Gen Path Final - Intersection of Systemic Health and Dentistry

Question 1

What disease has the following risk factors?

Diet/poor nutrition
Lack of activity
Tobacco
Excessive alcohol/substance use

Answer 1

Chronic disease

Question 2

ABC approach to pt eval

Answer 2

ABs
Analgesics
Anesthesia
Anxiety
Bleeding
Breathing
BP
Capacity to tolerate care
Drugs
Devices
Equipment
Emergencies
Post-op care
Follow-up

Question 3

Increased risk for MI, arrhythmias, acute heart failure, or sudden death

Answer 3

Heart failure

Question 4

Vasoconstrictors may need to be avoided

Answer 4

Heart failure
MI

Question 5

No elective dental care in immediate post-infarction period

Answer 5

MI

Question 6

May not be a candidate for elective dental tx if unstable or severe

Answer 6

Angina

Question 7

Care deferred for pts if severe or uncontrolled due to increased risk of stroke

Answer 7

Hypertension

Question 8

Caution in use of vasoconstrictors

Answer 8

Hypertension
Stroke

Question 9

Increased bleeding risk, even from SRP

Answer 9

Hemophilia or inherited bleeding disorder

Question 10

Need to determine risk for post-op bleeding; lab test + med consult may be necessary

Answer 10

Taking blood thinner

Question 11

Avoid elective tx in immediate post-stroke period

Answer 11

Stroke

Question 12

Caution w/ anticoagulants and antiplatelets

Answer 12

Stroke

Question 13

Patient may not be able to take aspirin, NSAIDs, or certain antibiotics

Answer 13

Stomach/intestinal ulcer
Gastritis
Colitis

Question 14

Prolonged bleeding; less efficient metabolism of some drugs (including LA and analgesics)

Answer 14

Impaired liver function (hepatitis, liver disease, jaundice, cirrhosis)

Question 15

Identify precipitating factors; determine severity of condition; bring albuterol to appt

Answer 15

Asthma

Question 16

Avoid medications that further depress respiratory function; chair position may be a limitation during treatment; rubber dam may not be tolerated; opportunity for smoking cessation discussion

Answer 16

Emphysema
Chronic bronchitis

Question 17

Delay dental tx

Answer 17

Contagious respiratory infection

Question 18

Understand severity and control; oral complications if poorly controlled; risk of hypoglycemia if taking insulin

Answer 18

Diabetes

Question 19

Vasoconstrictors contraindicated if uncontrolled

Answer 19

Hyperthyroidism

Question 20

Abnormal drug metabolism; bleeding problems if patient is on hemodialysis

Answer 20

Chronic kidney disease

Question 21

Quantity of use; duration; are they interested in cessation? (encouragement, connection with resources)

Answer 21

Tobacco/alcohol use

Question 22

Pts with IV drug use are at increased risk of what 4 infections?

Answer 22

Hep B
Hep C
HIV
IE

Question 23

Vasoconstrictors avoided in patients with cocaine or methamphetamine use because they can precipitate what 3 things?

Answer 23

Arrhythmia
MI
Severe hypertension

Question 24

Patients with cancer history have risk of _______________

Answer 24

recurrence

Question 25

Cancer therapy may result in what 6 oral symptoms?

Answer 25

Infection Gingival bleeding Ulcer Xerostomia Mucositis Impaired healing

Question 26

What may increase the risk of surgical procedures in pts undergoing cancer tx?

Answer 26

Radiation to jaw Bisphosphonates

Question 27

May limit a patient’s ability to mount an adequate response to stress of an infection or invasive dental procedure

Answer 27

Corticosteroid use