Medical and Dental Questionare Flashcards

(32 cards)

1
Q

Valve replacement

A

*medical clearance needed

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2
Q

Stent; congenital heart lesions

A

*clearance required
*NO premed

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3
Q

Myocardial infarction

A

*clearance required

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4
Q

Pacemaker

A

*clearance required

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5
Q

CVA

A

*clearance required

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6
Q

High Blood Pressure

A

*clearance needed if 160/100 or more

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7
Q

Diabetes

A

*clearance required if uncontrolled, they don’t know HbA1c grade, and if its 8 or higher

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8
Q

Why should aspirin be avoided with patients who have diabetes?

A

it may trigger a hypoglycemia reaction

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9
Q

The 3 P’s of Diabetes

A

polyuria (frequent urination)
polydipsia (excessive thirst)
polyphagia (excessive hunger)

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10
Q

Cancer/chemotherapy

A

*clearance required

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11
Q

Kidney trouble/ dialysis

A

*clearance required

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12
Q

Sexually Transmitted Infection

A

*clearance required

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13
Q

Which strains of oral cancer are associate with HPV (Human Papilloma Virus)

A

16 and 18

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14
Q

HIV Antibody

A

*clearance required

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15
Q

Hepatitis, Jaundice, or Liver Disease

A

*clearance required

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16
Q

Organ transplant

A

*clearance required

17
Q

Prosthetic replacement

A

*clearance required

18
Q

Tuberculosis

A

*clearance required

19
Q

Sickle Cell Anemia

A

*clearance required
*premed required

20
Q

Which food allergies are associated with latex allergies?

A

-banana
-kiwi
-nectarine
-avocado
-chestnut
-peaches

21
Q

What is the clinical significance of gastric bypass?

A

-severe xerostomia and increased TMD
-nutritional deficiencies
-ill fitting dentures
-NO periostat or NSAIDS
-avoid nitrous oxide

22
Q

Which meds may required a medical clearance for treatment?

A

-anticoagulants
-chemotherapy
-cortisone/steroids
-bisphosphonates (dismissed if IV)
-Fen-phen (weight loss drug)

23
Q

ASA I

A

-normal healthy patient
-non smoking minimal alcohol use
-little to no anxiety for dental treatment
-no functional limitations

24
Q

ASA II

A

-mild stable systemic disease
-no extreme functional limitations
-no extreme fear or anxiety of dental care
-ex// obesity, well controlled diabetes, mild lung disease, current smoker, social drinker, normal pregnancy

25
ASA III
-severe systemic disease -1 or more moderate to severe disease and/or functional limitations -ex//morbid obesity, poorly controlled diabetes, alcohol/drug dependency, history of MI, CVA, COPD (over 3 months ago)
26
ASA IV
-severe systemic disease that constantly threatens life -ex// recent (last 3 months) MI, CVA, scheduled dialysis, sepsis, acute respiratory distress
27
Osteoporosis
-type of biphosphonate taken -clearance required*
28
When can patients who are allergic to penicillin/amoxicillin NOT take cephalexin
if they have a type 1 reaction (anaphylactic, less than this reaction they may take the medication)
29
Which procedures are prophylaxis recommended for (for patients who need it)
-dental extractions -periodontal/debridement procedures -dental implant placement -orthodontic band placement -intraligamentart local anesthesia -endodontic instrumentation -when bleeding is anticipated*
30
List the conditions that required antibiotic prophylaxis (premed)
-prosthetic cardiac valves -previous endocarditis -congenital heart disease -cardiac transplantation w/ valve regurgitation
31
What type of instruments must be used for patients with dental implants?
titanium instruments *can probe with stainless steel
32
Important factors of the dental questionaire
-consumption of caffeine, sugar creamer, and the frequency -fruit juices, soda, sports drinks -mouth breathing -sports and mouth guard use -oral piercings -tobacco use -fluoride use -nutritional/dietary habits