Week 1

Question 1

What are the 4 components of a physical evaluation?

Answer 1

Medical History Questionaire
Dialogue History
Physical examination (including vitals)
Assessment risk

Question 2

What is the intent of the information on the pink medical history sheet?

Answer 2

TO identify medical problems that may modify or preclude dental treatment, or require special management

Question 3

For items that require a ‘yes’ answer on the medical history, what should go with it?

Answer 3

A written clarification that includes the date the problem occurred and/or was resolved, and the disposition of the problem (if it will factor in dental treatment)

Question 4

What are the 4 items that should go in a patient’s biological data?

Answer 4

Age
Ethnicity
Gender
Occupation

Question 5

What is the difference between chief complaint, and the present illness?

Answer 5

Chief complaint = patient’s own words
Present illness = more detailed description of patient’s chief complaint (tooth/area, onset, duration, severity, able to get relief)

Question 6

What is the abreviation to indicate that patient has no known drug allergies?

Answer 6

NKDA

Question 7

How do you correct an error in a patient record?

Answer 7

Draw a single straight line through the error, and provide initials, date, and add the correction.
NEVER ERASE!