Term
| What class of medications can help with xerostomia? |
|
Definition
| cholinergics such as prilocaine |
|
|
Term
| What is an example of anti platelet drug? |
|
Definition
|
|
Term
| What is an example of an anticoagulant drug? |
|
Definition
|
|
Term
| What is the limited amountof epi allowed for people with heart conditions? |
|
Definition
| 0.04 mg(2 carps 1:100,000) |
|
|
Term
| What is the blood pressure that we will not see a patient in private practive? |
|
Definition
|
|
Term
| What is the cause of primary hypertension? |
|
Definition
| cause unknown, develops over time |
|
|
Term
| What are some common side effects of ACE inhibitors? |
|
Definition
| posttural hypotension, dry cough |
|
|
Term
| Which type of beta-blockers should epi be used with caution? |
|
Definition
|
|
Term
| What is a common side effect of calcium channel blockers? |
|
Definition
| gingival hyperplasia, xerostomia |
|
|
Term
| How long should selective treatment be put off after a heart attack? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Pain in the mandible may indicate what? |
|
Definition
|
|
Term
| How often should nitroglycerin tablets be replaced? |
|
Definition
|
|
Term
| How much nitroglycerine should be given to a patient having an angina attack? |
|
Definition
|
|
Term
| What should the systolic blood pressure be under before administering nitro? |
|
Definition
|
|
Term
|
Definition
| oxygen supply to the brain cut off |
|
|
Term
| How long should it be after a stroke before elective dental treatment? |
|
Definition
|
|
Term
| What is the primary pace setter in the heart? |
|
Definition
|
|
Term
| What is ventricular fibrillation? |
|
Definition
| rapid heart beat with erratic electrical impulses of ventricles |
|
|
Term
| How is ventricular fibrillation treated? |
|
Definition
|
|
Term
| Can ultrasonics be used on people with pacemakers? |
|
Definition
|
|
Term
| Can epi be administered to people with cardiac arrythemias? |
|
Definition
|
|
Term
| What is the primary pacemaker in the heart? |
|
Definition
|
|
Term
| Can nitrous be used on pts with congenital heart disease? |
|
Definition
| no because of possible pulmonary congestion |
|
|
Term
| What medication may patient be taking for congestive heart faulure? |
|
Definition
|
|
Term
| What is a possible side effect of digoxin? |
|
Definition
|
|
Term
| Should air polishers or ultrasonics be used on people with congestive heart failure? |
|
Definition
| no, it would be hard for them to breathe |
|
|
Term
| How long after a coronary artery bypass should a patient wait to have elective dental treatment? |
|
Definition
|
|
Term
| Is a premed needed for a coronary bypass surgery? |
|
Definition
|
|
Term
| Is a preantibiotic needed for a patient with a valve replacement? |
|
Definition
|
|
Term
| What will a patient be taking if they have mechanical valve? |
|
Definition
|
|
Term
| What are 4 common medications of asthma? |
|
Definition
1. albuterol(Ventolin)
2. salmeterol(Serevent)
3. flutocasone(Flovent)
4. advair |
|
|
Term
| What is albuterol (Ventolin)? |
|
Definition
| short-acting bronchodilator |
|
|
Term
| What is salmeterol(Serevent)? |
|
Definition
| long-acting bronchodilator |
|
|
Term
| What is fluicasone(Flovent)? |
|
Definition
| corticosteroid-used long term |
|
|
Term
|
Definition
| long-acting bronchodilator + corticosteriod |
|
|
Term
| What percentage of people with asthma are allergic to aspirin? |
|
Definition
|
|
Term
| Should nitrous oxide be used on patients with asthma? |
|
Definition
|
|
Term
| What happens in the lungs to people with emphysema? |
|
Definition
| over inflation of the alveoli/air sacs which impair airflow out of the lungs |
|
|
Term
| Do people with emphysema have a increased or decreased respirtaion rate? Dry or wet cough? |
|
Definition
-increased respiration rate
-dry cough |
|
|
Term
| What is the nickname for emphysema? |
|
Definition
|
|
Term
| What happens in bronchitis? Dry or wet cough? |
|
Definition
| inflammation of linings of bronchial tubes which narrows airway, wet cough |
|
|
Term
|
Definition
| disorder of exocrine glands(glands that go to surfaces like tears, sweat, etc), secretions become thick and sticky, accumulations of mucus blocks air exchange in the lungs |
|
|
Term
|
Definition
| reduced CD4 helper t counts and function |
|
|
Term
| What is kaposi's sarcoma? |
|
Definition
| an oral manifestation of HIV? |
|
|
Term
| Why should you avoid the creation of areosols for HIV patients? |
|
Definition
|
|
Term
| What should the recare interval be for HIV patients? |
|
Definition
|
|
Term
