History & Examination of the Adult Patient Flashcards Preview

BDS 2: Adult Restorative > History & Examination of the Adult Patient > Flashcards

Flashcards in History & Examination of the Adult Patient Deck (37)
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1

What are the 6 principles of patient examination?

- History
- Clinical examination
- Provisional/Differential diagnosis
- Special/Further investigations
- Definitive diagnosis
- Treatment options

2

What is the importance of screening forms? (3)

- Enable a logical and structured series of questions to be asked
- Ensure no area is omitted
- Enables history to be distilled into key factors

3

What information needs to obtained from the history element in patient assessment? (6)

- Personal Information
- Complaining of (CO)
- History of Presenting Complaint (HPC)
- Medical History (MH)
- Past Dental History (PDH)
- Social History (SH)

4

What will you obtain from personal information when taking a patient history (4)

- Patient Name (Introduction)
- DOB (as patients have similar names)
- Contact details (for appointments)
- Audit trail to clinic/student

5

What are some common presenting complaints?

- No complaint
- Pain
- Swelling
- Bleeding gums
- Broken tooth
- Lost crown/filling
- Loose dentures
- Remember non-dental

6

What is the main difference between signs and symptoms?

- Signs are objective evidence of disease, something that is detectable by you

- Symptoms are subjective evidence of disease, something that is experienced by the patient

7

What does the pain history SOCRATES stand for?

- Site
- Onset
- Character
- Radiation
- Associations
- Time course/pattern
- Exacerbating factors
- Severity (pain scale 1-10)

8

Why is it important to take a medical history during an appointment? (3)

- Underlying Medical Conditions that may affect this appointment (emergency)
- Underlying Medical Conditions that may affect presenting complaint
- Underlying Medical Conditions that may affect treatment planning

9

Describe what you would find on a medical history pro forma (6)

- Patient Identifier
- Organ Systems check
- Details of diagnoses
- Relevant dates
- Medications
- Social history

10

What is audit C?

- Assesses alcohol assumption
- 3 questions
- Scores 0-4
- Overall score determines advice

11

What 'admin' needs ti be completed with a medical history pro forma?

- Signed & dated by Patient
- Signed & dated by Clinician
- Checked, Signed & dated by Clinician at each appointment

12

What is included in a past dental history? (3)

- Attendance
- Treatments
- Oral health regime

13

What are relevant questions to ask about attendance during a dental history? (6)

- Last visit?
- How often attend?
- Regular/Irregular?
- Pain only?
- Registered with GDP?
- Anxiety levels?

14

What are relevant questions to ask about treatments during a dental history? (7)

- Previous fillings?
- Experience with LA?
- Extractions?
- Root Canal Therapy?
- Crowns/Bridges?
- Implants?
- Orthodontics?

15

What are relevant questions to ask about Oral health regime during a dental history? (6)

- How often?
- Manual/Electric?
- Type electric?
- Type of Toothpaste?
- Interdental Cleaning?
- Mouthwash & Timing?

16

What do you include in your history taking in the social history section? (4)

- Occupation
- Family situation
- Brief diet analysis
- Repetition of smoking and Audit C

17

What needs to be included during an extra oral examination? (5)

- Temporomandibular Joint
- Facial Symmetry
- Lymph nodes
- Lips
- Swellings

18

During a soft tissue intra oral examination what abnormalities should you look out for? (5)

- Type
- Colour
- Location
- Surface texture
- Consistency

19

During a soft tissue intra oral examination what should you examine? (5)

- Labial, buccal and vestibular mucosa
- Hard & Soft Palate
- Oropharynx & Fauces
- Floor of Mouth
- Tongue

20

What appearances in the gingival tissues should you look for during a intra oral examination?

- Pink & Healthy?
- Red & Swollen?
- Bleeding?

21

What are the 4 main causes of tooth surface loss?

- Erosion
- Abrasion
- Attrition
- Abfraction

22

What is a Class I molar relationship?

Distobuccal cusp of the lower molar meets the mid buccal groove of the upper molar

23

What is a Class II molar relationship?

How does this differ from Class I?

- Mesiobuccal cusp of the lower molar meets the mid buccal groove of the upper molar

- Further back than Class I

24

What is a Class III molar relationship?

How does this differ from Class I?

- Mesiobuccal cusp of the lower molar meets the distobuccal groove of the more distal upper molar

- Further forward than Class I

25

What is a Class I incisal relationship?

Lower incisor meets the mid 1/3 of the cingulum of the upper incisor

26

What is a Class II incisal relationship?

Lower incisor meets behind mid 1/3 of the cingulum of the upper incisor

27

What is a Class III incisal relationship?

Lower incisor meets infront 1/3 of the cingulum of the upper incisor

28

What is a lateral excursion?

When the jaw moves to the left or right

29

What is a profusive excursion?

When the jaw moves forward

30

What is a provisional diagnoses?

A diagnosis/es that a clinician has yet to commit to as requires further information