Exam 2 Flashcards by Aliyah Bennett

What are the types of questions on a questionnaire?

System oriented
Disease oriented
Symptom oriented
Culture oriented

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What are the types of medical consultations?

Phone or personal contact
Written report
Referrals

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What medicine is associated with Angina?

Nitroglycerin

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What is GERD?

Gastroesophogeal reflux disease

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What should you evaluate if patient presents with GERD?

Enamel for erosion

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What can you NOT have with Celiac disease?

Gluten

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What is antibiotic prophylaxis used for?

To prevent bacteremia

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What is bacteremia?

Bacterial infection in blood

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What is international normalized ratio used for?

To evaluate the clotting time of blood

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What is the international normalized ratio necessary for?

Patients taking blood thinners

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What are some blood thinners?

Warfarin
Coumadin
Jantoven

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What does a patients INR have to be in order to receive dental treatment?

<3.5

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How many months between teeth cleanings?

6 months

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What should patients with allergies carry on them?

EpiPen

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Who do pregnant women need clearance from to have extensive dental treatment done?

Obstetrician

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What covers a dead tooth?

Crown

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Titanium screws that go through tooth and into maxillae and mandible

Dental implant

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Crowns fused together when tooth is extracted

Bridge

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When teeth move towards front of mouth

Mesial drift

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Mental framework with false tooth snapped into place

Partial denture

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Crown with metal wings on lingual surface of false teeth to keep them together

Marilyn bridge

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What are the ways of medical consultation?

Phone or personal contact
Written report
Referals

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What are some examples of patients who will need to be asked additional information or have consultations done prior?

Chemotherapy
Joint replacement
Uncontrolled diabetic
Bleeding disorder
Possible cardiac condition

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What cardiac conditions require antibiotic prophylaxis before invasive dental treatment?
HINT: PHCH

Prosthetic heart valves
History of infective -
endocartitis
Congenital heart disease
Heart transplants with heart
valves

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What categories of congenital heart disease require antibiotic prophylaxis before dental treatment? HINT: UCR

- Unrepaired cyanotic congenital heart disease - Completely repaired congenital heart disease with prosthetic material for the first 6 months after surgery - Repaired congenital heart disease with residual defects

What dental procedures need antibiotic prophylaxis? HINT: MRP

- Manipulation of gingival tissue - Root canals - Perforation of oral soft tissue

What dental procedures do NOT need antibiotic prophylaxis? HINT: LDPP

- Local anesthetic injections in healthy tissue - Dental radiographs - Placement of removable prosthesis or orthodontic appliances - Placement of orthodontic brackets

What are the different ways to take a temperature?

Oral Temporal Tympanic

What can high temperatures indicate?

Infections

When is body temperature usually the highest?

Late afternoon, early evening

When is body temperature usually the lowest?

Early morning, when sleeping

What is a normal temperature?

98.6 degrees F

What is normal temperature range?

97-99 degrees F

What does Pyrexia mean?

Fever

What temperature indicates Pyrexia?

99.5 or higher

What temperature indicates Hyperthermia?

Greater than 104 degrees F

What temperature indicates Hypothermia?

Below 96 degrees F

What is a child's temperature in their first year?

99 degrees F

What is a child's temperature at age 12?

98 degrees F

What factors affect body temperature?

Time of day Temporary increase Pathologic Hemorhage or shock

What oral conditions may pregnant women be more at risk for?

Gingivitis Dental caries Periodontal disease

What has been linked through research to lower babies birth weights?

Periodontal disease

Periodontal treatment during pregnancy reduces the risks of what?

Perinatal mortality Preterm birth Improves birthweight

If prescribed to take antibiotic prophylaxis before dental treatment, when should it be taken?

One dose 30-60 minutes before procedure

What medicine agent is taken for an oral procedure?

Amoxicillin

How much Amoxicillin should be taken by an adult having an oral procedure?

2 grams

How much Amoxicillin should be taken by a child having an oral procedure?

50 mg/kg

What medications can be taken if allergic to penicillin or ampicillin-oral?

Cephalexin Azithromycin (clarithromycin) Doxycycline

How much Cephalexin should be taken by an adult allergic to penicillin or ampicillin-oral?

2 grams

How much Cephalexin should be taken by a child allergic to penicillin or ampicillin-oral?

50 mg/kg

How much Azithromycin (clarithromycin) should be taken by an adult allergic to penicillin or ampicillin-oral?

500 mg

How much Azithromycin (clarithromycin) should be taken by a child allergic to penicillin or ampicillin-oral?

15 mg/kg

How much Doxycycline should be taken by an adult allergic to penicillin or ampicillin-oral?

100 mg

How much Doxycycline should be taken by a child allergic to penicillin or ampicillin-oral?

<45 kg, 2.2 mg/kg >45 kg, 100 mg

What is the adult range for a pulse?

60-100 beats per minute

What is a child's pulse rate at birth?

130

What is tachycardia?

Rapid heartbeat >100 beats per minute

What is bradycardia?

Slow heartbeat <50 beats per minute

What can cause tachycardia?

Exercise stimulants nervousness

What can cause bradycardia?

Depressants Fasting Sleeping

What are the pulse sites?

Radial artery Brachial artery Carotid artery Temporal artery

What is the radial artery?

ventral side of wrist

Where is the brachial artery?

In forearm

Where is the carotid artery?

Neck

What is the adult range of respiration?

12-20 per minute

What is a child's respiration in their first year?

30 per minute

What factors can increase respiration?

Exercise Excitement Nervousness Hemorrhage Shock

What factors can decrease respiration?

Sleep Drugs

Force exerted by the blood on the blood vessel walls

Blood pressure

Sustained abnormal elevation of blood pressure

Hypertension

Abnormally low blood pressure

Hypotension

What are hypertension risk factors?

Cardiovascular disease Stroke Kidney failure

Highest pressure caused by ventricular contraction < 120mm Hg

Systole phase or systolic pressure

Lowest pressure caused by ventricular relaxation < 80mm Hg

Dyastole phase or diastolic pressure

What is auscultation?

Listening for body sounds

When you can no longer feel a radial pulse while taking blood pressure

Maximum inflation level

What are the rates of a hypotension and postural hypotension blood pressue?

Systolic <90 Diastolic <60

What are the rates of a normal/normotensive blood pressure?

Systolic <120 Diastolic <80

What are the rates of a elevated blood pressure?

Systolic 120-129 Diastolic <80

What are the rates of a stage 1 hypertensive blood pressure?

Systolic 130-139 Diastolic 80-89

What are the rates of a stage 2 hypertensive blood pressure?

Systolic - greater than or equal to 140 Diastolic - greater than or equal to 90

What are the rates of a hypertensive crisis blood pressure?

Systolic >180 Diastolic >120

Exam 2 Flashcards

(82 cards)