Term
| What is the baseline drug for premedication of an adult patient that does not have any allergies? |
|
Definition
| Amoxicillin 2 grams (2,000 mg) |
|
|
Term
| What is the baseline drug for premedication of an child patient that does not have any allergies? |
|
Definition
|
|
Term
| What are 3 alternative drugs for premedication if your adult patient is allergic to pencillin? |
|
Definition
Cephalexin 2 grams
Clindamycin 600 mg
Azithromycin 500mg |
|
|
Term
| What are 3 alternative drugs for premedication if your child patient is allergic to pencillin? |
|
Definition
Cephalexin 50 mg
Clindamycin 20 mg
Azithromycin 15mg |
|
|
Term
| How far in advance should your patient take premedication? |
|
Definition
| 30-60 minutes before the appointment |
|
|
Term
| What are 6 conditions that require premedication? |
|
Definition
artificial heart valve
heart transplant
Hx of infective endocarditis
congenital heart lesions
artificial joints
uncontrolled diabetes |
|
|
Term
| On the medical history, what does CC stand for? |
|
Definition
|
|
Term
| On the medical history, what does HPI stand for? |
|
Definition
|
|
Term
| On the medical history, what does GH stand for? |
|
Definition
|
|
Term
| On the medical history, what does UCHD stand for? |
|
Definition
|
|
Term
| For review of systems, what does Heent stand for? |
|
Definition
| head, ears, eyes, nose, throat |
|
|
Term
| For review of systems, what does RES stand for? |
|
Definition
|
|
Term
| For review of systems, what does CV stand for? |
|
Definition
|
|
Term
| For review of systems, what does GI stand for? |
|
Definition
|
|
Term
| For review of systems, what does GU stand for? |
|
Definition
|
|
Term
| For review of systems, what does MBJ stand for? |
|
Definition
|
|
Term
| For review of systems, what does CNS stand for? |
|
Definition
|
|
Term
| For review of systems, what does endo stand for? |
|
Definition
|
|
Term
| For review of systems, what does hemo stand for? |
|
Definition
|
|
Term
| For review of systems, what does met stand for? |
|
Definition
|
|
Term
| On the medical history, what does FHX stand for? |
|
Definition
|
|
Term
| On the medical history, what does DHX stand for? |
|
Definition
|
|
Term
| ROS category for AIDS/HIV |
|
Definition
|
|
Term
| ROS category for Alzheimer's Disease |
|
Definition
|
|
Term
| ROS category for anaphylaxis |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for arthritis/gout |
|
Definition
|
|
Term
| ROS category for artificial heart valve |
|
Definition
|
|
Term
| ROS category for artificial joint |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for blood disease |
|
Definition
|
|
Term
| ROS category for blood transfusion |
|
Definition
|
|
Term
| ROS category for breathing problems |
|
Definition
|
|
Term
| ROS category for bruise easily |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for chemotherapy |
|
Definition
|
|
Term
| ROS category for chest pains |
|
Definition
|
|
Term
| ROS category for cold sores/fever blisters |
|
Definition
|
|
Term
| ROS category for congenital heart disorder |
|
Definition
|
|
Term
| ROS category for convulsions |
|
Definition
|
|
Term
| ROS category for cortisone medication |
|
Definition
| *category for the condition being treated* |
|
|
Term
| ROS category for diabetes |
|
Definition
|
|
Term
| ROS category for drug addiction |
|
Definition
|
|
Term
| ROS category for easily winded |
|
Definition
|
|
Term
| ROS category for emphysema |
|
Definition
|
|
Term
| ROS category for epilepsy/seizures |
|
Definition
|
|
Term
| ROS category for excessive bleeding |
|
Definition
|
|
Term
| ROS category for excessive thirst |
|
Definition
|
|
Term
| ROS category for fainting/dizzy spells |
|
Definition
|
|
Term
| ROS category for frequent cough |
|
Definition
|
|
Term
| ROS category for frequent diarrhea |
|
Definition
|
|
Term
| ROS category for frequent headaches |
|
Definition
|
|
Term
| ROS category for genital herpes |
|
Definition
|
|
Term
| ROS category for glaucoma |
|
Definition
|
|
Term