| What do you want a med con for with HIV/AIDS patients? |
|
Definition
|
|
Term
| What do you want a med con for with patients with leukemia? |
|
Definition
| platelet count due to aplastic anemia |
|
|
Term
| Are prophylactic antibiotics prescribed to patients with leukemia? |
|
Definition
|
|
Term
| What is sickle-cell anemia? |
|
Definition
| hemoglobin defect that causes blood cells to become sickle shaped(cresent moon shaped) and can occlude small vessels |
|
|
Term
| What does it mean if you carry the sickle cell trait? |
|
Definition
| you carry one of the autosomal recessive genes |
|
|
Term
| What does it mean if you have sickle cell disease? |
|
Definition
| you carry both autosomal recessive genes |
|
|
Term
| Do people with sickle cell disease need med cons/antibiotic? |
|
Definition
| need med con to determine possible antibiotic |
|
|
Term
|
Definition
| autoimmune form of inflammatory bowel disease, may involve GI from mouth to anus |
|
|
Term
| What kind of unlcers arise with Crohns's disease? |
|
Definition
|
|
Term
| When is the best time for a dialysis patient to have an appointment? |
|
Definition
|
|
Term
| When may patient with Crohn's disease be treated? |
|
Definition
| when they are in remission on controlled disease |
|
|
Term
| Which dialysis patients need med cons? |
|
Definition
| possible premeds if AV shunt or kidney transplant |
|
|
Term
| Can you air polish on a patient with chronic renal failure? |
|
Definition
| no because of possible electrolyte inbalance |
|
|
Term
|
Definition
| inflammation of the liver |
|
|
Term
| What is the source, risks, and is there a vaccine for hepatitis A? |
|
Definition
source- fecal/oral
risks- poor hygiene
vaccine- yes(hep B) |
|
|
Term
| What is the source, risks, and is there a vaccine for hepatitis B? |
|
Definition
source- blood/bodily fluids
risk- IV drugs,sex, needles
vaccine- yes |
|
|
Term
| What is the source, risks, and is there a vaccine for hepatitis C? |
|
Definition
source- blood/bodily fluids
risks- IV drugs, sex, needles
vaccine- NO |
|
|
Term
| What is the source, risks, and is there a vaccine for hepatitis D? |
|
Definition
source- blood/bodily fluids
risks- IV drugs, sex, needle
vaccine- yes (hep B) |
|
|
Term
| What is the source, risks, and is there a vaccine for hepatitis E? |
|
Definition
source- fecal/oral
risks- poor hygiene
vaccine- NO |
|
|
Term
|
Definition
|
|
Term
| What do you have to have before you can get hep D? |
|
Definition
|
|
Term
| What drugs should be avoided by pts with hepatitis? |
|
Definition
| drugs metabolized in the liver(acetaminophen!!) |
|
|
Term
| What is Addison's disease? |
|
Definition
| endocrine disease, primary adrenal insufficiency(too little steroid production) |
|
|
Term
| What causes 20% of adddison disease cases? |
|
Definition
|
|
Term
| Do people with Addison's disease need a med con? |
|
Definition
| yes, may need steroid before stressful situation like dental visit |
|
|
Term
| Can you use the air polisher on a patient with Addison's disease? |
|
Definition
| no, may disrupt acid base balance |
|
|
Term
| What is Cuhing's disease? |
|
Definition
|
|
Term
| What usually causes Cushing's disease? |
|
Definition
| prescribed corticosteroid therapy |
|
|
Term
| What are 2 physical signs of cushings disease? |
|
Definition
| buffalo hump, moon facies (fat accumulation on the upper back and face) |
|
|
Term
| Do you need a med con for cushing's disease? |
|
Definition
| yes, may need steroid treatment prior to strressful situation(dental appointment) |
|
|
Term
| What is a goiter and what may cause it? |
|
Definition
| enlarged thyroid gland, may be caused by lack of iodine or graves disease |
|
|
Term
|
Definition
|
|
Term
| What are some signs of Grave's disease? |
|
Definition
| goiter, eyes popping out, nervousness, tacycardia, heat intolerant |
|
|
Term
| Can people with graves disease be given epi? |
|
Definition
|
|
Term
| What are some signs of hypothyroidism? |
|
Definition
| hypotension, bradycardia, dry skin, cold intolerant, obesity |
|
|
Term
|
Definition
| synthetic hormone replacement therapy for hypothyroidism |
|
|
Term
|
Definition
| early onset hypothryroidism, mental/physical retardation, macroglossia, delayed tooth eruption |
|
|
Term
|
Definition
| adult onset hypothyroidism, long term/undiagnosed |
|
|
Term
| What medication is commonly prescribed for hypothyroidism? |
|
Definition
|
|
Term
| What can help control involuntary movements in people with cerebral palsay during treatment? |
|
Definition
|
|
Term
| What usually causes celebral palsay? |
|
Definition
