Medical History

Question 1

When does the patient sign the Patient Authorization and Release box on the MH?

Answer 1

At the initial appointment and at the recall appointment

Question 2

To correct an error: erase and add the correct info

Answer 2

False; only line through initial and date

Question 3

The conditions found on MH are #’ed. These # conditions match the #’ed conditions in the clinic manual. True or False

Answer 3

True

Question 4

True or False
We are able to treat a patient with high blood pressure?

Do we need more info to answer this question?

Answer 4

False.

Yes.

Is it controlled? If yes, you may treat. If no, you may not.

Question 5

T or F
Patient with transplanted organs are safe to treat?

Do you need more info to answer this question?

Answer 5

False.

Yes.
When was it done? Have you taken pre med by physician? Referral by Dr.

(Send referral letter to Physician)

Question 6

What 5 questions are asked at the recall or reappoint appointment?

Answer 6

The 5 bolded questions.

Pg 247

Question 7

If a patient presents with a condition not found on the MH is there a place to record this info?

Answer 7

Yes, on “other”

Question 8

Purposes of MH

Answer 8

1. Info is important for oral conditions
2. Reveal conditions that need precautions
   Ex: allergy to antibiotic. Toothaches
3. Identify unrecognized conditions
   Ex: measles-coplex. Red spots in mouth
4. Appraise the health of the patient for the prognosis after dental treatment
5. Patients emotional, psychological, attitudes, prejudices.
   Ex: scared of dentist, hand holding, explain
6. Document record for references and comparison Ex: weight loss
7. Legal evidence. They must sign!
8. Identify cultural beliefs. Bad teeth bc parents do.
9. Determine ethnic/racial influence on risk factors for oral disease.

Question 9

At the follow up appointment you check the

Answer 9

Allergies,
Med alert,
Premed,
Special handling- how do we need to treat the patient/patient positioning.

Question 10

You need clinic signatures on..?

Answer 10

Medical history,
CPE,
Treatment record,
Referrals,
Medication page

Question 11

Dosages:

Oral Amoxicillin

Answer 11

Adults-2gm/2000mg (4 pills)

Children-50mg/kg

Question 12

Dosage: Allergic to penicillin or ampicillin oral.

Cephalexin

Clindamycin

Azithromycin or clarithromycin

Answer 12

Adults- 2g
Children- 50m/kg

Adults- 600mg
Children- 20mg/kg

Adults- 500mg
Children-15mg/kg

Question 13

Blood disorder: Leukemia

Answer 13

Abnormal proliferation of leukocytes,
Consult with MD,
Abnormal bleeding

Question 14

Most common cause of bleeding disorders

Answer 14

Thrombocytopenia

Question 15

Prolonged bleeding time and poor clotting, ______ the coagulation and prothrombin times are normal.

Answer 15

But

Thrombocytopenia

Question 16

Number of platelets are reduced,
Hemorrhage may occur __________ from any area of the oral mucosa,
May be acute and fatal but also may run a chronic course with intermittent attacks

Answer 16

Thrombocytopenia

Spontaneously

Question 17

Warfarin, Coumadin, aspirin, acetaminophen

Answer 17

Blood thinner meds

Question 18

True or false:

May be more dangerous to decrease blood thinner meds

Answer 18

True

Question 19

T or F:

You need a MD referral when using blood thinners

Answer 19

True

Question 20

Disease where red blood cells are destroyed,

Mostly in African Americans

Answer 20

Sickle cell anemia

Question 21

Supplement taken with sickle cell anemia

Answer 21

Folic acid supplement

Question 22

Hemophilia

Answer 22

Afraid of brushing/tissues bleeding

Question 23

Diabetes

Answer 23

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 carbs

Question 24

Type 1 diabetes

Type 2 diabetes

Answer 24

1: insulin inj (shot looks like 1)
2: pill form, obesity

Question 25

4 parts of medical history

Answer 25

Personal info Dental history Medical history Authorization

Question 26

T or F: | You can see a patient with diabetes

Answer 26

False. Unless controlled. Controlled=gum tissues look normal

Question 27

For a reappointment you go over what with the patient?

Answer 27

5 bolded questions, Yes answers. (Do not need to sign authorization)

Question 28

ASA: Without systemic disease, a normal healthy patient with little or no dental anxiety

Answer 28

ASA Stage 1

Question 29

ASA: Able to walk one flight of stairs with no distress.

Answer 29

ASA stage 1 Prehypertension

Question 30

ASA- mild systemic disease or extreme dental anxiety

Answer 30

ASA Stage 2

Answer 31

ASA Stage 1

Question 32

ASA 2 stage1

Answer 32

140-159 and/or 90-99 Must stop after walking one flight of stairs, Upper respiratory infections, Allergies, Healthy pregnant woman

Question 33

ASA 3 stage 2

Answer 33

160-179 and/or 100-109

Question 34

ASA 4 stage 3

Answer 34

>180->110 Unable to walk up one flight of stairs Uncontrolled epilepsy

Question 35

ASA 5

Answer 35

End stage, | Expected not to survive