blank in limbic areas
dopamine (maybe serotonin too)
decreased emotional responsiveness may be due to decreased dopamine in this part of brain
pre frontal
antipsychotic medications block dopamine blank receptors
D2
schizo can lead to these due to the antipsychotic medications
pseudoparkinsonism, tardive dyskinesia, akathisia, acute dystonia
these atypical drugs are used in schizo for patients that didnt respond to other meds
clozapine (also risperidone, olanzapine, quetiapine)
the atypical drugs help regulate normal function here
prefrontal lobe
antipsychotic medications lead to blank in the mouth
dry mouth
spastic movements of the jaw from blank can lead to disloding restorations or prostheses and ulcers
tardive dyskinesia
blank infections are common in the mouths of schizo
candida
clozapine is unique in that it causes blank
HYPERsalivation
clozapine can reduce blank which can be problematic for treating in dental office
WBC count less than 3000 /mm^3
always protect the blank of schizo patients due to the lack of a blank
airway, gag reflex
finding the oral symptoms of diseases in their early stages can lead to a better blank
prognosis
model for delivering bad news
abcde or spikes
abcde
advance prep, building relationship/environment, communicating well, dealing with reactions, encouraging/validating emotions
breaking bad news can have numerous psychological and physiological effects on the patients and the dentists… including an increase in blank cell function
natural killer cell
spikes
setting, perception, invitation/info, knowledge, empathy, strategy/summary
physical, sexual, or psychological harm by a current or former partner or spouse
intimate partner violence (also stalking)
percent of female murder victims killed by intimate partner
33 (3 women per day in US)
number of people per minute that are raped in the US
24
child witnessed violence in this percent of intimate partner violence cases in state court
22 percent
percent of perpetrators of intimate partner violence also abuse children in the house
30-60
percent of domestic violence victims that are women
85
age range with greatest risk of fatal intimate partner violence
20-24
2nd or 3rd degree burns, respiratory burns, firearm, knife or sharp object must
be reported to police
percent of patients asked by dentists about their injuries from abuse
88 percent
percent of people who want dentists to ask about injuries
70 percent
percent of abuse injuries to head neck mouth
75 percent
this type of abuse very often leads to death
strangulation
11-33 pounds of pressure on neck for this long can cause brain death
4-5 mins
underlying injuries from abuse and strangling can kill a victim up to this many hours later
36 hours
reason most women stay in abusive relationships
fear… leaving abusive relationship has 75 percent chance of being killed
AVDR for domestic violence
ask, validate, document, refer