| ROS category for hay fever |
|
Definition
|
|
Term
| ROS category for heart attack/failure |
|
Definition
|
|
Term
| ROS category for heart murmur |
|
Definition
|
|
Term
| ROS category for heart pace maker |
|
Definition
|
|
Term
| ROS category for heart trouble/disease |
|
Definition
|
|
Term
| ROS category for hemophilia |
|
Definition
|
|
Term
| ROS category for Hep A, B, C |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for hives/rash |
|
Definition
|
|
Term
| ROS category for hypoglycemia |
|
Definition
|
|
Term
| ROS category for irregular heartbeat |
|
Definition
|
|
Term
| ROS category for kidney problems |
|
Definition
|
|
Term
| ROS category for leukemia |
|
Definition
|
|
Term
| ROS category for liver disease |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for lung disease |
|
Definition
|
|
Term
| ROS category for mitral valve prolapse |
|
Definition
|
|
Term
| ROS category for pain in jaw joints |
|
Definition
|
|
Term
| ROS category for parathyroid disease |
|
Definition
|
|
Term
| ROS category for psychiatric care |
|
Definition
|
|
Term
| ROS category for radiation treatment |
|
Definition
|
|
Term
| ROS category for recent weight loss |
|
Definition
|
|
Term
| ROS category for renal dialysis |
|
Definition
|
|
Term
| ROS category for rheumatic fever |
|
Definition
|
|
Term
| ROS category for rheumatism |
|
Definition
|
|
Term
| ROS category for scarlet fever |
|
Definition
|
|
Term
| ROS category for shingles |
|
Definition
|
|
Term
| ROS category for sickle cell disease |
|
Definition
|
|
Term
| ROS category for sinus trouble |
|
Definition
|
|
Term
| ROS category for spina bifida |
|
Definition
|
|
Term
| ROS category for stomach/intestinal disease |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for swelling of the limbs |
|
Definition
|
|
Term
| ROS category for thyroid disease |
|
Definition
|
|
Term
| ROS category for tonsilitis |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for tumors or growths |
|
Definition
|
|
Term
|
Definition
|
|
Term
| ROS category for venereal disease |
|
Definition
|
|
Term
| ROS category for yellow jaundice |
|
Definition
|
|
Term
| What are 5 purposes of taking a medical history |
|
Definition
1. etiology of conditions which may effect tx
2. reveal precautions (siezures, help moving)
3. recognition of undiagnosed conditions
4. documentation
5. understand emotional and psychological factors |
|
|
Term
| What are 5 advantages of the medical history questionnaire? |
|
Definition
1. standardized form
2. symptom and disease oriented
3. patient's own writing
4. saves time
5. skip to relevant info easier |
|
|
Term
| What is 2 cons of the medical hx questionnaire? |
|
Definition
1. impersonal
2. inflexible (doesn't always give you the answers you need) |
|
|
Term
| What are 2 cons of the Medical Hx interview? |
|
Definition
1. time consuming
2. possible omissions |
|
|
Term
| What are the two types of medical histories taken at SCC? |
|
Definition
| questionnaire and interview |
|
|
Term
| Why is it important to have the DOB on the medical Hx form? |
|
Definition
| helps identify if there is more than one patient with the same name |
|
|
Term
| Can a parent or guardian give permission for their child to be treated over the phone? |
|
Definition
|
|
Term
| what is it considered if you do not obtain permission before treating a patient? |
|
Definition
|
|
Term
| Can a babysitter give permission to treat for a minor? |
|
Definition
|
|
Term
| What premed should you use if your patient is allergic to both penicillin and cephalosporins? Give dosages for adult and child |
|
Definition
Clindamycin
adult- 600mg
child- 20mg |
|
|
Term
| What are two clinical considerations for a patient with hypertension? |
|
Definition
shorter appts
use of anesthetics (depending on how high the BP is effects anesthetic used) |
|
|
Term
| What is postural hypotension? |
|
Definition
| sudden decrease in BP usually due to standing up too fast. |
|
|
Term
| what is syncope and who does it typically effect? (2) |
|
