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Board 2019 > special needs > Flashcards

special needs Flashcards

(83 cards)

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1
Q

is a bacterial infection of the respiratory tract

A

tuberculosis

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2
Q

is transmitted by droplets, ingestion/ coughing/

A

tb

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3
Q

+ ppd does not mean active tb/ do not treat if active

A

true

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4
Q

tb drugs are

A

hepatoxic

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5
Q

cardiac conditions dose is

A

.04 mg/2 carpules

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6
Q

Is pre med needed for unrepaired congenital defects?

A

yes

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7
Q

what is transient and reversible

A

angina pectoris

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8
Q

coronary heart disease meds are

A

nitroglycerin, beta blockers, ccb

administer one tablet every five minutes, no more than 3 in 15

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9
Q

sides effects are nausea vomiting palpiations and decreased bp

A

myocardial infarction

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10
Q

myocardian infarction patient may need to postpone for

A

3-6 months

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11
Q

Is premed needed for coronary bypass surgery

A

not usually

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12
Q

what position may a congestive heart failure patient may not be able to tolerate

A

supine

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13
Q

what is a hypertension patient at risk for

A

stroke, MI, renal mouth al failure

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14
Q

do not treat for – months after stroke

A

6

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15
Q

musuclar dystrophy

A

mouth breathing

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16
Q

areas of the brain are atrophied and ventricles enlarged, lower acetylcholines levels seen

A

alzheimers

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17
Q

do not give frequent breaks with adhd best app time is mid morning

A

true

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18
Q

common drug prescribed for adhd

A

ritalin

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19
Q

do not sit patient up during seizure and nitrous oxide is contraindicted watch for aura preceding seizure

A

true

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20
Q

depression, drug interaction with epi is

A

tricylic antidep

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21
Q

chronic degeneraitve disease of the cns onset is 20-40 years. witihin 15 years of onset 50 percent need help with walking

