lecture 1

Question 1

ASA 1

Answer 1

Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80

Question 2

ASAII

Answer 2

Mild systemic disease, well-controlled chronic conditions, healthy pregnant woman, Prehypertension & Stage 1 hypertension

Question 3

ASA III

Answer 3

Systemic disease that limits activity but no incapacitating, must stop en route walking one flight of stairs, chronic cardio conditions, controlled insulin dependent diabetes, chronic pulmonary disease, elevated blood pressure, Stage 2 hypertension

Question 4

ASA IV

Answer 4

Incapacitating disease that is a constant threat to life, unable to walk up one flight of stairs, unstable cardio conditions, uncontrolled epilepsy, uncontrolled insulin dependent diabetes, BP >180 ->110

Question 5

ASA V

Answer 5

Patient is moribund and not expected to survive

Question 6

Stress

Answer 6

causes most dental emergencies such as stroke, epileptic seizure or raised blood pressure

Question 7

Amoxicillin dose

Answer 7

2g

Question 8

Cephalexin dose for penicillin allergy

Answer 8

2g

Question 9

Clindamycin dose for penicillin allergy

Answer 9

600 mg

Question 10

Azithromycin or Clarithromycin dose for penicillin allergy

Answer 10

500 mg

Question 11

normal body temperature

Answer 11

96.0 to 99.5 F typically 98.6F

Question 12

Normal respirations

Answer 12

14-20 per minute

Question 13

Normal pulse

Answer 13

60-100 per minute

Question 14

Normal blood pressure

Answer 14

<120-<80

Question 15

pre-hypertension

Answer 15

120-139 over 80-89

Question 16

Stage 1 hypertension

Answer 16

140-159 over 90-99

Question 17

Stage 2 hypertension

Answer 17

> 160 over >100

Question 18

Conditions that require antibiotics before dental care

Answer 18

Artificial cardiac valves, joint replacements, previous bacterial endocarditis, transplants

Question 19

Infective endocarditis

Answer 19

an inflammation of the heart valves and lining of the heart as a result of bacterial infection

Question 20

Leukemia

Answer 20

abnormal proliferation of leukocytes

Question 21

Thrombocytopenia

Answer 21

Number of platelets are reduced, most common bleeding disorder

Question 22

Blood thinners

Answer 22

warfarin, coumadin, aspirin, acetaminopnen expect more bleeding

Question 23

Sickle Cell Anemia

Answer 23

Red blood cell disorder, anemic Take folic acid supplement

Question 24

Diabetes

Answer 24

metabolic disorder caused primarily by a defect in the production of insulin by the islet cells of the pancreas resulting in an inability to use carbohydrates, Type I and Type II

Question 25

What is the purpose modified stillman's method

Answer 25

plaque removal from cervical areas--message gingiva

Question 26

what is the motion for stillman's method

Answer 26

1. vibrate bristles for a count of 10 2. Turn wrist and work the vibrating brush over gingiva and tooth 3. repeat 5 times move to next area

Question 27

What is the purpose of the roll method

Answer 27

1. Clean exposed tooth surface 2. Can stimulate gingiva and increase gingival tone 3. Used in conjunction with other methods 4. easy to learn

Question 28

What is the motion for the roll method

Answer 28

1. roll brush slowly over teeth in incisal/occlusal direction by turning wrist 2. bristles remain flexed and roll over gingiva and tooth 3. stroke should end with bristle pointing in occlusal/incisal direction 4. replace and repeat for each group of teeth

Question 29

What is the purpose of Charter's method

Answer 29

clean exposed proximal surfaces, massage interdental and marginal gingiva and for use in open embrasures

Question 30

What is the motion for Charter's method

Answer 30

1. short vibratory motion 2. bristle ends remain in place 3. Count slowly to 10 4. repeat several times then move to next area

Question 31

What is the purpose of electric toothbrushes

Answer 31

patients with ineffective biofilm removal, aggressive pushers, disabilities, anyone

