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

Answer 2

study of disease and treatment of illness

Question 3

types of clinical examinations

Answer 3

comprehensive dental diagnosis
periodic/recall/recare diagnosis
emergency diagnosis
screening diagnosis

Question 4

such as pain, acute infection, bleeding, or traumatic injury require immediate attention

Answer 4

chief complaint/chief

Question 5

chief complaint/chief concern can also be a request for (less/more) urgent care)

Answer 5

less

Question 6

patients may report several complaints, which are listed in order of priority as stated by the

Answer 6

patient

CC

Question 7

most extensive diagnostic assessment

Answer 7

comprehensive dental diagnosis- (inital Dx, IOE)

Question 8

comp dental diagnosis is appropriate for the patient who requests total dental care and has

Answer 8

not been evaluated previously

Question 9

for patient of record who has not been seen in several years 3-5 or patient of record who has had major change in medical/dental history

Answer 9

comp

Question 10

this starts the minute you see the patient

Answer 10

physical exam and assessment

Question 11

systemic diseases, surgeries, current medications (both Rx and OTC) allergies
establish ASA class

Answer 11

detailed medical history

Question 12

intra/extra oral evaulation and perio/periodontal conditions

Answer 12

com dental diagnosis

Question 13

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

Answer 13

periodic (recall) diagnosis

Question 14

assumption is that a portion of past info is still accurate but other aspects of the patient’s medical/dental history may have changed

usually 6 month interval

Answer 14

periodic (recall) diagnosis

Question 15

goal is to indentify the conditions that have changed and supplement the prior database so that it reflects the patient’s current status
may be as simple as asking any changes
may be as difficult as repeating comp diagnosis

Answer 15

periodic diagnosis

Question 16

if a different clinician conducted the original diagnosis, the current dentist:

of prior data and record current findings prior to diagnostic decisions

also like doing a comp

Answer 16

must confirm the accuracy

(periodic diagnosis)

Question 17

dentist is frequently asked to provide an opinion concerning a specific problem

for recently evaluated patient (second opinion)

diagnosis of specific problem

Answer 17

limited exam

Question 18

effective approach to such situations in the available diagnostic database is current and accurate

Answer 18

SOAP evaluation

Question 19

diagnosis of a specific problem (problem focused)

Answer 19

SOAP

Question 20

the reason for the evaluation

Answer 20

chief complaint

Question 21

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

Answer 21

subjective S

Question 22

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

Answer 22

objective

Question 23

clinical impression of the condition by the clinican
this is diagnosis

Answer 23

analysis

Question 24

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

Answer 24

plan

Question 25

designed to manage a chief complaint such as pain, bleeding, or acute infection that required immediate attention

Answer 25

emergency diagnosis

Question 26

comprehensive diagnosis eval is sacrificed in interest of providing attention to the urgent problem

Answer 26

emergency diagnosis

Question 27

answers SPECIFIC QUESTION

Answer 27

about the patient

Question 28

evaluation is limited to obtaining the information needed to answer the question without accepting comp or treatment responsibility for the patient

Answer 28

screening diagnosis

Question 29

institutions often rely on this to determine the patient’s general dental treatment needs

Answer 29

screening diagnosis

Question 30

most common symptom arising in the mouth, face and neck

Answer 30

pain

Question 31

most common reason for emergency appts

Answer 31

pain

Question 32

diagnosis of pain:

Answer 32

how would you describe pain?
when did you first notice it?
is the pain continuous or does it go away?
does it wake you 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 33

pain arising from pathology is usually:

Answer 33

unilateral

Question 34

may indicate an infective orgin

Answer 34

malaise or cervical lymphadenopath