tutorial Qs Flashcards
what are the side effects of chemotherapy
dry mouth
vomiting
alopecia
nausea
side effects of radiotherapy
loss of taste
radiation caries
osteoradionecrosis
dry mouth
what dose of radiation pose greatest risk of ORN
over 60Gy
which jaw is more susceptible to ORN
mandible
what legislation exists to enable the access and provision of care for all individuals and groups of people?
Equality act 2010
adults with incapacity 2000
Mrs Johnson is unable to transfer to the dental chair by herself.
give 3 possible options which are available to aid her transfer and list positives and limitations.
hoist - requires training, weight limit, reduces musculoskeletal risk to operator
reclining wheelchair - prevents pressure sores, heavy
wheelchair recliner - bulky, pt can stay in own chair-comfort
who does the equality act protect
protects people with protected characteristics form discrimination and inequality in workplace and society
What is normal blood pressure
120/80mmHg
what is hypertension
high blood pressure: 140/90mmHg
what is AF and symptoms
irregular heartbeat
Palpitations and flutter
risk factors for high blood pressure
smoking
alcohol
obesity
lack of exercise
what is simvastatin used to treat?
High cholesterol
what is metformin?
anti-hyperglaemic
diabetes treatment
what local agent can you use to treat oral candidiasis
miconazole
haemophilia b patients are deficient in what
factor IX (9)
what are potential medical reasons you are unable to achieve haemostasis?
inherited bleeding disorders - Haemophilia A/B or von williebrands
medication induced - aspirin
HIV - bone marrow suppressed
leukaemia
liver disease
The liver is responsible for the production of which clotting factors involved in the coagulation cascade?
1 2 7 9 10 11
thrombocytopenia can be indicative of what?
liver disease
features of liver disease
jaundice
clubbing fingers
palmar erythema
spider navi
encepahalopathy
what is an infective cause of liver disease
hepatitis A B C and D
what is a non infective cause of liver disease
alcohol induced
non alcohol fatty liver disease
drug induced
autoimmune
what is the UKELD score
United Kingdom model for End Stage Liver Disease
what is the minimum UKELD score a patient should be assessed for a transplant
49
what local anaesthetic should be used for liver disease patient and why
articaine
only 5-10% is metabolised in liver, majority is in plasma
When providing instructions on first line simple analgesia for a patient with liver cirrhosis, which analgesic medication should be recommended
paracetamol
Other than clotting factors, which product of the liver is essential in achieving haemostasis?
thrombopoeitin
which drug can cause drug induced hepatitis
halothane
On which day of the week would it be best to schedule dental treatment for a patient who receives dialysis every Monday and Friday?
Tuesday
Which anticoagulant is commonly used in the management of patients who require renal dialysis?
heparin
what is the main route of transmission for Hep A
faeco-oral
the dane particle is found in the serum of patient infected with
hepatitis B
sofosbuvir is used to clear what hepatitis
C
which hepatitis has circular RNA
D
non-alcoholic fatty liver disease is strongly associated with what?
obesity and diabetes type 2
what is an arteriovenous fistula provided for?
above wrist for haemodialysis
where in renal anatomical structure does water leave by osmosis?
loop of henle
where in renal anatomy is glucose, amino acids, uric acid and inorganic salt actively reabsorbed
proximal convoluted tubule
where in renal anatomy do surplus waste ions and molecules flow out as urine
collecting tubule
where in renal anatomy is sodium ions reclaimed by active transport with water loss by osmosis
distal convoluted tubule
