Oapp Questions Flashcards

1
Q

If patient allergic to penicillin,what should we do?

A

clindamycin

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2
Q

What is the sigh and symptoms of immediate reaction?

A

-nausea,angioedema,hives,respiratory distress
-may progress to cardiovascular collapse
-weak and rapid pulse become cyanotic

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3
Q

What is the sign and symptoms of delayed reaction?

A

hives,angioedema,erythema,respiratory distress

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4
Q

Define asthma,what is the management in DH?

A

Chronic inflammatory disease of the airways characterised by reversible airflow obstruction and bronchospasm triggered by hypersensitivity or various stimuli.
💊:bronchodilator (inhaled +/- steroid)
🦷:-prepare for asthmatic attack
-steroid inhalers may cause oral thrush(真菌)
-avoid mouth and throat irritation: >Rinse mouth after each puff but not swollen

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5
Q

What is eczema?what is the management of DH?any medication?

A

-a kind of chronic inflammation of skin
-allergic to exogenous/endogenous agents
-💊medication:Topical corticosteroids/oral steroids
🦷:-may decreased ability to withstand stress->stress management
-immune system maybe suppressed due to the prolonged oral steroids

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6
Q

What is hay fever? How does it affect to patient in dental treatment?

A

-A kind of seasonal acute allergic condition affecting the mucous membranes of the upper respiratory tract and the eyes
-immune system overreact to develop immunoglobulin E, in response to harmless allergens,such as dust , pollen. Patient may get breathing problem ,running nose, mucus in throat.

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7
Q

What does steroid for?how does it affect the patient in dental treatment?

A

steroid:
-is for asthma,rheumatoid arthritis,eczema
-🦷:increase risk of infection due to decreased immune response,delayed healing,high blood pressure

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8
Q

What is jaundice?

A

not a disease but a sign of hepatitis,inflammation of the gall bladder
-refers to yellowish colour of the skin, sclera (white of the eyes)眼白

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9
Q

What is hepatitis and what are the cause?

A

Inflammation of hepatitis,
Cause:-idiopathic (fatty liver)
-local infection (viral infection)
-chemical /drug toxicity
-from an infection elsewhere in the body

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10
Q

What is the agent of hepatitis d?

A

Hepatitis D virus

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11
Q

How many forms of hepatitis b have?what are they?

A

Can divided into acute/chronic form:
-Acute form: last less than 6months,immune system is able to clear the virus and lead to full recovery,happen in adult,no need medical prescription ,can transmit HBV to other people before fully recover ,the incubation day is1-6months
-chronic form:more than 6months, body fail to clear the virus, no cure if it become CHB,can transmit to everybody , may lead to cirrhosis肝硬化(sir-roll-sis) and liver cancer
-prevention:hepatitis b vaccination

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12
Q

How can hepatitis b transmit?

A

-broken skin/mucosal membrane of eyes/ mouths
-reuse the unsterilised medical equipment
-using contaminated equipment for tattooing/ear-piercing/acupuncture
-share injection instruments for drug injection
-share personal items which may contaminated with blood such as toothbrush,shavers
-unprotected sexual contact
-contaminated blood products

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13
Q

What is the definition of hypotension?

A

an acute drop in blood pressure when try to stand after in a recumbent position for a while.

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14
Q

What the dental concerns of pregnancy women?

A

associated with gingival overgrowth /pregnancy gingivitis due to hormonal change which may increase inflammatory response to plaque
-consider to collect supine,sitting,standing BP

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15
Q

Which stage of trimester will you suggest a pregnancy woman to see dentist?

A

2nd trimester:safest time for elective dental treatment

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16
Q

What dental unit position you will suggested when your patient is in pregnant?why?

A

Orthostatic hypotension,

caused by the uterus compress the inferior vena cava when a pregnant woman is in a supine position , leading to decreased venous retire centrally.

17
Q

How to prevent orthostatic hypotension?

A

Prevention:
-assume the verticals posture gradually
-avoid sudden change to dental chair position
-risk for syncope昏

18
Q

What happen if a pregnant woman get rubella?what is the cause of rubella?

A

German measles /rubella 德國麻疹 caused by rubella virus , if pregnant woman get infected,specially in 1st trimester ,the infant may have heart defect resulting in congenital heart disease

19
Q

How to prevent measles?

A

MMR vaccine:measles,mumps,rubella
MMRV vaccine:MMR+varicella

20
Q

What is the other name of chickenpox?

A

Varicella

21
Q

What is the cause of chickenpox?

A

caused by varicella zoster virus(VZV),will stay latent in dorsal root ganglion if once infected ,will cause shingles生蛇during adulthood