Type of Clinical Examinations

Question 1

The foundation of any form of successful treatment is

Answer 1

Accurate Diagnosis

Question 2

Diagnosis is the bridge btw the

Answer 2

study of disease and the treatment of illness

Question 3

Inform before you

Answer 3

perform

Question 4

if it isn’t written it

Answer 4

didn’t happen

Question 5

What are the types of clinical examinations

Answer 5

Comprehensive, periodic/recall/recare, limited, emergency, screening

Question 6

The _____ _____ can be modified to most effectively address the needs of the pt (CC)

Answer 6

diagnostic method

Question 7

The diagnostic method can alter

Answer 7

the amount of diagnostic information collected initially and the scope of diagnostic decisions made by the clinician

Question 8

Chief Complaint/Chief Concern

Answer 8

Such as pain, acute infection , bleeding or traumatic unjust require immediate attention.
Can also be a request for less urgent care.
Patients may report several complaints, which are listed in order of priority, as stated by the patient

Question 9

Comprehensive dental diagnosis (initial Dx. IOE)

Answer 9

Most extensive diagnostic assessment.
Appropriate for the patient who requests total dental care and has not been evaluated previously.
For patient of record who has not been seen in several years (3-5).
For patient of record who has had major change in medical/dental history

Question 10

Physical exam and assessment

Answer 10

this starts the minute you see the patient

Question 11

Detailed medical history

Answer 11

systemic disease, surgeries, current medications (both Rx & OTC), allergies. Est ASA class

Question 12

Intra/Extra oral evaluation & perioral conditions

Answer 12

Always necessary

Question 13

Dental radiographs

Answer 13

What do you need - FMXR vs Pano & BWX

Question 14

Diagnostic casts

Answer 14

Do you need these?

Question 15

Comprehensive Dental Diagnosis - value of

Answer 15

The data reflects the patient’s initial status, which serves for comparison later in assessing treatment effectiveness.
Requires considerable time, but it reliably provides a sound diagnostic foundation for comprehensive dental care.
Protects the clinician by documenting the patient’s initial status if treatment complications lead to accusations of sub-standard care.

Question 16

Periodic (recall) diagnosis

Answer 16

Appropriate for a patient who requests total dental care when the results of a prior comprehensive dental diagnosis are available.
Assumption is that a portion of past information is still accurate but other aspects of the patient’s medical/dental history may have changed.
Usually is a 6-month interval

Question 17

Periodic Diagnosis: Goal is to identify the conditions that have ______ & ______ the prior database so that it reflects the patient’s current status

Answer 17

Changed and supplement

Question 18

Periodic Diagnosis: May be as simple as asking patient if there has been any changes since the _____ ______

Answer 18

last appointment (this always good practice regardless of the time interval)

Question 19

Periodic Diagnosis: May be as complex as ______ most of the comprehensive dental diagnosis

Answer 19

repeating

Question 20

Periodic Diagnosis: The updates _______ the dentist with the patient’s original conditions and provides the new findings for comparison

Answer 20

refamiliarize

Question 21

Diagnosis of a specific problem - (limited exam) problem focused

Answer 21

The is frequently asked to provide an opinion concerning a specific problem. For a recently evaluated patient (second opinion). The SOAP eval is an effective approach to such situations if the available diagnostic database is current and accurate. SOAP form is in axium

Question 22

Diagnosis of a specific problem - (limited exam) problem focused

Answer 22

The is frequently asked to provide an opinion concerning a specific problem. For a recently evaluated patient (second opinion). The SOAP eval is an effective approach to such situations if the available diagnostic database is current and accurate. SOAP form is in axium

Question 23

CC:

Answer 23

The reason for the eval is briefly stated.

Question 24

Subjective

Answer 24

Information or symptoms of the condition as supplied by the patient. Patient’s chief concern or complaint. It is recorded in the patient’s own words.

Question 25

Objective

Answer 25

Or physical findings of the clinician. Includes visual findings, periodontal assessment, clinical tests (percussion, palpation vitality tests)

Question 26

Analysis

Answer 26

Or clinical impression of the condition by the clinician. This is the diagnosis.

Question 27

Plan

Answer 27

Or recommended management of the problem. May be specific treatment, referral, or dismissal of the condition as clinically insignificant.

Question 28

Emergency Diagnosis

Answer 28

Designed to manage a CC such as pain, bleeding, or acute infection that requires immediate attention.

Question 29

The _____ ________ ______ is sacrificed in the interest of providing attention to the urgent problem.

Answer 29

comprehensive diagnostic evaluation

Question 30

Designed to manage a ____ _____ such as pain, bleeding, or acute infection that requires immediate attention

Answer 30

chief complaint

Question 31

______ _________ can be demanding because the patient’s concern of the “CC” can interfere with obtaining an adequate patient history

Answer 31

Emergency diagnosis

Question 32

Screening Diagnosis

Answer 32

Answers a specific question about the pt.
Eval is limited to obtaining the info needed to answer the question without accepting comprehensive diagnosis or tx responsibility for the pt.
Institutions often reply on this to determine the pt general dental tx needs

Question 33

Symptom

Answer 33

Any bodily change perceptible to the pt

Question 34

Sign

Answer 34

Any bodily change which is perceptible to a trained observer

Question 35

Pain is the ______ _______ _______ arising in the mouth, face, and neck area

Answer 35

most common symptom

Question 36

Most common reason for emergency appointments is

Answer 36

pain

Question 37

Pain is _______ and unlike an ulcer, there may be nothing to assess visually

Answer 37

Subjective

Question 38

A _______ needs to be a good listener and have good follow up questions

Answer 38

Dentist

Question 39

Diagnosis of pain questions

Answer 39

How would you describe the pain?
Dull/throbbing
Sharp/stabbing
Burning
When did you first notice it?
Is the pain continuous or does it go away? How long does it last?
Does it wake u up at. night?
Has it gotten better/worse or stayed the same?
Anything make it worse? Anything make it better?
Have you taken anything for the pain?
Pain arising from pathology is usually unilateral

Question 40

Other symptoms

Answer 40

Swelling, discharge, bad taste, bas breath, elevated temp, malaise or cervical lymphadenopathy may indicate infective orgin

Question 41

People don’t care how much you know, until they know

Answer 41

how much you care

Question 42

The goal is to have the patient _______ ______ ______ ________

Answer 42

in the first few minutes. Listen and learn about them, and use key questions to frame the conversation around dentistry