FINAL Flashcards

(83 cards)

1
Q

What do you use to remind a deaf patient of there appointment?

A

Use the state telecommunication relay service to all a deaf patient directly with appointment reminders. This service allows individuals with hearing and speech impairments to place and receive telephone calls.

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2
Q

Always announce absence in the case of a blind person you may also have to

A

fill out paperwork

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3
Q

Legal blindness is defined as having central vision of no more than

A

20/200 in the better eye with correction (glasses) or having peripheral fields side vision of no more than 20 degree diameter.

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4
Q

Although visual modes of communication provide a primary method of communication with most individuals, audible and touch approaches are essential for the person with visual impairment.

A

true

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5
Q

double vision perception of two images of a single object

A

diplopia

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6
Q

The Ada specifies that communications with individuals with hearing and vision impairments need to be as effective as communications with non impaired people, and appropriate —— aids must be provided

A

auxillary

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7
Q

What are reasons for ill fitting dentures in the critically ill?

A

weight loss

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8
Q

What are contraindications for patients with dry mouth.

A

Elderly patients usage of alcohol rinse.

Some patients have to close there mouths more often.

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9
Q

The role of the dental hygienist for a unconscious patient is

A

Evaluate patients oral care needs
plan and conduct an oral health in service program for nursing staff or other care givers
include hands on demonstration and practice in training
motivate the caregiver to provide daily car

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10
Q

When would you use a portable headrest on the back of a wheel chair?

A

When you cannot transfer the patient

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11
Q

How many visits should be scheduled for a homebound difficult patient

A

as many as needed

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12
Q

Objectives of care for a hospice patient for the dental hyg. would be

A

Provide intra oral extra oral screening to triage patients who need treatment by a dentist
assist in preventing further complication of the patients health status by identifying oral infections and other problems
provide routine screening to detect lesions that may be pathological particularly those that may be early cancer
provide treatment and education interventions to prevent dental caries and periodontal infection that require extensive treatment
encourage adequate daily personal oral care whether performed by the patient or caregiver
provide palliative care for the individual with short ended life span

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13
Q

When providing patient care in any situation the rule is

A

know before you go

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14
Q

Before going to a hospice patient

A

provide medical history form in advance for patient to complete and return

monitor medication lists carefully especially when the patient takes multiple prescription or over the counter preparation

telephone before visit to clarify responses or ask questions

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15
Q

Dealing with homebound patient you must consider

A

patients age, chronic medical conditions, medications, disability, or physical limitation.

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16
Q

Where do homebound patients usually reside?

A

Group homes, nursing homes

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17
Q

What mouth rinse should be used after surgery?

A

Salt water

do not rinse for 24 hours after surgery
warm salt water 1/2 teaspoon full in 1/2 cup warm water after toothbrushing and every 2 hours

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18
Q

Platinum mesh is not used

A

for the immobilization of the tooth

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19
Q

A ——- is classified by using a combination of descriptive words for its location direction nature and severity

A

fracture

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20
Q

fractures may be

A

single multiple bilateral or unilateral complete or incomplete

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21
Q

—– has no communication wit outside

A

simple

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22
Q

—— has communication with outside

A

compound

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23
Q

—– is shattered

A

comminuted

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24
Q

“Green stick” fracture has one side of a bone broken and the other side bent.