| lack of oxygen during birth |
|
|
Term
| what is muscular dystrophy? |
|
Definition
| progressive chronic disease causing muscle atrophy |
|
|
Term
|
Definition
| spine is curved(C or S shaped) |
|
|
Term
| What is the functional level for a C4 spinal injury? |
|
Definition
|
|
Term
| What is the functional level for a C5 spinal injury |
|
Definition
| minimal functioning, partial shoulder/biceps |
|
|
Term
| What is the functional level for a C6 spinal injury |
|
Definition
| sit, eat with devices, shoulder/biceps, partial wrist |
|
|
Term
| What is the functional level for a C7 spinal injury |
|
Definition
| personal self care with devices, shoulder, biceps, wrist, partial hand |
|
|
Term
| What is the functional level for a C8/T1 spinal injury? |
|
Definition
| personal self care, wheel chair transfer |
|
|
Term
| What is the first step in wheelchair transfer? |
|
Definition
| ask the patient if they can transfer themself |
|
|
Term
| Should home fluoride be given to people with alzeimers? |
|
Definition
| No they might forget that they used it |
|
|
Term
| When should people with ADD have appointments? |
|
Definition
| mid morning after medications |
|
|
Term
| Should you make eye contact patients who are autistic? |
|
Definition
|
|
Term
| Which nerve is paralyzed with bell's palsy? |
|
Definition
|
|
Term
| What should be avoided in patients who are taking tricyclic antidepresants? |
|
Definition
|
|
Term
| Do pts with downs syndrome(trisomy 21) have an increased or decreased caries risk? |
|
Definition
|
|
Term
| What is required for an epilepsy diagnosis? |
|
Definition
|
|
Term
| What is a petit mal, grand mal, and status epilipticus? |
|
Definition
petit mal- mild
grand mal- severe
status epilipticus- continuous convulsion lasting more than 5 mins |
|
|
Term
| What can phenytion (Dilantin) cause? |
|
Definition
|
|
Term
| Who are the patients that epi should not be used on? (3) |
|
Definition
asthma
hyperthyroidism
cocaine/meth |
|
|
Term
| What drugs does epi interact with? (3) |
|
Definition
-non selective beta blockers
-tricyclic antidepressants
-digoxin |
|
|
Term
| What is multiple sclerosis? What medicine treats it? |
|
Definition
| chronic degenerative autoimmune disease of CNS, treated with Betaseron |
|
|
Term
| What is pakinsons disease? What is a sign of it? |
|
Definition
| chronic, progressive disease of neurons that produce dopamine, causes slow movements, tremors, BRADYKINESA |
|
|
Term
| What is often caused from the medictaions used to treat schizophrenia? |
|
Definition
|
|
Term
| What is epidermolysis bullosa? |
|
Definition
| slight rubbing or irritation causes large bullae |
|
|
Term
|
Definition
| heredity condition, tall, long slender fingers, joint problems, congential heart defects |
|
|
Term
| Isa premed needed for pts with Marfan? |
|
Definition
| only if congenital heart defect exists |
|
|
Term
| What is Scleroderma(systemia sclerosis)? |
|
Definition
| autoimmune disorder causing overproduction of collagen |
|
|
Term
| What do people with Scleroderma(systemia sclerosis) look like? What phenomenon is seen? What is an oral manifestation? |
|
Definition
-porcelain dolls
-raynauds phenomenon
-widening of the PDL |
|
|
Term
| What is raynauds phenomenon? |
|
Definition
| episodic vascoconstriction of digits, white discoloration, related to cold |
|
|
Term
| What are some signs of heroin addiction? |
|
Definition
| pinpoint pupils, decreased respiratory rate |
|
|
Term
| What medication is used to treat heroin overdose? |
|
Definition
|
|
Term
| What is cocaine? What is a sign of it? |
|
Definition
| stimulant, anesthetic, vascoconstrictor, dialated pupils |
|
|
Term
| When can you treat a pt who uses cocaine? |
|
Definition
| 24 hours after use, interactions with epi |
|
|
Term
| When can you see pts on meth? |
|
Definition
| 24 hours after use, unsafe with epi |
|
|
Term
| What are the 5 steps to help people stop smoking? |
|
Definition
-Ask
-Advise
-Assess
-Assist
-Arrange |
|
|
Term
| What are some prescription antismoking drugs? |
|
Definition
-Buproprion(Zyban)
-Chantix |
|
|
Term
| What is Buproprion(Zyban)? Possible side effect? |
|
Definition
-antidepressant
-xerostomia
-use epi with caution |
|
|
Term
| What is chantix? Side effect? |
|
Definition
| nicotine agonist, xerostomia |
|
|
Term
| What trimester is the only appropriate one to treat a pregnant patient? |
|
Definition
|
|
Term
| How should pregnant patient be positioned? |
|
Definition
| on left side with pillow to elevate right hip |
|
|
Term
| Can nitrous be used on pg patients? |
|
Definition
|
|
