Term
Is the Health history interview completed by the patient as part of the initial appointment Health History process? |
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Definition
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Term
| Is the health history interview completed by the dentist when reviewing the health history form filled out by the patient? |
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Definition
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Term
| When must the patient sign the Pacific medical history form? |
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Definition
| Patients must sign on the completed form and electronically after the interview when datea has been entered into axiUm |
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Term
| When must the patient and you review, update and electronically re-sign the pacific medical history form? |
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Definition
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Term
| When do you ask about changes to a patients medical history? |
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Definition
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Term
| When are the 6 questions that the doctor should verbally ask every patient? |
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Definition
1) Cardiovascular
problems?
2) Infectious diseases?
3)Allergies to medicines (or
latex)?
4) Bleeding problems?
5) Take any medications?
6) Other medical problems
not asked about? |
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Term
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Definition
Signs = indications of disease that can be
observed by the practitione |
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Term
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Definition
Symptoms = problems associated with a disease
that are experienced by the patient, but cannot be
seen by the practitioner |
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Term
| What is the catch all question? |
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Definition
| Do you have any other problems, diseases or conditions not listed above? |
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Term
| What is recommended by the ADA/AAOS for patients with prosthetic joints? |
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Definition
Patient should be prophylaxed with antibiotics before dental treatment in the following situations:
- Insulin-dependent (type I) diabetic
- For all invasive therapy following joint replacement
- history of previous prosthetic joint infection
- Immunosuppressed or immunocompromised patients
- Inflammatory arthopathies (rheumatoid arthritis and systemic lupus erythematosus)
- Disease, drug or radiations-induced immunosuppression
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Term
| What is the ADA/AAOS suggested antibiotic regime for at risk patients? |
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Definition
Amoxicillin of Cephalexin 2.0 g 1 hour before dental appointment
If allergic to penicillin: Clindamycin 600mg 1 hour before dental appointment
NOTE: Non-movable joints, pins, wires, rods, screws do not require any prophylaxis if in place more than 6 months with no problems |
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Term
| What are questions you should ask if a patient has a prosthetic joint? |
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Definition
Which joint has been replaced?
How long ago was the surgery done?
Have there been any problems or infections with
the new joint?
Does the patient have diabetes, inflammatory
disease, an immunosuppression condition, or any
other medical problems? |
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Term
| Is it true that all patients must be treated as though they are infectious? |
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Definition
| Yes. Universal infection control protocol precautions are the standard of care. |
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Term
| What is the clinical exception to the standard infection control protocol for all patients? |
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Definition
| Active tuberculosis requires additional precautions, and these patients should generally be treated only in a hospital isolation facility. |
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Term
| If a patient has hematologic problems (bleeding problems) what might that be indicative of? |
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Definition
| The patient might bruse easily. But a positive response my be indicative of undiagnosed meatologic disease. Consultation with physician may be needed. |
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Term
| What medications have the greatest risk for drug-drug interactions in dentistry? |
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Definition
Erythomycin for oral bacterial
Ketoconazol for oral fungal infections |
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Term
| A patient with immunosuppression is at risk for what? |
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Definition
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Term
| What are the physical signs of fever? |
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Definition
Patients temp reading of 101 degrees F.
Trachycardia.
Patient is shivering |
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Term
What issue would you be concerned with if a patient had any of the following symptoms:
- advanced HIV disease
- platelet count less than 60,000
- liver damage secondary to HepB virus
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Definition
| Bleeding problem during extractions |
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Term
| What bloodborne disease are we especially worried about due to tramitability? |
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Definition
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Term
A patient who checks on their heath history that they have swollen ankles frequently and they also have difficulty breathing when they lay down, are exhibiting the signs of what type of disease?
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Definition
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Term
| The drug dentists use most commonly in dentistry which has a direct effect on the heart is? |
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Definition
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Term
| Thrombocytopenia is a disease of what organ? |
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Definition
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