A

ms

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22
Q

genetic idiopathic c or s shaped spine

A

scoliosis

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23
Q

cause usually from hypoxia at birth, dypshagia, nitrous oxide to help tx

A

cerebral palsy

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24
Q

high blood glucose levels make client prone to

A

infection

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25
blood glucose levels to low, insulin shock
hypoglycemia
26
blood glucose levels to high, not enough insulin diabetic coma *3 PS
hyperglycemia
27
with hepatitis what may be present
jaundice
28
which heps are fecal oral route
a and e
29
what hep has no vaccine
e
30
no vaccine usually asymptomatic
c
31
after dialysis is the best time to appoint
true
32
symptoms include anerexia muscle weakness lethargy dehydration hypoglycemia consult physcian for any steroidal premeds
addisons disease
33
excess acth production by the piuitary gland weight gain hypertension bone fractures heart failure poor healing
cushings disease
34
offer a writing instrument and paper, board to help with communication, do not shout, speak non verbally, remove mask when speaking, speak slowly
deaf patient
35
pregnant patient
turn to l side, pillow under right hip
36
may require antibiotic premed prior to dental treatment
iv drug users
37
is the number one cause of preventable disease/ death
cig smoking
38
``` tobacco counesling ask advise asses assist arrange ```
``` do you smoke importance of quitting level of readiness to quit let me know when your ready set quit date 1 week from now ```
39
nicotine agonist
chantix
40
clients with alcholism have higher risk of cancer
true
41
alcohol and nitroglycerine can result in a dangerously low
bp
42
avoid -- with alcholosim
tyenol *protect the liver
43
may be drowsy reduced respiratory rate, bradycardia, hypothermia
heroin addiction
44
pinpoint pupils
heroin
45
used to treat heroin
methadone
46
tx overdose
narcan
47
heroin addiction patients have higher risks of
infective endocarditis, hep b and hiv
48
dialted pupils/ delay treatment 24 hours, possible unsafe interactions with epi
cocaine
49
CNS stimulant/ increased risk of heart attack and stroke/ stimulates high level of dopamine
methamphetamine
50
someone under the influence of meth, delay 24 hours no epi
tweaker
51
asthma contraindictions
air polisher, ultrasonic, aspirin, and nsaids avoid epi due to sulfites
52
you may use -- on asthmatic
nitrous oxide
53
life threatning persistant exacerbation of asthma
status asthmaticus
54
eitology of --- | familial tendencies, smoking, childhood respiratory infectoins, environmenal pollution
copd
55
contraindictions for --- | air polisher, ultra sonic, rubber dam use, avoid nitrous oxide, oxygen sedation
copd
56
severe dypsnea, coughing
blue bloater
57
chronic bronchitis is
smokers cough
58
chronic bronchitis is more prevalent in
women
59
pink puffer, barrel chest, over inflation of air sacs, dyspnea, wheezing, seen in older men
empysema
60
exocrine gland disorder genetic glands over secrete saliva, tears, sweat thick and sticky, contraindicitons, nitrous oxide sedation air polisher ultra sonic scaler rubber dam
cystic fibrosis
61
cold intolerant
hypothyroidism
62
heat intolerant, do not use epi
hyperthyroidism
63
rhemuatoid arthritis patient schedule app
mid morning
64
hereditary condition of connective tissue, joints, and skeletal tissues, high vaulted palate tmj disorders, long narrow teeth, class three occlusion
marfan syndrome
65
porcelin doll appearance widening of the pdl immobility of the skin
scleroderma
66
blueish discoloration of primarily the fingers and toes, cold temps or stress
raynaud phenomenon
67
hereditary blood disorder red blood cells become sickle shaped due to defect in hemoglibin (crescent moons) immunocompromised
sickle cell anemia
68
sickle cell trait
assymptomatic carry one of the autosomal recessive genes
69
autoimmune neruomuscular disorder characterized by extreme muscle weakness, difficulty swallowing problems chewing watch for risk for aspiration contraindicted ultra sonic/air polisher/
myosthenia gravis
70
hiv aids reduce cd4 helper ---, 3 month app
t
71
``` Epi should be avoided in patients who are taking all of the following except A. Synthroid B. Lanoxin C. Chantix D, Beta Blocker ```
A
72
``` Which of the following is the serum marker for HIV infection A. HBsAG B. HIV antibody C. HAV D. HBcAG ```
B
73
``` Antibiotic prophylaxis is recommended for all of the following except A. previous coronary artery bypass B. heart valve prosthesis C. Cardiac transplant D. chronic renal failure ```
a
74
expohalthalmus is a sympton of which condition a. cretinism b. hypothyroidism c. hyperthyroidism d. marfan syndrome
c
75
episodic vasoconstriction of digits due to cold temps is a symptom of what a. marfan syndrome b. reyes syndrome c. raynauds phenomenon d. ediermolysis bullosa
c
76
in the emergency treatment of angina pectoris the mechanism of action of nitroglycerin is a. relaxation of the cardiac muscle b. blocking beta adrenergic receptors c. relaxtion of the vascular smooth muscle d. reflex decrease in heart rate and contractility
c
77
mucosal pallor, delayed tooth eruption, and atrophy of tongue papillae smooth tongue a. chrohns disease b. hep c. chronic renal failure d. sickle cell anemia
d
78
``` stage one hypertension is classified when a clients bp has a consistent reading of a. 145/98 b. 110/75 c. 160/110 d, 120/80 ```
a
79
a client on hypertensive meds is most likely to experience what problem in the dental chair a. xerostomia b. hypoglycemia c. hyperglycemia d. orthostatic hypotension
d
80
nitrous oxide sedation should be avoided in patients with which condition a. asthma b. tb c. chronic bronchitisi d. unproductive cough
c
81
your client is rebecca a 47 year old smoker who explains that her asthma was from being exposed to second hand smoke at a very young age she compains of worsening symptoms of cough attacks heavy plegm wheezing and difficulty breathing, what is this
chronic bronchitis
82
which cardiac condition does not need antibiotic premed prior to invasive dental treatment a. valve replacement b. congestive heart failure c. coronary bypass surgery d. unrepaired congenital effects
c
83
what is a common symptom with clients who have congestive heart failure a. candidasis b. headaches c. chest pains d. swollen annkles
d

Board 2019 (12 decks)

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