Patient Care Final (pt 1)

Question 1

In what ways can microorganisms be transported in the dental office

Answer 1

Aerosols and splash ans splatter

Question 2

What is the chain of infection

Answer 2

Source, host, mode of transmission

Question 3

What factors can influence the suspetibility of a host

Answer 3

age, physical condition, medication, underlying medical conditions

Question 4

What is less than 50 micrometers and can sty airbone for an extended period before settling on surfaces

Answer 4

Aerosols

Question 5

What is larger than 50 micrometers and are only airborn briefly so their is limited pentration into the respiratory system

Answer 5

splash and splatter

Question 6

High speed hand pieces, ultrasonic scaler, air and water are examples of?

Answer 6

Aerosols

Question 7

Direct contact, indirect contact and respiratory are examples of ?

Answer 7

mode of transmission

Question 7

Direct contact can be transmitted by____

Answer 7

broken skin and mucosal contact

Question 8

Indirect contact can be transmitted by____

Answer 8

contaminated instruments

Question 9

What is the ability to cause infection and damage

Answer 9

virulence

Question 10

Resistance can be ___ and ____

Answer 10

innate and acquired

Question 11

What is a condition of being able to resist a particular disease through preventing development

Answer 11

Immunity

Question 11

What are the stages of infection

Answer 11

incubation- time btwn exposure and the first sign
prodromal- first sign and full development
acute- full development
decline

Question 11

What is the process of physical cleaning to reduce microbes

Answer 11

Sanitzation

Question 11

Use of disinfectant and paper towels is an ex of___

Answer 11

sanitzation

Question 11

Heat filtration radiation and chemical are examples of

Answer 11

sterilization

Question 11

The destruction of all microbes forms including spores is what

Answer 11

sterilization

Question 12

primary sterilizing method is

Answer 12

steam under pressure and dry heat

Question 13

What is used on living skin and mucous membranes

Answer 13

antiseptics

Question 14

What is less lethal than sterilization and doesnt destroy spores and are toxic to skin

Answer 14

disinfection

Question 15

what are the requirments for liquid disinfectants

Answer 15

correct temp, ph and conc

Question 16

What kind of disinfectant kills all pathogens but not spores and is not used in UMKC

Answer 16

high level disinfectant

Question 17

What destroys most viruses, fungi, bacteria and IS USED at UMKC

Answer 17

intermediate level disinfectant

Question 18

What kills most vegetative bacteria and some viruses and fungi

Answer 18

low level disinfectant

Question 19

What penetrates soft and hard tissues and confer a high degree of risk for infection and whats an example

Answer 19

critical item, explores, bur, scaler

Question 20

What is it when an item contact but does not penetrate and enters the oral cavity and an ex

Answer 20

Semi critical, amalgam condenser, mirror, impression tray

Question 21

What must all heat tolerant items INCLUDING hand pieces do

Answer 21

be heat sterilized

Question 22

Items that dont enter oral cavity may be touched and whats an ex

Answer 22

non critical and an ex is counter or chair

Question 23

What is the procedures and enforcement measure targeted at reducing the risk of occupational exposure to infectious persons

Answer 23

administrative control

Question 24

An ex of adminstrative control is

Answer 24

passing the sharp end away from the dr

Question 25

What is a device that isolates or remove the risk of exposure or pathogens

Answer 25

Engineering control

Question 26

Whats an ex of engineering control

Answer 26

insturment cassettes and sharp container

Question 27

What is a procedure that reduce the likelihood of exposure to infectios material by altering the manner

Answer 27

work practice controlw

Question 28

whats an example of work practice control

Answer 28

recapping a needle

Question 29

the New term for CDC guidlines is

Answer 29

Standard precautions

Question 30

What does this describe: steam under pressure, 250 at 15 psi for 20 min

Answer 30

autoclave

Question 31

What does this describe: 273 for 30 psi for 3-10 min

Answer 31

Flash sterilizer

Question 32

What does this describe: 320 for 2 hrs 338 for 1 hr

Answer 32

dry heat

Question 33

What does this describe: steam under pressure with chemical vapor and the vapor is hazardous