A

incomplete

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25
incomplete fractures usually occur in
incomplete calcified bones (young children usually)
26
in incomplete fractures the fibers
tend to bend rather than break
27
Mandibular described by location
``` alveolar process condyle angle body sympysis ```
28
The alveoloar process fracture does not extend to
the midline of the palate
29
The le fort classification is used widely to identify the three general levels of
maxillary fractures
30
A horizontal fracture line that extends above the roots of the teeth above the palate across the maxillary sinus below the zygomatic processand across the pterygoid plates
le fort 1
31
the midface fracture extends over the middle of the nose down the medial wall of the orbits across the infraorbital rims and posteriorly across the pterygoid plates
le fort 2
32
the high level craniofacial fracture exends transversely across the bridge of the nose, across the orbits and the zygomatic arches and across the pterygoid plates
le fort 3
33
a combination of two levels is also possible such as rigt le fort 1 and le fort 2
le fort combination
34
What clinical signs may a patient present with a fractured jaw
pain displaced teeth irregular occlusion muscle spasms
35
promotion of healing food wise
proteins vitamins particularly vitamin a vitamin c and riboflavin
36
What is a essential for building gingival tissue resistance
a varied diet that includes adequate portions of all essential food groups
37
When a patient has not been able to masticate properly the diet employed frequently may have included intake of
soft and cariogenic foods frequent sugary snacks intake of high sucrose energy beverages
38
fractures are described in four descriptive words
location severeity nature direction
39
Intermaxillary fixation would not work for patients who
have chronic airway diseases who cough and expectorate patients who vomit alot dietary problems patients lose weight with liquid, motonous diet
40
What is an open reduction used for?
to bring fractured parts together ``` anatomic reduction functionally stable fixation atraumatic surgical technique active function prevention of infection ```
41
How long does it take for a uncomplicated mandibular fracture to heal
6 weeks if uncomplicated max take 4-6 weeks
42
A compound fracture has
an exposed bone
43
Greenstick fracture has
a fractured cortex or bent cortex
44
There is a simple ---- and compound -----
comminuted fracture
45
What is preferred way to stop bleeding post surgery at home?
bite on a tea bag or pressure gauze
46
Risk factors that cause clefting
tobacco use alch. use teratagenic agents phenytoin vitamin a corticosteroids drugs of abuse greaer than 40 years maternal lack of prenatal care inadequate diet vitamins def folic acid deficiency
47
incidence of multiple congeinatl anomalies is high wit
cleft lip or palate in more than 300 disorders cleft lip cleft palate or both represent one feature of a syndrome.
48
What weeks does the cleft palate lips form during gestation
lips 4-8 weeks palate 6-12
49
a prosthesis designed to close a congenital or an acquired opening such as a cleft of the hard palate
obturator device allowing them to eat
50
Classes of cleft lip/palate
Class 1- cleft of the tip of the uvula Class 2- cleft of the uvula (bifid uvulua) Class 3-Cleft of the soft palate Class 4-cleft of the soft and hard palates Class 5- cleft of the soft and hard palates that continues throug the alveolar ridge on one side of he premaxilla usually associated with cleft lip on same side class 6- cleft of the soft and hard palates that continues through the alveolar ridge on both sides leaving a free premaxilla usually associated with bilateral cleft lip Class 7- submucous cleft in which the muscle union is imperfect across the soft palate . The palate is short the uvula is often bifid a groove is situated at the midline of the soft palate and the closure to the pharynx is incompetent.
51
A cleft lip becomes apparent by the end of te
second month in utero
52
if a child has a cleft lip / palate on same side/one side
it is a class 5
53
Incomplete fusion of the maxillary process and globular is what causes
cleft lip
54
oral manifestations of cleft palate
maloclusion mouth breathing poorly formed teeth
55
bone grating is associated with
alveolar graft/ palatal tissue
56
Best time to start ortho on cleft can be completed when
there is mixed dentition, it does not matter what is erupted routine cleaning and fl.
57
Cleft palate recall in
3-4 months
58
steer people away from dietary wise
soft foods because they are carbs
59
Shadowing of the bone fracture
compound and commuted
60
how many times a day do you clean a unconscious patient
3 times | short term pallative care
61
Never give a patient with dry mouth
lemon
62
What is used to call a deaf patient directly with appointment reminders This service allows individuals with hearing and speech impairments to place and recieve phone calls
telecommunication relay service
63
a cleft palate is evident by the end of the
third month
64
Highest rates of cleft lips are in
asians and native americans 1 in 500 births
65
the dental hyg may participate in suture removal irrigation of sockets and other postsurgical procedures when the patient returns
true
66
is accomplished by applying wires and or elastic bands between the maxillary and mandibular arches
IMF intermaxillary fixation
67
Two special bone screws are placed via skin incsions on either side of the fractures . An acrylic bar is molded and while still is pliable is pressed over the threads of the bone screws and locked onto position with the screw nuts
External skeletal fixation
68
area freely accessible to all without discrimination on the basis of a disabillity obstacles to passage or communication have been removed
barrier free
69
The ada defines an individual with a disability as a person who
has a physical or mental impariment that substantially limits one or more major life activities has a record of such impairments or is regarded as having such impairment
70
hereditary conditions that manifest symtpoms before age 21
developmental
71
cause by chronic disease such as multiple schleroiss acute medical conditions such as stroke or trauma spinal chord injury
accquired
72
usually after age 65 and related to a chronic health condition such as arthritis or parkinsons
age associated
73
some types of impairment can manifest as a stable condition other may cause progressive disability
true
74
an estimated 8 percent of individuals 16-64 and almost 6 percent of children 5-15 are affected by a disability and the number
is increasing
75
as life expectancy increases so does the likelihood of
acquiring a disability
76
a ---- foot wide walkway is needed for wheelchair
3
77
additional features are need for other specific disabilities for example
braile floor indicators can be installed beside the numbers on elevators or doorways
78
doorways are atleast
32 inches wide
79
the dental chair is able to lower
19 incches from floor and accessible from both sides
80
Level 0
high functioning can do most anything by themselves
81
Level one and two
moderate | capable of carrying out a least part of there oral hyg needs but require training
82
level 3
low functioning unable to attend there own care
83
a person who cannot hear as well as someone with normal hearing is referred to as
hearing loss