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Board 2019 > special needs > Flashcards

special needs Flashcards

1
Q

is a bacterial infection of the respiratory tract

A

tuberculosis

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2
Q

is transmitted by droplets, ingestion/ coughing/

A

tb

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3
Q

+ ppd does not mean active tb/ do not treat if active

A

true

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4
Q

tb drugs are

A

hepatoxic

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5
Q

cardiac conditions dose is

A

.04 mg/2 carpules

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6
Q

Is pre med needed for unrepaired congenital defects?

A

yes

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7
Q

what is transient and reversible

A

angina pectoris

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8
Q

coronary heart disease meds are

A

nitroglycerin, beta blockers, ccb

administer one tablet every five minutes, no more than 3 in 15

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9
Q

sides effects are nausea vomiting palpiations and decreased bp

A

myocardial infarction

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10
Q

myocardian infarction patient may need to postpone for

A

3-6 months

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11
Q

Is premed needed for coronary bypass surgery

A

not usually

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12
Q

what position may a congestive heart failure patient may not be able to tolerate

A

supine

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13
Q

what is a hypertension patient at risk for

A

stroke, MI, renal mouth al failure

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14
Q

do not treat for – months after stroke

A

6

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15
Q

musuclar dystrophy

A

mouth breathing

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16
Q

areas of the brain are atrophied and ventricles enlarged, lower acetylcholines levels seen

A

alzheimers

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17
Q

do not give frequent breaks with adhd best app time is mid morning

A

true

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18
Q

common drug prescribed for adhd

A

ritalin

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19
Q

do not sit patient up during seizure and nitrous oxide is contraindicted watch for aura preceding seizure

A

true

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20
Q

depression, drug interaction with epi is

A

tricylic antidep

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21
Q

chronic degeneraitve disease of the cns onset is 20-40 years. witihin 15 years of onset 50 percent need help with walking

A

ms

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22
Q

genetic idiopathic c or s shaped spine

A

scoliosis

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23
Q

cause usually from hypoxia at birth, dypshagia, nitrous oxide to help tx

A

cerebral palsy

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24
Q

high blood glucose levels make client prone to

A

infection

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25
Q

blood glucose levels to low, insulin shock

A

hypoglycemia

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26
Q

blood glucose levels to high, not enough insulin diabetic coma *3 PS

A

hyperglycemia

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27
Q

with hepatitis what may be present

A

jaundice

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28
Q

which heps are fecal oral route

A

a and e

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29
Q

what hep has no vaccine

A

e

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30
Q

no vaccine usually asymptomatic

A

c

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31
Q

after dialysis is the best time to appoint

A

true

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32
Q

symptoms include anerexia muscle weakness lethargy dehydration hypoglycemia consult physcian for any steroidal premeds

A

addisons disease

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33
Q

excess acth production by the piuitary gland weight gain hypertension bone fractures heart failure poor healing

A

cushings disease

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34
Q

offer a writing instrument and paper, board to help with communication, do not shout, speak non verbally, remove mask when speaking, speak slowly

A

deaf patient

35
Q

pregnant patient

A

turn to l side, pillow under right hip

36
Q

may require antibiotic premed prior to dental treatment

A

iv drug users

37
Q

is the number one cause of preventable disease/ death

A

cig smoking

38
Q 
tobacco counesling
ask
advise
asses
assist 
arrange
A 
do you smoke
importance of quitting
level of readiness to quit
let me know when your ready
set quit date 1 week from now
39
Q

nicotine agonist

40
Q

clients with alcholism have higher risk of cancer

41
Q

alcohol and nitroglycerine can result in a dangerously low

42
Q

avoid – with alcholosim

A

tyenol *protect the liver

43
Q

may be drowsy reduced respiratory rate, bradycardia, hypothermia

A

heroin addiction

44
Q

pinpoint pupils

45
Q

used to treat heroin

46
Q

tx overdose

47
Q

heroin addiction patients have higher risks of

A

infective endocarditis, hep b and hiv

48
Q

dialted pupils/ delay treatment 24 hours, possible unsafe interactions with epi

49
Q

CNS stimulant/ increased risk of heart attack and stroke/ stimulates high level of dopamine