Question 32

What is the purpose of the Circular (Fone's) method

Answer 32

young children, easy to learn

Question 33

What is the method of the Circlular (Fone's) method

Answer 33

(historical method) 1. fast, wide circular motion 2. little pressure 3. anterior teeth go edge-to-edge 4. posterior teeth go back and forth

Question 34

What is the method of the Vertical (Leonard) method

Answer 34

(historical method) 1. bush vigorously without great pressure up an down with slight rotary movement 2. bristles placed against teeth perpendicular to long axis

Question 35

What is the scrub brush method

Answer 35

1. vigorously combined horizontal, vertical and circular strokes with some vibratory motions - -encourages gingival recession and can sometimes cause tooth abrasion

Question 36

When does the patient sign the patient authorization and release box on the medical history

Answer 36

at the initial appointment and at the recall appointment

Question 37

What are the 4 parts of the medical history?

Answer 37

personal, dental, medical, sig/authorization

Question 38

What is the most common cause of bleeding disorders

Answer 38

Thrombocytopenia (number of platelets are reduced)

Question 39

What are examples of blood thinners

Answer 39

1) warfarin 2) Coumadin 3) aspirin 4) acetaminophen

Question 40

What is sickle cell anemia and what supplement do you take

Answer 40

red blood cell disorder, anemic | take folic acid supplement

Question 41

How often would you see a diabetic

Answer 41

every 3 months

Question 42

How much amoxicillin would children take

Answer 42

50 mg/kg

Question 43

If a patient can't take oral medication what are their options

Answer 43

Ampicillin Celtriaxone Cefazolin

Question 44

How much celtriaxone would and adult take

Answer 44

2g

Question 45

How much Cefazolin would a child take

Answer 45

50 mg

Question 46

If a patient is allergic to penicillin or ampicillin oral what are their options

Answer 46

Cephalexin Clindamycin Azithromycin Clarithromycin

Question 47

How much cephalexin for a kid

Answer 47

50 mg

Question 48

how much clindamycin for a kid

Answer 48

20 mg

Question 49

how much clarithromycin for a kid

Answer 49

15mg

Question 50

how much azitromycin for a kid

Answer 50

15 mg

Question 51

How much azitromycin for an adult

Answer 51

500 mg

Question 52

If allergic to penicillin or ampicillin and unable to take oral medications what are their options

Answer 52

Cefazolin Ceftriaxone Clindamycin

Question 53

How much Cefazolin for an adult

Answer 53

1g

Question 54

How much ceftriaxone for an adult

Answer 54

1g

Question 55

How much cefazolin for a child

Answer 55

50 mg

Question 56

How much clindamycin for an adult

Answer 56

600 mg

Question 57

How much cindamycin for a child

Answer 57

20 mg

Question 58

What is a normal straight facial profile

Answer 58

mesognathic

Question 59

What is a prominent maxilla and a deficient, extruded mandible

Answer 59

Retrognathic

Question 60

What is a prominent, protruded mandible and a normal maxilla

Answer 60

Prognathic

Question 61

What is a class one occlusion

Answer 61

a) mesiobuccal cusp of maxillary 1st molar occludes with the buccal groove of mandibular 1st molar b) Maxillary canine occludes with the distal half of the mandibular canine and the medial half of the mandibular first premolar

Question 62

What is a class two distocclusion

Answer 62

a) buccal groove of mandibular first molar is distal to mesibuccal cusp of maxillary first molar by at least the width of a premolar b) The distal surface of the mandibular canine is distal to the midline of the maxillary canine by at least the width of a premolar

Question 63

What is a class three mesiocclusion

Answer 63

a) Buccal groove of mandibular first molar is medial to the mesiobuccal cusp of the maxillary first molar by at least the width of a premolar b) The distal surface of the mandibular canine is medial to the midline of the maxillary Caine by at least the width of a premolar