Answer 33

chemiclave

Question 34

Why can a spore test fail

Answer 34

if it is overloaded

Question 35

Calor dolor tumor

Answer 35

heat pain swelling

Question 36

What are vital signs

Answer 36

temp, pulse, respirations, blood pressure

Question 37

What is avg temp

Answer 37

98.6

Question 38

what is a low grade fever

Answer 38

99.6-100.3

Question 39

What is a fever

Answer 39

100.4

Question 40

What can happen if the reading is done incorrectly

Answer 40

the reading will be lower than the true temp

Question 41

Who has the highest pulse

Answer 41

females 12 and older children are higher athletes are lower

Question 42

Where can you take a pulse

Answer 42

radial brachial and carotid

Question 43

what is a normal pulse

Answer 43

60-100

Question 44

what is tachycardia

Answer 44

pulse greater than 100 bmp

Question 45

What is bradycardia

Answer 45

pulse less than 60 bmp

Question 46

What is normal respirations

Answer 46

12-20 breaths

Question 47

What is bradypnea

Answer 47

less than 12 breaths

Question 48

What is tachypea

Answer 48

more than 20 breaths

Question 49

What can cause hypertension

Answer 49

increase in age and obesity and decrease of physical activity

Question 50

____ refers to the pressure inside the artery when the heart contracts

Answer 50

systolic

Question 51

____ referes to the pressure inside the artery when the heart is at rest and filling with blood

Answer 51

diastolic

Question 52

____ is related to a risk of stroke

Answer 52

higher systolic

Question 53

___ is the max pressure your heart exerts while beating

Answer 53

systoic

Question 54

130/80 results in_____

Answer 54

systolic hypertension

Question 55

____ is the diff between the systolic and diastolic blood pressure and the force the heart generates when it contracts

Answer 55

pulse pressure

Question 56

Where do you take blood pressure

Answer 56

antecubital fossa

Question 57

when taking blood pressure you lsten for the beating sounds called

Answer 57

korotkoff sounds

Question 58

What are the % of diff groups of people with hypertension

Answer 58

blacks 42% whites 28% hispanics 26% asians 25%

Question 59

normal Bp

Answer 59

120/80

Question 60

elevated bp

Answer 60

120-129/80

Question 61

hypertension stage 1

Answer 61

130-139/80-89

Question 62

hypertension stage 2

Answer 62

140/90

Question 63

hypertensive crisis

Answer 63

180/120

Question 64

what is the trendelenburg position

Answer 64

lay in spine with 15-30 degree incline with feet elevated above head

Question 65

Normal healthy patient no smoking is what

Answer 65

ASA 1

Question 66

patient with mild systemic disease, smokes, prego, obesity is what

Answer 66

ASA 2

Question 67

a patient with severe systemic disease and undergoes dialysis is what

Answer 67

ASA 3

Question 68

a patient with severe systemic disease and a threat to life is what

Answer 68

ASA 4

Question 69

a patient who is not expected to survive 24 hours is what

Answer 69

ASA 5

Question 70

A patient who is braid dead is what

Answer 70

ASA 6

Question 71

What are the signs of anxiety

Answer 71

diaphoresis dilated pupils increased bp restlessness hyperventilation trembling

Question 72

What is the stress reduction protocol

Answer 72

oral sedation intraoperative sedation am app short app warm weather post opp rx post opp call

Question 72

___ is a transient loss of consciousness due to hyperfusion of brain and is characterized by a rapid onset and spontaneous resolution

Answer 72

syncope

Question 73

What is orthostatic hypotension

Answer 73

decrease of 20 in systolic ORRRR decrease of 10 in diastolic

Question 74

What can cause syncope

Answer 74

fear pain blood hunger exhaustion hot enviroment

Question 75

What is a vasovagal syncope

Answer 75

rapid drop in heart rate and lead to fainting MOST COMMON

Question 76

What are early syncope manifestations

Answer 76

warm loss of color sweating feeling bad nausea tachycardia

Question 77

What are late syncope manifestations

Answer 77

yawning difficult breathing pupillary dilation cold hands dizzy loss of cons

Question 78

Treatment for syncope

Answer 78

position patient horizontal O2 cool compress ammonia loosen clothings

Question 79

____ to breath at a abnormally rapid rate so increasing the loss of Co2

Answer 79

hyperventilation

Question 80

symptoms of hyperventilation

Answer 80

CARPAL PEDAL SPASMS rapid breath confusion/dizzy cold hands tingle hands tight chest

Question 81

Management for hyperventilation

Answer 81

terminate procedure postition patient upright NO O2 breath into paper bag valium

Question 82

what is the order of donning

Answer 82

gown glasses mask gloves

Question 83

How long to purge hoses in sink

Answer 83

30 sec

Question 84

what kind of grasp do you hold the suction with

Answer 84

modified pen grasp or palm thumb

Question 85

DA chair should be _____ above Dr

Answer 85

4-6 in and feet shoul dbe on ring

Question 86

What is not seen in the mouth

Answer 86

parasitic

Question 87

What can break down the integrity of gloves

Answer 87

petroleum jelly