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OS II > Midterm > Flashcards

Midterm Flashcards

1
Q

most important factor in malpractice litigation

A

documentation and notes

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2
Q

___ ___ contains medical history, current Rx, and allergies

A

health history

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3
Q

3 situations that require premedication

A

unrepaired CHD
repaired CHD within 6 months
repaired CHD with existing defects

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4
Q

st john wart, garlic, fibers, laxatives are ___

A

inducers

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5
Q

echinacea, ginger, cayenne, grapefruit, licorice, gingko, kava, and ginseng are ___

A

inhibitors

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6
Q

men alcohol use

A

</= 4 per day or 14 per week

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7
Q

women alcohol use

A

</= 3 per day or 7 per week

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8
Q

HA

A

hypertonia arterialis (headache)

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9
Q

ASA classification is limited to ___ status

A

physical (preoperative)

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10
Q

IDDM, morbid obesity, stable angina, and dialysis are all under ASA ___

A

III

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11
Q

unstable angina, symptomatic COPD/CHF, and ESRD are all under ASA ___

A

IV

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12
Q

NIDDM, obesity, controlled HTN/HyperTH/asthma, smokers, and pregnant are all under ASA ___

A

II

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13
Q

ASA ___ is not expected to survive operation

A

V

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14
Q

the ___ in SOAP is where the Dx is made

A

A

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15
Q

___ or ___ = emancipated

A

married
pregnant

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16
Q

diastolic 80-89

A

stage I HTN

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17
Q

diastolic >90

A

stage II HTN

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18
Q

HTN urgency vs emergency

A

normal feeling vs symptomatic

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19
Q

no restrictions and normal EKG (IHD) = ASA ___

A

II

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20
Q

angina epi dosage

A

.04 mg (30 min)

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21
Q

how many mg in 1:100,000

A

.01 mg/mL

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22
Q

how many mg in 1.7 mL 1:100,000

A

.017 mg/mL

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23
Q

how many mg in 1.7 mL 2% lidocaine

A

34 mg

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24
Q

1% solution = ___ mg/mL

A

10 mg/mL

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25
Q

how many nitro in bottle

A

25

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26
Q

minimum systolic with nitros

A

100

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27
Q

what 6 things increase risk for cardiac risk index

A

high risk surgery
IHD
CHF
CVA
IDDM
serum creatinine > 2 mg/dL

28
Q

most CVAs are ___

A

ischemic (embolism/thrombotic)

29
Q

status asthmaticus Tx

A

epi 0.3 mg subQ Q15 x 3
supplemental O2 1-3 L/min

30
Q

barrel chested
thin body habitus

A

emphysema

31
Q

cyanotic
obese body habitus

A

bronchitis

32
Q

respiratory drive is a ___ drive

A

hypoxic

33
Q

___ appointments better for COPD

A

PM

34
Q

how does insulin dosing change if IV sedation

A

decrease AM dose by 50%
or withhold AM dose and decrease night by 50%

35
Q

encapsulated “bugs”

A

some stranger killers have pretty nice capsules

salmonella
strep pneumo
klebsiella
h flu
pseudomonas
neisseria
cryptococcus

36
Q

what temperature is best for sickle

A

warm

37
Q

how is steroid dosing affected by dental surgery

A

do not change normal dosing

38
Q

what is considered long-term steroid dosing

A

20 mg/day x 3 weeks

39
Q

myxedema Tx

A

levo + steroids

40
Q

avoid ___ and ___ for best clotting

A

NSAIDs
ASA

41
Q

___ and ___ (AB) are teratogenic

A

steroids
aminoglycosides

42
Q

___, ___ (with conditions), and ___ (with conditions) cause harm to the fetus

A

ASA
NSAIDs (3rd Tri)
opioids (long-term)

43
Q

what 6 Rx are harmful during lactation

A

ASA
atropine
steroids
valium
metronidazole
PCN

44
Q

epithelial renewal begins ___ after surgery and complete after ___ to ___ ___

A

hours
1-2 days

45
Q

inflammatory phase AKA

A

lag phase

46
Q

main material during inflammatory phase

A

fibrin

47
Q

2 phases of inflammatory phase

A

vascular
cellular

48
Q

fibroblasts secrete ___

A

fibronectin

49
Q

___ ___ and ___ are present in the fibroplastic phase

A

ground substance
tropocollagen

50
Q

strength in fibroplastic phase

A

70-80%

51
Q

suture removal timing

A

5-7 days

52
Q

peak tensile strength

A

80-85% (60 days)

53
Q

foreign material causes ___ ___

A

chronic inflammation

54
Q

what 3 things can cause ischemia during wound healing

A

tight sutures
hypotension
pressure

55
Q

hypertrophic scars

A

pedo
regress
flexor surfaces

56
Q

keloid Tx

A

40 mg/cc steroids 3x/month for 6 months
silicone pressure wrapping 2-3 months

57
Q

___ intention healing leads to granulation tissue

A

secondary

58
Q

___ and ___ heal by secondary intention

A

gingivectomy
extractions

59
Q

tertiary intention explained

A

delayed primary closure

60
Q

___ intention has more epithelial migration and collagen

A

secondary

61
Q

localized osteitis =

A

dry socket

62
Q

total lamina dura resorption takes ___ ___

A

1 year

63
Q

most important factor in bone healing

A

bone separation

64
Q

poor vascularity of bone healing leads to ___ and maybe ___ ___

A

cartilage
fibrous unions

65
Q

most nerve injuries are ___

A

neuropraxia

66
Q

dyesthesia

A

painful

OS II (6 decks)

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