Definition
temporary loss of consciousness due to drop in BP
-pregnant women and elderly |
|
|
Term
| What are 3 common effects of hypertension? |
|
Definition
dizziness
blurred vision
sycope |
|
|
Term
|
Definition
| acute chest pains as the result of decreased blood supply to the heart brought on by physical activity |
|
|
Term
| What medication should the patient have with them and place on the counter during tx if they suffer from angina? |
|
Definition
|
|
Term
| What is a myocardial infarction? |
|
Definition
| reduction of blood flow through the coronary arteries resulting in necrosis of the tissues |
|
|
Term
| what is rheumatic heart disease? |
|
Definition
| cardiac manifestation of rheumatic fever. Can result in heart valve damage that is susceptible to bacteremia (no premed needed) |
|
|
Term
| What should you ask a patient with a hx of rheumatic heart disease? |
|
Definition
how long have they had it
have they had any complications |
|
|
Term
| What is the bacterial agent for bacterial endocarditis? |
|
Definition
|
|
Term
| What is a clinical consideration for a patient with congestive heart failure? |
|
Definition
| seat in semi-supine position |
|
|
Term
| What physical signs would you see in a patient with congestive heart failure? (3) |
|
Definition
swollen ankles
stress/duress
increased pulse |
|
|
Term
| What are two common meds for congestive heart failure? |
|
Definition
|
|
Term
| What equipment can you not use for a patient with an unshielded pacemaker? |
|
Definition
|
|
Term
| What should you do with a patient's pacemaker card after confirming if it is a shielded/unshielded model? |
|
Definition
| make a copy for the patient chart |
|
|
Term
| What does CVA stand for and what condition is it associated with? |
|
Definition
| cerebral vascular accident (stroke) |
|
|
Term
| What is a TIA and what should we do about it? |
|
Definition
| little strokes that last a few minutes and don't leave any damage. Make a note in the patient chart |
|
|
Term
| What is a clinical consideration for Hep A |
|
Definition
|
|
Term
| what is a clinical consideration for Hep B |
|
Definition
|
|
Term
| what is a clinical consideration for Hep C |
|
Definition
| can't metabolize drugs (due to alcohol or drug abuse) |
|
|
Term
| What is a common resulting disease for Hep A, B, and C |
|
Definition
|
|
Term
| what is a clinical consideration for liver disease? |
|
Definition
| issues with drug metabolism--> local anesthesia not always successful |
|
|
Term
| What is the oral manifestation for syphilis? How is it treated? |
|
Definition
stage 2- oral mucosa patch
penicillin |
|
|
Term
| What is the oral manifestation for gonorrhea? |
|
Definition
| erosive lichen planus, erythema multiforme |
|
|
Term
| What is the oral manifestation for HPV? |
|
Definition
| oral warts (refer out for tx) |
|
|
Term
| What is the oral manifestation for herpes |
|
Definition
| vesicle (cannot work on patient when in active form) |
|
|
Term
| What is the oral manifestation for HIV/AIDS |
|
Definition
gingivitis
peri candidiasis (thrush- fungal infection)
white hairy leukoplakia |
|
|
Term
| What are 3 clinical considerations for respiratory disease?> |
|
Definition
1. semi-supine seating
2. No nitrous or air polisher
3. keep inhaler or oxygen nearby |
|
|
Term
| If a patient has active TB, what do you need to do/how long do you need to wait before you can treat them? |
|
Definition
need MD clearance
meds for 2 weeks (1 pill/day)- incubation 12 weeks |
|
|
Term
| What are 2 clinical considerations for bronchitis |
|
Definition
|
|
Term
| What are 4 symptoms of undiagnosed diabetes? |
|
Definition
increased thirst
increased appetite
frequent urination
sudden weight loss |
|
|
Term
| Is Type 1 diabetes mellitus insulin dependent? |
|
Definition
| No. late onset (>30 years old). Controlled with diet and exercise |
|
|
Term
| Is type 2 diabetes mellitus insulin dependent? |
|
Definition
|
|
Term
|
Definition
| HYPOglycemia. Shakey, nervous, needs sugar |
|
|
Term
|
Definition
