Deck 8: Comprehensive Medical and Oral Health History

Question 1

According to the American Heart Association,which of the following conditions requires prophylactic antibiotics prior to providing dental hygiene treatment?

A) Mitral valve prolapse
B) Artificial heart valves
C) Bicuspid valve disease
D) Rheumatic heart disease

Answer 1

Artificial heart valves

Question 2

A patient with a history of stable angina falls within which American Society of Anesthesiologists classification?

A) P1
B) P2
C) P3
D) P4

Answer 2

P3

Question 3

During a medical emergency,the carotid artery is typically used for determining the pulse in an adult.The brachial artery is used for determining the pulse in an infant during a medical emergency.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Answer 3

Both statements are true.

Question 4

Adequate functional capacity is defined as one who meets which level of metabolic endurance?

A) 2
B) 4
C) 6
D) 8

Question 5

When a patient presents with a pulse rate of 120 beats per minute

A) Proceed with treatment using a stress-reduction protocol
B) Defer treatment because a medical emergency may occur
C) Obtain a medical referral to determine degree of cardiac health
D) A and C
E) B and C

Question 6

The most common site for taking a pulse is the

A) Facial artery
B) Temporal artery
C) Radial artery
D) Carotid artery

Question 7

Conducting a health history is the first phase of the assessment component of the dental hygiene process of care.If a patient answers "yes" to questions on a health history form,dental professionals should not ask additional questions for clarification or to obtain further significant information.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 8

Caution should be used when rendering care for patients with which American Society of Anesthesiologists physical status classification?

A) Normal
B) Patient with mild systemic disease
C) Patient with severe systemic disease
D) B and C

Question 9

The dental hygienist reclines Joe is a supine position to begin scaling.He experiences trouble breathing.Which of the following defines what he is experiencing?

A) Dyspnea
B) Orthopnea
C) Tachypnea
D) Hyperventilation

Question 10

One of the best ways to anticipate a potential emergency when reviewing the medical history is to

A) Obtain a medical clearance for all patients
B) Have each patient take a premedication
C) Complete follow-up questions for all "yes" responses
D) Update a health history every 2 years

Question 11

How often should a health history be updated?

A) Only on new patients
B) Once a year
C) Every 2 years
D) At every appointment

Question 12

Routine oral health care can be performed for each classification of hypertension EXCEPT one.Which one is the EXCEPTION?

A) Prehypertension
B) Hypertension stage 1
C) Hypertension stage 2
D) Hypertension stage 3

Question 13

Blood pressure is not considered a vital sign that needs to be collected during dental appointments.Blood pressure should only be taken by a physician's office because it is within their scope of practice.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 14

Patients tend to acknowledge the importance of their medical history in relation to a dental hygiene or dental appointment.A common mistake is to ask patients if there have been any changes in their health since the last appointment.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Question 15

Determining cardiac risk based on the client's ability to perform daily activity describes

A) Vital signs
B) American Society of Anesthesiologists risk classification
C) Cardiac equivalents
D) Functional capacity

Question 16

Which statement about taking a blood pressure reading is INCORRECT?

A) Place the cuff on the patient's arm supported at the level of the heart.
B) The lower edge of the cuff should be about 1 inch below the antecubital fossa.
C) Position the stethoscope in the ears with the tips facing forward.
D) The patient should be seated with his or her legs uncrossed.

Question 17

Your patient presents with a blood pressure of 190/100 mm Hg.Which of the following is NOT an appropriate course of action?

A) Inform patient of results.
B) Assess for risk factors.
C) Obtain a medical consult form approving oral health treatment.
D) Provide routine treatment.

Question 18

Which of the following is an example of an open-ended question?

A) When did you first notice this ulcer?
B) Is it painful or annoying?
C) Were you satisfied with your treatment?
D) Can you tolerate foods and liquids?

Question 19

Normal body temperature in adults ranges from 98°F to 99.4°F.Body temperature may be lower in the morning and higher in the late afternoon and evening due to circadian rhythms.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second statement is false.
D) The first statement is false; the second statement is true.

Question 20

William has arrived for his dental hygiene visit.When reviewing his medical history,he informs the hygienist that he had a heart attack 4 months ago and is now on a blood thinner.Which of the following is the appropriate course of action?

A) Continue to treat the patient because it has been more than 3 months since he had a heart attack.
B) Postpone the appointment until the patient takes a premedication.
C) Postpone the appointment; treatment is indicated 6 months after his heart attack.
D) Continue to treat the patient only if his blood pressure is less than 120/80 mm Hg.

Question 21

Mr.Cartwright is a new patient to the practice.He presents with a history of a stroke that occurred 2 months ago.He is taking aspirin daily and has no residual impairment.How long should elective oral health care be postponed due to this medical condition?

A) 1 month
B) 6 months
C) 8 months
D) 1 year

Question 22

Mrs.Schmoyer presents with a history of heart problems.She had a pacemaker placed 1 year ago and has been stable since that time.Antibiotic premedication is

A) Needed for scaling and root planing procedures
B) Needed for local anesthesia
C) Needed for tooth extraction procedures
D) Not needed for this patient

Question 23

Mr.Barnes presents with a history of heart failure of 3 years' duration.He is taking digoxin for this condition and occasionally uses oxygen supplementation.All of the following procedures should be performed EXCEPT one.Which one is the EXCEPTION?

A) Take vital signs at each appointment.
B) Adjust chair position so the patient can breathe easily.
C) Assess functional capacity prior to treatment.
D) Use a cardiac dose for local anesthesia containing vasoconstrictors.