Types of Clinical Examinations

Question 1

the foundation of any form of successful treatment is_____

Answer 1

accurate diagnosis

Question 2

diagnosis is the bridge between the______

Answer 2

study of disease and the treatment of illness

Question 3

what are the types of clinical exams

Answer 3

• comprehensive dental diagnosis
• periodic/recall diagnosis
• diagnosis of a specific problem
  -emergency diagnosis
• screening diagnosis

Question 4

the diagnostic method can be modified to most effectively ____

Answer 4

address the needs of the patient

Question 5

what is the chief complaint

Answer 5

-pain, acute infection, bleeding, trauma require immediate attention
- request for less urgent care

Question 6

patients may report several complaints which are listed in order of priority _____

Answer 6

as stated by the patient

Question 7

what is the most extensive diagnostic assessment

Answer 7

comprehensive dental diagnosis

Question 8

when is comprehensive dental diagnosis appropriate

Answer 8

-for the patient who requests total dental care and has not been previously evaluated
-for the patient who has not been seen in several year (3-5)
- for the patient of record who has had major change in medical/dental history

Question 9

when does the physical exam and assessment start

Answer 9

the minute you see the patient

Question 10

what does a comprehensive dental diagnosis include

Answer 10

-physical exam and assessment
- detailed medical history
- intra/extra oral evaluation and perioral conditions
-dental radiographs
- diagnostic casts

Question 11

what does a detailed medical history include

Answer 11

systemic diseases, surgeries, current meds, allergies, establish ASA class

Question 12

what is the value of comprehensive dental diagnosis

Answer 12

the data collected reflects the patients initial status which serves for comparison later in assessing treatment effectiveness

Question 13

how does the comprehensive dental diagnosis protect the clinician

Answer 13

by documenting the patients initial status if treatment complications lead to accusation of sub standard care

Question 14

when is periodic (recall) diagnosis appropriate

Answer 14

-for a patient who requests total dental care when the results of a prior comprehensive dental diagnosis are available

Question 15

what are you assuming by doing a periodic diagnosis

Answer 15

the portion of past information is still accurate but other aspects of the patients medical/dental history may have changed

Question 16

how often are periodic diagnosis done

Answer 16

usually 6 month interval

Question 17

what is the goal of the periodic diagnosis

Answer 17

to identify the conditions that have changed and supplement the prior database so that it reflects the patients current status

Question 18

periodic diagnosis may be as simple as _____

Answer 18

asking patient if there has been any changes since the last appointment

Question 19

periodic diagnosis may be as complex as _____

Answer 19

repeating most of the comprehensive dental diagnosis

Question 20

what does the periodic diagnosis do for the dentist

Answer 20

refamiliarizes the dentist with the patients original conditions and provides the new findings for comparison

Question 21

what must the current dentist do if a different clinician conducted the original diagnosis

Answer 21

confirm the accuracy of prior data and record current findings prior to diagnostic decisions

Question 22

when is the diagnosis of a specific problem (limited exam) done

Answer 22

for a recently evaluated patient the dentist is asked to provide an opinion concerning a specific problem

Question 23

what evaluation is effective for limited exams

Answer 23

SOAP evaluation

Question 24

what is the S of SOAP

Answer 24

subjective: information or symptoms of the condition supplied by the patient. patients chief concern of complaint recorded in the words of the patient

Question 25

what is the O of SOAP

Answer 25

objective: physical findings of the clinician. includes visual findings, periodontal assessment, clinical tests

Question 26

what is the A of SOAP

Answer 26

analysis: or clinical impression of the condition by the clinician. this is the diagnosis

Question 27

what is the P of SOAP

Answer 27

plan: or recommended management of the problem. may be specific, treatment, referral or dissmissal of the condition as clinically insignificant

Question 28

what is an emergency diagnosis designed to do

Answer 28

manage a chief complaint such as pain bleeding or acute infection that requires immediate attention

Question 29

in the emergency diagnosis, the comprehensive diagnostic evaluation is sacrificed in the _____

Answer 29

interest of providing attention to the urgent problem

Question 30

what is the most limited in the aspects to the chief complaint in the emergency diagnosis

Answer 30

the physical exam

Question 31

why can the emergency diagnosis be demanding

Answer 31

because the patients concern of the chief complaint can interfere with obtaining an adequate patient history

Question 32

what is the most common symptoms in the mouth, face and neck area

Answer 32

pain

Question 33

what is the most common reason for emergency appointments

Answer 33

pain

Question 34

pain is ____ and there may be _____

Answer 34

subjective, nothing to assess visually

Question 35

what questions do you ask in the diagnosis of pain

Answer 35

-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 you up at night?
-has it gotten better or worse or stayed the same?
-anything that makes it better or worse?
- have you taken anything for the pain?

Question 36

pain arising from pathology is usually _______

Answer 36

unilateral

Question 37

what are other symptoms of infection

Answer 37

swelling
-discharge
- bad taste
-bad breath
- elevated temperature
- malaise
-cervical lymphadenopathy