| HYPERglycemia. Needs insulin |
|
|
Term
|
Definition
| iron deficiency resulting in decrease in oxygen to tissues |
|
|
Term
| What are symptoms of anemia? |
|
Definition
weakness
headaches
palor
atrophic glossitis (loss of filiform papilla)
pale gingiva |
|
|
Term
| What is a clinical consideration for anemia? |
|
Definition
| send for nutritional counseling |
|
|
Term
| What disease are hemophiliacs at risk for? |
|
Definition
|
|
Term
| what procedure should be avoided for hemophiliacs? |
|
Definition
|
|
Term
| What are 6 signs of leukemia? |
|
Definition
lymph node involvement
fatigue
palor
dry mouth
ulcers
abnormal bleeding |
|
|
Term
| What should you confirm with an MD prior to treating a patient with leukemia? |
|
Definition
if pre-med is needed
if they are currently on chemo or radiation |
|
|
Term
| What are 2 common anticoagulant therapies? |
|
Definition
|
|
Term
| What medication is used to treat adrenal insufficiency? |
|
Definition
|
|
Term
| What is Addison's Disease |
|
Definition
| insufficient hormone production of the Adrenal gland |
|
|
Term
| what are the symptoms of Addison's Disease |
|
Definition
weakness
dizziness
vomiting
brownish color skin |
|
|
Term
| What is a clinical consideration for systemic steroid therapy? |
|
Definition
|
|
Term
| what diseases are patients with a kidney transplant at risk for? |
|
Definition
|
|
Term
| What medications are used for kidney transplant patients? |
|
Definition
|
|
Term
| What is the oral manifestation for a patient with epilepsy/seizures? |
|
Definition
| gingival hyperplasia (Dilantin) |
|
|
Term
| What is a clinical consideration for patients undergoing alcohol/drug rehab? (3) |
|
Definition
no mouthwash with alcohol
may not be able to give anesthesia
will ask for pain meds often |
|
|
Term
| What is a clinical consideration for patients with joint replacements? |
|
Definition
| call MD to see if premed is needed (may only be for first 2 years after procedure) |
|
|
Term
| What 3 conditions should you check with an MD before treating? |
|
Definition
congential heart defect
systemic steroid therapy
uncontrolled diabetes |
|
|
Term
| What are 3 medications that may affect treatment? |
|
Definition
tranquilizers/antidepressants
anticoagulants
antihypertensives |
|
|
Term
| what are 5 conditions that NO LONGER require pre-med? |
|
Definition
1. heart murmur d/t rheumatic fever
2. mitral valve prolapse with regurgitation
3. hemophilia
4. bicuspid valve disease
5. congenital heart conditions |
|
|
Term
| What are drugs/materials that may cause allergic reactions |
|
Definition
1. penicillin (antibiotic)
2. erythromycin (antibiotic)
3. sulfa (antibiotics)
4. iodine
5. asprin
6. local anesthesia
7. latex |
|
|
Term
| What are 6 drugs/conditions with oral manifestations? |
|
Definition
1. HIV/AIDS
2. Dilantin (gingival hyperplasia)
3. Antihypertensives (Ca channel blockers)
4. cyclosporins (organ transplant- gingival hyperplasia)
5. syphilis
6. leukemia |
|
|
Term
| What are the 4 alert stamps that can be added to the top of a patient's medical history? |
|
Definition
Allergy
Implant
language
premed |
|
|
Term
| what do you do if the chief complaint of your patient is pain?> |
|
Definition
| refer out. Can't treat people in severe pain at SCC |
|
|
Term
| Do you need to know the brand of birth control? |
|
Definition
| No. just the form (injection, pill, iud) |
|
|
Term
| What color should you write alerts in the medical chart> |
|
Definition
|
|
Term
| What are a few examples of medical alerts? |
|
Definition
| pregnant (include due date), allergy, considerations affecting dental treatment |
|
|
Term
| What are some examples of UCHD? (3) |
|
Definition
| measles, mumps, chicken pox |
|
|
Term
| Are you required to report child and sexual abuse? |
|
Definition
| Yes. mandated reported (fine and possible jail time for failing to do so) |
|
|
Term
| Are you required to report drug use? |
|
Definition
| No. This is confidential information. Cannot share adolescent drug use with parents |
|
|