A

methamphetamine

50
Q

someone under the influence of meth, delay 24 hours no epi

51
Q

asthma contraindictions

A

air polisher, ultrasonic, aspirin, and nsaids avoid epi due to sulfites

52
Q

you may use – on asthmatic

A

nitrous oxide

53
Q

life threatning persistant exacerbation of asthma

A

status asthmaticus

54
Q

eitology of —

familial tendencies, smoking, childhood respiratory infectoins, environmenal pollution

55
Q

contraindictions for —

air polisher, ultra sonic, rubber dam use, avoid nitrous oxide, oxygen sedation

56
Q

severe dypsnea, coughing

A

blue bloater

57
Q

chronic bronchitis is

A

smokers cough

58
Q

chronic bronchitis is more prevalent in

59
Q

pink puffer, barrel chest, over inflation of air sacs, dyspnea, wheezing, seen in older men

60
Q

exocrine gland disorder genetic glands over secrete saliva, tears, sweat thick and sticky, contraindicitons, nitrous oxide sedation air polisher ultra sonic scaler rubber dam

A

cystic fibrosis

61
Q

cold intolerant

A

hypothyroidism

62
Q

heat intolerant, do not use epi

A

hyperthyroidism

63
Q

rhemuatoid arthritis patient schedule app

A

mid morning

64
Q

hereditary condition of connective tissue, joints, and skeletal tissues, high vaulted palate tmj disorders, long narrow teeth, class three occlusion

A

marfan syndrome

65
Q

porcelin doll appearance widening of the pdl immobility of the skin

A

scleroderma

66
Q

blueish discoloration of primarily the fingers and toes, cold temps or stress

A

raynaud phenomenon

67
Q

hereditary blood disorder red blood cells become sickle shaped due to defect in hemoglibin (crescent moons) immunocompromised

A

sickle cell anemia

68
Q

sickle cell trait

A

assymptomatic carry one of the autosomal recessive genes

69
Q

autoimmune neruomuscular disorder characterized by extreme muscle weakness, difficulty swallowing problems chewing watch for risk for aspiration contraindicted ultra sonic/air polisher/

A

myosthenia gravis

70
Q

hiv aids reduce cd4 helper —, 3 month app

71
Q 
Epi should be avoided in patients who are taking all of the following except
A. Synthroid
B. Lanoxin
C. Chantix
D, Beta Blocker
72
Q 
Which of the following is the serum marker for HIV infection
A. HBsAG
B. HIV antibody
C. HAV
D. HBcAG
73
Q 
Antibiotic prophylaxis is recommended for all of the following except
A. previous coronary artery bypass
B. heart valve prosthesis
C. Cardiac transplant
D. chronic renal failure
74
Q

expohalthalmus is a sympton of which condition

a. cretinism
b. hypothyroidism
c. hyperthyroidism
d. marfan syndrome

75
Q

episodic vasoconstriction of digits due to cold temps is a symptom of what

a. marfan syndrome
b. reyes syndrome
c. raynauds phenomenon
d. ediermolysis bullosa

76
Q

in the emergency treatment of angina pectoris the mechanism of action of nitroglycerin is

a. relaxation of the cardiac muscle
b. blocking beta adrenergic receptors
c. relaxtion of the vascular smooth muscle
d. reflex decrease in heart rate and contractility

77
Q

mucosal pallor, delayed tooth eruption, and atrophy of tongue papillae smooth tongue

a. chrohns disease
b. hep
c. chronic renal failure
d. sickle cell anemia

78
Q 
stage one hypertension is classified when a clients bp has a consistent reading of
a. 145/98
b. 110/75
c. 160/110
d, 120/80
79
Q

a client on hypertensive meds is most likely to experience what problem in the dental chair

a. xerostomia
b. hypoglycemia
c. hyperglycemia
d. orthostatic hypotension

80
Q

nitrous oxide sedation should be avoided in patients with which condition

a. asthma
b. tb
c. chronic bronchitisi
d. unproductive cough

81
Q

your client is rebecca a 47 year old smoker who explains that her asthma was from being exposed to second hand smoke at a very young age she compains of worsening symptoms of cough attacks heavy plegm wheezing and difficulty breathing, what is this

A

chronic bronchitis

82
Q

which cardiac condition does not need antibiotic premed prior to invasive dental treatment

a. valve replacement
b. congestive heart failure
c. coronary bypass surgery
d. unrepaired congenital effects

83
Q

what is a common symptom with clients who have congestive heart failure

a. candidasis
b. headaches
c. chest pains
d. swollen annkles

Board 2019 (12 decks)

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